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Patricia Mechael, PhD MHS
Executive Vice President
Healthier Longevity: Personalizing the aging process
through connected health and wellness

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I run an Alliance that has as members pharmaceutical, technology, and
medical device companies with a vested interest in personal connected
health and part of the funds that support the Alliance comes from
membership and sponsorship fees from these companies.
Patricia N. Mechael

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Learning Objectives
• Explain how Global Health has
been shifting towards chronic
diseases and longevity
• Describe technology responses
to key challenges
• Provide an overview of the
state of the evidence

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About PCHAlliance
The Personal Connected Health Alliance aims
to make health and wellness an effortless
part of daily life. As a non-profit organization
formed by HIMSS, we believe that health is
personal and extends beyond healthcare.
PCHAlliance members are a vibrant
ecosystem of technology and life sciences
industry icons and innovative, early stage
companies along with governments,
academic institutions, and associations from
around the world.

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Proliferation of Personal
Connected Devices
Consumerization
of Health
Rising Cost and Toll
of Healthcare
Precision Health
Trends Driving Personal
Connected Health

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2015 was a
big year in
Global
Health…

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Global Aging and Burden of Disease

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1010

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Rising Cost and Toll of Healthcare
Today, 30 million Americans have diabetes,
another 86 million have pre-diabetes.
The collective healthcare costs
$322 billion a year.
That is 1 in 5 of the dollars
spent in America on healthcare.

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175

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“Because the rate of ageing varies immensely among
individuals, humans become increasingly different from
each other with age. Thus, chronological age fails to provide an
accurate indicator of the ageing process.”

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21http://www.helpage.org/resources/ageing-in-the-21st-century-a-celebration-and-a-challenge/

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22http://www.helpage.org/resources/ageing-in-the-21st-century-a-celebration-and-a-challenge/

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23http://www.helpage.org/resources/ageing-in-the-21st-century-a-celebration-and-a-challenge/

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Global
Survey on
Aging
http://www.helpage.org/resources/ageing-in-the-21st-century-a-celebration-and-a-challenge/

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25http://www.connectedhealthconf.org/boston/2017/top-5-tech-trends-healthy-longevity

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http://www.pewinternet.org/2014/04/03/older-adults-and-technology-use/

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2015 vs. 2016
JapanUKUS
21% 11% 5%
7%
21% 11%
Connected health uptake trend
Source: Global Connected Health Trends Survey 2016, Ipsos Healthcare

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If my doctor
recommended that I
use a connected
health device or tool
as part of my
treatment plan I
would use it
83 81 81 80
82 76 69
68 67
6769738183
84
85
Source: Global Connected Health Trends Survey 2016, Ipsos Healthcare

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Barriers to using a connected health
device?
Poland Peru Russia Brazil Japan
I don’t know enough
about them
I don’t know enough
about them
I don’t know enough
about them
I don’t know enough
about them
I don’t know enough
about them
Cost
Cost Cost Cost
Cost
Source: Global Connected Health Trends Survey 2016, Ipsos Healthcare

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Many doctors believe that PCH devices are helping health outcomes but
more convincing to be done
Base: all respondents (n=650)
Q2. To what extent do you agree, on a scale of 1 to 7, that your patients’ use of fitness trackers, and other personal connected
health devices, is helping to improve their health outcomes?
59% 41%
35%
50%
1 in 3 Doctors believe
that personal connected
health devices are
helping to improve their
patients health
outcomes (T2B)
Over half of doctors are
only moderately
convinced. Substantial
opportunity to drive
market (M2B)

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Doctors are open to use patient generated data to inform diagnostic decisions, many of which would
like to have it included into EMR systems
Base: all respondents (n=650)
Q3. How likely are you, on a scale of 1 to 7, to use data generated by your patients (through the use of fitness trackers and other personal connected
devices) to inform your diagnostic decision making?
Q4. To what extent do you agree, on a scale of 1 to 7, that you would like Electronic medical record (EMR) providers to integrate patient generated data
(from fitness trackers and other personal connected devices) into EMR systems and workflows?
24%
30%
Doctors are generally open to using data
generated through fitness trackers to
inform diagnostic decisions. 46% (M2B)
however are currently moderately likely
to use such data.
(T2B)
(B3B)
37% of doctors strongly
agree that patient generated data
should be included in EMR systems
(T2B) (43% in US)
42% of doctors
moderately agree (M2B)

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Data handling and security is a major concern along with the
importance of defined and certified technical standards
Base: all respondents (n=650)
Q5. How much of a concern is the issue of data handling and security in relation to patient generated data to you?
Q6. In your opinion, how important are defined and certified technical standards for personal connected health devices?
60% of doctors are
concerned/ very concerned about how
patient data is handled and secured
(T3B). Reassurance is key.
79% find defined and
certified technical standards important/
very important (T3B)

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Patient generated data can be harnessed in multiple ways
41% strongly agree that
remote monitoring of chronic conditions
can reduce unnecessary emergency
room visits.
30% of doctors believe
patient generated data can be used to
replace more formal data collection
processes in clinical trials (T2B)

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Functional Theme Description Number of studies
Remote Patient
Monitoring
Quantitative data collection on patient health
indicators such as blood pressure, weight, or blood
sugar
9
Behavior change/self-
care
Interventions intended to encourage behavior change
and motivation to make healthy choices
34 studies (35 publications)
Remote counseling and
mental health
Interventions providing advice, guidance or
qualitative monitoring by health professionals
through technology in the patient’s home
(telemedicine, video conferencing)
10 studies (12 publications)
Total 53 studies (56 publications)
State of the Evidence (work in progress)

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Emerging technology trends
• Transformative power of “frictionless” computing via Artificial Intelligence,
Machine Learning, Natural Language Processing, Computational Heuristics, etc.
• Amazon’s Alexa
• Healthcare examples
• Caregiving examples
• Frictionless services
• Interoperability, Standards, FHIR, etc.
• Battle of the Giants: Amazon, Microsoft, Apple, Google, Facebook, Oracle, IBM,
Intel, etc. Seattle vs. Bay Area
• Truly tectonic shifts in technologies are coming, or already here.

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Thank You!
www.pchalliance.org
Here’s to a longer healthier life!