The volume, variety and velocity of data in healthcare is a very good example of where our world needs "new intelligence." Such a new infrastructure would help us better manage and process medical records to lower the cost and increase the quality of healthcare, put more research and genetic data to work and shift from a system that treats disease to one that prevents and manages it. Check out this video for an entertaining overview of what we mean by new intelligence.
Crucial breakthroughs in the treatment of many common diseases such as diabetes and Parkinson's could be achieved by harnessing a powerful scientific approach called systems biology, according to leading scientists from across Europe. Systems biology is a rapidly advancing field that combines empirical, mathematical and computational techniques to gain understanding of complex biological and physiological phenomena. (via Key to future medical breakthroughs is systems biology)
Remember your family doctor? The person who knew your whole history? Who would see you outside of office hours and on weekends? IBM and healthcare advocates want to bring the family doctor back... in the form of a new model for primary care: the Medical Home. And in this new world, he or she will even make house calls—albeit virtually.
"It started about three years ago," remembers Dr. Paul Grundy, IBM's director of healthcare transformation. "We were talking about all the things that large employers in the U.S. like IBM had done to reduce costs and improve quality and we realized we were failing to address a fundamental issue: primary care."
Shortly afterwards, he helped found the Patient-Centered Primary Care Collaborative (PCPCC), a coalition of large employers, consumer organizations and medical providers. They developed a healthcare model based on the premise that more holistic primary care could save money by reducing the incidence of major health problems later in life.
I've been busy working on the launch of IBM's Smarter Planet mega-strategy, which seeks to help the world build the next generation of intelligent infrastructure for everything from transportation and energy grids to supply chains and complex systems such as healthcare.
To that end I've set up A Smart Planet on Tumblr (which I like as a more spontaneous and multimedia approach to blogging) and just wanted to share a couple of examples of how this smarter planet meme, which intersects with fronts such as wireless sensor systems, ubiquitous and wearable computing, as well as the promise of marrying this new "Web Wide World" to powerful supercomputing, presumably delivered via cloud-based services.
I just added to examples of how the "Internet of Things" -- trillions of devices, sensors and smart objects -- relates to healthcare innovation.
For example, Bodymedia has developed different wearable products to help people manage their weight and overall health. Similarly, Intel just announced a laptop-style device for connecting patients and caregivers electronically.
Of course, these are only representative of the deeper meaning of how Smarter Planet can address healthcare challenges with new computing and innovation models across many different fronts, such as using social networks for biosurvelliance, or mobile phones for natural disaster alerting and response.
In fact,it's pretty clear that the future of healthcare is deeply connected to a blend of technological and intellectual innovation, and I will try to rededicate and refocus Healthnex to reflect this direction.
Towit, I'll leave you with this clip on Wireless Sensor Networks: Opportunities in Healthcare, by Kris Pister, found of "smart dust" startup Dust Networks.
If anyone needed further proof that Healthcare 2.0, ehealth or whatever you want to call it is coming, one need only look at the major push that the good folks at Google are making on this front:
Dr. Shreeve's effort at defining Healthcare 2.0 is just about a year old, but it's a very worthy effort. I'm reblogging it here to advance the collective effort at building some consensus around the intersection of healthcare, social networking and Web innovations. There are excellent alternative sources for defining Health 2.0 on the Health2.0 blog Jack
"In that vein, I have attempted to capture, the quintessential characteristics of the emerging movement and body of companies that make up the Health 2.0 movement.
The canonical representation of Health 2.0 Conceived by Scott Shreeve MD, illustrated by Hemeon Design, and Copyright © 2007 by Crossover Consulting. Distributed under the Creative Commons Attribution, Non-Commercial, Share Alike 2.5 License.Updated on 5/30/07.
"The graphic is self-explanatory, but the narrative is helpful to see how the pieces build on each other and work together to bring the concept of Health 2.0 into focus. Here goes:
1. Begin by defining Health 2.0
2. Realize that Health 2.0 is all about Patient Empowered (not the misnomer "Consumer Directed") Healthcare whereby patients have the information they need to be able to make rational healthcare decisions (transparency of information) based on value (outcomes over price). In the Health 2.0 paradigm, everyone in the healthcare process is focused on increasing value for the patient.
3. Realize that Health 2.0 is absolutely reliant on interoperability of health information. Everything from the Personal Health Record (PHR), to the Clinic Health Record (CHR), to the Enterprise Health Record (EHR), to the National Health Record (NHR) must be based on standards, be seamlessly transitioned between environments per standardized security and privacy protocols, and be accessible anytime from anywhere.
4. Undergirding this foundation of information, the Four Cornerstones (Connectivity, Price, Quality, and Incentives) of the Value Driven Healthcare movement begin to create a virtuous cycle of innovation and reform. Transparency serves as a key catalyst in this process by creating positive sum competition that can deliver better outcomes at a lower cost.
5. As more information becomes available as a result of increased transparency, there will be a wave of innovation at all points along the full cycle of care (see slide 8-12), which includes phases where health care service providers Educate, Prevent, Diagnose, Prepare, Intervene, Recover, Monitor, and Manage the various disease states. Measuring someone's HgA1c or Ejection Fraction does not tell you how effective their diabetic or cardiovascular treatments have been. You need to factor in the care provided over the full cycle of care to appropriately determine value.
6. An increased amount of personal health and outcomes information will create an ongoing role for infomediaries and related services providers to add value at each stage of the full cycle of care. These value added Health Advisory Services (more later) will offered by hundreds of companies, in thousands of forms, to millions of people who are can benefit from the remixing of medically related information. It is easy to see how the new Web 2.0 framework, with its inherent social networking and collaboration tools, will make this "long tail" of medicine a "value"able venture.
These concepts are worthy of further discussion and debate, particularly since we are blazing new territory without any established rules, patterns, or procedures. Shooting my canonical representation of Heath 2.0 out into the ether is the proverbial "shot out of the canon" to stimulate the conversation."
Blogged with Flock
Let me start by saying while I prefer elliptical and treadmill trainers, I hate stationary bikes, spinning classes etc. I don't even much like riding a bike in the real world.
But I did find the Expresso virtual cycling experience compelling, and offer it as an example of where 3D technologies may play a bigger role in healthcare by turning gym exercising from a chore into a game.
Gyms and healthclubs already have many kinds of displays, including plain-old-television, integrated into workout equipment to distract or entertain people will they burn some calories and raise their heart rates. What was refreshing about the Expresso experience was the way in which I didn't just feel distracted, but more immersed in the activity, like I was actually riding a bike through a beautiful park at sunset.
In fact "Bliss Park" was one of dozens of scenarios that I could choose to ride through. I could really see how this "exergaming" approach might lend itself to other scenarios, like turning a stairmaster into a mountain climbing adventure or an elliptical machine into a cross-country ski mini-vacation.
I'm sure that some people's reaction to the idea of virtual worlds workouts will be: why not just go ride a bike in a park, climb a mountain or run in the real world? To that understandable reaction I've got two thoughts. First, I prefer to run on a treadmill than actual streets or parks.
The treadmill really compels me to keep moving, and allows me to count the calories and heart rate, while actual running requires me to convince myself to keep picking them up and putting them down. Of course, its also about the value of something like the rush of mountain climbing or skiing, without the travel, time and expense of the realdeal. (Though I'll stipulate that there's nothing better, in my view, than a great day of realworld skiiing.)
Second, there seems to be something about simulated reality that tickles our brains. Just look at the breadth and depth of electronic, multiplayer games. In fact, there is something about the game-like, playful nature of electronic experiences that may be the real secret sauce here.
I grew up playing all kinds of sports--ice hockey, baseball, football, basketball, skiing, tennis, windsurfing, rock climbing-- and like most kids the impetus was the fun of the game itself, not the exercise or health benefit that I might derive. As an adult I've been faced with the reality that working out is a necessary evil...the work you need to do to stay healthy for one's family and one's economic well-being.
In the final analysis, I'm hungry for anything that can turn exercising back into a game. Back into fun. And I that score, I think Expresso's virtual cycling experience (which can also become a kind of competitive, online multiplayer experience as well) feels to me like the shape of much bigger things to come.
As part of some research on IBM's efforts in collaborative innovation, I was checking out the new beta site for alphaWorks, IBM's public program for early adopters of new technologies and trends, and came across this very interesting new offering related to open-standards based exchange for healthcare data. Technologists can actually go in and try this system out. A bit out of my technical skill level (not sure what an "affinity domain" is), but would be interested to hear feedback on those who do try it out. As always, please spread the word:
What is Public Health Information Affinity Domain (PHIAD)?
PHIAD creates the first on-demand system in the public health industry by enabling the integration and sharing of data generated at clinical and public health institutions across proprietary systems and political boundaries.
The system is built upon international coding systems, as well as the coordination between open-source technologies and the 'Integrating the Healthcare Enterprise' (IHE) initiative in the use of standards to allow multi-national public health reporting and surveillance.
PHIAD supports hierarchical data flow across different domains. Each regional PHIAD collects data from local sources, such as doctors and veterinarians. The regional PHIAD then forwards appropriate information to a national PHIAD, which is administered by a disease control organization such as the Centers for Disease Control (CDC). PHIAD can extend this hierarchy of data sharing to international partnerships. At each level, different data-sharing policies concerning person identification, location identification, authorship, and results can be implemented.
Communications and strategy expert specializing in smarter planet, virtual worlds & 3D Internet, social software and networking, Web 2.0 and collaborative innovation, healthcare information technologies,corporate strategy and communications, nanotechnology commercialization