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Digital transformation in Healthcare:
Disruption or innovation?
2 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Marc YVON
Human Centric Innovation Center Director Master Inventor
Member of the IBM Academy of Technology
@MarcYvonIBM
3 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Credit to PureReinvention
4 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Chronic diseases
represent significant
avoidable expense
$47 Trillionin estimated cumulative global economic impact due to chronic disease¹
75%+Percentage of patients expected to use digital health services in the future³
New technologies are
changing how individuals
engage and interact
50%of traditional Medicare payments tied to quality or value through alternative payment models by the end of 2018²
Payment is shifting
to reward value
and quality
• Where and how care is delivered
• How care is financed
• The role of the individual
----are all changing.
The healthcare industry is changing dramatically—creating more complexity and uncertainty, yet great opportunity
SOURCES: 1) http://www3.weforum.org/docs/WEF_Harvard_HE_GlobalEconomicBurdenNonCommunicableDiseases_2011.pdf; 2) January 26, 2015 HHS press release: Better, Smarter, Healthier;
3) http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/healthcares-digital-future
5 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
20202010200019901980
Digitalization Integration Cognitive
6 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Augmented Intelligence / Cognitive in Health: Over a Decade in Development
2005 2010 2012 2014 20152008 2011 20162014
Cognitive test
case results
in creation of
Watson
IBM enables an
“evidence-based
Healthcare
eco-system”Memorial Sloan
Kettering Cancer
Center
Cleveland Clinic
Mayo Clinic
7,000 employees
10,000+ clients & partners
7 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Global Shifts Drive Momentum: innovation drivers
Dynamic
Delivery
50%Expected alternative payments
from Centers of Medicare &
Medicaid by 20184
75%+of patients expected to use
digital health services5
60-90KExpected shortage of
physicians by 20256
$47 trillionEstimated global economic
impact of chronic disease by
20307
100’sNumber of decisions a
person with Type 1 Diabetes
makes a day9
$3 trillion Estimated U.S. healthcare
spending8
150+ exabytesof healthcare
data today1
Over 230Kactive clinical trials2
80% of healthcare data coming from
unstructured sources3
< 10%drugs currently in development
that make it to market12
$2BAverage costs to develop a new
pharma drug11
1 in 10clinical Trials in cancer
are shut down from lack of
participation10
Data
Explosion
Efficient, Effective
R&D
Value vs
Volume
Sources: 1: NCBI. Big data analytics in healthcare: promise and potential https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4341817/ 2: ClincalTrials.gov https://clinicaltrials.gov/ 3: NIH https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127205/ 4:CMS https://innovation.cms.gov/initiatives/Health-Care-Payment-Learning-and-Action-Network/ 5: McKinsey Healthcare’s Digital Future July 2014 http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/healthcares-digital-future 6: AAMC Report The Complexities of Physician Supply and Demand: Projections from 2014 to 2025 https://www.aamc.org/download/458082/data/2016_complexities_of_supply_and_demand_projections.pdf 7: WEF Global Economic Burden Non-Communicable Diseases http://www3.weforum.org/docs/WEF_Harvard_HE_GlobalEconomicBurdenNonCommunicableDiseases_2011.pdf 8: CMS, Team analysis https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/downloads/highlights.pdf 9: OpenAps.org https://openaps.org/2015/02/04/introducing-the-openaps-project/ 10: Bio- Clinical Development Success Rates 2006-2015 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843106/ 11:Bipartisan Policy Center https://cdn.bipartisanpolicy.org/wp-content/uploads/2016/06/BPC-Health-Innovation-Safe-Effective-Cures.pdf 12: Bio- Clinical Development Success Rates 2006-2015 https://www.bio.org/sites/default/files/Clinical%20Development%20Success%20Rates%202006-2015%20-%20BIO,%20Biomedtracker,%20Amplion%202016.pdf
8 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
9 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Innovation Differentiated Components
Cloud Content Cognitive
Computing
Collaboration
10 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
We are on a complex journey
Risk Capable
Fee-for-service peak
– Reduced ER visits
– Reduced re-admissions
– Reduced admissions
– Reduced specialty visits
Value-based care peak
– Care coordination/Patient engagement
– Electronic Medical Record/Central Data Repository
– Grow marketshare
– Improve margin
– Patient Care Medical Home/Primary Care Physician
engagement
Declining
Reimbursements
Revenue
control
11 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
2016 2030
7:1 4:1The ratio of availablecaregivers between 45 and 64 to care for people of 80+ old
Due to demographicshifts this ratio drops dramatically triggeringa need for new approaches to care giving includingproactive services and prevention-driven self-care tools
12 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Engage Consumers
- Patient engagement and education
- Employee engagement
- Workforce health management
- Patient/Member outreach
- Price transparency
- Optimize care utilization
Engage in new ways with individuals, care teams and across your enterprise
13 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Disruption for Patient: Personalization Care
14 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Cognitive / Artificial Intelligence is Key for Disruption
Understand
Watson can
read and understand
documents and data–
both structured and
unstructured –
at a massive scale.
Reason
Watson searches and
analyzes data,
returning evidence-
based options.
Learn
Decisions made by
leading experts feed the
engine. Watson learns
and improves over time.
Cognitive
15 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Use cases
16 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
1. Visual Care
People with impairments or bedridden are not able to move from one side to another in their bed because of lack of energy, paralysis or pain.
When at hospital or homecare, nurses have to change the patient body position so that they don’t get more pain (with skin lesions for example).
Problem statement
17 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
1. Visual Care
Objective
Regularly check if the person has been moved/changed his body position within the contractual agreed time between the institutions and their patients.
To do so we used a thermal camera and IBM Visual Recognition (IBM Watson service)
18 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
1. Visual Care
Proposed solution Learning (prerequisite)
• Use thermal camera to get body energy in the bed• Feed a dedicated machine learning with pictures
Multi-class classifications: Left, Front and Right
Position change detection • Take pictures at defined time intervals (tbd)• Confront to machine learning and get position • Decide if position changed (from last position change)
Analytics • Real time: alerts on watch/dashboard : if interval
between actual time and previous time exceeds criteria (tbd)
• Historical: reporting per patient or per caregiver or …
19 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
1. Visual Care
Solution benefits• Patient is not ”forgotten” and is eased
from any body position pain
• Real time alerts on watch/dashboard: if interval between actual time and previous time exceeds criteria (tbd)
• Historical: reporting per patient or per caregiver or …
20 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
2. Neurological Care / IoT - Dialogue
Objectives / Problem Statement
• Find a solution that enable people with psychomotor functioning impairment (injury, dementia, etc…) to participate more fully in their lives.
• Provide customized support that match abilities and help to learn and complete movements or activities of daily living
21 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Proposed solution
Leverage Watson Technology and statistical model to:
• Interpret movement from connected object (ball)
• Get factual evolution data
• Adapt interactions and dialogs
• Learn new movements
2. Neurological Care / IoT - Dialogue
22 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Solution benefits• Child with autistic syndrome is doing
actions within a “game” and not as a consequence of an adult order
• The tool as a ball is seen like a toy but it helps not only the child but also parents and therapists
• Watson technology helps therapists to better understand if the child is doing well what the ball asks him
2. Neurological Care / IoT - Dialogue
23 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
3. Rehabilitation / IoT
Objectives / Problem Statement
• Practitioners are Lumbar Belt prescribers. At the same time they also ask for physiotherapy or other physical alternatives.
• Lumbar belt are free for patients.
• Objective is to encourage doctors to prescribe lumbar belts.
24 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
3. Rehabilitation / IoT
Proposed solution
In order to reach this aim customer wants physiotherapist and medical personnel to be actors in prescribing exercises to their patients in a declarative or monitored way.
25 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
3. Rehabilitation / IoT
Solution benefits
• Patient can exercise and know that their physiotherapist is aware of their progress
• Physiotherapists may check and monitor improvement or failure thus be more involved into patient care
26 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
4. Cognitive Care / Dialogue
Objectives
• Let hospital, retirement home or nursing home teamcreate their own cognitive application dialoging with their patients.
• Provide them a flexible solution which takes connected objects, video and voice interaction into account.
• Record evolution of patient behavior
27 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
4. Cognitive Care / Dialogue
Proposed solution• An intuitive interface for health teams to
create/update dialog structures dedicated to patient application
• Hide technology behind, with simple buttons to upload models into Watson Conversation, to connect IOT and record videos
• A simple application dialoging with the patient according to the administrator conversational model and using Watson APIs (speech to text, text to speech, conversation, IOT foundation)
28 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
4. Cognitive care / Dialogue
Solution benefits• Healthcare personnel manages application
for their patient
• Application are dedicated to personalized patient difficulties
• Patients could be monitored remotely
• Patients’ difficulties can be compared personally or within a group of patients
29 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
5. CaféWell / Health reward program
Challenges
• How to keep on with good resolutions?
• People want to feel well: how technology can help them?
• And if they could be rewarded for doing well …
30 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
5. CaféWell / Health reward program
Solution
• Learn who you are, make recommendations
• Easy to use on multi-devices application
• Within a private, secure environment
• Powered by IBM Watson
31 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
5. CaféWell / Health reward program
Solution benefits
• Help people taking care of their health
• Keep track of person’s progress
• Give a reward when actions performed on: food, exercises, …
32 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
BALANCE NUTRITION
HYGIENE
MEMORYFEELINGS
SOCIAL
Knowledge & insights for dependent people over a life time
Explosion of connected objects wearables or multiple connected devices allow measuring & monitoring criteria of dependent people.
Aging / Evolutive Autonomy
33 © Copyright IBM Corporation 2017
Human Centric Innovation Center | Europe
Credit to PureReinvention
hvala | merci | thank you | gracias | danke | grazie
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