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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
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