DIGITAL TRANSFORMATION in HEALTH

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PIAA Underwriting Workshop 26 th Jul 2017 DIGITAL TRANSFORMATION in HEALTH Dr.

use, notwithstanding its value, I am extremely doubtful; because its

both to the patient and the practitioner; and because its whole hue and

1 PIAA Underwriting Workshop 26 th Jul 2017 DIGITAL TRANSFORMATION in HEALTH Dr. Simon Kos Chief Medical Officer Microsoft That it will ever come into general use, notwithstanding its value, I am extremely doubtful; because its beneficial application requires much time, and gives a good deal of trouble both to the patient and the practitioner; and because its whole hue and character is foreign, and opposed to all our habits and associations. John Forbes MD, 1821

2 There is no need for an individual to have a computer in their home - Ken Olson, President DEC, 1977 [ NEW ERA OF PERSONAL COMPUTING ]

15% security breaches WW in 2017 involving healthcare organizations

5% WW healthcare spending as a percentage of GDP in 2020 (The

taking their medications (Prescriber) 2 billion people aged 60 and

spend on the three leading causes of death in 2020 half of the total

539 billion USD cost of bringing a drug to market in 2017 (Deloitte)

3 15% security breaches WW in 2017 involving healthcare organizations (Verizon Data) 10.5% WW healthcare spending as a percentage of GDP in 2020 (The Economist Intelligence Unit) $475 billion USD WW cost of patients not taking their medications (Prescriber) 2 billion people aged 60 and over in 2050 (World Health Organization) $4 trillion USD WW healthcare spend on the three leading causes of death in 2020 half of the total (World Health Organization) $1.539 billion USD cost of bringing a drug to market in 2017 (Deloitte) 14 million projected WW shortage of healthcare workers in 2030 (World Health Organization) Evolution of Health Solutions Systems of Record Systems of Insight Systems of Engagement

Progressed Digital Transformation Journey Basic Advanced Medical home Precision medicine Patient wearables Virtual care Digital outreach Mixed reality Population management Artificial intelligence

management Fraud detection/prevention Condition registries Flexible workstyles Cross-organisational trust Predictive asset maintenance Kiosk check-in Meal ordering Consumer portals Unified

Digital Transformation Quadruple Triple Aim 12 ENGAGE Patients & Customers to Improve the patient experience EMPOWER Care Teams & Employees to Improve clinician the population experience and health

4 Progressed Digital Transformation Journey Basic Advanced Medical home Precision medicine Patient wearables Virtual care Digital outreach Mixed reality Population management Artificial intelligence Conversation computing Care coordination Remote monitoring Genomics Patient infotainment Patient health records Gamified health Clinical education Social enterprise Knowledge management Readmission management Fraud detection/prevention Condition registries Flexible workstyles Cross-organisational trust Predictive asset maintenance Kiosk check-in Meal ordering Consumer portals Unified communications Clinical information systems Clinical mobility Performance dashboard Patient journey-board Clinical outcomes research Consolidate data sources Modernize infrastructure Hybrid cloud Digital Transformation Quadruple Triple Aim 12 ENGAGE Patients & Customers to Improve the patient experience EMPOWER Care Teams & Employees to Improve clinician the population experience and health productivity OPTIMIZE Clinical & Operational Effectiveness to Lower Improve the the per capita cost population of carehealth TRANSFORM Health to Lower the per capita cost of care 1 Berwick, D. "The Triple Aim" Care, Health, Cost". Health Aff, May 2008 vol. 27 no Bodenheimer, T. & Sinsky, C. "From Triple to Quadruple Aim: Care of the patient requires care of the provider" Ann Fam Med Nov/Dec 2014, vol. 12 no EMPOWER CARE TEAMS To be more efficient and productive

5 Brighton and Sussex University Hospitals Use Skype for Business for Telemedicine EMPOWER CARE TEAMS To be more efficient and productive "It's staggering the difference in cost between this off-the-shelf product and a more commercial standardized telehealth offering. Ian Arbuthnot, Director of Health Informatics BSUH NHS Trust

6 ENGAGE PATIENTS To improve experiences and outcomes

7 OPTIMIZE EFFECTIVENESS Using advanced analytics Using RaaS to predict hospital readmission rates

8 TRANSFORM CARE MODELS With cloud, intelligent devices and care coordination Children s Mercy app brings doctors home, virtually, with babies born with heart disease

9 TRANSFORM CARE MODELS In the two years that HLHS patients at Children s Mercy Kansas City have experienced their treatment supported by CHAMP, not a single child has been lost. They now not only survive, but thrive. With cloud, intelligent devices and care coordination Future Directions in Health ENGAGE patients EMPOWER care teams OPTIMIZE effectiveness TRANSFORM health Wearables Health bots Personal Health Insights Virtual Health Mixed reality EMR Liberate Artificial Intelligence Machine Learning Machine Reading Genomics Precision Medicine Bio-surveillance

10 An Augmented View 19 The business plans of the next 10,000 startups are easy to forecast: Take X and add AI. This is a big deal, and now it s here. - Kevin Kelly, Founder Wired Magazine

11 Project Premonition: Seeking to prevent disease outbreaks People will only use technology they can trust Brad Smith President and Chief Legal Officer Microsoft

[ TRUST IN THE CLOUD ] SECURITY We will implement strong

will provide you with control over your data to help keep it

in clear, plain language COMPLIANCE We will help you meet your

com/health Digital transformation in health www.

12 [ TRUST IN THE CLOUD ] SECURITY We will implement strong security measures to safeguard your data PRIVACY & CONTROL We will provide you with control over your data to help keep it private TRANSPARENCY We will explain what we do with your data in clear, plain language COMPLIANCE We will help you meet your specific compliance needs Resources Learn more at microsoft.com/health Digital transformation in health Follow us on (Microsoft in Health)

Improving patient outcomes & health economics through connected health innovation

Improving patient outcomes & health economics through connected health innovation Session 103, February 21, 2017 Jeroen Tas, Chief Innovation & Strategy Officer, Philips Dr. Kevin Dellsperger, MD, PhD,