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QS Amsterdam
                         ‘Separated Worlds’
                             19 november 2012
                             Jeroen Cornelissen




                                     1
dinsdag 20 november 12
Quantified Self                     Healthcare




                         Separated Worlds
  Foto: Wikipedia



                               2
dinsdag 20 november 12
Major Themes in Healthcare
                         The Netherlands (& Western World)




                                         3
dinsdag 20 november 12
Major Themes in Healthcare
                              The Netherlands (& Western World)


                         Demand




                          Offer



                                              3
dinsdag 20 november 12
Major Themes in Healthcare
                              The Netherlands (& Western World)


                         Demand



                                             €
                          Offer



                                              3
dinsdag 20 november 12
Major Themes in Healthcare
                              The Netherlands (& Western World)


                         Demand
                                                                  3

                                             €                    2

                                                                  1
                          Offer
                                                                  0

                                              3
dinsdag 20 november 12
4
dinsdag 20 november 12
4
dinsdag 20 november 12
2x




                         4
dinsdag 20 november 12
5
dinsdag 20 november 12
6
dinsdag 20 november 12
Money




                         6
dinsdag 20 november 12
Money

      Quality




                         6
dinsdag 20 november 12
Money

      Quality

      Prevention




                         6
dinsdag 20 november 12
Money

      Quality

      Prevention

      Personalised Medicine

                         6
dinsdag 20 november 12
Money
      Quality

      Prevention

      Personalised Medicine

                         6
dinsdag 20 november 12
Self management?




                         7
dinsdag 20 november 12
Initiative
                         Healthcare . Private




                                    8
dinsdag 20 november 12
Initiative
                         Healthcare . Private




                                    8
dinsdag 20 november 12
Initiative
                         Healthcare . Private



                Chronically ill
                70% Healthcare costs
                Adherence < 30%




                                       8
dinsdag 20 november 12
Initiative
                         Healthcare . Private



                Chronically ill                 Quantified Self
                70% Healthcare costs       Tracking vital signals
                Adherence < 30%                    Experiment




                                       8
dinsdag 20 november 12
Initiative
                         Healthcare . Private



                Chronically ill                    Quantified Self
                70% Healthcare costs          Tracking vital signals
                Adherence < 30%                       Experiment
                                           Patient Empowerment
                                                        ePatient




                                       8
dinsdag 20 november 12
Initiative
                              Healthcare . Private



                Chronically ill                             Quantified Self
                70% Healthcare costs                   Tracking vital signals
                Adherence < 30%                                Experiment
                         Active care consumer       Patient Empowerment
                         has yet to come                         ePatient




                                                8
dinsdag 20 november 12
Equipment on the border of Healthcare and 'The Rest'




41 Groups
N = 291
Survey: 5 november 2012
http://ic25.blogspot.nl > Meetapparatuur POCT



                                                9
dinsdag 20 november 12
Equipment on the border of Healthcare and 'The Rest'
               ACR measurement
              Breathing and Apnea
       Respiratory and Spirometry
                 Motion, Excercise
                   Blood Pressure
                    Blood Glucose
                 Blood Test (prof.)
                    Blood Oxygen
                                BMI
                       Cholesterol
                   Communication
                    Data Transport
                        Dashboard
                               DNA
                        Ultrasound
                               ECG
                                EEG
                               EMG
                            Weight
                          Influenza
                         Heartbeat
                            HbA1c
                       Hemoglobin
                                HIV
                                Skin
                                INR
                            Cancer
             Respiratory Infection
                            Malaria
                       Microscoop
                                 Eye
                 X-Ray Equipment
                Sleep Management
                        Spirometry
                              Mood
                      Stethoscope
                      Temperature
                              Triage
                                 Fat
41 Groups                Pregnancy
N = 291                       Sweat
Survey: 5 november 2012
http://ic25.blogspot.nl > Meetapparatuur POCT   0   5   10   15       20   25   30   35   40
                                                                  9
dinsdag 20 november 12
Equipment on the border of Healthcare and 'The Rest'
               ACR measurement                  1
              Breathing and Apnea                   2
       Respiratory and Spirometry                                               9
                 Motion, Excercise                                                                                     27
                   Blood Pressure                                                               17
                    Blood Glucose                                                                                                 37
                 Blood Test (prof.)                                         8
                    Blood Oxygen                                                     12
                                BMI             1
                       Cholesterol              1
                   Communication                                                          14
                    Data Transport                                  6
                        Dashboard                   2
                               DNA                                      7
                        Ultrasound                              5
                               ECG                                                                                25
                                EEG                                         8
                               EMG              1
                            Weight                                                   12
                          Influenza             1
                         Heartbeat                                                                           23
                            HbA1c                           4
                       Hemoglobin               1
                                HIV                 2
                                Skin                        4
                                INR                     3
                            Cancer                  2
             Respiratory Infection                          4
                            Malaria             1
                       Microscoop                               5
                                 Eye                2
                 X-Ray Equipment                1
                Sleep Management                                                         13
                        Spirometry                  2
                              Mood                                  6
                      Stethoscope                   2
                      Temperature                                               9
                              Triage                            5
                                 Fat                2
41 Groups                Pregnancy                  2
N = 291                       Sweat                     3
Survey: 5 november 2012
http://ic25.blogspot.nl > Meetapparatuur POCT   0               5                   10         15       20         25       30   35    40
                                                                                                    9
dinsdag 20 november 12
Equipment on the border of Healthcare and 'The Rest'
               ACR measurement                  1
              Breathing and Apnea                   2
       Respiratory and Spirometry                                               9
                 Motion, Excercise                                                                                     27
                   Blood Pressure                                                               17
                    Blood Glucose                                                                                                 37
                 Blood Test (prof.)                                         8
                    Blood Oxygen                                                     12
                                BMI             1
                       Cholesterol              1
                   Communication                                                          14
                    Data Transport                                  6
                        Dashboard                   2
                               DNA                                      7
                        Ultrasound                              5
                               ECG                                                                                25
                                EEG                                         8
                               EMG              1
                            Weight                                                   12
                          Influenza             1
                         Heartbeat                                                                           23
                            HbA1c                           4
                       Hemoglobin               1
                                HIV                 2
                                Skin                        4
                                INR                     3
                            Cancer                  2
             Respiratory Infection                          4
                            Malaria             1
                       Microscoop                               5
                                 Eye                2
                 X-Ray Equipment                1
                Sleep Management                                                         13
                        Spirometry                  2
                              Mood                                  6
                      Stethoscope                   2
                      Temperature                                               9
                              Triage                            5
                                 Fat                2
41 Groups                Pregnancy                  2
N = 291                       Sweat                     3
Survey: 5 november 2012
http://ic25.blogspot.nl > Meetapparatuur POCT   0               5                   10         15       20         25       30   35    40
                                                                                                    9
dinsdag 20 november 12
Diagnose,                  no cure




                         10
dinsdag 20 november 12
Diagnose,                                                                                                        no cure



   ‘Many health apps are based on flimsy science at best, and they often do not work’, Washington Post, 12 november 2012


                                                                                   10
dinsdag 20 november 12
Science Fiction
                                11
dinsdag 20 november 12
POCT

                         Science Fiction
                                11
dinsdag 20 november 12
‘To a doctor, the home thermometer
                            is the single best piece of home
                           medical equipment ever created.




                                                    ReadWrite 13.11.2012


                                 12
dinsdag 20 november 12
‘To a doctor, the home thermometer
                            is the single best piece of home
                           medical equipment ever created.

                         But: a thermometer tells you if you're
                          running a fever, but it doesn't try to
                                      tell you why.




                                                       ReadWrite 13.11.2012


                                 12
dinsdag 20 november 12
‘To a doctor, the home thermometer
                            is the single best piece of home
                           medical equipment ever created.

                         But: a thermometer tells you if you're
                          running a fever, but it doesn't try to
                                      tell you why.

                         What if a device misses a melanoma a
                         visual inspection might have caught?’
                                                       ReadWrite 13.11.2012


                                 12
dinsdag 20 november 12
13
dinsdag 20 november 12
14
dinsdag 20 november 12
15
dinsdag 20 november 12
16
dinsdag 20 november 12
BMI
        30




        25




        19




                          16
dinsdag 20 november 12
BMI
        30




        25




        19




                          16
dinsdag 20 november 12
BMI
        30




        25




        19




                          16
dinsdag 20 november 12
BMI
        30




        25




        19




                          16
dinsdag 20 november 12
Patient                          Self Tracking

                         Portal



                                                          Care Chain
                          HIS                    KIS
                                                           Partners
              Primary Care Physician   Care Chain
              Information System       Information
                                       System




                                             Patient      Self Tracking
                                             Portal

                                                     17
dinsdag 20 november 12
Patient                          Self Tracking

                         Portal



                                                          Care Chain
                          HIS                    KIS
                                                           Partners
              Primary Care Physician   Care Chain
              Information System       Information
                                       System




                                             Patient      Self Tracking
                                             Portal

                                                     17
dinsdag 20 november 12
Patient                          Self Tracking

                         Portal



                                                          Care Chain
                          HIS                    KIS
                                                           Partners
              Primary Care Physician   Care Chain
              Information System       Information
                                       System




                                             Patient      Self Tracking
                                             Portal

                                                     17
dinsdag 20 november 12
18
dinsdag 20 november 12
Apparaat
                                                        App


                                    Apparaat


                                                                   Facebook          Patient-
                              App                                                     portal




                                               Collection
                         Apparaat               site(s)
                                                                               KIS
                                               TicTrac
                                               Open.Sen.Se


                               App




                                                              18
dinsdag 20 november 12
Quantified Self                     Healthcare




                         Separated Worlds
  Foto: Wikipedia



                               19
dinsdag 20 november 12
Who helps Bridging The Gap?



  Quantified Self                                 Healthcare




                         Separated Worlds
  Foto: Wikipedia



                                      19
dinsdag 20 november 12
Foto: Flickr_mariannelomonaco
                                     ic25.nl   {
                                20
dinsdag 20 november 12

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QS Amsterdam 19.11.2012

  • 1. QS Amsterdam ‘Separated Worlds’ 19 november 2012 Jeroen Cornelissen 1 dinsdag 20 november 12
  • 2. Quantified Self Healthcare Separated Worlds Foto: Wikipedia 2 dinsdag 20 november 12
  • 3. Major Themes in Healthcare The Netherlands (& Western World) 3 dinsdag 20 november 12
  • 4. Major Themes in Healthcare The Netherlands (& Western World) Demand Offer 3 dinsdag 20 november 12
  • 5. Major Themes in Healthcare The Netherlands (& Western World) Demand € Offer 3 dinsdag 20 november 12
  • 6. Major Themes in Healthcare The Netherlands (& Western World) Demand 3 € 2 1 Offer 0 3 dinsdag 20 november 12
  • 9. 2x 4 dinsdag 20 november 12
  • 12. Money 6 dinsdag 20 november 12
  • 13. Money Quality 6 dinsdag 20 november 12
  • 14. Money Quality Prevention 6 dinsdag 20 november 12
  • 15. Money Quality Prevention Personalised Medicine 6 dinsdag 20 november 12
  • 16. Money Quality Prevention Personalised Medicine 6 dinsdag 20 november 12
  • 17. Self management? 7 dinsdag 20 november 12
  • 18. Initiative Healthcare . Private 8 dinsdag 20 november 12
  • 19. Initiative Healthcare . Private 8 dinsdag 20 november 12
  • 20. Initiative Healthcare . Private Chronically ill 70% Healthcare costs Adherence < 30% 8 dinsdag 20 november 12
  • 21. Initiative Healthcare . Private Chronically ill Quantified Self 70% Healthcare costs Tracking vital signals Adherence < 30% Experiment 8 dinsdag 20 november 12
  • 22. Initiative Healthcare . Private Chronically ill Quantified Self 70% Healthcare costs Tracking vital signals Adherence < 30% Experiment Patient Empowerment ePatient 8 dinsdag 20 november 12
  • 23. Initiative Healthcare . Private Chronically ill Quantified Self 70% Healthcare costs Tracking vital signals Adherence < 30% Experiment Active care consumer Patient Empowerment has yet to come ePatient 8 dinsdag 20 november 12
  • 24. Equipment on the border of Healthcare and 'The Rest' 41 Groups N = 291 Survey: 5 november 2012 http://ic25.blogspot.nl > Meetapparatuur POCT 9 dinsdag 20 november 12
  • 25. Equipment on the border of Healthcare and 'The Rest' ACR measurement Breathing and Apnea Respiratory and Spirometry Motion, Excercise Blood Pressure Blood Glucose Blood Test (prof.) Blood Oxygen BMI Cholesterol Communication Data Transport Dashboard DNA Ultrasound ECG EEG EMG Weight Influenza Heartbeat HbA1c Hemoglobin HIV Skin INR Cancer Respiratory Infection Malaria Microscoop Eye X-Ray Equipment Sleep Management Spirometry Mood Stethoscope Temperature Triage Fat 41 Groups Pregnancy N = 291 Sweat Survey: 5 november 2012 http://ic25.blogspot.nl > Meetapparatuur POCT 0 5 10 15 20 25 30 35 40 9 dinsdag 20 november 12
  • 26. Equipment on the border of Healthcare and 'The Rest' ACR measurement 1 Breathing and Apnea 2 Respiratory and Spirometry 9 Motion, Excercise 27 Blood Pressure 17 Blood Glucose 37 Blood Test (prof.) 8 Blood Oxygen 12 BMI 1 Cholesterol 1 Communication 14 Data Transport 6 Dashboard 2 DNA 7 Ultrasound 5 ECG 25 EEG 8 EMG 1 Weight 12 Influenza 1 Heartbeat 23 HbA1c 4 Hemoglobin 1 HIV 2 Skin 4 INR 3 Cancer 2 Respiratory Infection 4 Malaria 1 Microscoop 5 Eye 2 X-Ray Equipment 1 Sleep Management 13 Spirometry 2 Mood 6 Stethoscope 2 Temperature 9 Triage 5 Fat 2 41 Groups Pregnancy 2 N = 291 Sweat 3 Survey: 5 november 2012 http://ic25.blogspot.nl > Meetapparatuur POCT 0 5 10 15 20 25 30 35 40 9 dinsdag 20 november 12
  • 27. Equipment on the border of Healthcare and 'The Rest' ACR measurement 1 Breathing and Apnea 2 Respiratory and Spirometry 9 Motion, Excercise 27 Blood Pressure 17 Blood Glucose 37 Blood Test (prof.) 8 Blood Oxygen 12 BMI 1 Cholesterol 1 Communication 14 Data Transport 6 Dashboard 2 DNA 7 Ultrasound 5 ECG 25 EEG 8 EMG 1 Weight 12 Influenza 1 Heartbeat 23 HbA1c 4 Hemoglobin 1 HIV 2 Skin 4 INR 3 Cancer 2 Respiratory Infection 4 Malaria 1 Microscoop 5 Eye 2 X-Ray Equipment 1 Sleep Management 13 Spirometry 2 Mood 6 Stethoscope 2 Temperature 9 Triage 5 Fat 2 41 Groups Pregnancy 2 N = 291 Sweat 3 Survey: 5 november 2012 http://ic25.blogspot.nl > Meetapparatuur POCT 0 5 10 15 20 25 30 35 40 9 dinsdag 20 november 12
  • 28. Diagnose, no cure 10 dinsdag 20 november 12
  • 29. Diagnose, no cure ‘Many health apps are based on flimsy science at best, and they often do not work’, Washington Post, 12 november 2012 10 dinsdag 20 november 12
  • 30. Science Fiction 11 dinsdag 20 november 12
  • 31. POCT Science Fiction 11 dinsdag 20 november 12
  • 32. ‘To a doctor, the home thermometer is the single best piece of home medical equipment ever created. ReadWrite 13.11.2012 12 dinsdag 20 november 12
  • 33. ‘To a doctor, the home thermometer is the single best piece of home medical equipment ever created. But: a thermometer tells you if you're running a fever, but it doesn't try to tell you why. ReadWrite 13.11.2012 12 dinsdag 20 november 12
  • 34. ‘To a doctor, the home thermometer is the single best piece of home medical equipment ever created. But: a thermometer tells you if you're running a fever, but it doesn't try to tell you why. What if a device misses a melanoma a visual inspection might have caught?’ ReadWrite 13.11.2012 12 dinsdag 20 november 12
  • 39. BMI 30 25 19 16 dinsdag 20 november 12
  • 40. BMI 30 25 19 16 dinsdag 20 november 12
  • 41. BMI 30 25 19 16 dinsdag 20 november 12
  • 42. BMI 30 25 19 16 dinsdag 20 november 12
  • 43. Patient Self Tracking Portal Care Chain HIS KIS Partners Primary Care Physician Care Chain Information System Information System Patient Self Tracking Portal 17 dinsdag 20 november 12
  • 44. Patient Self Tracking Portal Care Chain HIS KIS Partners Primary Care Physician Care Chain Information System Information System Patient Self Tracking Portal 17 dinsdag 20 november 12
  • 45. Patient Self Tracking Portal Care Chain HIS KIS Partners Primary Care Physician Care Chain Information System Information System Patient Self Tracking Portal 17 dinsdag 20 november 12
  • 47. Apparaat App Apparaat Facebook Patient- App portal Collection Apparaat site(s) KIS TicTrac Open.Sen.Se App 18 dinsdag 20 november 12
  • 48. Quantified Self Healthcare Separated Worlds Foto: Wikipedia 19 dinsdag 20 november 12
  • 49. Who helps Bridging The Gap? Quantified Self Healthcare Separated Worlds Foto: Wikipedia 19 dinsdag 20 november 12
  • 50. Foto: Flickr_mariannelomonaco ic25.nl { 20 dinsdag 20 november 12