9. Obesity Trends* Among U.S. AdultsBRFSS,1990, 1999, 2009 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 1999 1990 2009 1/3 of Americans will have diabetes by 2050 (CDC) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
11. How did we lose control of our personal health identity?
12. Technology will disrupt healthcare… (it will just take longer than other industries) 80% search for health 3rd most popular web-based pursuit (Susannah Fox, Pew Internet Project)
13. Cyberchondria “Unfounded escalation of concerns about common symptomatology, based on the review of search results and literature on the Web” 2 in 5 report increase in anxiety from medical search (White and Horvitz, Microsoft Research)
14. The patient is the most underutilized resource in healthcare
24. # of chronic conditions for Medicare beneficiaries (65+) 5+conditions But as people age, they get a lot more No conditions 4conditions 1condition 3conditions 2 conditions Presented at the Annual Academy Health Research Meeting, June 2007; CMS (Centers for Medicare and Medicare Services)
36. Rx history + treatment algorithm = understanding
37. You can learn a lot about a person from a few simple data points
38. Beta Blockers Diuretics High Blood Pressure Drug ACE Inhibitors Drug Class Liptor Zocor Lovastatin Pravachol Crestor Lescol Calcium Channel Blockers ARBs Statins 70-80% of CAD patients have high blood pressure High Cholesterol Coronary Artery Disease (CAD) Myocardial Infarction (Heart Attack) Zetia Tricor Vytorin Gemfibrozil Niaspan Medical Conditions Event HDL and Other 20-30% of CAD patients have Type 2 Diabetes TZDs Drug Class Metformin Type 2 Diabetes DPP -4 Inhibitors Drug Sulphonylureas Insulin
39. Hidalgo et al. PLoS Computational Biology 5(4):e1000353 (2009) http://hudine.neu.edu/
40. High Cholesterol High Blood Pressure 1 2 3 4 5 High Blood Pressure High Cholesterol High Blood Pressure High Blood Pressure Type 2 Diabetes High Cholesterol Type 2 Diabetes Osteoporosis
41. Social Health App Social Health App Social Health Layer / Health Graph Google Health Microsoft HealthVault Practice Fusion EMR / PHR AllScripts PHR Other EMR / PHR System APIs Google Apps MSHV Apps PF Apps AS Apps Other PHR Apps