#Health2con Ed Hernandez @dredhernandez , CA State Senator – Chair Committee on Health

Real time notes from the tenth annual Health2.0 fall conference.

CA has raised smoking age to 21.

Senator Hernandez pushed through the smoking age legislation.

Affordable Care

This is bigger than any other health legislation.

ACA has triggered lots of change:

  • Consolidation of Health Plans
  • Large Medical Groups
  • Hospital System mergers

Big challenges:
– 1/3 of CA population on MediCA

We wrote a law that provides an insurance card for patients but we didn’t address the network of providers needed.
– Patient need growing
– Doctors retiring

Demand in:
– Inner Cities
– Rural communities

The population with highest need but least access.

How do we control health care costs:

Proprietary platforms that don’t speak to each other.
Health records should belong to the patient.

We need to look at how we engage consumers in their own health.

The mobile device is available in even some of the most under resourced areas.

We have to learn to take advantage of the smartphone.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con Alex Drane:The rise of the unmentionables. Huge shout out to @susannahfox for supporting the Unmentionables

Real time notes from the tenth annual Health2.0 fall conference.

The rise of the unmentionables

The bravery of the Health 2.0 Team and the activism of the Health 2.0 Community have brought the unmentionables in to the mainstream.

Alex talking about “LifeSucks” Disease.

Forging New Partnerships: Communities and Emerging Markets

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con Keynote: Ian Morrison

# Keynote: Ian Morrison

Generally acknowledged as being one of the funniest and most perceptive speakers in health care, Ian is an internationally known author, consultant and futurist. He was President at Institute for the Future in the 1990s, founded the Strategic Health Perspectives service, and is in more health care board rooms and conference halls that almost anyone. At Health 2.0 Ian will share his latest insights into the future of health care — and yes, he used to be Matthew Holt’s boss and never minded lending out his jokes. Matthew’s still telling them

Real time notes from the tenth annual Health2.0 fall conference.

www.ianmorrison.com

Twitter: @seccurve

Innovation at Scale is a big challenge.

Ian gives shout out to Matthew Holt and Jane Sarasohn Kahn (@HealthyThinker)

The US Health Care system is 2x the Italian Economy ($3.4T v $1.8T) and just as well organized….

Not many very big companies in a $3T industry.

Why is it so hard to disrupt Healthcare?

What can Health 2.0 Deliver?

Put data into a suppository in the sky….

An industry that moves at glacial pace.
HIPPA will make you blow your brains out.
The big players will road block you.

Current Innovations are duplicative or additive not rtruly disruptive.

Need to constructively engage with the billion dollar health systems.. People will still get sick, frail and vulnerable.

Show the badges for all the new shiny objects but with zero adoption.

Pilotitis – Each free pilot costs $1M.

Progress and Promise:

  • Coverage Expansion
  • Payment Reform
    (ACO’s, MACRA etc.)
  • Volume to Value
  • Consolidation and Integration
  • Delivery Shift to Ambulatory Environment
  • IT Infrastructure (EHRs, Telehealth)
  • Enhancing the Consumer/Provider Experience.

High Deductible health care is a blunt instrument.
High bar of service in world of Applem Open Table and Uber.

“Meaningless Use”

1 in 4 consumers remains powerless.

“If you want to find dissatisfaction go survey the french”

Physicians and Patients feel powerless and dissatisfied.

Scribes the fastest growing role in healthcare.

Health Systems – There are some innovation Leaders

Kaiser Permanante has added 1M Medicaid subscribers in the past 18 months.

Opportunities to engage Large Health Systems with Digital Innovations

  • Consumer apps
  • Chronic Care
  • Post-acute care transitions
  • Population health initiatives
  • Operations 2.0 – core clinical systems (Where the money and waste is)

Promising stories:

  • Omada
  • Augmedix (scribes)
  • HealthLoop
  • Bookmd

What can Health 20 Bring?

  • Simple
  • Cheaper
  • Virtual
  • Digital
  • Scalable

5 yrs to get this right.

Or solutions and fixed costs will be imposed from above.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con Code-a-thon Winners: Senectus

Real time notes from the tenth annual Health2.0 fall conference.

Senectus

Great IOS App demo helping Seniors evaluate drug costs WITH their doctor.

A cool use of APIs from Humana, First Databank and PokitDoc

Big opportunity to help kids transition to adult treatment

Patients aren’t broken – they just need help to improve.

Best Healthcare Organization

John Mandel gets the shout out SMART Apps on FHIR

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con Data Drives Decisions w/@Claudiawilliams @bluetopaz

Real time notes from the tenth annual Health2.0 fall conference.

Private and Public Sector Partnerships

Precision Medicine is building a cohort of 1Million people.
Big Personal Data on a big scale.

The promise is to create a delightful experience that encourages research participation.
Removing Friction and deliver value back.

Interesting First NIH Grant for Walgreens.

How can individuals benefit from PMI

Altruistic:
– Some people will do it for family
– Some people do it for future generations

PEOPLE Want their data back – in particular their Labs.
This is a big change in Research.

Walgreens

Currently have over 1M connected devices where consumers have opted-in.
It is about engagement.
Currently doesn’t feedback to care (or research).

Amy Abernathy – FlatIron Health, @CloudMedicx

How to get to highly processed analytical data with personal information that is secure.
Created EMR and Tools for Cancer Patient Treatments.

  1. Organize data
  2. Pulling out hidden key data from unstructured data.

Near real-time (nightly) analytics

More novel therapies are being used in cancer treatment.
50% of patients are being treated with therapies that didn’t exist 18 months ago.

Stuart McGuigan -VP and CIO J&J,

Consumer products business is smaller than medical products business
Acquired Human Performance Institute

Used the person centric model and applied it to joint replacement recovery.

J&J is looking at scaling digitally and using AI to apply elsewhere.

HealthPartner for Knees App.

  • Prepare for surgery.
  • Connect with others who have had this experience

  • Assess physical, mental, spiritual health.

J&J is also working with IBM Watson to help watch developments and relationships.

Brad Perkins, CMO Human Longevity

@BradleyAPerkins

Hacking the software for life.
Build an industrial scale architecture to predict whatever can be predicted from the human genome sequence.

A single test that delivers 3-5 million results.

25PB in AWS.

A search engine for the genome.
http://search.hli.io

Annette Bruls @MDT__Diabetes – Medtronic

Demonstrating SugarIQ with IBM Watson.

CloudMedx – @cloudmedicX

Tashfeen Sulean
Aiming to reduce misdiagnosis.
Realtime Clinical AI Platform.

http://www.cloudmedxhealth.com
http://demo.cloud-medx.com

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con @pfizer Challenge – Advancing care for patients living with Metastatic Breast Cancer (mBC)

Challenge:

Phase 1. Concept
Phase 2. Development
Phase 3. Pitch

$250K in Funding

  • intuitive customized care management
  • Solutions to support mBC Patients
  • Solutions to help patients living with mBC

Miriam Sloane. Free the person from the patient.
Escape from being defined by our disease.

http://www.AdvancingMBCPatientCare.com

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con 10 Year retrospective

People Uninsured:

Dropped to 11% from 15%

Consolidation:

2007: 46% Independent Physicians
2016: 33%

EMR Penetration

2007: 34.8% Doctors using EMRs
2016: 82.8%

Smartphone users:

2007: 9M in USA
2016: 4.7B globally

Health Apps

2011: 17k apps
2016: 165K apps

Digital Health Funding

47M grown to $4.5B

Telemedicine

2014: 17M visits

Sensors and Self Tracking

2007: Fitbit
2008: Runkeeper

2016: Fitbit 30M devices sold.

Genomics:

Sequencing cost:
2007 $1M
2016: $1,245

Health Indicators

Childhood obesity Ages 2-5
10.1% in 2007 has reversed and dropped to 8.4% in 2016.

Adult Obesity: 26% grown to 34%

Food Insecurity:
2007: 11.1% american families dealing with hunger. This has grown.

Mental Health disorder:
11.2% in 2007
18.5% in 2016

Suicide Rates:
2007: 11.5
2016: 13.4 per 100k

Economic Indicators

Health Care Costs and Rank
Number 1 2.3T in 2007
Still number 1 3.5T in 2016

Prescription drug expenditures
164% increase

Proxy Stats to map to Health Impacts.

  • Big data for patient benefit
    Building diversity for everyone
  • Interoperability. We are getting there. Still plenty to do.

We need to demand price transparency.

Tweet to #HealthACT

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con AthenaHealth wins best Tech Company.

AthenaHealth wins best company.

Jonathan Bush appears in a silent video. It’s the quietest you will ever see him….

Veyo – Changing transportation logistics in Healthcare.

  • Predictive Analytics
  • Virtual Fleet
  • Vertical Integration
  • Scalable platform

Driver/Provider Onboarding, Training and Credentialing.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con Blockchain in Healthcare PokitDok.

Lisa Maki – PokitDok

DokChain –

Blockchain: A secure network with a decentralized database – a ledger.

PokitDok built DokChain.

Using blockchain to store the patient longitudinal health record.

Health transactions don’t happen just in the EMR.

While opening up APIs is critical but we need more.

DokChain handles creating wallets with access tokens. The providers don’t have to change anything. DokChain integrates with APIs behind the scenes.

Formation of new alliance: Blockchain Health Alliance

http://dokchain.com

Data in silos is useless.
Free the data
Put the patient at the center.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con WebShield demo

WebShield

CareBox integration is being demoed.
CareBox enables health record integration.

https://webshied.resilient-networks.com

Integration with:
– Google Authenticator
– Acceptto
– TouchId

Intersystems HealthShare is integrated

Supporting:
– Direct
– FHIR

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.