Global Trends in Healthcare Technology with focus on US and India

1. Overview of Technology
Innovation Trends in
Healthcare
Focus on US and India
Jagmeet Lamba
Email: jlamba@gmail.com
Twitter: @jlamba
January, 2012

2. Continuing technology advancements have created the “infrastructure”
to solve major healthcare pain points
Major Pain Points Enabling Technology Infrastructure
• High cost of care straining US • Wireless Internet becoming ubiquitous:
economy: - 56% of US population on 3G5
- 17.6% of US GDP1 - By 2015, India is expected to have 450M internet users, with ~60% on mobile6,
- 25% of all US federal outlays1 driven by rollout of 3G and 4G wireless internet
• Low correlation between • Decreasing cost of computing and connected devices:
spend & quality: In spite of
high per capita spend on - in 2008, connected devices overtook world’s population7
HealthCare, US is ranked 37th - 20B connected devices worldwide by 2020 with 5B in China alone7
by the WHO
• Data analytics and Artificial Intelligence (AI) proven in real world:
• Low availability:
- E.g., IBM Watson’s Jeopardy win, 23andMe’s personal genomics analyzer
• Health care in India grossly
inadequate to meet the growing • Social media creating a “friends layer” for the Internet:
demand:
- 800M Facebook users worldwide8
- 60 doctors per 100,000
people in India vs. 142 in - 85% of Internet users in India use social networking8
China and 256 in US2
• Smartphones replacing features phones:
- Number of diabetic patients in
- In 2010, smartphone shipments > feature phone shipments in Western Europe
India more than doubled from
and US9
19M in 1995 to 50M in 20103
• Aging population straining US • Design orientation /consumerization of technology
medical system with projected - E.g., Mint.com’s user friendly financial analytics , FitBit pedometer’s motivating
deficit of 35–44K primary care leaf indicator vs. a number display
doctors expected by 20254
1 US center for Medicare and Medicaid Services (CMS), office of the actuary 5 United Nations International Telecommunications Union
2 World Resources Institute (WRI.org) 3 International Diabetes Federation, 2009 6 McKinsey digital consumer survey, McKinsey Quarterly (Feb 2011) | 1
4 American College of Physicians, M. Renee Zerehi 7 GSMA, in partnership with Machina Research 8 Comscore 9 Morgan Stanley Research

3. Innovation trends: Driven by enabling infrastructure & compelling need
Top innovation trends Description Example companies
1 • Measuring and tracking body’s stats
Connected health (e.g., BP, temperature, heart rate,
technologies blood glucose, sleep patterns)
automatically via connected devices
2 • Delivering healthcare thorough
Technology enabled Internet video /audio aided by
healthcare delivery connected health devices usually
disintermediating the insurance cos.
3 • Gaining information and support from
Social media aided care peers (e.g., similar patients) or
& support experts (e.g., doctors) through
specialized online social networks
4 • Analyzing large sets of data to
Data, informatics & AI achieve personalized care,
understand relative cost /benefit of
treatments and reduce cost of care
5 • Reducing the cost of care by utilizing
Frugal innovation consumer technologies
6
• Rewarding proactive preventive care
Rewarding prevention which is often measured through
connected health technologies
7 • Enabling better utilization of
Improving utilization / healthcare resources by making
processes information easily accessible online
| 2

4. Continuing progress likely to cause a tectonic shift in global healthcare
industry Significantly reduced cost &
improved accessibility with higher
Phases of healthcare technology evolution quality
Pre- 2020
internet 2000 - 08 2008 - 15 2015 - 20 onwards
Rich siloed AI
Patients Bionic tools1
Complete data algorithms
accessing aided
reliance on assisting provide
healthcare personalized
doctors care / “first
info. online medicine
prevention opinions”
First • Doctor + • Basic decision + • Online with + • Doctor aided by • AI tools without
opinion support systems Doctor generic bionic doctor
• Generic internet • Advanced tools
research decision support • AI tools (e.g.,
systems skin scan)
Second • Doctor • Search medical • Doctor with rich • Doctor with • Doctor with
+ + + +
opinion • Medical journals empirical data personalized personalized
journals treatment info bionic tools
Data • Symptoms, + • Electronic + • Connected + • Consolidated + • Analyzed
• Physical medical records medical devices medical + medical +
examination • Genomics and connected connected
• Paper medical proteomics health devices + health devices +
history at genomics & genomics &
facility proteomics proteomics
Process • Manual + • ePrescriptions + • eAppointments + • Automatic + • Automatic
optimiz- • Online notifications / recommend-
ation collaboration alerts ations
1 Tools that augment and amplify human understanding | 3