Thursday, October 23, 2008

Health 2.0 - 2008 (San Francisco) - Day 2

Second day of the Health 2.0 2008 conference.
* the presentation from Sermo's CEO was quite impressive, especially in terms of number of US physicians that are part of their network.

3 Health 2.0 CEOs
  • JonathanBush, CEO AthenaHealth
    • process medical claims from doctors and put them into charts (EMR)
    • 40 millions different cases
    • in business for 10 years
    • try to make the doctor office paperless
    • process paper based documents (40,000 per day)
    • Statistics: doctors get 11% more revenue when using AthenaHealth
    • 89 pages of paper come every day for each doctor (mostly by Fax & Teleprinters)
    • business model: fee based (by the doctors)
  • Daniel Palestrant, MS, CEO Sermo
    • social network for doctors
    • company started 3 years ago
    • 90,000 US physicians 7,000 added each months
    • 20% of the US physicians at end of the year.
    • direct communication between physician and drug manufacturers (e.g. Pfizer) and the result is published for the whole Sermo community.
    • should be cash positive sometimes next year
    • extension to the international market planned in 2009
    • business model: no charge for the physician (in fact they pay the doctors to be part of the network), no advertising, get revenue from sponsors (e.g. drugs manufacturers)
    • work with FDA
    • Partnership with Bloomberg.
  • Kerry Hicks, CEO Healthgrades
    • provide rating and information on healthcare services
    • 5000 hospitals and most of the physicians, nursing homes etc ...
    • 13 millions piece of information coming each month
    • list 88 conditions
    • information on 40,000 prescription drugs
    • users: 55% women, 45% men
    • partnerhip with Google
    • 80% of the traffic comes from patients who have seen the patient in the last 30 days

Panel: Health 2.0 around the world

  • Video:
    • India: diagnosis over the phone including SMS (300 millions cell phones in india), 720 millions by 2012.
    • UK: UK: how to reduce healthcare cost
  • Thomas Liedtke, Emerging Health Care, ICW
    • statistics show that 20-30% of the patients get the wrong medication
    • OptiMed deployed for AOK, Germany
    • compliance control device
    • use iPhone to scan medication
  • Marlene WinField, SVP, NHS connecting for health
    • improve universal HealthCare in UK
    • aggregate services for patients
    • 15 million patients
    • enable two ways communications between patients and care givers via a Personal Health Organizer / PHR called healthspace
      • appointments, calendar, reminders,
      • over the counter medication
      • access to health organizer
      • audit trail for users (who logged etc ...)
  • Alex Savic, CEO Alensa
    • based in switzerland
    • customers in Romenia, Serbia
    • eCmmerce platform for para-pharmacy products (selling drugs online is still illegal in Europe)
    • health blog network is very useful to help monetize their content (premium posts canbe paid by mobile phone).
    • biggest issues are legal issues in europe.
  • Paul Meyer, chairman Voxiva
    • company started 7 years ago
    • provide patients with tips and information on living with a chronic condition
    • e.g. disease surveillance system (Peru 2002)
    • e.g. interactive risk assessment on hearth and cardiac conditions via SMS (Mexico 2007)
    • tools to quickly build applications (e.g. diabetes risk profile population)
  • Josh Nesbit, FrontlineSMS
    • enables users to send and receive text messages with large groups of people through mobile phones.
  • Deb Levine, ISIS
    • non profit organization located in Oakland, CA
    • SMSs for prevention and referral
    • Sexinfo, Realtalk, Data violence prevention etc ...
    • E.g. SMS to 61827 'HIVinfo' or 'Text Meds'
  • Doug Solomon, CTS, IDEO
    • design company (device, software, organization)
    • integrate human, business, technology aspects

Deep Dive: American Well
Demo of the AmericanWell, an online medical care services product:
  • online services for patients and physicians
  • two way conversation (video conference or voice over IP) between doctor and patient
  • patient:
    • agenda, assessment, provider search, message center, health profile and history.
    • integrated with Health Vault
    • ability to rate the service delivered by the doctor
    • forward conversation to the patient PCP
  • doctor:
    • claim submitted automatically
HMSA Online Care:
  • Hawaii - 7,000 members
  • rural country with a large growing senior population
  • uninsured young population

Panel: Tools for ConsumersPersonalized, Analytical, Supporting Decisions, Enabling Transactions
  • Kevin Nolan, CEO ADAM
    • ADAM content using the iphone
  • David Clymer, CEO, MyMedLab
    • purchase test online
    • go to a local lab
    • results are reviewed and put into a PHR
    • available in 47 US states (except RI, NJ, NY)
  • Linda Avey, Co-CEO, 23andMe
    • account can be shared
    • study paternal/maternal Halogroups
    • study health risks (clinical reports, research reports)
    • compare family, friend genes
  • Mari Baker, CEO, Navigenics
    • goal: introduce personalized medecine in HealthCare
    • offers access to a genetic counselor
    • estimated lifetime risks
    • recommendations to reduce health risks
  • Adam Bosworth, CEO, KEAS
    • demo of My Health Plan
      • todo list, overall progress, lab results, meal, exercise action plan
      • import data from google health
      • tracking vital signs and process over time
      • warning about health risks
  • Roy Schoenberg, CEO AmericanWell
    • demo online services for patients and physicians
  • Michael Cho, CEO, Destination Rx
    • 50 millions customers
    • help manage medicine cabinet
    • provides warnings about drug interactions
    • offer ways to lower cost (therapeutic alternatives/generics) including dosage
    • therapeutic alternatives covers 200 tops drugs in the US
  • Erick VonSchweber, CEO, PharmaSurveyor
    • regimen survey tool
    • transferred from partners (Google, Destination Rx ...) using CCR
    • interaction drugs panel
    • ability to replace one drug by another one if there is an elevated risk
  • Alexandra Drane, President, Eliza

Getting Past the Privacy Conundrum

  • Jennifer Gilburg, Verisign
    • demo of VIP : a consumer solution for authentication
    • one time token ID generated by hardware token
    • hosted service
    • SSO usable across different web applications
  • Alan Viars, CEO, Videntity
    • Verification and authentication tools
    • REST based API
    • verification by voice over IP + Pin & voice recognition

Panel: Genomics online * For the patient, there is a benefit knowing in advance the health risks associated to his/her genetic background. This type of information give some type of empowerment to the patient as well.
  • Linda Avey, Co-CEO, 23andMe
    • $399 per genetic analysis study
    • 4-6 weeks for the result
    • 23andWe: sharing information about surveys (phenotype)
  • Tera Eerkes, CEO, QTrait
    • Genetic testing
    • $99 per genetic analysis study
    • dashboard with risk factors
    • technical reports that can be shared with the physician
    • non technical report to share with friends and family
    • specific tests for mate/couple genetic matching to reduce health risks
  • Ilya Kupershmidt, Co-founder, VP of Product Management , NextBio
    • 1/2 million users (researcher, consumers)
    • 60 million pages of resources
    • use public experimental data
    • clinical trials information
    • use ontology to summarize the relevant information data
  • Daniel Reda, Co-Founder, CureTogether
    • demo of CureTogether
    • health tracking tools will be added
    • data to be use for gene discovery
    • twitter for your health

Demo Panel: Disease Management 2.0

  • Stan Nowak, CEO Silverlink, Silverlink
    • recommendation: try to model and automate the routine healthcare activities
    • communication programs for disease management
    • a way to drive behavior (to reduce cost and improve performance of chealthcare).
    • interactive phone calls with health coach
    • educate patients how to save money on drugs
  • Suneel Ratan & Ileana Welte, SVP, Health Hero Network
    • recommendation: keep give supports to your customers to improve the relationship with the patient
    • health body applicance / tele-health platform
    • connect patients and care givers (e.g. institutions)
    • 27,000 customers every day
    • biggest provider to the veteran administration
    • reduce customer care cost by 20%
  • Neal Kaufman, CEO, DPS Health
    • recommendation: try to mimic face to face visits
    • weight management program application
    • internet coach send notes to the patient using past performance
    • integrated with an EMR
    • lessons, workbook, tracking plan, resources and communication tools
    • graphs showing performance
    • send weekly feedback
    • GUI need some refreshing/update (need a modern look and feel) !
  • Don Kemper, CEO, HealthWise
    • recommendation: help each person to help themselves, improve their live and say no to the caregiver when needed!
    • guided self disease management
    • $60 per nurse call
    • for details, send email to moreinfo@healthwise.com

Wednesday, October 22, 2008

Health 2.0 - 2008 (San Francisco) - Day 1

This year, the Health 2.0 2008 conference crowd is definitively larger than last year. I was expecting also a larger exhibition as well, but in fact, the action really seems to take place in the panel discussions and meeting people and peers rather than on the demo booths. However there were some interesting demos during the panel sessions.

The future of Health 2.0 (Indu Subaiya - Matthew Holt)What is the best way to engage people to use Heathcare Apps?

=> A survey provided some interesting information:
  • most frequent channel is conversation
  • social media is much more credible when coupled with Health expertise (e.g. blogs, videosharing, wikipedia).
=> Tools are changing dramatically (Personalized, Analysis, Decision support, transactions)
  • Search Social networks (still the top application), tools, content, Transaction data
  • Health 2.0 Accelerator initiative (To help launch Health 2.0 related ventures).

Keynote : Here Comes Health - Clay Shirky

Clay talked abou this boook:
Here Comes Everybody: The Power of Organizing Without Organizations
  • aggregation is different: a group of patient behave different from single patients
  • add more value (interaction between participants adds synergy
  • information: most of the traffic on the internet is between people, not computers

Documentary: The Great American Health 2.0 Motorcycle TourAn interesting video created by Health 2.0 wher David Kibbe visits (on a motorbike) new Health 2.0 companies and models models throughout the US
Panel: The role of the Consumers Aggregators
  • Wayne Gattinelle, Philip Marshall, WebM
    • presentation of the Verizon HealthZone (branded WebMD web site/application)
    • alert, visit, Conditions, Medications, Allergies, Surgeries, Immunizations, Tests
    • medication advisor: decision support for cost and benefits
  • Michael Yang, Yahoo!
    • collaboration with water front
    • deal with healthgrades
    • presented new visual design for the next generation applications
    • new front door access from Yahoo! Health
    • a profile page describing the physician will be available
    • collaboration with water front media
      deal with healthgrades
  • Roni Zeiger, MD, Product Manager, Google Health & Brad Crosslin, PDX (Google partner)
    • Demo showing integration of Google Health with pharmacies
      • Myer 10 Millions patients
      • Duane Reade (export data into Google Health)
  • Peter Neupert, Health Solution Group, Microsoft
    • partnership with Kaiser (glimpse at the demo)
    • demonstration of PHR (www.myhealthManager.com) 2.5 millions users currently.
    • capabilities to export data into Microsoft HealthVault
    • shows which information is sent to Microsoft (wrapped into a HL7 document)
  • Mark Bertolini, President, Aetna
    • 3rd largest insurance in the US
    • 3200 IT personal
    • cost of care tool
    • partnership with Microsoft (Health Vault)
    • PHR
      • 7 millions users by the end of 2008
      • one million of alerts every 3 months
Panel: Search, UGc and the Long Trail, Matthew Holt & Indu Subaiya- Personalization is very important
  • Venky Harinarayan, Co founder, Kosmix/Right health
      • vertical search engine
      • search results on medical content, community, forums
      • 2nd web site after WebMD
      • aggregate services
  • Well Shell, CEO, HealthLine Networks
    • content provided from 20 partners
    • 70% of the search are related to symptoms
    • learning centers automatically generated
    • drug search including FDA alerts and drugs interaction checker
    • patient decision support as outcome of the search
  • Steven Krein, CEO, Organized Wisdom
    • use a team of medical personal to search Google and hand craft search results
    • long tail search: very specific and personal questions (e.g. side effect of hip surgery) that are answered by organized wisdom.
    • research notes + top resources that are created for aggregated groups of users
    • 20,000 patient cards
    • Organized Wisdom is going to create profiles for every doctors, dentists and practitioners.
  • Tom Eng, President, Healia/Meredith Group
    • vertical search engine: provides high quality trusted results (patent pending algorithm)
    • health communities: locate patients close by and 'ask questions' feature.
  • Daniel Palestrant, Founder and CEO, Sermo
    • millions of questions on their site
    • very interesting study case of allergy form Victoria's secret Bras that was detected by Sermo after studying new group posts.

Demo Panel: Managing Money in Health 2.0* Money starts to play a role in Health 2.0 as transactions start to take more importance.

  • Christopher Parks, CEO, Change HealthCare
    • demo: tool to share, compare and track healthcare expense
    • business models: licensing by employers
    • detailed medical bills
    • summary by family member, by provider, by service date, by health issue
    • average cost per providers for 5 providers in the same area <= nice!
  • Stefanie Fenton, Quicken Health Group, Intuit
    • demo of Quicken Health to be launch in 2009 for UnitedHealthcare, CIGNA HealthCare, and Medical Mutual of Ohio initially
    • business model: pay per transaction + license fees
    • visited more than 300 people to understand their healthcare finance need (the amount of bills/paper tracks can be very large)
    • 3 years of development
    • health plan claims are dowloaded
    • claims to be paids, deductibles with break down on each items how it is reimbursed (as tooltips)
    • payment history with patterns of spending that can be exported for taxe purpose
  • Phil Micali, CEO, Bwell-inc.com
    • demo of bwell informed launched last year (B2B and B2C)
    • business models: licensing by employers
    • include saving accounts, health profile, compare family plans <= very nice!
  • Brandt Cannici, Co-Founder and COO, Medicaresaver.com
    • demo of medicaresaver.com
    • business model: commisions and strategic partneships
    • includes therapeutic interchange proposal and generate letter for doctor <= cool!
    • compare restricted and non-restricted plans
    • focus on seniors
    • no advertizing, HIPAA compliant
Demo Panel: Clinician Social Networks

  • Rex Jabovits, Mypac.net
    • YouTube or Flickr for radiology
    • more than 18,000 cases containing more than 90,000 images
    • Sharing of medical images (flash + ajax)
    • free service funded in part by the National Institutes of Health.
  • Jason Bhan, Co-founder, Ozmosis
    • online Medical Knowledge Exchange
    • accelerates learning and knowledge exchange across medicine
    • journal club, clinical cases, groups etc ...
  • Michael Sands, Co-Founder, MedicalPlexus
    • ecosystem/network in which doctors and life science researchers can connect, interact, and share their work
    • learning from and Sharing Knowledge with other professionals/colleagues using questions and answers
  • Lance Hilll, CEO, Within 3
    • private professional networking site for health and life science practitioners to find, connect and collaborate (the linkedin for medical practitioners)
    • ability to communicate news and event information
    • find colleagues with similar interest by location
    • consultation with specialist on atypical cases, new treatments etc ...
    • offer ways to build communities
    • REST APIs will be available in 2009 to access member data
  • Tobin Arthur, CEO, iMedExchange
    • online community for physicians

See also Day 2 of the conference.