Presentation given at the 2014 Charité Entrepreneurship Summit in Berlin (5 may 2014, http://www.charite-summit.de/Summit2014.htm) about the 10 digital trends that are already impacting the way care is delivered and medicine is practiced. The presentation shows examples of innovation at Hospital Sant Joan de Déu (Barcelona) to prove that these trends are not futuristic but already here.

1. Digital Healthcare:
No longer an option, but a must
to improve health care
Hospital Sant Joan de Deú
The Liquid Hospital:
Using bits instead of atoms
Berlin, 5 May 2014

2. Director E-Health
Innovation Department
jfernandez@hsjdbcn.org
@HSJDBCN
Jorge Juan Fernández
@jorgejuan
Head of Academics
MOEBIO / d·HEALTH
jjfernandez@biocat.cat
@moebiobarcelona

5. Generations do differ,
but less because people differ
than because opportunities do.
Clay Shirky was right…
“Cognitive Surplus” (2010)

6. 10 TRENDS
IN
DIGITAL HEALTH

7. Digital Health

8. The Liquid Hospital
To go beyond the hospital building
Web
Health 2.0
Mobile devices
eMail
Telephone
Smartphone
Medical
devices
Telemedicine
The Liquid Hospital

10. E-HEALTH SOCIAL MEDIA
ONLINE
COMMUNITIES
LEARNING &
COLLABORATION
ONLINE CARE
TELE-MEDICINE
E-LEARNING
COLLABORATIVE
INNOVATION
A B C D
H2O+
 Email consultation
 Video consultation
 Tele-rehabilitation
 Tele-monitoring
 Second opinion
 Services
 ReToc (RetCam)

11. 10 TRENDS
IN
DIGITAL HEALTH

12. Virtual visits on the rise
#1

13. Within the Kaiser Permanente Northern California system,
the number of virtual physician visits grew from 4.1 million
in 2008 to 10.5 million in 2013
Source: http://content.healthaffairs.org/content/33/2/251.abstract

14. Touchpoints in Patient Experience are mainly digital

15. Nurses-in-an-iPhone (49,95$ a month)

16. Patient
2. Tele-monitoring: Diabetes

17. 0
100
200
300
400
500
600
2003 2004 2005 2006 2007 2008 2009 2010 2011
Casos
descompensación
Total pacientes
atendidos por Unidad
Atención Hospital de Día Diabetes (2003-11)
Diabetes – Telematic care
3/week
Casos descompensación
3/year

18. Patient-to-patient interactions
will strongly outpace
provider-to-patient interactions
#2

19. Peer-to-peer health care will change the world

20. Portal web Newsletter
9. Guía Metabólica

21. The smartphone is the healthcare
platform of today and the future
#3

22. Prescribing more than medicine: Apps&Peripherals
Themometer (Kinsa Smart) GeckoCap: improving medication
adherence in pediatric asthma
NETRA (MIT) Peek Vision
iBGStar

23. 3a. Apps – iPediatric

24. 3b. Apps – Food Linker

25. The Next Sensor Will Be IN You:
From Wearables to Insideables
#4

26. From the Internet of Things…

27. … to the Internet of the Bodies
Proteus's focus is about
getting people to take their
medication as prescribed
Tech is moving from
the outside to the
inside of our bodies

28. You are the interface.
The screen is out and skin is in
#5

29. The human body is the next computer interface
New 'electronic skin' patches monitor health wirelessly

30. Big Data in Healthcare:
Healthcare is the most data intensive
industry in the whole world
#6

31. Big Data & Advanced Analytics:
The 7 trillion piece puzzle
DNA / RNA Proteins Metabolites
Cells /
Tissues
25.000
genes
100.000
proteins
2.400
compounds
7 trillion
human cells
Organs
9
organ-
systems
29
organs
Body Society
4
basic types
of tissues
1
human body
7 billion
people
Fuente: Siemens AG 2012

32. Doctors or Algorithms?
Artificial intelligence (AI) in
medical decision-making
#7

33. Watson? The new Deep Blue (chess, Kasparov, 1997)

34. Dr. Watson: a new Doc in town
“In the next 10 years,
data science and
software will do more
for medicine than all
of the biological
sciences together”

35. Pharma companies
going
Beyond the Pill
#8

36. New approaches: Going Beyond the Pill
PATIENT ACTIVATION
TO ACHIEVE
PATIENT ENGAGEMENT

37. Funny Friends:
The gamification of
respiratory tele-rehabilitation

38. Funny Friends: the gamification of respiratory
tele-rehabilitation

39. Goal: to increase adherence to therapy

40. Patent + Clinical Study
2010
2011
Patients

41. Printing Pixels:
Before the 3D Printing (hardware)
comes the 3D Modeling (software)
#9

42. 3D Printing: Medicine #1 area of application

43. 3D Printing at HSJD

44. Hacking Medicine:
New players, companies and business
models will be the disruptors of HC
#10

45. Welcome all the Big Players!!!

46. The Medical Tri-Corder: consumers are in charge
http://tytocare.com/http://www.scanadu.com/

47. Conducting a physical examination
from the comfort of your home!
SOURCE: http://www.businessweek.com/articles/2014-05-01/tyto-care-device-enables-personal-health-exams

50. In times of disruption…