The Future of Health: Trends Towards Empowered Patients and Orchestrated Care

PSFK presents
THE FUTURE
OF HEALTH

The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth
A
Foreword
PIERS FAWKES
Founder & President,
PSFK Labs
labs.psfk.com
Imagine a future where wearable technologies track key areas of
your life to provide timely prompts about your health, and the
data gathered can be uploaded securely to the cloud. Instead of
going into the doctor’s office for a checkup, you would schedule
a video consultation to discuss your recent readings. In instances
when you need further care, your visits would be coordinated
by medical records that flow seamlessly between key members
of hospital staff and your care would be supported by relevant
information that prepares you for what’s next. Your surgeon
would be able to look at your results alongside the wider patient
population or seek advice from specialists around the world to
determine an optimal treatment plan; the effectiveness of which
would determine their compensation.
While the realities of the current model of healthcare tell a different
story, we’re beginning to see exciting signs of change against
daunting challenges. The World Economic Forum estimates that
unless current trends reverse, five common ‘lifestyle’ diseases—
cancer, diabetes, heart disease, lung disease and mental health
problems—will cost the world $47 trillion in treatments and lost
wages. Add that figure to a system that could see a shortage of
90,000 doctors in the US alone by the end of the decade, and the
picture becomes bleak.
Rather than view these as insurmountable obstacles, we choose
to see a landscape full of opportunity. Despite a slow regulatory
process a host of new mobile and social tools, sensor technologies
and devices are being developed for an industry in need of
change. These innovations are poised to improve health lifestyle
choices and change the way care is delivered. We’re excited to
share this patient-centered vision in our latest report.

B
Introduction
As a wide array of health innovations ranging from wearable trackers
to responsive algorithms enter the marketplace, we’re seeing the
emergence of a proactive and empowered patient who is more in control
of their health. These individuals have more information about their
lifestyle choices and conditions, and a desire to share it with the broader
community. Armed with this knowledge, they expect their relationships
with their doctors to be more personal and collaborative, where they
work together to achieve the best outcomes.
At the same time, the healthcare system is adopting better tools
to ensure streamlined communications and a more efficient use of
resources. Information silos are moving to the cloud for universal access
and sophisticated algorithms are making sense of this data to enable an
individualized level of treatment and care. The result is a new paradigm
that thinks about healthcare as an ongoing conversation between people
and their extended network, rather than something that happens when
someone gets sick.
In the following pages, PSFK Labs has summarized 13 trends related to
the Future of Health that fit within four larger themes: Behavioral Nudge,
Empowered Patient, Orchestrated Care and Augmented treatments. These
highlight how consumer technologies, data analytics and information
systems are changing the way healthcare is delivered both from a patient
and physician perspective. To support this vision, PSFK has described six
best-in-class examples to show how these ideas are manifesting within
the marketplace. Additionally, each trend page includes quotes from
experts who talk about the larger significance of these ideas, relevant
stats that convey potential for growth, plus implications that point to
what’s possible next.
We appreciate the opportunity to share what we hope is a compelling
story around the Future of Health and its impact. We look forward to
participating in the larger discussion as these new innovations reshape
the industry.
7 Lessons for Successful Healthcare Services
As people begin to generate a greater volume of personal health data
alongside their existing medical records, questions around ownership and
portability will loom large. People will want control over this information to
ensure that they receive the greatest benefit from shared access whether that
be through lower insurance premiums or personalized care.
DATA
SYNERGY1
As more reliable medical information flows into the healthcare system from
patients, the data is added to aggregated research databases that can be
mined for deeper insights about individuals and communities. Doctors can
use these insides to support better assessments about conditions, treatment
effectiveness and warning signs.
LIVING HEALTH
DATABASE2
Patients will demand the ability to connect with their doctors through a
wider variety of platforms and channels—video, online, mobile and social—to
receive care that is more personal, regular and convenient. This new level
of access will place the relationship between patients and physicians at the
center of the healthcare system.
INSTANT
ACCESS3
As patients broaden their healthcare networks to include wellness experts
and patient communities, they’ll require access to personal medical results
and resources that are accurate, standardized and easily understood to
facilitate discussion and collaboration on treatment plans.
INFORMED
CONVERSATIONS4
Digitally-savvy patients are looking to their doctors and healthcare providers
to be technology and information advisors in the medical space. Whether
curating trusted content or recommending relevant mobile apps and
wearable devices, these new resources will support a more continuous and
responsive model of healthcare.
PRESCRIPTION
FOR TECHNOLOGY5
As sophisticated health monitoring and analysis technologies develop for
the consumer and professional marketplaces, we’ll see a transition to a more
responsive model of care that steps in to provide support at key moments.
These systems will of automate processes like appointment and medication
reminders, and provide prompts when human input is required, such as when
a patient is deviating from their treatment.
RESPONSIVE
CARE SYSTEMS6
CONSUMER-
DRIVEN
MARKETPLACE
As patients take advantage of connected technologies, social tools and
information resources to become more knowledgeable about their health
and that of their families, there will be a subsequent push for healthcare
options that better fit their lifestyle choices. In order to compete in this new
marketplace, providers will rethink their offerings to consider plans that
include performance incentives, transparency and greater flexibility.
7

C
ORCHESTRATED CARE
25
28
31
AUGMENTED TREATMENT
39
42
45
34
REMOTE HOUSE CALLS
Sharp / TalkSession / HealthSpot /
Sherpaa / Grand Rounds /
Goderma
CLOUD-POWERED
MEDICAL RECORDS
ZappRx / Tonic Health /
Mediview / Medlio / Drchrono /
MedChart
PHYSICIAN-TO-PHYSICIAN
NETWORKS
Figure 1 / Doximity /
ECHO Project / CrowdMed /
Next Wave Connect / Careﬂow
DATA-DRIVEN
TREATMENTS
Sage Bionetworks / Frame Health /
Collaborative Assessment and
Recommendation Engine /
CancerLinQ / IBM, Sutter Health &
Geisinger Health Systems /
New York City Mount Sinai
Medical Center
EMBEDDED VITAL MONITORS
University of Illinois & Maste /
University of California-San Diego /
The Ubicorp Lab / Google /
Ecole Polytechnique Fédéral de
Lausanne / Proteus Digital Health
OVERLAY OR
Sony / Fraunhofer Institute & Yokohama
City University Hospital / Pristine /
Dr. Rafael Grossman / RealView Imaging /
Anatomage
PRINTED PROCEDURES
Robohand & MakerBot /
Princeton University /
Cornell University /
Fripp Design & Research /
Handie / BioPen
Table Of Contents
Themes, Trends & Examples
Foreword
Introduction
Table Of Contents
Major Themes
Key Takeaways
About PSFK
About Our Sponsor
Boehringer Intelheim
Experts Discuss
The Future Of Health
About / Team
A
B
C
D
D
E
E
48
50
BEHAVIORAL NUDGE
03
06
09
EMPOWERED PATIENT
14
17
20
HOLISTIC TRACKING
Endotheliometer / Athos /
Airo / Ignite Pad / W/Me band /
MyBreath
INCENTIVIZED WELLNESS
Walgreens / FwdHealth /
The Vitality Group / Movimento /
DietBetter / Evolent
GAME THERAPY
/ MY ASICS / Re-Mission 2 /
Children’s National Medical Center /
mySugr / Stomps / PIP
DIY DIAGNOSIS
uChek / Health eHeart / Kinsa /
Scanadu Scout / Gene-RADAR /
Oxitone
CARE GUIDANCE
Seoul National University Bundang
Hospital / Touchsurgery / Medivizor /
Careport Health / Medeel / Wellframe
SOCIAL SUPPORT
COMMUNITIES
Crohnology / Smart Patients /
Social Rehub / Cody /
IHadCancer /
Center for Behavioral and
Addiction Medicine at UCLA

D
Key Trends in the Future of Health
Holistic Tracking. Wearable
technologies are helping people
track and manage a wide variety
of health data, giving them a
clearer understanding of existing
conditions and preventative
techniques.
Incentivized Wellness. Emotional
and financial rewards are
motivating people to make
healthier lifestyle choices and
improve their behaviors.
Game Therapy. Games keep
patients engaged around
ongoing therapies to ensure
adherence, while adding a layer
of enjoyment to the process.
DIY Diagnosis. Simple to use
technologies offer a ‘good
enough’ level of diagnosis about
symptoms, helping people
determine if they need to seek
further medical care.
Care Guidance. Platforms are
arming patients with relevant
information and reminders at key
points as they interact with the
healthcare system.
Social Support Communities.
Patient communities are forming
around specific conditions to
share advice, experiences and
support, helping one another on
the path to better health.
Remote House Calls.
In-person checkups
are being supplemented
by telemedicine options
that allow patients to
remotely connect with
healthcare providers for
immediate advice
and care.
Cloud-Powered
Medical Records.
Digital platforms
are breaking down
communications
between providers,
streamlining the way
patient data and
records are accessed
and shared.
Physician-to-
Physician Networks.
Niche networks are
connecting doctors
with their peers,
offering a way to share
medical research and
treatment advice.
Data-Driven
Treatments. Patient
data is being analyzed
alongside various
treatment options
to better assess
possible outcomes
and offer individual
recommendations
around care.
Embedded Vital Monitors. Small
and flexible sensors are replacing
bulky patient monitors to collect
and stream biometric data to
physicians and nurses.
OVERLAY OR. Visualization
and information overlay tools
are being developed to assist
physicians during complex
procedures and supplement
current education techniques.
Printed Procedures. Advanced
3D printing and fabrication
techniques are improving
surgery outcomes and making
cost-effective prosthetics more
accessible.
Macro Themes Changing the Health Landscape
BEHAVIORAL NUDGE
New tools and incentive systems are promoting a more proactive model
of health by helping people better track and understand their behaviors
and encouraging them to make healthier lifestyle choices. Wearable and
mobile technologies are leveraging advanced sensors and algorithms to
provide deeper insights and individualized coaching to activate users
around their wellness. When paired with game mechanics offered by
insurance companies, employers and providers, these feedback loops
motivate users to make incremental changes over time. The net effect of
this approach is a healthier population that is less reliant on the resources
provided by the broader healthcare system.
EMPOWERED PATIENT
Armed with a greater degree of knowledge about their lifestyles and
conditions, consumers are taking a more central role in determining when
they interact with the healthcare system and how their care is delivered.
Patients are being empowered with technologies and participation in social
communities that enable them to gather valuable advice or self-diagnose
before visiting a medical professional. As a result, patients are better
prepared to collaborate with their doctors during these consultations on
the best course of action, which can be further supported by guidance
around individual treatment plans to ensure optimal outcomes.
ORCHESTRATED CARE
Healthcare providers are using new technologies, social platforms and data
systems to streamline the way information is disseminated and accessed
to deliver a more personalized and distributed model of care. Secure
networks are offering a new ‘commons’ for doctors to share research
and advice around conditions that fall outside of their expertise, while
analytics tools interpret patient data to further support these decisions.
Similarly, digital platforms have evolved to ease the communication
between doctors, patients and different medical personnel to ensure that
pertinent records, treatment plans and face-to-face guidance is readily
accessible, cutting down inefficiencies and mistakes.
AUGMENTED TREATMENT
Doctors are upgrading their medical toolkits with high tech visualization
instruments, imperceptible monitoring devices and 3D printing techniques
to improve the level of care they can provide to patients. Added biometrics
from embedded sensors are aiding in patient diagnosis and tracking.
Inside the examination and operating rooms, holographic projections
and augmented reality overlays allow physicians and surgeons to offer
less invasive and more effective treatments. At the same, 3D printers are
enabling medical technicians to produce cost-effective prosthetics and
implants that can be tailored to individual patients to ensure greater
comfort and functionality and speed recovery times.

E
This report is kindly sponsored by Boehringer Ingelheim.
Boehringer Ingelheim is a research-driven company dedicated to
developing, manufacturing and marketing pharmaceuticals that
improve health and quality of life. They focus on innovative drugs
and treatments that represent major therapeutic advances.
Boehringer Ingelheim drives progress in the form of medicines,
technologies and solutions that help people. They also evaluate
innovative models of a healthcare provision and opportunities for
cooperative innovation through pilot program, partnerships and
investments in the ﬁeld of integrated healthcare solutions that
deliver greater health beneﬁt for patients. Here they are always
led by people’s medical needs. Boehringer Ingelheim believes
that it is the patients’ partner that makes available innovative
medicines for better health.
www.facebook.com/boehringeringelheim
“As a pharmaceutical
company, innovation is a
crucial skill for us to nurture
and develop. Innovation
means we can continue to
positively contribute to the
health of patients and society
at large. We constantly seek
to embrace innovation, inside
and outside our company, in
order to add value for our
customers.”
— Allan Hillgrove, Board Member.
Boehringer Ingelheim
About Our Sponsor
About PSFK Labs
The researchers behind the Future of Health report applied the
same rigorous process that they use to conduct projects for
Apple, BMW, Google, Intel, Philips, Samsung, Target and UNICEF.
The PSFK Labs’ Research & Strategy team conducted grounded
theory analysis that leveraged thousands of data points and
dozens of experts’ opinions to identify the micro and macro
trends and develop the recommendations found in this report.
SCOTT LACHUT
Director, PSFK Labs
labs.psfk.com

www.psfk.com/future-of-health / #FutureOfHealth
BEHAVIORAL
NUDGE
Holistic
Tracking
Game
Therapy
Incentivized
Wellness

The Future Of Health 2014
New tools and incentive systems are promoting a
more proactive model of health by helping people
better track and understand their behaviors and
encouraging them to make healthier lifestyle choices.
Wearable and mobile technologies are leveraging
advanced sensors and algorithms to provide deeper
insights and individualized coaching to activate
users around their wellness.
When paired with game mechanics offered by
insurance companies, employers and providers, these
feedback loops motivate users to make incremental
changes over time. The net effect of this approach
is a healthier population that is less reliant on the
resources provided by the broader healthcare system.
— Holistic Tracking
— Incentivized Wellness
— Game Therapy
BEHAVIORAL
NUDGE

www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
HOLISTIC TRACKING
HOLISTIC TRACKING
46%
of people who tracked their health
say that it has changed their
overall approach to maintaining
their health or the health of
someone for whom they provide
care.
— Pew Internet & American Life Project,
“Tracking for Health,” 2013
“The use of technology, although taking away
some of the human touch from what we do, is
actually going to bring us more personalized
medicine. These systems are going to change the
experience for the patient. The patient is going
to be monitored in a variety of ways, including
wearable devices that track how much they move,
what their temperature is, what their heart rate
is, including devices that are included within
the packaging of their medication, which will
indicate if they’ve taken their medication, or not.
But the important thing is not the information in
itself. The important thing is what we do, once we
have that information.”
Dr. David
Medina Tato,
Senior Manager,
Business Model &
Healthcare Innovation
at Boehringer
Ingelheim
A new class of wearable devices is entering the
marketplace which enables people to capture a wider
range of biometric data that goes beyond fitness
statistics. By visualizing the data captured in their
day-to-day lives, users are better prepared to make
informed decisions about their health outcomes.
3 BEHAVIORAL NUDGE

4
SCALE ANALYSES BEHAVIOR
AND PROVIDES AN OVERALL
HEALTH NUMBER
Ignite wellness in Silicon Valley created a health and
wellness device ecosystem comprised of a mobile
application and a digital scale that compiles a person’s
weight and fitness records into one composite
number that signals their overall health. When
users stand on the IGNITE Pad device, a connected
smartphone registers the person’s weight and inputs
that data into the IGNITE mobile app, providing a
tangible ‘Life Number’ which fluctuates according
to the user’s activities, such as eating, exercise or
smoking. Notifications about weight gain or losing
their position on a socially-ranked leaderboard helps
users stay on track with their goals. By seeing that
every action taken affects their Life Number, IGNITE
users can proactively take steps to improving their
health and overall wellness.
www.lunar.com/work-ignite.shtml
WRISTBAND SCANS BLOOD AND TRACKS
EXACTLY WHAT WEARERS EAT
Airo is a health and wellness wristband that captures a range of data
points around exercise and stress, eating habits and sleep. Developed by
Canadian company AIRO Wellness, the wristband projects LED light into
the bloodstream to detect metabolites associated with carbohydrates,
proteins, and fats. By scanning the nutrients in the bloodstream, Airo is
able to give explicit feedback on how the body processes ‘good’ or ‘bad’
nutrients. In addition, AIRO tracks sleep and exercise by monitoring wrist
movement patterns during sleep mode, and heart rate variability and
motion when in exercise mode. All the data is collected and visualized
on a mobile application, facilitating behavioral change over time using
gentle nudges towards better outcomes.
www.getairo.com
HOLISTIC TRACKING
WORKOUT GEAR MEASURES MUSCLE
EXERTION AND TRACKS DATA
Athletic clothing company Athos has created a full-body
workout suit that is embedded with sensors to track a variety
of fitness metrics during workouts. The brand’s compression
workout apparel is lined with sensors that record heart rate and
breathing information, while central ‘core’ units track muscle
movement through built-in accelerometers. All of the information
is broadcast to a smartphone application where users can see
their total muscle effort, reps, and heart rate among eight other
composite metrics from their workout.
www.liveathos.com
BLOOD CELL MONITORING DEVICE ALLOWS
EARLY DISCOVERY OF CONDITIONS
The Endotheliometer measures key cell layers in blood cells to
gather signals of ‘wear and tear’ and gages a person’s overall
health as they age. Created by researchers at Lancaster University
in the UK, the measurement device is worn on the wrist and
examines cell cycle changes in the endothelium a layer of cells
that coats the inside of the body’s blood vessels and lymphatic
vessels. Due to its proximity to the circulatory and lymphatic
systems, the endothelium offers a proxy to their overall health,
giving insight into how a patient’s body is aging, particularly
with individuals who are predisposed to cardiovascular diseases.
This process offers a new approach in estimating a patient’s
cardiovascular age which can be helpful when used in contrast
with the patient’s overall health, allowing for early discovery of
conditions and the ability to take necessary steps to avoid further
complications.
www.lancaster.ac.uk
BEHAVIORAL NUDGE
HOLISTIC TRACKING

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
5
_ What are the next wave of personal metrics that are
going to be essential for maintaing good health?
_ How do we move from historical tracking to
predictive warnings, and what lifestyle behaviors
should be the focus?
_ How do we standardize the data being gathered
and make it shareable with the wider healthcare
system?
_ As this data is shared with insurance companies
and providers, how do we ensure that consumers
maintain ownership and receive greater value?
_ What new services will be needed to connect and
analyze a wider range of data sources, and deliver
deeper meaning?
_ How can we tap into “in the moment” achievements
or long-term goals to support consumers on their
goal to better health?
“People want to have their own medical readings. They
want to keep their own medical records. They want
to talk about it with others. They want to share it.
They want to compare it. They want to have second
opinions.”
— Jared Heyman, Founder, Crowdmed
“Wearable technology has changed the way we think
about healthy living. With more efforts being put into
understanding how our bodies respond to exercise,
we’ll continue to see fitness technology educate all
of us on how to live a more active lifestyle and take
control of our own health. The technology won’t
make us fit on its own, but it can monitor our
efforts and motivate us to make better choices in our
everyday lives.”
— Shannon Miller, President, Shannon Miller Lifestyle
“Once you start to understand your biometrics and
understand that they enrich your daily life in some
way, you’ll start to expect that the experience gets
richer and richer the more data you have.”
— Dr. Leslie Saxon, Founder and Executive Director,
USC Center for Body Computing
60% of Americans and 53% of UK wearable tech survey
respondents said that wearable tech “helps them feel
more in control of their lives.”
— Centre for Creative and Social Technology at
Goldsmiths University of London, ‘The Human Cloud:
Wearable Technology from Novelty to Productivity,’ 2013
Nearly 50% adults in the UK who self-track with
mobile devices say they’ve experienced strong
behavior change.
— Fitbit, ‘Fitbit Healthy Futures Report,’ 2013
HOLISTIC TRACKINGBEHAVIORAL NUDGE
“We see this huge gap that exists between intention and action—what
people think they’re doing, and what they’re actually doing—and
I think that transparency of seeing that starts to help people
understand what are the patterns that they thought they were
doing, and where can they make adjustments to live the life that
they really want to.”
THE FUTURE OF
HEALTH VIDEO
vimeo.com/psfk/foh
Travis Bogard,
VP Product Management &
Strategy at Jawbone
PULSE SENSOR MONITORS STRESS FOR
HOLISTIC HEALTH ANALYSES
California company Phyode launched the wearable W/Me band
that lets users monitor their autonomic nervous system (ANS) for
signs of illness or poor health devices and stress so that they can
regulate their actions accordingly. When a user places their finger
on the small metallic electrode plate on the band, a highly tuned
pulse sensor can monitor the subtle involuntary, visceral actions
of the internal organs, such as heartbeat and digestive processes.
The band uses its ‘Life Spectrum Analyzer’ sensor to collect data
and transmit it to the user’s smartphone. The data is compiled on
the user’s smartphone and provides them three metrics: mental
state, agility score, and ANS age. These scores reflect user’s heart
and breathing rates and creates composite scores that reflect
their emotional state, flexibility and perceived age due to stress.
www.phyode.com
HEADSET MONITORS BREATHING,
TEACHES NEW WAYS TO EXHALE STRESS
BreathResearch is focused on helping people monitor their
breathing as a way to reduce stress, optimize athletic performance,
lose weight and improve sleep. The company has been working in
California on research that analyzes ‘breath acoustics’, otherwise
known as the quality of one’s breathing. Each breathing sample
is compared against six different metrics as well as the overall
quality of the user’s breathing cycle. Combined with a mobile
app called MyBreath, the headset captures a user’s breathing,
analyzes the patterns, generates a breathing score and provides
recommendations on how to improve breathing habits. This
technology capitalizes on recent studies suggesting that breath
analysis can detect stress levels, bacterial infections, and other
conditions, as well as alleviate stress, asthma and other conditions.
www.breathresearch.com
HOLISTIC TRACKING

6
25%
of adults aged 25 to 44 said
motivational prompts through
their smartphone would have a
huge effect on their health choices.
— Fitbit, ‘Fitbit Healthy Futures Report,’
2013
John Pugh,
Global Innovation Leader at
“For people who choose to opt in and share
their privacy, there’s many different ways that
this data transaction could be seen. They open
the gate to that privacy and in return perhaps
they get lower insurance rates. They may get
access to preferential treatment or branded
medications rather than generic medications. As
you track more aspects of your life and these
transactions arise there could be a proliferation
of opportunities and options for you when it
comes to how you become insured.”
A reward-based model of preventative healthcare
is emerging to reward people for leading healthier
lifestyles. By leveraging data that measures a person’s
activity levels and other metrics, these services provide a
general personal health ranking. This baseline is used to
lower insurance premiums or provide other social
or emotional perks, all with the hope of cutting down
on the associated healthcare costs.
INCENTIVIZED
WELLNESS
INCENTIVIZED WELLNESSBEHAVIORAL NUDGE

7
SERVICE PROVIDES PERKS FOR
MAKING HEALTHIER CHOICES
The Vitality Group has a website for employers and
their health insurance providers that uses a series of
questions to recommend tasks to guide employees to
better health, while supplying rewards. The Chicago-
based company crafts health enhancement plans
that members can access online in order to track
their steps taken in a day, activities completed at the
gym, and general daily activity. Each member can set
health goals and work to achieve them using clinically
tested and approved activities. When a member
reaches a set goal, they are rewarded with incentives
such as iTunes gift cards, movie tickets, and hotel
stays. Rewarding healthy behavior defers the pleasure
from unhealthy activities to positive, regenerative
activities.
www.thevitalitygroup.com
DASHBOARD SYNCS WEARABLE
DEVICE DATA FOR COMMUNITY
GAMES
Movimento, a company from Silicon Valley is offering
a mobile game for smartphone users that lets them
view all of their fitness data and compete with friends
as they work towards better health and lower health
costs. Users can connect their Fitbit, Nike+ FuelBand
or Jawbone UP bracelet to the app and view data,
ranging from number of steps taken, miles walked
or their average amount of sleep. Users can then set
challenges for themselves or their peers using the
app to hold each other accountable for achieving
fitness goals. Movimento explores how doctors could
challenge their patients to make life changes that will
ultimately reduce their risk of health issues, in turn
lowering their insurance rates. While the service has
been using the metrics provided by wearable fitness
devices, the company aims to include more metrics
that can be used to incentivize users as they challenge
themselves and friends to become healthier.
www.movimento.co
RETAILER LINKS FITNESS ACTIVITIES TO
REWARDS, ENCOURAGING COMMUNITY
HEALTH
Shoppers at U.S. pharmacy chain Walgreens can participate in
an online and mobile community support platform that rewards
physical activity with points towards Walgreens purchases.
Members log their physical activities taken from fitness devices on
Walgreens’ online Steps with Balance Rewards Program website
and mobile application. In exchange for their physical activity,
customers earn loyalty reward points that can shave dollars and
cents off everyday Walgreens’ products. Since the end of 2013,
there are over 1 million active ‘Steps’ members interacting with
each other online, sharing stories and working towards badges
around each individual’s goals.
www.walgreens.com/steps
DASHBOARD TRACKS EXERCISE REGIME
FOR LOWER INSURANCE COSTS
A cloud-based health data dashboard platform from FwdHealth
in Chattanooga, Tennessee allows workplace managers to review
their employees’ exercise, diet and sleep patterns in the interest of
lowering health costs. FwdHealth users can connect their various
fitness apps to FwdHealth’s mobile application or website, and
then forward their data to their employers, who confer with
healthcare providers on how to provide the best, most affordable
healthcare plan for both parties. Employers can keep track of
progress using a dashboard to view their employees’ progress
and determine who is on track to meet their goals. Using the
data, employers can incentivize others to be healthier, and tailor
healthcare plans that cut out unnecessary costs. Using the data
collected, companies can submit the information to insurance
companies to further demonstrate that their employees are at a
lower health risk.
www.fwdhealth.co
BEHAVIORAL NUDGE

The Future Of
Health Video
vimeo.com/psfk/foh
SUPPORTING DATA
IMPLICATIONS
“As a doctor, I have to do continual medical education.
I have to do 52 hours every year of reading and
studies and tests and quizzes. It’s a requirement.
I think patients should have a similar type of
requirement. Or it should be an opt in and if they do
that, their insurance rates go down. I think healthcare
needs to start educating people about what’s going
on with their diagnosis. What it means. In a more
systematic and thoughtful way.”
— Dr. Jordan Shlain, Founder, Healthloop
“Numerous studies demonstrate that extrinsic
motivators are not nearly as powerful or sustainable
as their intrinsic counterpart, so incentivized wellness
programs that leverage extrinsic motivators to
jumpstart intrinsic motivation tend to be more
successful in terms of long-term behavioral changes
and health outcomes.”
— Shayne Wood, CEO, FwdHealth
“The science of behavioral economics has found that
when people are offered immediate incentives and
penalties to do the healthy thing, they are more likely
to make the right decision, sort of like having a swear
jar for healthy living.”
— Dr. Celine Grounder, Internist and Infectious
Diseases Specialist, Spencer Cox Center for Health
25% of adults aged 25 to 44 said motivational prompts
through their smartphone would have a huge effect
on their health choices.
— Fitbit, “Fitbit Healthy Futures Report,” 2013
“In 2014, we should begin to see compensation systems
based on positive health outcomes, rather than
procedures. All of these changes are predicated on
engaging the consumer and the healthcare system—
sometimes individually and sometimes together.”
— Paul Slavin, Chief Operating Officer, Everyday Health
70% of people in 8 countries around the world would
be willing to share data from [a] smart toilet if it
would mean lower healthcare costs.
— Intel, “What Information Are We Willing To Share To Improve
Healthcare?”, 2013
75% would be comfortable giving up information
gathered by a health monitor they could swallow.
— Intel, “What Information Are We Willing To Share To Improve
Healthcare?”, 2013
_ Where can brands leverage positive health and
wellness outcomes by meeting people with rewards
and incentives?
_ How can we create a marketplace of non-monetary
or emotional benefits that motivates members to
engage in healthier behaviors?
_ Can we create programs that benefit the workplace
improvements as well as employees’ overall health?
_ How do we ensure that people feel supported rather
than hassled by these incentive programs?
_ How can we use personalized incentives to reduce
a patient’s risk of missing treatment and maintain
adherence ?
_ How should insurance and healthcare companies
redistribute the costs saved from healthier lifestyle
choices back to the wider population?
Halle Tecco
Co-Founder & CEO.
Rock Health
“Patients have a lot more interest in being proactive about their own
care. One of the reasons, and one of the big drivers, is that we have
higher out-of-pocket costs. More of the burden is falling on the patient.
So they’re going to make sure that their biggest expense isn’t their
healthcare that year. They’re financially incentivized to stay healthy.”
COMMUNITY HAS MEMBERS PLACE
BETS ON WEIGHT LOSS SUCCESS
DietBetter is a social dieting game that allows individuals to place
bets on their weight loss, earning money if they win. There are
two main weight-loss programs: the Kickstarter, where users
pledge to lose 4% of their total weight in four weeks, and the
Transformer, where users pledge to lose 10% in six months.
Custom programs can be created and led by users themselves
or by celebrity trainers, like Jillian Michaels of NBC’s ‘The Biggest
Loser’. If a person fails, they must forfeit their money, with the
largest pot reaching $315,825 and growing. The NYC startup
hopes to simplify the motivations for people looking to lose
weight by simply providing cash rewards for people’s efforts and
gamifying the process. In 2013, $3 million was paid out to winners,
a total of 500,000 pounds was dropped among all players, and
96% of them lost weight.
www.dietbetter.com
ALGORITHM DIAGNOSES POPULATION TO
DETERMINE AT-RISK PATIENTS
Virginia-based population health management company Evolent
has designed a system that analyzes patients’ information to
determine high risk cases and recommend medical care that
will lower costs and the chance return visits. By partnering up
with hospitals, Evolent uses its Identiﬁ technology to continually
gather relevant patient records, demographic data and external
sources of information, which are compiled into an algorithm that
determines which patients in a population are most at risk. They
can in turn support providers by sharing insights about patients’
behaviors, including data that ranges from vital signs to whether
or not they processed their pharmacy orders.
www.evolenthealth.com
8 BEHAVIORAL NUDGE

9
GAME THERAPY
69%
John Pugh,
“One thing that wearable trackers can do is
change the way that we behave. Combine that
with gamification techniques and we can see
behavior changing towards a more positive
outcome. Applying motivational techniques to
mundane or ordinary processes to make them
more engaging, fulfilling and exciting, is a really
valid and interesting way of creating better
health outcomes.”
In a study examining the effects of
gaming on health outcomes, video
games improved
Gameplay and mechanics are being integrated into long
term treatment and recovery plans as ways to ensure
patient motivation and adherence. These hybrid therapies
are designed to turn repetitive, foreign and often difficult
tasks into fun activities, while helping patients and their
caregivers track progress over time.
— American Journal of Preventative
Medicine, “Role of Video Games in
Improving Health-Related Outcomes,”
2012
59%
50%
46%
42%
42%
37%
of psychological
therapy outcomes,
of physical therapy
outcomes,
of physical activity
outcomes,
of clinician skills
outcomes,
of health education
outcomes,
of pain distraction
outcomes, and
of disease self-
management
outcomes.
GAME THERAPYBEHAVIORAL NUDGE

10
EXERCISE EFFECTIVENESS
MONITORED BY GAME CONSOLES
The Pain Medicine Care Complex of the Children’s
National Medical Center in Washington, D.C. is looking
to streamline care by incorporating interactive games
played on motion sensing game consoles like Xbox
Kinect and Nintendo Wii into patient care. By playing
interactive games that use motion-reading sensors,
doctors are able to track up to 24 points on a patient’s
body. While gathering data on patients’ movements,
providers can review progress and monitor data
trends in real-time. The information gathered from
playing these games can effectively gauge specific
exercises’ effectiveness, allowing therapists to tailor
activities and eventually let patients guide their
own therapy remotely, thus lowering the costs of
care while increasing the benefit. The simple motion
tracking technology can help to expedite the correct
diagnoses of the difficult to identify Chronic Pain
Syndrome, as well as spawn games that are designed
to offer new treatments and can be performed in
patients’ homes.
bit.ly/1bUHfGn
DIABETES TREATED AS A GAME
MONSTER NEEDING TO BE TAMED
mySugr is a mobile app from Austria that helps
individuals living with diabetes manage their
condition by engaging in a game. Similar to the daily
logbook already kept by many diabetes patients,
the game portrays diabetes as a monster that can
be tamed simply by logging their blood sugar data
at regular intervals. When a patient logs their levels,
they receive points, which help tame the diabetes
monster. The goal is to tame the monster every day,
thus instilling habitual positive behaviors for the rest
of the user’s life. The app also has a photo-uploading
capability and search functionality so users can refer
back to previous meals to see how to make better
eating decisions. There is a companion app geared
towards children with diabetes, which allows parents
to follow along and monitor their child’s progress
using their smartphones.
www.mysugr.com
GAME THERAPY
MOBILE MONITOR PERSONALIZES
RUNS BASED ON CURRENT STAMINA
MY ASICS is a mobile application for running that
generates adaptive workouts based on the users’
stamina and offers tailored exercise routines as they
progress towards their running goals. MY ASICS logs
run time, distance, pace and gear, and represents the
data in a dashboard on the go and online, allowing
the user to plan future runs and improve their time.
The runner can either carry their phone with them as
they run, or log the data manually. Based on seven
years of training research at the ASICS Institute of
Sport Science in Kobe, Japan, the app uses a network
of algorithms that track improvements or setbacks in
order to customize workouts for each user’s abilities.
Using the MY ASICS app, 78% of runners were able to
achieve their goals, and 91% of professional runners
were able to improve their times.
www.myasics.us
GAME HELPS PATIENTS BRING THE FIGHT TO
CANCER, SPAWNING IMPROVED OUTCOMES
Re-Mission 2 is the second installation of a web-based game
where cancer patients can take part in fighting virtual cancer
cells, engaging them to form positive associations with the
real world treatments that they undergo. Players diagnosed
with cancer can compete in six free online missions that pit
patients against different types of body-invading cancer cells.
The missions parallel medical treatments that patients typically
undergo in their fight against cancer. The game leverages recent
research showing that the rewards gamers get for killing the
cancer invaders increase positive associations and emotions tied
to chemotherapy and antibiotic treatments all while increasing a
player’s adherence to treatment plans. The original Re-Mission,
first launched in 2006, reached almost 250,000 people, and the
new Re-Mission 2, released in April 2013, has already reached
more than 50,000 people worldwide
www.re-mission2.org
BEHAVIORAL NUDGE
GAME THERAPY

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
11
“People play games because they are engaging. We are
now starting to understand how games motivate us,
and how to use this motivation to change healthcare.”
— Roger Alitzer, Professor, University of Utah
“Even relatively short play experiences could motivate
healthy behavior change by making young cancer
patients feel more capable of fighting their cancer.
Based on these insights, HopeLab developed a “recipe”
for positive health behavior change through games:
boost positive emotion, increase self-efficacy, and shift
attitudes about cancer treatments.”
— Richard Tate, VP Communications & Marketing, HopeLab Inc.
_ What mental states are important for patients
to maintain during treatment, how can they be
supported in game play?
_ How can daily chronic care activities be made fun
using game mechanics?
_ Are there unhealthy behaviors that can be offset by
daily game usage, which in turn reinforce positive
actions?
_ How can personal profiles and data help to inform
personalized programs?
_ What entertaining activities can be repackaged for
patients and recovering survivors to alleviate their
discomfort and deliver a dose of enjoyment?
_ Can you incorporate social elements to help further
engage patients in treatment adherence or fitness
activities?
GAME THERAPY
“We see this huge gap that exists between intention and action—
what people think they’re doing, and what they’re actually doing—
and I think that transparency of seeing that starts to help people
understand what are the patterns that they thought they were doing,
and where can they make adjustments to live the life that they really
want to.”
PAINT PROGRAM GIVES DISABLED
CHILDREN A CHANCE TO EXPRESS
THEMSELVES
The Kinect Virtual Art Program at Flinders University
in Australia helps disabled children improve their
ability to express themselves while simultaneously
increasing their mobility. The unique art therapy
program used Microsoft Kinect’s motion sensing
technology to create a responsive video game for
children between the ages of 5 and 10 who cannot
communicate verbally. By moving their limbs in front
of the Kinect Sensor they were able to project simple
color line drawings and express themselves using
movement. Different colors correspond to each limb,
allowing researchers to track and study movement
over the course of subsequent sessions. 80% of the
study’s participants showed increased movement and
increased enjoyment after using the game.
www.flinders.edu.au
www.hollandbloorview.ca
bit.ly/1bUOVIO
HAND-HELD SENSOR DETECTS
STRESS AND TEACHES USERS HOW
TO CONTROL IT
The PIP, is a hand-held device that lets users
compete with one another in games geared toward
reducing stress and increasing relaxation. Irish
company Galvanic Ltd. created the small device that
when gripped between the thumb and foreﬁnger,
measures the sweat triggered by the body in stressful
situations. This data is relayed via Bluetooth to the PIP
mobile application, where users are prompted to play
a short game on their device in order to relax. The
app houses a series of games that challenge users
to master their relaxation by learning to be calm in
stressful situations. One such game, called Relax &
Race, can be played between two players and is won
by whomever relaxes the most. The device hopes to
help users quickly understand when they are stressed
and give them tools to realx.
kck.st/1bMlZ0i
www.galvanic.ie
BEHAVIORAL NUDGE
GAME THERAPY
Dr. Samir Damani
Founder & CEO at MD
Revolution Inc.

www.psfk.com/future-of-health / #FutureOfHealth
EMPOWERED
PATIENT
DIY
DIAGNOSIS
CARE
GUIDANCE
SOCIAL SUPPORT
COMMUNITIES

Armed with a greater degree of knowledge about
their lifestyles and conditions, people are taking a
more central role in determining when they interact
with the healthcare system and how their care
is delivered. Patients are being empowered with
technologies and social communities that enable
them to gather valuable advice or self-diagnose
before visiting a medical professional. As a result,
patients are better prepared to collaborate with their
doctors during these consultations which can be
further supported by guidance around individual
treatment plans to ensure optimal outcomes.
EMPOWERED
PATIENT
— DIY Diagnosis
— Care Guidance
— Social Support Communities

14
DIY DIAGNOSIS
of respondents said they used
[health information] websites or
technology as often as they visit
their doctor and about the same
number said they used it instead
of visiting their doctor.
— Royal Philips Electronics, “Consumer
Attitudes Toward HealthCare
Technology,” 2012
25%“What happens when we don’t need the
doctor anymore? What happens when it
can be self-diagnosis, when a machine
can diagnose us or when a program
can detect things and say, ‘Do you know
what? You’ve got high blood pressure.
You need to take this product here or this
medication here or make this lifestyle
change there.’”
John Pugh
Consumer facing health technologies, are enabling people
to analyze their symptoms or conditions to ascertain
diagnoses. This information, which combines sensor
technologies with mobile applications, can be used to
determine the best treatment options or whether a doctor’s
visit is required.
DIY DIAGNOSISEMPOWERED PATIENT

15
THERMOMETER SYNCS WITH
LOCAL ILLNESS MAP
NYC company Kinsa has developed
an oral thermometer that connects to
the user’s smartphone, capturing their
temperature and mapping out other
recorded symptoms and illnesses nearby.
The device is like a regular thermometer
using the headphone jack of an iPhone
to transmit the temperature data to the
mobile application. The application is able
to compile a personal illness history as
well as see the local ‘health weather’ that
show user what illnesses are in the area
that may be afﬂicting them too. Users are
able to create groups based on close-knit
friends, family and co-workers to keep
track on their health or track the origin of
sickness. When used in scale the device
can give a greater level of certainty of
what illness they may have, and can guide
users to a doctor or self-medicate for less
severe illnesses.
www.kinsahealth.com
MICRO DEVICE OFFERS
ALWAYS-ON HEALTH TRACKING
The Scanadu Scout from Silicon Valley is a handheld device that
can capture vital signs and relay them to a mobile phone for
tracking and monitoring. By holding the Scout device to a temple
with foreﬁnger and thumb, users can scan for body temperature,
oxygen levels and heartbeat, with EKGs, EEGs, and blood-pressure
measurements among other health telltales. Since the round
plastic handheld scanner does not have a screen, it relates data
to its companion mobile app to visualize the measurements. The
creators hope that the device’s small size will increase the tracking
of health in such a way that anyone can use it to notice trends on a
daily basis. Medical professionals and nonprofessionals could also
use the tool to regularly check vitals during illnesses.
www.scanadu.com/scout
DIY DIAGNOSIS
APP SCANS URINE TO DETECT
A MULTITUDE OF DISEASES
uChek is a mobile application that allows anyone
to easily check their urine for signs of a number
of diseases. Created by Mumbai-based Myshkin
Ingawale, the app aims to replace invasive blood tests
and the large, expensive machines are currently used
to scan urine samples, putting the power of diagnosis
in the hands of consumers. For $20, patients can
download the app and receive a pack of chemical
strips that change color when dipped into a urine
sample. After a picture of the strip is taken with a
smartphone, the app quickly analyzes the results
based on the color of the strip, producing accurate and
easy-to-understand results. The process is capable of
detecting 10 different key parameters and levels of
glucose, proteins and nitrites, that can indicate the
presence of 25 different medical conditions. Mobile
urine checking could facilitate medical help in regions
where on-site testing resources are limited, as well as
allow patients to accurately diagnose themselves.
www.uchek.in
CHECK-UP BY SMARTPHONE AIMS TO
ESTABLISH REMOTE DIAGNOSISING
The Health eHeart is a University of California a study
investigating how mobile technology can track and
detect cardiovascular disease more easily. The study
offers participants a range of smartphone enabled
devices that can easily track blood pressure, heart
rate, ECG, sleep patterns, and irregular heartbeats
while leveraging the GPS, camera and other
capabilities on users’ phones. Researchers receive
participant information on their screens, which
allows for more frequent data collection and remote
real-time analysis to quickly generate insights from
doctors and patients themselves. The study hopes to
validate the functionality of using digital phones and
connected commercial devices for remote diagnosis.
www.health-eheartstudy.org
EMPOWERED PATIENT
DIY DIAGNOSIS

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
16
_ What are the next wave of simple diagnostics tools
and tests that people will come to expect?
_ What are the best methods for guiding people
through medical diagnosis processes?
_ How do these technologies connect with verified
information sources to help alleviate concern about
conditions?
_ Can you create an all-in-one resource for your
customers around common conditions?
_ How can features from consumer technologies be
adapted to offer a ‘good enough’ level of diagnosis?
_ How can you connect appropriate healthcare
providers with the information patients collect
during their self-diagnosis?
“Hacked by evolution, healthcare it will become a
more efficient version of itself, one where the patient
will be discovered as the most underused resource.
The grand theory of diagnosis will welcome new
players next to doctors: machines, algorithms, patient
advocacy communities and the crowd. For centuries
we have been reading our health, now we will start
writing it; changing it in real time, with mobile input.
This Cambrian Revolution of medical devices and
apps is the straw that will break the camel’s back.
Instead of us watching our health all the time, it will
be watching us.”
— Walter De Brouwer, Founder and CEO, Scanadu
“We are really moving from a doctor-centric
society to a patient-centric society. We are trying
to give people control.”
— Samir Damani, Founder, MD Revolution Inc.
“There is a huge appetite for self-diagnostics. It has
the potential to reduce the cost of care and make
healthcare more effective.”
— Alan Hirzel, London Partner, Bain & Co.
1 in 10 Americans (11%) surveyed believe that if it were
not for web-based health information, ‘they might
already be dead or severely incapacitated.’
— Royal Philips Electronics, “Consumer Attitudes Toward Health
Care Technology,” 2012
“For years now, industry stakeholders have
championed the notion of managing their patient
population. As a patient, you were just along for
the ride when it came to having 24/7 access to your
personal health data. But recently, we have begun
to see a seismic shift from this school of thought.
Patients now demand to be empowered and a part of
the process.”
— Shayne Wood, CEO, FwdHealth
DIY DIAGNOSIS
“The data that’s being produced is data about what we do -- how
we sleep, how we eat, how exercise. We need to invite the scientific
world and the medical world to look at this data and give
meaning to the data that individuals are producing. If somebody’s
been less active, telling them they need to be more active. Not just
saying, “Walk more steps,” but how many more steps, and why.
Furthermore, the data needs to come into a platform that can give
meaning to the person with personalized coaching, based on that
data coming in.”
NANO-CHIP OFFERS DIAGNOSES
IN UNDER AN HOUR
Nanobiosym in Cambridge, MA created a disease
detection gadget called Gene-RADAR that delivers
diagnoses directly to patients in under an hour. To
initiate the test, users can place a sample of their
blood, saliva, or other bodily fluid on a nano-chip
and insert it into the book-sized device. The device’s
customizable sensing technology identifies a variety
of pathogens, and is capable of detecting HIV/
AIDS in under an hour. The device does not require
a connected electricity source or running water to
function, meaning that it could be used by anyone at
home or in developing countries where infrastructure
cannot otherwise support this type of analysis. In
the future, founder Anita Goel hopes that the device
would not only determine disease in a fraction of the
time, but would also be available for many areas in
need.
www.nanobiosym.com
WATCH ALERTS WEARER’S DOCTOR
OF IMMINENT HEART ATTACKS
Tel Aviv company Oxitone created a blood oxygen rate
monitor that tracks oxygen saturation in the blood as
a means of predicting heart attacks. Extreme changes
in oxygen levels may cause organ failure and cardiac
arrest, especially in older and at-risk patients. The
Oxitone monitor can be worn like a wristwatch and
comes with a Bluetooth-enabled mobile application
that analyzes blood oxygen levels and pulse rate,
feeding it back to the patient’s doctor, allowing both
parties to prepare in case of an emergency. Unlike the
finger clamp, which is usually used to monitor blood
oxygen levels, the Oxitone band fits unobtrusively into
the wearer’s life while providing a constant stream of
data. The form and location of the device could help
patients monitor their health more frequently and
notice changes that add stress to their cardiovascular
system.
www.oxitone.com
EMPOWERED PATIENT
DIY DIAGNOSIS
Jared Heyman
Founder. Crowdmed

17
CARE GUIDANCE
“Care delivery will become increasingly
dependent upon the preference of patients
as models evolve to deliver integrated
health information across markets,
devices and network systems. This will
transform point of care experience, and
enable various paths within the patient
journey. Opportunities will grow within
alternative self care and tele care as
compliance and regulation evolve.
Patients will have a choice beyond and in
addition to the face to face experience.”
of seniors say they want to com-
municate with their doctors by
e-mail, but only 15% say they can.
— Accenture, “Silver Surfers are
Catching the eHealth Wave,” 2013
Sanskriti Thakur,
Director, US
Marketing Innovation
& Operations at
58%
Patient-centered services are helping individuals better
navigate through the healthcare system before, during
and after their treatments. These personalized tools are
designed to provide people with the right information
as they need it, explaining available options, preparing them
for upcoming procedures and ensuring adherence
to necessary steps afterwards to ensure a better
end-to-end experience.
CARE GUIDANCE17EMPOWERED PATIENT

18
FREE ONLINE SERVICE DELIVERS
PERSONALIZED MEDICAL INFORMATION
Medivizor is a digital service that provides chronic illness patients
and caregivers with information updates tailored to their specific
need. After patients complete the registration and describe
their condition, the service promises to deliver curated news
about clinical trials, treatment providers, research studies, and
lifestyle tips, that are relevant, understandable, and actionable to
enable patients to create their own treatment plans. The service
currently offers information on 373 medical conditions, covering
88% of cancer incidents, all of diabetes incidents, and 75% of
cardiovascular disease incidents. The New York based company
hopes to cut down some of the legwork for patients and caretakers
who must wade through a daunting sea of resources to find the
right care information. Having an automated service with tailored
updates eases stresses, empowers decision-making, and saves
subscribers massive amounts of time and energy, which can be
used to concentrate on recovery. A few thousand people have
signed up for Medivizor, which has been in public beta since 2013;
of those signed up, 94% of users recommended Medivizor to a
sick family member or friend.
www.medivizor.com
OUTPATIENT SERVICE
MATCHES PATIENTS WITH
AFTERCARE
Careport is a web-based tool that helps
patients find quality post-acute care that
suits their needs as they are released
from hospitalization. As many patients
discharged from hospitals still require
a number of specific rehabilitation and
treatment services, they often have
difficulty finding the right provider
in the short amount of time allowed.
The Careport platform connects with
hospitals so that patients can easily
search for and compare care providers,
relaying information between the hospital
and post-care center to ensure proper
care. The centralized service opens up
communication between the hospitals,
care providers, and patients, simplifying
an otherwise complicated and confusing
process. With the provider fitted to their
care needs, patients will have less chance
of complications and expensive hospital
readmission.
www.careporthealth.com
CARE GUIDANCE
PATIENTS FAMILIARIZE THEMSELVES
WITH SURGERY THROUGH VIRTUAL
PROCEDURES
UK-based company Kinosis created the Touchsurgery
mobile app, which walks patients through their
procedures with interactive 3D visualization, easing
pre-op anxiety. The developers, surgical residents
themselves, initially intended the app as an educa-
tional tool for other surgeons-in-training. The app
is free to download for patients curious about what
they will be facing. Patients choose their procedure,
bringing them to an extremely detailed simulation,
where they are free to use virtual surgical tools to
poke and cut their way through organs with the
app providing feedback. Because most patients
are unfamiliar with surgical procedures, and people
generally experience stress going into unknown and
risky situations, the app aims to calm their fears
through desensitization. The app could make patients
feel more confident, retain a healthier mental state,
and even recover faster.
www.touch-surgery.com
HOSPITAL HANDLES PATIENTS’ VISITS
WITH MOBILE PATIENT GUIDE
The Seoul National University Bundang Hospital is
a “smart hospital” offering a companion mobile app
called ‘Patient Guide’ to visitors upon entry. The app
was created in collaboration with SK Telecom to
provide patients access to a multitude of IT-based
medical services throughout their visit. As the patient
enters the hospital, the app will handle the check-
in process by pulling up patient records, scheduled
appointments, expected waiting time, and costs.
A GPS-based 3D map is also available to guide the
patient to their appointment or next point-of-care. At
the end of their visit, patients can pay their bill with
the app as well. By incorporating familiar consumer
technology with the patient support experience,
the hospital wants to help patients gather more
information on their visits, creating a more pleasant,
empowered experience.
www.snubh.org
EMPOWERED PATIENT
CARE GUIDANCE

IMPLICATIONS
19
SUPPORTING DATA
“You can go into a hospital and now your smartphone
is going to say turn right or turn left or you’re
supposed to go to this appointment. By the time
you sit down with your doctor, he will have all the
information in front of him and he will be able to
make your time more valuable. All of this will have
significant impact on the way that people experience
healthcare.”
— David Medina, Senior Manager, Business Model & HealthCare
Innovation at Boehringer Ingelheim
“The most extraordinary change we are living through
in healthcare is the role of the patient in healthcare.
The patient is empowered with information and
can have tools to access that information anytime,
anywhere, and share it with their physician. They
are overcoming the silos we have in healthcare; the
patient can now be providing critical information
to their providers for the right diagnosis, the right
treatment and doing so with no errors.”
— Dr. Bettina Experton. President & CEO, Humetrix
“The trend in contextualized care has been driven
by patients empowered with greater access to
information through ubiquitous devices and online
patient services. Research studies have shown that
patients want more information from their healthcare
provider and physician.”
— Jean Nehme, CEO & Founder, Touch Surgery
“Information empowers the patient to better
understand their disease, operation and reduce
their anxiety. We believe this is linked to improved
compliance and ultimately better outcomes.”
— Jean Nheme, CEO & Founder, Touch Surgery
“Current healthcare reform is driving demand for
innovative products and services that people can
manage themselves. Consumer electronics companies
are paying close attention to the rise of a young,
dynamic market for connected health and wellness
devices. As a result, these products allow healthcare
providers to engage with their patients more
effectively and help consumers better self-manage their
own care needs.”
— Gary Shapiro, President and CEO, CEA
“Although a personal wearable device is certainly
a trend, it does not necessarily replace good old
fashioned face-to-face meetings. We see it as a way to
augment care.”
— Nick Martin, VP Innovation and Research,
UnitedHealth Group Inc.
_ At what points during a person’s day can you
meet them with relevant questions and advice to
help them better manage ongoing symptoms and
conditions?
_ How can you further personalize this information
to ensure that every individual is receiving the most
relevant information?
_ How can you relay this information in a way that
is both actionable and easy to understand?
_ Are their opportunities to connect patients with
live support to have their questions and concerns
answered?
_ How can these platforms be used to facilitate
feedback between patients and key stakeholders in
their care?
CARE GUIDANCE
ONLINE PLATFORM LETS PATIENTS
COMPARE AND SHOP FOR HOSPITAL
PROCEDURES
Indian company Medeel is providing a digital service
that allows patients in need of surgical procedures
to choose the best package from different hospitals.
After registering on Medeel, patients their request
speciﬁc treatment upload medical documentation. In
a few days, hospitals will respond with their treatment
offers with details and pricing. Once the patient
accepts an offer, they will be directly connected
with the hospital and make an appointment. Medeel
partners with hospitals so they can approach patients
with tailored, priced procedure packages, allowing
patients to get a scope of their realistic options
and make empowered, cost-effective decisions. The
company hopes that by offering a comparison model
of care that not only rewards transparency but also
price competition among hospitals, patients will
beneﬁt from lower prices and receive better quality
care.
www.medeel.com
DOCTORS SEND TO-DOS TO
PATIENTS’ SMARTPHONES FOR
HOME RECOVERY
Wellframe is a mobile app that allows doctors to
remotely track and help chronic illness patients’
recovery at home. Once a patient is discharged from
the hospital, they will continue to engage with their
doctor by checking off daily, personalized to-do
lists sent to their smartphone. The doctor receives
the patient’s information on a digital dashboard,
and can provide feedback accordingly. This way, the
doctor saves time in instructing and monitoring the
patient’s adherence between visits, and the patient
can independently and accurately follow their after-
care regime.
www.wellfra.me
EMPOWERED PATIENT
CARE GUIDANCE

20
SOCIAL SUPPORT
COMMUNITIES
37
“The patient experience will change as we become
more connected, even on a more fundamental
level. In sharing this information people will
have a significant impact on how things are
approached and how we do things. The fact that
we can share information, that we can connect
online and talk about what people think about a
doctor, or what they think about a hospital will
all affect our decisions and thought process.”
of consumers have used social me-
dia to access health-related con-
sumer reviews (e.g. of treatments
or physicians). Nearly 30% have
supported a health cause, 25% have
posted about their health experi-
ence, and 20% have joined a health
forum or community.
— PWC Health Research Institute,
“Social Media ‘Likes’ Healthcare,” 2012
Dr. David
Medina Tato
Senior Manager,
Business Model &
HealthCare Innovation
at Boehringer Ingelheim
42%
Patients are using niche social networks for those with
similar health-related conditions as a way to
share treatment advice and emotional support.
Beyond supporting one another, these communities can
serve as a valuable resource for medical professionals
looking to understand the effectiveness of therapies and
medications on a wider population as many of these
issues only impact a small number of people who are
geographically dispersed.
SOCIAL SUPPORT COMMUNITIESEMPOWERED PATIENT

21
CANCER SUFFERERS FIND OTHERS
LIKE THEM FOR SUPPORT
IHadCancer.com is a peer-to-peer cancer support
community based in NYC aiming to combat the feeling
of isolation that comes with a cancer diagnosis. The
site features a search engine where patients and their
loved ones can browse others’ profiles and filter by
traits such as age, year diagnosed, type of cancer,
and location to find people with similar experiences.
As cancer patients may often feel misunderstood,
sometimes even by other cancer patients and caring
friends and family, they are much more likely to
experience emotional instability, exacerbating the
effects of their cancer. To make the search easier,
users identify themselves with one of three statuses:
Fighter—patient diagnosed with cancer, Survivor—
person who overcame their cancer, or Supporter—
caregiver of someone with cancer.
www.ihadcancer.com
SOCIAL MEDIA PLATFORM
OVERCOMES STIGMATIZATION OF
DISEASES WHILE ENCOURAGING
SHARING AND FUELING DISCUSSIONS
Researchers at the Center for Behavioral and Addiction
Medicine at UCLA conducted studies to examine
whether gay African-American and Latino men would
use social media groups to get more information
about HIV. Study participants were divided into two
Facebook groups, one for general health information,
and another for HIV prevention education. The HIV
prevention group fostered more actionable results
for the members, while the general health group was
a way to share stories and experiences. The study
achieved its goal of encouraging the men to take
action and order an at-home HIV testing kit, with
members in the prevention group having an 11-times
higher likelihood of requesting a testing kit.
www.uclahealth.org
SOCIAL SUPPORT COMMUNITIES
PEOPLE MAKE PACTS IN MOBILE
GAME TO HOLD EACH OTHER ACCOUNTABLE
FOR BAD HABITS
Social Rehub, a Romanian startup, has a mobile gaming application
that incentivizes friends to kick bad habits by making them pay
when they backslide. Users download the app, input their bad
habit, and invite their friends to join them as they collectively
keep their respective habits in check. Each time a person engages
in their bad habit the app charges them money that is placed in
a ‘tip jar’. The money can then be used by the offender’s friends
for a treat or be given to a charity. When they do not partake
in their habit, the tip jar amount remains the same. Friends are
encouraged to take a picture when they catch one another in the
act and share with the group as proof and further disincentive.
www.socialrehub.com
A SOCIAL NETWORK FOR
FITNESS CONNECTS
MEMBERS THROUGH
EXPERIENCES
Cody is a mobile fitness app that takes
an experience-based, social approach
to help users reach their goals. Unlike
most popular fitness apps that focus on
metrics and measured tracking for fitness
fanatics, Cody opens up opportunities
for discovery, community, and enjoyment
for the average person. Users can share
their goals, connect with other users for
encouragement, choose workout plans
with groups, as well as post their workout
status, photos, and locations. Developers
also hope to analyze user activity to
push personalized content down the
road. While there are many fitness apps
that help users gauge their exercise
with numbers, Cody will allow users to
bank on the psychological rewards of a
connected workout lifestyle. Since there
is no pressure to make numbers, users are
free to self-motivate by simply enjoying
the fitness experience.
www.codyapp.com
EMPOWERED PATIENT

IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
SUPPORTING DATA
“In the generation of Facebook, Twitter, social media,
and blogs, patients expect to be able to tap into
knowledge from a broader range of sources. Whereas
in years prior, a patient might just view their doctor
as the sole source of information. But now, people
expect to have lots of sources of information, and less
reliance on individual experts. The physician, now,
is more of a partner with the patient, and it’s less
top-down than it was in the past.”
“‘I think that the biggest benefit for the health industry
is that gathering data on large populations, data that
is collected in the same manner but for everybody,
will help find new cures and new solutions—only by
analyzing that data, by crowdsourcing solutions. The
fact that you are not relying on subjective expression
of individual problems, but measuring it in the same
way for a large population is a means for creating
really a collective intelligence which could change lots
of things in the way to solve problems.”
— Rafi Hadajilan, Founder & CEO, Sen.se
“Patient-to-patient relationships can break down a
lot of those formal barriers that exist in healthcare.
They understand each other better, and feel more
comfortable asking more questions. I believe that
online communities create 24/7 healthcare, and
really give the patients the opportunity to become
empowered.”
— Faith Busch, Manager, Global Digital Innovation at
“I think that ‘social support’ only scratches the surface.
I think mobile and peer-to-peer technology can allow
us to fundamentally change what it means to be a
patient. Living with an incurable condition means
you have to become an experimenter—an experimenter
in learning what treatments work for you.”
— Sean Ahrens, Founder, Crohnology
“‘Crowds’ are much wiser than individual experts,
and intellectually diverse crowds tend to be wiser
than intellectually homogeneous ones.”
About one-third of Americans who go online to
research their health currently use social networks to
find fellow patients and discuss their conditions.
— iCrossing, “How America Searches: Health and Wellness,”
2008
_ How can providers connect patients to others with
similar conditions?
_ What existing social matchmaking services could
be used?
_ What questions can peers and social communities
answer to alleviate demand for care from
healthcare providers?
_ How can mobile phones be used to help track both
good and bad behaviors, and to keep patients
accountable for their actions?
_ What tools can be added to these platforms to
ensure confidentiality and security around shared
data?
_ How can these platforms further act as a resource
for the healthcare community?
_ How can insurance companies connect with
communities to offer incentives that reduce the
overall number of doctor visits?
“I think innovation will certainly come from the people themselves.
Give them medical devices and give them access to medical
literature and their own body. They will probably rewrite the map
of the territory that is medicine. We’ll have an all different sort of
medicine, where you can ask your neighbor and your friend about
what you should do, and who’s the best doctor, and what did you
do when you did this. My trust is in the wisdom of the crowd to
make an alternative form of what we now have as medicine in
healthcare.”
PATIENTS CONNECT AROUND CHRONIC
DISEASE TO SHARE EFFECTIVE TREATMENTS
Crohnology.com is a social network started by Healthy Labs in
San Francisco that helps individuals living with Crohn’s disease, a
chronic inflammation of the bowels, better manage their own care
while sharing best practices. Anyone managing Crohn’s, colitis, or
other types of inflammatory bowel conditions can join the site to
track their day-to-day conditions and recount solutions that have
worked for them. Users enter their medical histories on the site
and track them hour by hour via text. Patient data is compiled
and then visualized as a graph that can be easily understood.
In addition to being a supportive community, Crohnology could
help Crohn’s and colitis patients lower their medical costs by
empowering them with the knowledge of what treatment is best
for them. Patients can also earn ‘karma points’ for answering
surveys and initiating polls on the website that provide valuable
feedback for healthcare providers and medical companies.
www.crohnology.com
ONLINE COMMUNITY AMPLIFIES
PATIENT-TO-PATIENT CONNECTIONS
Smart Patients Inc. out of Silicon Valley has created an online
community and information database for cancer patients and
their caregivers. By signing up for free on the website and joining
the community, patients can use the search engine to find the
latest clinical trials, treatment plans, or existing research on their
condition, regardless of the cancer they have been diagnosed
with. The site hopes to empower its users about their condition
and a support network to help them face the challenges of
treatment as they try to find a path to being a cancer survivor.
www.smartpatients.com
22 EMPOWERED PATIENT
Walter DeBrowouer
CEO, Scanadu

ORCHESTRATED
CARE
REMOTE
HOUSE CALLS
DATA-DRIVEN
TREATMENTS
PHYSCIAN-
TO-PHYSCIAN
NETWORK
CLOUD-POWERED
MEDICAL RECORDS

Healthcare providers are using new technologies,
social platforms and data systems to streamline the
way information is disseminated and accessed to
deliver a more personalized and distributed model of
care.
Secure networks are offering a new ‘commons’
for doctors to share research and advice around
conditions that fall outside of their expertise, while
analytics tools interpret patient data to further
support these decisions.
Similarly, digital platforms have evolved to ease
the communication between doctors, patients and
different medical personnel to ensure that records,
treatment plans and face-to-face guidance is readily
accessible, cutting down inefficiencies and mistakes.
ORCHESTRATED
CARE
— Remote House Calls
— Cloud-Powered Medical Records
— Physician-to-Physician Networks
— Data-Driven Treatments

25
REMOTE HOUSE CALLS
160 million
“With the emergence of a virtual relationship with
a physician, it means that we’re going to be able
to have a relationship with a physician which is
more regular, it’s more consistent, but it’s much
more resource friendly. From the patient’s point
of view it’s going to be more convenient. It’s going
to be much more timely. From the healthcare
system it’s going to be cheaper. It’s going to be
more accurate as we have more decision making
resources behind it. It should eventually lead to
better outcomes, better health.”
patients in the U.S. will be moni-
tored and treated remotely for at
least one chronic condition by 2020.
— Kelly Outsourcing & Consulting Group,
“Medical Devices Begin to Drift Into
Cloud,” 2011
John Pugh
Global Innovation
Leader at
Remote communications platforms are offering more
ways for patients to get in touch with physicians and other
healthcare experts for medical advice and checkups. When
paired with video and other connected technologies, these
appointments can offer a ‘good enough’ level of care, which
can lead to in-person visits if required.
REMOTE HOUSE CALLSORCHESTRATED CARE

26
PRIVATE PODS OFFER ON-DEMAND
CARE
Ohio healthcare innovation company HealthSpot
has created kiosks that are private, walk-in pods
that offer a range of primary care options without
an appointment. All a patient must do is input their
personal information into a digital clipboard, answer
preliminary questions, and then they can speak to
a doctor over video chat. The kiosks have high-
definition video and audio technology to increase
diagnostic abilities. The doctor can provide advice
and even write prescriptions, which can be sent to
a pharmacy of the patient’s choice. The closed-roof
kiosks are enabled with diagnostic tools, from tongue
depressors to odometers, and have the capacity to
stream information to doctors immediately for no
cost and a minimum wait time.
www.healthspot.net
DOCTORS CONNECT TO
EMPLOYEES WITH APPOINTMENTS
ARRANGED ANYWHERE
Employees can now locate and consult with a doctor
about their symptoms or healthcare plans anytime
—on a platform hosted by NYC-based company
Sherpaa. Employers contract Sherpaa’s service to
allow their employees to communicate with doctors
24/7, either via text or email. Employees can also
upload images of their conditions or briefly describe
their problems on Sherpaa.com, and a doctor will
respond with advice and/or a prescription. Doctors
can even meet individuals wherever most convenient,
be it their home, office, or even their local coffee
shop. Sherpaa also offers employers on-the-spot
advice and consultation when an employee gets sick
or injured on the job that can reduce costs and ensure
quicker treatment.
www.sherpaa.com
REMOTE HOUSE CALLS
CHAIR MONITORS HEALTH
AND SENDS VITAL
STATISTICS TO DOCTORS
Electronics manufacturer Sharp has
created a healthcare support chair
that allows for remote counseling
from healthcare providers. Using
compact health measurement devices,
the chair can record weight, blood
pressure, temperature and other health
measurements for users. The chair
is surrounded by three video screen
displays that show health statistics or
can be connected to remote healthcare
professionals for video consultation
sessions. Although the chair is designed
for people who aren’t necessarily ill, but are
interested in maintaining their health, the
chair can securely store health statistics
in the cloud to note health changes over
time. Sharp believes that the chairs could
be placed at frequently visited sites for
people to quickly check their health and
get advice on staying healthy, rather than
only visiting a doctor’s office when they
are in need of help.
www.sharp.co.jp
MENTAL HEALTH PROFESSIONALS MEET
REMOTE PATIENTS
TalkSession is a NYC-based company that connects people online
who are struggling with psychiatric issues to professionals who
can help, no matter where the patient is located. Individuals who
cannot easily find help due to their location or condition can sign
up on TalkSession and start looking for an appropriate medical
professional according to location, insurance, and availability.
Similar to a regular doctor’s office, patients fill a simple form and
answer questions, and are quickly matched to treatment in their
area, saving them from having to spend time searching or traveling
long distances. Additionally, patients can access professionals
online while remaining anonymous, should they want on-demand
access or to maintain their privacy. By October 2013, over 1000
professionals have applied to the TalkSession network, and over
5000 users have ‘reserved’ a therapist.
www.talksession.com
ORCHESTRATED CARE
REMOTE HOUSE CALLS

IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
27
SUPPORTING DATA
“I think in the future, there may come a point where
you can actually have a video appointment with a
patient, rather than them driving an hour, coming
into your office, sitting for an hour, and then seeing
you for five minutes. If it’s something that’s relatively
simple, combined with other technologies, you could
have a mobile monitor to get vitals, heart rates and
other data points that you need, and just have a
video call with your patient. Seeing what’s going on,
adjusting their medications, looking at their insulin
pump and making changes that you really don’t need
to have them physically in the office for in order to
make.”
— Dr. Tracy-Ann Moo, MD, Weill Cornell Medical College
“We believe [telemedicine] is the future of healthcare.
There’s a hunger for technology on the part of
patients. They want to have care givers at their
fingertips.”
— Corky Davis, COO, HealthNetConnect
In 2020, at least 160 million patients in the U.S. will
be monitored and treated remotely for at least one
chronic condition.
— Kelly Outsourcing & Consulting Group, “Medical Devices Begin
to Drift Into Cloud,” 2011
“2014 will be a year when doctors and patients begin to
embrace the efficiencies and viability of telemedicine
for the management of both acute and chronic illness.”
— Dr. Travis Stork, Chairman of the Medical Advisory
Board, MDLIVE
“Remote house calls create the opportunity to provide
patients with care at the time and place they need
it most, and further mitigates the risk of lack of
adherence, not seeking help at all, recall bias and
worsening of conditions.”
— Melissa Thompson, CEO & Founder, TalkSession
One in five Americans will suffer from a mental
health challenge or neurological disorder at some
point in their lives, but two-thirds of those people
will never seek treatment.
— Substance Abuse and Mental Health Services Administration,
“Results from the 2010 National Survey on Drug Use and
Health: Mental Health Findings,” 2010
_ How can medical professionals use existing
communication channels to help provide care to
underserved areas?
_ Can consumer technologies be used to connect
general practice technicians with both patients and
specialists to enable a more distributed model of
care?
_ How do emerging diagnostics and monitoring
technologies fit within this remote system of
healthcare?
_ What impact does this have on environments like
pharmacies and other where patients can go to
receive care?
_ How can healthcare companies organize a range of
on-demand providers to enable them to deliver an
accurate and timely level of remote care?
_ What impact do these virtual check-ins in have on
current healthcare plans in terms of pricing and
access?
REMOTE HOUSE CALLS
“Right now, the traditional model is: you see a doctor
three times a year, and communication with your doctor
is confined to those little exam room visits. It’s nonsense.
Healthcare is a conversation. It’s not just an exam room.
If we can say all right, the conversation can happen on
your own terms and on your own time throughout the
year, then that totally, fundamentally changes everything.”Dr. Jay Parkinson,
Co-Founder & CEO.
Sherpaa
HEALTHCARE WEBSITE CLOSES THE GAP
BETWEEN PATIENTS AND SPECIALISTS
San Francisco-based Grand Rounds Inc. is offering a fee-for-
service healthcare platform that connects people suffering
from difficult diseases to medical specialists, regardless of their
location or time zone. Companies can contract the service for their
employees, or individuals can sign up online for either a remote
consultation or an in-person visit, then a physician will respond
with advice based on the latest scientific research. Once signed
up, both individuals and employees will receive expert opinions
and guidance on over 5,000 conditions, including but not limited
to different types of cancers. By seeking help from experts in the
early stages of an issue, individuals are immediately directed to
specialized care, avoiding potentially expensive middlemen.
www.grandroundshealth.com
SITE LETS PATIENTS ANONYMOUSLY
CONNECT WITH A DERMATOLOGIST
German company Goderma lets people consult doctors on skin
conditions quickly and anonymously without ever having to wait
for an appointment. For $39, users answer a series of questions
and upload images of their skin problem to the Goderma website,
then within 48 hours, a certified dermatologist responds with a
diagnosis and advice on next steps. Armed with this information,
patients can make an appointment with their dermatologist or
decide to wait, if they feel reassured. The process can help people
avoid any possible embarrassment they might feel when visiting
the doctor along with long wait times for appointments. In the
dermatology field, up to 90% of skin problems can be successfully
diagnosed via photo analysis by a trained dermatologist. In
Germany, the average waiting time for an appointment at the
dermatologist is 30 days, while patients in rural areas can expect
waiting times of over 3 months.
www.goderma.de
ORCHESTRATED CARE
REMOTE HOUSE CALLS

28
CLOUD-POWERED
MEDICAL RECORDS
“The transparency of information to patient is
of greatest importance. With mobile and digital
health technology, patients’ power to learn
about their disease evolve perceptions and make
choices increases. It’s an opportunity for this new
healthcare environment to leverage.”
of consumers say that they should
have at least some access to their
health records. 61% currently have
no access to their records at all.
— Accenture, “The Virtual Waiting
Room,” 2013
Sanskriti Thakur
Director, US
Marketing Innovation
& Operations at
95%
Hospitals are adopting networked information systems
to streamline the way they manage and distribute patient
files, diagnoses and other medical records. These digital
platforms are designed to cut down on mistakes and
redundancies, while ensuring that important information can
quickly get into the hands of physicians and key members
of staff during emergency situations.
CLOUD-POWERED MEDICAL RECORDSORCHESTRATED CARE

29
DIGITAL PLATFORM CONNECTS FIRST
RESPONDERS AND HOSPITALS
Mediview is a tablet app and system from Beyond
Lucid Technologies in California that aids first
responders on the scene as they communicate
with doctors in hospitals. The application contains
hospital records for frequently occurring transports
and is able to incorporate updates with a patient’s
condition before they arrive at the hospital. Doctors
can track incoming patients’ locations, give guidance
to first responders with complex issues, and begin
readying triage units for the patient’s arrival. The
platform can function without an Internet connection,
making Mediview ideal for rural locations where the
closest medical help is often far away. The connected
stream of information aids in the integration of first
responders with hospital staff, while offering patient
centered care that is contiguous from on-scene to
surgery. Mediview can also be used in large-scale
disasters such as severe weather emergencies and
mass casualty events.
www.beyondlucid.com
DIGITAL INSURANCE CARD
CENTRALIZES CARE RECORDS
FOR PROVIDERS AND PATIENTS
US-based digital healthcare company Medlio has
created a mobile app and cloud-based insurance
care management system that allows patients to
oversee all of their care and easily share medical
records with healthcare providers. After downloading
the application patients can upload their insurance
information and be able to review the benefits that
they are eligible for, find a provider, explore the costs
per treatment before a visit and check in to a specific
providers office. Using the application as a central
source of information, patients can receive and send
medical records to their chosen healthcare providers
with the touch of a button. When a patient’s care
history or general information changes, updates are
pushed out to all of their care providers. Additionally,
patients can easily pay with HSA credit cards for
treatment received using their phone.
www.medl.io
CLOUD-POWERED MEDICAL RECORDS
PRESCRIPTION SERVICE PRE-PROCESSES
APPLICATIONS AT THE PHARMACIST
ZappRx is an e-prescription and mobile healthcare application
company working to streamline the prescription filling process
with a digital system that connects doctors, pharmacies and
patients. A doctor can introduce patients to the system, which
enables them to track their medications while storing all of their
relevant payment and insurance information on their phone. Once
patients are enrolled, affiliated ZappRx pharmacies can pre-
process patients’ information and orders so that when patients
pick-up new medications, they can simply show their app to the
pharmacist. The app also lets patients set reminders and track
when they take their medication. Similarly, doctors are informed
of medication pick-ups so that they are able to support patients
in their adherence to treatment plans.
www.zapprx.com
TABLET QUESTIONNAIRE IMPROVES
COLLECTION, REDUCES DATA ERROR
A startup from Menlo Park, CA called Tonic Health has developed
a medical data collection platform that enables healthcare
providers to make their own custom questionnaires, screeners,
surveys and intake forms, easily deploying them on iPads. Patients
can pick up an iPad to fill out any form needed. Once a form is
completed, all of their digital information is sent securely to an
existing Electronic Health Record (EHR) database. Switching from
paper forms to an iPad interface can reduce question duplication,
ensure higher response rates, collect more accurate data, reduce
data input errors and create a more enjoyable intake process for
patients all around. The platform is currently being implemented
across University of California’s medical centers. Tonic found
that 96% of patients prefer using tablet questionnaires over
pen-and-paper, resulting in a 100% higher completion rate of
forms and questionnaires, especially for follow up surveys that
are completed after a visit. The system also decreases data error
by 50%, making health decisions significantly more accurate and
improving patient care across the enterprise.
www.tonicforhealth.com
ORCHESTRATED CARE

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
30
“If you think about wearables and remote monitoring
devices that now measure how much medication we
take while we’re at home or how a patient is behaving,
that information will eventually feed into physicians
or into the healthcare system. Instead of a physician
getting a snapshot of you from the five minutes you’re
in their office, they can actually print out a report or
see on their screen how you have been behaving for
the last three months, for the last six months, since
the last time they saw you. All of these technologies
will actually be providing the system with a lot more
information.”
— Dr. David Medina Tato, Senior Manager, Business Model &
HealthCare Innovation at Boehringer Ingelheim
“We’re moving along the lines of giving patients
more control and having devices develop that give
them that control. Eventually, we’ll move to a
system that allows patients to enter data into their
electronic medical record, whether it’s directly from
a device that’s attached to them or it’s basically them
providing their input. In the future, we’ll actually be
importing data more directly from the patient into
the system than through the provider.”
— Dr. Tracy-Ann Moo, Weill Cornell Medical College
“The cloud can make a huge difference because it
unshackles providers from the tyranny of a closed
system and allows them to find best-in-class solutions
to finally make coordinated patient care a reality.”
— Sterling Lanier, CEO, Tonic for Health
Just over half of consumers with providers who do
not provide access to medical records say they would
consider switching to one who does.
— Accenture, “The Virtual Waiting Room,” 2013
50% U.S. population that had medical information
recorded in electronic health records in some form
in 2010
— National Center for Health Statistics, “Division of HealthCare
Statistics Electronic Medical Record/Electronic Health
Record Systems of Office-based Physicians: United States,
2009 and Preliminary 2010 State Estimates,” 2010
_ Are there frequently occurring processes
during a visit or procedure that can be
streamlined through the use of digital
technology?
_ What passive information systems can be
used to collect patient information in order to
reduce intake times and provide verified data
about patients?
_ What protocols need to be in place to ensure
that patient information is private and
secure?
_ What platforms can hospitals and insurance
companies create to better connect disparate
teams and help them communicate more
efficiently?
_ With clear communication channels, how can
teams be organized to better provide patient
care?
_ How can contextual information be used
to guide patients throughout their care
experiences?
“As a doctor who diagnoses and sends someone out of my
office, I’m more intersested in what’s happening. Most
doctors know what that journey should look like, but we
don’t know what happens until either the wheels come
off and they wind up in the ditch, or they do fine and
we never hear from them. There’s so much friction and
so much ridiculousness in communication technology
in healthcare.”
Dr. Jordan Shlain,
Founder, Healthloop
DOCTORS CAN SHARE INFORMATION
WITH ONE-TOUCH SYSTEM
Drchrono is an electronic health record app that employs Apple
software features to easily and safely share medical documents
between doctors and patients. Using Drchrono, doctors can share
medical records or educational materials with each other or share
materials with patients ahead of an appointment. Apple users
can share files with fellow users over Wi-Fi or Bluetooth. Doctors
can quickly share test results, such as an X-ray or an EKG, with
the tap of a button while respecting HIPAA (Health Insurance
Portability and Accountability Act) regulations on patient privacy.
Patients are not required to download the Drchrono app to view
the information. Removing barriers around the free flow of
information allows patients to be more aware of their health and
easily get second opinions without additional steps.
www.drchrono.com
DIGITAL RECORDS SAFEGUARD PATIENT
PRIVACY WHILE LETTING DOCTORS BRAINSTORM
PATIENT SOLUTIONS
The mobile application medical chart can securely capture the range of
documents and information that doctors use on a daily basis. Any information
a doctor collects from a patient goes directly to Apricot Forest’s MedChart
service, which is stored in the cloud. Chinese mobile health technology
company Apricot Forest aids doctors in sharing information with colleagues
after verifying their medical status and agreeing to keep the information
confidential. After capturing patient information the application allows
doctors to easily block or redact patient information, enabling doctors to
still be respectful when sharing cases and getting advice from peers and
specialists. MedChart hopes to become a daily tool that replaces physical
notebooks, X-ray image print outs and expensive cameras by using the
iPhone’s built-in capabilities.
www.xingshulin.com
ORCHESTRATED CARE

31
PHYSICIAN-TO-PHYSICIAN
NETWORKS
“We’re on a really exciting part of the
curve when it comes to innovation and
healthcare and the convergence of the
two. The big kind of change that we’ve
experienced recently, is the explosion of
social. That’s had massive implications
upon healthcare and how people connect,
not just in the wider context but as doctors
connect with each other, as patients
connect to each other, and as patients
connect to doctors.”
John Pugh,
Global Innovation
Leader, Boehringer
Ingelheim
Physicians and researchers are tapping into the expertise
of their peers through niche networks that enable them
to seek and share advice. These secure platforms allow
medical professionals to solve difficult cases and review
effective treatments, adding to the collective knowledge in
the healthcare industry, while improving the level of care
they can offer to patients.
74%
— Kantar Media, “Sources and
Interactions Study - Medical/Surgical
Edition,” 2013
38%
of the physicians
surveyed use a smart-
phone for professional
purposes, a 9% increase
year on year.
use both a smartphone
and a tablet for profes-
sional purposes.
PHYSCIAN-TO-PHYSCIAN NETWORKSORCHESTRATED CARE

The Future of Health: Trends Towards Empowered Patients and Orchestrated Care

The Future of Health: Trends Towards Empowered Patients and Orchestrated Care

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The Future of Health: Trends Towards Empowered Patients and Orchestrated Care