leveraging the internet of things to improve patient outcomes

L E V E R A G I N G T H E

Internet of Thingsto improve Patient Outcomes

O c t o b e r 2 7 - 3 1 , 2 0 1 5

In recent years, the healthcare industry has placed

increasing focus on the Internet of Things (IoT) to

improve patient outcomes, creating a market

segment expected to hit $117 billion by 2020. While

the rise of IoT technology has enormous potential to

improve the efficiency, effectiveness and safety of

patient care around the world, it also presents

unique challenges and requires fast adaptation

within and between organizations. This Think-Tank

brought together healthcare leaders, technology

innovators and researchers to explore how

cutting-edge IoT solutions will improve patient

outcomes, and understand the collaborations,

technology investments, and further conversations

necessary to maximize the opportunities.

15Participants

25Observers

67Posts

2Surveys

“The IoT is empowering the patient, they have the potential to know more about their

condition today than ever before, with apps and wearables. This trend combined with

the increasing growth in genomics and personalized medicine will redefine existing

therapy, processes and practices.”

ADEBAYO ONIGBANJO | Marketing Strategist, Entrepreneur, Technologist

“Connected devices will be ubiquitous...some of these devices, and/or data may be

relevant to patient health monitoring, diagnostic... thus could help improve, for

example, patient experience, security or safety.”

REMY POTTIER | Director of Strategy at ARM

Connective Devices are changing the healthcare landscape, and have the

power to bring big benefit to patients and providers.

Connective Devices are changing the healthcare landscape, and have the

power to bring big benefit to patients and providers.

KEY FINDINGS

“Predictive analytics can help enable the patient and physician to intervene early and

hopefully prevent potentially unsavory outcomes/diseases… Companies like deCODE

(probably many others) are using baseline genetics and are trying to come up with

predictors of disease based on numerous data points.”

HARLAN MATLES | Physician / Owner at MD² Menlo Park

“Memorial Sloan Kettering in NYC...uses IBM Watson’s cognitive capabilities and

intelligent IoT sensors to assist 125,000 physicians perform gene sequencing on breast

cancer tumors. Oncologists can now identify and distinguish over 50 types of breast

cancer tumors and develop more targeted and effective cancer treatments.”

LAURA DIDIO | Director Enterprise Research & Consulting at Strategy Analytics

Participants shared five trending applications for IoT Technology in healthcare:

PREDICTIVE ANALYTICSPREDICTIVE ANALYTICS

PERSONALIZED CAREPERSONALIZED CARE

“A solution we just worked on at Zebra Technologies is a Time Tracking Solution for

Acute Myocardial Infraction – it helps hospitals accurately monitor the

door-to-balloon time. This system takes the task away from nurses or other care-givers

and automates the process, in addition it provides real-time feedback (without the

audio for now) to care-givers to enable them understand how they are performing.”

ADEBAYO ONIGBANJO | Marketing Strategist, Entrepreneur, Technologist

EFFICIENCY AND SPEED OF CAREEFFICIENCY AND SPEED OF CARE

Participants plotted the trending applications for IoT Technology in healthcare based on their feasibility and impact on patient outcomes:

Participants plotted the trending applications for IoT Technology in healthcare based on their feasibility and impact on patient outcomes:

Fea

sib

ilit

y o

f T

ech

nol

ogy

an

d A

dop

tion

Positive Impact (enhanced quality of care)

HIGHER

LOWER HIGHER

Remote Patient monitoring (e.g. elderly or drug injection) Predictive Analytics (and

related preventative care)

Personalized Care (ensuring HEALTH between visits)

Efficiency and Speed of Care (e.g. hospital operations)

Virtual Assistance (tele and mobile health)

“Frail patients (elderly for example) - Think of covering a home in sensors. Monitoring

gait in the hallways, monitoring how often the toilet is used, how often the fridge is

opened. This could be a customized solution to keep people safely in their homes based

on their personal health situation/functional limitations. Oregon Health Sciences

University has been experimenting with this type of work.”

SARAH DONELSON TREASE | Global Head of Outcomes Measurement at Genentech

REMOTE PATIENT MONITORINGREMOTE PATIENT MONITORING

“Mercy hospital which is a completely virtual hospital. There are *no* patient beds in

the hospital. Rather it is a building with technology and clinicians who are equipped

to provide care to patients anywhere in the world. Fascinating!”


VIRTUAL ASSISTANCEVIRTUAL ASSISTANCE

“Big Data Analytics which is the BIG

Differentiator in IoT has the potential to

have enormous positive technology and

business impact on the U.S. healthcare

industry which accounts for one-sixth

of the American economy.”


“A ponemon institute study found that

94% of healthcare institutions have

experienced a data breach involving one

or more records in the past two years.

On average it costs hospitals $201 for

each hacked data record.”

LAURA DIDIO| Director Enterprise Research & Consulting at Strategy Analytics

Big Data is key to driving the movement, but can present a double-edged sword.

Big Data is the glue that binds IoT to predictive analytics and

personalized health...

...but data security and assurance of non monopolization

of data are critical.

“ ‘Big data’, which will help doctors and

researchers find trends, make

predictions and even discover cures,

simply because of a large statistical

sample in the dataset.”

BORIS KONTSEVOI, COP | President & CEO at Intetics Co, 30 years of Software Product Development expertise

“For all this to become a reality, IoT

solutions in part of data analytics and

future communication standards will

have to remain open source.”


Connected Care will require a cultural shift in healthcare that transforms incentives,

connects data seamlessly, and puts the voice of patient at the center of collaboration efforts.

“Increasing the flow of data, safely, through interoperability between devices,

applications, clinical workflows and of course, the EHR is a must... It requires

collaboration between competitors and between clinicians and technologists.”

JILL MCCORMICK | Innovation Manager at TechSpring

Participants were asked to select up to three imperatives they felt most strongly about to ensure positive patient outcomes

through IoT Technology and Services

Participants were asked to select up to three imperatives they felt most strongly about to ensure positive patient outcomes

through IoT Technology and Services

Cultural shift in the healthcare industry

Insurance reimbursement shift

Voice of patient more central

Interoperability of data

Open source-non monopolization/over regulation of data

Greater collaboration across systems

The right incentives for doctors

Security of Big Data

67%50%50%33%33%33%17%17%

Results based on input of 6

contributors.

The percentage of participants who selected each particular imperative...

“Harnessing the power of the patient is key. The patient is the most underutilized

resource in healthcare, they are the key stakeholder in keeping themselves healthy.”


PATIENTS ARE THE MOST UNDERUTILIZED RESOURCE IN HEALTHCARE

PATIENTS ARE THE MOST UNDERUTILIZED RESOURCE IN HEALTHCARE

“Bring patients to the table - for everything. This includes study design, pipeline

reviews, hospital design - everything. Have the courage to put a patient on team that

designs and execute a protocol. You will have more meaningful endpoints and a trial

that enrolls more quickly”


THEY SHOULD BE PRESENT AT EVERY TABLE TO ENSURE MEANINGFUL ENDPOINTS

THEY SHOULD BE PRESENT AT EVERY TABLE TO ENSURE MEANINGFUL ENDPOINTS

Patients must be empowered to manage their own health, and their preferences are amplified through

behavior with IoT technology itself.

“I would broaden the question from how to put patients in charge of their health CARE,

which is a worthy and partially achievable goal, to how to put consumers in charge of

their own HEALTH.”

ROBERT MCCRAY | President & CEO at Wireless-Life Sciences Alliance

FOCUS SHOULD BE LESS ON CARE WHEN SICK, AND MORE ON HEALTH ONGOING

FOCUS SHOULD BE LESS ON CARE WHEN SICK, AND MORE ON HEALTH ONGOING

“The patient = the customer. IoT offers many analogous benefits to observational

ethnographic techniques of Design Thinking. Rather than ask customers what they

want, watch their behavior.”

JACKIE COOPER | Executive Director at Management Roundtable

IOT TECHNOLOGY ENABLES PEOPLE TO SIGNAL WHAT THEY WANT THROUGH THEIR BEHAVIOR

IOT TECHNOLOGY ENABLES PEOPLE TO SIGNAL WHAT THEY WANT THROUGH THEIR BEHAVIOR

IoT technology opens opportunities for “four Ps” collaboration to ensure positive

health outcomes, as long as egos and old-school assumptions can be overcome.

IoT technology opens opportunities for “four Ps” collaboration to ensure positive

health outcomes, as long as egos and old-school assumptions can be overcome.

"A patient who truly has their condition under control (aka highest quality of life at the

lowest cost) will be taking their medications regularly, as prescribed, and be in

communication with their care team to make positive shared decisions. That is a win

win for all 4 P's involved. The patient, provider, payer and pharma."


"A future example may be the first big pharmaceutical company to enter into

collaborations with providers and payers to create at risk vertically integrated

networks for chronic diseases."


"I still see the biggest gaps in the inter-communications among various physicians and

healthcare organizations who share the same patient, e.g. a collision of egos to the

detriment of the patient."


"The culture of medicine needs to transform to one of partnership which can't happen

when there are still vestiges of the very old school notions ‘the doctor has all the

answers and don't question.’"


Participants shared their visions for what a healthcare landscape will look like

moving forward with IoT technologies.

“Every human will be assigned a personal IP

address at birth. It will serve as a centerpiece for

a personal network (of IoT sensors) with

possibility to add “friendly” devices (gadgets,

homes, cars, friends, DOCTORS, etc.)”


IP IP

“Healthcare will happen at home or "on the go".

Have 10 min at work? Have a visit or do your lab

tests. Monitoring of health status will be able to

be constant, people will own their own data

without any question, have analytics that help

them understand the meaning of the data and

make choices that are meaningful to them about

how to maintain/improve health.”


“From the 100,000 foot level, I envision a future

in which citizens are connected to their own

health and in which healthcare is connected,

distributed and integrated seamlessly across all

providers irrespective of venue.”


ConclusionsConclusionsThis public thought leader dialogue reinforced that we are in the midst of a technology-enabled revolution in healthcare. A world of IoT sensors and the Big Data it enables has the power to personalize and improve care, predict conditions, and enable access and affordable service to previously under-reached communities.

Rather than a sci-fi fantasty, the future of IoT healthcare is already here. While fractured, the technology exists and its capabilities are growing exponentially. The success in ensuring patient health and empowerment hinges on our ability to shift the culture of care, rethink incentives, collaborate across systems, and put the patient voice at the center of it all.

This public thought leader dialogue reinforced that we are in the midst of a technology-enabled revolution in healthcare. A world of IoT sensors and the Big Data it enables has the power to personalize and improve care, predict conditions, and enable access and affordable service to previously under-reached communities.

Rather than a sci-fi fantasty, the future of IoT healthcare is already here. While fractured, the technology exists and its capabilities are growing exponentially. The success in ensuring patient health and empowerment hinges on our ability to shift the culture of care, rethink incentives, collaborate across systems, and put the patient voice at the center of it all.

Par t ic ipant s

HARLAN MATLES

physician / Owner at MD² Menlo Park

LAURA DIDIO

Director Enterprise Research & Consulting at Strategy Analytics

SARAH DONELSON TREASE

Global Head of Outcomes Measurement at Genentech

BORIS KONTSEVOI, COP

President & CEO at Intetics Co, 30 years of Software Product Development expertise

JACKIE COOPER

Executive Director at Management Roundtable

Par t ic ipant s

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ADEBAYO ONIGBANJO

Marketing Strategist, Entrepreneur, Technologist

REMY POTTIER

Director of Strategy at ARM

JILL MCCORMICK

Innovation Manager at TechSpring

ROBERT MCCRAY

President & CEO at Wireless-Life Sciences Alliance