Presentation looking at the possibilities that technology can offer healthcare, including big data, quantified self and mobile apps.

1. Value beyond
the pill
The possibilities that technology offers healthcare
By Marc Southern
June 2013

2.
F o c u s i n g o n t h e P r o a c t i v e
m i t i g a t i o n o f d i s e a s e r i s k w i l l
d r i v e r e a l h e a l t h v a l u e
Value Cost
Healthy/
low risk
At risk
High
risk
Chronic
disease
early stage
Acute
disease
Chronic
disease
progression
End of
life care
20% of population
generate 80% of the costs
Adapted from George Poste concept
Current area of focus

3. V a l u e b e y o n d t h e p i l l
Healthcare companies can extend their value
proposition, providing services beyond the pill
Creating solutions, not only products
providing healthcare stakeholders, including patients,
with more knowledge, freedom and power to improve
health outcomes

4. 4
http://www.flickr.com/photos/betsyweber/6276753696/

5. 5
Novartis

6. t h r e e p r o m i s i n g a r e a s
‘ B e y o n d t h e p i l l ’ t h a t m a y
I M P R O V E H E A L T H O U T C O M E S *
1. Quantified self –use technology to track body
measurements to share knowledge, experiences, and
discover resources
2. Big data – analyse very large amounts of data to
detect healthcare trends that can lead to reducing risks
and health improvements
3. Health apps– mobile apps online services that
help people manage their disease
*Caveat –The following slides cover a few of the many interesting
examples in these emerging areas of healthcare

7. 1 . Q u a n t i f i e d s e l f , s o m e
e x a m p l e s …
Activity wristbands to
monitor and record physical
activity. They work along side
apps to demonstrate progress
and motivate the individual to
reach goals.
e.g. Nike fuel band, Fitbit,
Misfit shine, Jawbone UP
Mood tracking to monitor
and record mental wellbeing.
Capture mood in a variety of
ways and connect with peers as a
support mechanism.
e.g. Moodscope & Mood Panda
Medication tracking to
monitor and record when and
where certain medicines are
used e.g. asthma inhalers to
track possible environmental
triggers, or identify those not
taking their medication correctly
e.g. Geckocap &
Vitality Glow caps
Disease/risk factor tracking
to monitor and record
symptoms and their change over
time.
e.g. Ginger.io, Podimetrics,
Withings scales
My health benefit score for these technologies:
3/5– if tied to an overall health
and wellness programme and
show tangible changes in
behaviour.
3/5 – increased awareness of
mood and sharing this data with
peers may improve prognosis.
4/5 – help understand what
can cause acute conditions, and
improve adherence.
4/5– large benefit, dependent
upon systems existing that can
recognise changes and determine
action.

8. 2 . B i g d a t a , s o m e e x a m p l e s …
Recording vital signs/
tracking symptoms -
analysing large data sets to
identify patterns / trends and
attempt to solve health
problems.
e.g. everyheartbeat.org,
patientslikeme, Curetogether,
UCB & IBM in Epilepsy
Open health data -
anonymised paper free health
records to be used alongside
observational health data speed
up research into disease and new
interventions.
e.g. HSCIC &
Consent to Research
Disease forecasting – using
social media to identify
outbreaks of disease in your
region, including forecasting
various conditions.
e.g. Sickweather,Healthmap,
Google Flu trends
Genomic databases –
Merging genomic datasets
together to enable new
treatment discoveries.
e.g. NextBio, DIYGenomics
My health benefit score for these technologies:
4/5– assuming all related
data sets are made available
ethically and in the correct
format.
2/5– relies upon social media
reports of sickness. Has
potential, but not robust enough
to be used as a credible
forecasting tool yet, without the
full signal we will make
assumptions see Google flu
trends article in Nature.
4/5 – ability to combine
numerous datasets to
uncover links between data
otherwise unseen.
5/5– potential to significantly
improve healthcare if they are
combined with other datasets.

9. 3 . M o b i l e a p p s , s o m e
e x a m p l e s …
Patient education apps to
allow healthcare professionals
to interact with patients even
highlighting and annotating
educational materials for the
patient.
e.g. Wristrepair, Knee Decide,
Shoulder Decide, drawMD
App prescription systems
to electronically prescribe
medicine/ health and fitness
apps to patients.
e.g. Happitque, WellDoc,
NHS Health Apps Library
Symptom trackers to easily
record symptoms and keep a
diary so they can be shared
with healthcare professionals
and other patients like them.
e.g. T2 Mood Tracker,
Diabetes UK tracker, uMotif
Ongoing disease
management to provide tools,
guides that provide ongoing
support of a disease and to
encourage a healthy lifestyle
e.g. Go meals, HemaGo,
Toilet finder, Pain coach
My health benefit score for these technologies:
4/5– if it can improve the
understanding and
management of diseases.
3/5 – requires further
validation, but could be powerful
as it empowers the patient.
3/5 – can help better
understand disease and
ultimately generate useful real
world data.
4/5– massive benefits for
people with chronic disease
looking for support, knowledge
from peers and experts.

10. Google+: John Butterill's Virtual
Photo Walks
Taking people with disability/
mobility issues into the world
through “video walks” using
Google hangouts
I t ’ s n o t o n l y a b o u t t h e
t e c h n o l o g y i t s a b o u t t h e
b e n e f i t s i t c a n h a v e o n
p e o p l e
Video on next slide

11. 11
C h a n g i n g t h e r u l e s i n t h e
h e a l t h c a r e i n d u s t r y
Companies are getting more involved in
shaping the nature of the health sector. They
will be focused on delivering better health
outcomes in a broader way that encompasses
products and services beyond the pill.
The new winners will be the companies that
manage to position themselves as valuable
partners, open to collaboration. In every
industry, success flows from the ability to
adapt to (or reshape) industry architecture and
your role within it.
http://www.flickr.com/photos/londonmatt/3163571645/