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Medical Collaborative Expert™ professionals and consumers Arbitrated Health Decisions for working name Gil Ronen © 2010 Founder/Demo Developer [email protected] http://www.linkedin.com/in/gilronen

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Page 1: Medical Collaborative Expert (Presentation)

Medical Collaborative Expert™

professionalsand consumersArbitrated Health Decisions for

working name

Gil Ronen © 2010

Founder/Demo Developer

[email protected]

http://www.linkedin.com/in/gilronen

Page 2: Medical Collaborative Expert (Presentation)

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Our goals

Medical Collaborative Expert was a startup founded in April 2009 by Gil Ronen and Miki Kolko. Our goals were to (1)

promote participatory and shared decision-making between providers and patients by providing concise analysis of

medical information, (2) alleviate expertise bottlenecks by bridging the divide between lay users, prosumers and medical

professionals, (3) provide rigorous medical reputation & trust mechanisms that help discern quality and locate expertise.

The startup was called variously MyPulse and SecondOpinion.

What we were building?

A service providing personalized step-by-step instructions relating to medical and preventive-health decisions to

consumers, patients and medical professionals; what to do next with regards to treatments, self-tests and lab

procedures, monitoring and follow-up and how to go about them. The service utilizes a new collaboration platform that

addresses quality issues by incorporating proven social arbitration mechanisms and proprietary reputation and trust

algorithms and processes. As a by-product of the service a comprehensive evaluation network is created for content

creators providing help in locating expertise in specific topics and opportunities for professional recognition.

Progressively, the service would have supported multiple delivery methods and cater to varying levels of medical

knowledge with a focus on exploiting the continuum of knowledge from lay users, to prosumers, and to various degrees

of medical specialization.

Where is it now?

Between December 2009 and May 2010 Gil Ronen designed and developed a demo system (see separate slide deck)

using Python, Django and MySQL. The startup was terminated in August 2010 having failed to secure funding alongside

well-funded competition.

Synopsis

Page 3: Medical Collaborative Expert (Presentation)

• Consumer Pain

– 80% of medical decisions

involve online research/

Overload & confusion

Search engines and portals

provide exponentially-

increasing quantity and

complexity of information:

anecdotal, biased, inconclusive

– Lack of expertise

Each decision requires learning

terminology and structure of a

new domain

– Impersonalized

Impossible to align information

with personal medical history,

personal approach and needs

– Trustworthy

Not clear where the best quality

information resides

How to reach health decision?

Example: What to do about blurry vision?

• HC Providers & Corporate Pain

– Costs

Incurred by unnecessary office

visits, treatments, and

medication – practice of

‘defensive medicine’

– Ineffective collaboration

Patients often subject to online

misinformation, terminology

differences and approach

mismatch

– State of medical knowledge

Huge investments to keep track

with rapidly changing,

contradictory, biased and

inconclusive research and

anecdotal evidence

– Medical networking

Not clear with whom around the

world best knowledge resides

Pain

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 4: Medical Collaborative Expert (Presentation)

Mass collaboration, a proven technique,

utilized to generate Q&A sessions on

medical topics. Proprietary accreditation

and reputation algorithms and other social

structures arbitrate between conflicting

elements for state-of-the-art conclusions.

Knowledge authors share ad revenue

based on their effectiveness in high-quality

content production

Domain-specific searches identify more

materials, portals provide more

information, tools targeting professionals

identify articles and ongoing clinical trials

and provide less than cutting-edge

diagnosis,

Envisions personalized step-by-step

instructions relating to medical and

preventive-health decisions for consumers,

patients and medical professionals. Our

solution helps create quality knowledge

and identify expertise lay

Our Solution Status Quo Solutions

Professionalsand ConsumersVision: Social Arbitration for

Why knowledge and not content?

Current analysis process: search the web ,

look for similar conditions, analyze articles ,

generalize from anecdotal cases on blogs,

filter biased content, find inconclusive and

contradictory conclusions, get confused,

bring stack of printouts to physician office

visit, request various tests and medications,

experience side-effects, start over

How do we create it?

Content Arbitrated Knowledge

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 5: Medical Collaborative Expert (Presentation)

Vision: Social Arbitration Produces Quality Knowledge From Content

Locus of expertise

Online deliberation Content

Present Future

Latest arbitrated knowledge

Automated check-up/follow-up

Voice & indigenous languages

Problem Solution

What-to-do-next instruction

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 6: Medical Collaborative Expert (Presentation)

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Proprietary

accreditation,

reputation & trust

algorithms. Proprietary

social structures

*** Either medical professionals

or medical prosumers

Dr Stevenson

Member of

American Heart

Association.

Expertise: Atrial

Fibrillation

SO Topic Author

Medical Prosumer

Amy Chow,

Teacher, mom of 3,

author of 12 topics.

Expertise: Jaundice

Vouched by reputable

members ***

Medical Professional

75%

Dr Holsenstein

Expertise:

infectious

diseases

100%

75% Education & Training Institutional

Affiliation

Publications

Medical Who’s Who

Verified by

SecondOpinion.com

1

SO Topic Author

Professionals

have 3 ways

to gain

reputation

Prosumers

have 2 ways

to gain

reputation

Authored highly-rated

content

2

3

How It Works: Member Reputation Just like in real life !

Reputation is context-

sensitive and time-

sensitive: expertise &

experience in topic over

time

Page 7: Medical Collaborative Expert (Presentation)

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Proprietary

accreditation,

reputation & trust

algorithms. Proprietary

social structures

…and from the

reputation of

their raters.

75%

Dr Holsenstein

Affiliation: CDC

100%

Tom Renback

Intern/John Hopkins

Amy Chow

Author of 12 topics

50%

90%

Recently joined SecondOpinion;

reputation is established over time

Created topic

Contributed

to topic

Gives topic a

Seal of

Approval

Utilized & Rated Topics Contributed to Topics

Malaria Treatment

75%

Dr Stevenson

Dr Mebuto

Experience: 20

years treating

Malaria in

Zimbabwe

Anonymous

1125 – No

reputation

Member has no reputation on

SecondOpinion.com so rating is counted as

less significant than other reputation sources

Topics gain

reputation from

their authors’

reputations…

How It Works: Topic Reputation Just like in real life !

Page 8: Medical Collaborative Expert (Presentation)

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Latest tests incorporated nearly

simultaneously with publication, providing

opportunity for open debate by proponents

and opponents and swift adoption of new

treatments when and where appropriate.

Alan Burke: I added the question following reading in the NY

Times about an article published online in the journal Science:

68 of 101 patients with the syndrome (67%), were infected with

an infectious virus, xenotropic murine leukemia virus-related

virus, or XMRV. By contrast, only 3.7 percent of 218 healthy

people were infected. Continuing work after the paper was

published has found the virus in nearly 98 percent of about 300

patients with the syndrome.

How It Works: Incorporating Latest Findings

Question Add Mode: Chronic Fatigue Syndrome

Current editor (since Oct 12, 2009 9:40pm EST): Dr Judy Mikovits

?XMRV: Was patient tested for 398Q #

Dependencies Edit History Question Author 12,285 views / 563 ratings see full stats

Ann AaronsonAuthors:

Dr. Xio L Mon

75%

100%

Last modified: Sep 22, 2008 by Dr Xio L Mon (minor edit) see full edit history

Science like virus (-Chronic Fatigue linked yesterday to HIV Explanation:

). XMRV Test is quicker and cheaper than alternative of 2009, 8October

sleep-studies on individual patients.

Importance

Dr Judy Mikovits Comment: I authored the referenced

article. XMRV test should be performed in order to rule out

more subjective methods (e.g. self-reporting or sleep studies)

Similar Questions Next Previous

Q New

Alan Burke

Chat email

100%

Dr Judy Mikovits

Chat email

100%

Page 9: Medical Collaborative Expert (Presentation)

Topic Ad Keywords

1. Vision Problems

2. Glaucoma

3. Arthritis

3. Blurred vision onset?

1. Blurring of distant/nearby objects?

Author Talk page

Response options: Immediate, Gradual, Comes and goes, Don’t know modify

Technical: How Its Done? / Collaborative Authoring

edit

785 views / 112 ratings see full stats

Mr Yuan : Authors

Dr Broad 100%

Last modified: Sep 28, 2009 by Dr Broad (major edit) see full edit history

Current editor (since Sep 22, 2009 5:40am EST): Dr Broad

100%

Author Options Citation Blurred

vision onset

Blurred object

distance eMedical Profile Diagnosis

Dr. Globinsky Feedback Modify Article Gradual Nearby Crp > 10 Glaucoma

Prof.

Blumental Feedback Modify Experience Distance

Medication=preinson

Diagnosis=Glaucoma

Glaucoma

OR Arthritis

Dr. Globinsky Feedback Modify Article Gradual Nearby Crp > 10 Glaucoma

Dr. Globinsky Feedback Modify Article Always Nearby Glaucoma

Conditions

Topic Edit Mode: Blurred Vision

Topic questions

2. Blurred vision associated with Diabetes?

4. Use Predinson medication?

5. Suffer from Glaucoma?

Compare

Description: Onset trend can rule out or suggest several directions for ...more

Topic cases

Expand

Expand

Expand

Expand

Collapse

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 10: Medical Collaborative Expert (Presentation)

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Technical: How Its Done? / Structured Deliberation

Question Edit Mode: Adolescent Depression Treatment

Current editor (since Sep 22, 2009 5:40am EST): Dr Stevenson

(e.g. Ritalin)? Psychostimulants: Does Adolescent take 324Q #

Dependencies Edit History Question Author 1,285 views / 128 ratings see full stats

Dr. GlobinskyAuthors:

Dr Stevenson

75%

100%

Last modified: Sep 22, 2009 by Dr Stevenson (minor edit) see full edit history

)Citation *Proven interactions between Buprion and Ritalin ( Explanation:

Importance

75%

Dr Stevenson

Chat email

Amy Chow: Interaction cited is an anecdotal case. Often

) and Citation **ADHD accompanies adolescent depression (

Buprion is a common add-on for depression medication

). Removing Ritalin from the arsenal in these Citation needed(

cases is unsubstantiated and may do more harm than good

75%

Amy Chow

Chat email

Dr Stevenson Comment: I concur with the above

** ADHD in Children: Rationale for its Integrative Management

* Case Study: Acute Myocardial Infarction in a Young Male on

Methylphenidate, Buprion and Erythromycin

The combined reputation of both

reviewers disputing the rationale for

question #324 is sufficient for the

question to be suspended.

Notifications are sent to its authors

Similar Questions Next Previous

Q Suspended

Page 11: Medical Collaborative Expert (Presentation)

Member Reputation

Longevity of content edits

impacts a member’s

reputation; Lasting edits

imply quality

Heuristic

content edit history flow by Time (X axis),

Content Segment (Y) and Agent (Color)

Agent D

[Education Item 1,…]

[…,Experience Item 3,…]

[…,Author Item 2,…]

two experience items are almost identical (1)

[Education Item 1,…]

[…,Experience Item 5,…]

[…,Author Item 3,…]

Agent A

A’s Reputation Profile:

Agent B [Education Item 1,…]

[…,Experience Item 3,…]

[…,Reviewer Item 2,…]

(1) Credit Assignment: The

contribution of Experience Item

#3 on agent B’s reputation is

determined from its

contribution to other agents’

reputation (such as Agent A)

contribution of trust to

Agent E is function of

Agent D’s reputation Agent E

Agent Reputation propagation is a fn. of the reputation

of supporting agents the predictive value of the

contribution. Incremental and approximate models are

used so models are not recreated from scratch when

events occur (such as Hierarchical Bayesian models)

Agent C

A

D

C

B

edges (content edit reverts) repulse nodes

A

D

C

B

nodes attract

each other

Schools

of thought

Heuristic

Group A: Korean point-of-view: use of terminology such as ‘East Sea’ not ‘Sea of Japan’; claims of Korean heritage (affiliation) on user pages; supporting Korean claims on users’ talk pages

Heuristic Member groupings based

on topic interactions:

“Dokdo”

Group B:

mostly

Japanese

point of

view

Group C:

mixed

Opinion Diversity

ii

rAi

tVi

di

rAi+1

tVi+1 Xi

Trust of new version of content is a

function of trustworthiness of previous

version, reputation of agent affecting the

changes and the changes themselves.

Content Trust

content trust

Trust &

Reputation

Algorithms

Technical: How Its Done? / Algorithms

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 12: Medical Collaborative Expert (Presentation)

Get personalized medical suggestions

Link to favorite medical record service

Contribute to medical knowledge

By starting your own health topic or updating

existing ones with sound and supported knowledge

Let SO help with

a second opinion

Earn money for

your contributions

Connect

with experts

in topics of

interest

Share with trusted contacts

Connect with similar people

Application of SO knowledge results in

notifications on drug interactions, suggestions on

next steps on medical conditions and provides

other personalized medical information

Share your medical records

with trusted doctors and family

members and let them

contribute to your well-being

through follow-up, corrective

suggestions and support

Find people with similar symptoms

who’ve possibly been successful

with different treatment

Allows SecondOpinion to apply its knowledge

of medicine to 3rd-party infrastructure (e.g.

Google Health). Updates to 3rd-party eMedical

record trigger an automated check-up

Whether you’re a medical professional or

knowledgeable individual, you earn money from

advertising the more trusted your contributions

Function Summary: Non-professional Consumers on SecondOpinion.com

Professional members: 120,000 Non-professional members: 21,231,331 Health topics: 317,899

2

3

4

5 6

7

8

1

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 13: Medical Collaborative Expert (Presentation)

Google health

Microsoft health

Linked to Enable

MonitorMe™

Automated

Checkup

Age, Sex, Height, …

Conditions

Medications

Allergies

Procedures

Test results

Immunizations

Files & Images

79, Female, 165cm

Glaucoma, Arthritis, Heart attack

Diamox Sequels, By mouth …

Flu

Insurance company Kupat Holim Me’uchedet

Symptoms Blurred vision

Diagnosis

Google Health Profile

SecondOpinion Health Profile

Click to add additional information

Healthcare provider notes

Community notes Chat Poke Profile

Trusted contacts

Dr. Globinsky (Ophthalmologist)

Allowed to edit profile

Chat Poke Profile

Dr. Shteinlauf (General Practitioner)

50% Allowed to edit profile

100%

Chat Poke Profile

Miki (Son)

Allowed to view profile

(add)

Consulting contacts (find) (add)

Chat Poke Profile

Dr. Noam Harass (Rheumatologist)

Members with similar profile (find)

75%

Chat Poke Profile

Ilana Korman (herbalist)

Chat Poke Profile

Anonymous 1013

75%

Function: My Community Function: My eMedical Profile

Medical standards

change slowly so new

information will need a

home. SO will also

overlay information

from your medical

providers and trusted

contacts so it is visible

in context when profile

is viewed

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 14: Medical Collaborative Expert (Presentation)

Incoming messages

Test result alert

Ilana Korman Hi, tried new medication for my arthritis . Let’s talk.

Chat Poke Profile

Abnormal blood test detected by topic Blood Test Diagnosis

We have the same symptoms. Can you share your course of treatment?

Type

Mat John Chat Poke Profile

I’ve seen your blood test results – please give me a call Dr. Shtienlauf

Chat Poke Profile

Detected member with same symptoms but different treatment SecondOponion

test

9/18 7:15am

Archive Date/Time From Message

9/18 4:05am

9/17 11:03pm

9/17 5:15pm

9/18 7:15am

Flag

Click to see results of MonitorMe™ checkup triggered by new blood test

Function: My Communication Center

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 15: Medical Collaborative Expert (Presentation)

Topic: What to do about abnormal LDL/HDL?

Topic rating

Average author reputation 75%

Why A New Checkup?

9/18/2009 Blood test: High HDL

Checkup Result Topics (see all 23) (see all new)

12 updated topics since last checkup 8/23/2009

raters)122 (

Plebirite & Topic: What to do about Azidone

interactions?

Topic rating

Average author reputation

raters)81 (

x

50%

What to do about abnormal LDL/HDL?

Last update: 8/22/2009 (version history)

Topic rating

Average author reputation 75%

raters)122 (

Topic Details: What to do about abnormal LDL/HDL

authors)5 (

Show info from medlineplus

Resources: What to do about abnormal LDL/HDL

Start this topic now

Actions for What to do about abnormal LDL/HDL

Subscribe to topic

Bookmark topic

Find similar topics

Find specialist

Provide feedback

Notify my community

Contribute to this topic !

Show subscribed users / online

Function: MonitorMe™ Automated Check-ups

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 16: Medical Collaborative Expert (Presentation)

Blurred vision might occur due to side-effect of

Predinson on Glaucoma (68% confidence)

Explain why?

See more diagnosis

Google Ads

Buy magnifiers from

amazon.com

Blurring of distant/nearby objects?

Blurred vision associated with Diabetes?

Blurred vision onset?

Use Predinson medication?

Nearby

No (modify)

Gradual (modify)

Yes (modify)

Why this is important?

Suffer from Glaucoma? Yes (modify)

Why this is important?

Deduced

from profile

Deduced

from profile

Deduced

from profile

Deduced

from profile

Type topic / free-form-question here Search/Navigate

Ask Your Network

Top-rated Result: Blurred vision

Prof. Blumenthal, Dr. GlobinskyAuthored by 75% 100%

Contribute to Topic!

Function: Personalized Consultation

Authors share

revenue from ads

placed on content

they’ve authored.

The Author

Content Revenue

model takes into

account the

portion and

quality of each

author’s

contribution

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 17: Medical Collaborative Expert (Presentation)

Consult anonymously with peers

Apply knowledge-

base to a patient

Author or validate medical knowledge

Find peers with similar interests

Conference on hot topics

Find and compare

similar cases

Earn money for contributing

Earn prestige for

significant contributions

Impact public health in an

immediate way

Function Summary: Medical Professionals on SecondOpinion.com

Professional members: 120,000 Non-professional members: 21,231,331 Health topics: 317,899

Also, find doctors with a specific expertise

for a patient referral

1

2

3

4

5

6

7

8

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 18: Medical Collaborative Expert (Presentation)

Function: Case Consulting

verified ! Dr. GlobinskyHello

Alisa KoshlovskyPatient ID

Notes:

Trusted to Modify eMedical Profile

)3(version Blurred VisionApplication of topic –Blurred vision Symptom – Alisa KoshlovskyPatient

Prof. Blumenthal: Hi

Dr Blumenthal: Any experience

with Arthritis causing blurred

vision?

Dr. Shteinluf: Yes – read this

) and we can discusscitation(

MedChat Dr Blumenthal online Conversation Contacts Call View Tools Help

MedChat Mode share

Author Diagnosis Citation Blurred vision

onset

Blurred object

distance eMedical Profile

Dr. Globinsky Glaucoma Article Gradual Nearby Crp > 10

Prof. Blumental Glaucoma OR

Arthritis Experience Distance

Medication=preinson

Diagnosis=Glaucoma

Dr. Globinsky Glaucoma Article Gradual Nearby Crp > 10

Dr. Globinsky Glaucoma Article Always Nearby

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 19: Medical Collaborative Expert (Presentation)

Wikipedia, Picasa, Hunch and many others have shown that complex tasks can be done by

lay users via simple user interfaces Complex Simplicity

The US government and companies in every field (IBM, Google, Healthizen) are spending

billions of dollars on creating an infrastructure for medical analysis with structured and web-

available content

eMedical Records

The medical domain is at the crux of 10% of world GDP (includes treatment, products and

services) and growing as populations age Medical Market

Companies recognize that generic search alone is inadequate and are starting to address it by

adding semantics and vertical domain knowledge (e.g. Microsoft Bing, Wolfram Alpha,

Google), using social computing to tackle analysis (e.g. Yahoo! Answers, Hunch, Vark,

eCommerce sites such as Amazon), and by summarizing content (About, Wikipedia,

AskDrWiki, Knol). New ideas are flourishing

Problem Recognition

Digg, Amazon and others have shown that social metrics can significantly augment generic

search results Social Metrics Work

Wikipedia and others have shown that by providing experts, prosumers and lay people with

deliberation tools, complex knowledge convergence can emerge

Social Deliberation

Works

Significant evidence that people conduct a growing portion of their analysis online, ahead of

making most decisions (66% specifically in the medical and health-care domain) Acceptance

People expect information on most topics on the internet and have raised the bar on

themselves in terms of optimality of decision choices that they make Raised Bar

The amount of information and its rapid pace of change are increasing the complexity of

analysis exponentially

Complexity, Volume,

Change

Opportunity: Why Now?

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 20: Medical Collaborative Expert (Presentation)

• Domain-independent: Search, analysis, Q&A, question propagation

Competitive Landscape

Imedix Omnimedicalsearch Healthline WebMD

Healthcentral Mednets Health.yahoo Careplace

Revolutionhealth Healthatoz Medhelp Ehealthforum

Keas Healthfinder.gov Medmatrix.org Ncbi.nlm.nih.gov

YourDiagnosis Hon.ch/MedHunt Mwsearch Medstory

Healthizen Searchmedica.co.uk SymptomChecker AskDrWiki

• Medical-specific: Portals, communities & forums, vertical search, messaging, eMR

Knol Hunch Vark Google & Bing

Limitations: Portals and search engines offer content not knowledge, Knowledge aggregators suffer from

expertise bottle-necks aggravated by simplistic reputation and quality-control mechanisms, lack

comprehensive personalization and create a gulf between lay consumers and medical experts that is

being gradually erased in other domains.

Limitations: Generalized solutions lack domain-specific quality measures and do not offer domain-

relevant tools. In general, existing and proposed approaches do not sufficiently address quality in a

domain for which it is essential.

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 21: Medical Collaborative Expert (Presentation)

Status Quo Solutions * SecondOpinion.com

No; current sites do not offer personalized analysis

and suffer from the “expertise bottleneck” problem

(aside from Hunch**). Existing sites provide opinions

provided by medical experts from their own specific

perspective (often not able to keep up with the latest

findings), summaries written by “experts” (e.g.

About.com) are usually not written by medical

professionals with a reliable (and transparent)

affiliation and reputation, article links require

command of complex medical terminology and often

only serve to highlight contradictions in research

findings; anecdotal evidence such as found in

thousands upon thousands of blogs needs to be

manually assimilated by the reader.

Yes; analysis is created by mass

collaboration of reputable sources.

Incorporates information from a vast pool of

medical professionals as well as a much

larger pool of medical prosumers

(experienced analysts that are not medical

professionals but are accredited through a

reputation system that emphasizes the rating

by medical professionals)

Personalized

Conclusions to

Medical Analysis

Problems

No

Yes; Automated check-ups based on ever-

evolving medical knowledge: triggered by

user events (e.g. new blood test results) or

updates to rules (e.g. new drug interaction

warning)

Everyday Health

Monitoring

(MonitorMe™)

No; large amounts of text across sites makes

information hard to assimilate *** Yes; Q&A format is easy and compact

Complex

Analysis on

Mobile Devices

Differentiators (1)

* Competitors analyzed include: WebMD, AskDrWiki, Hunch, Vark, AskSimon, Knol, Amazon

** Hunch.com is a new personalized analysis site. It is not a medical vertical site, has no medical-specific features, nor a rigorous reputation system.

*** Hunch is the exception that proves the rule. It shares a single but significant aspect of SecondOpinion and serves as an encouraging prototype for

mass collaboration generated analysis!

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 22: Medical Collaborative Expert (Presentation)

Status Quo Solutions SecondOpinion.com

Limited; Wiki-like functionality

Yes; Case simulation, facilitates analysis

collaboration with immediate public-health

impact

Tools for Medical

Professionals

Limited; Do-good satisfaction, community

recognition

Comprehensive; Authored Content Revenue

(ACR) model, do-good satisfaction, community

recognition, “accreditation” by and for

professionals

Author

Incentives – why

should

professionals

and others

contribute?

Status quo; Social networking functionality is

added as a feature – no distinction between

professionals and non-professionals (no

accreditation), reputation is simplistic and lacks

qualitative features.

Next generation; Professional to prosumer to

lay person interaction is mediated by rigorous

social structures (e.g. accreditation, reputation,

trust, access balancing)

Social Network

Synergies

No *

Yes; Allows for better utilization of question-

propagation and other forms of direct

communication between persons of varying

degrees of expertise

Question

Propagation

No; Translating large amounts of content is not

practical Yes; structure makes translation easier

Openness to

Non-English

Speakers

Differentiators (2)

* Vark is a new question propagation service that does not target any vertical. It is not integrated with any other analysis functions.

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 23: Medical Collaborative Expert (Presentation)

Opportunity and Revenue Model: Flexible Multi-pronged Approach

Transaction Fee Advertising Premium Services

type question for your network

98.29$ Tools.com-PTBuy at

24.31$ Amazon.comBuy at

99.19$ ndHand.com2Buy at

Prof. Blumenthal: Hi

Dr Blumenthal: Any experience with Arthritis causing

blurred vision?

) and we can citationread this ( –: Yes Dr. Shteinluf

discuss

MedChat Dr Blumenthal online

Conversation Contacts Call View Tools Help

MedChat Mode share

Topics cover soup-to-nuts

including products and services

Context-specific ads around

services (e.g. question

propagation)

Hospitals and other fee-for-service

providers pay for specialized

services or private-labeling

ask

HC IT Market

License model E-commerce market

Private Labeling Online Ad market Referral fees

Hunch currently claims

that 40% of its topics are

monetizable

Total online ad revenues are

projected to be $147 billion dollars

by 2012 with the health-care slice

3.2% and growing 4 times as fast

as all other categories)

platform can be private-labeled or garden-

walled where appropriate. Healthcare IT

expenditures are projected to reach $54 billion

by 2014

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen

Page 24: Medical Collaborative Expert (Presentation)

Gil Ronen – Co Founder

Published and patented technologist, speaker and award-winning practitioner for

20 years in the area of knowledge systems employing applied artificial

intelligence; rule-based and case-based reasoning paradigms as-well-as

analytical models. Theoretical and practical experience with knowledge editors

for lay users. Former VP at MindBox. BSc in Computer-Science and Cognitive

Psychology from Bar-Ilan University in Israel, an interdisciplinary MSc in

Intelligent Systems from the University of Pittsburgh and an MA in Studio Art

focusing on Digital Art from NYU. Alumni of IDF MAMRAM center for computing.

Miki Kolko – Co Founder

Entrepreneur and technologist: Founded Aspear, a real time collaboration

platform in 2000. Founded PicaBook in 2005, providing photo book publishing

services to consumers. Experienced in funding, management, business

development and alliances, and marketing of new companies. 23 years

experience in software development and technology management. BSc from the

University of Bar-Ilan University and MSc from Tel-Aviv University in Mathematics

and Computer Science. Alumni of IDF MAMRAM center for computing.

Team

Gil Ronen © 2010 [email protected] http://www.linkedin.com/in/gilronen