Patients’ own expectations for technology are growing and they have shared that digital technologies need to become more integral in the care delivery process. In the U.S., nearly half of Americans would opt for online capabilities vs. handling over the phone, such as getting lab test results, filling out paperwork ahead of a doctor’s appointment, accessing their medical records, and filling prescriptions. Given the increasing desire for a tech-driven care experience, patients are helping to spur technology adoption by their providers. As the population ages, technology adoption and information exchange within the long term and post-acute care settings becomes increasingly more important. How can post-acute care agencies overcome challenges of limited resources (financial and workforce) to bring patient care delivery into the 21st century? Patients who take prescription medications for chronic conditions are also feeling the pain from a lack of tech-adoption when their doctors typically don’t offer them access to online condition management tools or make themselves available online or via email for questions. Dr. Van Terheyden will discuss what needs to happen to break down these barriers.

1. Connected Care and the
Patient Experience
OACCAC
Nick van Terheyden, MD
@drnic1
Chief Medical Officer, Dell HCLS

2. Nick van Terheyden, MD CMO, Dell Health and Life Sciences
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://drnick.vanterheyden.com/
FaceBook http://www.facebook.com/drnic1
E-Mail DrNick@dell.com, drnic1@gmail.com
AboutMe http://about.me/obiwan
Google Voice (301) 355-0877
Where you can find me

3. Medical Errors 3rd Leading Cause of Death

4. Consumer Statistics
387 Million globally live with diabetes
10 million live with Parkinson's
14 Million new cancer cases added each year
17 Million people will die annually from heart
disease

5. Ageing is the Seminal
Issue of Our Time
By 2050
• 40% of people will be
over 60
• More people over 60
than under 14
In the United States
• 10,000 Baby Boomers
turn 65 every day
• All Baby Boomers will be
65+
• 8 Million will be over 80

6. 2009 Continua Health Alliance Brigitte Piniewski, MD
0 25 65
Age
IllnessPre-IllnessWellness
Unpredictable Health
Predictable (Rules-based) Health
Death
60-80% Lifestyle
Modifiable Health

7. Graphic Source: ClinicalTrials.gov, accessed June 6, 2014 at http://clinicaltrials.gov/ct2/resources/trends
Complexity of Modern Medicine
“The complexity of
modern medicine
exceeds the inherent
limitations of the
unaided human mind” –
David Eddy, 1990

8. 8
FactsperDecision
1000
10
100
5
Clinical decision-making is becoming
more complicated.
2000 20101990 2020
Structural Genetics:
e.g. SNPs, haplotypes
Functional Genetics:
Gene expression
profiles
Proteomics and other
effector molecules
Decisions by Clinical
Phenotype
William W. Stead, M.D., 2007 AMIA Panel Presentation, “Why We Need Internal Development”, November 11, 2007
How can we expect health
care professionals
to review
6 billion pieces of data in
a 15 minute encounter?

9. • Kilo
• Mega
• Giga
• Tera
• Peta
• Exa
• Zetta
• The Data Deluge Makes the
Scientific Method Obsolete
The Data Deluge

11. Source: Qmee July 2014, http://blog.qmee.com/online-in-
60-seconds-infographic-a-year-later/
Every minute
of every day…

12. TeleHealth and
TeleMedicine

13. The Continuum of Telehealth
• Home Monitoring
• Advanced Monitoring
• Advanced Monitoring Equipment
• HealthSpot
• Sensing Depression and Brain Injury
• Intelligent Assistants and Virtual Interactions
• RoboDoc/Nurse

14. Even Assisted Telehealth Intervention
14

15. Wearable's and Internet
of Things

16. Wearable's and Internet of Things will surpass smartphones
and personal computers by 2018
Internet of Things
Tablets
Smartphone
Personal
Computers

17. The Quantified Self
Meet Chris Dancy and His 10 devices he wears or carries and 13
more in his home and car

18. Quantified Self
• Ubiquitous, low cost, always on sensors
• Seamless tracking with minimal friction and requiring no behavior change
• Generates interactive easy to understand data and influences behavior
• What Can you Track
– Activity and Weight
– Sleep, Mood
– Cardiac including Heart Rate, Blood Pressure and EKG
– Bloods including Glucose
– DNA and Your MicroBiome
• Incentives

19. Smartphone Driving Biggest Heart Health Study
http://singularityhub.com/2013/04/03/a-million-smartphones-will-drive-biggest-heart-health-study-in-history

20. Connected Medical Kit, CliniCloud
Playing doctor at home

21. Robotics and
Automation

22. RP-VITA robots, iRobot Corp
Robotics

23. Robotics

24. Genomics and
Precision Medicine

25. Genomics, Sequencing and Data
• Took $3 Billion and 10 years to sequence one
genome
• Sequence in days even hours and for <$1,000
• Explosion of data just to sequence the genome
– Plans to sequence 14M new cancer patients every
year which would generate 5.6 Exabytes of
information.
• But there’s even more data in -omics
25
Global bioinformatics market to reach
$13B by 2020
21% CAGR1
>5.6 Exabytes
to sequence 14M new cancer patients worldwide
per year2
Sources:
1. Allied Market Research, Global Bioinformatics Market, 2013-2020
2. http://www.cancerresearchuk.org/cancer-info/cancerstats/world/incidence/
3. http://www.technologyreview.com/news/531091/emtech-illumina-says-228000-human-genomes-will-be-
sequenced-this-year/
228,000 whole human genomes
sequenced in 2014
1.6M by 20173

26. • High Level Trends
– Data, data and more Data
Topics

27. Genomics and Preventative Care
• Washington University
CardioGene Set
• Panel includes genes
linked to 8 cardiac
disorders including
arrhythmias &
cardiomyopathies
• Young Athletes and SCD
http://outlook.wustl.edu/2014/apr/gene-testing

28. Genapsys
DNA electronics
The era of Personal genome analyzers

29. Hi Tech Medicine

30. Patient Engagement is the
blockbuster drug of the century
Leonard Kish
Principal and Co-Founder at VivaPhi

31. Accelerating Pace of Change
• Fear of the New
• Agricultural Revolution – 8000 years
• Industrial Revolution – 120 Years
• Moon Landing – 22 years
• Genome Sequencing – 10 Years
31

32. Connected Care and the
Patient Experience
OACCAC
Nick van Terheyden, MD
@drnic1
Chief Medical Officer, Dell HCLS

33. Nick van Terheyden, MD CMO, Dell Health and Life Sciences
AboutMe http://about.me/obiwan
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://drnick.vanterheyden.com/
FaceBook http://profile.to/drnick
E-Mail DrNick@dell.com, drnic1@gmail.com
Google Voice (301) 355-0877
Questions

34. Do more.
Healthcare.
Are you ready to…
Do more of what’s possible,
Do more of what matters,
Do more of what brings success?