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

• Brooke Partridge, CEO, Vital Wave Consulting
• provide HealthCare studies for emerging countries

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

• Stan Nowak, CEO, Silverlink

• 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

• Marlene Beggelmman, CEO, Enhanced Medical Decision
• demo: doublecheckmd: Decision support tool for patients
• use questionnaire
• offer medical recommendations/advices

• Stefanie Fenton, Director Market Development, Intuit Quicken Health Group

Getting Past the Privacy Conundrum

• Carol Diamond, & Josh Lemieux Markle Foundation
• presentation of connectingforhealth.org

• Kepa Zubeldia, EVP, Ingenix

• James Dempsey, Policy Director, Center for Democracy and Technology

• Phillips Marshall, VP, WebMD Health

• Richard Dick, CEO, You Take Control

• 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

• Robert Shelton, CEO, private Access
• goal: harmonization of privacy and access
• demo of PrivacyLayer

• 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

• Mari Baker, CEO, Navigenics
• partnership with affymetrix and Microsoft HealthVault.
• scripps genomics health initiative

• 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

• Neal Kaufman, CEO, DPS Health