1. CONFIDENTIAL 10 ways innovation, design, demographics and
global trends will impact the future of healthcare in 10 years
2. CONFIDENTIAL bill evans president bridge design, inc Design
Research & Strategy | User Experience | Industrial Design |
Product Engineering
3. CONFIDENTIAL 3 www.designinvitro.com
4. CONFIDENTIAL 4 designer heal thyself taking participant
observation to the max
5. CONFIDENTIAL 5 the spirit of my observations: the critical
and the kind
6. CONFIDENTIAL ten years is a long short time
7. CONFIDENTIAL 7 2005 2015 2025 ? ?
8. CONFIDENTIAL 8 2005 2015 2025 ? ? CONVERGED
9. CONFIDENTIAL 9 average medtech VC backed startup takes 8 -10
years to exit (and costs $60M-$100M to get there)
10. CONFIDENTIAL 1 demographics
11. CONFIDENTIAL 11 demographics global health/ wealth data
source: gapminder.org
12. CONFIDENTIAL 12
13. CONFIDENTIAL 2 globalization
14. CONFIDENTIAL 14
15. CONFIDENTIAL 15 3rd world skipped wireline for cell why
copy the western healthcare system? (or evenremotely be able to
afford it)
16. CONFIDENTIAL 16 urban infrastructure in china
17. CONFIDENTIAL 17 rural infrastructure in china
18. CONFIDENTIAL 18 growth of low-resource environment products
designed and made in these environments aravind clinics and low
cost IOLs GE and others investment in regional design centers
different approach to business models behind products (pay-
per-use, razor-razor blade, OPEN SOURCE generic platforms not
proprietary) shameless use of consumer technology to drive costs
down
19. CONFIDENTIAL 3 cost pressures
20. CONFIDENTIAL 20 Sources: World Bank, WHO, PwC analysis
(projected from 2011 data)
21. CONFIDENTIAL 21 elephant in the room per-capita cost is our
industry taking this into account enough?
22. CONFIDENTIAL 22 how do we deal with the fact that cost is
affected by issues of efficiency across the continuum of care and
most of us only have hold of a small part of it?
23. CONFIDENTIAL 23 In 10 years: emphasis will shift from
fee-for-service to managed care to better integrate care across the
continuum reducing redundancy and improving outcomes
24. CONFIDENTIAL 24 What will help in the next decade?
25. CONFIDENTIAL 25
26. CONFIDENTIAL 26 compliance will be redefined
27. CONFIDENTIAL 27 accepting the way people behave &
pushing the boulder with them Image right from: Providence St.
Joseph's Hospital
28. CONFIDENTIAL 28
29. CONFIDENTIAL 29 EHRs (and all the other acronyms for HIMS):
move past historic emphasis (dinosaur systems) to assisting action
that improves outcomes a clinical emphasis interoperable (HIE)
two-way smart products acting on Dx data combined with specific HER
use technology for expert data analysis to assist people at POC
across the continuum of care
30. CONFIDENTIAL 4 Wireless & mHealth
31. CONFIDENTIAL 31 Note: 1 Billion smart phones!
32. CONFIDENTIAL 32
33. CONFIDENTIAL 33 while 2014 may have been a peak year for
digital health at CES, the discussions that took place at the event
this year seemed much more grounded MobiHealthNews January
2015
34. CONFIDENTIAL 34 by 2020 160M Americans will be monitored
& treated remotely for at least 1 chronic condition
35. CONFIDENTIAL 35 wireless solutions enabling consumers to
take charge of their health shift from cobbled together elements to
seamless integration with no need for patient interaction getting
up to the cloud anyhow shifting demographic means accelerating
adoption
36. CONFIDENTIAL 36 android inside. . . and the Internet of
things
37. CONFIDENTIAL 37
38. CONFIDENTIAL 38 all this data! what makes it
actionable?
39. CONFIDENTIAL 39 so much data will challenge who makes
medical decisions And how medical decisions get defined by
regulation
46. CONFIDENTIAL 46 GP Exam room in a decade everything is
connected and inputs directly tablets use AR to show and explain
issues to patients maybe even using real time patient data/images
otoscope, ophthalmoscope, etc. feeds directly speech of MD
transcribed during session
47. CONFIDENTIAL 47
48. CONFIDENTIAL 48
49. CONFIDENTIAL 6 design trends
50. CONFIDENTIAL 50 active + independent
51. CONFIDENTIAL 51 patient centric
52. CONFIDENTIAL 52 home care
53. CONFIDENTIAL 53 is not
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55. CONFIDENTIAL 55
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57. CONFIDENTIAL 57 technology tempered by human needs
58. CONFIDENTIAL 7 culturing innovation
59. CONFIDENTIAL design & design thinking = buzz-words what
does this really mean for the future?
60. CONFIDENTIAL our customers will demand it why cant the
products I use in my job be as easy to use as my smart phone?
61. CONFIDENTIAL the waking up of brand values and its impact
at every touch point
62. innovation will becomepartofa companysDNA this will bea
challengewithour industryslengthyproduct
developmenttimeandlife-cycles
66. CONFIDENTIAL user-centered design Alair an interventional
procedure hand controller
67. CONFIDENTIAL
68. CONFIDENTIAL we observed procedures and identified pain
points in the current process
69. CONFIDENTIAL 69
70. CONFIDENTIAL 70 Current Equipment Moving to segment (5
treat zones) Sub Total 06:18 45% Advancing Cath to distal 5
sucessful Sub Total 01:18 9% Treat 21 times Sub Total 03:28 25%
step through pulling basket proximal to move to new treatment
zoneSub Total 02:40 19% Other pause Sub Total 00:23 3% Grand Total
14:07 Estimated time to do one treatment 0:50:00 May not be true
for this particular MD but.. Optimized scenario with stepping
through much faster Moving to segment (5 treat zones) Sub Total
06:18 56% Advancing Cath to distal 5 sucessful Sub Total 00:39 6%
Treat 21 times Sub Total 03:28 31% step through pulling basket
proximal to move to new treatment zoneSub Total 00:32 5% Other
pause Sub Total 00:23 3% Grand Total 11:20 Reduction from existing
02:47 20% Estimated time to do one treatment 40 Goal is 20 minutes
(reduced from current 50 minutes) Minimum if you just moved and
treated (impossible of course) Moving to segment (5 treat zones)
Sub Total 06:18 62% Treat 21 times Sub Total 03:28 34% Other pause
Sub Total 00:23 4% Grand Total 10:09 Reduction from existing 03:58
28% Estimated time to do one treatment 36 Goal is 20 minutes
(reduced from current 50 minutes) half from existing to make
advancing faster (but very hard to do it faster as it requires
skill) 16 times with each step reduced to just 2 seconds (requires
"automation")
71. CONFIDENTIAL 71 0:00:000:14:240:28:480:43:120:57:361:12:00
0 40 80 120 160 Number of activations Time(hour:min:sec) 0 25 50 75
100 125 150 175 200 225 250 # 1 # 1 Improved # 2 # 2 Improved # 3 #
3 Improved Time(sec) Activation Time Deployment Suction
Communication Navigation Patient Management Adjacent Non Adjacent
Other Issues
72. CONFIDENTIAL we analyzed modes of use and translated them
into ergonomic handle designs
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77. CONFIDENTIAL 8 personalized medicine
78. CONFIDENTIAL 78 predicting the inevitable has been around
for 60 years
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81. CONFIDENTIAL 81 The low cost genome will affect personal
choices about behavior how care is delivered how insurers/payers
react healthcares view of compliance
82. CONFIDENTIAL 9 combo devices
83. CONFIDENTIAL 83 exploring need for new routes and new
features
84. CONFIDENTIAL 84 all the ways in and increasingly complex
locations the time domain removing patient from as many compliance
responsibilities as possible cloud connectivity Dx to Rx closed
loop pushing point of care to lowest cost and skill
85. CONFIDENTIAL 10 sustainability
86. CONFIDENTIAL 86 why even consider sustainability? patients
reporting more concerns healthcare professionals frustrated at
daily waste pressure for change building at major users alegent
hospitals VP of sustainability kaisers green scorecard
legislation
87. CONFIDENTIAL 87 what sustainability is NOT about using corn
plastic instead of other polymers making everything reusable
putting it above safety, efficacy and cost making products cost
more making products less usable warm and fuzzies it will make good
business sense in the next decade
88. CONFIDENTIAL 88 what well see: lessmaterial in disposables
different break points on disposable/reusable portions less
disposables a rethink of razor/razor blade models more use of pay
as you use technology to maintain margins but lower cost at POC The
Minnetronix Cognita System is a remote medical device monitoring
and intelligence system that gathers data from device fleets and
translates this information into actionable business intelligence
&
89. CONFIDENTIAL 89
90. CONFIDENTIAL
91. CONFIDENTIAL Thank You [email protected] WHITE PAPER: 7
Pitfalls to Avoid in mHealth Web or App Design http://goo.gl/yLWhIJ
Bill Evans, president at Bridge Design, Inc Industrial Design |
User Interface | Design Research | Mechanical Engineering