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1	
  
13h	
  May	
  2016	
  
Preparing	
  for	
  the	
  Future:	
  Innova4on	
  in	
  Digital	
  Healthcare	
  
5th	
  Annual	
  Healthcare	
  CIO	
  Summit	
  2016	
  
2	
  
Visible	
  Innova4on	
  
Invisible	
  Innova4on	
  
Product	
  Service	
  
for	
  End	
  Users	
  
Process	
  Innova4on	
  
Management	
  
Innova4on	
  
Innova4on	
  by	
  crea4ng	
  a	
  Value	
  
chain	
  	
  
What	
  is	
  innova4on	
  all	
  about?	
  
“Innova4on	
  is	
  novelty	
  in	
  how	
  value	
  is	
  created	
  and	
  distributed”	
  
3	
  
To	
  whom	
  you	
  will	
  hire	
  to	
  solve	
  the	
  mosquito	
  problem?	
  
A	
  Zoologist?	
   A	
  Biotechnologist?	
   A	
  Mathema4cian	
  
MBA	
  Grad?	
   A	
  Hacker?	
  
Of	
  course	
  an	
  Ethical	
  
How	
  about	
  a	
  Magician?	
  
4	
  
How	
  a	
  Hacker	
  Developed	
  the	
  most	
  Innova4ve	
  mosquito	
  protec4on	
  shield	
  
5	
  
The	
  laser	
  shield	
  can	
  be	
  used	
  in	
  protec4ng	
  the	
  ins4tu4onal	
  building	
  and	
  homes	
  
6	
  
System	
  used	
  the	
  electronics	
  available	
  in	
  common	
  consumer	
  appliances	
  
Where	
  are	
  We	
  now...	
  
7	
  
Phase	
  I	
  
(Past)	
  
Centralized	
  Medical	
  Care	
  
Phase	
  II	
  
(Present)	
  
Hub	
  &	
  Spoke	
  Model	
  
Phase	
  III	
  
(Future)	
  
Pa4ent	
  Centric	
  Medical	
  
Homes	
  	
  
Do	
  we	
  really	
  belong	
  to	
  service	
  sector?	
  
8	
  
U	
  
Our	
  pa4ents	
  OPD	
  Experience…	
  
9	
  
2	
  –	
  3	
  Hr	
  
20-­‐	
  25	
  min	
  
10	
  –	
  20	
  min	
  
20	
  –	
  30	
  min	
  
3	
  –	
  5	
  min	
  
Rehashed	
  OPD	
  Experience:	
  e-­‐Consulta4on	
  	
  
10	
  
5-­‐6	
  min	
  
0	
  min	
  
0	
  min	
  
0	
  min	
  
3	
  –	
  5	
  min	
  
What	
  are	
  the	
  driving	
  forces	
  behind	
  the	
  Change	
  	
  
11	
  
Pa4ent	
  has	
  changed	
  to	
  Consumer	
  
Demanding	
  more	
  “service”	
  from	
  the	
  service	
  sector	
  	
  
Healthcare	
  Startups	
  are	
  spear	
  heading	
  the	
  change	
  in	
  	
  “Pa4ent	
  
Experience”	
  	
  
People	
  are	
  more	
  conscious	
  about	
  their	
  health.	
  They	
  wish	
  to	
  
remain	
  healthy	
  and	
  avoid	
  hospitaliza4on	
  
Adapta4on	
  of	
  health	
  technologies	
  are	
  growing	
  at	
  fast	
  pace	
  
Healthcare	
  Startups	
  Changing	
  the	
  Landscape	
  
12	
  
20	
  -­‐	
  25%	
  of	
  all	
  startups	
  in	
  India	
  Focus	
  on	
  
Healthcare	
  
40%	
  -­‐	
  50%	
  of	
  them	
  have	
  an	
  IT	
  based	
  
plaborm	
  
60%	
  -­‐	
  65%	
  of	
  them	
  are	
  focusing	
  on	
  
Primary	
  care,	
  Pre	
  Disease	
  Management,	
  
Improving	
  the	
  Pa4ent	
  experience	
  
65%	
  of	
  the	
  founders	
  do	
  not	
  have	
  any	
  prior	
  
healthcare	
  Experience	
  
Case	
  Study:	
  Portable	
  e-­‐Backpack	
  
13	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Brazil	
  
	
   -­‐	
   It	
   changes	
   where	
   health	
   happens	
   -­‐	
   An	
   easily	
   transportable	
   e-­‐health	
   backpack	
   gives	
   clinicians	
   access	
   to	
  
thousands	
  of	
  out-­‐of-­‐reach	
  communi4es.	
  Doctors	
  gain	
  a	
  comprehensive	
  diagnosis	
  of	
  pa4ents	
  in	
  the	
  area	
  
suffering	
  from	
  chronic	
  disease	
  by	
  conduc4ng	
  home	
  visits	
  quickly	
  and	
  easily,	
  breaking	
  down	
  the	
  barriers	
  
preven4ng	
  access	
  to	
  healthcare.	
  
	
  
	
  -­‐	
  It	
  makes	
  smart	
  use	
  of	
  technology	
  -­‐	
  The	
  backpack	
  includes	
  various	
  diagnos4c	
  tools	
  with	
  the	
  capacity	
  to	
  
detect	
  up	
  to	
  twenty	
  different	
  condi4ons,	
  record	
  pa4ent	
  data	
  and	
  can	
  generate	
  results	
  within	
  minutes.	
  
	
  	
  
The	
  evidence	
  that	
  it	
  works	
  
	
  
Savings	
   derived	
   from	
   reducing	
   hospitaliza4ons	
   of	
   pa4ents	
   with	
   cardiovascular	
   diseases	
   were	
   around	
   USD	
  
$136,000	
  per	
  100	
  pa4ents.	
  And	
  the	
  savings	
  created	
  from	
  avoiding	
  other	
  clinical	
  interven4ons	
  ranged	
  from	
  
USD	
  $4,000	
  for	
  heart	
  failure	
  to	
  USD	
  $200,000	
  for	
  kidney	
  dysfunc4on	
  per	
  100	
  older	
  pa4ents	
  in	
  the	
  e-­‐health	
  
program.	
  
In	
  an	
  agempt	
  to	
  remedy	
  the	
  insufficient	
  access	
  to	
  health	
  services	
  
for	
  millions	
  of	
  sick	
  and	
  elderly	
  people	
  living	
  in	
  Brazilian	
  slums,	
  
the	
  Municipality	
  of	
  Rio	
  de	
  Janeiro	
  partnered	
  with	
  the	
  New	
  Ci4es	
  
Founda4on	
  to	
  develop	
  portable	
  e-­‐backpacks,	
  which	
  provide	
  vital	
  
medical	
  assessment	
  and	
  treatment	
  to	
  out-­‐of-­‐reach	
  communi4es.	
  
Case	
  Study:	
  Pa4ent	
  Access	
  UK	
  
14	
  
	
  -­‐	
  Using	
  the	
  Pa4ent	
  Access	
  method	
  GPs	
  are	
  no	
  longer	
  4ed	
  to	
  10	
  minute	
  appointments.	
  GPs	
  are	
  able	
  to	
  help	
  
many	
  pa4ents	
  over	
  the	
  phone,	
  without	
  the	
  need	
  for	
  them	
  to	
  visit	
  the	
  surgery.	
  This	
  frees	
  up	
  a	
  substan4al	
  
amount	
  of	
  GP	
  4me,	
  which	
  can	
  be	
  allocated	
  to	
  other	
  pa4ents	
  who	
  might	
  benefit	
  from	
  a	
  longer	
  consulta4on.	
  
GPs	
  omen	
  carry	
  out	
  follow-­‐ups	
  over	
  the	
  phone	
  to	
  discuss	
  progress,	
  raise	
  concerns	
  or	
  arrange	
  another	
  
appointment	
  if	
  they	
  feel	
  it	
  is	
  necessary.	
  	
  
Since	
  being	
  set	
  up,	
  Pa4ent	
  Access	
  has	
  helped	
  over	
  60	
  surgeries	
  across	
  the	
  UK	
  transform	
  services	
  for	
  over	
  
500,000	
  pa4ents.	
  The	
  wait	
  to	
  see	
  a	
  GP	
  at	
  these	
  surgeries	
  has	
  been	
  shown	
  to	
  decrease	
  on	
  average	
  from	
  6	
  days	
  
to	
  1.	
  Pa4ents	
  surveyed	
  say	
  they	
  experience	
  a	
  beger,	
  quicker	
  service,	
  and	
  in	
  the	
  majority	
  of	
  areas	
  using	
  
Pa4ent	
  Access	
  there	
  has	
  been	
  a	
  no4ceable	
  decrease	
  in	
  admissions	
  to	
  nearby	
  A&E	
  departments,	
  some4mes	
  by	
  
up	
  to	
  49%.	
  
Pa4ent	
  Access	
  was	
  set	
  up	
  by	
  a	
  group	
  of	
  GPs	
  to	
  help	
  surgeries	
  and	
  
prac4ces	
  across	
  the	
  UK	
  to	
  transform	
  access	
  to	
  their	
  care	
  into	
  a	
  
same-­‐day	
  experience.	
  Their	
  model	
  allows	
  pa4ents	
  to	
  speak	
  with	
  
their	
  GP	
  over	
  the	
  phone	
  within	
  an	
  hour	
  of	
  contac4ng	
  their	
  
prac4ce	
  and,	
  if	
  necessary,	
  book	
  a	
  same	
  day	
  appointment	
  to	
  see	
  
their	
  GP.	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  UK	
  
Case	
  Study:	
  Ginger.io	
  Worldwide	
  
15	
  
	
  -­‐	
  91%	
  of	
  people	
  keep	
  their	
  phone	
  at	
  close	
  reach,	
  24	
  hours	
  a	
  day.	
  Your	
  smartphone	
  knows	
  where	
  you	
  go,	
  
when	
  you	
  sleep,	
  how	
  omen	
  you	
  call	
  and	
  text,	
  when	
  you	
  get	
  up.	
  It	
  can	
  no4ce	
  small	
  changes	
  in	
  your	
  behaviour	
  
that	
  could	
  signal	
  illness.	
  
	
  
Ginger.io	
  has	
  also	
  pioneered	
  behavioural	
  tracking	
  of	
  condi4ons	
  ranging	
  from	
  diabetes	
  to	
  obesity	
  and	
  flu,	
  
providing	
  an	
  analy4cal	
  tool	
  and	
  early	
  warning	
  system	
  for	
  individuals,	
  governments	
  and	
  healthcare	
  
prac44oners	
  alike.	
  
	
  	
  
It’s	
  s4ll	
  early	
  days	
  for	
  this	
  app	
  but	
  Ginger.io	
  is	
  already	
  being	
  used	
  by	
  Type	
  2	
  diabetes	
  sufferers	
  to	
  manage	
  their	
  
condi4on.	
  And	
  the	
  app	
  is	
  colla4ng	
  all	
  health	
  data	
  so	
  that	
  par4cipa4on	
  contributes	
  to	
  science	
  overall,	
  
improving	
  care	
  for	
  everyone.	
  
Ginger.io	
  is	
  a	
  new	
  ‘big	
  data’	
  digital	
  app	
  developed	
  by	
  a	
  Boston-­‐
based	
  health	
  IT	
  start-­‐up.	
  It	
  uses	
  sensors	
  that	
  are	
  in-­‐built	
  in	
  
smartphones	
  to	
  track	
  texts,	
  calls	
  and	
  movements.	
  The	
  app	
  uses	
  
this	
  data	
  to	
  understand	
  the	
  rela4onship	
  between	
  an	
  individual’s	
  
health	
  and	
  behavior,	
  genera4ng	
  health	
  insights	
  that	
  allow	
  beger	
  
management	
  of	
  chronic	
  	
  condi4ons.	
  
Case	
  Study:	
  Big	
  Data	
  &	
  Analy4cs	
  Tools	
  	
  
16	
  
The	
  target	
  
hospital	
  has	
  
significant	
  amount	
  
of	
  data,	
  however	
  
not	
  able	
  to	
  
retrieve	
  the	
  
meaningful	
  
informa4on.	
  They	
  
did	
  not	
  want	
  to	
  
invest	
  in	
  changing	
  
the	
  ERP/MIS	
  
system	
  
Problem	
  
1	
  
We	
  used	
  the	
  tools	
  
predominantly	
  
used	
  in	
  retrieving	
  
in	
  Big	
  Data	
  and	
  
analy4cal	
  tools	
  
and	
  methodology	
  
used	
  in	
  FMCG	
  
sector	
  to	
  give	
  
them	
  customized	
  
reports	
  without	
  
interfering	
  with	
  
the	
  exis4ng	
  
system	
  
Solu4on	
  
2	
  
Outcome	
  
3	
  
Ortho	
  
Cases	
  
Sample	
  outcome	
  1:	
  Specialty	
  wise	
  Pa4ent	
  flow	
  	
  
GN	
  Sx	
  
Cardiac	
  65%	
  	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Ophthalmol
ogy	
  2	
  years	
  
back	
  65%,	
  
Now	
  25%	
  
	
  
	
  
	
  
	
  
	
  
	
  
Sample	
  Outcome	
  2:	
  Developing	
  Package	
  rates	
  
Average	
  quoted	
  Package	
  Rate	
  
Average	
  Invoice	
  Value	
  at	
  discharge	
  
15	
  –	
  20%	
  
Difference	
  
Digital	
  Future	
  is	
  Closer	
  than	
  it	
  appears	
  
17	
  
Mantra	
  for	
  Success	
  in	
  Digital	
  Innova4on	
  	
  
18	
  
Take regular and small steps and
focus on improving the
“Patient Experience”
 
Manas	
  Tripathi	
  
Managing	
  Director	
  
Synapse	
  Healthcare	
  Consultants	
  
Private	
  Limited	
  
	
  
	
  
	
  
manas@synapsehealthcare.net	
  
+91	
  9958468977	
  

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Preparing for the Future Innovation in Digital Healthcare: Manas Tripathi

  • 1. 1   13h  May  2016   Preparing  for  the  Future:  Innova4on  in  Digital  Healthcare   5th  Annual  Healthcare  CIO  Summit  2016  
  • 2. 2   Visible  Innova4on   Invisible  Innova4on   Product  Service   for  End  Users   Process  Innova4on   Management   Innova4on   Innova4on  by  crea4ng  a  Value   chain     What  is  innova4on  all  about?   “Innova4on  is  novelty  in  how  value  is  created  and  distributed”  
  • 3. 3   To  whom  you  will  hire  to  solve  the  mosquito  problem?   A  Zoologist?   A  Biotechnologist?   A  Mathema4cian   MBA  Grad?   A  Hacker?   Of  course  an  Ethical   How  about  a  Magician?  
  • 4. 4   How  a  Hacker  Developed  the  most  Innova4ve  mosquito  protec4on  shield  
  • 5. 5   The  laser  shield  can  be  used  in  protec4ng  the  ins4tu4onal  building  and  homes  
  • 6. 6   System  used  the  electronics  available  in  common  consumer  appliances  
  • 7. Where  are  We  now...   7   Phase  I   (Past)   Centralized  Medical  Care   Phase  II   (Present)   Hub  &  Spoke  Model   Phase  III   (Future)   Pa4ent  Centric  Medical   Homes    
  • 8. Do  we  really  belong  to  service  sector?   8   U  
  • 9. Our  pa4ents  OPD  Experience…   9   2  –  3  Hr   20-­‐  25  min   10  –  20  min   20  –  30  min   3  –  5  min  
  • 10. Rehashed  OPD  Experience:  e-­‐Consulta4on     10   5-­‐6  min   0  min   0  min   0  min   3  –  5  min  
  • 11. What  are  the  driving  forces  behind  the  Change     11   Pa4ent  has  changed  to  Consumer   Demanding  more  “service”  from  the  service  sector     Healthcare  Startups  are  spear  heading  the  change  in    “Pa4ent   Experience”     People  are  more  conscious  about  their  health.  They  wish  to   remain  healthy  and  avoid  hospitaliza4on   Adapta4on  of  health  technologies  are  growing  at  fast  pace  
  • 12. Healthcare  Startups  Changing  the  Landscape   12   20  -­‐  25%  of  all  startups  in  India  Focus  on   Healthcare   40%  -­‐  50%  of  them  have  an  IT  based   plaborm   60%  -­‐  65%  of  them  are  focusing  on   Primary  care,  Pre  Disease  Management,   Improving  the  Pa4ent  experience   65%  of  the  founders  do  not  have  any  prior   healthcare  Experience  
  • 13. Case  Study:  Portable  e-­‐Backpack   13                          Brazil     -­‐   It   changes   where   health   happens   -­‐   An   easily   transportable   e-­‐health   backpack   gives   clinicians   access   to   thousands  of  out-­‐of-­‐reach  communi4es.  Doctors  gain  a  comprehensive  diagnosis  of  pa4ents  in  the  area   suffering  from  chronic  disease  by  conduc4ng  home  visits  quickly  and  easily,  breaking  down  the  barriers   preven4ng  access  to  healthcare.      -­‐  It  makes  smart  use  of  technology  -­‐  The  backpack  includes  various  diagnos4c  tools  with  the  capacity  to   detect  up  to  twenty  different  condi4ons,  record  pa4ent  data  and  can  generate  results  within  minutes.       The  evidence  that  it  works     Savings   derived   from   reducing   hospitaliza4ons   of   pa4ents   with   cardiovascular   diseases   were   around   USD   $136,000  per  100  pa4ents.  And  the  savings  created  from  avoiding  other  clinical  interven4ons  ranged  from   USD  $4,000  for  heart  failure  to  USD  $200,000  for  kidney  dysfunc4on  per  100  older  pa4ents  in  the  e-­‐health   program.   In  an  agempt  to  remedy  the  insufficient  access  to  health  services   for  millions  of  sick  and  elderly  people  living  in  Brazilian  slums,   the  Municipality  of  Rio  de  Janeiro  partnered  with  the  New  Ci4es   Founda4on  to  develop  portable  e-­‐backpacks,  which  provide  vital   medical  assessment  and  treatment  to  out-­‐of-­‐reach  communi4es.  
  • 14. Case  Study:  Pa4ent  Access  UK   14    -­‐  Using  the  Pa4ent  Access  method  GPs  are  no  longer  4ed  to  10  minute  appointments.  GPs  are  able  to  help   many  pa4ents  over  the  phone,  without  the  need  for  them  to  visit  the  surgery.  This  frees  up  a  substan4al   amount  of  GP  4me,  which  can  be  allocated  to  other  pa4ents  who  might  benefit  from  a  longer  consulta4on.   GPs  omen  carry  out  follow-­‐ups  over  the  phone  to  discuss  progress,  raise  concerns  or  arrange  another   appointment  if  they  feel  it  is  necessary.     Since  being  set  up,  Pa4ent  Access  has  helped  over  60  surgeries  across  the  UK  transform  services  for  over   500,000  pa4ents.  The  wait  to  see  a  GP  at  these  surgeries  has  been  shown  to  decrease  on  average  from  6  days   to  1.  Pa4ents  surveyed  say  they  experience  a  beger,  quicker  service,  and  in  the  majority  of  areas  using   Pa4ent  Access  there  has  been  a  no4ceable  decrease  in  admissions  to  nearby  A&E  departments,  some4mes  by   up  to  49%.   Pa4ent  Access  was  set  up  by  a  group  of  GPs  to  help  surgeries  and   prac4ces  across  the  UK  to  transform  access  to  their  care  into  a   same-­‐day  experience.  Their  model  allows  pa4ents  to  speak  with   their  GP  over  the  phone  within  an  hour  of  contac4ng  their   prac4ce  and,  if  necessary,  book  a  same  day  appointment  to  see   their  GP.                          UK  
  • 15. Case  Study:  Ginger.io  Worldwide   15    -­‐  91%  of  people  keep  their  phone  at  close  reach,  24  hours  a  day.  Your  smartphone  knows  where  you  go,   when  you  sleep,  how  omen  you  call  and  text,  when  you  get  up.  It  can  no4ce  small  changes  in  your  behaviour   that  could  signal  illness.     Ginger.io  has  also  pioneered  behavioural  tracking  of  condi4ons  ranging  from  diabetes  to  obesity  and  flu,   providing  an  analy4cal  tool  and  early  warning  system  for  individuals,  governments  and  healthcare   prac44oners  alike.       It’s  s4ll  early  days  for  this  app  but  Ginger.io  is  already  being  used  by  Type  2  diabetes  sufferers  to  manage  their   condi4on.  And  the  app  is  colla4ng  all  health  data  so  that  par4cipa4on  contributes  to  science  overall,   improving  care  for  everyone.   Ginger.io  is  a  new  ‘big  data’  digital  app  developed  by  a  Boston-­‐ based  health  IT  start-­‐up.  It  uses  sensors  that  are  in-­‐built  in   smartphones  to  track  texts,  calls  and  movements.  The  app  uses   this  data  to  understand  the  rela4onship  between  an  individual’s   health  and  behavior,  genera4ng  health  insights  that  allow  beger   management  of  chronic    condi4ons.  
  • 16. Case  Study:  Big  Data  &  Analy4cs  Tools     16   The  target   hospital  has   significant  amount   of  data,  however   not  able  to   retrieve  the   meaningful   informa4on.  They   did  not  want  to   invest  in  changing   the  ERP/MIS   system   Problem   1   We  used  the  tools   predominantly   used  in  retrieving   in  Big  Data  and   analy4cal  tools   and  methodology   used  in  FMCG   sector  to  give   them  customized   reports  without   interfering  with   the  exis4ng   system   Solu4on   2   Outcome   3   Ortho   Cases   Sample  outcome  1:  Specialty  wise  Pa4ent  flow     GN  Sx   Cardiac  65%                             Ophthalmol ogy  2  years   back  65%,   Now  25%               Sample  Outcome  2:  Developing  Package  rates   Average  quoted  Package  Rate   Average  Invoice  Value  at  discharge   15  –  20%   Difference  
  • 17. Digital  Future  is  Closer  than  it  appears   17  
  • 18. Mantra  for  Success  in  Digital  Innova4on     18   Take regular and small steps and focus on improving the “Patient Experience”
  • 19.   Manas  Tripathi   Managing  Director   Synapse  Healthcare  Consultants   Private  Limited         manas@synapsehealthcare.net   +91  9958468977