Patient Digital Health Platforms May Reshape Healthcare With Data Sharing
1. Opening Keynote:
Patient Digital Health Platforms (PDHPs):
Epicenter of Healthcare Transformation?
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11th Annual Healthcare Unbound Conference &
Exhibition
December 2014, San Diego, CA
Vince Kuraitis JD, MBA
Principal and Founder, Better Health
Technologies
vincek@bhtinfo.com
2. 1-2 Punch for Healthcare Industry
1) Payment
Reform
2) Digital
Disruption
4. Agenda
1. What’s the “Healthcare Platform Void”
2. How will the emerging PDHP ecosystem reshape the
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planet?
3. What’s the central issue? It’s about DATA!
4. Will PDHPs converge with mainstream healthcare?
5. How many platforms?
6. What are some “secondary” issues?
7. Why are PDHPs about much more than just
healthcare?
“Sometimes the questions are more valuable
than the answers”
13. How will PDHPs play in new
MEGA-ECOSYSTEMS?
• Internet of Things
• Health Information Exchanges (public, private)
• Smart Home
• Smartphones
• Payment platforms
• Social networks
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14. 3) What’s THE central issue?
It’s about DATA!
• It's about the DATA...and using it to improve patient
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care!
• Will data be interoperable among PDHPs?
• Value creation from data
• “Switzerland” would be rational...however
• Standards consortia
– Industrial Internet Consortium
– Open Interconnect Consortium
15. 4) Will PDHPs converge with mainstream
healthcare? Yes!
Market pressures to go BROAD (vs. NARROW)
1. That’s where the value is
2. Many value propositions are dependent on broad
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networks
3. Need to drive company financial valuations
4. Need for differentiation
17. Narrow or broad? What to Watch For:
• Partnerships with health care systems and physician groups
• Data exchange from PDHPs to EHRs.
• Data exchange to PDHPs from EHRs
• PDHPs incorporating new functionalities, e.g.,
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– Patient portals
– Personal health records
– Telehealth/telemedicine capabilities
– Patient education tools
– Medication management capabilities
– Shared decision making tools
– mHealth apps
– …and many others
• Cross-platform sharing of data? Collaborations across PDHPs?
• Integration of FDA approved devices
• Adoption of health IT standards, e.g., Direct, FHIR, BlueButton, CCDA, etc.
• Partnerships/acquisitions with healthcare vendors
• Partnerships with broader community based healthcare providers — home
health, behavioral health, long-term care, etc.
• Physician and other clinicians use of PDHP data and capabilities? enamored or
annoyed?
• Platform positioning within the PDHP ecosystem.
18. 5) How many platforms?
“This Town Ain’t Big Enough”
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20. PDHP Scenarios (2-3 years out)
• Status quo
• Equal platforms >> stall
• One dominant platform
• Mirror of smartphone market: iOS and Android
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dominate
• In the shadows of MEGA-PLATFORMS (IoT)
• IMO: Expect 2-3 platforms
21. 6) What are some “secondary” issues?
• Will EHR vendors play?
• Role of middleware platforms
• Regulatory stall?
• Consumer confusion?
• M&A wildcards
• Partnership wildcards
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22. 7) Why are PDHPs about much more than
just healthcare?
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23. Some Implications
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• Providers
• Payers
• Health IT
• Digital rules are different
1) Payment
Reform
2) Digital
Disruption