Carol Dietrich Memorial Symposium

Culture of Health: When Communities Work Together

Good Things Happen

November 10, 2018

The Future of Healthcare

Norman K. Beals III, MD

Chief Innovation Officer,

VP Ambulatory Network

Objectives:

Think like futurists

Introduce a pathway of change

Provide examples of healthcare innovation

Insights into timeless attributes of healthcare

Buckminster Fuller's Knowledge Doubling Curve

(post-1982 addition by IBM)

10

• In the past

–Do I have enough information?

• Now

– Information Overload

• What information is good, trustworthy?

• What information is bad?

–Do I have enough of the information I need?

A Shift of the Knowledge Mindset

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3-D Thinking

Pharmacy efficiencies

Improved check out

Manage supply chain

Optimize product assortment

Personalize the experience

Wal-Mart and Big Data

13

Evolution of Change

• Based on environment, resources, social, and cultural norms.

Variation

15

• Decreased variability and improved communication has resulted in globalization of healthcare knowledge.

Production

16

• Healthcare in the US vs. other countries

Production - Globally

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Things Are Getting Interesting…

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Government

Employers

IndividualsHealthcare Providers

Payers

Natural Path for Change

Is this where we are?

22

Healthcare Trends

• Population health

• Patient experience

• Quadruple aim

• Decrease in fee for service

• Increase in value, performance, & quality

• Remote engagement

• Wearables

• Iot

• Consumerism

• DIY healthcare

• Others solving our problems

• Leveraging talent

• Unified record

• Innovation/transformation

• Destination care

• Approach to clinical trials

• AI

• Payment reform

Can you think of anymore?

• Medications

• Pregnancy testing

• HIV testing

• Genetic testing

• Vaccines

• STD testing

• Fertility testing

• Strep A testing

• Allergy testing

• Cholesterol testing

Off the Shelf Care

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• Testosterone level testing

• Drug testing

• Gut microbiome testing

• Wearables

– Pulse ox

– Fit bit

– Apple watch

• A.Fib

Apple Health

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Key Developer ProductsHealthKitResearchKitCareKit

Recent healthcare acquisitionsGliimpseBedditSMI

Programs to watchDigital Health Software

Research collaboration to identify irregular heart rhythms using Apple Watch data

• Computer Technology

• Artificial Intelligence

• Big Data Analytics

• Genome

The Future Is Now…The Next Level of Problem Solving

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Changing Markets

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FAMGA (Facebook, Amazon, Microsoft, Google, Apple)

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Disruptors or New Healthcare Providers?

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• Telemedicine

• Mobility/smartphones

• Wearables

• Artificial Intelligence – Mass data trends analyzed predicting for cultures and even countries

• Empowered patients – Easy access in a digital landscape

Changes in Healthcare

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• Aging boomer population in the US

• Changes in age distributions across other countries

• Technologies: AI, genomics, and new types of monitoring and analytics are developing

• Regulatory shifts

• Societal/ethical implications of new technologies

• Changing physician-patient relationship

• New jobs and jobs in demand in healthcare

– genetic counseling and digital coaches

Changing Landscape

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• The basics we as healthcare workers all want:

– Identifying at risk patients early

–Better therapies

– Improved access

–Better experiences for all involved

• What patients ultimately want:

–Compassion and Empathy

• https://www.youtube.com/watch?v=cDDWvj_q-o8

What Doesn't Change?

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• https://www.aimseducation.edu/blog/trending-technology-in-healthcare/

• https://article.images.consumerreports.org/prod/content/dam/cro/news_articles/health/CRO_Health_Country_Healthcare_Spending_09-14

• https://stevensonfinancialmarketing.files.wordpress.com/2012/06/rising-cost-of-healthcare.png

• https://www.healthcaredive.com/news/apple-healthcare-future/511980/

• https://qualityhealthcareplease.files.wordpress.com/2013/03/hccostsbyage.png

• Sg2.com – 2018 Virtual Health Handout

• http://www.smart2zero.com/sites/default/files/styles/inner_article/public/sites/default/files/images/2018-01-29-s20_amazon_healthcare_berkshire_jpmorgan_consortium.jpg?itok=rJ80QQoV

References:

• https://kaiserfamilyfoundation.files.wordpress.com/2013/08/2013-ehbs-6-3.png

• http://www.peterubel.com/wp-content/uploads/2014/12/Politics-Healthcare.png

• http://www.opptrends.com/wp-content/uploads/2014/08/Apple-Health-Kit.jpg

• https://www.kornferry.com/institute/35-a-tsunami-of-knowledge

• https://medium.com/crypto-oracle/why-cryptos-a-growing-threat-to-famga-a-k-a-facebook-apple-microsoft-google-and-amazon-ea237570d3ea

• https://www.cbinsights.com/research/briefing/future-healthcare-in-2025/?utm_source=CB+Insights+Newsletter&utm_campaign=5539052433-Top_Research_Briefs_10_13_2018&utm_medium=email&utm_term=0_9dc0513989-5539052433-90648801

• https://www.forbes.com/sites/danielnewman/2017/03/07/top-five-digital-transformation-trends-in-healthcare/#4499932b2561

• http://www.industrytap.com/knowledge-doubling-every-12-months-soon-to-be-every-12-hours/3950

• https://blog.walmart.com/innovation/20170807/5-ways-walmart-uses-big-data-to-help-customers

• https://www.cbinsights.com/research/unicorn-investments-facebook-apple-microsoft-google-amazon/

• https://www.learningsolutionsmag.com/articles/2468/marc-my-words-the-coming-knowledge-tsunami

References continued: