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Health & Well-being in a 
Connected World 
BaseN 13th Anniversary Seminar 
Ville Koiste, Sitra 
ville.koiste@sitra.fi 
twitter.com/villekoiste 
4.12.2014
Sitra - The Finnish Innovation Fund 
• Sitra is a fund operating directly under the Finnish Parliament 
• Our operations are funded from our returns on endowment capital and capital 
investments 
• We predict, analyse and assess the forces of social change and their impacts 
on Finland. To accelerate changes that promote well-being, we 
• carry out practical experiments 
• compile cross-boundary networks 
• develop and finance business operations 
Empowering 
society 
Practices for 
sustainable 
well-being & 
employment 
Resource-wise 
& carbon-neutral 
society 
Sitra • Ville Koiste • 04.12.2014 • 2
More connected, networked and data driven society 
Sitra • Ville Koiste • 04.12.2014 • 3 
Knowledge 
Efficiency 
Revolutionized health 
& well-being
Knowledge 
Data-driven revolution 
Sitra • Ville Koiste • 04.12.2014 • 4 
Pic source: PSFK Labs – The Future of Health report 2014
Several factors combine together to affect our health 
Health Care 
Environmental 
& social factors 
Genetics 
Behaviour & 
lifestyle 
McGinnis, et al., Health Affairs; 21(2), 2002 
Sitra • Ville Koiste • 04.12.2014 • 5
Sitra • Ville Koiste • 04.12.2014 • 6 
“Self-tracking may 
provide a glimpse of 
the future of health 
care, based on 
monitoring and 
prevention”
Sitra • Ville Koiste • 04.12.2014 • 7 
Source: https://www.abiresearch.com/press/mheath-elderly-home-monitoring-growth-drawing- 
new- 
”Silver 
tsunami” 
mHealth Elderly Home 
Monitoring 
“A new generation of 
elderly home care services 
will drive wearable device 
shipments to more than 44 
million in 2019 up from just 
6 million in 2013”
and wearables 
Thousands 
of consumer 
health 
apps… 
Which of them are worth 
prescribing? 
Sitra • Ville Koiste • 04.12.2014 • 8 
2012 Consumer Health Apps Report. Mobihealth News, 2012. just-launched-our-2012-consumer-health- 
apps-report/ & http://www.technologytell.com/gadgets/136103/health-wearables-do-they- 
work-answers-from-mhealth-2013-summit/
“We have an opportunity to learn as much about the 
genetics of human disease as we have learned in the 
history of medicine" 
Sitra • Ville Koiste • 04.12.2014 • 9 
Source: http://www.wired.co.uk/news/archive/2014-01/15/1000- 
dollar-genome
Sitra • Ville Koiste • 04.12.2014 • 10 
The potential of big data in healthcare: 
Towards improved value and preventive care 
Health data 
Research 
data Genomics 
Wearables & 
behavioral 
data 
Improved flow of information and 
collaboration can lead to 
better health 
outcomes & 
personalized care
Efficiency 
New service models 
Sitra • Ville Koiste • 04.12.2014 • 11 
Pic source: PSFK Labs – The Future of Health report 2014
Online booking 
Remote 
consultation 
Health information 
management 
Electronic health 
checks & surveys 
Communication 
technologies 
Sensors, wearables & 
home monitoring tools 
Sitra • Ville Koiste • 04.12.2014 • 12 
Lifestyle coaching 
& decision support 
systems 
Connected health 
services
Self-monitoring and 
13 
-examination 
Source: TytoCare.com 
Sitra • Ville Koiste • 04.12.2014 • 
Approx. 
$200
Case ’virtuwell’, a 24/7 online clinic (USA) 
• virtuwell treats more than 50 common conditions like colds, sore 
throats, sinus infections, ear pain 
• a personalized diagnosis, a treatment plan and a prescription if needed 
- all in about 30 minutes and all online 
• If symptoms or medical history suggest that online care is not 
appropriate, patient is redirected to doctor's office, test lab etc. 
Sitra • Ville Koiste • 04.12.2014 • 14 
The future of virtual clinics 
So far Virtuwell has had 100,000 completed visits: 
• an average savings of $88 per visit 
• one Virtuwell visit can save up to 2,5 hours as indicated by 
Virtuwell customers 
• 98 % of customers recommend the service 
Source: http://www.businesswire.com/news/home/20140617005116/en/virtuwell-surpasses- 
100000-cases-treated#.U6LBG_mSx1Y
The city of Hämeenlinna: Online service that offers personalized 
decision support and lifestyle coaching 
• System uses electronic health records and personal wellness data 
• Service available for more than 60 000 citizens 
• Estimates e.g. individual risk of developing diabetes, coronary heart disease, 
stroke or certain cancers 
• Offers individualized health and wellness guidance and coaching 
Sitra • Ville Koiste • 04.12.2014 • 15 
The future of virtual clinics 
More info in Finnish: http://www.hameenlinna.fi/Palvelut/Terveyspalvelut/ & 
https://www.youtube.com/watch?v=7H08Q1iupn8#t=72
Finnish Student Health Service (FSHS; YTHS in Finnish) uses video 
consultation app MeeDoc alongside the traditional health services 
• FHSH provides health services for around 135 000 university students 
• 97% of the customers have been satisfied with the service 
• 89% of doctors think that video consultations are effective 
• 99% of nurses think that video consultations support patient care activities 
• Approx. 70 % primary care patient cases can be assessed through video 
consultation* 
Sitra • Ville Koiste • 04.12.2014 • 16 
Remote consultation 
More info: http://www.sitra.fi/en/news/finnish-student-health-service-expand-use-video- 
consultations & * http://jultika.oulu.fi/Record/isbn951-42-7407-5
Revolutionized 
health & well-being 
Sitra • Ville Koiste • 04.12.2014 • 17 
Pic source: PSFK Labs – The Future of Health report 2014
Sitra • Ville Koiste • 04.12.2014 • 18
Sitra • Ville Koiste • 04.12.2014 • 19 
Sources: The 
Verge 15.10.2013; 
WSJ 28.5.2014; 
Forbes 22.8.2014
Sitra • Ville Koiste • 04.12.2014 • 20 
Source: http://www.pwc.com/en_US/us/health-industries/top-health-industry- 
issues/assets/pwc-healthcare-delivery-of-the-future.pdf
Sitra • Ville Koiste • 04.12.2014 • 21 
“Citizens become active 
healthcare consumers, 
rather than passive 
participants” 
Six Trends in an Era of Consumer-Driven Healthcare. 
Becker's Hospital Review
Building a successful Finland for tomorrow 
sitra.fi 
Facebook.com/SitraFund 
@SitraFund 
www.slideshare.net/SitraHyvinvointi

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Health & well-being in a connected world

  • 1. Health & Well-being in a Connected World BaseN 13th Anniversary Seminar Ville Koiste, Sitra ville.koiste@sitra.fi twitter.com/villekoiste 4.12.2014
  • 2. Sitra - The Finnish Innovation Fund • Sitra is a fund operating directly under the Finnish Parliament • Our operations are funded from our returns on endowment capital and capital investments • We predict, analyse and assess the forces of social change and their impacts on Finland. To accelerate changes that promote well-being, we • carry out practical experiments • compile cross-boundary networks • develop and finance business operations Empowering society Practices for sustainable well-being & employment Resource-wise & carbon-neutral society Sitra • Ville Koiste • 04.12.2014 • 2
  • 3. More connected, networked and data driven society Sitra • Ville Koiste • 04.12.2014 • 3 Knowledge Efficiency Revolutionized health & well-being
  • 4. Knowledge Data-driven revolution Sitra • Ville Koiste • 04.12.2014 • 4 Pic source: PSFK Labs – The Future of Health report 2014
  • 5. Several factors combine together to affect our health Health Care Environmental & social factors Genetics Behaviour & lifestyle McGinnis, et al., Health Affairs; 21(2), 2002 Sitra • Ville Koiste • 04.12.2014 • 5
  • 6. Sitra • Ville Koiste • 04.12.2014 • 6 “Self-tracking may provide a glimpse of the future of health care, based on monitoring and prevention”
  • 7. Sitra • Ville Koiste • 04.12.2014 • 7 Source: https://www.abiresearch.com/press/mheath-elderly-home-monitoring-growth-drawing- new- ”Silver tsunami” mHealth Elderly Home Monitoring “A new generation of elderly home care services will drive wearable device shipments to more than 44 million in 2019 up from just 6 million in 2013”
  • 8. and wearables Thousands of consumer health apps… Which of them are worth prescribing? Sitra • Ville Koiste • 04.12.2014 • 8 2012 Consumer Health Apps Report. Mobihealth News, 2012. just-launched-our-2012-consumer-health- apps-report/ & http://www.technologytell.com/gadgets/136103/health-wearables-do-they- work-answers-from-mhealth-2013-summit/
  • 9. “We have an opportunity to learn as much about the genetics of human disease as we have learned in the history of medicine" Sitra • Ville Koiste • 04.12.2014 • 9 Source: http://www.wired.co.uk/news/archive/2014-01/15/1000- dollar-genome
  • 10. Sitra • Ville Koiste • 04.12.2014 • 10 The potential of big data in healthcare: Towards improved value and preventive care Health data Research data Genomics Wearables & behavioral data Improved flow of information and collaboration can lead to better health outcomes & personalized care
  • 11. Efficiency New service models Sitra • Ville Koiste • 04.12.2014 • 11 Pic source: PSFK Labs – The Future of Health report 2014
  • 12. Online booking Remote consultation Health information management Electronic health checks & surveys Communication technologies Sensors, wearables & home monitoring tools Sitra • Ville Koiste • 04.12.2014 • 12 Lifestyle coaching & decision support systems Connected health services
  • 13. Self-monitoring and 13 -examination Source: TytoCare.com Sitra • Ville Koiste • 04.12.2014 • Approx. $200
  • 14. Case ’virtuwell’, a 24/7 online clinic (USA) • virtuwell treats more than 50 common conditions like colds, sore throats, sinus infections, ear pain • a personalized diagnosis, a treatment plan and a prescription if needed - all in about 30 minutes and all online • If symptoms or medical history suggest that online care is not appropriate, patient is redirected to doctor's office, test lab etc. Sitra • Ville Koiste • 04.12.2014 • 14 The future of virtual clinics So far Virtuwell has had 100,000 completed visits: • an average savings of $88 per visit • one Virtuwell visit can save up to 2,5 hours as indicated by Virtuwell customers • 98 % of customers recommend the service Source: http://www.businesswire.com/news/home/20140617005116/en/virtuwell-surpasses- 100000-cases-treated#.U6LBG_mSx1Y
  • 15. The city of Hämeenlinna: Online service that offers personalized decision support and lifestyle coaching • System uses electronic health records and personal wellness data • Service available for more than 60 000 citizens • Estimates e.g. individual risk of developing diabetes, coronary heart disease, stroke or certain cancers • Offers individualized health and wellness guidance and coaching Sitra • Ville Koiste • 04.12.2014 • 15 The future of virtual clinics More info in Finnish: http://www.hameenlinna.fi/Palvelut/Terveyspalvelut/ & https://www.youtube.com/watch?v=7H08Q1iupn8#t=72
  • 16. Finnish Student Health Service (FSHS; YTHS in Finnish) uses video consultation app MeeDoc alongside the traditional health services • FHSH provides health services for around 135 000 university students • 97% of the customers have been satisfied with the service • 89% of doctors think that video consultations are effective • 99% of nurses think that video consultations support patient care activities • Approx. 70 % primary care patient cases can be assessed through video consultation* Sitra • Ville Koiste • 04.12.2014 • 16 Remote consultation More info: http://www.sitra.fi/en/news/finnish-student-health-service-expand-use-video- consultations & * http://jultika.oulu.fi/Record/isbn951-42-7407-5
  • 17. Revolutionized health & well-being Sitra • Ville Koiste • 04.12.2014 • 17 Pic source: PSFK Labs – The Future of Health report 2014
  • 18. Sitra • Ville Koiste • 04.12.2014 • 18
  • 19. Sitra • Ville Koiste • 04.12.2014 • 19 Sources: The Verge 15.10.2013; WSJ 28.5.2014; Forbes 22.8.2014
  • 20. Sitra • Ville Koiste • 04.12.2014 • 20 Source: http://www.pwc.com/en_US/us/health-industries/top-health-industry- issues/assets/pwc-healthcare-delivery-of-the-future.pdf
  • 21. Sitra • Ville Koiste • 04.12.2014 • 21 “Citizens become active healthcare consumers, rather than passive participants” Six Trends in an Era of Consumer-Driven Healthcare. Becker's Hospital Review
  • 22. Building a successful Finland for tomorrow sitra.fi Facebook.com/SitraFund @SitraFund www.slideshare.net/SitraHyvinvointi

Notes de l'éditeur

  1. Preventive healthcare for the risks groups etc Key question: who owns the data: citizen or the system?
  2. From citizen’s perspective, eHealth includes elements such as