IOT Lifesciences think tank

1. L E V E R AG I N G T H E
Internet of Things
to improve Patient Outcomes
O c t o b e r 2 7 - 3 1 , 2 0 1 5

2. In recent years, the healthcare industry has placed
increasing focus on the Internet of Things (IoT) to
improve patient outcomes, creating a market
segment expected to hit $117 billion by 2020. While
the rise of IoT technology has enormous potential to
improve the efficiency, effectiveness and safety of
patient care around the world, it also presents
unique challenges and requires fast adaptation
within and between organizations. This Think-Tank
brought together healthcare leaders, technology
innovators and researchers to explore how
cutting-edge IoT solutions will improve patient
outcomes, and understand the collaborations,
technology investments, and further conversations
necessary to maximize the opportunities.
15
Participants
25
Observers
67
Posts
2
Surveys

3. “The IoT is empowering the patient, they have the potential to know more about their
condition today than ever before, with apps and wearables. This trend combined with
the increasing growth in genomics and personalized medicine will redefine existing
therapy, processes and practices.”
ADEBAYO ONIGBANJO | Marketing Strategist, Entrepreneur, Technologist
“Connected devices will be ubiquitous...some of these devices, and/or data may be
relevant to patient health monitoring, diagnostic... thus could help improve, for
example, patient experience, security or safety.”
REMY POTTIER | Director of Strategy at ARM
Connective Devices are changing the
healthcare landscape, and have the
power to bring big benefit to patients
and providers.
Connective Devices are changing the
healthcare landscape, and have the
power to bring big benefit to patients
and providers.
KEY FINDINGS

4. “Predictive analytics can help enable the patient and physician to intervene early and
hopefully prevent potentially unsavory outcomes/diseases… Companies like deCODE
(probably many others) are using baseline genetics and are trying to come up with
predictors of disease based on numerous data points.”
HARLAN MATLES | Physician / Owner at MD² Menlo Park
“Memorial Sloan Kettering in NYC...uses IBM Watson’s cognitive capabilities and
intelligent IoT sensors to assist 125,000 physicians perform gene sequencing on breast
cancer tumors. Oncologists can now identify and distinguish over 50 types of breast
cancer tumors and develop more targeted and effective cancer treatments.”
LAURA DIDIO | Director Enterprise Research & Consulting at Strategy Analytics
Participants shared five trending applications
for IoT Technology in healthcare:
PREDICTIVE ANALYTICSPREDICTIVE ANALYTICS
PERSONALIZED CAREPERSONALIZED CARE
“A solution we just worked on at Zebra Technologies is a Time Tracking Solution for
Acute Myocardial Infraction – it helps hospitals accurately monitor the
door-to-balloon time. This system takes the task away from nurses or other care-givers
and automates the process, in addition it provides real-time feedback (without the
audio for now) to care-givers to enable them understand how they are performing.”
ADEBAYO ONIGBANJO | Marketing Strategist, Entrepreneur, Technologist
EFFICIENCY AND SPEED OF CAREEFFICIENCY AND SPEED OF CARE

5. Participants plotted the trending applications for IoT Technology in
healthcare based on their feasibility and impact on patient outcomes:
Participants plotted the trending applications for IoT Technology in
healthcare based on their feasibility and impact on patient outcomes:
FeasibilityofTechnology
andAdoption
Positive Impact (enhanced quality of care)
HIGHER
LOWER HIGHER
Remote Patient monitoring
(e.g. elderly or drug injection) Predictive Analytics (and
related preventative care)
Personalized Care (ensuring
HEALTH between visits)
Efficiency and Speed of Care
(e.g. hospital operations)
Virtual Assistance (tele and
mobile health)
“Frail patients (elderly for example) - Think of covering a home in sensors. Monitoring
gait in the hallways, monitoring how often the toilet is used, how often the fridge is
opened. This could be a customized solution to keep people safely in their homes based
on their personal health situation/functional limitations. Oregon Health Sciences
University has been experimenting with this type of work.”
SARAH DONELSON TREASE | Global Head of Outcomes Measurement at Genentech
REMOTE PATIENT MONITORINGREMOTE PATIENT MONITORING
“Mercy hospital which is a completely virtual hospital. There are *no* patient beds in
the hospital. Rather it is a building with technology and clinicians who are equipped
to provide care to patients anywhere in the world. Fascinating!”
SARAH DONELSON TREASE | Global Head of Outcomes Measurement at Genentech
VIRTUAL ASSISTANCEVIRTUAL ASSISTANCE

6. “Big Data Analytics which is the BIG
Differentiator in IoT has the potential to
have enormous positive technology and
business impact on the U.S. healthcare
industry which accounts for one-sixth
of the American economy.”
LAURA DIDIO | Director Enterprise
Research & Consulting at Strategy
Analytics
“A ponemon institute study found that
94% of healthcare institutions have
experienced a data breach involving one
or more records in the past two years.
On average it costs hospitals $201 for
each hacked data record.”
LAURA DIDIO| Director Enterprise
Research & Consulting at Strategy
Analytics
Big Data is key to driving the movement,
but can present a double-edged sword.
Big Data is the glue that binds
IoT to predictive analytics and
personalized health...
...but data security and
assurance of non monopolization
of data are critical.
“ ‘Big data’, which will help doctors and
researchers find trends, make
predictions and even discover cures,
simply because of a large statistical
sample in the dataset.”
BORIS KONTSEVOI, COP | President &
CEO at Intetics Co, 30 years of Software
Product Development expertise
“For all this to become a reality, IoT
solutions in part of data analytics and
future communication standards will
have to remain open source.”
BORIS KONTSEVOI, COP | President &
CEO at Intetics Co, 30 years of Software
Product Development expertise

7. Connected Care will require a cultural shift in
healthcare that transforms incentives,
connects data seamlessly, and puts the voice of
patient at the center of collaboration efforts.
“Increasing the flow of data, safely, through interoperability between devices,
applications, clinical workflows and of course, the EHR is a must... It requires
collaboration between competitors and between clinicians and technologists.”
JILL MCCORMICK | Innovation Manager at TechSpring
Participants were asked to select up to three imperatives they
felt most strongly about to ensure positive patient outcomes
through IoT Technology and Services
Participants were asked to select up to three imperatives they
felt most strongly about to ensure positive patient outcomes
through IoT Technology and Services
Cultural shift in the healthcare industry
Insurance reimbursement shift
Voice of patient more central
Interoperability of data
Open source-non monopolization/over regulation of data
Greater collaboration across systems
The right incentives for doctors
Security of Big Data
67%
50%
50%
33%
33%
33%
17%
17%
Results based on input of 6
contributors.
The percentage of participants who selected each particular imperative...

8. “Harnessing the power of the patient is key. The patient is the most underutilized
resource in healthcare, they are the key stakeholder in keeping themselves healthy.”
JILL MCCORMICK | Innovation Manager at TechSpring
PATIENTS ARE THE MOST UNDERUTILIZED
RESOURCE IN HEALTHCARE
PATIENTS ARE THE MOST UNDERUTILIZED
RESOURCE IN HEALTHCARE
“Bring patients to the table - for everything. This includes study design, pipeline
reviews, hospital design - everything. Have the courage to put a patient on team that
designs and execute a protocol. You will have more meaningful endpoints and a trial
that enrolls more quickly”
SARAH DONELSON TREASE | Global Head of Outcomes Measurement at Genentech
THEY SHOULD BE PRESENT AT EVERY TABLE
TO ENSURE MEANINGFUL ENDPOINTS
THEY SHOULD BE PRESENT AT EVERY TABLE
TO ENSURE MEANINGFUL ENDPOINTS
Patients must be empowered to
manage their own health, and their
preferences are amplified through
behavior with IoT technology itself.

9. “I would broaden the question from how to put patients in charge of their health CARE,
which is a worthy and partially achievable goal, to how to put consumers in charge of
their own HEALTH.”
ROBERT MCCRAY | President & CEO at Wireless-Life Sciences Alliance
FOCUS SHOULD BE LESS ON CARE WHEN SICK,
AND MORE ON HEALTH ONGOING
FOCUS SHOULD BE LESS ON CARE WHEN SICK,
AND MORE ON HEALTH ONGOING
“The patient = the customer. IoT offers many analogous benefits to observational
ethnographic techniques of Design Thinking. Rather than ask customers what they
want, watch their behavior.”
JACKIE COOPER | Executive Director at Management Roundtable
IOT TECHNOLOGY ENABLES PEOPLE TO SIGNAL
WHAT THEY WANT THROUGH THEIR BEHAVIOR
IOT TECHNOLOGY ENABLES PEOPLE TO SIGNAL
WHAT THEY WANT THROUGH THEIR BEHAVIOR

10. IoT technology opens opportunities for
“four Ps” collaboration to ensure positive
health outcomes, as long as egos and
old-school assumptions can be overcome.
IoT technology opens opportunities for
“four Ps” collaboration to ensure positive
health outcomes, as long as egos and
old-school assumptions can be overcome.
"A patient who truly has their condition under control (aka highest quality of life at the
lowest cost) will be taking their medications regularly, as prescribed, and be in
communication with their care team to make positive shared decisions. That is a win
win for all 4 P's involved. The patient, provider, payer and pharma."
JILL MCCORMICK | Innovation Manager at TechSpring
"A future example may be the first big pharmaceutical company to enter into
collaborations with providers and payers to create at risk vertically integrated
networks for chronic diseases."
ROBERT MCCRAY | President & CEO at Wireless-Life Sciences Alliance
"I still see the biggest gaps in the inter-communications among various physicians and
healthcare organizations who share the same patient, e.g. a collision of egos to the
detriment of the patient."
LAURA DIDIO | Director Enterprise Research & Consulting at Strategy Analytics
"The culture of medicine needs to transform to one of partnership which can't happen
when there are still vestiges of the very old school notions ‘the doctor has all the
answers and don't question.’"
SARAH DONELSON TREASE | Global Head of Outcomes Measurement at Genentech

11. Participants shared their visions for what
a healthcare landscape will look like
moving forward with IoT technologies.
“Every human will be assigned a personal IP
address at birth. It will serve as a centerpiece for
a personal network (of IoT sensors) with
possibility to add “friendly” devices (gadgets,
homes, cars, friends, DOCTORS, etc.)”
BORIS KONTSEVOI, COP | President & CEO at
Intetics Co, 30 years of Software Product
Development expertise
IP IP
“Healthcare will happen at home or "on the go".
Have 10 min at work? Have a visit or do your lab
tests. Monitoring of health status will be able to
be constant, people will own their own data
without any question, have analytics that help
them understand the meaning of the data and
make choices that are meaningful to them about
how to maintain/improve health.”
SARAH DONELSON TREASE | Global Head of
Outcomes Measurement at Genentech
“From the 100,000 foot level, I envision a future
in which citizens are connected to their own
health and in which healthcare is connected,
distributed and integrated seamlessly across all
providers irrespective of venue.”
ROBERT MCCRAY | President & CEO at
Wireless-Life Sciences Alliance

12. ConclusionsConclusions
This public thought leader dialogue reinforced that
we are in the midst of a technology-enabled
revolution in healthcare. A world of IoT sensors
and the Big Data it enables has the power to
personalize and improve care, predict conditions,
and enable access and affordable service to
previously under-reached communities.
Rather than a sci-fi fantasty, the future of IoT
healthcare is already here. While fractured, the
technology exists and its capabilities are growing
exponentially. The success in ensuring patient
health and empowerment hinges on our ability to
shift the culture of care, rethink incentives,
collaborate across systems, and put the patient
voice at the center of it all.
This public thought leader dialogue reinforced that
we are in the midst of a technology-enabled
revolution in healthcare. A world of IoT sensors
and the Big Data it enables has the power to
personalize and improve care, predict conditions,
and enable access and affordable service to
previously under-reached communities.
Rather than a sci-fi fantasty, the future of IoT
healthcare is already here. While fractured, the
technology exists and its capabilities are growing
exponentially. The success in ensuring patient
health and empowerment hinges on our ability to
shift the culture of care, rethink incentives,
collaborate across systems, and put the patient
voice at the center of it all.

13. Participants
HARLAN MATLES
physician / Owner at MD² Menlo Park
LAURA DIDIO
Director Enterprise Research & Consulting at Strategy Analytics
SARAH DONELSON TREASE
Global Head of Outcomes Measurement at Genentech
BORIS KONTSEVOI, COP
President & CEO at Intetics Co, 30 years of Software Product Development expertise
JACKIE COOPER
Executive Director at Management Roundtable

14. Participants
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ADEBAYO ONIGBANJO
Marketing Strategist, Entrepreneur, Technologist
REMY POTTIER
Director of Strategy at ARM
JILL MCCORMICK
Innovation Manager at TechSpring
ROBERT MCCRAY
President & CEO at Wireless-Life Sciences Alliance