Scott Radner Vice President, Advanced Technology, MEDITECH Innovation & Disruptive Technology
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Scott Radner Vice President, Advanced Technology, MEDITECH
Innovation & Disruptive Technology
Disruptive Technology
An innovation that helps create a new market and value network, and eventually
disrupts an existing market and value network (over a few years or decades),
displacing an earlier technology.
wikipedia.org
Disruptive Innovation
● Less a function of technology itself
● More a function of application
● Ideas + BS&T = Technology
● Technologies + Ideas = Change
1969
● Tandem Nonstop Stack + ● Electro-Mechanical Dispensers +
● Interbank Networks
Network ATM
1981
● Cavity Magnetron + ● Hollow Metallic Waveguide +
● Biological Hybridization +
Microwave Popcorn
1993
● Personal Computer + ● Internet Protocol Suite +
● Hypertext Transfer Protocol
Browser
2007
● Capacitive Touchscreen + ● Microelectromechanical Sensors +
● System on a Chip +
● Global System for Mobile Communications
Technology of Today
Microelectromechanical Systems
● Piezoelectric depositors (Inkjet head)
● Accelerometer / Gyroscope / Compass
● Pressure Sensors
● Interferometers
● Bio-MEMS
processors.wiki.ti.com
System on a Chip
● CPU
● Memory
● Graphics
● Peripheral Controller
● Communications
en.wikipedia.org
Bluetooth Low Energy
● Health Profiles - Temp, Glucose, BP
● Fitness Profiles - HR, Cadence, Power
● Network Location Awareness
● Proximity Sensing
● 1 Mbits/second
● 50 meters
www.sticknfind.com
Flash Memory
● EEPROM / NOR / NAND
● Single Chip Capacity > 64 Gigabytes
● Multi Chip Capacity > Terabytes
● Viable Replacement for Disk
en.wikipedia.org
Super Supercapacitor
● Activated Carbon
● Carbon Aerogel
● Graphene
● Carbon Nanotubes
en.wikipedia.org
Wireless Power Transmission
● Electromagnetic Induction
● Resonance Linked Induction
● Microwave Transmission
● Laser Transmission
en.wikipedia.org
Touchless Input
● Optical Gesture Sensing
● Wearable Gesture Sensing
● Voice Command
● Voice to Discrete Data
primesense.com
Screenless Output
● Vapor Display
● Virtual Retinal Display
commons.wikimedia.org
Next Generation DNA Analysis/Sequencing
● Accuracy 87% to 99.999%
● 20 minutes to 14 days
● 5 cents to 2000 dollars
en.wikipedia.org
Noninvasive Sensing
● Photodiodes
● Vibrational (IR) Spectroscopy
● Raman Spectroscopy
● Microfluidics
commons.wikimedia.org
● Pulmonary ● Transdermal ● Retinal ● Nasal
en.wikipedia.org
● Automated Compounding Devices ● Engineered Tissue Generation ● 3D Printing
commons.wikimedia.org
Point of Consumption Manufacturing
Today
Browser + Mobile Access
Web EHR
● High Velocity ● High Volume ● High Variety
Data Explosion
● Business Applications ● Clinical Applications ● Population Health
Retrospective Analysis
● Surveillance ● Quality Measures
Active Population Management
Tomorrow
How Do We Decide?
● Clinician input
● Case Stories
● Real problems, real solutions
What Physicians Tell Us...
‘Throughout the inpatient and ED setting, there is a need for asynchronous communication.’
Such communication may be person to person in the form
of text or audio or even a digital image. It may also be from system to person in the form of text or audio, or
perhaps even a digital image.
● Kiosk
● eWhiteboards
● Real Time Location Services - RTLS
● Bring Your Own Device - BYOD
● Wearables
Point of Care Computing
What Physicians Tell Us...
‘New and valuable information about my patient continues to be generated even when they are not
under my direct care.’
Real-time Patient Monitor
What Physicians Tell Us...
‘I find it very difficult to complete the office note during the office visit due to the time and inefficiency of
reviewing records, taking notes, then including them in the current HPI, problem list, etc.’
Self Documenting Visits
What physicians tell us...
‘My practice area is very large and includes numerous
remote facilities, I can’t be everywhere my patients
need me.’
Telehealth and Patient Engagement
Patient Recorded Data
Autonomous Devices
MEDITECH Investment
● MEDITECH has invested over $300 million over five years in Research and Development
● Working groups
● Agility
● PEPR - Propose, Educate, Prototype and Refactor
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