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Moving Beyond the Digital Health
Hype and into Real-World Practice
Bunny Ellerin, MBA
Director
Healthcare and Pharmaceutical Management Program
Columbia Business School
June 22, 2017
…………………………………………………………………………………………………………………………………………
Examples of Digital Health
● Electronic Medical Records
● Electronic Prescribing
● Health/Wellness Apps
● Telehealth
● 3DP Printing
● Wearable Technology
● Artificial Intelligence
…………………………………………………………………………………………………………………………………………
Lots of Money Flowing into Digital Health
…………………………………………………………………………………………………………………………………………
Technology Will Solve our Healthcare Woes!
…………………………………………………………………………………………………………………………………………
It’s on Mary Meeker’s Radar
…………………………………………………………………………………………………………………………………………
Physicians have Largely Adopted Digital
…………………………………………………………………………………………………………………………………………
Consumers Increasingly Expect Health to be Digital, Millennials in
Particular
…………………………………………………………………………………………………………………………………………
But to Truly Transform Healthcare…
…………………………………………………………………………………………………………………………………………
Digital Health Today
Expectations
• Improved outcomes
• Improved access
• Cost savings
…………………………………………………………………………………………………………………………………………
Digital Health Today
Expectations
• Improved outcomes
• Improved access
• Cost savings
Reality
• Proliferation of marginal devices & apps
• Lack of validation
• Regulatory issues
• Costs actually increase at outset
…………………………………………………………………………………………………………………………………………
Healthcare is Hard
…………………………………………………………………………………………………………………………………………
WHAT’S WORKING IN DIGITAL
HEALTH
Case Study: Propeller Health
Medication Adherence That Works
…………………………………………………………………………………………………………………………………………
Don’t add new burdens to a patient’s day
Propeller Health
Design with the End User in Mind
…………………………………………………………………………………………………………………………………………
Propeller Health: Increasing Adherence in Asthma and COPD
Propeller has developed add-on sensors for most major inhaled medications
They send you a sensor to attach to your inhaler
…………………………………………………………………………………………………………………………………………
Propeller Health
Make It Easy
…………………………………………………………………………………………………………………………………………
Propeller Health
Have a Business Model
…………………………………………………………………………………………………………………………………………
Propeller Health
Improve the patient-physician relationship
…………………………………………………………………………………………………………………………………………
Propeller Health: Success Factors
● Strive to make the technology disappear
● Create a passive experience - don’t ask users to do anything new
● Secured FDA clearance
● Have clients and revenue
● Enhance relationship between provider and patient
● Reduce burdens rather than add new ones
● Focus on outcomes over technology
Case Study: Northwell Health
TeleStroke Service
Telehealth that Saves Lives
…………………………………………………………………………………………………………………………………………
Telehealth – The Next Big Thing
● Many physician, urgent care and emergency room visits can be done by
phone or video
● Field set to explode by 2018 with anticipated 7 million patient users - up
from 350,000 in 2013
● Consumers want it: 64% of Americans would attend an appointment via
video telehealth
● Employers see the value: 70% of employers plan to offer telemedicine
services as an employee benefit.
● Explosion of companies: Teladoc, American Well, Doctor on Demand
● Can increase access for populations traditionally shut out: rural, poor
Remote delivery of health care services and clinical information
via internet, wireless, satellite and telephone
…………………………………………………………………………………………………………………………………………
Crowded Space
Courtesy of
…………………………………………………………………………………………………………………………………………
Northwell Health
Telestroke Service
…………………………………………………………………………………………………………………………………………
TeleStroke in Action
Case Study: MC10
Wearables that Stick
…………………………………………………………………………………………………………………………………………
Consumer Wearables
…………………………………………………………………………………………………………………………………………
MC10
Medical Grade Wearables
…………………………………………………………………………………………………………………………………………
MC10
Gather data from multiple locations on the body.
…………………………………………………………………………………………………………………………………………
MC10
Game Changer in Clinical Research
…………………………………………………………………………………………………………………………………………
MC10
Current Barriers in Clinical Research
● Low patient
compliance with
diaries
● Patient recall is
unreliable and
inaccurate
● Physician office visit
can take 2-5 hours
● Manual effort needed
to scrub and
transcribe data
● Lack of continuous
monitoring
…………………………………………………………………………………………………………………………………………
MC10
Transforms Wearable into Powerful Research Tool
…………………………………………………………………………………………………………………………………………
MC10
Captures and Analyzes Data Real-Time
…………………………………………………………………………………………………………………………………………
MC10: Success Factors
● Wearable sensor – passive and designed to stretch with body
● Collect data and monitor safety in real-time
● More reliable and accurate information – data captured directly into
electronic databases
● Facilitate early signal detection of therapeutics in shorter,
● Saves money and time by enabling smaller studies
● Transparent and accurate data allows for early failure recognition
● Reduce burdens rather than adding new ones
● Enhance relationship between provider and patient
Case Study: Conjoined Twins
separated at Montefiore Medical
Center
3D Printing Enables Doctors to Perfect Care
…………………………………………………………………………………………………………………………………………
Montefiore Medical Center, Bronx NY
Transformational Digital Health
Anias and Jadon McDonald
…………………………………………………………………………………………………………………………………………
Led by Dr. James Goodrich, Pediatric Neurosurgeon and Dr. Oren
Tepper, Plastic and Craniofacial Surgeon
…………………………………………………………………………………………………………………………………………
Montefiore Medical Center, Bronx NY
Digital Health that is truly Transformational
3D PRINTING3D COMPUTER
SIMULATION
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
Keep this man on your radar
Dr. Scott Gottlieb
FDA Commissioner

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DX Forum 2017 - Bunny Ellerin

Notes de l'éditeur

  1. NY State-designated stroke center Integrated care that is Patient-centric Northwell is increasing the use of telemedicine in all aspects – Tele ICU,