big data in health-care als innovationstreiber...2015/09/12 · berlin, 9.12.2015 big data driven...
TRANSCRIPT
Von in-vitro-Diagnostik zu in-algorithmo-Diagnostik
Dr. med. Tobias D. Gantner, MBA, LL. M. | HealthCare Futurists GmbH | 09.12.2015
Big Data in Health-Care als Innovationstreiber
1
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 2
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 3
Flying high with drugs: How other markt participants have already challenged andchanged established markets and business models
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 4
In Healthcare and Life Sciences the Challange Gains another Dimension
Obstacles in Reimbusements
SafetyRegulationEvaluation
Quantified Self
Consumer
Secondary Healthcare Market
Dr. Google with 40 Mio. Calls
Medical Profession
Primary Healthcare Market
Board Certified Knowledge [email protected]
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 5
Compliance is not easy!
Patient Reality Check:
87 y/o female, Alzheimer‘s:
31 prescriptions, 16 different medications per day.
51 y/o male, COPD:
37 prescriptions, 15 different medications per day.
85 y/o male, Autoimmune disease:
40 different medications = 56 pills per day.
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 6
Compliance is a Function of the Whole Value Chain in Patient Health
Independent
Datatrustee
?
Industry Physician Pharmacy Caregiver Sickfund Academia Gov‘ntIndustry/
ResearchService
Provision
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 7
iSHRINE – the Care-Cockpit for the EmpoweredSNOWWHITE‘S MIRROR ON STEROIDSTHE HEALTH&SELFCARE HUB AND MEDICAL DISPLAY-INTERFACE WITH SERVICE INFRASTRUCTURE
iShrine: The One Access Point for all things you.
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 8
Data is the new Oil: Data Driven HealthCare will enhance Life Sciences & Medicine
courtesy of www.exb.de and www.ptpt.de
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 9
Der Unterschied zwischen MV Trägern und Nicht-Trägern ist in der
Absterberate statistisch signifikant.
Die Lücke zwischen den beiden Kurven wird als Hazard-Ratio bezeichnet und liegt bei statistischer Signifikanz von p<0,001 bei
knapp 33%
Morphologische Variabilitätenhaben große Aussagekraft, sind
jedoch mit dem Auge nicht wahrnehmbar.
90% aller Patienten mit Defibrillator benötigen diesen
gar nicht.
Source: NEJM Oct. 2009 Do ICD’s save lives?; MIT Guttag Research Group
“computationally generated Biomarkers“
“Decision Support Systems“Eine multivariate Analyse ermöglicht es noch weitere Risikopatienten herauszufiltern.
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 10
HeartMine – the Heart of Gold – 3D ECG Monitor
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 11
HeartMine – the Heart of Gold – 3D ECG Monitor
• Wearable Technology, one lead touchpoint• Preliminary Studies point to higher sensitivity
than classic ECG• Computer generated Biomarkers make broader
analysis possible• Readout through Predictive Algorithms• 24/7 surveillance / data collection• Better and quicker localisation of damages• Online and offline interface to Physicians• Reimbursement stategy for public market• Currently undergoing clinical studies• First Target market: Retailer
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 12
San Francisco Traffic Brain DSA
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 13
SUCH AS ORGAN DONATION?
IS DATA DONATIONA MORAL OBLIGATION
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 14Leipzig, Oct. 8th, 2015 Slide 18TEDx HHL - Tobias Gantner - Why we need to empower Patients Backgroundimage courtesy of Shutterstock
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 15
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 16
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 17
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 18
PredictingObjective
EmpowermentKnow
OthersPhysician/Scientist
ProveRatio
BigData
The Patient JourneyGuessingSubjectivePaternalismBelieveSelfHighPriestFaithEmotioDivinity
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 19
PRESCRIPTIVE MEDICINE
• Cure what happened/is happening
• Eminence based medicine
• Establishment based medicine
• PROVIDER (PHYSICIAN) Prescription form, paternalism
• CONSUMER (PATIENT) Outsource to therapeutic action(drug, device, doctor)
• PAYER Insurance
430 bc
2050 ac
Image courtesy of Shutterstock
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 20
PARTICIPATIVE MEDICINE
• Share and Care
• Engagement Based Medicine
• ProviderMutual cooperation of physician and patient; time consuming; trust necessary
• Payernot always completely reimbursed
2300 bc
... ac
Image courtesy of Shutterstock
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 21
PREVENTIVE MEDICINE
• Care before cure for what is developing
• Evidence Based Medicine
• PROVIDER (INSURANCE)Sports program, dental program;
• CONSUMER (POT. PAT.)Consent; activation, responsibility
• PAYERpartim insurance, partim self pay
2300 bc
... acImage courtesy of Shutterstock
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 22
PREDICTIVE MEDICINE
• Based upon statistic methodes
1830 ac
... ac
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 23
PREDICTIVE MEDICINE
• Care for what might happen before it happens
• Emergence Based Medicine
• Provider (Methodology): in-Algorithmo-Diagnostics, Big Data Driven Healthcare
• Consumer (collective of pot. pats.): data access, data donation, right to know, sustainability, health education and literacy
• Payer: self pay (eg. 23&me)
1830 ac
... acImage courtesy of 23&me
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 24
PREEMPTIVE MEDICINE
• Take care of what will happen
• Empowerment Based Medicine
• Enlightnment based Medicine
• PROVIDER (LIFESCIENCES)Probabilities, statistics, heuristics, Med. Consultants
• CONSUMER (INDIVIDUALS)eg. Angelina Jolie; financial allocation; priv. insurances
• PAYERSelf pay due to HTA evidence challenges
• Executes predictive Medicine
2013 ac
... acImage courtesy Angelina Jolie
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 25
DISRUPTIVE MEDICINE
• Changing Roles in Health-Care: Providers, Payers, Physicians
• Good and bad used to be so easy to tell apart.
• Immense Pressure for homogeneity
• Break – out and break – through solutions
• Empowerment for patients and roll change
Courtesy Lucasfilms/Disney
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 26
WHERE DOES INNOVATION COME FROM? FROM DEMOCRATIZATION
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 27
Courageous Penguin
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar [email protected]
Berlin, 9.12.2015 Big Data Driven HealthCare als Innovationstreiber – Berliner Krankenhausseminar 29
DON‘T BELIEVEEVERYTHINGYOU THINK.