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Page 1: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Me…

Page 2: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Perhaps 2Tb of DataDigital Me

Page 3: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

1.  https://en.wikipedia.org/wiki/Wikipedia:Size_of_Wikipedia#Size_of_the_English_Wikipedia_database

~ 24Tb of Datawithin Wikipedia (English Version)1

12x =

Page 4: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

Clinical decisions made today with partial

information

50% of Clinical Data

Page 5: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

Page 6: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

Page 7: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

Page 8: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

Page 9: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

Page 10: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

Page 11: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

Head  Bands

Arm  BandsCuffs

Watches

Pocket

Chest  Straps/PendantsIngestible

AnkleShoe

Page 12: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

LIFE-STYLE

INFECTIONS

RADIATION

STRESS

DRUGS

DIET

POLLUTION

Page 13: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Digital Me Perhaps 2Tb of Data

Factors Influencing Health

Health

Page 14: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

The Impossible Job of a Clinician…

Missing Clinical Data

Soon…a Tsunamiof new data

17 New Academic research papers / day

15Minutes

to make a decision

Info from Dr Google

1010101101010101010101101010101010100110111010100010110101010101111101010110101010101010110101010101010101011010101011010 “Evidence Based

Medicine” decision making…??

?

Page 15: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Pre 1970

Intuitive Medicine

1970 to Today

Evidence Based Medicine

Future

PrecisionMedicine

Why Most Published Research Findings Are False 1

Medicine Or Mass Murder? Guideline Based on Discredited

Research May Have Caused 800,000 Deaths In Europe Over

The Last 5 Years 2

1. John P. A. Ioannidis, PLoSMedicine  |  www.plosmedicine.org,   Aug   05   2.  Larry Husten – 15 Jan 2014

Page 16: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

All diabetics are the same

Population Health Management

(based on Evidence Based Medicine)

Every patient is unique

Vs. PrecisionMedicine

(based on Data Driven Healthcare)

Page 17: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

“What we think of as modern medicine will look like primitive guesswork as we start to understand the factors that make

a treatment perfect for one person yet completely ineffective for another.”

Dr. Eric Green, Dr. of the National Human Genome Research Institute.

Page 18: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

No  Access!

Tsunami of NEW Data

Page 19: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

Tsunami of NEW Data

Page 20: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

We DON’T do what we should?Internal organ fat (=2.3lbs) is over 2.0lbs

Go to gym!Stop the Coffee

Drink Less

Suggestions(with reasons and facts)

Beliefs, motivations,knowledge, ability…etc

Information

Interventions

Care Plan

Page 21: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

What should my device tell me when I wake up…?

Page 22: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

The Transformation of Healthcare….

1800 1900 2000

SMALLPOX VACCINE1796EDWARD JENNER

SANITARY REFORM1863FLORENCE NIGHTINGALE

PENICILLIN1928ALEXANDER FLEMING

POLIO VACCINE1955JONAS SALK

Precision Medicine

A Once in a Generation Change

Page 23: TedX V20 - May 2016cdn.orionhealth.com/email/TedXMay2016.pdf · Digital Me Perhaps 2Tb of Data Head#Bands Arm#Bands Cuffs Watches Pocket Chest#Straps/Pendants Ingestible Ankle Shoe

My journey to collect ALL of my digital data will continue at…

orionhealth.com/digitalme