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Will Healthcare be delivered by
George Jetson in the future?
Nick van Terheyden, MD
@drnic1
Chief Medical Officer, Dell HCLS
Nick van Terheyden, MD CMO, Dell Health and Life Sciences
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://drnick.vanterheyden.com/
FaceBook http://www.facebook.com/drnic1
E-Mail DrNick@dell.com, drnic1@gmail.com
AboutMe http://about.me/obiwan
Google Voice (301) 355-0877
Where you can find me
Technology has
become an
integral part
of our daily lives…
Will healthcare be delivered by george jetson in the future
Will healthcare be delivered by george jetson in the future
6
Will healthcare be delivered by george jetson in the future
› Source: Caroline McSwain (http://carolinemcswain.wordpress.com/2010/10/25/the-internet-a-student%E2%80%99s-greatest-asset-or-worst-distraction/)
Talking
on phone
Surfing
the web?
Watching
television
Reading a
magazine
Listening
to music
Texting
a friend
Source: Qmee July 2014, http://blog.qmee.com/online-in-
60-seconds-infographic-a-year-later/
Every minute
of every day…
In the next 10 years, data
science and software will do
more for medicine than all of
the biological sciences together
Vinod Khosla
11
FactsperDecision
1000
10
100
5
Clinical decision-making is becoming
more complicated.
2000 20101990 2020
Structural Genetics:
e.g. SNPs, haplotypes
Functional Genetics:
Gene expression
profiles
Proteomics and other
effector molecules
Decisions by Clinical
Phenotype
William W. Stead, M.D., 2007 AMIA Panel Presentation, “Why We Need Internal Development”, November 11, 2007
How can we expect health
care professionals
to review
6 billion pieces of data in
a 15 minute encounter?
Wearable's and Internet of Things will surpass
smartphones and personal computers by 2018
Internet of Things
Tablets
Smartphone
Personal
Computers
• Kilo
• Mega
• Giga
• Tera
• Peta
• Exa
• Zetta
• The Data Deluge Makes the
Scientific Method Obsolete
The Data Deluge
Will healthcare be delivered by george jetson in the future
The Quantified Self
Meet Chris Dancy and His 10 devices he wears or carries and
13 more in his home and car
Connected Medical Kit, CliniCloud
Playing doctor at home
Sensors Built in to Clothing
Will healthcare be delivered by george jetson in the future
Smartphone Driving Biggest Heart Health Study
http://singularityhub.com/2013/04/03/a-million-smartphones-will-drive-biggest-heart-health-study-in-history
Genomics, Sequencing and Data
• Took $3 Billion and 10 years to sequence one
genome
• Sequence in days even hours and for
<$1,000
• Explosion of data just to sequence the
genome
– Plans to sequence 14M new cancer patients
every year which would generate 5.6 Exabytes
of information.
• But there’s even more data in -omics
20
Global bioinformatics
market to reach $13B by 2020
21% CAGR1
>5.6 Exabytes
to sequence 14M new cancer
patients worldwide per year2
Sources:
1. Allied Market Research, Global Bioinformatics Market, 2013-2020
2. http://www.cancerresearchuk.org/cancer-info/cancerstats/world/incidence/
3. http://www.technologyreview.com/news/531091/emtech-illumina-says-
228000-human-genomes-will-be-sequenced-this-year/
228,000 whole human
genomes sequenced in 2014
1.6M by 20173
Sequencing Every Person in the US
Item Measurement
Dollar Bill thickness (inches) 0.0043 inches
1 Human Genome (bytes) 1,000,000,000,000
Population on the US 350,000,000
Storage required to sequence the
entire US Population (bytes)
350,000,000,000,000,000,00
0
Height of Dollar Bill Stack (miles) 23,753,156,565,657
Distance to Alpha Centauri AB (miles) 25,666,078,379,320
Percentage of distance 93%
• If you assume that 1 byte of storage is equal to the thickness of a $1 bill
• If you further assume that we use a stack of $1 bills where each bill is 1 byte of the total storage of the
human genomes of the entire US population, then:
– The required 350 Exabytes of storage,
– represented as a stack of $1 bills, would extend 93% of the distance from the Earth to the nearest star system (Alpha
Centauri AB).
a-Centauri
Slide courtesy Dr. Michael McManus, Intel
Genomics and Preventative Care
• Washington University
CardioGene Set
• Panel includes genes
linked to 8cardiac
disorders including
arrhythmias &
cardiomyopathies
• Young Athletes and SCD
http://outlook.wustl.edu/2014/apr/gene-testing
Genapsys
DNA electronics
The era of Personal genome analyzers
Robotics and Automation
RP-VITA robots, iRobot Corp
Robotics
Robotics
Patient Engagement is the
blockbuster drug of the century
Leonard Kish
Principal and Co-Founder at VivaPhi
Hi Tech Medicine
Nick van Terheyden, MD CMO, Dell Health and Life Sciences
AboutMe http://about.me/obiwan
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://drnick.vanterheyden.com/
FaceBook http://profile.to/drnick
E-Mail DrNick@dell.com, drnic1@gmail.com
Google Voice (301) 355-0877
Where you can find me
Will Healthcare be delivered by
George Jetson in the future?
Nick van Terheyden, MD
@drnic1
Chief Medical Officer, Dell HCLS
Do more.
Healthcare.
Are you ready to…
Do more of what’s possible,
Do more of what matters,
Do more of what brings success?
Will healthcare be delivered by george jetson in the future

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Will healthcare be delivered by george jetson in the future

  • 1. Will Healthcare be delivered by George Jetson in the future? Nick van Terheyden, MD @drnic1 Chief Medical Officer, Dell HCLS
  • 2. Nick van Terheyden, MD CMO, Dell Health and Life Sciences Twitter http://twitter.com/drnic1 LinkedIn http://www.linkedin.com/in/nickvt Blog http://drnick.vanterheyden.com/ FaceBook http://www.facebook.com/drnic1 E-Mail DrNick@dell.com, drnic1@gmail.com AboutMe http://about.me/obiwan Google Voice (301) 355-0877 Where you can find me
  • 3. Technology has become an integral part of our daily lives…
  • 6. 6
  • 8. › Source: Caroline McSwain (http://carolinemcswain.wordpress.com/2010/10/25/the-internet-a-student%E2%80%99s-greatest-asset-or-worst-distraction/) Talking on phone Surfing the web? Watching television Reading a magazine Listening to music Texting a friend
  • 9. Source: Qmee July 2014, http://blog.qmee.com/online-in- 60-seconds-infographic-a-year-later/ Every minute of every day…
  • 10. In the next 10 years, data science and software will do more for medicine than all of the biological sciences together Vinod Khosla
  • 11. 11 FactsperDecision 1000 10 100 5 Clinical decision-making is becoming more complicated. 2000 20101990 2020 Structural Genetics: e.g. SNPs, haplotypes Functional Genetics: Gene expression profiles Proteomics and other effector molecules Decisions by Clinical Phenotype William W. Stead, M.D., 2007 AMIA Panel Presentation, “Why We Need Internal Development”, November 11, 2007 How can we expect health care professionals to review 6 billion pieces of data in a 15 minute encounter?
  • 12. Wearable's and Internet of Things will surpass smartphones and personal computers by 2018 Internet of Things Tablets Smartphone Personal Computers
  • 13. • Kilo • Mega • Giga • Tera • Peta • Exa • Zetta • The Data Deluge Makes the Scientific Method Obsolete The Data Deluge
  • 15. The Quantified Self Meet Chris Dancy and His 10 devices he wears or carries and 13 more in his home and car
  • 16. Connected Medical Kit, CliniCloud Playing doctor at home
  • 17. Sensors Built in to Clothing
  • 19. Smartphone Driving Biggest Heart Health Study http://singularityhub.com/2013/04/03/a-million-smartphones-will-drive-biggest-heart-health-study-in-history
  • 20. Genomics, Sequencing and Data • Took $3 Billion and 10 years to sequence one genome • Sequence in days even hours and for <$1,000 • Explosion of data just to sequence the genome – Plans to sequence 14M new cancer patients every year which would generate 5.6 Exabytes of information. • But there’s even more data in -omics 20 Global bioinformatics market to reach $13B by 2020 21% CAGR1 >5.6 Exabytes to sequence 14M new cancer patients worldwide per year2 Sources: 1. Allied Market Research, Global Bioinformatics Market, 2013-2020 2. http://www.cancerresearchuk.org/cancer-info/cancerstats/world/incidence/ 3. http://www.technologyreview.com/news/531091/emtech-illumina-says- 228000-human-genomes-will-be-sequenced-this-year/ 228,000 whole human genomes sequenced in 2014 1.6M by 20173
  • 21. Sequencing Every Person in the US Item Measurement Dollar Bill thickness (inches) 0.0043 inches 1 Human Genome (bytes) 1,000,000,000,000 Population on the US 350,000,000 Storage required to sequence the entire US Population (bytes) 350,000,000,000,000,000,00 0 Height of Dollar Bill Stack (miles) 23,753,156,565,657 Distance to Alpha Centauri AB (miles) 25,666,078,379,320 Percentage of distance 93% • If you assume that 1 byte of storage is equal to the thickness of a $1 bill • If you further assume that we use a stack of $1 bills where each bill is 1 byte of the total storage of the human genomes of the entire US population, then: – The required 350 Exabytes of storage, – represented as a stack of $1 bills, would extend 93% of the distance from the Earth to the nearest star system (Alpha Centauri AB). a-Centauri Slide courtesy Dr. Michael McManus, Intel
  • 22. Genomics and Preventative Care • Washington University CardioGene Set • Panel includes genes linked to 8cardiac disorders including arrhythmias & cardiomyopathies • Young Athletes and SCD http://outlook.wustl.edu/2014/apr/gene-testing
  • 23. Genapsys DNA electronics The era of Personal genome analyzers
  • 25. RP-VITA robots, iRobot Corp Robotics
  • 27. Patient Engagement is the blockbuster drug of the century Leonard Kish Principal and Co-Founder at VivaPhi
  • 29. Nick van Terheyden, MD CMO, Dell Health and Life Sciences AboutMe http://about.me/obiwan Twitter http://twitter.com/drnic1 LinkedIn http://www.linkedin.com/in/nickvt Blog http://drnick.vanterheyden.com/ FaceBook http://profile.to/drnick E-Mail DrNick@dell.com, drnic1@gmail.com Google Voice (301) 355-0877 Where you can find me
  • 30. Will Healthcare be delivered by George Jetson in the future? Nick van Terheyden, MD @drnic1 Chief Medical Officer, Dell HCLS
  • 31. Do more. Healthcare. Are you ready to… Do more of what’s possible, Do more of what matters, Do more of what brings success?