Beyond telehealth: Maximizing value based care - Robin Wiener, Get Real Health - TFSS
Telehealth user adoption: Blackholes & bullseyes - Douglas Shinsato, Anthill Ventures - TFSS Keynote
Transcript of Telehealth user adoption: Blackholes & bullseyes - Douglas Shinsato, Anthill Ventures - TFSS Keynote
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Telehealth User Adoption:
Blackholes and BullseyesDouglas Shinsato
Anthill Ventures, Pte. Ltd.December 4, 2016
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Telehealth Adoption
Feb 1925 Cover of Science and Invention
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Doug Adams
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Doug Adams10th Anniversary MIT Media Labs
• "For years, people would come up and ask me, ‘What is the effect of the coming of computers going to have on my business?’”
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Doug Adams10th Anniversary MIT Media Labs
• "The answer is, it's the wrong question.
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Why Telehealth?
• Medical Science—Only as Good as Properly Applied to Patients Who Need It
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Why Telehealth?
• Medical Science—Only as Good as Properly Applied to Patients Who Need It
• Telehealth—21st Century Information and Telecommunications Technologies
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Why Telehealth?
• Medical Science—Only as Good as Properly Applied to Patients Who Need It
• Telehealth—21st Century Information and Telecommunications Technologies
• ICT Can Redistribute Health Care Knowledge and Expertise Where and When Needed
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Healthcare Expenditures and GDP
• UK 10%• Germany 10%• Japan 10%• USA 17%
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Sources of Failure and
Lessons Learned
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Lesson #1
Define the User
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Islands of Healthcare-- Who Is the User?
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Lesson #2
Success and PrideCome Before the
Fall
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Kodak
DEC
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Lesson #3
Many Are Called, Few Are Chosen
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Correct Direction, Wrong Turn
• Good vs. Bad Ideas
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Correct Direction, Wrong Turn
• Good vs. Bad Ideas• Wrong Path to Success• Wrong Resource Allocation• Wrong Management Team
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Lesson #4
Correct Destination, Really Wrong Turn
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Lying, Cheating and Putting Lives at Risk—Do Not Work
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Lesson #5
Timing is Everything …Everything
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Timing is Everything
• Bad--Too Much Investment, Too Early• Bad--Too Little Investment, Too Late• Good--Just Enough at Just the Right Time
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Lesson #6 Transform the Business Model
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Why Telehealth?
• Physician Shortage
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Why Telehealth?
• Physician Shortage• Distribution of
Expertise
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Why Telehealth?
• Physician Shortage• Distribution of
Expertise• Aging Population
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Why Telehealth?
• Physician Shortage• Distribution of
Expertise• Aging Population• Cost Savings
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Why Telehealth?
• Physician Shortage• Distribution of
Expertise• Aging Population• Cost Savings• Patients Like It
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Transform Business Model
Telehealth Objectives
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Transform Business ModelChange Patient Behavior
Telehealth Objectives
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Transform Business ModelChange Patient BehaviorFocus on Health vs. Illness
Telehealth Objectives
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Transform Business ModelChange Patient BehaviorFocus on Health vs. IllnessLower Cost of Chronic Disease
Telehealth Objectives
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Transform Business ModelChange Patient BehaviorFocus on Health vs. IllnessLower Cost of Chronic DiseaseImprove Patient Satisfaction
Telehealth Objectives
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Focus Is on Patient Care
• Mobile Health (mHealth)• Patient Education• Remote Patient Monitoring• Outsource Specialty Services
Telehealth and Patient Care
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Lessons from India
• 1.3 Billion People
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Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages
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Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages• 30% Live in Cities and Towns
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Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages• 30% Live in Cities and Towns• 90% of Secondary and Tertiary Care Facilities
in Cities and Towns
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Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages• 90% of Secondary and Tertiary Care Facilities
in Cities and Towns• Inadequate Medical Facilities in Villages
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Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages• 90% of Secondary and Tertiary Care Facilities
in Cities and Towns• Inadequate Medical Facilities in Villages• Acute Shortage of Specialist Doctors in Towns
and Villages—75% of Specialists Live in 6 Cities
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Lessons from IndiaPath to Success
• Currently 980+ Million Unique Identity Numbers Issued
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Lessons from IndiaBlackhole or Bullseye?
• Currently 980+ Million Unique Identity Numbers Issued
• Telehealth Startups Launched B2C– To Patients– To Retailers
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Lessons from IndiaBlackhole or Bullseye?
• Currently 980+ Million Unique Identity Numbers Issued
• Telehealth Startups Launched B2C– To Patients– To Retailers
• Telehealth Startups Launched B2B– To Hospitals– To Medical Doctors– To Insurance Companies
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Artificial IntelligenceAccelerator or Blockage?
• Significant Reduction of Time to Diagnose
• Access to Global Expert Database
• Reduce Volume of Counterfeit Drugs
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Marvin Minsky
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• Healthcare Industry is Late Adopter
Barriers and Challenges
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• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
Barriers and Challenges
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• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
• Legal and Privacy Issues
Barriers and Challenges
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• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
• Legal and Privacy Issues• Inertia of “Stable System”
Barriers and Challenges
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• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
• Legal and Privacy Issues• Inertia of “Stable System” • Device Interoperability
Barriers and Challenges
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• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
• Legal and Privacy Issues• Inertia of “Stable System” • Device Interoperability• Generational Attitude
Barriers and Challenges
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Doug OsheroffNobel Physics Laureate 1996
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Doug OsheroffNobel Laureate Physics 1996
• Use the Best Technologies Available
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Doug OsheroffNobel Laureate Physics 1996
• Use the Best Technologies Available• Don’t Reinvent—Borrow What You Can
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Doug OsheroffNobel Laureate Physics 1996
• Use the Best Technologies Available• Don’t Reinvent—Borrow What You Can• Failure Might Be an Invitation to Try
Something New
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Doug OsheroffNobel Laureate Physics 1996
• Use the Best Technologies Available• Don’t Reinvent—Borrow What You Can• Failure Might Be an Invitation to Try
Something New• Be Aware of Subtle Unexplained Behavior
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Blackholes and Bullseyes
• What Lessons Are the Most Important?
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Blackholes and Bullseyes
• What Lessons Are the Most Important?
• All of Them—The Key Being That Timing is Everything
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Blackholes and Bullseyes
• What Lessons Are the Most Important?
• All of Them—The Key Being That Timing is Everything
• And the Time is NOW!
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Telehealth: The Future of Starts Today