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Pharmacists at the Front Line of the Digital Health RevolutionPANS Conference

September 27, 2019

Wolfville, NS

Learning Objectives1. Describe the prevalence of digital health applications among the

patient population today and into the future.

2. Identify the range of uses for digital health tools to meet the rapidly

changing needs of the patient.

3. Critically evaluate opportunities to enable connectivity between digital health applications and pharmacy.

PollEv.com/patriciaryan236

1. Grab your mobile device

2. Connect to the hotelwifi

3. Participate in the quiz with Poll Everywhere

4. Win a prize

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Digital Health“the cultural transformation of how disruptive technologies that provide digital and objective data accessible to both

caregivers and patients leads to an equal level doctor-

patient relationship with shared decision-making and the democratization of care”

National Center for Biotechnology Information

Digital Health Ecosystem

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2008

2008 Apple launches the App Store with 500 Apps.

2019

As of the first quarter of 2019, app users could choose to download between 2.6 million Android, and 2.2 million iOSapps.

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What health apps are your patients using?

“There is only one boss. The customer. And he can fire everybody in the company from the chairman on down, simply by spending his money somewhere else.”

Sam Walton

48% of healthcare consumers are using mHealth apps, compared to just 16% in 2014

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The top health segments for newcomers

•Connection to doctor (25%)

•Heart and blood circulation (20%)

•Staying healthy and fitness (19%)

•Diabetes (18%)

•Mental health (17%)

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SOURCE: IQVIA Institute,Sep 2017; Quan R, OmadaHealth.UsingData Science toDesign EffectivePrecisionPreventativeBehavioralMedicine.Nov 2016

318,000

200

System Generated Health Data

Patient Generated Health Data

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FEXAMPLESO

PGHDSOURCES

EXAMPLES &SOURCES

ACTIVITY

LEVEL

MOBILE APPLICATIONS

SYMPTOMSBIOMETRIC

DATA

WEARABLE DEVICES

REGISTERED MEDICAL DEVICES

MEDICATION

EFFECTS

SURVEYS AND QUESTIONNAIRES

Rapid Fire QuizIs this a Digital Health Tool?

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Why is Digital Health important to pharmacy?

“Most Canadians trust pharmacists to provide advice on medicines (96%), management of common ailments (94%), healthy lifestyle changes (91%), and vaccinations (88%)— trust levels which continue to increase year-over-year”

CPHA

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Vaccine Services

Patient

- Easier access to vaccines

- Increased protection from illness

Pharmacy

- Increased vaccination services

- Improved services for patients

System

- Increased vaccination rates

- Improved cost effectiveness

- Improved tracking

- Reduction in illness

35.7%to

41.7%

Optimal drug therapy outcomes for Canadians through patient-centred care.

Friction noun. fric·tion

Interactions that inhibit people from intuitively and

painlessly achieving their goals within a digital

interface

INR TestingPatient

• Easier access to testing

• Reduction of stroke risk and bleeding episodes

Pharmacy

• Increase POC services

• Increase patient services

System

• Improved control of anticoagulation

• Improved health outcomes

• Improved cost effectiveness

TTRimproved

12.7%Optimal drug therapy outcomes for Canadians through patient-centred care.

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Interoperability noun.

in·ter·op·er·a·bil·i·ty The ability of health information systems to work

across organizational boundaries in order to advance the effective delivery

of healthcare But what about privacy?

“Right now we don’t data-mine healthcare data. If we did we’d probably save 100,000 lives next year.” “There’s always going to be some harm. You can’t have perfect rights for everything”

Larry PageGoogle

2014

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Google Glasses

RIP 2012 – 2015

• Surveillance Capitalism

• Hacking

• Monitoring Behavioural Surplus

Healthcare is the Sloth of the Digital Revolution

• PIPEDA & HIPAA

• GDPR “right to be forgotten”

• Block Chain

What can you expect in the next 10 years?

Digital Therapeutics54 % of surveyed consumers would be open to trying an

FDA approved digital app or online tool to treat their

medical condition.

56 % of physicians have brought up the potential for a

digital therapy as an option for their patients.

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WearablesDoing exercise without monitoring

yourself will be rare in the future of

wearable technology.

Astro Teller

ECG MonitorsEvery once in a while, a new

technology, an old problem, and a

big idea turn into aninnovation.

Dean Kamen

Digital PillsThe first rule of any technology used in a

business is that automation applied to an

efficient operation will magnify the efficiency.

The second is that automation applied to an

inefficient operation will magnify the

inefficiency.Bill Gates

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Artificial IntelligenceSuccess in creating AI would be the biggest

event in human history. Unfortunately, it

might also be the last, unless we learn how

to avoid the risks.

Stephen Hawking

Internet of ThingsFourth industrial revolution is a

deadly combination of technology

and Internet of Things.

N. Chandrababu Naidu

“Optimal drug therapy outcomes for Canadians through patient-centred care”

Vision for Pharmacy Blueprint for Pharmacy – Designing the Future Together

2013

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Connecting the Facts• Pharmacy patients are using Digital Health Tools

• Pharmacists have a trusted role with patients

• Prescriptions are critical for Chronic Disease Management

• Pharmacists Expanded Scope of Practice providean opportunity to build Digital Health Services

Tricorder – X Prize $10M

“The day beforesomething is truly abreakthrough, it's acrazy idea.”

PETER DIAMANDISDxter

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Thank youPatricia Ryan Vitruvian Analytics (902)292-7428patricia@healthqr.com

Questions

Recommended Readings:• The Age of Surveillance Capitalism - Shoshana Zuboff• An Elegant Defense - Matt Richtel• Invisible Women, Data Bias in a World Designed for Men - Caroline Criado Perez• The Mastermind - Evan Ratliff• The Gene, An Intimate History - Siddhartha Mukherjee• Influenza, The Hundred-Year Hunt to Cure the Deadliest Disease in History - Dr. Jeremy Brown

• The Perfect Predator, A Scientist’s Race to Save Her Husband from a Deadly Superbug - SteffanieStrathdee• Bad Blood, Secrets and Lies in a Silicon Valley Startup - John Carreyrou• Dopesick, Dealers, Doctors and the Drug Company that Addicted America - Beth Macy• Against Medical Advice - Hal Friedman

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