I manage my health with digital tools and I’m not alone. An estimated and growing 69% of consumers and patients are also engaged in monitoring their own healthcare . The interest in personal wellness combined with the proliferation of healthcare ‘wearables’ available to consumer puts us on the cusp of an extraordinary shift in healthcare: Technology enabled patients are empowered to change their lifestyle to prevent or stop chronic disease, and become healthier than ever before. The implications of this on every aspect of the healthcare industry –from delivery and population health to access and cost will be astounding. But wearable technology is still in its infancy, quite complex and limited in what it can do. The next generation will be intelligent and voice-enabled and go beyond tracking to interacting with and assisting consumers with their healthcare choices, and changing behaviors for the better. Imagine a wearable that could warn you of risks developing, nudge you towards better choices for that day based on your health profile, and keep you engaged in a treatment regime.

1. @DrNic1
Wearable’s Health and Voice
The Perfect Storm

2. Wearable's Health and Voice
The Perfect Storm
Nick van Terheyden, MD (aka @drnic1)
Chief Medical Officer
Dell Healthcare and Life Sciences

3. Confidential
Technology has become an
integral part
of our daily lives…

7. @DrNic1
2009 Continua Health Alliance Brigitte Piniewski, MD2008 7
0 25 65
Age
IllnessPre-Illness
Wellness
Unpredictable Health
Predictable (Rules-based) Health
Death
60-80% Lifestyle
Modifiable Health

8. @DrNic1
2008 8
0 25 65
Age
IllnessPre-Illness
Wellness
Death
To put it another way….
Fun
No Fun
2009 Continua Health Alliance Brigitte Piniewski, MD

9. @DrNic1
What Are the Solutions?
• Patient Centered Healthcare and Monitoring
• Increased efficiency of healthcare delivery
which includes
–Self management
–Patient data capture
–Home Health and Telemedicine
• Improved Personalized Medical Treatment

10. @DrNic1
Quantified Self
• Ubiquitous, low cost, always on sensors
• Seamless tracking, minimal friction, no behavior
change
• Interactive, easy data that influences behavior
– Activity and Weight
– Heart, Blood Pressure and EKG
– Sleep, Mood
– Bloods including Glucose
– DNA and MicroBiome

11. @DrNic1

12. @DrNic1
Wearables on the Path to Bionics
Kineseowear – Stick on artificial muscle
Ouijiband – Segway for your hand
Lalala – noise cancelling listening for life

13. @DrNic1
NY Times:
Technology That Prods You to Take Action, Not Just Collect Data

14. @DrNic1
Patient engagement & behavior
Patients are taking a more
active role. They are looking
to connect with clinicians in
new ways related to their
health.
With only 12 minutes in the
average patient visit, what
can physicians do that
matters most to patients?

15. @DrNic1
I’d Never Admit That to My Doctor. But to a Computer? Sure
“This is way better than
talking to a person”
“I don’t really feel
comfortable talking
about personal stuff to
other people”
http://www.sciencedirect.com/science/article/pii/S0747563214002647

16. @DrNic1
The New Age of Wearable Computing
• Today, wearable tech is a $700m industry (sports and activity trackers)
• Growth is exploding; $3B in 2014 (with new categories representing $2B in sales)
• 52% of people polled said they’re aware of wearable, with 1/3 of those saying they’d buy
one
• One in six consumers currently use wearable tech in their daily lives
• Total wearable device shipment volumes will reach 19 million units in 2014, growing to
111.9 million in 2018
• The market (today): 48% of owners are 18-34 years old
• The data: when an earthquake of magnitude 6.0 struck NorCal on 8/24 at 3:20am, it shook
people awake. Jawbone UP was able to pinpoint the epicenter by looking at UP sleep data,
and saw that 45% of people within 15 miles of the epicenter didn’t return to sleep that night.

17. @DrNic1
Wearables Segments
• Fitness / Single-Purpose Head-mounted AR / Glasses
• Smartwatch / General-Purpose Head-mounted VR / Fully immersive

18. @DrNic1
Speech Technology Advantages
• Wake up Word; always available with lower power drain
• Voice Biometrics; Authentication and customizable experience
• Powerful Understanding and Interaction based on Speech and
NLP
• Cloud Based and Embedded
• Deep Meaning – conversation and Direct Access to Functions
with Easy Access to Multiple Resources
• Text-to-Speech; Expressive, natural sounding and customized

19. @DrNic1
End to End

20. @DrNic1
The Quantifiable Health Movement
• Today
– 69% of American adults track areas of their health in some shape or form
– including weight, diet, exercise and symptoms
– 21% use digital technology to do this, but set to rise significantly by 2020.
– $11B in revenue from 35 million homes using home ‘health’ automation
platforms across the globe by 2017***
• Future
– Global market for wearables in health and fitness could reach 170 million
total devices by 2017*
– By 2020, a number of biotechnologies will be available on a nano scale,
embedded in devices and as sensors within the human body**

21. @DrNic1
UI Challenges
• High reliance on companion applications means multiple
device usage (band+smartphone) during activity
• Daily progress, milestones, etc.
• Difficult to retrieve information during activities
• Food logging still incredibly cumbersome
• Lack of visual display requires companion device for
reminders
• Devices will small screens still face challenges in navigating
menu hierarchies

22. @DrNic1
Speech for Quantifiable Health Uses
• Easily input information
– Food / meals
– Past activities
– Untracked sleep
• Query information
– Current activity stats
– Past activity stats
– Aggregated snapshots of data
• Adherence/reminders
– Prescriptions, supplements, others

23. @DrNic1
Visual Flow Examples
ChoiceHome ConfirmationDuration EndStart
Activity Log Idle Listening Hints Main ListeningMain Processing

24. @DrNic1
Humanizing Healthcare
Intelligent systems break down
technology barriers and ease the shift
to the digital age of healthcare.
EHR of the Future: Rise of Intelligent Systems

25. @DrNic1
Closing the Want-vs-Get Gap
Intelligent systems adapt to people
instead of the other way around and help
people get to “the want” faster.
EHR of the Future: Rise of Intelligent Systems

26. @DrNic1
Helping Doctors and Patients
Intelligent systems support day-to-day
duties of caregivers and empower
patients by understanding, learning,
anticipating, adapting and making the
complexities of technology disappear.
EHR of the Future: Rise of Intelligent Systems

27. Hospitals
Health
Plans
Hospitals
Health
Plans
Do more.
Healthcare.
Are you ready to…
Do more of what’s possible,
Do more of what matters,
Do more of what brings success?

28. @DrNic1
Nick van Terheyden, MD CMO, Dell Health and Life Sciences
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Voice of the Doctor http://drvoice.blogspot.com/
My Activity http://DrNick.vanterheyden.com
AboutMe http://about.me/obiwan
FaceBook http://profile.to/drnick
E-Mail DrNick@dell.com, drnic1@gmail.com
GoogleVoice (301) 355-0877
Questions
Where You Can Find Me

29. Wearable's Health and Voice
The Perfect Storm
Nick van Terheyden, MD (aka @drnic1)
Chief Medical Officer
Dell Healthcare and Life Sciences

30. Thank you