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The Futureof Wearables
FROM A FITNESS ACCESSORY TO A CLINICAL TOOL
ULI CHETTIPALLY, MD., MPH.
October, 2015
Emergency Physician, Clinical Researcher & Innovator,
Kaiser Permanente
Co-Founder & CTO,
CREST Network
Co-Founder & President,
Society of Physician Entrepreneurs SoPE, SF Bay Area Chapter
INTRODUCTION
Uli Chettipally, MD, MPH.
The thoughts and opinions expressed in this presentation are mine alone and do
not reflect the views of any organization
DISCLAIMER
DEFINITION
BIOSENSING WEARABLES
Activity trackersSmart PatchesSmart ClothingSmart Watches
BIOSENSING WEARABLES
GROWTH!2% of the population
Next 5 yrs.
$5 - $50billion!
Rock Health
WEARABLES ARE
WONDERFUL!
CLINICAL TOOL
A Tool that can help
Cure Treat Mitigate Diagnose Prevent
a Disease or Condition
BIOSENSINGWEARABLE
CLINICALTOOL
BRIDGING THE GAP
1. Hurdles to Adoption
2. Healthcare Environment
3. Regulatory Climate
4. Path to Success
5. Need for Partnerships
TOPICS
Value to Each Stakeholder
1.HURDLES
TOADOPTION
1.HURDLES
TOADOPTION
PATIENTMotivation
AffordabilityConvenience
RewardsAnticipated Regret
JAMA, M S. Patel et al. Wearable Devices as Facilitators, Not Drivers of Health Behavior Change.
1.HURDLES
TOADOPTION
PHYSICIANAccuracyReliabilitySystems
Time and EffortReimbursement
1.HURDLES
TOADOPTION
PAYORClinical Utility
Cost of IntegrationReturn on Investment
Non-existent GuidelinesEffect on Population Health
1.HURDLES
TOADOPTION
BENEFIT
Financial
PhysicalEmotional
1.HURDLES
TOADOPTION
EXAMPLE
Roberto Tapia-Conyer et al - http://dx.doi.org/10.1155/2015/794180
Wireless Maternal-Fetal Monitoring
2.HEALTH
CAREENVIRON
Better Outcomes at Low Cost
2.HEALTH
CAREENVIRON
CMS & California Healthcare Foundation
RISING COSTS
2007 2008 2009 2010 2011 2012
National Healthcare Expenditures ($Trillions)
3.0
2.5
2.0
2.HEALTH
CAREENVIRON
TRIPLE AIM
Reduced Per Capita Cost
Institute for Healthcare Improvement
3
2.HEALTH
CAREENVIRON
INTEGRATED CARE
2.HEALTH
CAREENVIRON
2. Healthcare EnvironmentVOLUME
TOVALUE-BASEDCARE
2.HEALTH
CAREENVIRON
Leavitt Partners
14 Million2013
7 Million2012
<1 Million2010
3 Million2011
20 Million2014
LIVES COVERED BY ACOs(Accountable Care Orgs)
2.HEALTH
CAREENVIRONA guide for
procurement of technology to help
achieve the Triple Aim.
DIGITAL HEALTHSELECTION FRAMEWORK
Institute for Healthcare Improvement
2.HEALTH
CAREENVIRON
EXAMPLE
GoogleContact Lens
Google Blog Thursday, January 16, 2014
Novartis - Alcon
3.REGULATORY
CLIMATE
Novartis - Alcon
Essential to Think Early
3.REGULATORY
CLIMATE
Novartis - Alcon
ACCURACY
JAMA Accuracy of Smartphone Applications and Wearable Devices for Tracking Physical Activity Data. M. A. Case et al
3.REGULATORY
CLIMATE
Novartis - Alcon
SAFETY
Guidance on whichapplications need
approval
Protecting and Promoting Health
3.REGULATORY
CLIMATE
Novartis - Alcon
PRIVACY & SECURITY
HHS
3.REGULATORY
CLIMATE
Novartis - Alcon
FALSE CLAIMS
JAMA. Diagnostic Inaccuracy of Smartphone Applications for Melanoma Detection J.A. Wolf et al.
FTC
3.REGULATORY
CLIMATE
Novartis - Alcon
CERTIFICATION
JAMA In Search of a Few Good Apps. A C. Powell et al
Health On the Net Foundation
The Office of the National Coordinator of Health Information Technology
3.REGULATORY
CLIMATE
Novartis - Alcon
EXAMPLE
Micro EEG
http://biosignalgroup.com/product-service/microeeg/
4.PATH TO SUCCESS
Novartis - Alcon
EXAMPLE
Engage Each Stakeholder
4.PATH TO SUCCESS
Novartis - Alcon
THE IDEAL DEVICE
NOW
Show me Outcomes?
THEN
Who will Pay?
4.PATH TO SUCCESS
Novartis - Alcon
AN IDEAL WEARABLE DEVICE . . .
Will accurately [measure/monitor/track]to [predict, prevent, alert]a [complication/disease/condition]to keep a person [hip/healthier/happier]by [avoiding expense/managing better]and will do it [safely/securely]at [minimal/low cost] !
4.PATH TO SUCCESS
Novartis - Alcon
AN IDEAL WEARABLE DEVICE . . .
DEVICESafe Secure
AccurateReliable
EfficientEffective
EasyComfort
Cost less Outcome
5.NEED FOR PARTNERS
Novartis - Alcon
Partner, Partner, Partner!
5.NEED FOR PARTNERS
Researchers Regulators Physicians Patients Payors
WHO SHOULD YOU ENGAGE?
5.NEED FOR PARTNERS
EXAMPLE
5.NEED FOR PARTNERS
Center for Digital Health Innovation
EXAMPLE
