HealthPanel
Connect to Health Experts for Personalised
Consultations and Share Health Data for Actionable
Advice that gets Results.

Hi, my name is Stuart Worth
I live for Health Tech & Marketing.
I believe everyone should
be empowered to live:
Healthier, Happier & More Productive
lives

Before we start,
I’ll give you a snapshot of my background..
Some highlights
Queens University Belfast | Engineering ‘12
Stanford University | Entrepreneur programme E-commerce
Member of the Silicon Valley Health Institute
Part of Quantified-self movement.

Some past projects i’ve worked on.
Developing social commerce application utilising persuasion
& behaviour psychology principles.

The big idea I’m introducing to you..
has emerged from series of converging market
forces that I have seen steadily evolve over the past
4 years.

Today the technology is used by:
professional athletes
minority niche of health conscious early
adopters
individuals in the quantified-self movement.

majority of people are not yet familiar with some of
these health concepts.
but they will be.. soon
because an entire industry is spawning.
Giants in the healthcare industry and tech
industry are moving into this space.
Greater market forces are pushing in this
direction, as a result of technological
innovations in medical diagnostics and
advances in low cost computational
processing.
The companies that win in this space - will make it
easy for everyday people to use.

As we see it today….
Healthcare systems are broken
In the U.K. - while most of the services are free
the taxpayer pays £100 Billion + / year for it.
It is proving unsustainable both economically and
environmentally. - All round wasteful and inefficient.
By 2035, diabetes care 'could cost the NHS £17 billion a
year'.
“Diabetes could 'bankrupt' the NHS in 20 years,”

Service problems to customers include:
Inconvenient waiting lists to see a professional.
High level of mis-diagnoses from doctors intuition.
Geographic limitations - what GP’s/ experts are available
locally.
Treating symptoms with short term solutions -
antibiotics and prescription drugs.
Not treating core problems that generate illness
Not using long term solutions.

In many cases a health professional will not be able to
recommend a diagnostics test due to budget spend
limitations or supply chain restrictions.
Often they are not trained to interpret the information
in a way that is useful to patients.
And they don’t have the expertise to give advice which
gets the best long term results for the individual.
This has lead to individuals to seek private health
consultants and paid for diagnostics tests, which have
proved life-saving to many.

Historically spending in healthcare has been:
disproportionally sided to the last — days —
weeks — months — and years of life.
Because people want to hang on to life, and
are willing to pay for it.
The procedures, drugs, medical equipment
and staff required to achieve cheating death
just a little longer.. are costly.

But we are seeing a societal shift.
Baby Boomers & Generation X are getting into
preventative medicine and healthcare.
They want and expect to live longer and at a higher
quality of life than their parents or grandparents
generation.
They are spending money on health foods,
supplementation, gym membership, coaching, private
consults, health spas, etc.
In the past - it was a small niche, now it’s become
mainstream and growing.

Millennials have grown up with the internet, mobile
devices and are experimenting with various forms of
self tracking, fitbit, jawbone, sleepcycle app

So what direction is the future taking us?
Thought
leaders
are
saying..
“in
the
future,
pa6ents
will
have
the
data
&
analysis
to
become
the
CEO
of
your
own
health”
! - Peter Diamandis
XPRIZE, Singularity University &
Author of Abundance.

“More
and
more
major
businesses
and
industries
are
being
run
on
soCware
and
delivered
as
online
services
—from
movies
to
agriculture
to
na6onal
defence”
“Over
the
next
10
years,
I
expect
many
more
industries
to
be
disrupted
by
soCware”
!
- Marc Andreessen
General partner - Andreessen Horowitz

“1.
80
percent
of
what
doctors
do,
diagnos6cs,
will
be
replaced
by
machines
2.
Medicine
will
become
tailor-­‐made
for
each
pa6ent
3.
Consumer-­‐driven
tech
will
create
beMer
incen6ves
to
keep
people
healthy”
- Vinod Khosla
Co-founder Sun Microsystems & VC

The future of healthcare will be personalised & software based
In terms of personalisation - we all process nutrition, toxins,
and stress differently.
A one-size-fits-all answer will not give us optimal health.
A diet that is beneficial for some may be deleterious to others.
Diagnostic technology enables a baseline to be set, and
measured again, to gain greater understanding, can track and
observe changes over time in concert with lifestyle changes.
Enables informed behaviour change advice, for best outcome
Having a database of an individuals many biomarkers.
Through the feedback loop can see effective changes made to
avoid disease, and take control of our health, performance and
longevity.
Systems biology is measurable and results-orientated

Today we have a reactive medicine approach, and one-size-fits
all, and it is incompatible the modern western lifestyle
which has contributed to the majority of public health
problems.
Lifestyle choices in the areas of: diet, stress management,
cardio exercise and mental wellness.
We live in a time, where we have excess resources and time
to think, more than other time in recorded history.
The human mind evolved for a life of preset constraints— a
limited selection of food and resources.
Humans have cognitive limitations, finite will power, they
develop habits and behaviour patterns they struggle to
change. They get into negative mental loops which cause
addiction and anxiety.

“40,000+ patients in U.S.
may die with a misdiagnosis annually”
!
winters, et al., bmj quality & safety, 2012

“Surgeons were given detailed diagnoses
& asked if patients should get surgery…
!
50% said yes …
other 50% said no …
!
!
when asked again 2 years later,
40% gave a different answer
Article: http://jama.jamanetwork.com/article.aspx?articleid=380215

wide ranges of uncertainty
seventeen
experts’
es6mates
of
the
effect
of
screening
on
colon
cancer
deaths
0%! 25%! 50%% 75%% 100%%
propor6on
of
colon
cancer
deaths
prevented
=
one
expert’s
response
Article: http://jama.jamanetwork.com/article.aspx?articleid=380215

“premature closure
the single most common cause of
diagnosis error”
Article: http://archinte.jamanetwork.com/article.aspx?articleid=486642
!

Conclusion
misdiagnosis and incorrect decision-making
are proven to be rampant by
multiple peer reviewed studies.

Here’s why
Healthcare Practitioners are human
and like all humans they have:
cognitive biases
memory biases
and
mental limitations.
!

They have to make decisions based on
imperfect & incomplete information.
!

the shift to “computerization” has already
happened in other areas…
!
…airline pilots, stock trading, car driving
and its going to happen to healthcare
and wellness.

The game changer is in ‘measurement’ and feedback.
The quantified self movement is about tracking data points,
trending them and trying to gain useful insights to improve future
results.
It can be leveraged to create accountability of the customer.
Research shows people perform better under observation than they
do without.
Evidence shows we have to create structure and measurement
artificially that we superimpose on top of our lives that to get
ourselves to follow through, and get the results we want.

Architec6ng
Healthcare
as
feedback
loop
{1.} {2.}
Diagnos6cs
tes6ng Health
Professionals
lifestyle
informa6on Sharing
GP,
specialist,
nutri6onist,
fitness
coach,
psychologist
Ac6onable
Feedback
{3.}
Accountability
/
behaviour
change
{4.}
{con6nuous.}
{con6nuous.} [Machine
Learning/big
data]
observing
process
above.

Why now.
High leverage industries
Healthcare Telecomms
Education
Industries in chaos.. .. ripe for disruption & consolidation.

Healthcare
10% to 20% of cases:
delayed, missed, and incorrect diagnosis
graber, et al., jama, 2005

Healthcare
Healthcare can be a difficult space
!
Devices, diagnostics and drugs require FDA approval
and other compliances.
!
Expensive, high-risk and time consuming.

HealthPanel meets intersection between health and internet
communication.
Healthcare Telecomms
X
Providing the platform, not the actual advice or diagnostics.
No FDA, No Compliances.

HealthcareXTelecomms
The Telemedicine Space has excited a lot of companies.
because..
they can see the potential of the internet to provide enormous scale
at low cost,
!
combined with..
!
the growing demand for lower cost, more convenient, accessible &
better advice.

HealthcareXTelecomms
but
!
the winner of this space will be people who can make it easy.
Simple and intuitive to use for everyday people.
!
There needs to be a X10 multiplier in benefit for people make the
switch.
!
Data feedback and behaviour change systems get exponentially better
results and consumers recognise it when they try it.

HealthcareXTelecomms
Offering for health professionals.
Few health professionals happen to be world-class marketers,
managers and business operators all rolled in to one.
!
They are focused on the core of their service.. patient/customer care.
!
There are few health experts who operate high traffic blogs, have
national best-seller books, and a team of employees running their
website and product distribution.
They are the most heard, and perceived as authorities in their domain.

HealthcareXTelecomms
The right platform enables health professionals to
-increase revenue using tools enable scale and structured
organisation.
-earn by referring other health professionals.
-use pre-defined automated email scripts targeted at specific niche
customer segments from different lists.
They can automated: accountability to clients/patients, booking and
scheduling.
Systemising pre-booking application processes
Built in payments. % commission

Education
“Nearly
half
of
all
american
adults
have
difficulty
understanding
and
ac6ng
upon
health
informa6on
”
ins6tute
of
medicine
of
the
na6onal
academies
IOM
–
Health
Literacy:
A
Prescrip6on
to
End
Confusion
(hMp://www.nap.edu/openbook.php?record_id=10883&page=1)
!

“Most
[pa6ents]
preferred
receiving
their
discharge
informa6on
from
the
[computer]
agent
compared
to
their
doctors
or
nurses
in
the
hospital
“
bickmore,
et
al.,
interac6ng
with
computers
Education

Education
90M
adults
with
limited
health
literacy
cannot
fully
benefit
from
much
that
the
healthcare
system
has
to
offer

Data
The variability occurs because physicians
must make decisions about phenomenally
complex problems, under very difficult
circumstances, with very little support.
They are in the impossible position of not
knowing the outcomes of different actions,
but having to act anyway.
eddy,
et
al.,
jama,
1990

Data
A
simple
insight
from
to
big
data
analysis
‘depression
is
a
risk
factor
for
diabetes’
!

[During the 1850’s California gold rush - the majority of wealth wasn't created in
mining gold. It was in supplying the pickaxes & maintenance tools. ]
!
An online platform can create high leverage value by facilitating an
ecosystem. - like facebook, ebay, freelancer, reddit, apple/android
app stores.
Giving stakeholders the right tools enables them to define their own
value, and create their own wealth.
HealthPanel enables professionals to create a ‘business in a box’.
And an open API data approach to let others innovate. There are
hundreds of companies trying to offer genomics solutions, but with
limited datasets from academic research made public, they are
trying to build their own datasets selling genomics kits - but with
little success. In future the cost of genomics tests and blood
biomarkers will be extremely cheap $5-$10 range. The long term
value will be in the platform and the use made from the data.

The HealthPanel vision is to be the communications hub of
preventative health & wellness services.
It connects people to health & wellness professionals anywhere in the
world. It creates ease in scheduling consultations and payment of
services.
The HealthPanel term for health professionals encompass: doctors,
medical specialists, nutritionists, fitness coaches, behaviour change
experts, etc.. because health advice is a holistic approach, a range of
expertise.
It connects people to diagnostic testing services, and a place to
access and share that data with ease, to people who can interpret
insights and give useful actionable plans for the customer to follow.

Who its for.
For Health Conscientious Men & Women aged 25 & over
Who want to have more convenience and choice over their health
professional, and not be limited to whats available locally or
experience inconvenient scheduling and long wait times.
Who want professionals that are accountable, have a proven track
record, and public peer reviews supporting their speciality area.
They want results not misdiagnosis. They want actionable paths to
success not vague medical advice and drug prescriptions for
symptoms.
For health & wellness professionals who want to connect and sell
advice services to more people, to be able to schedule consultations
more efficiently, receive payments easier, manage and schedule
employee consultants easier. And have easier access to customers
health data, for better insights. And be able to charge for extra
services like holding customer accountable to behaviour change.

There are a series of profound
Market Forces Converging together
and they are following a trajectory..
1. Economic
2. Social
3. Technological

Economic Forces
Ageing population and increasing national debt requires nations to rise
retirement age. Declining younger people contributing to national insurance is
increasing future economic uncertainty for many people.
Decreasing cost of scalable cloud services for data intensive requirements is
making entry affordable.
National Healthcare costs in many countries are not affordable long term.
In U.S private Healthcare costs have escalated to uncompetitive prices due to
unbalanced incentives.
High level debt and unemployment
Worldwide and growing population.
Alternative lower cost long term solutions are urgently required.
Costs decreasing for medical diagnostics in blood analysis, genomic, gut micro-
Biome.
Billions already spent on diagnostics R&D funded by governments. In terms of the boom &
bust cycle, the mass-deployment phase is nearing, where entrepreneurs will bring the useful
benefits to the population - based on Carlota Perez model - Technological Revolutions and
Financial Capital: The Dynamics of Bubbles and Golden Ages

Economic Forces
The number of people in the world aged 60 and over -
expected to grow past 2 billion by 2050
Source: United Nations Population Fund

Economic Forces
The first full human genome was sequenced in 2003, after more than a
decade of work and at a cost to taxpayers of $2.7 billion
Costs 2014 = $1,000 2017= $100 2020 = $10 ?

Social Forces
Ageing populations in developed countries have higher
expectations for longevity and quality of life than their parents
or grandparents generation
health experts using internet as a communications tool for
health advice business, and selling products.
People expect access and freedom with their data.
Personal tracking and wearables becoming mainstream - fitbit,
Zeo. soon Apple iwatch, and Android watch OS
Quantified self movement becoming mainstream
Negative effects of western diet responsible for lifestyle
illnesses continues and grows.
Wide adoption of open platforms with app’s development

Getting information in the age of google and
finding answers to questions has become cheap - virtually free.
!
The next area of growth is going to be in:
!
finding the right questions to ask.
Social Forces

Technological Forces
Innovations in data cloud storage/retrieval E.g. AWS
Increasing broadband internet speeds enabling high quality video
conversations without lag and delay time.
It used to be difficult, expensive and time intensive to build a social
platform. Now possible to buy ‘social platform in a box’ for less than
$500, source code included. E.g. PHPfox, social engine
Research brings new diagnostics tests regularly which can pinpoint
problems more accurately.

My story with health diagnostics.
I’ve played competitive sports since aged 11yrs . rugby, cricket,
athletics.
At school training 3 days a week, weekends & summers.
Health & Fitness a priority - ridiculous cardio, weight training & work
ethic.
but… still overweight. not only that- depression, anxiety, skin
problems - acne and dryness.
Often had states of brain fog, where I literally couldn’t think..
caused notable drops in academic performance.
And serious gut pain and inflammation.
And no idea what was causing it, guessed it must be genetics.

Later.. during time at University
I discovered genomic testing service 23&Me.
[not a full genome sequence but a partial sequence]
When my DNA results arrived..
I discovered a genetic predisposition to gluten intolerance.
This basically meant the greater portion of my ancestors where
hunter gathers not Agriculturists/farmers
and so grains where not favourable to my genetics
And eating gluten containing products could elevate risks for other
health conditions

Snippet of Genomic data: 23&me.com
And it was interesting to some my family members & relatives..
Some, who have had the conditions above..

The family connection.
My grandfather died from an oesophageal cancer which have higher risk
factor for developing.
My uncle and niece have Psoriases issues, again I’m also at higher risk factor
for developing.
And new university research links gluten sensitivity issues with type-1
diabetes, Multiple Sclerosis, alzheimer’s disease and various other conditions.
My sister has type-1 diabetes. Is this all by chance, or could there be a
connection ?
Type 1 diabetes, unlike type-2, is not developed based on lifestyle - the
doctors consensus is- ‘we don’t know what causes it’.
There are a lot of questions we don’t have answers to, today.
Who ever gathers the most of ‘bio data’ and uses big data analysis to gather
the most useful insights, will provide the most value in future.

Snippet of biomarker data: wellnessfx

After doing my own research and talking to experts
I made dietary changes which suited my personal biology which
proved transformational to my health, lifestyle and performance.
!
I realised I’d lived much of my life up until then
with needless:
pain, stress, and low quality life performance
!
because of
!
a few key unsuitable ingredients in my diet
!
and
!
a few key suitable ingredients missing in my diet.

And the big opportunity is all people in future
could have direct access to the data locked within their body
and..
!
have it interpreted
in a useful, meaningful way that gives insight that can enable them to
live healthier, happier, longer & more productive lives with less pain,
suffering, illness and reduced spending on traditional healthcare
services.
Diagnostics also gives people an opportunity to go beyond what was
possible before, to enhance health to levels never seen before in
recorded history.

What limits to todays service offerings from becoming great.
23&me provide health insight statements based on research. They do not
connect customers to health professionals. Unless customers do their own
research for useful actionable advice, customers are left paralysed unknowing
what to do with the information. The main reason they have been attacked
by the FDA, requiring health insights being closed to new customers and only
having ancestry information available.
The data is not open to others for innovation.
They have est. 700,000 people with DNA analysed -one of largest databanks
in the world, but slow growth, and significant drop in sales resulting from
FDA disqualification.
Wellnessfx limited by connecting only to their own approved physicians and
nutritionists at set hourly rates and is not managed through the platform.
Partnership with one diagnostics company, labcorp for entire U.S.

HealthPanel can be positioned to be ready when the time is right,
to take full advantage, and grow a large network of users.
!
Leveraging the Metcalfe’s law principle
Which states that the value of a telecommunications network
is proportional to the square of the
number of connected users of the system.

Growth Strategy
[ The health blogosphere with
varying size of viewership ]
Health & wellness news sites and blogs obtain traffic, building trust &
authority with readership and compile emails into segmented lists.
A percentage of those readers seek one-on-one coaching, or advice.
Funnel those people through an ‘embeddable card’ or a simple link on
the website, to to the professionals personal page on HealthPanel.
Build up the HealthPanel user base, acquiring a relevant qualified list of
consumers who buy products and services in corresponding markets.

Monetization
Percentage taken off service fee from:
- consultation service sessions.
- diagnostics purchase referral
- health data applications
Targeted advertising based on individuals health problems

Potential Exit For Shareholders
Acquisition
There is high level of interest and speculation at the potential of next generation
health tech companies.
Facebook are interested in the telemedicine sector, acquisition of Oculus rift based
partially on telemedicine opportunities.
Google have projects to extend human longevity. They invested 23&me genomics
service.
!

Proof of concept funding
Developing a minimum viable product, testing with health professonals and users.
!