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Connected Care and the Patient ExperienceOACCAC
Nick van Terheyden, MD @drnic1Chief Medical Officer, Dell HCLS
Nick van Terheyden, MD CMO, Dell Health and Life SciencesTwitter http://twitter.com/drnic1LinkedIn http://www.linkedin.com/in/nickvtBlog http://drnick.vanterheyden.com/FaceBook http://www.facebook.com/drnic1E-Mail [email protected], [email protected] http://about.me/obiwanGoogle Voice (301) 355-0877
Where you can find me
Medical Errors 3rd Leading Cause of Death
Consumer Statistics
387 Million globally live with diabetes10 million live with Parkinson's14 Million new cancer cases added each year17 Million people will die annually from heart disease
Ageing is the Seminal Issue of Our Time
By 2050• 40% of people will
be over 60• More people over
60 than under 14
In the United States• 10,000 Baby Boomers
turn 65 every day• All Baby Boomers will
be 65+• 8 Million will be over
80
2009 Continua Health Alliance Brigitte Piniewski, MD
0 25 65AgeIll
ness
Pre-
Illne
ss
Wel
lnes
s
Unpredictable HealthPredictable (Rules-based) Health Deat
h
60-80% Lifestyle
Modifiable Health
Graphic Source: ClinicalTrials.gov, accessed June 6, 2014 at http://clinicaltrials.gov/ct2/resources/trends
Complexity of Modern Medicine
“The complexity of modern medicine
exceeds the inherent limitations of the
unaided human mind” – David Eddy, 1990
8
Fact
s pe
r Dec
isio
n1000
10
100
5
Clinical decision-making is becoming more complicated.
2000 20101990 2020
Structural Genetics: e.g. SNPs, haplotypes
Functional Genetics: Gene expression
profiles
Proteomics and othereffector molecules
Decisions by Clinical Phenotype
William W. Stead, M.D., 2007 AMIA Panel Presentation, “Why We Need Internal Development”, November 11, 2007
How can we expect health care professionals
to review 6 billion pieces of data in a 15 minute encounter?
• Kilo• Mega• Giga• Tera• Peta• Exa• Zetta• The Data Deluge Makes the
Scientific Method Obsolete
The Data Deluge
Source: Qmee July 2014, http://blog.qmee.com/online-in-60-seconds-infographic-a-year-later/
Every minute of every day…
TeleHealth and TeleMedicine
The Continuum of Telehealth
• Home Monitoring• Advanced Monitoring• Advanced Monitoring Equipment• HealthSpot• Sensing Depression and Brain Injury• Intelligent Assistants and Virtual Interactions• RoboDoc/Nurse
14
Even Assisted Telehealth Intervention
Wearable's and Internet of Things
Wearable's and Internet of Things will surpass smartphones and personal computers by 2018
Internet of Things
Tablets
SmartphonePersonal Computers
The Quantified SelfMeet Chris Dancy and His 10 devices he wears or carries and 13 more in his home and car
Quantified Self
• Ubiquitous, low cost, always on sensors• Seamless tracking with minimal friction and requiring no behavior change• Generates interactive easy to understand data and influences behavior• What Can you Track
– Activity and Weight– Sleep, Mood– Cardiac including Heart Rate, Blood Pressure and EKG– Bloods including Glucose– DNA and Your MicroBiome
• Incentives
Smartphone Driving Biggest Heart Health Study
http://singularityhub.com/2013/04/03/a-million-smartphones-will-drive-biggest-heart-health-study-in-history
Connected Medical Kit, CliniCloud
Playing doctor at home
Robotics and Automation
RP-VITA robots, iRobot Corp
Robotics
Robotics
Genomics and Precision Medicine
25
Genomics, Sequencing and Data• Took $3 Billion and 10 years to sequence
one genome• Sequence in days even hours and for
<$1,000• Explosion of data just to sequence the
genome– Plans to sequence 14M new cancer patients
every year which would generate 5.6 Exabytes of information.
• But there’s even more data in -omics
Global bioinformatics market to reach $13B by 2020
21% CAGR1
>5.6 Exabytesto sequence 14M new cancer patients
worldwide per year2
Sources:1. Allied Market Research, Global Bioinformatics Market, 2013-20202. http://www.cancerresearchuk.org/cancer-info/cancerstats/world/incidence/3. http://www.technologyreview.com/news/531091/emtech-illumina-says-228000-human-genomes-will-
be-sequenced-this-year/
228,000 whole human genomes sequenced in 20141.6M by 20173
• High Level Trends– Data, data and more Data
Topics
Genomics and Preventative Care
• Washington University CardioGene Set
• Panel includes genes linked to 8 cardiac disorders including arrhythmias & cardiomyopathies
• Young Athletes and SCD
http://outlook.wustl.edu/2014/apr/gene-testing
Genapsys
DNA electronics
The era of Personal genome analyzers
Hi Tech Medicine
Patient Engagement is the blockbuster drug of the century
Leonard KishPrincipal and Co-Founder at VivaPhi
31
Accelerating Pace of Change
• Fear of the New• Agricultural Revolution – 8000 years• Industrial Revolution – 120 Years• Moon Landing – 22 years• Genome Sequencing – 10 Years
Connected Care and the Patient ExperienceOACCAC
Nick van Terheyden, MD @drnic1Chief Medical Officer, Dell HCLS
Nick van Terheyden, MD CMO, Dell Health and Life SciencesAboutMe http://about.me/obiwanTwitter http://twitter.com/drnic1LinkedIn http://www.linkedin.com/in/nickvtBlog http://drnick.vanterheyden.com/FaceBook http://profile.to/drnickE-Mail [email protected], [email protected] Voice (301) 355-0877
Questions
Do more. Healthcare.
Are you ready to…Do more of what’s possible,Do more of what matters,Do more of what brings success?