connected health - middle east m2m forum, dubai 23 september 2013
TRANSCRIPT
Connected health: empowering consumers, reducing costs, building data & insightsBob Gann
Head of Business Development – International, NHS DirectVisiting Professor – Health Informatics, Plymouth UniversityUnited Kingdom
September 2013
M2M Middle East Forum, Dubai
Connected technologies can meet today’s health challenges
Global health challenges
•Inadequate access•Unsustainable costs•Increasing burden of chronic illness•Increasing customer expectations
Connected technologies
•Mobile devices•Cloud computing•Decision support•Social networks•Big data
Impact on health
•Remotely delivered care•Chronic disease management•Peer-to-peer support•Targeted wellness•Personalised care
Significant consumer
demand for connected
healthPeople now manage
bank accounts & travel bookings
online – we can do same for health
records & appointment bookings
Other industries have cut costs &
improved customer experience through digital self-service –
we can provide online consultation
& self management
Millions of online communities, reviews & ratings – we can share experience & insight between clinicians &
patients
Businesses understand their markets – we can build & use big data to
target health communications
Digital first
Opportunities to transform healthcare through:•Telephone & online triage•Remote video consultations•Digital notifications – appointment reminders, test results•Mobile enabled health staff•Connected devices for telehealth
NHS Direct – pioneering multi-channel healthcare
NHS Direct has provided remotely delivered health services, via telephone, web and app, since 1998
Driving down cost while improving quality & access
Ambulance
£250
Accident & Emergency
£100 Minor Injuries
Unit
£70
Out of hours family doctor
£50
In hours family doctor
£36
TelephoneNHS111
£7 - £9per call
Web£0.12
£Cost
Channel: Emergency Urgent GP Telephone Digital
Our goal is to improve access, support patient choice and shift demand to lower cost services, whilst improving quality and maintaining patient safety
Reduce unnecessary referrals – 22%
Teach patients to cope with recurring illness - 15%
Prevent worsening conditions – 3%
Recommend lower cost care - 60%
How digital symptom checkers save costs
In a year…•0.7m ambulance & emergency attendances•1.5m family doctor consultations•0.6m other face-to-face appointments avoided through patients using NHS Direct telephone & digital servicesSaving £148m
NHS Direct symptom checkers: channel shift to self service
NHS Direct has both shifted existing users to lower cost digital channels & reached new audiences who prefer digital
Why are health care interventions delivered over the internet? J Med Internet Res 8(2) e10
Consumers want to use digital health because:
•Cheaper to use•More convenient•Access when needed•More anonymous (reduces stigma)•Increased sense of personal control
Remotely delivered telehealth
Telehealth services enable patients to use connected devices to monitor their own vital signs & communicate these to monitoring centre for review by clinician
Image from www.tunstall.co.uk
Telehealth for 3 million lives
Companies involved: 02 Health, Air Products, BT Health, Care Innovations, Cisco, CSC, Harmoni, Invicta Telecare, Medvivo (formerly Telehealth Solutions), MSD, Peaks & Plains Housing Trust, Pfizer Health Solutions, Philips, Qualcomm Life, Robert Bosch Healthcare, S3 Group, Solutions4Health, Technology Strategy Board, Tunstall Healthcare
In UK government & industry are working together to deliver the benefits of telehealth tothree million people living with long term conditions
Mobile revolution puts health in hands of consumers
• In future, transformation in health will increasingly be led by consumer devices
• 6.8bn mobile subscribers worldwide – 300m in Middle East
• 40,000 health apps - downloaded 40 million times a year
• Wireless health market will reach £60bn by 2018 – with mobile health apps the biggest opportunity
Wireless health market: global trendsMarketsandmarkets.com
Monitoring me
How’s my heart
rate?What’s
my oxygen intake?
How am I
sleeping?
How much
exercise? Am I
eating healthily
?
What’s my blood
sugar level?
How’s my
posture?
“The average person looks at their mobile
phone 150 times a day so it’s ideal for health
monitoring”Dr Eric Topol
Apps for everything
Send pictures of skin conditions for diagnosis
Measure heart rate by pointing at face
Monitor sleep patterns
Save & share health records
Test & map DNA
Increasing numbers of Arabic health apps
Wearable M2M devices
Wristbands monitor activity, synchronising to mobile phone
Wearable, washable baby monitors
Temporary tattoos measure sweat lactate
levels for athletes
Under clothing sensors transmit real-time biometrics to monitoring health professionals
By 2016 sales of wearable health
devices will reach 100m a year
(ABI Research)
Digital pills text doctor to say you’ve taken them
7 out of 10 Americans
monitor their own health
(Pew Research)
Connecting digital devices
• Digital devices provide data output and connect in various ways.
• Some enable wearers to monitor their own readings using a mobile phone and website.
• Some allow data to be downloaded and viewed by third parties such clinicians who are watching trends that merit medical intervention.
• Some devices encourage wearers to share their fitness progress with work-out buddies and friends via social media sites.
Regulating & recommending digital health tools
European Union & US Food & Drug Administration regard some apps as medical devices which need regulation
Doctors are starting to prescribe apps & digital health devices from recommended catalogues
As consumers control their own data they can share with others
Example: PatientsLikeMe
• Patients provide detailed, structured information about their condition & treatment (including symptoms, medication, side effects)
• They can share their experiences with others, including clinicians & other patients
• They can link up with other patients like them
• Builds into voluntary provided, big data for research & clinical trials
Wisdom of crowds: individual consumer experiences combine to build rich data & insight
• In US cities multi-channel 311 service allows citizens to report problems - & services (& other citizens) to respond
• Builds rich knowledge base of citizen concerns
• Now implemented in England as Care Connect
• Twitter knows first – early alert to emerging health problems
Challenges of connected health
• Privacy: security of highly sensitive personal data
• Quality assurance of digital tools & products
• Technical infrastructure
• Business models• Creating
cyberchondria?The Arab digital generation may have more concerns about connected health that UK & US consumers
Connected health recommendations for the Arabdigital generation
Connected digital services can drive significant improvement in quality, access & affordability in health care in the Middle East – with three priority areas
1.Credible, high quality information delivered via web portals & apps to encourage healthy lifestyles2.Improved access through remote consultations & shared health records3.Big data: consistent, large scale data gathering on medicines, patient histories & public health
Digital health information initiatives in Middle East are meeting
challenge
Supporting connected health: locally & globally
Licensing digital symptom checkers to other countries
Providing professional advice
& consultancy
Enabling digital health innovation
locally in UK