Uptake and spread of digital technologies

Uptake and spread of digital technologies March 20 2014

Zayna Khayat, PhD Senior Advisor, Health System InnovaDon at MaRS Discovery District

@ZaynaKhayat [email protected]

You’re in the right sector!

Rock Health, 2014

CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION

Health is an informaDon industry

3

Patients

Clinical Care Providers

Managers / Financers

Suppliers of Products, Services

•  Biopharma •  Med tech •  HCIT

•  Institutions (eg, hospitals, pharmacies) •  Providers/groups •  Provider associations

•  Infomediaries • Unions •  Regulatory bodies

•  PBMs •  Agencies •  Regulators

•  Distributors •  Regulatory bodies •  Research institutes

•  Health Canada •  Provincial ministries •  Private insurers

ZAYNA KHAYAT – COPYRIGHT 2014

Digital technology underpins nearly every domain of innovaDon in healthcare

The Health System of the Future

1.   Focus on preven7on, wellness 2.  Informed, personalized, connected

3.  Dephysicaliza7on of HC services 4.  Empowerment: paDents decide

5.  Value as currency, not cost

Source of image: TEDMED 20 Greatest Challenges


SystemaDc review of impact of Health IT on quality, efficiency and safety (RAND)� Ann Intern Med. 2014;160(1):48-‐54

Evidence is starDng to percolate

Challenge: the cost/benefit equaDon

Where / when investments are

incurred

Where / when benefits are accrued ≠

TOTAL VALUE CREATED

Produc7vity gains

Other HC u7liza7on

Primary care u7liza7on

Hospital utliza7on

Investment in new technology ( hospital budget)


Challenge: theoreDcal value is rarely afained

Theore7cal value of medical

technology Recognize symptoms

Get diagnosis

Adhere

Fulfill / Access Treatment

Source: BCG Demand Leakage Framework ZAYNA KHAYAT – COPYRIGHT 2014

A challenge: approval / formulary lisDng is not enough

CONFIDENTIAL – DO NOT SHARE WITHOUT PERMISSION FROM Z.KHAYAT Source: Janssen Canada publicaDon with Osler Hospital

Challenge: Disinvestment / obsolescence is not built in to the system

InformaDon

removed


Many efforts to address boflenecks in adopDon (and reimbursement) of innovaDon

Human Health Sciences Cluster Strategy!


Pg 11"

The Blue Bufon signifies that you—as an individual consumer or paDent—can get easy, secure electronic access to your own health

informaDon in a format you can use

Data from Blue Bufon-‐enabled sites can be used to create portable medical histories that facilitate dialog among health care providers,

caregivers, and other trusted individuals or enDDes

MaRS Data Catalyst: opening up the data


PoliDcians discussing global warming. A sculpture in Berlin by Issac Cordal.

Call to acDon: next generaDon of health leaders


Healthcare

Uptake and spread of digital technologies