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Breakthrough
innovation from
Doctors 2.0 &You
Conference 2014
Paris, 5 - 6 June 2014
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
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.
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
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
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
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
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
'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
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
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
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
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
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.
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
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
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
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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Digital advance in the patient journey

  • 1. Breakthrough innovation from Doctors 2.0 &You Conference 2014 Paris, 5 - 6 June 2014
  • 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. 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. 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. 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. 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. 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. 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. '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. 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. 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. 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. 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. 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. 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. 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. 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. 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