Updated Feb 21 2018 at 7:00 PM
Friday, March 02, 2018
They Are At It Again - Spruiking The Digital Health Future As Awesome Wonderful Fact - It Isn’t!
This appeared last week:
This content is produced by The Australian Financial Review in commercial partnership with the Commonwealth Bank of Australia.
"We collect one billion times more data on our cars than our bodies," Murray Brozinsky recently stated at the Commonwealth Bank's Future of Health Conference.
A recognised digital health leader, and chief strategy officer at Conversa, Brozinsky advises some of the world's leading healthcare organisations on the changing nature of health.
Comparing cars with humans might seem a bit of a stretch but his point is we're able to get so much diagnostic information from our car every time we get it serviced yet most of us still know very little about how our bodies are performing.In his presentation, Brozinsky outlined how healthcare was evolving with augmented reality technologies and artificial intelligence and illustrated a not-too-distant future where passive invisible sensors will be able to track everything biologically relevant on the body.
"They will feed into our electronic health records and all that information will go to create rich artificial intelligence-driven conversations between care teams and patients. We will be able to move from descriptive to predictive to preventative care very quickly. Patients will be providing valuable patient-generated health data (PGHD) and will be virtually involved in the consult," Brozinsky said.
"We will see a major transformation in the doctor-patient relationship from today's episodic, visit-centric and inconvenient healthcare to a future of continuous, virtual conversations that leverage PGHD to deliver better care at lower cost. Using data to move from treating the 'average' patient to treating the 'individual' person will also dramatically change the patient experience to one that is personalised and empathetic."
Importantly, more personalised healthcare stands to have a huge impact on government health budgets. For example, McKinsey estimated the value of improved health of chronic disease patients through remote monitoring could be as much as $US1.1 trillion ($1.4 trillion) annually worldwide by 2025.
In another presentation, the Commonwealth Bank of Australia (CBA) executive manager emerging technology, Chris Connor, said technology was just the tip of the healthcare solution. He said what we're finally realising is it's a great enabler, generating value by "putting the patient at the centre of everything we do".
Connor indicated blockchain technologies would have a huge role to play in the health sector, especially around the issues of "trust, information and privacy".
He said CBA was a great believer in a self-sovereignty model where "we give the identity back to the customer and get them to decide who they share with and under what conditions they share".
Managing director and the former head of the digital health division at Israel's Clatit Health Services, the largest health maintenance organisation in Israel with more than 4.2 million members, Yossi Bahagon, said we were entering the era of personalised care and what made digital health a game changer was it's human centred.
Bahagon said we had to remember "digital health is not about technology, there are people behind it".
At a time when Australia is still wrestling with implementing a nationwide e-health strategy, Bahagon who was an architect of Israel's e-health system spoke of how it had been successfully implemented there with no cyber-security breaches, as yet.
"We've built one system that takes all your personal information and turns it into preventative personalised recommendations. It's a participatory health platform - a tool for saving lives," he said.
He said it had greatly improved the quality of care in Israel, especially around preventative care, and obviously reduced the cost burden.
An example is when people have to renew a prescription. All they have to do is logon to the system which is biometrically enabled to a sealed database where the doctor can send the prescription to your smartphone, which you take to a pharmacist for fulfilment.
As for the sensitivity around privacy issues, Bahagon said Israel created rules for all situations "where privacy is more important than accessibility to data".
General manager of partnerships and strategy at Healthscope, Bennie Ng, who was participating on a panel discussing health technology, was confident on the power of data, suggesting patients should be able to use data to discover individual outcomes at the surgical level, for example.
"I think funders will insist that all practitioners and surgeons measure their outcomes," he said. "We're already heading down that path and what it will do is change the focus of the conversation to the consumer."
Dr Louise Schaper, the chief executive officer of the Health Informatics Society of Australia, agreed data and technology were revolutionising healthcare.
"Every single healthcare institution is going to have to rewrite their business plan," she said.
"The internet of things will ensure over the next five years, the majority of clinically valuable data will not be captured in the facilities health professionals run but in what we do every day. How do we build business models around that? We're on the cusp of significant change."
Vastly more here:
I hate to break the news but the same headlines and the same commentary has been around since the turn of the century. Sure we have seen small incremental improvements over that period but words like revolutionise and transform are as exaggerated now as they were a very long time ago!
Why is it when you put apparently intelligent people together in a room they get all carried away and detach themselves from the need for the hard work that is necessary?
Posted by Dr David G More MB PhD at Friday, March 02, 2018