WEARABLES in HEALTH

DANIEL KIVATINOSCOO & COFOUNDER

History & Case Studies

Wearables

Demo

HEALTH RECORDS

Founded // 2009

PHYSICIANSsigned up

MEDICAL BILLINGprocessed in 2014

PATIENTSin platform

75K 270M 4M

Cloud Software

iPhone

iPad

Google Glass

Simple Design

Work Flow

CHECK-IN POINT-OF-CARE HOME

Freemium Platform

OUR FOCUS

Small & midsize practices

1 – 50 doctor practices

Every doctor specialty

CASE STUDIES

Surinder Saini MD

Gastroenterology

Newport Beach CA

Surinder Saini MD

Medical speech to text & iPad mobility

Loves good design

Needed fast input

William Wall MD

Orthopedic Surgeon

San Jose CA

William Wall MD

Free draw on images

Digital records, not paper

Theodore Diktaban MD

Otolaryngologists & Plastic Surgery

New York NY

Access anywhere

Pull up any notes

Sharing medical info with patient

Theodore Diktaban MD

Bill Metaxas DPM

Podiatry

San Francisco CA

Google Glass recordings

Surgery pictures

Real time notifications

Bill Metaxas DPM

WEARABLEs

QUANTIFIED SELF, APIs

WHY NOW?

WEARABLEs, OBJECTS, SOFTWARE

QUANTIFIED SELF, APIs

WHY NOW?

WEARABLEs, OBJECTS, SOFTWARE

MOORE’S LAW

Number of transistors in a dense

integrated circuit doubles

approximately every two years.

Computers looked like this the year Gordon Moore published his seminal paper.

Microprocessor Transistor Counts

1971-2011

Desktop & Laptop

Hardware Gets Cheaper

Smart Phone

and this number is growing.

Source: a16z podcast

3.5 BILLION PEOPLE

HAVE A SMART PHONE

Apple sold 75 million

iPhone’s Last Quarter

… that is 15% of all

phones sold.

Source: a16z podcast

MOBILE’S BIGGER THEN

PCs … A LOT BIGGER

PEOPLE ARE BUYING

PHONES OVER PCs

Hardware Gets Even

Cheaper and Smaller

Withings Activité Watch

Wearables

Efficient wireless

connectivity chips are

being produced.

Low Energy / LE

Low Energy / LEiPad

iPhone

Macbook

Low Energy / LE

Objects, sending small bits of dataYour remote to the wireless worldObjects, streaming content & data

Low Energy / LE

PRECISE GEO-LOCATION

In iPhone with iOS 7 and iOS 8,

allowing locations to the nearest

centimeter

THE CLOUD

THE FUNDING

SOFTWARE PLATFORMS

QUANTIFIED SELF, APIs

WHY NOW?

WEARABLEs, OBJECTS, SOFTWARE

In 2005, there were 2.5 billion connected devices, most PCs,

smartphones, tablets. By 2020, there will be over 30 billion connected

devices, most not PCs, smartphones, tablets.

~ Gartner, 2013

100 things are coming online every second.

~ Oracle, 2013

One in six consumers own a wearable device.

~ Nielson

FDA Approved Devices Non FDA Approved Devices

In Healthcare: 2 Categories

LIST

OF

WEARABLEs & OBJECTS

Blood Glucose Monitoring

FDA Approved

Blood Glucose Monitoring

FDA Approved

Intelligent Stethoscope

Getting FDA Approved

Personal Heart Monitor

FDA Approved

iPhone-enabled body Fertility

Tracker and thermometer

by Raiing

Remote Thermometer

by TempTraq

Getting FDA

approved

Hear Your Baby’s Heart Beat

3D Printed Prostheticse.g. Open Bionics, open source 3D printed hands for amputees

Google Glass

DNA Testing

patients can now get a DNA test to find out

ancestry-related genetic reports just the

swab from your mouth

Home Reminders

by Sense

Drug Bottles

Toothbrush

Cups

Doors

The Watch Revolution

by Basis by FitBit

Jewelry

by MisFit Wearables

Cloths

by Athos

by Better

Remote Care Teams

SOFTWARE & PLATFORMS

Apple Health

Track around ~70 fields

HealthKitHealth

ResearchKit

HIPAA

Platform

Connected Home

Virtual Valet Calling Self

Driving Car

by BMW

The Connected Car

Self Driving Car

by Google

Google Fit

QUANTIFIED SELF, APIs

WHY NOW?

WEARABLEs, OBJECTS, SOFTWARE

Lots of Data.

Early prototype of "Quantimetric Self-Sensing" apparatus, 1996

A heightened awareness around our health tracking

QUANTIFIED SELF

mood movements weight temperature allergies

DNA heart rate glucuse sleep immunization

s

interations home prescriptions blood work thoughts

Healthcare needs to be open.

drchrono API

HL7

HL7 FHIR

Blue Button

C-CDA

APIs

HEALTHCARE API THAT WORKS

HEALTHCARE API THAT WORKS

https://drchrono.com/api

{ CODE DIVE }

HEALTHKIT{ code deep dive}

TOUCHID{ code deep dive}

CHECK-IN HAPPENS HERE HOME

Box Sync

BOX METADATA { code deep dive}

# Update the metadata key:values

metadata = {

'patient' : self.patient.fullname,

'doctor' : self.doctor.getNameForPatientStatements(),

'uploaded' : str(self.updated_at),

'sent_to_onpatient' : "Yes" if self.sent_to_onpatient else "No",

'url' : self.getDocumentUrl(),

'chart_id': str(self.patient.chart_id),

'tags': str(self.metatags),

}

# tell box to create a new metadata type 'properties' containing our key:values

meta_response = session.post(

'files/%s/metadata/properties' % box_file_id,

data=json.dumps(metadata),

headers={'content-type': 'application/json'}

)

GOOGLE GLASS{ code deep dive}

GOOGLE GLASS{ code deep dive}

{ ANDIOD EVENT LOOP}

LIVE DEMO

WEARABLES in HEALTH

Appendix