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Hugo Campos
@hugooc
!
!
!
!
!
Bon Secours
October 25, 2013
The ePatient
“
”
Adrian Gropper, MD
Health Informatics Entrepreneur,
Developer and Consultant
Implants are the most personal of personal
devices. They should answer first to us, 

then to our doctors and finally, maybe, 

to a particular vendor in the cloud. 

Right now that sequence is reversed.
Syncope
Hypertrophic
Cardiomyopathy
HCM
Normal
1:500
Sudden Cardiac Arrest
kills 350,000 people 

each year.
Source: Heart Rhythm Society
Cuser JP, Connelly DT. Implantable defibrillators for life threatening ventricular arrhythmias. Are more effective than antiarrhythmic
drugs in selected high risk patients [editorial]. BMJ 1998;317:762–3.
ICD
Data is not made available
to the patient who
originates it.
Clinic Manufacturer
REPORTS
Patient
DATA
Doctor Experience
Patient Experience
Industry:

“It does not fit
our business
model.”
Data is too complex
Generate anxiety
Overwhelm clinics
with calls
Cut doctors out of
the care circle
empowered
equipped
engaged
enabled
ePatients
Patients have

to engage in the
co-production
of health
intelligence.
Activity
$99
Blood Pressure
$129
Weight
$159
Sleep Quality
$149
free
$30,000
No data.
AliveCor
ECG Heart Monitor
• HR Variability
• Arrhythmia logs
• Device integrity
• Sleep patterns
• Exercise
• Nutrition
• Mood
•Post-market
• surveillance
Whose data is it?
“As a patient myself, I view the data on me as my data.”
— Dr. Jeff Shuren, CDRH
Accenture Survey
Believe patients
should have
full access
to their EHR
Believe patients
should have
limited access
to their EHR
Believe patients
should have
no access
to their EHR
65% 4%31%
Only a third of U.S. doctors think patients should have full access to their electronic health records.
These findings were consistent among 3,700 doctors surveyed by Accenture in eight countries:
Australia, Canada, England, France, Germany, Singapore, Spain and the United States.
Patient Portals
• Thank you
• @hugooc

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