Faces of Digital Health

Voice applications in healthcare are used in telemedicine, for remote patient monitoring, clinical trials, and more. Bill Rogers, CEO of Orbita - a leading provider of conversational AI for healthcare - explains the current state of voice assistants in healthcare. Orbita helps healthcare organizations tap the power of voice assistants, chatbots, and other conversational AI technologies to engage patients, improve care, and reduce costs.

In 2016 FDA approved the so-called artificial pancreas - Medtronic’s MiniMed 670G system (Medtronic) a hybrid closed-looped system for glucose measurement and insulin delivery. A lot of companies are developing AI supported decision support systems for doctors and patients. This episode dives in the complexity of diabetes, how it is treated, what role does glucose have on health and how is technology improving the lives of patients with diabetes. Speaker: prof. Dr. Tadej Battelino, the head of Department of Pediatric endocrinology, diabetes and metabolism at the UMC - University Children’s Hospital Ljubljana, Slovenia. Prof. Battelino is among other things co-organizer of Advanced Technologies and Treatment of Diabetes Conference - that provides a world-class platform for clinicians and scientists to present, discuss and exchange insights on the most rapidly evolving area of diabetes technology and treatments. He is also Chiel Clinical at Dreamed Diabetes - Israeli based developer of personalized diabetes management solutions. DreamedDiabetes Advisor Pro decision support system received an FDA approval in 2018.

The idea that AI will replace radiologists comes from the fact that today’s AI models models are very good at pattern recognition. But in reality, the “rich data” coming from radiologists is in the radiology reports, which are to a large extent unstructured. As elsewhere, the 80:20 rule applies here, says Woojin Kim. So the interesting thing are the NLP models mining radiology reports, he said in this interview. So what do radiologists actually do, are they going to start talking to the patients more, why they will not be obsolete anytime soon and more. Woojin Kim is the Chief Medical Information Officer at Nuance, former Chief of Radiography Modality, Director of Center for Translational Imaging Informatics, Associate Director of Imaging Informatics, and Assistant Professor of Radiology at the Hospital of the University of Pennsylvania.

Short series about AI in healthcare: 1 - the potential impact of AI on patients When reading about how digital health and AI are improving disease management, waiting times in decision making healthcare, we don't only read about cost savings. These novelties show how patients are becoming more and more equal to healthy people and how diseases are affecting the quality of lives less and less due to less time spent in the healthcare systems, faster diagnosis, faster treatment and recovery. Of course, this is not going to happen tomorrow, but when has any progress ever happened fast, especially in healthcare? Yes, AI applications are still in the early stages of this, algorithms and studies currently based on retrospective studies. But the trend is what it's crucial - the hype is annoying, but it attracts talent. And more people means more knowledge and faster advancements. Other upcoming episodes in the series: 2- the current state of AI in radiology as explained by Woojin Kim3- the complexity of diabetes and development of algorithms as explained by prof. dr. Tadej Battelino,4- AI in stroke management.

No matter which country you go, the predictions about the healthcare workforce estimate that we will encounter significant shortages of doctors in the future. It’s less often heard that the prediction for shortages of nurses is much higher compared to doctors. So today, the spotlight is on them. Shawna is an entrepreNURSE with a wide range of experiences in emergency medicine, cardiac, critical care, international medical flight transport, and workplace wellness. Shawna is an important member of the Exponential Medicine Team. With her curiosity and drive towards a better health she has shaped and launched various initiatives: the EntrepreNURSE-in-Residence role in the Netherlands, an enterprise-wide digital radiology solution, an international emergency medicine training rotation between a US medical school and a New Zealand hospital system, and the Cancer XPRIZE focused on early detection. She explains what are challenges nurses are faced with in terms of working conditions and paving the way to acknowledge their important role in healthcare. F016 with Rebecca Love: iTunes: https://podcasts.apple.com/si/podcast/f016-why-arent-nurses-included-in-innovation-processes/id1194284040?i=1000416488011  Podbean: https://www.podbean.com/eu/pb-h2mjf-95cfb0  https://www.facesofdigitalhealth.com/blog/2018/08/07/f016-f017-why-arent-nurses-included-in-innovation-process-more-rebecca-love-shawna-butler

South Korea is famous for many things - worldwide, the Republic of Korea has by far the highest robot density in the manufacturing industry, the third-largest market for virtual currency, behind the United States and Japan. South Korea is called the plastic surgery capital, because of the cultural beauty obsession. According to a recent Gallup poll, one in three South Korean women has undergone cosmetic surgery between the ages of 19 and 29. South Korea’s government is even trying to limit the stars’ presence. South Korea also managed to pull off what many other countries crave for: a substantial healthcare reform in early 2000s. Health care is financed through National Health Insurance covering the entire population. To establish big data in the medical field, the nation is currently gathering the medical records of about 50 million people from 39 hospitals nationwide by 2020. Alongside all the technological progress, telemedicine is illegal in South Korea. You will hear why from today’s speaker Ogan Gurel, a doctor, professor, entrepreneur, who has been living in South Korea for the last nine years. His teaching experience includes cellular & molecular biology, neuroanatomy, bioinformatics, mathematical modeling, and technology marketing at Columbia, Roosevelt, Harvard, SAIHST and DGIST. He has also served as an independent consultant to several medical device firms in which he was specifically involved with both European and FDA clinical trial development and oversight. Enjoy the discussion, and research more at www.facesofdigitalhealth.com  Blog post with key points from all episodes about Asia: https://www.facesofdigitalhealth.com/blog/f041045-digital-health-in-asia-china-india-south-korea-and-singapore

Singapore, also known as Asia for beginners, is a 5.6 million people country, offering an encouraging environment to tech companies and expats. The government in Singapore is promoting IT adoption and innovation in healthcare. National Electronic Health Record system was rolled out in 2011. Combine that with countrywide connectivity, mobile-first population, and a lot of openness for collaboration with the private sector, and you get a healthtech epicenter in Asia. Excluding China and India, Singapore took the lead by deal volume share in Asia in 2018 with 30%, followed by Japan with 27% and South Korea with 13%, according to Galen Growth. Tony Estrella is a startup founder, investor, corporate innovation leader, and strategic advisor, with work experiences in the US, Europe and Asia. He is partnering with Asia-focused companies who are developing solutions to change the face of cancer and human longevity with core IP stemming from AI, Genomics, Blockchain, and smart devices. He recently published a fiction novel Comatose, which opens many ethical dilemmas regarding the future of healthcare technology development. Some questions addressed: Given that you lived all around the world, what are your observations of Asia? Singapore offers universal healthcare coverage through a mixed financing system. How does the government support digital health development? What drives innovation in Singapore? The Accenture digital health in Singapore 2016 survey found that two-thirds (66%) of consumers who believe they should have EHR access want to see exactly what the doctor sees — not a summary. Opinion? Your novel Comatose book opens up several ethical questions concerning patient data privacy, clinical trials and involuntary inclusion in medical research, hacking, medical ethics etc. How do you see the future of these issues and the actual fear from unintended consequences? What has the process of writing a book taught you about business? (perseverance, dedicated time, did you ever get stuck. How did you design the outline of the story etc.)   **Annual End of Childhood report published by non-governmental organisation Save The Children, ranking Singapore and Slovenia as top countries for children: https://www.straitstimes.com/singapore/singapore-ranked-best-country-for-children-to-grow-up-in

If anyone, India is in dire need to increase access to quality care. According to WHO, the density of doctors of all types (allopathic, ayurvedic, unani and homeopathic) in 2001 was 8 doctors per 10,000 people, and the density of nurses was 6 nurses per 10.000 people. Project ECHO® is one of the players with an important role in bringing patients quality care with the help of a revolutionary medical education project. The ambition of Project ECHO is to touch the lives of 1 billion people by 2025. The project works by connecting doctors on the local level, allowing them to share and discuss their clinical cases through the lens of the latest clinical guidelines. In this podcast episode, the executive director of Project ECHO India — Sunil Anand and Kartik Dhar, Leading the ECHO Digital technical solutions development and India based product teams, talk about  the current state of healthcare in India,  government’s plans for “Modicare” - insurance coverage  of ₹500,000 (7200$) per year per family, for 500 million people, Digitization progress and governmental plans for an integrated approach to electronic health records.    Observations regarding mobile health: many startups are trying, penetration is not visible yet. More and more startups are shifting towards solutions in local language and there is a visible focus on mental health.

China’s population is larger than the population of the US and Europe combined. The country is becoming the leader in AI development. The enabling factor for China’s rapid advancement in AI is that Chinese Tech giants and government agencies are investing heavily the most important fuel for AI development - data infrastructures. In healthcare, for example, the company Yitu has a team of about 400 doctors, most of whom work part-time for about 10 hours a week to help label data. One-fifth of the healthcare team’s full-time employees have a medical background.  Asian countries were lagging behind in digitization in the past, which enabled them to leapfrog development with mobile phones. The consumers here use Tencent’s WeChat for shopping, paying bills and more. Understandably, Tencent’s new strides into healthcare are highly anticipated. According to Technode, Tencent is testing real-time clinic services in its WeChat wallet, and as reported by mobihealthnews, Tencent Trusted Doctor is among a number of technology-driven firms looking to shake up China’s overburdened public healthcare market. According to Phillips Future Health Index 2019 China is an outlier in terms of healthcare professionals encouraging their patients to track healthcare data.  Julie Wang talks about Chinese culture, entrepreneurship, and values driving digital health in China. Also listen to: How advanced is China in digital health?

Asia is the second-largest digital health ecosystem in the world. 2018 ended with a record-breaking 6.8 billion US dollars invested. According to IBC Asia, the digital health market is expected to reach $379 billion by 2024. Asian countries are leapfrogging the west in tech adoption. Many countries are turning into cashless societies where all transactions are done through mobile phones. At the same time, the culture in Asia is very different compared to the West. For a light start, this first episode will give you a broad overview of the region, with Julien de Salaberry, CEO and Founder of Galen Growth Asia. But before that, a few interesting thoughts about China, India, Singapore, and South Korea, from speakers in the upcoming episodes. The latest Gale Growth report about H1 of 2019 in Asia: https://bit.ly/2ZbgeKf