Dr. Ogan Gurel Digital Health Assembly 2015

Ogan Gurel, MD – Director

Open Innovation Group

[email protected]

THE DIGITAL HEALTH

REVOLUTION AND

PARADIGM SHIFTS IN

MEDICINE

10 February 2015

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PARADIGM SHIFTS AND IMPLICATIONS

Parallelization: Multiple sensors, multiple data streams

Wellness – Medical Convergence: no longer separate

Populations Individuals converging

Explicit Implicit Logic: Big-Data Driven Medicine

Empowering Primary Care

Decentralization: From hospital to clinic to home

Diagnostic-Therapeutic convergence

Shift from Episodic Pervasive care

Context enhanced data: Improving accuracy over precision

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DECENTRALIZATION

http://hitconsultant.net/2015/01/14/home-care-samsung-canada-to-power-5000-remote-healthcare-workers/

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PARALLELIZATION

The Simband’s components span the

entire wristband, and the device will

support sensors to measure blood

oxygen and CO2 levels, heart rate,

hydration levels, skin temperature,

galvanic skin response (perspiration),

and, of course, motion.

http://www.techhive.com/article/2198147/samsung-announces-simband-a-wearable-dev-kit-to-cement-leadership-in-digital-health.html

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WELLNESS –

MEDICAL

CONVERGENCE

http://www.practicefusion.com/blog/health-care-and-wellness-converging-concepts/

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IMPLICIT VS.

EXPLICIT LOGIC

http://www.forbes.com/sites/tomgroenfeldt/2011/11/29/recorded-future-big-data-from-the-internet-sees-into-the-future/

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CONTEXT-ENHANCED DATA

http://news.health.com/2014/10/29/home-blood-pressure-monitors-

may-occasionally-miss-the-mark/

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EPISODIC

PERVASIVE

http://www.ncbi.nlm.nih.gov/pubmed/18473081

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POPULATIONS <>

INDIVIDUALS

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3261963/

http://www.nytimes.com/2008/11/12/technology/internet/12flu.html

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EMPOWERING

PRIMARY CARE

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029126/

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DIAGNOSTIC –

THERAPEUTIC

CONVERGENCE

http://www.nejm.org/doi/full/10.1056/NEJMoa1314474

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SOME MORE EXAMPLES

Home health care solution

> 1,650 Tablets (Tab 3 7.0)

Immediate, anytime access to mHealth apps

Homecare Homebase solution

Access patient data, medical history, charge

capture

Large form factor

Thin, light, small enough

Durable, hygienic

OtterBox for rugged case options

Home health care solution

City in Jutland peninsula in Denmark (1.2

million in greater Aarhus area)

Nurses and general care assistants to use

tablet as a report tool and phone via

headset

Form factor and mobility key

S-Pen also an important feature

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S.A.M.I. & SIMBAND

Intelligence in the cloud

S.A.M.I. is an ecosystem

Privacy protected

Data with a difference

Beyond smart health

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KEY ISSUES

Privacy & Security: Ethical and regulatory mandate

Low-cost: Age of Austerity; from volume to value

Low Power: “Invisible”, passive devices

Reliability: Critical for health & medicine (no gaps)

Data integration: Value will be in the data

Ease-of-use: Critical for medical applications

Clinical validation

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THE WAY

FORWARD

Expand into wellness; engage doctors & patients at all levels

Use and share data

Embrace new ways of medical thinking

Incorporate wider information streams