Health IT. Social network. Digital health revolution driven by convergence of digital and health and genomic revolution
“New New trends in digital healthcare” healthcare
Joelle Richa, Pharm.D
Health First, Managing Director www.healthfirstgroup.net
Raise your hand if….
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Digital Health Revolution
Mobile / apps
M bil /b d N t k Mobile/body Network
Sensors
Microprocessors
Internet
H lth IT Health
Cloud Computing
Social network
Digital health revolution driven by convergence of digital and health and genomic revolution leading to better access,reduced costs,improved quality,personalized medicine di i 5
Patients and caregivers are connected >70% of Western European and >75% of US consumers are online
85% of online
52% of online
Europeans turn to the internet or other technologies f health h lth and dd for drug information
European adults use social media for health advice
Wikipedia was the top online health resource for consumers in all countries Health 2.0 consumers... Twice as likely as the average health consumer to request a prescription Twice as likely to report that others rely on them to make health decisions: th are iinfluencers they fl More than half discuss information they found online with their physician Manhattan Research “CyberCitizen“ 2010 (EU)
Attitude toward Physicians varies
Boston Consulting Group
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Wikipedia and Health Wikipedia almost always comes on the first page of Google when any drug or treatment is searched for
It is the most important health resource for consumers....
The top disease areas get millions of Wikipedia views
...and used by 88% of physicians, 50% ‘weekly’ physicians weekly or more
.... Although Facebook dominates
Total number of users: 1.1 billion
Monthly users: 359 million illi
Videos viewed each day: 4 billion
Registered users: 554 million
Registered users: 238 million illi
Users: 70 million* illi *
*200%+ in growth 12
…. And it is not just for youngsters
SOCIAL MEDIA SAVES LIVES!
http://www.jmir.org/ ttp // j o g/
Social media – a perfect ‘peer opinion’ and sharing universe
You Tube Blogs Social media
Forums
social bookmarking g Chat rooms
Wikipedia 15
If you don’t believe info found on social media…. International editorial board of medics and researchers
Patient communities A wide range of patients and conditions
Share advice, i f information ti and d experiences.
Find patients that are like you easily easily.
HCP networks
10 compelling p g reasons to use doctors’ social networks Prime target g audience Fewer regulatory issues Fishing where the fish are Geographical segmentation Speciality segmentation Global proliferation Established MR models Insights expertise Rapid results Lower costs Hot off the press: Univadis to be sprung off from MSD
Joelle Richa,Pharm.D First
Health
Access to Electronic Medical Records
Mc Kesson.com
Apps:more than 45,000 health apps The most downloaded physician Apps are those designed for a US audience across different platforms
Wide variety of Health & Wellness apps available from different stake-holders British Medical Association App on children’s health: • Symptoms • Treatments • Information on common conditions • Questions to ask your doctor
epocrates®: a mobile drug reference resource
Iradiology allows students to review classic radiology cases Blausen Human Atlas (iPad) 3D figures of human anatomy, a p medical comprehensive glossary, over 1000 still images and a library of videos explaining common medical conditions
Drinks tracker (developed by the NHS): • Calculate units • Weekly averages • Personalised feedback
Reviewed by doctors for doctors 21 iMedicalApps.com
Hopefully creating the ‘Modified-Self’
“ CHANGING BEHAVIORS REPRESENTS THE SINGLE BIGGEST OPPORTUNITY TO IMPROVE HEALTH OUTCOMES OUTCOMES.” ” Global Life Science Report 2012 – Ernst & Young
“Quantified-self” and the “Internet Internet of things things” movements
From Wellness…
Through simple smart solutions to help change behaviors
eHealth - a natural extension
Delivering great promises : self-data-analysis
Track inflammation, vitamin D, fertility, influenza, and testosterone Cue Device priced at $149 – synch’s results with mobile phone
Through prevention…
Delivering great promises : from Prevention to Adherence
Digital Medicine …Track your treatment… even in your digestive system
Proteus Digital health
… to full-on solutions : e.g. Epilepsy
Many healthcare stakeholders and new entrants are taking advantage of the digital opportunity Application of digital solutions in healthcare • • • • •
Self diagnosis Provider connectivity Compliance & treatment aids Disease management Wellness
• Clinical trial design and recruitment • Trial participant monitoring • Real world comparative effectiveness studies • Real-world outcomes research • Population profiling and predictive analytics
Sources: P S PwC C HRI, HRI B Burrilreport, il t Medical Marketing and Media
Patient
Providers
• • • •
ePrescribing Patient at e t co communication u cat o Decision support tools Patient monitoring & connectivity • Readmissions reduction • Protocol design
Digital solutions in healthcare Pharma
WWW
Payors
New Entrants
• Wearable and ingestible biometric sensors • Combined analysis of clinical, clinical fitness, fitness and biometric data to for disease management • Phone based diagnostic tests and devices • Online patient and physician communities
• Real world comparative p effectiveness studies • Real-world outcomes research • Drug pricing • Utilization management
Many new players you have never heard of before, and some that you would not associate with healthcare Digital Offering
Category Clinical Trial Enrolment/Retention
Patient Engagement
Patient Adherence Patient Monitoring Self Management
Consumer Relationships and Loyalty
Disease Prevention Wellness
Research Collaboration and Population Health
• Joint Research Programs • Population Health Data • Data Access and Analytics
Outcomes Based Health
Changes in reimbursement models / Beyond the Pill” Pill “Beyond
Potential Players / Partners
Health content on Big S.Media platforms
Insurance & Reimbursement eCommerce
Reach / sizze
… a complex digital landscape General Health Info «portals»
Product Pharmacovigilence
Patient C Communities iti
Medical Advice Patient P ti t Association
Transactional
Emotional Engagement
Comparator sites (HCP & Est.)
Personal EHR Treatment Adherence
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Therapeutic Disease Communities
Could this App be classified a “Medical Device”? European Medical Device Directive classification:
• FDA vs EMA (risk balancing vs procedural classification) Mobile Medical Application (MMAs) / Standalone Medical Device Software (SMDS) EU term employed is SMDS: "software intended to be used for one or more medical purposes and is able to perform its medical purpose without being embedded in a hardware medical device or being dependent on specific or proprietary medical purpose hardware.”
Europe p takes data p privacy y very y seriously y and so must you • F Fully ll understand d d what h information i f i you need to hold and why • Under EU guidelines you should not track data that is not strictly needed • Several countries will require specifically approved data storage facilities if any Personal Health Data is held • Pharma will typically only be able to progress in many instances through working with qualified approved third parties that will only provide anonymized information back for any reporting purposes
Joelle Richa,Pharm.D First
Health
Patient journey
Joelle Richa,Pharm.D First
Health
The Future is starting Today…
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The Future is starting Today…
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The Future is starting …Today
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Email:
[email protected] Email:joelle@healthfirstgroup net www.healthfirstgroup.net Twitter:@joelle richa Twitter:@joelle_richa Skype:joellericha1 Facebook:HealthFirst 43
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New Healthcare management model
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Summary
Mobile is “only” part of our future (fusion)
If y you want to make a difference you will need to invest
Understand who the customer is (THE idea)
Define what experiences would deliver value
Be responsible!
We’re here to help
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