Digital Pharma East: Through the looking glass

THROUGH THE LOOKING GLASS:RETHINKING MOBILE IN THE AGE OF WEARABLES AND AUGMENTATION

Michele Perras, Vice President Strategy / Klick Health

Jay Goldman, Managing Director / Klick Health

Keith Liu, Vice President Labs / Klick Health

35 WEEKS: THE MORNING ROUTINE

SHAPING THE FUTURE OF DIGITAL HEALTH

The advent of mobile and wearable technologies promises to change the healthcare experience

THE EARLY MORNING WAKE UP CALL


Let’s observe how such devices and systems might augment the morning routine of our expectant mother Michele…


THE MORNING ROUTINE: DIAGNOSTICS

Using her Scanadu she records her body temp, heart rate and blood pressure then sends this data to the EHR shared with her OB


THE MORNING ROUTINE:WEIGH-IN

Michele weighs herself on her smart scale which has tracked her progress over the last 35 weeks and

has sent this data to her mobile and her EHR


THE MORNING ROUTINE: ARRHYTHMIA AND ECG

At her last appointment, Michele complained of heart palpitations. Her doctor prescribed the

Nuvant PiiX to track any arrhythmia

THE MORNING ROUTINE: GLUCOSE MONITORING


She was diagnosed with Gestational Diabetes at 27 wks. She measures her glucose using an app and smartphone accessory. This data along with her

medication log is uploaded to her EHR

A FRIENDLY REMINDER


Michele’s smartwatch vibrates to let her know that she needs to leave to get to her doctor’s

appointment

THE CONSULTATION


A NEW DAY


Wearable technologies are also augmenting the healthcare practitioner's routine


Dr. Jay walks to the teaching hospital for his day of appointments

Great job Dr. Goldman.You’ve reached your daily NikeFuel goal.


FUEL 2150CALS 4750STEPS 4750TIME 9:30 am

His Nike+ FuelBand alerts him to reaching his activity goal by displaying a notification on his

Glass

PATIENT EHR REVIEW


“ok glass”

9:25

Wearing Glass, he reviews his first patient’s EHR prior to their consultation

THE INTERACTIVE CONSULTATION



THE INTERACTIVE CONSULTATION

Michele and Dr Jay review her data and discuss her progress through a transparent flexible

display

CO-CONSULTATION WITH DR. GREG


Dr Jay seeks the opinion of his cardiac specialist colleague Dr. Greg, who is currently located

in another part of the clinic

RECEIVING DATA


Dr. Greg receives and reviews the data via his IMEC smart contact lens

PROJECTING DATA AND RELAYING ANALYSIS


Dr. Greg confirms that there are no issues based

on the ECG and relays the good news


CONSULTATION AND WRAPUP

Having received Dr. Greg’s response, Dr. Jay immediately shares this with Michele and they wrap

up


CONSIDER THIS FUTURE

Image: http://avatar.wikia.com/wiki/File:Future_city_final_high_resolution_desktop_2048x1103_hd-wallpaper-571096.jpg

http://avatar.wikia.com/wiki/File:Future_city_final_high_resolution_desktop_2048x1103_hd-wallpaper-571096.jpg

THIS IS TODAY!TODAY!(OR VERY CLOSE TO IT)


ALL TECHNOLOGY AUGMENTS OUR EXPERIENCES

If you have a smartphone, you are already augmented

Augmented reality (AR) was once envisioned as obtrusive and isolating. Today AR is focused on being intermediated by small screens…

Smartphones have enabled the proliferation of AR though apps that layer geolocation, search, social

and other contextual data onto the handset

Glass merges the literal in-your-face approach of traditional AR with the data and network

capabilities we now expect from phones and mobiles devices

These are quickly becoming normal experiences. Your daily reality augmented through technology

A Day Made of Glasshttp://bit.ly/corning-future

Beyond the handset, data interfaces layered on various surfaces will be the norm. Even today, many 3 yr olds use tablets through guestures

http://www.youtube.com/watch?feature=player_embedded&v=uBh2LxTW0s0

EPIDERMAL ELECTRONICS

Embodied Computing is here with ‘tattooed electronics’ that may usher in a new type of

augmented experience tied directly to our bodies

STATE OF THE AUGMENTED NATION

PERIPHERALS

FREQUENCY

Wearables revolutionize the frequency of data collection: snapshots vs. continuous

HEADS-UP

INTERACTION

Head mounted devices revolutionize our interactions with data: Touch, Talk, Tilt & Target

ADHESIVES, INGESTABLES, INJECTABLES

FIDELITY

Biotech and nanotech revolutionize the fidelity of data collection: we can measure at site


CONSIDERATIONS

What are the common themes to be considered with these technologies?


DATATRANSMISSIONPOWER SOURCENETWORKINGCONTEXT OF USEPURPOSE

We are still at the Innovator / Early Adopter stage


BEHAVIORAL SPECTRUM OF AUGMENTED TECH

PASSIVE TRACKING INTERACTIVITYSEMI-AUTONOMOUS

INTEGRATIONFULL AUTONOMY

THE NEW NORMAL

What is normal now and what will it be normalized in the next 5 years?


PURSUING THE PLATFORM

of US adults are currently tracking health indicators

69%69%say this activity has changed

their overall approach to managing their health

46%46%


BIG CHOICES:

TO AUGMENT OR NOT?

http://bit.ly/dbs-parkinsonWhat will be deemed a necessity,

a luxury, or a competitive (unfair?) advantage?

http://www.youtube.com/watch?feature=player_embedded&v=uBh2LxTW0s0


Business and culture will continue to test the boundaries

PRIVACY


PROPRIETARY + CONFIDENTIAL

WHAT’S BIG DATA IN A WEARABLE, AUGMENTED WORLD?

Who gets access to each person’s ‘data bubble’ as these bubbles grow exponentially?


WHAT’S MRL IN A WEARABLE, AUGMENTED WORLD?

Regulatory bodies are slowly adapting


SO WHAT?

What are the opportunities to deliver healthcare innovations in the next 2 years? The next 5 year?


OPPORTUNITY: HCP ENGAGEMENT

EH

R


OPPORTUNITY: CO-DIAGNOSIS

Patient driven tracking and real time HCP collaboration


OPPORTUNITY: SURGICAL SUPPORT AND TEACHING


OPPORTUNITY: EARLY DIAGNOSIS


OPPORTUNITY: ADHERENCE AND SUPPORT


CHALLENGE: VALUE BEYOND THE PILL

Support tools and services which augment / enhance a treatment are becoming competitive differentiators

but this will eventually become the norm


CHALLENGE: COMPLIANCE AND REGULATORY

How will regulatory bodies which are purposefully measured in their pace to adopt new trends

going handle this?


WHEN?NOW — SOME THINGS ARE ALREADY HERE

WELCOME TO THE FUTURE!

Health & Medicine

Digital Pharma East: Through the looking glass