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A Quarterly Review of the Global Digital Health
Market’s Overall Strength and Impact
Developed by Fard Johnmar, Futurist, Strategist and Researcher
A Digital Health Maven
Project Publication
digihealth impact trac:
global trends + patient voices
Q2 2018
Contents
2
About the Author || Page 3
Why digihealth impact trac? || Page 4
Data Sources & Methodology || Page 6
Digital Health Strength Index || Pages 7 - 8
Overview: Key Q2 2018 Trends || Page 9
Ecosystem Analysis: Scope || Pages 10 - 11
Ecosystem Analysis: Patient Voices || Pages 12 - 18
Ecosystem Analysis: Momentum || Page 19
Ecosystem Analysis: Investments || Page 20
Ecosystem Analysis: Connections || Page 21
Update: High-Impact 2018 Trends || Pages 22 - 24
About Enspektos and Savvy Coop || Page 25
Additional Notes || Page 27
digihealth impact trac | Q2 2018 | published september 17, 2018
digihealth impact trac:
global trends + patient voices
Q2 2018
About the Author
Fard Johnmar is founder and president of the noted
innovation consultancy Enspektos.
Fard is a nearly 20-year global health industry veteran
and has spent 13 in the digital health arena. He has
advised executives, entrepreneurs, medical professionals
and others focused on developing groundbreaking digital
health tools, technologies, products and services at
startups and large organizations such as Johnson &
Johnson, Novartis, Sanofi, the CDC and the Canadian
government.
In addition to speaking regularly about digital innovation
trends to audiences globally, Fard and his work have
been featured in numerous media outlets, including the
Los Angeles Times, NPR and Forbes. He is also a fellow
at the Columbia University-affiliated HITLAB.
Fard is the co-author of the #1 global bestseller, ePatient
2015: 15 Surprising Trends Changing Healthcare, which
explores the impact of digital technologies on health and
well-being. He also holds a U.S. patent for a unique
analytics engine that measures the impact of digital
content exposure on health behavior change.
Learn more about Fard at www.fardjohnmar.com.
Fard Johnmar
Futurist | Strategist
Researcher | Inventor
3 digihealth impact trac | Q2 2018 | published september 17, 2018
Why digihealth impact trac?
In Q3 2017, Enspektos released the first edition of digihealth impact trac, a
quarterly report series designed to improve understanding of how organizations,
startups, government agencies, universities and others are testing, developing and
commercializing digital solutions globally. This research compliments and expands
upon quarterly reports produced by StartUp Health, Rock Health and other
organizations focusing on U.S. and global digital health investment activity.
digihealth impact trac reports address key issues about how the digital health
landscape is evolving, including:
•  Where people are focused from an implementation perspective: This can
include technology adoption, how care management is being reshaped by
digital innovations and more.
•  How digital technologies are impacting health, well-being, workflows and
other factors: How are digital solutions being deployed? Who is benefiting?
This report series provides answers.
Like the Q1 2018 edition, this installment of digihealth impact trac
features Patient Voices. Too often, the patient perspective is missing from
conversations and research about digital health. With the help of Savvy
Cooperative, which connects patients with opportunities to share their experience
with innovators, we present qualitative and quantitative data featuring patient
perspectives on key trends highlighted in this report.
How can you benefit from digihealth impact trac? We hope the data and
insights presented in this report provide you with a more nuanced and holistic
perspective on the true shape, scope and impact of digital solutions on global
health. There is much to be learned from understanding how digital innovations are
being diffused globally, the differences between what organizations are focusing
on and the platforms that are receiving funding, and how patients feel about the
technologies being deployed to transform care. If you have any questions or
comments about this research please contact us at info@digitalhealthmaven.com.
4 digihealth impact trac | Q2 2018 | published september 17, 2018
How to Download This Report
This digihealth impact trac
quarterly report is not
available for download on
SlideShare.
Access the PDF of this publication via the
Digital Health Maven Project’s Website.
In addition to downloading this valuable resource,
you’ll have access to numerous free innovation
tools, including courses, Webinars and videos.
You’ll also be notified when new quarterly
digihealth impact trac reports are released.
Click the button below to get started.
5 digihealth impact trac | Q2 2018 | published september 17, 2018
Click Here to Download This Report
DataSources&Methodology
This report combines data from Enspektos’ DigiHealth Informer platform, which features the
world’s largest source of real-time market intelligence on emerging technology trends,
investments and more, with patient insights provided by Savvy Cooperative.
DigiHealth Informer Savvy Cooperative
Data in this report was sourced
from the Digihealth Informer real-time
database. This is an intelligence and
productivity platform with more than 5
million data points (collected since
January 2015) focusing on the global
digital and emerging technology market,
including:
•  Market Events: Product releases,
mergers, acquisitions, pilots and
other data on digital and emerging
technology implementation
•  Investment Activity: Funding
events, investors and more
•  Partnerships, Pilots and
Collaborations: Extensive
contextual data on how digital
technologies are being implemented
in health and medicine
From August 1 to September 10, 2018
Savvy Cooperative conducted an online
survey of 63 patients facing (or with family
members facing) conditions such as opioid,
alcohol and gaming addiction. Respondents
provided their insights on:
•  Awareness of digital addiction therapies
•  Use of digital health tools such as
mobile and medical devices for
addiction management
6 digihealth impact trac | Q2 2018 | published september 17, 2018
TheGlobalDigitalHealthMarket
ContinuedtoStrengtheninQ22018
7 digihealth impact trac | Q2 2018 | published september 17, 2018
Infrastructure Focus
Methodology and Definitions: For this analysis (except for the financial strength metric), searches of the DigiHealth Informer
database were conducted for the following keywords during the Q2 2018 and Q2 2017 time frames:
• Infrastructure Focus: References to data interoperability and analytics
(Keywords: digital health interoperability; digital health analytics)
• Regional Diversity: Number of countries referenced as engaging in digital health innovation
(Keyword: digital health)
• Health Outcomes Research Emphasis: References to outcomes research (clinical and non-clinical) activities
(Keywords: digital health outcomes)
• Financial Strength: Global digital health funding levels (as measured by StartUp Health)
Higher
Lower
No	Change
Interoperability,	Analy7cs	References	
(vs.	Q2	2017)
Regional Diversity
Higher
Lower
No	Change
Country-Specific	Innova7on	References	
(vs.	Q2	2017)
Health Outcomes Emphasis
Higher
Lower
No	Change
Health	Outcomes	Research	References	
(vs.	Q2	2017)
Stronger
Weaker
No	Change
Total	Global	Investment	Volume
(vs.	Q2	2017)
Financial Strength
Global Digital Health Strength Level - Q2 2018 vs. Q2 2017: Stronger
Source: Enspektos, LLC
WhyDidtheGlobalDigitalHealth
MarketContinuetoStrengthen?
The Global Digital Health Strength Index: Q2 2018
Traditionally, the strength of the digital health market has been measured by
the level of investment dollars flowing into startups and other firms. While financial
strength is a valuable metric, it can provide an incomplete picture of overall market
potential. Other factors, specifically whether there is a focus on measuring digital
health-related outcomes, improving data infrastructure and global innovation diffusion,
also have a significant impact on whether digital technologies are (and will be)
successful.
To improve understanding of digital health’s impact and scope we created the
Global Digital Health Strength Index (displayed on the previous page) in Q3 2017.
The premise of the Index is that what people write about/reference online reflects
what they are doing. Using DigiHealth Informer, we can automatically analyze millions
of social media posts, news articles and other content to determine how often specific
concepts and topics are discussed and more. Based on this analysis, compared to Q2
2017:
•  Infrastructure: Global emphasis on ensuring digital solutions are well-connected
and integrated from a data perspective to aid deeper analysis of population health
data sets and other topics was similar between Q2 2018 and Q2 2017
•  Regional Diversity: Digital health’s global diffusion, which increased over
previous periods, was flat quarter over quarter
•  Health Outcomes Emphasis: Health outcomes improvement continues to be a
major area of focus for global digital health innovators, especially in countries with
centralized health payment systems, such as the United Kingdom
•  Financial Strength: StartUp Health reported more deal volume during the first
half of 2018, “414 deals compared to 344 in Q2 2017, which is the largest deal
volume we have seen since we began tracking funding in 2010.” (link)
8 digihealth impact trac | Q2 2018 | published september 17, 2018
Overview:KeyQ22018DigitalHealthTrends
What were the major digital health trends and themes
that drove interest and attention during Q2 2018? As
illustrated in the graphic below, during this period the advent
of new data privacy regulations in Europe raised concerns
about whether health data will remain accessible. Apple
made moves to penetrate the health market more deeply.
And, digital health addiction treatment and management tools
rose in prominence.
833,280
+4.5% from Q1 2018
*Note: Between 70-80 percent of DigiHealth Informer data is focused on health and medical innovation. Non-health data on
mobile, virtual reality, blockchain and other sectors is also tracked to monitor their evolution and potential impact on health.
Source: Enspektos, LLC
The number of digital and emerging
technology-related social posts, news
headlines and full-text articles collected
via DigiHealth Informer during Q2 2018.*
9 digihealth impact trac | Q2 2018 | published september 17, 2018
GDPR Raises New
Digital Health
Considerations
With the advent of the EU's
GDPR data protection
regulations, some are
concerned it could have a
negative impact on clinical
trials and AI innovation.
Apple Bolsters its
Data-Device
Infrastructure
Apple releases API for its
health records platform,
which will make it easier for
fitness data from its devices
to be used in medicine and
boost the company's health
presence.
Virtual Medicine
Viewed As Cost-
Savings Tool and
Revenue Driver
Provider organizations
globally are shifting from
being wary of, to investing
in, virtual visits and digital
medicine to save money
and drive revenue.
Digital Solutions for
Treatment and
Prevention of
Addiction Rising
With opioid (and other
addictions) damaging
communities globally, digital
solutions are being deployed
(using technologies such as
AI and mobile) to fight it.
Scope Momentum
Momentum
$
Investments
What was the breadth of innovation focus
(diseases, technology areas, etc.)?
Scope
Technology		 Major	Themes	and	Market	Events	Related	to	Technology	Area	
(Automated	Content	Analysis	Conducted	Using	DigiHealth	Informer)		
Mobile/Mobile	Health	 •  Adherence	Technology	Favored:	There	is	growing	clinical	evidence	that	
mobile	health	solu5ons	improve	medica5on	adherence.	Also,		consumer	
research	released	during	Q2	suggests	that	pa5ents	are	very	interested	in	
using	mobile	solu5ons	that	aid	compliance.		
ArFficial	Intelligence/
Machine	Learning	
•  Could	AI	Treat	Behavioral	Health	Problems	BeKer	Than	Humans?:	
Ar5ficial	intelligence	is	playing	an	ever	greater	role	in	mental	health	
treatment	and	could	one	day	even	manage	behavioral	health	be?er	than	
humans.	Also,	AI	in	healthcare	is	becoming	a	major	area	of	focus	in	China.		
Electronic	Health	Records	
(Moved	Up	in	Importance	
Between	Q1	2018	and	Q2	
2018)	
•  Data	Mining	Using	Electronic	Health	Records	is	AcceleraFng:		
Increasingly,	electronic	health	records	are	being	mined	for	pharmacy,	
outcomes	and	other	data.	EHR-derived	insights	are	being	combined	with	
informa5on	from	other	sources	such	as	wearables	to	improve	pa5ent	
iden5fica5on	and	care.	
Wearables		
(Breakout	Trend)	
•  Wearables	Aid	Diagnosis	and	the	Fitbit-Google	Partnership:	Wearables	
are	being	used	to	diagnose	a	range	of	illnesses,	including	stomach	
problems.	Fitbit	and	Google	launched	a	partnership	to	accelerate	
innova5on	in	digital	health	and	wearables.		
Cloud	CompuFng	 •  Cloud	CompuFng	At	Digital	Health’s	Core:		Cloud	compu5ng	services,	
always	important	to	digital	health	innova5on,	is	becoming	ever	more	vital.	
In	their	collabora5on,	Fitbit	will	use	Google’s	cloud	compu5ng	services	to	
integrate	with	health	systems	in	a	HIPAA	compliant	fashion.		
Top Referenced Technologies: Q2 2018 (As Measured via DigiHealth Informer)
Below are insights about the most discussed and referenced technologies in the digital
health online literature during Q2 2018 along with major themes associated with each.
To perform this analysis, DigiHealth Informer was used to identify the top innovations (and themes related to
them) referenced in full-text, news and social digital content collected from April 1 – June 30, 2018.
Source: Enspektos, LLC
Ecosystem Analysis
10 digihealth impact trac | Q2 2018 | published september 17, 2018
What was the breadth of innovation focus
(diseases, technology areas, etc.)?
Scope
Disease/CondiFon	and	Top	
Technologies	Associated	With	Each	
Key	Areas	of	InnovaFon	Focus	in	TherapeuFc	Category	
(Automated	Content	Analysis	Conducted	via	DigiHealth	Informer)		
	
Diabetes	
Top	Technologies:	Mobile,	Digital	
Therapeu5cs,	AI,	Cloud	Compu5ng	
Key	Focus	Areas	in	Digital	Diabetes	Health:	Governments	either	
exploring	or	under	pressure	to	u5lize	mobile	health	solu5ons	for	
type	2	diabetes	management.		
Cancer		
Top	Technologies:	AI/Machine	
Learning,	Big	Data,	Diagnos5cs	
Key	Focus	Areas	in	Cancer	Digital	Health:	Con5nued	focus	on	
blood-based	biopsies	and	(related	to	the	Facebook	privacy	scandal)	
ques5ons	about	the	level	of	personal	cancer	data	being	collected	
by	the	social	network.		
Aging	
Top	Technologies:	Ar5ficial	
Intelligence,	Big	Data,	Smartphones,	
Mobile,	Deep	Learning	
Key	Focus	Areas	in	Aging	Digital	Health:	Innovators	are	exploring	
the	role	of	digital	therapeu5cs	in	senior	care.	How	games	for	
health	can	improve	seniors’	mental	health	status.		
AddicFon	*	
Top	Technologies:	AI,	Electronic	
Health	Records,	Adherence	Tech,	
Smartphones	
Key	Focus	Areas	in	AddicFon-Related	Digital	Health:	Digital	
solu5ons	are	being	developed	u5lizing	ar5ficial	intelligence,	mobile	
and	analy5cs	to	prevent	addic5on	(e.g.,	by	determining	which	
pa5ents	may	be	most	at	risk	for	opioid	addic5on)	and	manage	it	
more	successfully.			
Asthma	*	
Top	Technologies:	Adherence	
Technologies,	Mobile,	Sensors,	
Digital	Therapeu5cs,	Mobile	Health	
Key	Focus	Areas	in	the	Asthma	Digital	Health	Arena:	How	public	
health	organiza5ons	and	payers	are	relying	on	a	combina5on	of	
technologies	in	a	bid	to	accelerate	the	use	of	digital	in	obesity	
preven5on	(and	test	the	efficacy	of	digital	interven5ons.)	
Top Referenced Diseases/Conditions: Q2 2018 (As Measured via DigiHealth Informer)
Below is a listing of the most discussed and referenced diseases in the digital health
online literature during Q1 2018 and key areas of innovation focus related to each
therapeutic category. Note: Diseases and innovations highlighted in orange rose in
prominence between Q2 2018 and Q1 2018.
To perform this analysis, we conducted a search of full text articles in the DigiHealth Informer database,
using the keyword “digital health” (and top diseases/conditions), collected between April 1 – June 30, 2018.
Ecosystem Analysis
Source: Enspektos, LLC*These technologies/innovations/diseases rose in prominence between Q2 2018 and Q1 2018.
11 digihealth impact trac | Q2 2018 | published september 17, 2018
digihealth impact trac Patient Voices
Once again for this edition of digihealth impact trac, we
partnered with Savvy Cooperative, a patient-owned co-
op that connects companies with the patient voice, to
provide additional context on key trends that gained
prominence during Q2 2018, as measured via
DigiHealth Informer.
Savvy Cooperative conducted an online survey of its
diverse patient community to gather data from patients
facing addiction or with family members grappling with
this condition.
Savvy recruited 63 patients with addiction (or with family
members facing addiction) for this study.
To date, this is the first research revealing how
patients facing addiction (and those with family
members with the condition) view digital solutions
focused on helping manage and overcome
addiction.
Quantitative and qualitative data on this topic appears
on the following pages.
Ecosystem Analysis
Patient Voices
Patient Voices
12 digihealth impact trac | Q2 2018 | published september 17, 2018
How Do Patients Feel About Digital Health Addiction Solutions?
Ecosystem Analysis
Patient Voices
13 digihealth impact trac | Q2 2018 | published september 17, 2018
Patients With Addiction Positive About Digital Solutions
Almost half of patient respondents with addiction feel that digital
solutions could have a positive impact on addiction prevention,
management and care.
!α#α$
48%: Positive
45%: Neutral
6%: Negative
Question: In your opinion, do digital health technologies have (or have the
potential to have) a positive, negative, or neutral influence on addiction prevention,
management and care? (Responses filtered to focus on patients facing addiction.)
Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018,
N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction)
How Do Patients Feel About Digital Health Addiction Solutions?
Ecosystem Analysis
Patient Voices
What Patients Are Saying
Hopeful, But Realistic: “While I think there is potential for tech an apps to help
those with addiction, I feel there are challenges. One is getting that person with
addiction problems to not only admit there is a problem, but also take
recommendations for how to manage it. I feel there is a sense of defeat in just
admitting it and it takes time to come to terms with how to manage it. I don't feel if I
recommended a tech solution that my partner would use it. Therefore it would have to
seamlessly fit into their life and be individualized so that each person could make it
what they want. That could be very empowering and it could allow them to manage
their addiction in a way that gives them support, access and anonymity.”
Cautious About Potential Negative Impacts: “Opioid addicts struggle with
motivation — period. Their brain is affected [in terms of ] how they process the
cravings and what they feel they need. An addict would need to [benefit from] long
term treatment before being able to consistently use and benefit from a digital device.
Perhaps it could help more with other addictions during the beginning of recovery.”
Digital Solutions Can Be Helpful, But Human Support is Vital: “I believe that
CBT and social media support systems can be helpful as long as the person with the
addiction is also getting the proper in-person, managed care and working and proven,
tested, peer-reviewed and researched addiction treatment program like 12 Steps.”
14 digihealth impact trac | Q2 2018 | published september 17, 2018
How Are Patients (and Family Members Facing Addiction) Using Digital Solutions?
Ecosystem Analysis
Patient Voices
15 digihealth impact trac | Q2 2018 | published september 17, 2018
Patients Grappling With Addiction Turning to Mobile, Social
Media and Other Digital Solutions for Help
Many patients facing addiction are using mobile and social media to
help them manage and overcome the condition.
!α#α!
22%: Patient Has Used Mobile
50%: Patient Has Used Social Media
22%: Patient Has Used Other Digital Solutions
Question: Have you, a family member or partner ever used any of the following
technologies to help treat or manage addiction?
(Responses filtered to focus on patients facing addiction.)
Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018,
N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction)
How Are Patients (and Family Members Facing Addiction) Using Digital Solutions?
Ecosystem Analysis
Patient Voices
16 digihealth impact trac | Q2 2018 | published september 17, 2018
Family Members Facing Addiction Also Favor Mobile, Social Media
Patients who have family members grappling with addiction report that
their loved ones are also using mobile and social media to manage their
condition.
!α#α$
18%: Family Member Has Used Mobile
36%: Family Member Has Used Social Media
39%: Family Member Has Used Other Digital Solutions
Question: Have you, a family member or partner ever used any of the following
technologies to help treat or manage addiction?
(Responses filtered to focus on patients with family members facing addiction.)
Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018,
N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction)
Are There Differences in How Patients With
Opioid and Alcohol Addiction Use Digital Solutions?
Ecosystem Analysis
Patient Voices
17 digihealth impact trac | Q2 2018 | published september 17, 2018
Patients With Opioid Addiction Slightly Favor Social Media
Tools Versus Mobile
!α#α
10%: Patients With Opioid Addiction Who Have Used Mobile Solutions
25%: Patients With Opioid Addiction Who Have Used Social Media
Question: Have you, a family member or partner ever used any of the
following technologies to help treat or manage addiction?
(Responses filtered to focus on patients with opioid addiction.)
Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018,
N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction)
Are There Differences in How Patients With
Opioid and Alcohol Addiction Use Digital Solutions?
Ecosystem Analysis
Patient Voices
18 digihealth impact trac | Q2 2018 | published september 17, 2018
Patients With Alcohol Addiction Also Prefer Social Media Tools
Versus Mobile
Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018,
N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction)
Question: Have you, a family member or partner ever used any of the
following technologies to help treat or manage addiction?
(Responses filtered to focus on patients with alcohol addiction.)
!α#α
7%: Patients With Alcohol Addiction Who Have Used Mobile Solutions
27%: Patients With Alcohol Addiction Who Have Used Social Media
Global digital health innovation — and reversals — continued during Q2 2018.
Momentum
The map at the left shows the top
referenced countries in articles
focusing on digital health collected by
DigiHealth Informer in Q2 2018.
Although regional digital health
diffusion did not increase significantly
between Q1 2017 and Q2 2018,
innovation activity across a diverse
array of regions continued.
Below are some of the themes
that attracted discussion and attention
during Q2 2018 in three markets.
Top Referenced Geographic Locations in Articles
Related to Digital Health: Q2 2018
Country	 Key	Country-Related	Digital	Health	Events:	Q2	2018	
United		
Kingdom	
•  NHS	con5nues	to	make	strides	in	encouraging	and	incuba5ng	
digital	health	solu5ons	across	an	array	of	areas,	including	
ar5ficial	intelligence	and	mobile	health,	but	GP	adop5on-related	
barriers	remain.		
Australia		
•  Federal	government	launches	$55	million	(AUD)	Digital	Health	
Coopera5ve	Research	Centre,	which	features	a	consor5um	of	
more	than	50	technology	companies,	health	networks	and	
research	ins5tutes.		
New	Zealand	
•  There	has	been	a	focus	on	using	digital	health	tools	to	create	
micro-creden5aling	programs	that	allow	health	workers	with	
streamlined	training	to	deliver	care	to	various	loca5ons	across	
the	country.		
Source: Enspektos, LLC
Ecosystem Analysis
Source: DigiHealth Informer Platform, Enspektos, LLC
19 digihealth impact trac | Q2 2018 | published september 17, 2018
Where were investors focusing their resources and
how did funding activity evolve?
$
Investments
Q2 2018 funding activity continued to reflect the growing
diversification of digital health companies, areas of focus and
approaches. In addition, despite regulatory uncertainty, blockchain
companies continued to launch initial coin offerings in a bid to raise
funding from cryptocurrency investors (mainly outside the U.S.,
with the exception of private placements, which are open to
accredited American investors.)
Below are sample digital health investments that illustrate some of the diverse
companies that received funding during Q2 2018.
Company	 Amount	 Company	Focus	 Type	of	
Funding	
Alan	 $28.3	M	
SaaS-Based		
Health	Insurance	
Tradi5onal	
	
MedoPad	
	
$28	M	
Health	AI	Data	
Capture		
Tradi5onal	
Lyra	Health	 $45	M	
Digital	Mental	
Health	
Tradi5onal	
LunaDNA	 $4	M	
Blockchain-Based	
Genomic	Data	
Marketplace	
Tradi5onal	
Funding activity accessed via search of social posts/news headlines added to the DigiHealth Informer database
between April 1 – June 30, 2018. Keywords: Raise, Funding, Series A
Source: Enspektos, LLC
Ecosystem Analysis
20 digihealth impact trac | Q2 2018 | published september 17, 2018
Where were health organizations, startups, technology firms
and others forging partnerships and collaborations?
Connections
Sample Partnership Activity: Q2 2018
(Identified Using DigiHealth Informer)
A key area of focus during Q2 2018 was partnerships between established
technology and government organizations in a bid to accelerate health innovation
using digital technologies. Two examples of this activity is outlined below.
Source: Enspektos, LLC
Ecosystem Analysis
Apple has teamed up with provider organizations such as Partners HealthCare
to test and deploy its emerging health records capability.
The Middle East has become a region where significant digital innovation
experimentation is occurring. For example, Sensely’s virtual assistant technology is
being integrated into NAS, a third-party administrator based in the United Arab
Emirates.
21 digihealth impact trac | Q2 2018 | published september 17, 2018
What’s the latest on the trends we said would matter in 2018?
Momentum
Source: Enspektos, LLC
Update: 2018 Trends That Matter
In the Q4 2017 digihealth impact trac report, we identified five trends that would matter in
2018 based on an analysis of the nearly 2 million data points added to the DigiHealth Informer
database in 2017. These five trends are referenced below. We provide an update on the
impact of two of these trends in this report (policy, and empathetic interfaces).
Advances in artificial intelligence,
robotics, the Internet of Voice and
related technologies accelerate
the development of technologies
that are more responsive,
empathetic and human-like,
which benefits elder care,
mental health and other areas.
Empathetic Health
Interfaces Mature
Policies and Regulations
Drive & Threaten Innovation
While the U.S. Food and Drug
Administration pushes to speed
digital health innovation,
uncertainty persists re: the
impact of net neutrality's repeal
and the EU's General Data
Protection Regulations.
Mobile has become the default
technology embedded into tools
focused on patient engagement,
compliance, clinical trials and
other areas. Efforts to improve
the vetting and review of mobile
applications further drive
mobile's central role in health.
Mobile Health = Healthcare
=
With hospital executives, payers
and others considering or
deploying blockchain solutions,
innovators recognize this
technology has great potential
in healthcare. Blockchain
use cases diversify into anti-
counterfeiting, health data
marketplaces and other areas.
Blockchain Health
Ecosystem Diversifies
The rise of passive biometric and
digital tracking technologies,
improved data analysis tools and
related innovations transform
patient-generated data into a
high-value resource.Patient-Generated
Data Comes of Age
Review: Key Digital Health Trends to Watch in 2018
22 digihealth impact trac | Q2 2018 | published september 17, 2018
Policy and Regulations:
What is some of the latest on this key trend?
Update: 2018 Trends That Matter
The European General Data
Protection Regulations (GDPR)
were a key area of focus during Q2
for some digital health innovators
collecting data from consumers in
the E.U.
The regulations requires
organizations to provide information
about what data is being collected
about them, explicit consent to have
personal information gathered, the
right to be forgotten (all data about
them deleted upon request) and
more.
Some innovators are worried
that the regulations will stifle how
organizations collect health data
from patients and limit the health
data sharing and aggregation
required to deliver digital solutions.
23 digihealth impact trac | Q2 2018 | published september 17, 2018
Policies and Regulations
Drive & Threaten Innovation
GDPR & Digital Health: Sentiment Analysis:
Despite concerns that GDPR may stifle digital health
innovation, the overall sentiment of online articles
related to this topic was positive or neutral during Q2
2018, an indication that many organizations may be
taking the regulations in stride.
Sentiment Analysis Source:
DigiHealth Informer Platform, Enspektos, LLC
GDPR Online Content Collected
Between April 1 – June 30, 2018
Empathetic interfaces:
What is some of the latest on this key trend?
Update: 2018 Trends That Matter
Although empathetic interfaces are still a brand new category, voice-
activated devices, such as the Amazon Alexa, have already generated
attention and interesting use cases in health.
The chart below illustrates some of the therapeutic categories that are
areas of focus currently for those developing voice-enabled empathetic
interfaces. Especially interesting are innovations focused on the aging market
— especially providing seniors with companionship in a bid to reduce social
isolation.
Voice Interfaces and Health: Key therapeutic
categories referenced in online content focusing
on how voice technology is influencing the health
and medical industry suggests significant
innovation is taking place in diabetes and mental
health.
Source: DigiHealth Informer Platform, Enspektos, LLC,
Timeframe: April 1 – June 30, 2018.
24 digihealth impact trac | Q2 2018 | published september 17, 2018
Empathetic Health
Interfaces Mature
The trends presented in
this report represent only
the tip of the digital
health iceberg. Want to
better understand the
market forces impacting
your specific product,
service, company or
industry? Here’s how.
What Next: Access Personalized Analysis & Insights
Data in this report is sourced from the
DigiHealth Informer platform and the Savvy
Cooperative patient market insights service.
Combined, these platforms provide real-time
digital health market intelligence and
invaluable patient perspectives. Contact us
to find out how our data can help you.
Interested in understanding how and why
these and other trends matter to your
specific company, sub-sector and more? Get
in contact to book a customized and
insightful live talk delivered by the author of
this report, Fard Johnmar.
Learn More & Request Demo Book Speaking Engagement
25 digihealth impact trac | Q2 2018 | published september 17, 2018
About Enspektos, the
Digital Health Maven Project and
Savvy Cooperative
Enspektos is a globally respected innovation consultancy.
This report was produced by Enspektos, LLC. Founded in 2005, Enspektos delivers technology, strategy, analysis
and non-obvious insights to executives, entrepreneurs, health professionals, government officials and others
globally focused on using digital and emerging technologies to re-shape health. Learn more about Enspektos at
www.enspektos.com.
A global initiative supporting and accelerating digital innovation in health.
This report and the DigiHealth Informer platform are part of the Digital Health Maven Project. Founded in 2014 by
Enspektos, the Project’s outputs have reached and benefited more than 40,000 people globally. Learn more at
www.digitalhealthmaven.com.
Savvy helps companies and researchers get the patient insights they need.
Savvy Cooperative is a patient-owned co-op that helps companies and researchers get the patient insights they
need to build superior products and services. Savvy provides an online marketplace that connects patients with
opportunities to share their patient experience with innovators, so that together they can bring better solutions to
market, faster! Learn more about Savvy at www.savvy.coop.
Digital Health Definition: Enspektos defines digital
health as the use of multiple technologies (software,
analytics, genomics, devices, etc.) to track, improve,
support and modify health. Key digital health
technology centers include mobile, social media, Big
Data and wearables.
Data Sources: Insights featured in this report are
based on publicly available social and news data
published during Q2 2018 and Q2 2017 and a patient
online survey produced by Savvy Cooperative.
Data Reliability: Enspektos makes every effort to
ensure that data is from reliable and reputable online
and patient sources. However, we cannot warrant the
ultimate reliability and validity of data obtained via our
data collection and processing techniques.
Use of Data: This report is provided for informational
purposes and was prepared in good faith on the basis
of public information available at the time of
publication without independent verification.
Enspektos does not guarantee or warrant the reliability
or completeness of the data nor its usefulness in
achieving any particular purposes. Enspektos shall not
be liable for any loss, damage, cost or expense
incurred by reason of any persons use or reliance on
this report. This report is a proprietary aggregation of
publicly available data (and survey data collected by
Savvy Cooperative) and shall not be reproduced
without the written consent of Enspektos, LLC.
Learn more about Enspektos at www.enspektos.com.
AdditionalNotes
®

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digihealth impact trac Q2 2018: Vital Trends and Patient Voices

  • 1. A Quarterly Review of the Global Digital Health Market’s Overall Strength and Impact Developed by Fard Johnmar, Futurist, Strategist and Researcher A Digital Health Maven Project Publication digihealth impact trac: global trends + patient voices Q2 2018
  • 2. Contents 2 About the Author || Page 3 Why digihealth impact trac? || Page 4 Data Sources & Methodology || Page 6 Digital Health Strength Index || Pages 7 - 8 Overview: Key Q2 2018 Trends || Page 9 Ecosystem Analysis: Scope || Pages 10 - 11 Ecosystem Analysis: Patient Voices || Pages 12 - 18 Ecosystem Analysis: Momentum || Page 19 Ecosystem Analysis: Investments || Page 20 Ecosystem Analysis: Connections || Page 21 Update: High-Impact 2018 Trends || Pages 22 - 24 About Enspektos and Savvy Coop || Page 25 Additional Notes || Page 27 digihealth impact trac | Q2 2018 | published september 17, 2018 digihealth impact trac: global trends + patient voices Q2 2018
  • 3. About the Author Fard Johnmar is founder and president of the noted innovation consultancy Enspektos. Fard is a nearly 20-year global health industry veteran and has spent 13 in the digital health arena. He has advised executives, entrepreneurs, medical professionals and others focused on developing groundbreaking digital health tools, technologies, products and services at startups and large organizations such as Johnson & Johnson, Novartis, Sanofi, the CDC and the Canadian government. In addition to speaking regularly about digital innovation trends to audiences globally, Fard and his work have been featured in numerous media outlets, including the Los Angeles Times, NPR and Forbes. He is also a fellow at the Columbia University-affiliated HITLAB. Fard is the co-author of the #1 global bestseller, ePatient 2015: 15 Surprising Trends Changing Healthcare, which explores the impact of digital technologies on health and well-being. He also holds a U.S. patent for a unique analytics engine that measures the impact of digital content exposure on health behavior change. Learn more about Fard at www.fardjohnmar.com. Fard Johnmar Futurist | Strategist Researcher | Inventor 3 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 4. Why digihealth impact trac? In Q3 2017, Enspektos released the first edition of digihealth impact trac, a quarterly report series designed to improve understanding of how organizations, startups, government agencies, universities and others are testing, developing and commercializing digital solutions globally. This research compliments and expands upon quarterly reports produced by StartUp Health, Rock Health and other organizations focusing on U.S. and global digital health investment activity. digihealth impact trac reports address key issues about how the digital health landscape is evolving, including: •  Where people are focused from an implementation perspective: This can include technology adoption, how care management is being reshaped by digital innovations and more. •  How digital technologies are impacting health, well-being, workflows and other factors: How are digital solutions being deployed? Who is benefiting? This report series provides answers. Like the Q1 2018 edition, this installment of digihealth impact trac features Patient Voices. Too often, the patient perspective is missing from conversations and research about digital health. With the help of Savvy Cooperative, which connects patients with opportunities to share their experience with innovators, we present qualitative and quantitative data featuring patient perspectives on key trends highlighted in this report. How can you benefit from digihealth impact trac? We hope the data and insights presented in this report provide you with a more nuanced and holistic perspective on the true shape, scope and impact of digital solutions on global health. There is much to be learned from understanding how digital innovations are being diffused globally, the differences between what organizations are focusing on and the platforms that are receiving funding, and how patients feel about the technologies being deployed to transform care. If you have any questions or comments about this research please contact us at info@digitalhealthmaven.com. 4 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 5. How to Download This Report This digihealth impact trac quarterly report is not available for download on SlideShare. Access the PDF of this publication via the Digital Health Maven Project’s Website. In addition to downloading this valuable resource, you’ll have access to numerous free innovation tools, including courses, Webinars and videos. You’ll also be notified when new quarterly digihealth impact trac reports are released. Click the button below to get started. 5 digihealth impact trac | Q2 2018 | published september 17, 2018 Click Here to Download This Report
  • 6. DataSources&Methodology This report combines data from Enspektos’ DigiHealth Informer platform, which features the world’s largest source of real-time market intelligence on emerging technology trends, investments and more, with patient insights provided by Savvy Cooperative. DigiHealth Informer Savvy Cooperative Data in this report was sourced from the Digihealth Informer real-time database. This is an intelligence and productivity platform with more than 5 million data points (collected since January 2015) focusing on the global digital and emerging technology market, including: •  Market Events: Product releases, mergers, acquisitions, pilots and other data on digital and emerging technology implementation •  Investment Activity: Funding events, investors and more •  Partnerships, Pilots and Collaborations: Extensive contextual data on how digital technologies are being implemented in health and medicine From August 1 to September 10, 2018 Savvy Cooperative conducted an online survey of 63 patients facing (or with family members facing) conditions such as opioid, alcohol and gaming addiction. Respondents provided their insights on: •  Awareness of digital addiction therapies •  Use of digital health tools such as mobile and medical devices for addiction management 6 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 7. TheGlobalDigitalHealthMarket ContinuedtoStrengtheninQ22018 7 digihealth impact trac | Q2 2018 | published september 17, 2018 Infrastructure Focus Methodology and Definitions: For this analysis (except for the financial strength metric), searches of the DigiHealth Informer database were conducted for the following keywords during the Q2 2018 and Q2 2017 time frames: • Infrastructure Focus: References to data interoperability and analytics (Keywords: digital health interoperability; digital health analytics) • Regional Diversity: Number of countries referenced as engaging in digital health innovation (Keyword: digital health) • Health Outcomes Research Emphasis: References to outcomes research (clinical and non-clinical) activities (Keywords: digital health outcomes) • Financial Strength: Global digital health funding levels (as measured by StartUp Health) Higher Lower No Change Interoperability, Analy7cs References (vs. Q2 2017) Regional Diversity Higher Lower No Change Country-Specific Innova7on References (vs. Q2 2017) Health Outcomes Emphasis Higher Lower No Change Health Outcomes Research References (vs. Q2 2017) Stronger Weaker No Change Total Global Investment Volume (vs. Q2 2017) Financial Strength Global Digital Health Strength Level - Q2 2018 vs. Q2 2017: Stronger Source: Enspektos, LLC
  • 8. WhyDidtheGlobalDigitalHealth MarketContinuetoStrengthen? The Global Digital Health Strength Index: Q2 2018 Traditionally, the strength of the digital health market has been measured by the level of investment dollars flowing into startups and other firms. While financial strength is a valuable metric, it can provide an incomplete picture of overall market potential. Other factors, specifically whether there is a focus on measuring digital health-related outcomes, improving data infrastructure and global innovation diffusion, also have a significant impact on whether digital technologies are (and will be) successful. To improve understanding of digital health’s impact and scope we created the Global Digital Health Strength Index (displayed on the previous page) in Q3 2017. The premise of the Index is that what people write about/reference online reflects what they are doing. Using DigiHealth Informer, we can automatically analyze millions of social media posts, news articles and other content to determine how often specific concepts and topics are discussed and more. Based on this analysis, compared to Q2 2017: •  Infrastructure: Global emphasis on ensuring digital solutions are well-connected and integrated from a data perspective to aid deeper analysis of population health data sets and other topics was similar between Q2 2018 and Q2 2017 •  Regional Diversity: Digital health’s global diffusion, which increased over previous periods, was flat quarter over quarter •  Health Outcomes Emphasis: Health outcomes improvement continues to be a major area of focus for global digital health innovators, especially in countries with centralized health payment systems, such as the United Kingdom •  Financial Strength: StartUp Health reported more deal volume during the first half of 2018, “414 deals compared to 344 in Q2 2017, which is the largest deal volume we have seen since we began tracking funding in 2010.” (link) 8 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 9. Overview:KeyQ22018DigitalHealthTrends What were the major digital health trends and themes that drove interest and attention during Q2 2018? As illustrated in the graphic below, during this period the advent of new data privacy regulations in Europe raised concerns about whether health data will remain accessible. Apple made moves to penetrate the health market more deeply. And, digital health addiction treatment and management tools rose in prominence. 833,280 +4.5% from Q1 2018 *Note: Between 70-80 percent of DigiHealth Informer data is focused on health and medical innovation. Non-health data on mobile, virtual reality, blockchain and other sectors is also tracked to monitor their evolution and potential impact on health. Source: Enspektos, LLC The number of digital and emerging technology-related social posts, news headlines and full-text articles collected via DigiHealth Informer during Q2 2018.* 9 digihealth impact trac | Q2 2018 | published september 17, 2018 GDPR Raises New Digital Health Considerations With the advent of the EU's GDPR data protection regulations, some are concerned it could have a negative impact on clinical trials and AI innovation. Apple Bolsters its Data-Device Infrastructure Apple releases API for its health records platform, which will make it easier for fitness data from its devices to be used in medicine and boost the company's health presence. Virtual Medicine Viewed As Cost- Savings Tool and Revenue Driver Provider organizations globally are shifting from being wary of, to investing in, virtual visits and digital medicine to save money and drive revenue. Digital Solutions for Treatment and Prevention of Addiction Rising With opioid (and other addictions) damaging communities globally, digital solutions are being deployed (using technologies such as AI and mobile) to fight it. Scope Momentum Momentum $ Investments
  • 10. What was the breadth of innovation focus (diseases, technology areas, etc.)? Scope Technology Major Themes and Market Events Related to Technology Area (Automated Content Analysis Conducted Using DigiHealth Informer) Mobile/Mobile Health •  Adherence Technology Favored: There is growing clinical evidence that mobile health solu5ons improve medica5on adherence. Also, consumer research released during Q2 suggests that pa5ents are very interested in using mobile solu5ons that aid compliance. ArFficial Intelligence/ Machine Learning •  Could AI Treat Behavioral Health Problems BeKer Than Humans?: Ar5ficial intelligence is playing an ever greater role in mental health treatment and could one day even manage behavioral health be?er than humans. Also, AI in healthcare is becoming a major area of focus in China. Electronic Health Records (Moved Up in Importance Between Q1 2018 and Q2 2018) •  Data Mining Using Electronic Health Records is AcceleraFng: Increasingly, electronic health records are being mined for pharmacy, outcomes and other data. EHR-derived insights are being combined with informa5on from other sources such as wearables to improve pa5ent iden5fica5on and care. Wearables (Breakout Trend) •  Wearables Aid Diagnosis and the Fitbit-Google Partnership: Wearables are being used to diagnose a range of illnesses, including stomach problems. Fitbit and Google launched a partnership to accelerate innova5on in digital health and wearables. Cloud CompuFng •  Cloud CompuFng At Digital Health’s Core: Cloud compu5ng services, always important to digital health innova5on, is becoming ever more vital. In their collabora5on, Fitbit will use Google’s cloud compu5ng services to integrate with health systems in a HIPAA compliant fashion. Top Referenced Technologies: Q2 2018 (As Measured via DigiHealth Informer) Below are insights about the most discussed and referenced technologies in the digital health online literature during Q2 2018 along with major themes associated with each. To perform this analysis, DigiHealth Informer was used to identify the top innovations (and themes related to them) referenced in full-text, news and social digital content collected from April 1 – June 30, 2018. Source: Enspektos, LLC Ecosystem Analysis 10 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 11. What was the breadth of innovation focus (diseases, technology areas, etc.)? Scope Disease/CondiFon and Top Technologies Associated With Each Key Areas of InnovaFon Focus in TherapeuFc Category (Automated Content Analysis Conducted via DigiHealth Informer) Diabetes Top Technologies: Mobile, Digital Therapeu5cs, AI, Cloud Compu5ng Key Focus Areas in Digital Diabetes Health: Governments either exploring or under pressure to u5lize mobile health solu5ons for type 2 diabetes management. Cancer Top Technologies: AI/Machine Learning, Big Data, Diagnos5cs Key Focus Areas in Cancer Digital Health: Con5nued focus on blood-based biopsies and (related to the Facebook privacy scandal) ques5ons about the level of personal cancer data being collected by the social network. Aging Top Technologies: Ar5ficial Intelligence, Big Data, Smartphones, Mobile, Deep Learning Key Focus Areas in Aging Digital Health: Innovators are exploring the role of digital therapeu5cs in senior care. How games for health can improve seniors’ mental health status. AddicFon * Top Technologies: AI, Electronic Health Records, Adherence Tech, Smartphones Key Focus Areas in AddicFon-Related Digital Health: Digital solu5ons are being developed u5lizing ar5ficial intelligence, mobile and analy5cs to prevent addic5on (e.g., by determining which pa5ents may be most at risk for opioid addic5on) and manage it more successfully. Asthma * Top Technologies: Adherence Technologies, Mobile, Sensors, Digital Therapeu5cs, Mobile Health Key Focus Areas in the Asthma Digital Health Arena: How public health organiza5ons and payers are relying on a combina5on of technologies in a bid to accelerate the use of digital in obesity preven5on (and test the efficacy of digital interven5ons.) Top Referenced Diseases/Conditions: Q2 2018 (As Measured via DigiHealth Informer) Below is a listing of the most discussed and referenced diseases in the digital health online literature during Q1 2018 and key areas of innovation focus related to each therapeutic category. Note: Diseases and innovations highlighted in orange rose in prominence between Q2 2018 and Q1 2018. To perform this analysis, we conducted a search of full text articles in the DigiHealth Informer database, using the keyword “digital health” (and top diseases/conditions), collected between April 1 – June 30, 2018. Ecosystem Analysis Source: Enspektos, LLC*These technologies/innovations/diseases rose in prominence between Q2 2018 and Q1 2018. 11 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 12. digihealth impact trac Patient Voices Once again for this edition of digihealth impact trac, we partnered with Savvy Cooperative, a patient-owned co- op that connects companies with the patient voice, to provide additional context on key trends that gained prominence during Q2 2018, as measured via DigiHealth Informer. Savvy Cooperative conducted an online survey of its diverse patient community to gather data from patients facing addiction or with family members grappling with this condition. Savvy recruited 63 patients with addiction (or with family members facing addiction) for this study. To date, this is the first research revealing how patients facing addiction (and those with family members with the condition) view digital solutions focused on helping manage and overcome addiction. Quantitative and qualitative data on this topic appears on the following pages. Ecosystem Analysis Patient Voices Patient Voices 12 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 13. How Do Patients Feel About Digital Health Addiction Solutions? Ecosystem Analysis Patient Voices 13 digihealth impact trac | Q2 2018 | published september 17, 2018 Patients With Addiction Positive About Digital Solutions Almost half of patient respondents with addiction feel that digital solutions could have a positive impact on addiction prevention, management and care. !α#α$ 48%: Positive 45%: Neutral 6%: Negative Question: In your opinion, do digital health technologies have (or have the potential to have) a positive, negative, or neutral influence on addiction prevention, management and care? (Responses filtered to focus on patients facing addiction.) Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018, N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction)
  • 14. How Do Patients Feel About Digital Health Addiction Solutions? Ecosystem Analysis Patient Voices What Patients Are Saying Hopeful, But Realistic: “While I think there is potential for tech an apps to help those with addiction, I feel there are challenges. One is getting that person with addiction problems to not only admit there is a problem, but also take recommendations for how to manage it. I feel there is a sense of defeat in just admitting it and it takes time to come to terms with how to manage it. I don't feel if I recommended a tech solution that my partner would use it. Therefore it would have to seamlessly fit into their life and be individualized so that each person could make it what they want. That could be very empowering and it could allow them to manage their addiction in a way that gives them support, access and anonymity.” Cautious About Potential Negative Impacts: “Opioid addicts struggle with motivation — period. Their brain is affected [in terms of ] how they process the cravings and what they feel they need. An addict would need to [benefit from] long term treatment before being able to consistently use and benefit from a digital device. Perhaps it could help more with other addictions during the beginning of recovery.” Digital Solutions Can Be Helpful, But Human Support is Vital: “I believe that CBT and social media support systems can be helpful as long as the person with the addiction is also getting the proper in-person, managed care and working and proven, tested, peer-reviewed and researched addiction treatment program like 12 Steps.” 14 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 15. How Are Patients (and Family Members Facing Addiction) Using Digital Solutions? Ecosystem Analysis Patient Voices 15 digihealth impact trac | Q2 2018 | published september 17, 2018 Patients Grappling With Addiction Turning to Mobile, Social Media and Other Digital Solutions for Help Many patients facing addiction are using mobile and social media to help them manage and overcome the condition. !α#α! 22%: Patient Has Used Mobile 50%: Patient Has Used Social Media 22%: Patient Has Used Other Digital Solutions Question: Have you, a family member or partner ever used any of the following technologies to help treat or manage addiction? (Responses filtered to focus on patients facing addiction.) Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018, N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction)
  • 16. How Are Patients (and Family Members Facing Addiction) Using Digital Solutions? Ecosystem Analysis Patient Voices 16 digihealth impact trac | Q2 2018 | published september 17, 2018 Family Members Facing Addiction Also Favor Mobile, Social Media Patients who have family members grappling with addiction report that their loved ones are also using mobile and social media to manage their condition. !α#α$ 18%: Family Member Has Used Mobile 36%: Family Member Has Used Social Media 39%: Family Member Has Used Other Digital Solutions Question: Have you, a family member or partner ever used any of the following technologies to help treat or manage addiction? (Responses filtered to focus on patients with family members facing addiction.) Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018, N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction)
  • 17. Are There Differences in How Patients With Opioid and Alcohol Addiction Use Digital Solutions? Ecosystem Analysis Patient Voices 17 digihealth impact trac | Q2 2018 | published september 17, 2018 Patients With Opioid Addiction Slightly Favor Social Media Tools Versus Mobile !α#α 10%: Patients With Opioid Addiction Who Have Used Mobile Solutions 25%: Patients With Opioid Addiction Who Have Used Social Media Question: Have you, a family member or partner ever used any of the following technologies to help treat or manage addiction? (Responses filtered to focus on patients with opioid addiction.) Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018, N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction)
  • 18. Are There Differences in How Patients With Opioid and Alcohol Addiction Use Digital Solutions? Ecosystem Analysis Patient Voices 18 digihealth impact trac | Q2 2018 | published september 17, 2018 Patients With Alcohol Addiction Also Prefer Social Media Tools Versus Mobile Data Source: Savvy Cooperative, Patient Survey Conducted August 1 - September 10 2018, N: 63 Patients Facing Addiction (or Who Have Family Members Facing Addiction) Question: Have you, a family member or partner ever used any of the following technologies to help treat or manage addiction? (Responses filtered to focus on patients with alcohol addiction.) !α#α 7%: Patients With Alcohol Addiction Who Have Used Mobile Solutions 27%: Patients With Alcohol Addiction Who Have Used Social Media
  • 19. Global digital health innovation — and reversals — continued during Q2 2018. Momentum The map at the left shows the top referenced countries in articles focusing on digital health collected by DigiHealth Informer in Q2 2018. Although regional digital health diffusion did not increase significantly between Q1 2017 and Q2 2018, innovation activity across a diverse array of regions continued. Below are some of the themes that attracted discussion and attention during Q2 2018 in three markets. Top Referenced Geographic Locations in Articles Related to Digital Health: Q2 2018 Country Key Country-Related Digital Health Events: Q2 2018 United Kingdom •  NHS con5nues to make strides in encouraging and incuba5ng digital health solu5ons across an array of areas, including ar5ficial intelligence and mobile health, but GP adop5on-related barriers remain. Australia •  Federal government launches $55 million (AUD) Digital Health Coopera5ve Research Centre, which features a consor5um of more than 50 technology companies, health networks and research ins5tutes. New Zealand •  There has been a focus on using digital health tools to create micro-creden5aling programs that allow health workers with streamlined training to deliver care to various loca5ons across the country. Source: Enspektos, LLC Ecosystem Analysis Source: DigiHealth Informer Platform, Enspektos, LLC 19 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 20. Where were investors focusing their resources and how did funding activity evolve? $ Investments Q2 2018 funding activity continued to reflect the growing diversification of digital health companies, areas of focus and approaches. In addition, despite regulatory uncertainty, blockchain companies continued to launch initial coin offerings in a bid to raise funding from cryptocurrency investors (mainly outside the U.S., with the exception of private placements, which are open to accredited American investors.) Below are sample digital health investments that illustrate some of the diverse companies that received funding during Q2 2018. Company Amount Company Focus Type of Funding Alan $28.3 M SaaS-Based Health Insurance Tradi5onal MedoPad $28 M Health AI Data Capture Tradi5onal Lyra Health $45 M Digital Mental Health Tradi5onal LunaDNA $4 M Blockchain-Based Genomic Data Marketplace Tradi5onal Funding activity accessed via search of social posts/news headlines added to the DigiHealth Informer database between April 1 – June 30, 2018. Keywords: Raise, Funding, Series A Source: Enspektos, LLC Ecosystem Analysis 20 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 21. Where were health organizations, startups, technology firms and others forging partnerships and collaborations? Connections Sample Partnership Activity: Q2 2018 (Identified Using DigiHealth Informer) A key area of focus during Q2 2018 was partnerships between established technology and government organizations in a bid to accelerate health innovation using digital technologies. Two examples of this activity is outlined below. Source: Enspektos, LLC Ecosystem Analysis Apple has teamed up with provider organizations such as Partners HealthCare to test and deploy its emerging health records capability. The Middle East has become a region where significant digital innovation experimentation is occurring. For example, Sensely’s virtual assistant technology is being integrated into NAS, a third-party administrator based in the United Arab Emirates. 21 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 22. What’s the latest on the trends we said would matter in 2018? Momentum Source: Enspektos, LLC Update: 2018 Trends That Matter In the Q4 2017 digihealth impact trac report, we identified five trends that would matter in 2018 based on an analysis of the nearly 2 million data points added to the DigiHealth Informer database in 2017. These five trends are referenced below. We provide an update on the impact of two of these trends in this report (policy, and empathetic interfaces). Advances in artificial intelligence, robotics, the Internet of Voice and related technologies accelerate the development of technologies that are more responsive, empathetic and human-like, which benefits elder care, mental health and other areas. Empathetic Health Interfaces Mature Policies and Regulations Drive & Threaten Innovation While the U.S. Food and Drug Administration pushes to speed digital health innovation, uncertainty persists re: the impact of net neutrality's repeal and the EU's General Data Protection Regulations. Mobile has become the default technology embedded into tools focused on patient engagement, compliance, clinical trials and other areas. Efforts to improve the vetting and review of mobile applications further drive mobile's central role in health. Mobile Health = Healthcare = With hospital executives, payers and others considering or deploying blockchain solutions, innovators recognize this technology has great potential in healthcare. Blockchain use cases diversify into anti- counterfeiting, health data marketplaces and other areas. Blockchain Health Ecosystem Diversifies The rise of passive biometric and digital tracking technologies, improved data analysis tools and related innovations transform patient-generated data into a high-value resource.Patient-Generated Data Comes of Age Review: Key Digital Health Trends to Watch in 2018 22 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 23. Policy and Regulations: What is some of the latest on this key trend? Update: 2018 Trends That Matter The European General Data Protection Regulations (GDPR) were a key area of focus during Q2 for some digital health innovators collecting data from consumers in the E.U. The regulations requires organizations to provide information about what data is being collected about them, explicit consent to have personal information gathered, the right to be forgotten (all data about them deleted upon request) and more. Some innovators are worried that the regulations will stifle how organizations collect health data from patients and limit the health data sharing and aggregation required to deliver digital solutions. 23 digihealth impact trac | Q2 2018 | published september 17, 2018 Policies and Regulations Drive & Threaten Innovation GDPR & Digital Health: Sentiment Analysis: Despite concerns that GDPR may stifle digital health innovation, the overall sentiment of online articles related to this topic was positive or neutral during Q2 2018, an indication that many organizations may be taking the regulations in stride. Sentiment Analysis Source: DigiHealth Informer Platform, Enspektos, LLC GDPR Online Content Collected Between April 1 – June 30, 2018
  • 24. Empathetic interfaces: What is some of the latest on this key trend? Update: 2018 Trends That Matter Although empathetic interfaces are still a brand new category, voice- activated devices, such as the Amazon Alexa, have already generated attention and interesting use cases in health. The chart below illustrates some of the therapeutic categories that are areas of focus currently for those developing voice-enabled empathetic interfaces. Especially interesting are innovations focused on the aging market — especially providing seniors with companionship in a bid to reduce social isolation. Voice Interfaces and Health: Key therapeutic categories referenced in online content focusing on how voice technology is influencing the health and medical industry suggests significant innovation is taking place in diabetes and mental health. Source: DigiHealth Informer Platform, Enspektos, LLC, Timeframe: April 1 – June 30, 2018. 24 digihealth impact trac | Q2 2018 | published september 17, 2018 Empathetic Health Interfaces Mature
  • 25. The trends presented in this report represent only the tip of the digital health iceberg. Want to better understand the market forces impacting your specific product, service, company or industry? Here’s how. What Next: Access Personalized Analysis & Insights Data in this report is sourced from the DigiHealth Informer platform and the Savvy Cooperative patient market insights service. Combined, these platforms provide real-time digital health market intelligence and invaluable patient perspectives. Contact us to find out how our data can help you. Interested in understanding how and why these and other trends matter to your specific company, sub-sector and more? Get in contact to book a customized and insightful live talk delivered by the author of this report, Fard Johnmar. Learn More & Request Demo Book Speaking Engagement 25 digihealth impact trac | Q2 2018 | published september 17, 2018
  • 26. About Enspektos, the Digital Health Maven Project and Savvy Cooperative Enspektos is a globally respected innovation consultancy. This report was produced by Enspektos, LLC. Founded in 2005, Enspektos delivers technology, strategy, analysis and non-obvious insights to executives, entrepreneurs, health professionals, government officials and others globally focused on using digital and emerging technologies to re-shape health. Learn more about Enspektos at www.enspektos.com. A global initiative supporting and accelerating digital innovation in health. This report and the DigiHealth Informer platform are part of the Digital Health Maven Project. Founded in 2014 by Enspektos, the Project’s outputs have reached and benefited more than 40,000 people globally. Learn more at www.digitalhealthmaven.com. Savvy helps companies and researchers get the patient insights they need. Savvy Cooperative is a patient-owned co-op that helps companies and researchers get the patient insights they need to build superior products and services. Savvy provides an online marketplace that connects patients with opportunities to share their patient experience with innovators, so that together they can bring better solutions to market, faster! Learn more about Savvy at www.savvy.coop.
  • 27. Digital Health Definition: Enspektos defines digital health as the use of multiple technologies (software, analytics, genomics, devices, etc.) to track, improve, support and modify health. Key digital health technology centers include mobile, social media, Big Data and wearables. Data Sources: Insights featured in this report are based on publicly available social and news data published during Q2 2018 and Q2 2017 and a patient online survey produced by Savvy Cooperative. Data Reliability: Enspektos makes every effort to ensure that data is from reliable and reputable online and patient sources. However, we cannot warrant the ultimate reliability and validity of data obtained via our data collection and processing techniques. Use of Data: This report is provided for informational purposes and was prepared in good faith on the basis of public information available at the time of publication without independent verification. Enspektos does not guarantee or warrant the reliability or completeness of the data nor its usefulness in achieving any particular purposes. Enspektos shall not be liable for any loss, damage, cost or expense incurred by reason of any persons use or reliance on this report. This report is a proprietary aggregation of publicly available data (and survey data collected by Savvy Cooperative) and shall not be reproduced without the written consent of Enspektos, LLC. Learn more about Enspektos at www.enspektos.com. AdditionalNotes ®