digital transformation—spotlight on the hospital: jonathan melnick, lux research (digital health...
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Digital Transformation—Spotlight on the Hospital
Jon Melnick, Ph.D.Senior AnalystJanuary 7, 2017
About Lux Research
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Agenda
Digital disruption comes to an industry near youDigital pushes traditional care past existing practicesRestructuring the digital hospital
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Electronics giants are betting big on Digital Health and Wellness“Google Ventures Shifts Focus to Health Care” WSJ Dec 2014
The venture group plans to continue investing in the area, looking to capitalize on an explosion of health data and new ways to analyze it.
- Bill Maris, head of Google Ventures “Google Bets on Health: 'The Most You Can Lose Is All Your Money'” Bloomberg Feb 2016
• Health care became GV’s largest investment category in 2014, topping consumer, data and artificial intelligence, enterprise and robotics. In 2013, only 6 percent of GV’s investments were in health care. That jumped to 34 percent in 2014 and 31 percent in 2015.
Apple Goes Big on Digital Health, Acquires Gliimpse [personal health data platform that enables any American to collect, personalize, and share a picture of their health data] ETF Daily August 2016
“Aetna and Apple collaborate on digital health and wellness for employers” Internal Health Management September 2016
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Electronics disruption happens fast, but not in healthcare
Timeframe: 2-5 years to lock in30+ years of dominance
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Electronics disruption happens fast, but not in healthcare
Timeframe: 2-5 years to lock in30+ years of dominance
Source: Commonwealthfund.org
Automotive shows what is coming to healthcare
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“We take steel, raw steel, and turn it into car. They have
no idea what they’re getting into if they[ Apple] get into that.” former GM CEO Dan
Akerson February 2015
1950
1960
1970
1980
1990
2000
2010
2020
2030
0%10%20%30%40%50%60%
1% 3% 4%10%
15%20%
30%35%
50%
Electron-ics and
software as per-cent
of total car cost
Apple CarPlay
Apple Titan
The new automotive supply chain will be blown wide open, and innovation is decoupled, and accelerated
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Tier 1 supplierTier 2
supplier
Tiers 3-5
Raw materials
Electronics
Components
Foundries
Raw materials
OEM (Automaker)
ODM(Device maker)
New car models every
4-7 years
New car electronics
hardware every 1 yearNew car software
every 1 month
Diamler is more concerned about Apple’s moves than GM
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“We take steel, raw steel, and turn it into car. They have
no idea what they’re getting into if they get into that.”
former GM CEO Dan Akerson February 2015
“What is important for us is that the brain of the car, the
operating system, is not iOS or Android or someone else but it’s
our brain,” “We do not plan to become the
Foxconn of Apple,”Diamler CEO Dieter Zetsche
September 205
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Agenda
Digital disruption comes to an industry near youDigital pushes traditional care past existing practicesRestructuring the digital hospital
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19th century technology is the basis for today’s hospital structure
Physiological specialties define today’s hospital
Modern hospitals began in 18th centuryDepartment specialization (and organization) started in the 19th century
When does care become about data and analysis as opposed to doctor’s specialty?
Cardiology
Ear, nose, and throat
Dermatology
Gastroenterology
Ophthalmology
Psychiatry
Endocrinology
Neurology
Pulmonology
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Digital threatens to transform every conceivable arena
Exam
Decision-making
Location
Source: Lux Research
Arena
Hospitals
Data security
Data storage
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Digital threatens to transform every conceivable arena
Past
Exam
Decision-making
Location
Cybersecurity
Centralized repository
Doctor
Centralized
20th Century
Source: Lux Research
Arena
Hospitals
Data security
Data storage
Qualitative symptoms
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Digital threatens to transform every conceivable arena
Past Future
Exam
Decision-making
Location
Cybersecurity IoT Security
Centralized repository Blockchain
Data
Doctor AI
Centralized Distributed
20th Century 21st Century
Source: Lux Research
Arena
Hospitals
Data security
Data storage
Qualitative symptoms
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Agenda
Digital disruption comes to an industry near youDigital pushes traditional care past existing practicesRestructuring the digital hospital
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Gastroenterology
A “digital” hospital is organized differently
Cardiology
Ear, nose, and throat
Dermatology
Gastroenterology
Ophthalmology
Psychiatry
Endocrinology
Neurology
Cardiovascular disease
Skin cancer
Diarrhoeal disease
Visual impairment and blindness
Epilepsy
Depression
AsthmaLung cancer
Parkinson’s disease
Diabetes
Infertility
Pulmonology
Deafness and hearing loss
Data-driven hospital departments:
MonitoringDiagnosticsPredictive analyticsTherapeuticsAssistive technologyBehavior augmentation
DPATATBA
M
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Predictive analytics connections link previously disconnected conditions
Cardiovascular disease
Skin cancer
Diarrhoeal disease
Visual impairment and blindness
Epilepsy
Depression
AsthmaLung cancer
Parkinson’s disease
Diabetes
Infertility
Episodic condition
Predictive Analytics
Deafness and hearing loss
Prediction based on environmental factors
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Behavior augmentation solutions are most common
MonitoringDiagnosticsPredictive analytics
TherapeuticsAssistive technology
Behavior augmentation
Cardiovascular disease
Skin cancer
Diarrhoeal disease
Visual impairment and blindness
Epilepsy
Depression
AsthmaLung cancer
Parkinson’s disease
Diabetes
Infertility
Deafness and hearing loss
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Monitoring- Temperature sensing becomes a core capability
Fertility tracking
Breast cancer screening
Epileptic seizure prediction
Childhood development
Takeaways
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Intervention
Referrals
Appointments
Symptoms
Prevention
Assistive/ Treatment
Prediction
Monitoring/ Diagnostics
Healthcare ElectronicsData-driven healthcare will upset quality of care and the patient experience, forcing existing providers to compete in ways far outside of core competenciesThere will be room for both data and medical expertise, but how quickly does each evolve, how do they share profits?
Thank you
Lux Research Inc 100 Franklin St. 8th Floor Boston, MA 02110
Jon Melnick, Ph.D.Senior [email protected]