The slide deck describes the steps needed for a wearable to develop into a clinical tool, useful for clinicians in healthcare practice.

1. The Future
of Wearables
FROM A FITNESS ACCESSORY TO A CLINICAL TOOL
ULI CHETTIPALLY, MD., MPH.
October, 2015

2. Emergency Physician, Clinical Researcher & Innovator,
Kaiser Permanente
Co-Founder & CTO,
CREST Network
Co-Founder & President,
Society of Physician Entrepreneurs SoPE, SF Bay Area Chapter
INTRODUCTION
Uli Chettipally, MD, MPH.

3. The thoughts and opinions expressed in
this presentation are mine alone and do
not reflect the views of any
organization
DISCLAIMER

4. DEFINITION
BIOSENSING WEARABLES
Activity trackers
Smart Patches
Smart Clothing
Smart Watches

5. BIOSENSING WEARABLES

6. GROWTH!
2% of the
population
Next 5 yrs.
$5 - $50
billion!
Rock Health

7. WEARABLES
ARE
WONDERFUL!

8. CLINICAL TOOL
ATool that can help
 Cure
 Treat
 Mitigate
 Diagnose
 Prevent
a Disease or Condition

9. BIOSENSING
WEARABLE
CLINICAL
TOOL
BRIDGING THE GAP

10. 1. Hurdles to Adoption
2. Healthcare Environment
3. Regulatory Climate
4. Path to Success
5. Need for Partnerships
TOPICS

11. Value to Each Stakeholder
1.
HURDLES
TO
ADOPTION

12. 1.
HURDLES
TO
ADOPTION
PATIENT
Motivation
Affordability
Convenience
Rewards
Anticipated Regret
JAMA, M S. Patel et al. Wearable Devices as Facilitators, Not Drivers of Health Behavior Change.

13. 1.
HURDLES
TO
ADOPTION
PHYSICIAN
Accuracy
Reliability
Systems
Time and Effort
Reimbursement

14. 1.
HURDLES
TO
ADOPTION
PAYOR
Clinical Utility
Cost of Integration
Return on Investment
Non-existent Guidelines
Effect on Population Health

15. 1.
HURDLES
TO
ADOPTION
BENEFIT
Financial
PhysicalEmotional

16. 1.
HURDLES
TO
ADOPTION
EXAMPLE
RobertoTapia-Conyer et al - http://dx.doi.org/10.1155/2015/794180
Wireless Maternal-
Fetal Monitoring

17. 2.
HEALTH
CARE
ENVIRON
Better Outcomes at Low Cost

18. 2.
HEALTH
CARE
ENVIRON
CMS & California Healthcare Foundation
RISING COSTS
2007 2008 2009 2010 2011 2012
National Healthcare Expenditures ($Trillions)
3.0
2.5
2.0

19. 2.
HEALTH
CARE
ENVIRON
TRIPLE AIM
Reduced Per Capita Cost
Institute for Healthcare Improvement
3

20. 2.
HEALTH
CARE
ENVIRON
INTEGRATED CARE

21. 2.
HEALTH
CARE
ENVIRON
2. Healthcare
EnvironmentVOLUME
TO
VALUE-
BASED
CARE

22. 2.
HEALTH
CARE
ENVIRON
Leavitt Partners
14 Million
2013
7 Million
2012
<1 Million
2010
3 Million
2011
20 Million
2014
LIVES
COVERED
BY ACOs
(Accountable Care Orgs)

23. 2.
HEALTH
CARE
ENVIRONA guide for
procurement of
technology to help
achieve theTriple Aim.
DIGITAL HEALTH
SELECTION FRAMEWORK
Institute for Healthcare Improvement

24. 2.
HEALTH
CARE
ENVIRON
EXAMPLE
Google
Contact
Lens
Google Blog Thursday, January 16, 2014
Novartis - Alcon

25. 3.REGULATORY
CLIMATE
Novartis - Alcon
Essential toThink Early

26. 3.REGULATORY
CLIMATE
Novartis - Alcon
ACCURACY
JAMAAccuracy of Smartphone Applications and Wearable
Devices forTracking PhysicalActivity Data. M. A. Case et al

27. 3.REGULATORY
CLIMATE
Novartis - Alcon
SAFETY
Guidance on which
applications need
approval
Protecting and
Promoting Health

28. 3.REGULATORY
CLIMATE
Novartis - Alcon
PRIVACY & SECURITY
HHS

29. 3.REGULATORY
CLIMATE
Novartis - Alcon
FALSE CLAIMS
JAMA. Diagnostic Inaccuracy of Smartphone Applications for Melanoma Detection
J.A.Wolf et al.
FTC

30. 3.REGULATORY
CLIMATE
Novartis - Alcon
CERTIFICATION
JAMA In Search of a Few Good Apps.A C. Powell et al
Health On the Net Foundation
The Office of the National Coordinator
of Health InformationTechnology

31. 3.REGULATORY
CLIMATE
Novartis - Alcon
EXAMPLE
Micro EEG
http://biosignalgroup.com/product-service/microeeg/

32. 4.PATH TO
SUCCESS
Novartis - Alcon
EXAMPLE
Engage Each Stakeholder

33. 4.PATH TO
SUCCESS
Novartis - Alcon
THE IDEAL DEVICE
NOW
Show me Outcomes?
THEN
Who will Pay?

34. 4.PATH TO
SUCCESS
Novartis - Alcon
AN IDEAL WEARABLE DEVICE . . .
Will accurately [measure/monitor/track]
to [predict, prevent, alert]
a [complication/disease/condition]
to keep a person [hip/healthier/happier]
by [avoiding expense/managing better]
and will do it [safely/securely]
at [minimal/low cost] !

35. 4.PATH TO
SUCCESS
Novartis - Alcon
AN IDEAL WEARABLE DEVICE . . .
DEVICESafe
Secure
Accurate
Reliable
Efficient
Effective
Easy
Comfort
Cost less
Outcome

36. 5.NEED FOR
PARTNERS
Novartis - Alcon
Partner, Partner, Partner!

37. 5.NEED FOR
PARTNERS
 Researchers
 Regulators
 Physicians
 Patients
 Payors
WHO SHOULD YOU ENGAGE?

38. 5.NEED FOR
PARTNERS
EXAMPLE

39. 5.NEED FOR
PARTNERS
Center for Digital Health Innovation
EXAMPLE

40. Uli Chettipally, MD, MPH.
Uli.Chettipally@Gmail.com
?
QUESTIONS
Thanks!