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Digital advance in the patient journey

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Digital advance in the patient journey

  1. 1. Breakthrough innovation from Doctors 2.0 &You Conference 2014 Paris, 5 - 6 June 2014
  2. 2. Content HOW TECHNOLOGIES, WEB 2.0 TOOLS, APPS, SOCIAL MEDIA ARE CHANGING THE RELATIONSHIPS OF PHYSICIANS, PATIENTS, PAYERS AND INDUSTRY STAKEHOLDERS 01 Let’s talk about life-changing digital innovation in healthcare 05 Start-up pithces at Doctors 2.0 & You 07 Evaluating connected health and the quantified self 08 Insights: is digital disrupting or empowering the practice of medicine? 10 Digital advance in the patient journey 13 Denise Silber shares insight on how healthcare is reshaping itself to fit digital progress Connected DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 02 Keep updated with all the news about the global health social network in healthcare 4th EDITION
  3. 3. The report has been written by Nadia Ceratto, PhD. Pathologist and Geneticist | Storyteller in medicine and science-valorization of research outcomes. A multidisciplinary approach of medical research & public health | ESOF2014 EU Commission PR, Press & Communication accredited - Responsible Science in and for Society. Social media platforms can improve care by bringing together all the actors and stakeholders in healthcare. Through the internet and events like Doctors 2.0 & You, progress can be facilitated by breaking down formal hierarchies whilst creating a more connected community where new and creative marketing solutions can meet patients’ needs in light of the spirit of “Health 2.0 as co-creation” in a society where healthcare providers are better trained to support health literate patients. Social media is one of the better tools to lead the creation of participatory medicine. It stimulates scientists to embrace collaboration earlier during discovery and dissemination of research Roberto Ascione outcomes towards a more patient-centric healthcare - where recent telemedicine and online education are contributing to the development of an integrated multi-stakeholder engagement fed by patient-delivered information. We hope you will be inspired by our conference report. Our aim is to motivate a broad community to get engaged with new multi-discipline conversations around how technologies can transform healthcare. Let’s talk about life-changing digital innovation in healthcare DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 01 President of Razorfish Healthware, Roberto is a digital entrepreneur, pioneering the development of digital technologies in healthcare.
  4. 4. Interview with Denise Silber, organiser at Doctors 2.0 & You. Q: “Congratulations for the success of Doctors 2.0, a true learning legacy and wonderful venue to catch up with current digital research in the ever changing area of healthcare and medicine. How does it help you to grow your community and what is it changing in your event Doctors 2.0 & You - 4th edition?”. A: “The community grows through a variety of means: our content attracts people looking for these subjects; there is direct word of mouth from people who attend or know us; information spreads through social media which is activated at every level; and, our media partners help connect us to their followers". Q: “Technology is a great enabler and its defining factor is "impact". What do you think are the most impactful approaches in healthcare nowadays?”. A: “The most impactful technology approaches are those that are based on finding a solution to a real-life problem or need experienced by the patient and or her physician. We are seeing an increasing trend in innovations coming directly from patients and physicians. The more integrated and complete these solutions are, the more efficient they are. Specific examples of recent innovations are: mobile apps and accessories to smartphones; sharing of medical images; use of gamification in chronic diseases. Of course online communities and a lot of social media is very impactful - being amongst the "early" digital health collaborative tools. And now, we are looking to the results of "sensors" as the next wave of impactful tools, making health and medicine "at a distance" a reality”. DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 02 Founder at Doctors 2.0 & You and at Basil Strategies. President at Assocation pour la Qualite’ de l’Internet Santé, Denise is a Digital Health expert and Healthcare Social Media Influencer. Denise Silber Denise Silber shares insight on how healthcare is reshaping itself to fit digital progress
  5. 5. Q: “In terms of quality of life and best practice can you suggest any examples of innovative solutions in healthcare that could empower doctors towards delivering a more personalised medicine in their employment of innovative solutions in medicine?”. A: “Doctors can empower themselves and their patients by promoting the use of personalized mobile applications and relevant social media and by working with their patients at a distance”. Q: “How would you comment on the sentence, “Quality control of medical apps… There's no App for that". A: “The subject around the quality of medical apps is still in its early days. There is bad news and good news. Bad news is that there is no overall quality control system. No minimum standard that has to be reached. The good news is that a lot of apps are not used, so bad quality doesn’t matter….But More seriously, yes, some researchers have shown that apps often are redundant, incomplete, not updated, not secure. However, we did present some apps that are relevant and good. The Hospitality App presented by Dr Marlies Schijvens from University of Amsterdam Medical Center is an award-winning app to facilitate hospital visits for elderly patients. A simple idea of visualizing information for the patients and DOCTORS 2.0TM & YOU PARIS 5—6 JUNE 2014DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 03
  6. 6. physicians and that is available for all Dutch hospitals. A French physician, Dr Didier Mennecier presented an app for showing gastro-enterology examinations to patients. Many sites are now used in mobile form...for example combining geo-location and evaluation services for medical providers”.. Q: “What do you think about the need to re-design individual health control by around the quantified self?”. A: “Is quantified self re-designing individual health control? Yes! It is giving people the possibility of adapting their life style, based on real data. The iHealth Challenge with the Activity Tracker that our partner gave to participants really demonstrated that to the users”. DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 04
  7. 7. One of the seven start-up finalists and winner of the Doctors 2.0 & You start-up contest, Medivizor (1) (CEO Tal Givoly), proved itself as a reliable health information and education service that allows patients, relatives or any individual to find relevant health information. Following a test phase with a small number of diseases like diabetes, colorectal cancer, prostate cancer and breast cancer, it has expanded its personalised information service to include more than 400 medical conditions. Through a personal health management app developed by Healthspek (2) it offers summaries of medical breakthroughs and research, relevant clinical trials, guidelines and evidence-based lifestyle advice. Start-up pitches at Doctors 2.0 &You DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 05
  8. 8. Jan Loh's, CEO of Medexo (3), explained a high-quality second opinion website-based platform service for patients based on an advisory council consisting of 23 renowned specialists ranging from orthopaedics to cardiology and dermatology. Major aim: making it much easier for patients to obtain a second medical expert opinion before being operated. Last May, Medexo won the 2014 German eHealth innovation award. Meanwhile, InsightMedi founder and CEO Gonzalo Mora took the audience through its free photo-sharing App for the healthcare community enabling sharing of medical images across the world and stimulating connections between its users (4). Clear advantages include second opinion requests and the comparison of medical cases. InsightMedi is of particular interest to healthcare providers, health insurances, health businesses and medical students. Thereafter, Umanlife, presented by Cyril Grospiron, is all about health and wellness applications for people who wish to actively manage their health on a daily basis (5). Based on the applications chosen the user can work on tailor-made health prevention (smoking, running, walking, sleeping pattern etc). Umanlife also allows tracking one's medical appointments and sells health applications to fully explore the quickly growing quantified-self continuum. DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 06
  9. 9. 'personalised' health and fitness goals. What’s the concept behind the vision of “DATA FOR GOOD”? U. Diegel, president of iHealthLabs Europe, musician and holder of several patents in cardiovascular diagnostics, explained: “The consumers in the USA are keen now to share their health data to permit a better relationship with physicians and boost medical research. iHealth started a collaborative project with the American Heart Association (AHA) and thanks to the interest shown by a number of parties - in the integrated healthcare system - entrepreneurs, patients, professionals and healthcare institutions there is a willingness to collaborate to find new solutions for a healthy lifestyle”. The motto in this case is “The future is good. Let’s build it together!" Evaluating connected health and the quantified self The rapid pace of scientific and technological discoveries constantly face the ever evolving problem of demographic, societal challenges and increasing incidence of chronic diseases, thus highlighting the need to boost health prevention strategies. One of the top players in this arena is iHealthLabs (6), a platform designed to translate app-delivered body measurements into useful health prevention in a format for smartphones and tablets. It presented the MyVitals app that helps manage your personal health whenever you move. It measures many vital parameters (weight, BMI heart rate, pulse wave steps taken calories burned, distance travelled, hours slept etc…) and helps one to stay on track with one's DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 07
  10. 10. According to the American College of Lifestyle Medicine (ACLM) the definition of lifestyle medicine is: “the evidence-based practice of helping individuals and families adopt and sustain healthy behaviors that affect health and quality of life". Examples of target patient behaviors include - but are not limited to - eliminating tobacco use, improving diet, increasing physical activity, and moderating alcohol consumption. Lifestyle practices and health habits are among developed nations' most important health determinants. Changing unhealthy behavior is fundamental to medical care, disease prevention, and health promotion.” In the workshop “Disrupting the practice of medicine through digital” L. Lianov (ACSLM) explained the role of going digital in INSIGHTS:is digital disrupting or empowering the practice of medicine? DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 08
  11. 11. promoting healthy lifestyles, highlighting the challenges for physicians: healthcare culture does not recognize lifestyle change as medical care most of the health behavior apps are not evidence-based overwhelming amount of data to manage and lack of meaningful data filters lack of integration of all data sources: HER, PHR, fitness apps T. Richards (British Medical Journal) introduced the BMJ’s Patient Partnership initiative to include patients inside the peer-reviewed papers publishing procedure. Patients and doctors are also collaborating to design new services and information systems. Leaders in innovative partnerships include Reshapehealth (7) which is pioneering patient-led and crow-funded research. Never before in history has healthcare faced such great challenges: increasing shortages of skilled personnel, doubling of healthcare demands, healthcare budgets being under increasing financial pressure and aging populations. Moreover, there are two recent developments that will disrupt many of the current healthcare models: the assertive patient and exponential technology. The impact of new communication paradigms, such as social media and transparency of performance is just as underrated as the role of e-health is overrated. We should think big, act small, dare to fail, stop talking …and start acting NOW! References 1. www.medivizor.com 2. www.healthspek.com 3. www.medexo.com 4. www.insightmedi.org 5. www.umanlife.com/static/en 6. www.ihealthlabs.com 7. www.radboudreshapecenter.com Want to know more? Physician Competencies for Prescribing Lifestyle Medicine www.lifestylemedicine.org/core Let the patient revolution begin, BMJ EDITORIAL www.bmj.com/content/346/bmj.f2614 DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 09
  12. 12. Terrific progress has been achieved since the first edition of Doctors 2.0 when it comes to new digital technologies. Many of those were included in the presentation of Ferdinando Scala, Strategy Director at Razorfish Healthware, who talked about how communication agencies are adapting to new strategies of engagement. In a world where 4 billion of people are using the audience-generated Big Data will provide a coherent, seamless and immersive brand/cognitive experience, regardless of the channel where the audience is. Engagement is the ultimate strategy, resulting from the unique combination of key users' attributes with individual experiences made possible by “experiential technologies”. An omni-channel example is Videum, the global health video network, that was presented by Paul Dinsmore, President & COO of Videum Health Inc. Videum’ s mission is to help healthcare professionals and consumers find, understand, and enjoy the world's best health & medical video content - when, where and how they want it. Digital advance in the patient journey internet and 12 billion is the number of internet connected devices (McKinsey Institute 2013) we see a “Connected Generation” often described with adjectives such as multitasking, multiscreen, empowered, always on, mobile, engaged in a cross platform way. Razorfish Healthware presented a possible vision of “omni-channel marketing” where harvesting, managing and integrating DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 10 Insights Behaviours Experiental Technology
  13. 13. Video & The Healthcare Market: More than 2/3 of physicians use online video to learn and keep up to date with clinical information Health is the 6th most popular video category Top healthcare brands spend billions to tell their stories to HCPs & consumers, but 90% of this includes 34 countries speaking 65 languages Distributing their message in multiple languages is currently not cost-effective ** Source Manhattan Research – Taking the Pulse 2012 DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 11
  14. 14. The story of “a single tweet that cured” was one example of how social media and Videum can impact and contribute to deliver good information and dissemination. Videum can provide solutions for the increased demand for video via an easy and affordable on-demand communication format with high-quality healthcare content, cater to the needs of Pharma compliance (authentication, translation, targeted) and provide accessibility in any language (reach, SEO, local monetization). This could be an advancement in health information technology towards the integration of research and patient care. DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 12 Everyone agrees that these are exciting times within digital health... The industry is full of fantastic examples of how various players in the ecosystem – pharma, HCPs, patients, care-givers and payers are making significant contributions to each stage of the patient journey from Symptoms (Merck recently announced that the consumer edition of the series, The Merck Manual Go-To Home Guide for Symptoms, will get the 21st-century treatment with a mobile app release on iOS and Android mobile platforms; to Diagnosis (First Warning Systems in Reno, Nevada is developing a bra-insert sensor to screen for breast cancer. The sensor, meant to be worn for 24-48 hours, finds cancer by detecting tiny metabolic temperature changes caused by cancerous cells in a tumor.); to Treatment (Bionic Pancreas Could Automatically Regulate Blood Sugar Levels For Diabetes Patients, Scientists at the Massachusetts General Hospital and Boston University developed a ‘bionic pancreas’ to free some people with diabetes from the daily ordeal of managing their disease. The wearable, experimental device passed a real-world test, constantly monitoring blood sugar and automatically giving insulin or a sugar-boosting drug as needed); to Adherence; to Renewal as well as the positive power of HCP and Patient Support Communities (Razorfish Healthware’s own Personas Que). The challenge now is for digital health to move beyond these point solutions. The problem still today, is integrating the information from multiple data sources If you take an example such as depression and have a sensor that captures data that includes tone of voice, inflection, … blood pressure, heart rate, along with galvanic skin response, heart rate variability, movement, activity, posture, and breathing – then if you had all of these and could process all of it, you could come up with a great quantitative tracking for state of mind and depression. We can do that. But no one has yet folded them all together. What we have now is a lot of siloed activity. Razorfish Healthware believes that a key solution to this and one of the things that will drive digital health forward in the next five years is the recruitment of data scientists into the field. We are convinced of the need to bring more data scientists into digital health - too many of them are working at places such as Twitter and Facebook - and we are doing everything we can to bring them into in healthcare and medicine. Robert Harrison Head of Client Engagement & Delivery EU at Razorfish Healthware, Robert is a strategic marketer with significant global, route-to-market and digital experience.
  15. 15. Interview with Paul Dinsmore, President & COO of Videum, the first global health video network. Q: “Paul, as president can you explain why Videum is able to answer the demand to provide a global health social network in healthcare? What is the innovation for Videum?”. A: “Videum provides a platform for video content creators to reach their target audience and vice versa. While Videum is a community of content creators, HCPs and patients, and leading publishers in the health & medicine space, it's main goal is to connect these groups where they seek information and that is best delivered via video. Video is the best media for education, information and story-telling so that viewers can connect personally with the content creator and subject matter. There is no shortage of text-based content in this subject area around the world. Demand for video to complement these local language publishers is substantial. In addition to aggregating some of the best video content in any language, Videum enables local language translation so that the audience can receive the true meaning of the content in their language. Aggregation of great content, reaching audience in local markets, and language enablement in any country are Videum's unique contributions to the market”. Q: “Healthcare innovation entrepreneurs say always they want to make "impact". What for you constitutes "impact" within digital healthcare technology within the mission of Videum?”. A: “Our Mission is to help healthcare professionals and consumers find, understand, and enjoy the world's best health & medical video content when, where and how they want it. From a technology standpoint, Videum features unique capabilities for language enablement which is delivered on any platform (i.e. online, mobile, connect TV, etc.). As our team combines expertise with some of the largest video Paul Dinsmore DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 13 President & COO of Videum Health Inc., Paul is an accomplished online video executive, having advised companies like Sony, VEVO, ProSieben and other media companies in their video expansion. Keep updated with all the news about the global health social network in healthcare
  16. 16. platforms and healthcare providers, we employ best practices in this exploding service market. Our solutions reach HCPs in their perpetual need for information to learn, keep up to date, and provide care to their patients. For patients, we aggregate the best video content from thought leaders and trusted content creators and make it accessible on their local health sites in their local language. For healthcare brands, we established a trusted platform to communicate via video with HCPs, patients, and other targeted audience. This currently does not exist anywhere else”. Q: “Regarding Internet and platforms that create hubs offering patients the channel to have support and information, what is the vision of Videum for building an effective community of patients and caregivers?". A: “Videum seeks to empower caregivers with trusted content that can both keep them up to date on the latest information and find material to recommend to their patients increasing the quality of their treatment and care. For patients, navigating through all of the available resources for trust-worthy information is difficult and not always understandable. Sometimes, patients need to learn through a progression of diagnosis, research, treatment, maintenance, etc. This is best served through the story-telling capabilities of video. Videum content partners help create this story and bridge the communications gap that can occur between doctor visits and patient action. More than 2/3 of doctors watch DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014
  17. 17. health video online and if we look at online video consumption overall, health is the 6th largest audience. Our 'Community' currently spans over 400 health publishers in 87 countries. These sites are already highly successful at engaging their audience. The Videum Video Network only reinforces the trust that these sites have developed with their audience. Our vision is to provide features and functionality that continue to empower the user to get the best information as quickly as possible”. Q: “Can Videum provide solutions that overcome barriers to diverse cultural/national healthcare systems?”. A: “Videum's partnership with Publicis Healthcare Communications Group provides us with many advantages including understanding and addressing the unique challenges of local healthcare systems. We follow the rules and adhere to regulatory compliance as necessary. Ultimately, we want to deliver actionable content to HCPs and patients in any market. Because we enable local language, we are able to reach a LOCAL audience. We also grow our partner base daily to new local content providers who provide distinct perspectives from their local practice and challenges. If we need to adjust our features to adhere to unique rules, we will. We are building solutions to some of the big challenges faced by HCPs, patients, and healthcare brands when it comes to communications and audience engagement which occur in any market. The function of Videum is about delivering video content, in local language, where ever it is needed”. DOCTORS 2.0TM & YOU PARIS, 5—6 JUNE 2014 15
  18. 18. Razorfish Healthware is a global leader in digital and healthcare communications, leveraging a unique mix of insight, technology, creativity and industry savvy to deliver digital innovations, solutions and tools that drive improved health outcomes. Our deep understanding of the innovation process, human-technology interactions, and the healthcare ecosystem enables us to generate transformational experiences that empower people’s health and wellness decisions. Razorfish Healthware is a single organization able to deploy our full suite of services in support of any market with more than 300 dedicated professionals based in 9 countries around the world: US, France, Germany, Italy, Spain, UK, Australia, China, India. Razorfish Healthware is part of Publicis Healthcare Communications Group (PHCG) , the largest and most innovative health oriented communication group. Razorfish Healthware’s service offering is made up of three specialized business units, an advisory practice offering technology strategy and enterprise consulting; a digital communications and marketing practice and a solutions and technology practice offering a range of enterprise business tools and related services. For more information please visit www.razorfishhealthware.com info@razorfishhealthware.com EU | Joe Marafioti | +39 089 3061417 US | Chris Wilson | +1 888.463.3797 APAC | Brenda Cheong | +65.9368.8626 about Razorfish Healtware Razorfish Healthware @RazorfishHW Visit us on: Razorfish Healthware paginemediche.it peoplewhoglobal.com videum.com

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