Technology, the access to online information and the increased use of social networks has led to the empowered patient.

1. Putting the Power in the Patient’s Hands:
Digital Health Trends
Diane Brodalski
@DanyaIntl

2. Topics
• Shift in healthcare trends
– Patients taking their healthcare into their own hands
• Increased amount of online information
• Social Networks
• Technology

3. Empowered patient
“The concept of the patient taking an active role in his own disease
management, and supporting that participation by learning all he can
about his disease or condition and treatment options.”
“Taking health care into their own hands by leveraging new
technologies, devices to access anytime anywhere health information.”

4. Shift in healthcare trends

5. Patient power
• Empowered patients are:
– Responsible – seek knowledge for better treatment
decisions
– Collaborative – are active participants with their
healthcare team
– Resourceful – gather evidence, symptoms and family
history
– Smart consumers
– Understand & support patient advocacy
Learn from those who came before you and help those
who come after you for better medical outcomes.

6. Team connections

7. How did we get here?
• Growth of online health information
– WebMD
• Found in 1996
• Leading health portal in the US
• Average of 156 million unique visitors per month
– The introduction of many more health sites – Mayo
Clinic, National Institutes of Health, Yahoo Health,
Everyday Health
• One in three American adults have gone online
to figure out a medical condition
Source: Pew Research Internet and American Life Project

8. How did we get here?
Growth of online health information
• “Online diagnosers” are
– Mostly women
– Younger adults
– White
– From households of < $75K
– College or advanced degrees
– 39% are looking for information on someone else’s
condition.

9. How did we get here?
Source: Pew Research Internet and American Life Project
Growth of online health information

10. How did we get here?
• Growth and acceptance of social networks that
create a sharing environment
• Shift in behavior
– People have become more accustomed to sharing
personal information
• Consumers have become more active in health-
data sharing platforms like PatientsLikeMe.

11. How did we get here?
• 250,000+ members
• 2,000+ conditions
• 50+ published research
studies
• 22 million data points about
disease
• PatientsLikeMe health data sharing platform

12. How did we get here?
• Technology
– Information flow
– Speed
– Access
– Devices

13. Trends defining the future
• Continued access to information
• Engaged patients
• Technology and innovation

14. ACCESS TO INFORMATION
Trends

15. Access to information
“Over the span of a few years, patients have come to have
access to more medical information on their smartphones
that late twentieth-century Surgeons General had available
to them from all their health information resources.”
• Consumers are constantly connected
– Half of smartphone owners have used their phone to look up
health information
Source: A Model for the Future of Healthcare
Source: Pew Research Internet and American Life Project

16. ENGAGED PATIENTS
Trends

17. Engaged patients
• Transition from mere passengers to responsible
drivers of their health

18. Engaged patients
• Access and utilization of health apps
– Exercise
– Nutrition
– Monitoring of chronic conditions
– Assist with smoking cessation
• Success:
– MyFitness Pal users lost 100 million pounds
• Counts calories, track progress and get support
– RunKeeper’s users have moved 783.3 million miles
There are now over 40,000
Health Apps available
Source: Forrester Research

19. Engaged patients
• Participation in wellness programs
– Available to 55 million American workers
– Utilize techniques like gamification, social sharing and
digital coaching

20. Engaged patients
Source: 2013 Alfac Workforces Report
Wellness Program Components

21. TECHNOLOGY AND
INNOVATION
Trends

22. Technology and Innovation
• Electronic Medical Records
– Patients have access to records
– Physicians share educational information
– Increased use of patient portals
• Adoption is slow
• Lack of promotion to patients
• Low use for follow-ups

23. Technology and Innovation
Wellness platforms for patients
– Patients can self-manage their health and wellness
once they leave the office
– Tools to improve the doctor patient relationship
Educate
Point-of-care
education
Collaborate
Sharing of
patient friendly
care plans
Motivate
Personal health
coaching

24. Technology and Innovation
Preferred Wearable Device Locations
69 percent of physicians
think patients should use
tech to assist in diagnosis.
Source: WebMD survey

25. Technology and Innovation
• Wearable Technology
– Provide tracking and insight for:
• Activity – how far, how intense, how many calories
(Nike Plus, FuelBand)
• Sleep – duration and quality of sleep
(Fitbit, Jawbone and Basis)
• Heart rate – detect heart patterns
(Basis Band)
• Nutrition – tracking calories and activity
(Fitbit Flex)
• Coaching – Changing behavior via online coaching
(Jawbone Up24)

26. Technology and Innovation
• Wearable Technology
– Beyond simple fitness
• Baby monitoring - Sproutling
– Alerts when child stops breathing
– Track baby’s heart rate, ambient light level
baby’s temperature
– Information accessed on phone

27. Technology and Innovation
• Wearable Technology
– Beyond simple fitness
• Posture correction

28. Technology and Innovation
• Wearable Technology
– Beyond simple fitness
• Concussion Detection - ShockBox
– Sensor detects player hit counts and head
impacts that could result in a concussion
– Immediate wireless transmission sent to
Smartphone
– Designed for football, lacrosse, hockey and
snow sports

29. Challenges to Address
• Removal of social stigma
– Geekiness factor
• Lack of actionable context
– “I took 7500 steps today, so what?”
• Usage vs interest
– 5% of US online consumer use a wearable device for
daily tracking, 25% express interest at the right price.”
Source: Forrester North American Technographics Consumer Technology Survey

30. Partnership and integration efforts
• Key players: corporations, insurers and wellness
providers
• Need to address chronic disease, have a more
productive workforce and lower healthcare costs
• Fitlinxx enterprise solution
– Incorporation of
• Fitness wearable
• Health monitoring devices (blood pressure
monitors, bathroom scale and employee kiosks)
• Software and services
• Partner branding/white labeling

31. Big data
• Can information gathered from wearables
transform medical care?
– How to adapt consumer gadgets for clinical use
• Concerns about reliability
• Technical hurdles of collecting and analyzing data
• Privacy concerns
– Reluctance is lessening:
• Consumers are willing to share personal health
care data if there are obvious benefits –
improvement in care or treatment options or if
helps researchers understand a disease.
Source: Makovsky Health/Kelton Survey

32. Major players
• Philips
– eCare Coordinator – Continuum of care solutions
– 510(k) FDA clearance
– Created in collaboration with Salesforce
– For clinicians: Better access and analysis of patient
data
– For patients: Direct access to care team
• Apple HealthKit
– Designed to work with electronic health records
– Integration with Epic, Cerner, and Athenahealth
• Unite medical records with day-to-day health data.

33. What to expect
• Increased adoption of electronic options
• Care anywhere model
• More online processes:
– Routine follow up
– Medication refills
– Blood pressure review
• Less office visits – only needed when a hands-
on examination is required
• Web-based secured messaging, email, video
conferencing,

34. What to expect
• Sharing of research findings discovered through
online research and interactions with other
patients and patient groups
• Interactive physician practice websites

35. Results
• More cost effective
• More patient centered
• More convenient
• Lower barriers to care

36. • Don’t forget Fido!
– GPS trackers
– Petcams
– Activity

37. Thank you!
Diane Brodalski Danya International
danya.com
dbrodalski@danya.com
@djdowski
@DanyaIntl
Facebook.com/DanyaInternational
Linkedin.com/company/Danya-International