Future of Healthcare Forum (Digital Health 2017) - Jessica Higgins
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Jessica Higgins, CEO of Gapingvoid Culture Design Group discussed building a culture of change within healthcare organizations.
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Future of Healthcare Forum (Digital Health 2017) - Jessica Higgins
- 1. Jessica Higgins, JD MBA BB Chief Operating Officer Gapingvoid.com JessicaHiggins.co JessicaH@gapingvoid.com
- 2. Is the only company in existence that creates end-to-end culture design solutions. By understanding the current culture, we then design leadership tools, communication tools, environment tools and mindset tools for sustainably transforming your organizational culture at scale to hold onto your special sauce as you scale up. Our clients include Microsoft, Zappos, Roche, AT&T, Pfizer, L'Oreal, US Bank, Babson College, and many others. About
- 8. Blockchain for Drug Development: An Historic Opportunity! Sascha Mundstein, Pfizer
- 10. G#dpharm2017
- 11. BLOCKCHAIN
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- 24. COMPLIANCE
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- 32. G#dpharm2017
- 33. DRUG DEVELOPMENT
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- 47. Jessica Higgins, JD MBA BB Chief Operating Officer Gapingvoid.com JessicaHiggins.co JessicaH@gapingvoid.com
Notes de l'éditeur
- One of the huge challenges in healthcare is simply language. The problem with healthcare and healthcare culture is that people hide behind the technical aspects of it in order to not feel human, connecting and empathetic. What culture should be: its about context, language and impacting behaviors that aligns to yes, operational excellence, and also being empathetic and caring about people. It’s all about doing this empathetically and shows that you’re really here to take care of people The truth is you are dealing with people, you are dealing with their lives. Whether you are workign digitally or in person, you must truly care about people. Not just the provider, and not just ticking the boxes.
- Quick introduction. – Could also be more graphical, or perhaps the agenda. 75% of clinical trials are privately funded by private pharmaceutical companies. The time it takes to get a drug onto the market is usually around 6 years. This area of healthcare is tricky. Expensive, it creates huge costs passed onto us.
- Pfizer Slogan: working together for a healthier world Double meaning: It can refer to Pfizer colleagues It can also be important for pre-competitive exchange of ideas with peers as in this conference
- This talk is about Blockchain We do not know what is at the end of the road, but I would like to share with you my vision for this future. So let us explore what exactly Blockchain is and how it is relevant for our industry.
- Pfizer has long understood, that digital innovation is critical for success. (tell some anecdotes perhaps about mobile development)
- Explain the why now… PCs elimnated mainframes Connectivity resulted in a revolution disrupting whole industries Storage powers the next revolution Blockchain just one of many new storage-enabled technologies : AI, Big Data, Machine Learning, Natural Language Processing (Cognitive Computing)
- Explain ledger: it's like a database of transactions which are all in a certain order Explain how this works for Bitcoin
- Blocks are just a group of transactions. Explain how the chain works (each new block contains a cryptographic signature of the previous block) If you change the past, the present (the latest block) changes as well
- Strong cryptography Redundancy, distributed database
- Talk about truth, integrity of data. Contrast with central server. "Distributed Trust vs. Centralized Trust"
- Summary of the technology *distributed* *ledger* Not alterable: each transaction is de facto "settled" We need no entities that handle the settlement
- Enumerate the benefits of blockchain technology
- Pfizer has long understood, that digital innovation is critical for success. (tell some anecdotes perhaps about mobile development)
- Blockchain is by definition open source. Each ledger entry can actually execute code. Everyone can inspect this code and the logic of a specific blockchain application. So there is total transparency about how the chain works. Patients do not trust any institution with their private data. Even solid and equitable patient data sharing solutions will not scale.
- We need to use a system, where encryption is "built in" by default.
- This gives patients control about their own data. The "greater good" in this case is research. But it also benefits the patient directly, e.g. in an emergency.
- There are also data predators, such as Google and Apple, who practically force you to trust them. That is not real trust.
- Pfizer has long understood, that digital innovation is critical for success. (tell some anecdotes perhaps about mobile development)
- There is a lot of bureaucracy around compliance, with major disadvantages: Takes s lot of time (i.e. slows down time to market) Costly Error prone
- Mistakes would immediately found in a permissioned chain which can be accessed by authorized entities, e.g. government or auditors. This is much more efficient – saves time to market.
- Pfizer has long understood, that digital innovation is critical for success. (tell some anecdotes perhaps about mobile development)
- Wouldn't it be great if there were a system where… You could truly own and control your own data? Nobody else could touch it.
- In February 2017, Pfizer presented its Proof Of Concept app built using the most robust available technology stack. A live app that puts patients in complete control of their data and lets them share it with HCPs.
- Future Scenario 1
- Drug development takes time. But why? Clinical trials Take lots of time Cost a lot of money Are often insufficient so that further studies must be undertaken
- Solution – put the patent in the driver's seat and make it convenient and attractive to be recruited for clinical trials. With blockchain, data can be searched anonymously so that people can stay anonymous while still being invited to clinical trials.
- This data should be potentially available for everyone who needs it – at the discretion of the patient or user. Doctors, distributors, pharma companies, government, health insurance. But especially: research! This will benefit all of us, and society as a whole!
- Permission can be given and revoked.
- Pfizer has long understood, that digital innovation is critical for success. (tell some anecdotes perhaps about mobile development)
- Current System: Many stakeholders need to be reconciled to repair the currently fractured and inefficient health care system: doctors, medical associations, hospitals, insurance companies, life science companies, pharmacies, research, academia, government, patients and – healthy humans.
- In a rules-based distributed ledger one could drive compliance, innovation, efficiency and system-sustaining behavior using a consensus-based cryptocurrency that results in real-world value creation.
- Such a revolution could reduce or eliminate all the conflicts of interest that exist in our current health care system. It could be immensely profitable for all individuals and society. All the murkiness of the current system would become - Transparent Equitable Efficient Murky Clarity also has implication for your personal health. Better information, better diagnosis, better, longer, healthier life. Preventive medicine, preventive business models.
- It could at a minimum save lives, avoid many mistakes and reduce waste. Potentially, this could shave billions off a country's health care costs. From repair medicine to preventative medicine
- A reversal of the logic of our current health care system. We will keep more people healthy, so We do not have to cure so many sick people! Every single one sitting here this morning will have more clarity about his or her own health. Everyone here, and all of our children, will live longer and be less sick. We will use the saved resources to lead even better lives! Let's work together, all of us, to achieve this goal!
- This reminds me of last week where I was lucky enough to have gotten to hang out with Peter Diamandis recently. He’s the brainchild of Singularity University and the Xprize His discussion was about exponential gains versus incremental gains. So long as we are in competition, we will only receive incremental gains. Whether we are competing over resources, or patients, or what have you, so long as we are working against one another the net affect of that will be an incremental gain. But if you think about an alternate mindset. And that is a mindset of moving from that of scarcity to that of abundance. That abundance mindset, where everything is available to us and we are able to collaborate and help each other to create. It is only in that mindset and that environment where exponential gains are possible. This is peter’s vision and it should be our vision as well. So I want you to ask yourself, in your world today, if you had a world of abundance, what could be possible? Because of blockchain and other technologies we discuss today, that world WILL be possible for us and in our lifetimes. So let this be your guiding vision in the work that you do.
- And I want you to walk away remembering today, that if there is one thing you can do to improve our healthcare culture. Whether you are creating wearable health technology, you are a medical or wherever you are. Our greatest cultural challenge is to connect our ideas with others in a way that turns healthcare into a movement. I’ve shown you one example of taking an idea, humanizing it and connecting it to people. My hope is that you will do the same. Because this is how we’re all going to change the world of healthcare forever. So now you know.
- This is just one example of how you can take something and humanize it and make it able to be understood to anyone. One of the problems with healthcare is that communication is awful and people hide behind the highly technical. But what we need to do in healthcare is use language that inspires to connect one another more deeply to one another during wh This is one example of many and I hope you will And contact me here if you would like to receive a copy of my soon to be published book on healthcare innovation design.