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Recent Developments in Digital Health 2017 #rsmrdh17 Dr Andrew Harper @DrAndrewHarper No conflicts of interest Council Member and Trainee Representative, Telemedicine & eHealth Section, Royal Society of Medicine Core Medical Trainee, Royal Brompton & Harefield NHS Foundation Trust @DrAndrewHarper #rsmrdh17

Recent Developments in Digital health

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Page 1: Recent Developments in Digital health

Recent Developments inDigital Health 2017

#rsmrdh17Dr Andrew Harper@DrAndrewHarper

No conflicts of interest

Council Member and Trainee Representative, Telemedicine & eHealth Section, Royal Society of MedicineCore Medical Trainee, Royal Brompton & Harefield NHS Foundation Trust

@DrAndrewHarper#rsmrdh17

Page 2: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

“Nothing about me without me.”Valerie Billingham,

Through the Patient's EyesSalzburg Seminar Session 356, 1998

Page 3: Recent Developments in Digital health

The current landscape ofdigital healthDr Andrew Harper@DrAndrewHarper

Council Member and Trainee Representative, Telemedicine & eHealth Section, Royal Society of MedicineCore Medical Trainee, Royal Brompton & Harefield NHS Foundation Trust

@DrAndrewHarper#rsmrdh17

Page 4: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

@EricTopol 21/2/16

Page 5: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

Global funding for digital health

$8.1Bin2016

Barkholz,ModernHealthcare,7/1/17

Page 6: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

Wachter review

1.Paperless NHS by 2023

2.Pursue Caldicott reportrecommendations

3.Creation of the chief clinicalinformation officer post withinTrusts

Page 7: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

Global Digital Exemplars: “Ivy League”

Page 8: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

Patients at the centre of healthcare

Page 9: Recent Developments in Digital health

GP / Hospitaldoctor

Virtual doctor

Patient

Patient supportgroups

Computer basedsupport

Evolution of the patient-doctor relationship

Page 10: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

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@DrAndrewHarper#rsmrdh17

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@DrAndrewHarper#rsmrdh17

106startupswithinartificialintelligenceinhealthcare

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@DrAndrewHarper#rsmrdh17

Healthcare data privacy

ModernHealthcare;21/1/17

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@DrAndrewHarper#rsmrdh17

Sharing healthcare data

Page 15: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

The triple aim: care, health and cost

Page 16: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

Page 17: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

• Trainingsetof128,000retinalimagesclassifiedby≥3ophthalmologists

• Testedalgorithmperformanceon12,000images

• Thealgorithmmatchedorexceededtheperformanceofexpertsforthe

identificationandseveritygradingofdiabeticretinopathy

Algorithm=blackcurve

Dots=ophthalmologists

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@DrAndrewHarper#rsmrdh17

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@DrAndrewHarper#rsmrdh17

Wired,25/1/17

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@DrAndrewHarper#rsmrdh17

Page 21: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

https://www.wired.com/2014/01/geoffrey-hinton-deep-learning/

“Ifyouworkasaradiologistyouarelikethecayote thatisalreadyovertheedgeofthecliff,buthasn’tyetlookeddown,sohasn’trealisedthereisnogroundunderneathhim.

Peopleshouldstoptrainingradiologistsnow.

Itisjustcompletelyobviousthatwithin5yearsdeeplearningisgoingtobebetterthanradiologistsbecauseitisgoingtohavealotmoreexperience.Itmightbe10years,butwe’vegotplentyofradiologistsalready.”

MachineLearningandTheMarketforIntelligence27th October2016

ProfessorGeoffreyHintonFRSComputerScienceGoogle&UniversityofToronto

https://www.youtube.com/watch?v=2HMPRXstSvQ

Page 22: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

“Nothing about me without me.”Valerie Billingham,

Through the Patient's Eyes,Salzburg Seminar Session 356, 1998

Page 23: Recent Developments in Digital health

@DrAndrewHarper#rsmrdh17

Page 24: Recent Developments in Digital health

Recent Developments inDigital Health 2017

#rsmrdh17Dr Andrew Harper@DrAndrewHarper

No conflicts of interest

Council Member and Trainee Representative, Telemedicine & eHealth Section, Royal Society of MedicineCore Medical Trainee, Royal Brompton & Harefield NHS Foundation Trust

@DrAndrewHarper#rsmrdh17