1.
Agenda
1. Aims of this Presentation
2. The Notion of Risk Management
3. NewTrends in theWorld’s Businesses : Impacts in Iran
4. TopTechnologies which will Shape the Future of Healthcare
5. FiveTechnologies in Healthcare and Dental Industry
6. Digital Health: Fact and Figures
7. Summary

2.
Aims ofThis Presentation
1. Proposing a new Lens to Prepare for Future
2. Discussing the latest approach in Risk and Change
Management
3. Making Audiences Aware of Major Risks in Business
4. Discussing the most Influential and CriticalTechnologies
5. The Potential and Practical Impacts OfTechnologies in Health
Dentistry Industry
6. Proposing Approaches to Make Crucial Decisions, and
7. AndTo Be Empowered For Changes !

3.
Welcome to theWorld of Risks andChanges!

4.
KnownVs.Unknown
There are things
that we know that we
don’t know, also things
we don’t know that we
know, but there some
things that we don’t
know that we don’t
know!
Known and Unknown: A Memoir
Donald Rumsfeld

5.
Risk Management
The process of identifying, assessing, and controlling the recognized
hazards, threats and/or opportunities (ISO 31000).
Strategies for Hazards
• Accept
• Avoid
• Transfer
• Mitigate
Strategies for Opportunities
• Accept
• Exploit
• Share
• Enhance

6.
TheAim of Risk Management
• Understanding Impacts,
• Estimating Probability
• Calculating Risk
• Selecting Right
Strategy, to eventually :
Making Unknowns
knowns,

7.
What’s happening in theWorld
1. Tsunami of InformationTechnology’s
2. Intersectional and mutli-disciplines businesses
3. Ever-ChangingThings and speed of innovations
4. Life sustainability and preserving the planet
5. Privacy and Security is a critical issue
6. Customer/User Experience drivenTechnologies
7. Marketing and social media for DTC (direct to customer)
Mary Meehan, Forbes, Dec16

8.
What does is mean?
o Traditional businesses will not survive in long term
o Old fashion/paper-base offices will turn to paperless and/or
office-less
o Websites will be interactive sales-portals
o Agents and intermediaries businesses will be in significant threat
o Mobile app will be a must for service provider
o Service providers have to improve their IT knowledge
o Consumers/Patients incline to select integrated/combined
services and to be digitally cared!

9.
Artificial
Intelligent
Intelligent
App
Virtual
Reality
Internet of
Things
Digital
Twin
Block-Chain &
Distributed
LedgerMesh
App and
Service
Architecture
Digital
Technology
Platform
Adaptive
Security
Architecture
Gartner & Forbes Nov. 2016

10.
IntelligentApps
• Intelligent apps such as VPA (Virtual Personal Assistant) to perform some of the
functions of a human assistant making (by prioritizing emails, for example), and VCA
(virtual customer assistant) to manage specialized tasks in areas such as sales and
customer service (Siri, Cortana,
DigitalTwin
• A digital twin is a dynamic software model of a physical thing or system that relies on
sensor data to understand its state, respond to changes, improve operations and add
value. Digital twins is combination of metadata, condition or state, event data (for
example, time series), and analytics (for example, algorithms and rules).
ConversationalSystem
• A set of endpoints to access applications and information, or interact with people, social
communities, governments, and businesses. As the device mesh evolves, connection models
will expand and greater cooperative interaction between devices will emerge, creating the
foundation for a new continuous and ambient digital experience.

11.
Mesh App and Service Architecture
• In the mesh app and service architecture (MASA), mobile apps, web apps,
desktop apps and IoT apps link to a broad mesh of back-end services to create
what users view as an "application." The architecture encapsulates services
and exposes APIs at multiple levels and across organizational boundaries
balancing the demand for agility and scalability of services with composition
and reuse of services.
Block-chain and Distributed Ledgers
• Blockchain is a type of distributed ledger in which value exchange transactions
(in bitcoin or other tokens) are sequentially grouped into blocks. Each block is
chained to the previous block and recorded across a peer-to-peer network,
using cryptographic trust and assurance mechanisms. Blockchain and
distributed-ledger concepts are gaining traction because they hold the promise
to transform industry operating models.

12.
DigitalTechnology Platforms
• Digital technology platforms provide the basic building blocks for a digital business
and are a critical enabler to become a digital business. Gartner has identified the five
major focal points to enable the new capabilities and business models of digital
business — information systems, customer experience, analytics and intelligence,
the IoT, and business ecosystems. Every organization will have some mix of these
five digital technology platforms.
Adaptive Security Architecture
• The intelligent digital mesh and related digital technology platforms and
application architectures create an ever-more-complex world for security.
"Established security technologies should be used as a baseline to secure Internet
of Things platforms," said Mr. Cearley. "Monitoring user and entity behavior is a
critical addition that is particularly needed in IoT scenarios. However, the IoT edge
is a new frontier for many IT security professionals creating new vulnerability areas
and often requiring new remediation tools and processes that must be factored
into IoT platform efforts."

13.
Physical things that go beyond the execution of rigid programing models to exploit applied AI and
machine learning to deliver advanced behaviors and interact more naturally with their
surroundings and with people such as drones, autonomous vehicles and smart appliances.

14.
• Virtual reality (VR) and augmented reality (AR) transform the way individuals
interact with one another and with software systems.
• VR and AR capabilities will merge with the digital mesh to form a more
seamless system of devices capable of orchestrating a flow of information
that comes to the user as hyper-personalized and relevant apps and services.
• Integration across multiple mobile, wearable, Internet of Things (IoT) and
sensor-rich environments will extend immersive applications beyond isolated
and single-person experiences.
• Rooms and spaces will become active with things, and their connection
through the mesh will appear and work in conjunction with immersive virtual
worlds."
Virtual and Augmented Reality

15.
2016 Partners HealthCare study

16.
.
IT new , January 03, 2017

17.
Rising US Healthcare Costs
• 2015 - $3.2Trillion, 17.8% of GDP
• 2025 - 19.9% of the GDP
• Company or Govt. sponsored healthcare
spurring demand
• Rising incidence of preventable lifestyle diseases
Ageing US Demographics
• 65+ population, projected at 88M by 2050 from
current 48M
• Advancements in medicine leading to high
• More Lifestyle/ Degenerative diseases
Key Challenges faced by Healthcare Industry
US as Case Study
Rising Patient Expectations
• In day to day lives has fuelled similar
expectations from Healthcare
• Seek recommendations on social media
and provider reviews
• Mobile enabled, on-demand services -
‘Retailization’ of Healthcare
Security, Privacy &
Compliance
• Ransomware attacks on HC Organizations
to double by 2018
• Govt. regulations, sensitive patient records
and mandatory security requirements.
RAHUL GUPTA, McKinsey, 2017

18.
Telemedicine & Remote Health Monitoring
• Global market of telemedicine will grow from $14.3 billion in 2015 to more than $36
billion by 2020
• Reduce pressure on the current healthcare systems& drive down the healthcare costs
significantly
• Affordable and quality treatment from miles away for remote/poor communities
• Technology to monitor health of the patients remotely & enhance adherence to
treatment especially in case of chronic ailments like diabetes
Artificial Intelligence
• Artificial intelligence diagnoses better than physicians, reducing the costs by more
than 50% & free up 30% of clinician’s time
• Accurate diagnosis using AI by interpreting EHR/ EMR, X-rays, Prescriptions, Call
records etc. using NLP & deep learning
• Ensure correct medical codes for reimbursements
• Collation of medical history at organization, demographics, region, culture or
country level to automatically predict risk factors, healthcare trends and outbreaks
etc. RAHUL GUPTA, McKinsey, 2017

19.
HealthcareTransformation

20.
RAHUL GUPTA, McKinsey, 2017

21.
• By 2018, 65% provider interactions to happen through mobile devices
• 80% doctors use medical app & explore drug info
• 24 x 7 access to EMR/ EHR in cloud
• Innovative m-Health solutions
“Pager” - Professionals seek doctor visit at office
“RetraceHealth” - Consult a practitioner over video call
“Honor” aggregates caregivers for seniors
• By 2020, global m-health market will reach $ 46B, making it the fastest growing
segment of the digital healthcare market
RAHUL GUPTA, McKinsey, 2017

22.
• By 2020, Health Plan Adjustments will happen real time with
Artificial Intelligence using data fromWearables, resulting in 20%
More Patients Being Engaged inTheir Health
• Wearable connected devices monitor/collect vital stats, transmit to
payers and providers in real-time
• Life saver - Predicting risk for sudden illnesses
• Promote healthier lifestyle, provide tailored plans
• Vast data captured to aid in clinical research
• Devices the size of a credit card for ECGs, Ultrasounds and D-I-Y
diagnostic tests etc.
RAHUL GUPTA, McKinsey, 2017
Wearables powered by Internet ofThings

23.
Digital HealthcareTrends in a Nutshell
 Currently 10% of healthcare payers/providers are executing
healthcare digital transformation.
 By 2019, 42% providers & 58% payers will be deploying digital
transformation
 Most of the trends are in early stages ofTechnology adoption
 M-Health has matured as a concept, innovation continues
 Focus has clearly shifted to Patient needs rather than
payer/provider efficiencies

24.
Summary
 With all of the advanced “Intelligent- smart” ICT systems, it’s
likely to make inappropriate strategic decisions.
 Leaders must understand what, how, when and where to
invest, in order to achieve high quality, cost-effective, and
sustainable healthcare systems.
 Anecdotal records shows that the health care industry has
always been changing but the pace of change, namely in
dental section, has sped up in the last ten years.
 Time to market and economically viable solutions are key
indicators to choose a technology.

25.
 DigitalTransformation is an important methodology to
initiate, manage and deliver time to market outcomes.
 It is undeniably crucial to understand, select, implement,
customize, and sustain the right technology for both system
providers and dental practitioners.
 “Digital Agility” is an accepted methodology to select and
utilize a modern solution.
 To be digitally agile, it is critical to perceive technology
trends, manage risks and issues, implement the required
changes , and stabilize the new system.
Summary