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The future of healthcare and the
pleasure to consume iT


                       Prof. Dr. Koen Kas
                              Zorgidee 2013
                                     Hasselt
                           February 07, 2013
Towards personalised, participatory,
   predictive & preventive healthcare
“Doctors pour drugs of which they know little,
to cure diseases of which they know less,
into patients of whom they know nothing”

Moliere
French author sophisticated comedies (1622-1673)
The Chinese paid their doctor to remain healthy
As soon as they got sick, they no longer had to pay
From 100€ spend on healthcare,1€ goes to
prevention - and 90€ to last 2 years of our lives
Why do we regularly check oil and water level
in our car, but not the status of our body?
Why do we ask about the weather, but not
about our body tomorrow?
1. Age of Genomic medicine
Personal genome analysers
Cancer
Collection of rare diseases
Improved disease classification
   changes treatment outcome
Cancer drugs get personal / precise




                      Treatment ‘V600E BRAF’
Cancer mouse Avatars
From 1 drop mom’s blood test for
  3.500 hereditary diseases
Life build/executed
from 6 layers code (-omes)
• Genome
• Epigenome -
  methylome
• Transcriptome
• Proteome
• Metabolome

• Microbiome
Our genome interacts
with the world around us
Need to combine genome with other data


• Personal Omics Profile
  (iPOP) - n=1, 1.5Y, 300 Tb

• Quantified self movement
• Tricorder-like devs &
  wearable sensors
2. Age of self monitoring
    Smartphones, devices, Apps
Quantified self: from geeks to 6M consumers




            Nike Fuelband (x LoseIt!)   FitBit Flex
Wireless activity tracker




                            Shine (Misfit Wearables)
Star Trek -like tricorder




   Thermometer              Scanadu Scout (2013)
Blood glucose meters – setting goals




 iBGStar Blood Glucose Meter

 WaveSense Diabetes Manager
Heart monitor in FDA-approved iPhone case




    AliveCor
Diagnose ear infections at home




           Otoscope (CellScope)
Remote eye exams




         iExaminer (Welch Allyn)
Home lung health test




 SpiroSmart (Univ Wash, US)
Track, score & offer advice on sleep
    patterns




         Lark: App & armband
Contact lens embedded with a chip to
   measure eye pressure




  For people with or at risk of
       glaucoma (Sensimed)
Doctors will prescribe smart phone apps
           But an App will not cure cancer

Consumer health - seasonal allergy
mngmt

Doctor’s office - appointment booking
-> exchange messages with practice

Physical therapy - help patients
remember practice exercises at home
Smartphone Apps melanoma detection
   Sensitivity from 7% to 98% (Study 01/13)




                      MelApp
   (Health Discovery Operation)
3. Healthcare will become attractive,
    fun, engaging & nicely designed
Healthcare to become fun & engaging
      Motivational Apps




“Sitting is the new
      smoking”
Healthcare to become fun and engaging
   Online genome games and robots




                            Popchillas World (Interbots)
Real-time, remote physical therapy
     Kinect-style video capture




        Home team therapy
Your average labtest impossible to decypher?
 Personalising health records
Why do we post holiday pictures on Facebook,
but do we carry our X-ray pictures in a brown
envelope from Dr to Dr ?
Viewing & annotating Radiology images




                                Mobile MIM
                                (FDA-approved)
Why do we store our kids’ blood group or
vaccination dates on lousy sheet of paper or
booklet we loose ?
System for storing family’s health records




      HealthVault, Microsoft
Robodocs: doctors talk to and monitor
          patients remotely




RP-VITA robots, iRobot Corp
Help people remember to take their pills
    as prescribed




                              GlowCaps (Vitality)
Ingestible sensor, stomach acid-powered




                            Proteus Digital Health
Drug adherence to lottery access – given
pill taken yesterday
4. Healthcare will become social
Growing patient awareness - Participation
    Healthcare will become social
Predicting the flu
   Google flu trends (http://www.google.org/flutrends/be/#BE)
Predicting the flu, II
    Epidemiological algorithm scans your tweets
Improving eating habits




                  The Eatery
(Massive Health -> Jawbone)
Amongst top healthcare cies will be a
        software cie <10Y from now


xx
IBM Watson supercomputer
   Cancer patient management
Car industry
Healthcare Innovation economy

2011-> 2013: 1-> 100 healthcare startup
incubators & accelerators
Money towards digital healthcare
Future of healthcare

 Less about being sick, but about staying well & healthy
 Consumer-driven: social, attractive, addictive, engaging
 Participatory & Personalised -> Predictive & Preventive
Contact gegevens

Prof. Dr. Koen Kas


E   koen.kas@inbioveritas.com
W   http://inbioveritas.com/
L   be.linkedin.com/in/koenkas
T   @kaskoen

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Koen Kas: The future of healthcare