Global trends in technology for retailers and how they are impacting the pharmacy sector

Green Cross Health Presentation Template 16:9

Technology in the Pharmacy SectorDave Audley | Christchurch | October 2015

TECHNOLOGY IN THE PHARMACY SECTOR| #

AgendaEvolution of Pharmacy

The Bigger Picture

Disruptive Technology

Emerging Capabilities


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Scientists from the RAND Corporation have created this model to illustrate how a home computer could look like in the year 2004. However the needed technology will not be economically feasible for the average home...

A cautionary note


In 1954, Popular Mechanics showed its readers what a home computer might look like this year (2004) debunked:http://web.archive.org/web/20061108123941/http://www.popularmechanics.com/technology/upgrade/1303271.html3

Evolution of Pharmacy


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Evolution of PharmacyEmpiric Era

Industrialisation Era

Patient Care Era

Biotechnology and Genetic Engineering Era

Start of time1600 AD 1600 - 1940 1940 - 1970 1940 PresentThe New EraAncient Era


Ancient Era; early man used leaves, mud and cool water to stop bleeding. Dry clay used as a splint. Copied animals. Started documenting healing on clay tablets in BC 2600. 1500 BC Ebers Papyrus; Evacuation of the Belly; cows milk, grains, honey mash/sift/cook and take in 4 portionsCancer; do thou nothing there againstBowels; Melilot and dates cook in oil and anoint sick partClothing; protect from mice and rats by applying cats fatFinally, half an onion and the froth of beer is a delightful remedy against death

Romans and Greeks began thinking logically instead of mythologically. Hippocrates. The Arabian influence the first Pharmacy shop in Baghdad 792 AD Renaissance start of Pharmacy Guilds. Physicians didnt take pharmacy seriously put in same guild as spicers.

Empiric Era; Roots, bark, herbs and flowers. Controlled by governments and emerged interest in toxicology. William Proctor Father of American Pharmacy. New drugs and chemicals nitrogen, chlorine, zinc, oxygen, quinine, caffeine, morphine, codeine, penecillin and testosterone.

Industrialization Era; WW1, American Civil War. Drugs needed for injuries and illness from war. Mass production. Scientific research.

Patient Care era; Focused on treating conditions with drugs and the side-effects of the very same drugs.

Biotechnical Era; Gene therapy linking disease to genetic defects. Modifying genetic make up to prevent or cure disease. Synthetic DNA generation

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The vision


Developments in genomics and microbiome studies


not sure this fits in presentation. I just thought it was funny. Depends on tone of presentation.

Could make a point its easy to romanticise old technology

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The Bigger Picture


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The IT Paradigm Shift


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48 branches20 products150,000 customers


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An IT department of this size


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A computer room that looked like this


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320stores1 million transactions1.1 million customers


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Disruptive Technology


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Disruptive technologyMost demanding useHigh quality useMedium quality useLow quality use

Disruptive TechnologyTIMEPERFORMANCE


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IBM pc vs?


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Disruption affects the big boys too


Lets look at some other industries.

First: TV and videos:Sep 2014 Foxtel slashed prices by 50%

YouTube numbers increasing rapidly while TV viewing is declining.

Stan & Presto launched early 2015. NetFlix in March 2015.

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Finding a job

, Booking a hotel


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New Disrupting Technology in PharmacyAccessible by consumers using MobilesTech to ID customer in StoreSend real time specials while in store to the customerConnected Cloud SystemsEmail receipts (no paper)


THE IMPORTANT BIT IS THAT YOU HAVE TO REACH YOUR CUSTOMERS WHEREVER THEY ARE AND HOWEVER THEY WANT TO COMMUNICATE WITH YOU. Walgreens Its about being where your customers are

Pharmacy customers will continue to come into your store (same as you can still listen to rock music on the radio) BUT those customers NOW want to be able to communicate with you whilst they arent in the store and even whilst you arent in the store. There are technologies around now that allow you to do this and they will progress fairly rapidly over the next few years. Get on board.

"Digital and technology is a major focus for Woolies' marketing this year. "Our members want to be able to get, over their mobile, every piece of information about their shop, whether it's what's on special, what the best deals are or how to use them in a recipe. It's all proximity based information, as people are on their mobiles all the time."Elizabeth Ryley, GM of Customer Loyalty, Woolworths.

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Disease controlCertain search terms are good indicators of flu activitywww.google.org/flutrends estimates flu activity in near real-timeCan be 2 weeks ahead of official data


Heres an example of Google search being used to fight against flu.23

ShowroomingConsumers are showrooming more than ever

44% of consumers are showrooming frequently36% of consumers use their mobile device to shop more in-store than they did 2 years ago


Path to purchaseDigital browsing, Complex path to purchaseChallenges with browse instore and shop online

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Five types of mobile assisted shoppers

Experience Seekers31.7%Value the best experience not just price

Traditionalists30.2%Prefer the in-store shopping experience

Price Sensitives19.4%Dont plan, but always opt for deals

Savvys12.6%Calculating, but persuadable

Exploiters6.1%Premediated about lower prices


Source: http://www.prnewswire.com/news-releases/new-research-debunks-showrooming-myths-shows-brick-and-mortar-retailers-how-to-keep-smartphone-wielding-shoppers-spending-in-store-223468151.html25

Emerging Technologies


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Disrupter or Niche?


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Progress Overseas


There are successful models to look at overseas. Lets look at two. Firstly in the US:

http://www.teladoc.com24/7 access to a doctor by phone8 million individual patients with 4,000 clients550 doctors - mostly doing additional work on top of their practice or hospital. Waiting list to join as a doctorraised $100m in fundingrevenue between $25m & $75m (private company so limited reporting requirements)

tipping point was convincing major health insurers and employers to sign on - saves them moneylimited set of conditions treatedannual subscription charged plus a $40 co-paythey dump customers who use them too often

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24/7 healthcare access to over 50% of the Swiss population. 4,300 consultations each day.Half dont require a follow-up face-to-face consultation.Now in Australia, coming to NZ.


Second example is European.

Key to success of the overseas model is acceptance by the funders.

Telstra started advertising for doctors in February 2015 for a mid-year start.29

TelehealthNational telehealth servicesThe Ministry of Health has appointed Homecare Medical as the preferred provider to deliver its new integrated national telehealth service from 1 November 2015.

Source: http://www.health.govt.nz/


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Home health care for chronic patientsSpanish example remote elderly patient monitoring. Uses Microsoft gaming technology.18% interactions between healthcare professional and patients are now telephonic.23% reduction in hospital readmissions.


Osakidetza, the public health system in the Basque region of Spain, is using Microsoft Kinect devices to enable telemedicine treatment of chronic patients. Using the Kinect devices, patients are given not only a more natural way to interface with technology but also new ways to experience medical care. Using insights from the Kinect devices, physical therapists get access to a wealth of granular data that can be used to offer remote consultations and to quantifiably gauge progress. In doing so, therapy sessions can be more frequent, more targeted, and shorter, thus reducing costs, improving outcomes, and reducing patients recovery times.http://www.accenture.com/SiteCollectionDocuments/PDF/Accenture-Basque-Country-Managing-Increased-Chronicity-Through-Public-Health-Transformation.pdf https://www.youtube.com/watch?v=VkF1u7pO7zc 31


Maybe well be using Microsoft HoloLens for Telehealth before too long.

Augmented reality more than video conferencing.

Different to virtual reality like Occulus Rift.

Theres also Google Glass.

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The internet of everythingThe inclusion of electronics and software in any device to enable it achieve greater value and service by giving it an ability to communicate with other devicesWill increase: AutomationOur insight and control over the tangible world

Begins the digital-physical blur


What will happen when smart objects surround us in smart homes, offices, streets, and cities?

http://en.wikipedia.org/wiki/Internet_of_Things

Medical and healthcare systems[edit]IoT devices can be used to enableremote health monitoringandemergency notification systems. These health monitoring devices can range from blood pressure and heart rate monitors to advanced devices capable of monitoring specialized implants, such as pacemakers or advanced hearing aids.[30]Specialized sensors can also be equipped within living spaces to monitor the health and general well-being of senior citizens, while also ensuring that proper treatment is being administered and assisting people regain lost mobility via therapy as well.[50]Other consumer devices to encourage healthy living, such as, connected scales orwearable heart monitors, are also a possibility with the IoT.[51]

Athing, in the Internet of Things, can be a person with a heart monitor implant, a farm animal with abiochip transponder, an automobile that has built-insensorsto alert the driver when tire pressure is low -- or any other natural or man-made object that can be assigned anIP addressand provided with the ability to transfer data over a network.So far, the Internet of Things has been most closely associated with machine-to-machine (M2M) communication in manufacturing and power, oil and gas utilities. Products built with M2M communication capabilities are often referred to as beingsmart.

Today computers -- and, therefore, the Internet -- are almost wholly dependent on human beings for information. Nearly all of the roughly 50petabytes(a petabyte is 1,024terabytes) of data available on the Internet were first captured and created by human beings by typing, pressing a record button, taking a digital picture or scanning a bar code.The problem is, people have limited time, attention and accuracy -- all of which means they are not very good at capturing data about things in the real world. If we had computers that knew everything there was to know about things -- using data they gathered without any help from us -- we would be able to track and count everything and greatly reduce waste, loss and cost. We would know when things needed replacing, repairing or recalling and whether they were fresh or past their best.

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The internet of everythingWe expect to see 25 billion Internet connected things by 2020, and close to $2 trillion of economic benefit globally. These things are not general purpose devices, such as smartphones and PCs, but dedicated objects, such as vending machines, jet engines, connected soap dispensers and a myriad of other examples.


http://www.nbcnews.com/technology/internet-things-pits-george-jetson-vs-george-orwell-6C10462818What will happen when smart objects surround us in smart homes, offices, streets, and cities?

http://en.wikipedia.org/wiki/Internet_of_Things

Medical and healthcare systems[edit]IoT devices can be used to enableremote health monitoringandemergency notification systems. These health monitoring devices can range from blood pressure and heart rate monitors to advanced devices capable of monitoring specialized implants, such as pacemakers or advanced hearing aids.[30]Specialized sensors can also be equipped within living spaces to monitor the health and general well-being of senior citizens, while also ensuring that proper treatment is being administered and assisting people regain lost mobility via therapy as well.[50]Other consumer devices to encourage healthy living, such as, connected scales orwearable heart monitors, are also a possibility with the IoT.[51]

Athing, in the Internet of Things, can be a person with a heart monitor implant, a farm animal with abiochip transponder, an automobile that has built-insensorsto alert the driver when tire pressure is low -- or any other natural or man-made object that can be assigned anIP addressand provided with the ability to transfer data over a network.So far, the Internet of Things has been most closely associated with machine-to-machine (M2M) communication in manufacturing and power, oil and gas utilities. Products built with M2M communication capabilities are often referred to as beingsmart.

Today computers -- and, therefore, the Internet -- are almost wholly dependent on human beings for information. Nearly all of the roughly 50petabytes(a petabyte is 1,024terabytes) of data available on the Internet were first captured and created by human beings by typing, pressing a record button, taking a digital picture or scanning a bar code.The problem is, people have limited time, attention and accuracy -- all of which means they are not very good at capturing data about things in the real world. If we had computers that knew everything there was to know about things -- using data they gathered without any help from us -- we would be able to track and count everything and greatly reduce waste, loss and cost. We would know when things needed replacing, repairing or recalling and whether they were fresh or past their best.

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Contact lenses that monitor diabetesSits on your eye and takes a reading once per secondMonitors blood-sugar levels and corrects visionWireless to your phoneNovartis & GoogleX partnershipExpected on market sometime this year


http://www.wsj.com/articles/novatis-google-to-work-on-smart-contact-lenses-1405417127

The lens consists of awirelesschip and a miniaturizedglucose sensor. A tiny pinhole in the lens allows for tear fluid to seep into the sensor to measure blood sugar levels.[3]Both of the sensors are embedded between two soft layers oflensmaterial. The electronics lie outside of both thepupiland theirisso there is no damage to the eye. There is a wireless antenna inside of the contact that is thinner than a humans hair, which will act as a controller to communicate information to the wireless device. The antenna will gather, read, and analyze data. Power will be drawn from the device which will communicate data via the wireless technologyRFID.[4]Plans to add smallLEDlights that could warn the wearer by lighting up when the glucose levels have crossed above or below certain thresholds have been mentioned to be under consideration.[2]Challenges presented by such a technology are that the LED lights contain the toxic metalarsenic.[5]The performance of the contact lenses in windy environments and teary eyes is unknown.[3]The prototypes being tested can generate a reading once per second.[2]

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Swallow this digital pill

Ingestible & wearable sensors that monitor medication-taking, activity and rest patternsYour body powers the ingestible sensor. No battery. No antenna.Sensor technology cleared by FDA in 2012www.proteus.com


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Exciting Trends in Retail


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Predicting customer behaviourAre you buying mineral supplements, scent-free lotion and blue-rugs? chances are:its the beginning of your second trimester,your babys a boy

Target predicting delivery day with 83% accuracyLock-in customers at a pivot timeNo privacy breach (but still creepy)


Using big data, shopping centres can quite accurately predict their sales figures by monitoring the activity of mobile phones in the parking lot even before customers have opened their wallets.

Tesco are introducing Facial recognition in their stores.

Target example (2002)Back in 2002, Target in the USA wanted to know which of its shoppers had just become pregnant because it wanted more customers. You see, shoppers tend to shop at the same place that they've always gone to and it's hard to get them to shift. But when women get pregnant, it's a whole new world and the pregnant woman might be lured into changing to a new shop.So Target hired Andrew Pole (who has master's degrees in both statistics and economics) to see if he could data-mine his way into freshly pregnant uteruses. His starting point was the so-called 'guest ID number'. This is a number that Target assigns to each customer, and is linked to their name or email address or credit card.It soon became clear that women (who had voluntarily put themselves on the Target Baby Registry) were buying some 25 products around the beginning of their second trimester. These included mineral supplements such as calcium, magnesium and zinc, large quantities of unscented lotions, and so on. And if they bought a little bright blue rug, the new baby was probably a boy.And when they started buying scent-free soap, hand sanitisers, washcloths, a handbag large enough to carry a few nappies and extra-large bags of cotton balls well obviously, they were getting close to their delivery date. Indeed, Target found it could predict their delivery date with some 83 per cent accuracy just from their shopping habits.So Target began sending discount coupons for various baby items to customers, according to how they rated on Target's own "pregnancy prediction algorithm".But then it got messy.An angry father walked into a Target store just outside of Minneapolis, clutching a brochure that had just come through the mail, demanding to speak to the manager. Angrily he said: "My daughter got this in the mail! She's still in high school, and you're sending her coupons for baby clothes and cribs? Are you trying to encourage her to get pregnant?"Sure enough, the brochure did carry the daughter's name and address, and had advertisements only for maternity clothing, nursery furniture, and so on. The manager apologised.A few days later the manager called the father to apologise again. But this time, the father was a little embarrassed. He said: "It turns out there's been some activities in my house I haven't been completely aware of. She's due in August. I owe you an apology."Now some people like their privacy. Some Target customers were annoyed by receiving brochures packed only with baby merchandise, especially when they had not told anyone they were pregnant. So Target produced new brochures that had some non-baby merchandise sprinkled around the baby goodies, so the newly pregnant mothers didn't realise they had been data-mined.

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Billboards responding to planesLondon billboards tracking flights in real timeSynchronise a video of a child pointing to the planeDisplay the flight number and information about its destination or originUses planes transponder data


Video of it in actionhttps://www.youtube.com/watch?v=GtJx_pZjvzc

Everyday objects are becoming smart and expanding the definition of what it means to experience the real world. In London, British Airways has unveiled two digital billboards that actively track flights in real time, animate an image of a child pointing to the plane, and display the flight number and information about its destination or origininspiring onlookers to dream about where they could be escaping to on a British Airways flight.7

Aircraft infoHe goes on to say how his team used an ADS-B (automatic dependent surveillance broadcast) antenna to read planes transponder data within 125 miles, which provided information on their location, speed, altitude and call-sign.We created a virtual tripwire in the sky, triggering our billboards to display our ads every time a British Airways plane flew overhead, Andrews said, adding that that it was important to know the exact position of the aircraft, because if our ad triggered even a fraction of a second early or too late, the children would be pointing at a clear sky instead of a plane massive fail!When a plane passed overhead, the aircrafts flight number and point of origin showed up on the billboard, at the same time revealing pricing information for its country of departure.A neat touch was the incorporation of cloud-height sensors in the billboards, so if they detected that it was too cloudy to see the planes, the system would pause until more suitable weather prevailed.

Other example:Tesco is rolling out face scanning digital signage at all 450 of its UK petrol stations to tailor engaging and on-screen content to the audience of five million plus adults who pass through its stations each week42

Hijack your competitors Edgy Guatemalan shoe store. When a customer enters a competitors store, they receive a timed discount that starts at 99% and decreases by the second.The faster they reached the store, the better the deal they got.


https://www.thinkwithgoogle.com/campaigns/meat-pack-hijack.html

https://www.youtube.com/watch?v=SkGaFRwIs7c

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https://www.thinkwithgoogle.com/campaigns/meat-pack-hijack.html

https://www.youtube.com/watch?v=SkGaFRwIs7c

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Future generations will never know this unique relationship




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Li-Fi is the new Wi-Fi




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I showed my 10 year old son a floppy disk.He said WOWCool!..You 3D printed the Save Icon!




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Thank You Dave Audley | [email protected]


Healthcare

Global trends in technology for retailers and how they are impacting the pharmacy sector