The document discusses how technology will transform healthcare delivery in the future. It describes how data science, sensors, genomics, robotics, and digital connectivity will generate massive amounts of medical and personal health data. This data deluge will drive more personalized, predictive, and preventative forms of care that are delivered both in medical facilities and at home. However, it also notes the challenges of how healthcare providers and patients can effectively manage and utilize all of this new information.

1. Will Healthcare be delivered by
George Jetson in the future?
Nick van Terheyden, MD
@drnic1
Chief Medical Officer, Dell HCLS

2. Nick van Terheyden, MD CMO, Dell Health and Life Sciences
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://drnick.vanterheyden.com/
FaceBook http://www.facebook.com/drnic1
E-Mail DrNick@dell.com, drnic1@gmail.com
AboutMe http://about.me/obiwan
Google Voice (301) 355-0877
Where you can find me

3. Technology has
become an
integral part
of our daily lives…

6. 6

8. › Source: Caroline McSwain (http://carolinemcswain.wordpress.com/2010/10/25/the-internet-a-student%E2%80%99s-greatest-asset-or-worst-distraction/)
Talking
on phone
Surfing
the web?
Watching
television
Reading a
magazine
Listening
to music
Texting
a friend

9. Source: Qmee July 2014, http://blog.qmee.com/online-in-
60-seconds-infographic-a-year-later/
Every minute
of every day…

10. In the next 10 years, data
science and software will do
more for medicine than all of
the biological sciences together
Vinod Khosla

11. 11
FactsperDecision
1000
10
100
5
Clinical decision-making is becoming
more complicated.
2000 20101990 2020
Structural Genetics:
e.g. SNPs, haplotypes
Functional Genetics:
Gene expression
profiles
Proteomics and other
effector molecules
Decisions by Clinical
Phenotype
William W. Stead, M.D., 2007 AMIA Panel Presentation, “Why We Need Internal Development”, November 11, 2007
How can we expect health
care professionals
to review
6 billion pieces of data in
a 15 minute encounter?

12. Wearable's and Internet of Things will surpass
smartphones and personal computers by 2018
Internet of Things
Tablets
Smartphone
Personal
Computers

13. • Kilo
• Mega
• Giga
• Tera
• Peta
• Exa
• Zetta
• The Data Deluge Makes the
Scientific Method Obsolete
The Data Deluge

15. The Quantified Self
Meet Chris Dancy and His 10 devices he wears or carries and
13 more in his home and car

16. Connected Medical Kit, CliniCloud
Playing doctor at home

17. Sensors Built in to Clothing

19. Smartphone Driving Biggest Heart Health Study
http://singularityhub.com/2013/04/03/a-million-smartphones-will-drive-biggest-heart-health-study-in-history

20. Genomics, Sequencing and Data
• Took $3 Billion and 10 years to sequence one
genome
• Sequence in days even hours and for
<$1,000
• Explosion of data just to sequence the
genome
– Plans to sequence 14M new cancer patients
every year which would generate 5.6 Exabytes
of information.
• But there’s even more data in -omics
20
Global bioinformatics
market to reach $13B by 2020
21% CAGR1
>5.6 Exabytes
to sequence 14M new cancer
patients worldwide per year2
Sources:
1. Allied Market Research, Global Bioinformatics Market, 2013-2020
2. http://www.cancerresearchuk.org/cancer-info/cancerstats/world/incidence/
3. http://www.technologyreview.com/news/531091/emtech-illumina-says-
228000-human-genomes-will-be-sequenced-this-year/
228,000 whole human
genomes sequenced in 2014
1.6M by 20173

21. Sequencing Every Person in the US
Item Measurement
Dollar Bill thickness (inches) 0.0043 inches
1 Human Genome (bytes) 1,000,000,000,000
Population on the US 350,000,000
Storage required to sequence the
entire US Population (bytes)
350,000,000,000,000,000,00
0
Height of Dollar Bill Stack (miles) 23,753,156,565,657
Distance to Alpha Centauri AB (miles) 25,666,078,379,320
Percentage of distance 93%
• If you assume that 1 byte of storage is equal to the thickness of a $1 bill
• If you further assume that we use a stack of $1 bills where each bill is 1 byte of the total storage of the
human genomes of the entire US population, then:
– The required 350 Exabytes of storage,
– represented as a stack of $1 bills, would extend 93% of the distance from the Earth to the nearest star system (Alpha
Centauri AB).
a-Centauri
Slide courtesy Dr. Michael McManus, Intel

22. Genomics and Preventative Care
• Washington University
CardioGene Set
• Panel includes genes
linked to 8cardiac
disorders including
arrhythmias &
cardiomyopathies
• Young Athletes and SCD
http://outlook.wustl.edu/2014/apr/gene-testing

23. Genapsys
DNA electronics
The era of Personal genome analyzers

24. Robotics and Automation

25. RP-VITA robots, iRobot Corp
Robotics

26. Robotics

27. Patient Engagement is the
blockbuster drug of the century
Leonard Kish
Principal and Co-Founder at VivaPhi

28. Hi Tech Medicine

29. Nick van Terheyden, MD CMO, Dell Health and Life Sciences
AboutMe http://about.me/obiwan
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://drnick.vanterheyden.com/
FaceBook http://profile.to/drnick
E-Mail DrNick@dell.com, drnic1@gmail.com
Google Voice (301) 355-0877
Where you can find me

30. Will Healthcare be delivered by
George Jetson in the future?
Nick van Terheyden, MD
@drnic1
Chief Medical Officer, Dell HCLS

31. Do more.
Healthcare.
Are you ready to…
Do more of what’s possible,
Do more of what matters,
Do more of what brings success?