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Engaging in a new
             Paradigm:
          Connected Vitality
                       Mark Scrimshire
             Director, Internet Channel Strategy




World Health Care Congress - Health Plan Innovation Congress
                   Orlando, March 2010
                                                               1
@ekivemark                                      #HealthCamp




                        mscrimshire@gmail.com

   http://healthca.mp
                                                              2
@ekivemark                                     @ekivemark
                                               #HealthCamp


             The views expressed here are
              my own and don't necessarily
                   represent the positions,
                      strategies or opinions
                                of CareFirst




   http://healthca.mp
                                                             3
@ekivemark
@ekivemark              #HealthCamp




Give Up!
   http://healthca.mp
                                      4
@ekivemark
@ekivemark                          #HealthCamp




It is tough
juggling
everything...

  when it is
  treacherous
   http://healthca.mp   underfoot                 5
@ekivemark
@ekivemark                                #HealthCamp




                  It is time we stopped
   http://healthca.mp
                       walking alone
                                                        6
@ekivemark
@ekivemark                                   #HealthCamp




                        We have to join in
   http://healthca.mp
                                                           7
@ekivemark

   We thrive on complexity




   http://healthca.mp
                             8
But complexity will
@ekivemark


                                  bury us




   http://healthca.mp
                                              9
@ekivemark                                           South America

          We are not getting any younger The Ch
                                   1980                                                2025
                       Male          Age       Female                      Male          Age              Female
                                     80+                                                 80+
                                    75-79                                               75-79
                                    70-74                                               70-74


                      $9,000
                                    65-69
                                    60-64
                                    55-59
                                                                                        65-69
                                                                                        60-64
                                                                                        55-59
                                                                                                                                           Region
                      $7,500
                                    50-54
                                    45-49
                                                                                        50-54
                                                                                        45-49
                                                                                                                                           Structu
                                    40-44                                               40-44
                      $6,000        35-39                                               35-39
                                    30-34                                               30-34
                                                                                                                        The term
ulation               $4,500        25-29
                                    20-24
                                                                                        25-29
                                                                                        20-24
                                                                                                                        transition




                                                                                                 Source: Kaiser
                                    15-19                                               15-19
                      $3,000        10-14                                               10-14
                                                                                                                        gradual p
                                     5-9                                                 5-9
                      $1,500                                                                                            whereby
ucture:     20   15     10    5  0
                                     0-4
                                           0     5   10   15    20      20    15 10    5
                                                                                         0-4
                                                                                            0       0    5   10   15 20
                           $0                                                                                           moves fro
0 and                      Under 5           5 - 17     18 - 24        25 - 44      45 - 64           65+               of high ra
5                                                        Annual Spend Per Person
                                                          North America                                                 and mort
 ions)                                                                                                                  low rates.
                                   1980                                                     2025                        is charac
                       Male                        Female                        Male                      Female
                                      Age
                                      80+
                                                                                               Age
                                                                                               80+
                                                                                                                        declines
                                     75-79
                                     70-74
                                                                                              75-79
                                                                                              70-74
                                                                                                                        childhood
                                     65-69
                                     60-64
                                                                                              65-69
                                                                                              60-64
                                                                                                                        infectious
                                     55-59                                                    55-59                     diseases




                                                                                                                   Source: Census Bureau
                                     50-54                                                    50-54
                                     45-49
                                     40-44
                                                                                              45-49
                                                                                              40-44
                                                                                                                        Whole po
                                     35-39
                                     30-34
                                                                                              35-39
                                                                                              30-34
                                                                                                                        begin to a
                                     25-29
                                     20-24
                                                                                              25-29
                                                                                              20-24
                                                                                                                        fertility ra
                                     15-19
                                     10-14
                                                                                              15-19
                                                                                              10-14
                                                                                                                        and mort
                                      5-9
                                      0-4
                                                                                               5-9
                                                                                               0-4
                                                                                                                        all ages i
            20   15     10    5    0       0     5   10   15    20      20    15 10    5    0       0    5   10   15 20 Successiv
                                                                 Millions                                               may even
                                             Central America and the Caribbean                                          smaller a
         Changing age             distribution drives up cost by2025 per person for N
                                   1980
                                                                                                 22%                    seen
                                                                                                                        in 1980.
                       Male           Age          Female                        Male          Age         Female
                                                                                                                        declines 10
@ekivemark

             Wellness Pyramid




                            Ca
                              re

                                   M
                                    an
                                       ag
                                         e
                                             Pr
                                               ev
                                                 en
                                                 t
             Pop
                 ulat                ing
                      ion       p end
                               S
                                                      11
@ekivemark


                           Does this look like home?


                                 Is the
                                 Patient Centered Medical Home
                                                   a misnomer?
              Ambulatory




                                   Consumer Care
  Inpatient




                                       Self Managed
                                     Continuum

                                                                 12
@ekivemark




                                 Consumers
                        have been in the dark
   http://healthca.mp              Joachim @ daysoff.wordpress.com
                                                               13
@ekivemark

An ultra compact Web 2.0 definition....




 Web 2.0 = (Me + You )                   n US




  http://healthca.mp
                                                       14
@ekivemark     @ekivemark
             Choices
              ....Sort of




                            15
@ekivemark

     How Do We Trigger That Leap
          of Engagement?




                               Baldface Lodge

                                                16
@ekivemark      @ekivemark




             Laziness
                             17
@ekivemark          @ekivemark




             n ot

WIIFM
                                 18
@ekivemark                @ekivemark




             Competitiveness           19
@ekivemark




                    10 US
Health 2.0 = (Me + MD )




                                  20
@ekivemark
                What can Health 2.0
                   do for you?
     • Patients 50% more likely to turn up for
        appointments they book directly
     • 18% of online appointments avoid an ER
        visit
     • Adherence to medication regimes after a
        heart attack reduces likelihood of
        re-admittance to hospital by over 60%


                                                 21
@ekivemark




Tools of
Engagement
             22
@ekivemark




A growing
ecosystem built
around the untethered PHRs
                             23
@ekivemark

               We have to
             empower vitality


                           Clo Loop
                           the
                              sin
                                  g



             in a world where the Patient is the Integrator
                                                          24
@ekivemark




Take advantage of
the growing PHR ecosystem
                            25
A.P.I.
@ekivemark




             Application Programming Interface
                                                 26
@ekivemark

     Technology is evolving quickly




                       O.D.L.


             Observations of Daily Living

                                            27
@ekivemark

        The Future is a world of


             PHR         ODL

                               Personalized
                                    Sensors,
                   API           Filters and
                                 Semantics
                                           28
@ekivemark




          “Use simple tools to
            do great things”


   http://healthca.mp
                                 29
@ekivemark

      The future is mobile




                             30
@ekivemark

 Don’t underestimate the
 power of a simple text...



                               Did you take
                               Open Mobile
                              BP 135/83-62
                             your medication?
                             Health Exchange
                              Feeling Good
                               Reply Y or N
                                 (OMHE)



                                                31
@ekivemark
             Everything is becoming
                   connected




                                      32
@ekivemark
                 Independently
                 Aging in Place

             • Ingestible Sensors
             • Personal Monitoring Services
             • Online Care



                                              33
@ekivemark
Say goodbye to the
(relatively) simple life...



                                                  Monitor


                        Health
                      Application
                                      Health
                                    Application
    EMR         EHR



                                                            34
@ekivemark

Expect an explosion of              Health
                                  Applications
                                                 Twitter


solutions            Health
                   Applications

                                    Health
                                                 Facebook
                                  Applications

                     Health
                   Applications

                                    Health
                                                 Monitors
                                  Applications


                     Health
                   Applications
                                    Health       Mobile
                                  Applications   Devices
    EMR      EHR



                                                            35
@ekivemark

Untethered PHRs will                Health
                                  Applications
                                                 Twitter


be a data conduit    Health
                   Applications

                                    Health
                                                 Facebook
                                  Applications

                     Health
                   Applications

                                    Health
                                                 Monitors
                                  Applications


                     Health
                   Applications
                                    Health       Mobile
                                  Applications   Devices
    EMR      EHR



                                                            36
@ekivemark
 Patients are doing it for themselves
                  “D keasODL
                  swam 2 miles in 60 minutes”
                  “#mydiet food spaghetti pasta
             40

                  with sauce lunch small
             40


                  homemade #keas”
              4



                  “D keasODL 120/80 p60”




                                                  37
@ekivemark
                             Tap in to Health
                             Self Management
             Ambulatory
 Inpatient




                                      Self Managed




                                      Mobile         ODLs
                                      Devices
                          Reminders

      EHR                                 PHR



                                                            38
@ekivemark
 Openness is the
   new tie-in




   and must be bi-directional
                                39
A light at
    the end of
	

   the tunnel


                       •           Embrace the PHR


                           •        Engage the Patient

                               •       Use their measurements


                                   •     Bi-directional data flows
  http://healthca.mp                                       estaesmivida.net/

                                                                               40
Mark Scrimshire
                Director, Internet Channel Strategy




            e: mscrimshire@gmail.com
 o: +1.410.998.4857          t/a/s: @ekivemark

            http://www.slideshare.net/ekivemark
http://healthca.mp
                                                      41

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Vitality and the Connected Consumer in a Health 2.0 World

  • 1. Engaging in a new Paradigm: Connected Vitality Mark Scrimshire Director, Internet Channel Strategy World Health Care Congress - Health Plan Innovation Congress Orlando, March 2010 1
  • 2. @ekivemark #HealthCamp mscrimshire@gmail.com http://healthca.mp 2
  • 3. @ekivemark @ekivemark #HealthCamp The views expressed here are my own and don't necessarily represent the positions, strategies or opinions of CareFirst http://healthca.mp 3
  • 4. @ekivemark @ekivemark #HealthCamp Give Up! http://healthca.mp 4
  • 5. @ekivemark @ekivemark #HealthCamp It is tough juggling everything... when it is treacherous http://healthca.mp underfoot 5
  • 6. @ekivemark @ekivemark #HealthCamp It is time we stopped http://healthca.mp walking alone 6
  • 7. @ekivemark @ekivemark #HealthCamp We have to join in http://healthca.mp 7
  • 8. @ekivemark We thrive on complexity http://healthca.mp 8
  • 9. But complexity will @ekivemark bury us http://healthca.mp 9
  • 10. @ekivemark South America We are not getting any younger The Ch 1980 2025 Male Age Female Male Age Female 80+ 80+ 75-79 75-79 70-74 70-74 $9,000 65-69 60-64 55-59 65-69 60-64 55-59 Region $7,500 50-54 45-49 50-54 45-49 Structu 40-44 40-44 $6,000 35-39 35-39 30-34 30-34 The term ulation $4,500 25-29 20-24 25-29 20-24 transition Source: Kaiser 15-19 15-19 $3,000 10-14 10-14 gradual p 5-9 5-9 $1,500 whereby ucture: 20 15 10 5 0 0-4 0 5 10 15 20 20 15 10 5 0-4 0 0 5 10 15 20 $0 moves fro 0 and Under 5 5 - 17 18 - 24 25 - 44 45 - 64 65+ of high ra 5 Annual Spend Per Person North America and mort ions) low rates. 1980 2025 is charac Male Female Male Female Age 80+ Age 80+ declines 75-79 70-74 75-79 70-74 childhood 65-69 60-64 65-69 60-64 infectious 55-59 55-59 diseases Source: Census Bureau 50-54 50-54 45-49 40-44 45-49 40-44 Whole po 35-39 30-34 35-39 30-34 begin to a 25-29 20-24 25-29 20-24 fertility ra 15-19 10-14 15-19 10-14 and mort 5-9 0-4 5-9 0-4 all ages i 20 15 10 5 0 0 5 10 15 20 20 15 10 5 0 0 5 10 15 20 Successiv Millions may even Central America and the Caribbean smaller a Changing age distribution drives up cost by2025 per person for N 1980 22% seen in 1980. Male Age Female Male Age Female declines 10
  • 11. @ekivemark Wellness Pyramid Ca re M an ag e Pr ev en t Pop ulat ing ion p end S 11
  • 12. @ekivemark Does this look like home? Is the Patient Centered Medical Home a misnomer? Ambulatory Consumer Care Inpatient Self Managed Continuum 12
  • 13. @ekivemark Consumers have been in the dark http://healthca.mp Joachim @ daysoff.wordpress.com 13
  • 14. @ekivemark An ultra compact Web 2.0 definition.... Web 2.0 = (Me + You ) n US http://healthca.mp 14
  • 15. @ekivemark @ekivemark Choices ....Sort of 15
  • 16. @ekivemark How Do We Trigger That Leap of Engagement? Baldface Lodge 16
  • 17. @ekivemark @ekivemark Laziness 17
  • 18. @ekivemark @ekivemark n ot WIIFM 18
  • 19. @ekivemark @ekivemark Competitiveness 19
  • 20. @ekivemark 10 US Health 2.0 = (Me + MD ) 20
  • 21. @ekivemark What can Health 2.0 do for you? • Patients 50% more likely to turn up for appointments they book directly • 18% of online appointments avoid an ER visit • Adherence to medication regimes after a heart attack reduces likelihood of re-admittance to hospital by over 60% 21
  • 24. @ekivemark We have to empower vitality Clo Loop the sin g in a world where the Patient is the Integrator 24
  • 25. @ekivemark Take advantage of the growing PHR ecosystem 25
  • 26. A.P.I. @ekivemark Application Programming Interface 26
  • 27. @ekivemark Technology is evolving quickly O.D.L. Observations of Daily Living 27
  • 28. @ekivemark The Future is a world of PHR ODL Personalized Sensors, API Filters and Semantics 28
  • 29. @ekivemark “Use simple tools to do great things” http://healthca.mp 29
  • 30. @ekivemark The future is mobile 30
  • 31. @ekivemark Don’t underestimate the power of a simple text... Did you take Open Mobile BP 135/83-62 your medication? Health Exchange Feeling Good Reply Y or N (OMHE) 31
  • 32. @ekivemark Everything is becoming connected 32
  • 33. @ekivemark Independently Aging in Place • Ingestible Sensors • Personal Monitoring Services • Online Care 33
  • 34. @ekivemark Say goodbye to the (relatively) simple life... Monitor Health Application Health Application EMR EHR 34
  • 35. @ekivemark Expect an explosion of Health Applications Twitter solutions Health Applications Health Facebook Applications Health Applications Health Monitors Applications Health Applications Health Mobile Applications Devices EMR EHR 35
  • 36. @ekivemark Untethered PHRs will Health Applications Twitter be a data conduit Health Applications Health Facebook Applications Health Applications Health Monitors Applications Health Applications Health Mobile Applications Devices EMR EHR 36
  • 37. @ekivemark Patients are doing it for themselves “D keasODL swam 2 miles in 60 minutes” “#mydiet food spaghetti pasta 40 with sauce lunch small 40 homemade #keas” 4 “D keasODL 120/80 p60” 37
  • 38. @ekivemark Tap in to Health Self Management Ambulatory Inpatient Self Managed Mobile ODLs Devices Reminders EHR PHR 38
  • 39. @ekivemark Openness is the new tie-in and must be bi-directional 39
  • 40. A light at the end of the tunnel • Embrace the PHR • Engage the Patient • Use their measurements • Bi-directional data flows http://healthca.mp estaesmivida.net/ 40
  • 41. Mark Scrimshire Director, Internet Channel Strategy e: mscrimshire@gmail.com o: +1.410.998.4857 t/a/s: @ekivemark http://www.slideshare.net/ekivemark http://healthca.mp 41