mobcon dh 2015 - charles bruce, gary conkright - collecting and leveraging physiological data to...
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The Tsunami of Physiological Data
Opportunity or Problem – Gary Conkright, physIQ
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Convergence of 2 Huge Industries
2
Healthcare
• 17.2% of US GNP
• $2.8 trillion
Information
Technology
• 4.3% of US GNP
• $700 billion,
Digital HealthDigital Health
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Cost of Chronic Disease Management
3
83 cents
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1. Congestive Heart Failure
• 5.5 million
Cost of Chronic Disease Management
2. Chronic Obstructive Pulmonary Disease
• 13.6 million
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$17 billion - Preventable hospitalization cost
CHF 30 day readmissions - 24.7%
0-7-21 -14 Days
Heart Failure event• $17.5K
ReactiveCurrent delivery model
Proactive Desired delivery model
Pulmonary
Congestion Episode
Medical intervention• Avoid hospitalization
Early warning
Result – Avoid hospitalization and costs
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Enablers of Digital Health
6
Smart phones
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Enablers of Digital Health
7
Smart phones
Ubiquitous connectivity
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Enablers of Digital Health
8
Smart phones
Ubiquitous connectivity
Cheap data storage
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Enablers of Digital Health
9
Smart phones
Ubiquitous connectivity
Cheap data storage
Wearable sensors
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Enablers of Digital Health
10
Smart phones
Ubiquitous connectivity
Cheap data storage
Wearable sensors
Smaller, novel bio-sensors
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Enablers of Digital Health
11
Smart phones
Ubiquitous connectivity
Cheap data storage
Wearable sensors
Smaller, novel bio-sensors
“At risk” business modes
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150 patients
30 GB/Day
1,500 patients
300 GB/Day
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The Problem with Population Norms
Measurement from Patient
16Proprietary and confidential. All rights reserved. PhysIQ 2014.
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Heart
Rate
Resp
iratio
nPuls
e T
ransi
t Tim
e
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Heart
Rate
Resp
iratio
nPuls
e T
ransi
t Tim
e
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Heart
Rate
Resp
iratio
nPuls
e T
ransi
t Tim
e
Is there anything wrong?
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Heart
Rate
Resp
iratio
nPuls
e T
ransi
t Tim
e
Is there anything wrong?
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Heart
Rate
Resp
iratio
nPuls
e T
ransi
t Tim
e
Is there anything wrong?
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Heart
Rate
Resp
iratio
nPuls
e T
ransi
t Tim
e
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Heart
Rate
Resp
iratio
nPuls
e T
ransi
t Tim
e
Normal
Abnormal
Index:
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Hospital AdmissionDec 26(Day 21)
Days
8 9 10 11 12 13 14 2515 1617 18 19 23Date:
Enrolled
Dec 5
Analytics
Training
8 Days Lead
Time Warning
SBM Multivariate Health IndexConcatenated Days with Data
Called by nurse – “I feel fine”
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Change in
physiology
Single index
Personalized
medicine
Not available for sale in US
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Triage
Condition
based vs. time
Leverage
resources and
assets
Not available for sale in US
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1. Wearable technology will produce a Tsunami of
physiological data from ambulatory patients
2. Following successes of other industries
leveraging IT, health care is poised to use
advanced analytics to improve outcomes while
reducing costs
Summary