Intel Vice President Gord Graylish's keynote speech from the Wonca Prague 2013 Conference.

1. The 3rd Industrial Revolution:
Transforming Healthcare As We Know It?
Gord Graylish, General Manager, ESS
Vice President, Intel Corp

2. Keynote flow
• 16 min Block 1: Third Industrial shift and 5 tectonic shifts – Gord
» Internet of things video (2:14)
» 8 slides
• 12 min Block 2: Client Compute Continuum: MPOC – Mark
» MPOC Demo (3 min)
» 9 slides (6 min)
» MPOC 3 video (3 min)
• 4 min Block 3: Cloud and Kaiser Hawaii – Gord
» 5 slides
• 3 min Block 4: Security – Gord
» 3 slides
• 8 min Block 5: Dr. Peter Schro – Guest
» 1 min Pavel intro
» 7 min Dr. Schro
• 2 min Closing – Gord
44 minutes total

3. PLACEHOLDER FOR INTERNET MINUTE VIDEO

4. What’s
Going On?

5. What’s Going On?
We are still at the dawning of the third era…
...A new economic narrative is being written.
* The Third Industrial Revolution: How Lateral Power is Transforming Energy, the Economy, and the World by Jeremy Rifkin, president of the Foundation on Economic Trends
Steam and coal
Railways
Factories
Printing press –
mass education
1.0
Internet, molecular
biology, renewable
energy sources
Super information
highways
Smart ―everything‖
3.0
*
Electrification,
comms, oil,
combustion engine
New materials
Highways,
automobiles
Mass production
2.0
1760’s……. Late 1990’s…….1860’s…….

6. Rate of Change Will Approach Light Speed
1752
Ben Franklin proved
that static electricity
and lightning were the
same – this paved the
way for the future
1800
first electric
battery
introduced
1821
Faraday
invented the
first electric
motor
1835
First electric
relay invented
1844
Morse invented
the telegraph
1879
first light bulb –
Thomas Edison
1882
First DC power
station
1891
First AC power
station
1750 1760 1770 1780 1790 1800 1810 1820 1830 1840 1850 1860 1870 1880 1890 1900 1910 1920 1930 1940
1910
Generation and distribution
systems build out

7. Rate of Change Will Approach Light Speed
1920
<10% of British
households wired
connected
Late 1920’s
Electricity becoming
pervasive
1752
Ben Franklin proved
that static electricity
and lightning were the
same – this paved the
way for the future
1800
first electric
battery
introduced
1821
Faraday
invented the
first electric
motor
1835
First electric
relay invented
1844
Morse invented
the telegraph
1879
first light bulb –
Thomas Edison
1882
First DC power
station
1891
First AC power
station
1750 1760 1770 1780 1790 1800 1810 1820 1830 1840 1850 1860 1870 1880 1890 1900 1910 1920 1930 1940
1910
Generation and distribution
systems build out

8. Rate of Change Will Approach Light Speed
1951
First Commercial
Computer
(Ferranti Mark 1)
1959
Integrated Circuit is
patented (Noyce/Kilby)
1969
ARPANET
(internet
forerunner)
1971
First
microprocessor
(Intel 4004)
1997
Google.com
registered
1983
First IBM PC
compatible
laptops
2003
Intel Centrino.
WiFi Hot spots.
Broadband
1991
Tim Berners Lee
publishes World
Wide Web
1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015

9. Rate of Change Will Approach Light Speed
1951
First Commercial
Computer
(Ferranti Mark 1)
1959
Integrated Circuit is
patented (Noyce/Kilby)
1969
ARPANET
(internet
forerunner)
1971
First
microprocessor
(Intel 4004)
1997
Google.com
registered
1983
First IBM PC
compatible
laptops
2003
Intel Centrino.
WiFi Hot spots.
Broadband
1991
Tim Berners Lee
publishes World
Wide Web
1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015
2004
Facebook
launched
2007
iPhone launched
2010
iPad launched, other
Android tablets follow
2012
Embedded Intelligence
in WTC
“if the Internet were a movie we’d still be in
the opening credits”

10. … Re-imagining the World at Light Speed
From the Obvious…
Knowledge
Educating
Shopping
Travelling
Sharing
Industries established over a Century
re-architected in under a Decade
Communicating
Entertaining
to
to
to
to
to
to
to

11. The Way We Work
ConstructionNew ServicesSmart Grid
Agriculture
Hotels
Cars
Google
Home
When the impossible…
becomes possible
to
to
to
to
to
to
to
… Re-imagining the World at Light Speed
From the Obvious…

12. TODAY WE WILL DISCUSS HOW SOME OF THESE ARE
EFFECTING THE MEDICAL FIELD
OBSERVATIONS OVER THE LAST 12 MONTHS
KEY IT CHALLENGES
Cloud
Client
Continuum
Internet
of Things
SecurityBig Data
OBSERVATIONS OVER THE LAST 12 MONTHS
KEY IT CHALLENGES
Cloud
Client
Continuum
Internet
of Things
SecurityBig Data
New
Business +
Usage Models
…by 2015
>1 Zetabyte Internet
Traffic3
>15 Bn Connected
Devices2
>1 Bn More Netizen’s1
Tectonic Shifts
Energy
Transport
Retail
Healthcare
Smart
Cities
Finance
Tectonic Shifts:
Infrastructure Enabling New Horizons

13. Client Compute Continuum
Patients
Clinicians
Transform
Patient
Experience
Transform
Healthcare
New
Experience
• Context aware
• Immersive / Interactive
• Intuitive, accessible
and natural
Just “being on the Internet” is not good enough.

14. Real-time Collaboration in Action
Mobility and Collaboration in Health IT
Source: http://www.youtube.com/watch?v=Fh520P56wQ8

15. Connection to peripherals
and other devices
Enhanced end-to-end security
& manageability
Multitasking
Real-time performance + communication
= real-time collaboration
Access anywhere
Going Mobile drives better workflows

16. Finding the Best Platform Fit:
Usage Models Drive Design of Mobile Solution
Grab and Go Wheel Walk and Dock
Patient-to-patient,
home care,
1st responder
Hospital rounds,
1st responder
Patient care and
office work

17. One Size Does Not Fit All
Goal: Usable, accepted, manageable, secure
Intel MPOC
Selector
Tool
Select best
compute
model
Engage end-
users early and
throughout
1
Define
use cases,
workflows, and
requirements
2
Jointly select
the best mobile
device(s)
3
Conduct a
security and
privacy risk
analysis
4
Select the best
compute model
5

18. mHealth Drives
Care Coordination
and Collaborative
Workflows

19. 2. Comprehensive information
3. Dataexchangeandinformationsharing
4. Data access everywhere
1. A team approach
Coordinating Care with Collaborative Workflows
Collaboration requires a reliable, secure IT infrastructure at a reasonable cost

20. Support Care Coordination for Better Outcomes,
Mobilized Data is Critical
GATHER &
Store Data
SHARE
the Data
MOBILIZE
Data
EMPOWER
Citizens

21. Coordination Across the Continuum:
Mobile Data is Key to Workflow
Data
Exchange
Data
Exchange
Personal
Health
Record
Electronic
Health
Record
Health Check Up
Self Check
& Control
Home
Visiting
Care
Pharmacy
Long Term
Care
Academic/Research
Hospital
Remote
Diagnostic
Community
Hospital
Clinic
Emergency
Patient-centric Care

22. Real-time Collaboration in Action
Mobility and Collaboration in Health IT
Source: http://www.youtube.com/watch?v=Fh520P56wQ8

23. Possible Collaborative Workflows to Consider
EMS: Treat in Place
EMT / Doc / Homecare nurse / Community care worker
ED Discharge to Home
Doc / Homecare nurse / Community care worker
Consults Acute Inpatient
Doc / Doc / Therapists / Pharmacist / etc.
Consults Chronic Disease Outpatient
Doc / Therapists / Homecare nurse / Community care worker / etc.
Homecare
Doc / Homecare nurse / Community care worker

24. MPOC 3 video
INTERNAL ONLY, HIDDEN SLIDE

25. Collaborative Workflows:
Out of the EMR Cloud

26. 0
1
2
3
4
5
6
1999 2000 2001 2002 2003 2004 2005 2006 2007
Secure messaging
Scheduld phone visits
Office visits
Kaiser Hawaii:
By 2007, 30 % of care was no longer Face-to-Face
Kaiser’s next step: real-time video conferencing
Distribution of Patient Contacts Over Time Among Kaiser Permanente (KP) Hawaii Members, 1999–2007 Chen C et al. Health Aff 2009;28:323-333
©2009 by Project HOPE - The People-to-People Health Foundation, Inc.

27. 0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
2010 2011 2012 2013 2014 2015 2016 2017
World Telehealth Patients (thousands) By Disease
Others
Mental Health
Hypertension
Diabetes
COPD
CHF
Worldwide Telehealth Patients Growing to 1.7
Million Visits in 5 years
The World Market for Telehealth – An Analysis of Demand Dynamics – 2012 INMedica, IMS Research
Access to Cloud Accelerates Access to Healthcare Worldwide

28. Security

29. Average cost per breached healthcare record is $240 which is
24% higher than average.
In 2013, 48% ofreporteddatabreachesin the U.S.
have been in the medical/healthcareindustry.
Over 608,087,870 records exposed in
security breaches since 2005.
1. http://www.symantec.com/about/news/resources/press_kits/detail.jsp?pkid=ponemon-cost-of-a-data-breach-2011;
2. http://www.idtheftcenter.org/artman2/publish/lib_survey/ITRC_2008_Breach_List.shtml; 3. http://www.privacyrights.org/data-breach
Cyber Crime is a $1Trillion Dollar Business
ITRC Breach Report, Identity Theft Resource Center, May 2013²
Ponemon Institute—2011 U.S. Cost of a Data Breach Study¹
A Chronology of Data Breaches, Privacy Rights Clearinghouse, June 2013³

30. Security Concerns Are Top of Mind in Healthcare
34%
38%
40%
48%
52%
0% 10% 20% 30% 40% 50% 60%
Financial liability of violating
privacy laws
Breached data
Encrypting data on mobile
devices
Encrypting transmission of sent
data
Mobile device loss/theft
Security was the most
important attribute when
evaluating mobile devices
In the United States where
patient information is
protected by HIPAA, financial
liability of HIPAA violation
was a top 3 concern
Source: IDC Health Insights 2012

31. The Future of Security
Data Protection
from Malware
Execution
Control
Transparent Security
Anytime Anywhere
Data and System
Recovery
Fast and Easy Login
Identity and
Attestation

32. Quick Access to
Information,
Quick Help to
Patient
An infant with pulmonary
hypertension & pneumothorax
MUDr. Peter Krcho, PhD.
NICU Neonatal Clinic
Košice Slovakia

33. Data working with
• Information based medicine - applied in emergency situations
• Evidence based medicine – applied in clinical practice

34. Information based medicine
RIGHT SIDE PTX and
pneumomediastinum

35. Evidence based medicine

37. Switch to the visualisation system, demo of the reviews and selection
scans from tablet using secured wifi network.

38. Data availability in all places

39. Advantages
• Different communication tools
• Consultation in community of nurses and physicians
• Data availability everywhere in the region
• Consultation possibility on regional and international level
• New application possibilities coming out during clinical practice

40. THE OUTCOME OF
OUR CRITICALLY ILL,
FINALLY HEALTHY
NEWBORN...

41. Tectonic Shifts:
Transforming How You Deliver Care
Client
Continuum
Internet
of Things
Big Data Cloud Security
mHealth
You will have several devices
surrounding you. You choose the
right device for the right task.
Cloud
You and your patients will be
able to access data anytime,
anywhere, on any device.
Security
Lock up your data not your
device. Take your device
with you.
Need to think about key takeaways and call to action

42. Thank You