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The digital world - challenges and opportunities

for the cardiologists professional future

Heinz Locher

Dr. rer. pol. – Health Economist KGP Cardiology Group Practice Berne

Chairman of the Board

SGK - SGHC June 10, 2015

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Agenda

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hl SGK - SGHC – June 10, 2015

1

How digitization works

2

e-Health: «Electrification» of the status quo or disruptive technology?

3

Challenges

4

The e-patient

5

Conclusions for the cardiologists professional future

6

Take home message

Kaiser Health News September 27, 2012

Terminology e-Health

m-Health

Connected Health

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1 How digitization works: The convergence of changes as tipping point

hl SGK - SGHC – June 10, 2015

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1 How digitization works: The convergence of changes as tipping point

4

hl SGK – SGHC – June 10, 2015

Value for money

(Michael E. Porter)

Health results (clinical, patient experience)

Value= _____________________________________

Costs of care

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1 How digitization works: The convergence of changes as tipping point

hl SGK – SGHC – June 10, 2015

The Economist March 7th, 2015

In parallel: New business models as expression of disruptive changes

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1 How digitization works : Big data – «the new oil»

Big data = to analyze a vast amount of data from different sources and

formats in a very short time

V

olume: Data at Scale – Terabytes to petabytes of data

V

ariety: Data in many forms – structured, unstructured, text, multimedia

V

elocity: Data in motion – analysis of streaming data within fractions of a second

V

eracity: Managing the reliability and predictability of inherently imprecise data

types

Blattner Marcel, BigData - Challenges and risks, Chief Data Scientist Tamedia Digital, 2015

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hl SGK - SGHC – June 10, 2015

Oceans of data Institute

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1 How digitization works: The transformation of industries

hl SGK – SGHC – June 10, 2015

Hirt M, Willmott P, , Strategic principles for competing in the digital age, McKinsey Quarterly Mai 2014

- Healthcare was always and is still a backward industry - The healthcare industry

dislikes transparency

- e-Health – a chance to end paternalism in healthcare?

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1 How digitization works: Big Data – The Big Promise

8

hl SGK – SGHC – June 10, 2015

Blattner Marcel

BigData - Challenges and risks Chief Data Scientist Tamedia Digital, 2015

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2 e-Health: «Electrification» of the status quo or disruptive technology?

hl SGK – SGHC – June 10, 2015

e

E-Health: Reboot of the health care system?

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2 e-Health: «Electrification» of the status quo or disruptive technology?

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hl SGK – SGHC – June 10, 2015

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2 e-Health: «Electrification» of the status quo or disruptive technology?

hl SGK – SGHC – June 10, 2015

e

Mobile Health as key driver

ahttp://de.slideshare.net/HowardReis/telemedicine-presentation-feb-2014?related=1 March 9, 2015

Key role of the Smartphone: High performing computer and apps-carrier

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2 e-Health: «Electrification» of the status quo or disruptive technology?

12

hl SGK - SGHC – June 10, 2015

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2 e-Health: «Electrification» of the status quo or disruptive technology?

hl SGK – SGHC – June 10, 2015

Big data analytics

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3 Challenges

-

Risks prevail, as basic principles of Data Protection and Privacy are not

respected (yet?), e.g.

-

purpose specification of data collection - valid consent from the data subjects lacking

- transparency about which data is collected lacking

=> e-Health: The little sister of the Big brother?

=> quantified self = qualified, uncontrollable self-exposure?

-

Non validated search engines

- advertisement bias? - rating bias

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3 Challenges

hl SGK - SGHC – June 10, 2015

-Users always pay (at least) once - with their data

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3 The e-Patient

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hl SGK - SGHC – June 10, 2015

NewYorker , February 13 2013

There is no approach that fits for all! - digital immigrants

- digital natives: * 1980 - … / digital junkies - Generation Z: kids and teenagers

- Patients 2.0: Smart patients?

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3 The e-Patient

hl SGK - SGHC – June 10, 2015

NewYorker , February 13 2013 www.creativeconstruction.de

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5 Conclusions for the cardiologists professional future

As owner/member/manager of a practice or heart centre

Define your e-health strategy (digitalize or die?)

early adopter?

mainstream consumer?

Attention: new legislation regarding EMR (Swiss e-health strategy)

Check and (re-) define your processes - avoid «electrification» of the status quo

Be aware that there is no ‘sustainable competitive advantage’ (Michael Porter) any moreTake into account, that mobile devices and software (m-health apps) + new business

processes and business models will change the health care market Innovation 2.0: new services more important than just new products

Agile firms do more with less, replace fixed costs with variable ones, and put long-term plans on hold

The Economist, January 31st 2015

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5 Conclusions for the cardiologists professional future

As owner/member/manager of a practice or heart centre

Attention: new legislation regarding EMR (Swiss e-health strategy)

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5 Conclusions for the cardiologists professional future

As owner/member/manager of a practice or heart centre

Your future e-tool box !? - Logo

- Homepage with integrated videoclips (just push) - Search engine marketing

- Newsletter for registered patients (with their consent) – (just push) - Flyers

- Online-tools, e.g. online booking of appointments - Social media platforms (interactive)

- Links to trustworthy search engines and informative webpages

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5 Conclusions for the cardiologists professional future

As member of the profession

Promote/support the use of trustworthy apps and other m-health devices (only CE-certi-fied items!)

Promote/support the use of trustworthy search engines - avoid all kind of commercial biasMake sure, that the technology and procedures used are compatible with data protection

regulation

Use mobile health devices to empower your patients, help to increase their knowledge, change your relationship to a more collaborative one

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5 Conclusions for the cardiologists professional future

22

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5 Conclusions for the cardiologists professional future

hl SGK - SGHC – June 10, 2015

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5 Conclusions for the cardiologists professional future

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hl SGK - SGHC – June 10, 2015

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6 Take home message

e-Health is not just the electrification of the status quo

e-Health is – in combination with parallel developmentes (e. g. value

for money-movement, new business models) - the tipping point for

disruptive changes of all kind

e-Health will shape the future of medicine and the relationship between

carers and the patient

To get there will be a long and bumpy ride

References

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