vision about how wearable technology can
improve medicine Wow
my heart is incredibly high actually but
the thing to note is it’s interesting
information but is it actionable do I
change your behavior a medication or a
therapy as a result of that information
so you look here this is a picture of
many wearables I want to ask a question
how many people have used a wearable
device raise your hand and then how many
have had that device influence a
medication or a treatment today hands
there’s a few not very many therein lies
the opportunity for wearable technology
to have a profound influence on
healthcare so describe this journey I
want to start by explaining what I view
is the macro of healthcare it’s reactive
healthcare as stated earlier people get
sick and they’re treated in large part
health care has been a turnstile
business but if you think about it from
the perspective of an individual with
chronic disease they’re trying to
navigate their healthcare highway but
they don’t have a lot of information in
many ways that’s like driving a car
blind so they go forward and they bump
in to the healthcare system and have to
be taken care of it’s reactive in its
nature be like driving a car and you
only change direction when you hear the
gravel or you hit the guardrail what’s
transpiring now with the Affordable Care
Act is proactive health care there’s a
desire to keep people well to focus on
prevention and decrease cost think about
that now from the perspective of driving
that car you’re now given the feedback
to drive that car down the road
to keep it on the road let me use a car
analogy many of us drove here with cars
that prevent us from colliding with
other cars or changing lanes we’re all
aware that autonomous vehicles are going
to come that’s a technology enabled car
what I want to do is share my excitement
for the technology enabled patient where
we enable the patient to navigate their
healthcare highway effectively what it
starts with is engagement technology can
facilitate engagement of me my medical
provider and my caregiver my spouse my
children my friends so I’m going to
serve as your tour guide as we walk
through the technology enabled patient I
think I’m qualified I have a bachelor’s
and master’s from Stanford went to
medical school I’ve worked in the
wearable technology space for five years
and I’ve served on presbyterians board
of directors what I’m going to do is I’m
going to focus on two organs the heart
and the lung and specifically heart
disease and asthma big medical expenses
so what you see here is mr. Richard Hunt
he has heart disease but he’s not in the
hospital
he’s in his home he’s sleeping he’s
reading a book he’s drinking coffee but
that entire time his heart function is
being monitored you may notice he has a
ring on that ring looks a lot like this
ring what it’s doing is it is measuring
his pulse contour his activity level and
it’s communicating that information
real-time to his medical provider
assessing how his heart is doing so what
can mr. hunt do with that when he’s
drinking coffee he could say hey Siri
how’s my heart
Oh Richard it is good to hear from you
today your heart is doing well but we
have sensed a bit of a negative trend
your data and a notification has been
sent to dr. Mitchell and his office will
be contacting you today please make sure
to take the medications prescribed and
follow the recommended diet Wow he knows
what’s going on now what he can do is he
can say well I wonder what’s really
going on this pulls out his phone now
he’s got a portal and it allows him to
know exactly what’s going on with his
heart how much it’s changed he can look
at the trend that’s occurring he can
also examine other characteristics he
can hit that button and say I’d like to
see my doctor today he can check on his
medications make sure that he’s taking
the correct ones and he can enter his
symptoms so the care provider knows
exactly what’s going on
he has shortness of breath he’s coughing
and he’s having trouble sleeping but
we’re also talking about technology
engagement here so what’s happening here
is his daughter Lin also knows what’s
going on she’s engaged now in his care
she can see what’s transpired she can
look at the lurtz and she can nudge dad
dad are you taking your meds are you
taking care of yourself are you
exercising what’s going on the result is
profound we’re now helping Richard we’re
doing it proactively on the care
provider side what you have is a
dashboard this dashboard integrates
information as shown here across a
hundred people but allows the healthcare
community to focus resources on those
six individuals that are having
difficulty that are beginning to show
negative trends that have reported
symptoms that are reaching out and
instead of seeing them at the emergency
room or the urgent care you’re now
working with that person proactively in
their home making sure they have their
medications that they’re taking them
correctly that they’re in the best
possible condition and if they need to
be seen you’re
doing it at two o’clock at night you’re
doing it during the middle of the day
this can have a profound influence on
Health Care’s how health care is
delivered it focuses resources
facilitates engagement and changes it to
a proactive situation I want to
transition I said I’m going to talk
about asthma asthma is an interesting
disease if you don’t know much about it
usually most patients have two inhalers
one’s a medical inhaler and the other is
for treating symptoms a rescue inhaler
also environmental conditions influence
when people get asthma attacks so if you
don’t think about a kind of a different
type of wearable technology this is a
wearable technology worn by the inhaler
and what it does is it communicates what
medication is taken by the patient when
it’s taken and which one so have a
situation where a patient hasn’t been
taking any of their medications but is
using a bunch of rescue inhalers sounds
like a bad situation to me but what’s
very interesting is this company has now
integrated geospatial information
they’re providing the patient now with
information on temperature humidity
pollen count the air quality that
patient now can say wow those situations
have caused me to have difficulties
before and you can also create a portal
same example a dashboard to facilitate
care of this individual so you’re now
focusing resources one of the things
that happens with asthma patients get
confused on which medication to be using
you can now work with them proactively
now you may say all this sounds great
Reese but does it really work
has anybody showing this happen here’s
some data from this asthma activity and
I recognize it may be a little bit hard
to read but they have demonstrated a
100% reduction in hospital visits
hospitalizations a 60% reduction in ER
visits and they have a 30% increase in
clinic visits
so what they’ve done is instead of
having people spend time in the hospital
they’re now seeing them in the clinic so
if you take that patient perspective
you’d say that sounds great
sounds great to me I’m not in the
hospital I may go visit I’m working with
somebody to keep myself well so if you
now take this activity in its ensemble
what you have is wearable technology
providing important medical information
in wireless technology creating the
Avenue by which that information is
integrated for me to use for your
physician to use and for your family to
use the net result is a profound
improvement in healthcare it’s delivered
at lower cost patients enjoy a better
life and I see this transpiring I’m
excited to be involved with so I hope I
have shared my view of how exciting
healthcare can be with the integration
of the empowered patient through
wearable technology thank [Applause]