IoT: Enabling Wellness in the Age of Technology – 2019 AT&T Business Summit

IoT: Enabling Wellness in the Age of Technology – 2019 AT&T Business Summit

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Good. Morning. Hi. I am Joe Moselle I'm vice president of. IOT. For AT&T and welcome. To, enabling. Wellness. And an age of technology like, we, said earlier for all of you guys weren't in there is please make sure that you go into the app and we provide feedback on the panel if it. Is good feedback remember, we're enabling wellness. And age of technology if, you. Have bad feedback we, are enabling. Edge compute, with 5g, okay. So. Please. Make sure that I mean that's that's where we get the most value out of this this is the third annual summit. So we want to make sure that we're, doing the panels. That are the most informative, for the, audience, and we're covering the right things. So. Let, me kind of first start and saying, that you. Know how. Many of us in the audience are. You. Know very busy, with just our basic mundane. Questions. That we have for life and really, don't have time to actually focus on, making. Healthy choices well. If you're like me you. Know that's everyday I am just so busy whether it is with work whether it's travel, whether it's home to. You, know even focus on more. Important, questions and what we end up doing with a lot of our decisions, is that we kind of make the simple, choice instead, of making the healthy choice and. What. We're going to talk about here, a little bit more is that how is that burden, and how healthcare is transforming. Transforming. And how that healthcare burden, is actually, moving from not only to the doctors but to us as the patients, and how, that's actually adding additional stress to us not. Only as, consumers. But also as Enterprise customers, as we're. Actually having. To focus on not only is the you. Know decisions, that we're making but also on, the stress, of the dis you know the, stress of having an additional decision. Making that we have to have so. This, transformation, has happened, and what we hope to discuss, with you guys is that how, technology. Is going to help that make that easier, for us that, the burden is coming to us we don't have enough time that we just talked about but, now how are we actually going to been able to use some of the technology and IOT to. Actually make those decisions, easier for us and make the decisions, not only easier for us but also for the physicians, and for the enterprise customers, that help reduce costs so. What we want to do right now is I'm going to have a discussion. With our expert, panel here and hopefully. In the next 40 minutes that will learn more about what we can do to. Actually aid in this decision. Going forward so. With that I'm gonna actually introduce. My panel, really quickly, get. My clicker out here so don't actually mark that down so. The first one I want to introduce to you is Cori, sentient Cori is the CEO of, body. Port and a serial and entrepreneur. In the you. Know the healthcare in the technology, area so. Cori could you give the audience a little bit of introduction yeah. Absolutely so, as. You, said I'm a serial entrepreneur so. I'm, actually a biomedical, engineer by training. Previously. Founded. A company before body, port called, a trail medical that was on the very reactive, side of cardiovascular care, so, we had previously developed a technology that could guide rescuers, accurately. Through, chest compressions, during CPR. That. Company, was acquired by Medtronic. Where I went over and actually brought that that. Technology to, market and it was during the experience, both. At a Treo medical and at Medtronic where, I was working in the defibrillator division, and working in CPR that, once again I was really exposed to this reactive, side of cardiovascular. Care and started. To think about ways that we could take these technologies. That are often put into practice, at the last minutes of somebody's life and move, them much earlier in the disease spectrum, and for. Me what that really meant was moving, them from hospital. To home and. So that was the genesis, of body port so, a body port we're building a remote monitoring solution, for cardiovascular, disease that's, made up of three components the first one is we've developed a proprietary sensor, technology. In the four factor of a bathroom scale that, can measure cardiovascular. Activity, so, in the same 10 seconds that somebody takes to weigh themselves we can measure both the electrical, and mechanical function. Of the heart we, take all of the data and upload it to our cloud from that system and utilize. That data to develop risk scores that, can then predict, which patients are.

At Risk of adverse events and then we actually do have a care team internal. To body port that can utilize this, data and. Actually act on it put. Into place remote interventions, that ultimately keep these patients. Out of the hospital, so really you can imagine it as a virtual clinic. For, cardiovascular, management, and we're starting with heart failure. Specifically. Because it is the leading cause of hospitalizations. In the Medicare population, and. It's just a huge impact on the quality of life of these patients they're in and out of hospital, constantly, but, we do have ambitions, to extend this model more broadly within cardiovascular. Disease. Thank. You Cory, next. I want to welcome, ad. Dyke. Cough he. Is a head of business development and, device cloud platform, manager, at Philips, so. Dad. Could you tell us a little bit about yourself, sure so. At. Philips I must. Admit I'm a little bit in. My comfort zone here at AT&T so I worked for Philips which is a health care company but, I'm. An IT consultant, by by trade in data and telecom so this. Is, a little bit like full circle for me and at. Philips. I'm actually responsible, for have. Been responsible for many years for IOT, platform so. Connecting, devices, connecting, IOT devices from, the consumer, space all, the way into the, healthcare space so, and this is also part of the discussion today is how. The high. Volume of devices, in the consumer space can and that consumers, how that can, contribute, to what, we're doing in healthcare, I'm, currently having up business, development for a house with digital, platform so at Philips, you you may know as for our when I will full healthcare company, so it's personal health it's and. Healthcare, in hospital, and we have a lot of equipment. 60%. Of our businesses around hardware, and roughly. 40% around. And people don't always recognize, I'm fully part of the software part and the health suite digital, platform, is actually a a, purpose-built.

Healthcare. Clouds so we're leveraging, AWS. As a ranging, but we're fully purpose-built, healthcare, cloud. We help companies, like like like quarries and others to, actually when, they've developed our application, want to move it is also to scale take, away some of the burdens, that, come, with that how, do you do compliance, how do you skill to multiple regions, how do you how. Do you connect, and how do you basically. Ensure. That all the security. Privacy or regulatory aspects. Are fully in place so. We've been doing that for a for, a number of years we were at Philips we're moving all our healthcare, solutions. Office. Lucia all moving them to cloud and role based on the health suite digital platform we're also supporting, external. Companies, so we have a number of externals, in, pharma, in my. Device manufacturers. And others that are actually also, leveraging, the, platform, so if you're interested there's a force to report out, around. Healthcare clouds so, if you talk when. I have a check. Out on that we're actually performed, a position. As a strong, performer, and next, to AWS, so, with that. I'd. Like to give it back great, thanks add and now I want to turn it over to our healthcare, luminary, dr.. Zev Neuwirth. Zev. Is actually the chief of clinical transformation, and, Strategic, Services at atrium health but. He is also an author, of a. New book that's out there is reframing. Healthcare, so, Zev, could you tell the audience a little bit about yourself, sure good morning so, I I, started out as a physician, and actually a medical educator, for the first dozen years of my career I, taught, young doctors, residents, in training and internal medicine how. To be doctors, and in. The first few years my career I I. Sort. Of had a crisis. Of faith in the medical profession because, I was in the hospital every day often. Seven days a week teaching. But also very intensely taking care of people, and their families as well as in the clinic and, what I observed was that we really weren't treating, people with the type of respect, and dignity and empathy that they deserved, it was highly, contextualized. Often. Very impersonal, and. And. I didn't have the verbiage, at that point in time but I would suggest that it was terrible, customer, service. In, fact no one had, that kind of verbiage in healthcare but, I made it the point of my career actually to study how, to humanize. Healthcare, again. How to make it more respectful, and dignified in, addition to obviously making convenient, and accessible and. Safe. Which was my you, know the core of my work I, left. Academics, after about 12 years because I realized it wasn't gonna I was going to change the world by teaching and. So I went, to a large system in Boston, and I, became the chief of clinical effectiveness and basically studied. Quality. Improvement process. Improvement, I was a sort. Of a Lean Six Sigma guru, for a while and after, about four or five years of that like every other industry I realized that process. Improvement, and even innovation, which I've been studying even. Innovation, has, a ceiling, and, I began, to realize that we really needed to do something different we. Needed to go beyond process, improvement, or innovation, if we were really going to make healthcare well each and every one wants for, ourselves for, our family, for our friends, and colleagues and our communities, and. It gets very very real when you're that person in an emergency room or you're that person in the exam room or you're, that person in a hospital bed it's it's. Not about business anymore it's about your life and your family's life and so I. I was struggling with that and I, began, to I, did, a master's in management up. At Harvard and I came. Across this thing called marketing, and I, was really shocked because marketing, was the only field that ever heard of where the whole purpose was really to understand people to understand what they need what they want how to give it to them and I thought what if we adopted. A marketing, mindset, and so, a number of years ago about 10 years ago after after, completing my master's I began to reimagine, and reframe healthcare from, a marketing, mindset perspective, and I began to interview leaders. Across the country and I I probably have interviewed, more leaders than anyone else I know in healthcare CEOs, and trepan ORS. National. Figures in the changing of health care and I, finally put this all together after literally hundreds of these interviews some, of which are on my podcast called creating new healthcare which, I post every other week but, I actually put it all together in this book on reframing healthcare and for those of you who heard Tom Friedman, this morning, speak he.

Was Talking, about what. We are in right now which is what I call an era of reframing, our entire. Lives have been reframed, from the way we shop the, way we cook, the way we travel the way we communicate form, community, and I would suggest to you that what's happening, in healthcare is nothing. Less than a reframing, of the entire industry I do think, that what's, making it possible, what's different now is exactly. What we're here in which you're all hear about today which is the technology I actually believe it's the technology which is helping, us take down the barriers that currently, currently exist, in terms of the business, model transformation. Think. So let's, start with you I mean you. Made. A couple, comments and in your book and in your podcast. Part. Of the reframing, is. Switching. The healthcare, spot, from. More. Of a. Provider. Centric, to patient, patient, centric or consumerism. How you refer, to it could. You talk, a little bit about that and how this, is aiding, in the reframing. Of the whole healthcare industry, yeah, so the first thing is I, would, suggest to you that technology. Is. The enabler but, the revolution in healthcare and IOT is, the enabler but the. Revolution is actually, a consumer, revolution, and I, started tracking this about 10 years ago and, I would look to see how often the word consumer, or customer or. Consumerism, was used in healthcare and it was literally about once a year if that much I would go and speak about four or five six years ago and I would use that word and typically, if there were any healthcare, people in the audience they would start throwing things at me because the idea of actually calling a patient, a consumer. Was really not. Not, you, know it just wasn't something couldn't be anyone could see though if you actually go, online to start to track the word consumer, in healthcare, it's literally exploded, all, the, and and by the way that where it's happening, and where the revolution is starting is with the employers, like. 80 I, mean the employers are realizing, they don't know, and again we heard Edina Friedman this morning talked about that the market is based on on really a customer, and a vendor and it's based on knowing the product you're getting in the price right it's all about that and all about making a frictionless well, I would suggest to you that the employers are figuring out that healthcare doesn't, work that way they don't understand, what their number one light, item costs, is and. Continues, to be and continues to increase and so they are literally deconstructing. And I would suggest to you're reframing healthcare from consumer, orientation, what, is it that we're getting it what's the price what's, the outcome of that and and, you see that exploding, in huge. Employers, and it's not just Amazon, and Google you look at what Walmart is doing I mean they are literally creating a primary, care that is consumer, oriented I would say the same things whether it's Walgreens, CVS, health, with their help hubs the consumer. Movement and it is a movement it is a revolution.

So Starting with the employers, but if you actually look at the news as well you'll see the payers large. Insurance companies, also for. The last two years I would say really making, consumerism, their major major focus CBS health outright, you can go online and see this says they're gonna make the number one consumer, oriented health care company in the world that's, what they're about that's what Amazon is about that's what hundreds, and hundreds of employers Comcast is doing it I suspect, AT&T is doing it as well and so you see this huge consumer, movement afoot, right now and. And I would say that the legacy healthcare, world is is literally, right now scrambling to figure out how, to adapt, and adopt to it my day job, in fact is to actually bring consumerism, into, the healthcare system into our hospital, system to figure out how, do we partner, with those that are ahead of us in this consumer movement how do we partner with people like like AT&T business with the technology, the IOT using, like my colleagues here on the stage using their technology because quite honestly we, in healthcare are not going to create. It we're gonna have to partner, we're gonna have to purchase we're gonna have to join adventure, with folks. Like these to, actually create the ecosystem. And. I would say, involved. In right now is really moving. From creating, to. Curating, and figuring. Out how do we create that for how do we curate, a healthcare ecosystem, that, is consumer, oriented for. For, our community and again it's it's not rocket science it's the basic stuff it's, you want to know what you're getting I mean you and I all, want to know this when we go to the hospital to the doctor or to any health care service what is it that we're getting what, outcomes can we expect what, is the cost and by the way just something as basic as that if, you want to go to an urgent care right now or to your doctor and you say how much is this gonna cost me I guarantee you you will not get, an answer and if you get an answer I guarantee, you it's not accurate what other market, works that way and so, I think if we're gonna create a frictionless, market a, more.

Efficient, Market as a Dean of Freedman said this morning consumerism. Is the way to go and the IOT, and digital technology, and enablement is actually the vehicle that's going to get us there yeah, so so Aaron Cory I mean you, know Zev mentioned, the. Movement, the consumer, movement the. Revolution. The transformation. Could. You talk a little bit of what what does that mean for you know at Philips and what are you guys doing to aid this movement, yeah, absolutely so so, patient. Centric right so very much patient, centric but if, we look at it within Philips we have this thing we call a quadrupling right, so if you look at health care you. Need to get better outcomes. The. Patient experience, needs to improve it, need to be it needs to be at lower cost but, also staff, experience needs to improve so, those the quadrupling, this is what we, would in Philips, take, into, account when developing solutions, and getting them out there last. Week I was at a session with neonatal. ICU they. Had actually implements. The new solution, where all, the mothers were the newborns, were actually in separate rooms as. Seeing and. And. With, that they disconnected. Them from the nurses so, they got all these great technology, sensors, that were positioned, with the children with the mothers and all those nurses got this information but they got such a huge, amount of overload of information of, alarms, etc, so, they were not able to work or the stuff did they quit right, they quit they want to work somewhere else and that is building out solutions, like that you. Need to look at the entire spectrum of how. Does the staff deal with it but it also ties in with part. Of the other things, we're talking about with with. AI so. That, from a film's perspective, it's in our let's, say in our DNA in our genes that, we're really looking at this from most, angles, Cory, yeah, for, for us a body, part specifically, it's all about shifting the locus of care, so specifically, shifting, the locus of care from hospital, to the home and. I think that's where IOT. Has. A huge advantage and where it can really change the game and just to piggyback on what my colleagues. Here said it's really about, simplicity. Getting. Engagement. From the consumer, and the patient, making, the entire process, as simple as possible and that's actually why we've designed. Our product, our body parts specifically, in a bathroom, scale it's. Really all about leveraging. A habit, that somebody, already has, seamlessly. Integrating, this technology, into their life and. We can do that now because of advances, and sensors advances, in IOT we, can really just make data collection. Passive. And that's the way you know at least in my opinion that we can really get engagement from patients, the other element. Of this is really about empowerment. So. You, know by bringing these types of technologies, that are typically only available, in a hospital, or clinic into, the home and making, that data available those. Measurements, those metrics, available to, the patient to the consumer, we can really empower, them to take charge of their health you. Know a really great example of this is blood glucose, monitors, where, diabetics. Can now actually have a continuous, blood glucose monitor, on their arm they can see the spikes in their their. Blood sugar and then actually, titrate. Their, insulin, very very accurately, and we're actually taking a similar approach at body port where in heart, failure patients. Really. The key to keeping these individuals, out of hospital, is titrating. Their cardiovascular. Medicine medications. Titrating, their diuretics, but, the information the data is, not available right now to do that for. The 95. Plus percent of time that these patients are actually not in a hospital and so we're providing the.

Sensors The technology, the data to be able to do this to have this continuous feedback loop to empower the patients with the data and to ultimately, really understand, why they're taking these actions on, their health and. Can I just jump in so both, both you guys you know Adam Cory which you just. Illustrated. Were examples, of human centered design you were talking about the humans that actually deliver care and and, to your point right now you know half of all doctors are burnt out I don't know how many of you know that statistic, one, out of redrew doctors demoralized to personalize our depressed which, is quite frightening actually to think about the reason is because we haven't taken a consumer-oriented, approach the internal consumer, to your point and then to your point you you, know putting, in the stuff into a scale making a part of everyone's that 10, years ago even five years ago very, very few people we're thinking about that kind of consumer, oriented human, centered design no, wonder that adherence, to medications. And prescriptions is 30 percent right at best right so, I mean I think this again this is part of that consumer, orient to revolution, revolution, and you're I mean you guys are doing it you're pointing it out yeah right and I think the important, thing is that how this. Empowerment, is. Through. Simplification, of, your life you know everything that Corey is doing, is utilizing, the technology, to make it a simple, approach it's, it's, a test that we're doing on a daily basis we're using the scale and it's through that scale, that, we're, empowering. The people and a test that they're probably it's, almost like an unconscious. Decision. That they're making because I'm already going on the scale and through the scale I'm getting other information, to empower. Us so, Corey I mean one of the things that through. Me getting to know you and, and your self-introduction, is that you. Know you are a serial, entrepreneur especially. In the healthcare space so when. You're coming up with your new products, and services. What. Do you keep in mind I mean is it the patient is that the enterprise, is, the doctors. What. Is your thought, it's. All of those elements so, actually. What would Zev mentioned about dr., burnout, as well as something that we actually consider quite a bit so, it's not just about empowering, the, patient or the consumer but also actually empowering, providers. As well and so, just taking that provider, angle, we thought very much about how can we actually make the lives of of. The cardiologists. Of the physician, much easier, how, can we take many. Of the things that they spend their time doing, out. Of the equation, so just use heart failure as an example, of this, weight. Monitoring, is actually the way that heart failure is typically monitored. Because, weight changes, as a patient. Deteriorates. Or decompensates. So. You see a very significant. Weight change over a short period of time so, what you actually have is care, teams in these hospitals nurses, sometimes even the cardiologists, reviewing. Weight data regularly they're, looking for these changes they're doing the math they have to have the patients actually phone, in sometimes.

It's Done with an analogue scale so. It just becomes a huge. Nightmare. In terms of the, logistics, of actually reviewing. And. Managing, these patients and so a product, like ours actually takes that out of the equation we automate, all of that and, because of that now the provider. The cardiologists, the physician, can actually spend their time delivering, the care instead. Of the, logistics. Of running the. Numbers doing, the math and. So you know we really want to take a lot of that burden off of the physician, and, allow them to, really. Deliver. The human element of care, and. Of course we also consider. The, consumer, so, you know once again, designing. This in a bathroom, scale we actually kind of flip the problem on its head instead of saying what sensors do we need first we said what's, something that people do every day, and then let's, build the sensors to actually, fit into that, habit into, that step that patients, are already taking, and so when, we looked at the problem we realized that. 80%, of US households have a bathroom scale weighing, yourself is something that absolutely everybody. Knows how to do and. So we, really felt like that was an underutilized. Piece. Of real estate in the home where you're really just getting weight information, and so if we could build, the sensors necessary, to really measure. The most important, risk factors associated with cardiovascular, disease and put them in that same step it could be extremely powerful, so it's very much about balancing. The. Needs of the the physician, the provider and the needs of the consumer, well I think you bring up a good point and. It's we, always talk about this in IOT I mean the, technology is there to connect, anything, in everything, but, you have to be solving, a real problem and, like you were saying is that you know I could put sensors on everything I collect all this data but there has to be a real problem that I'm saw thing EDI. No Philips. Is doing a lot with AI, and, you. Know I look, at AI is like any other technology I, could. Do you know AI is available, and it could answer a lot of questions but, what, problem, are we trying to solve with AI and, and what's Philips approach with AI yeah. I, think. What problem are we trying to solve is something, that is a little, bit use k specifically let, me just give you one in a real, life, engagement. That we have in, the UK with the NHS, where, we're actually monitoring. Through, IOT monitoring, a. Sweat. A set of patients a cohort of patients with, multiple comorbidities patients. At risk where. We're taking this data, and. We're storing this data in, the cloud at the same time those patients, go by the daily routines, so they go to the GP, they, have their episodes they go to the hospital and we're monitoring those patients, for. Nine months with those, devices and after the nine month period we're collecting, the data out of the NHS, systems out of the device ADA that we've collected them we were going. To do AI, algorithm. Development, to, basically come. Up with algorithms that, either. Prevent. Patients. For going to the doctor and necessarily, write, or have them come to the doctor when it's really needed right so, it's basically how do you do the a for, what purpose do you do the AI development, I would say is to put.

Take A little bit of stress of the the, first line of support as secondly. I was, triggered, by your by. Your comment earlier we're. Doing another project together with 18d actually in in the UK around epilepsy, monitoring, so, monitoring. Epilepsy, seizures with epilepsy. Patients. The. Question was we need a device, because we don't have a device that is, really. Patient. Centric, right needs to be wearable it needs to be said but. Then starting. To talk with, those. With the specialists in the hospital it turns out that they don't have the data right. They don't have the actual data to either determine, how. To build an algorithm they, don't have the sense that they don't know what sensors actually, make, a heart rate and other other, stuff but they don't, have the quality of the center so all that data needs to be collected first, algorithms. Need to be developed, right and then they can think about how do we let's. Say combine is into a device which is developed, in a patient-centric, way that is really wearable the patients will actually use it during the day and for this for young adults. And children so. It's it's, it's. Two-sided. Right, it is on one hand it is really patient-centered. Solving a real problem the other side of the spectrum is we're, not but not by a longshot were there already. In collecting, all the data to, feed our AI algorithms, and to. Start. Creating AI algorithms, and finally to feed out AI algorithms. In in commercial. Deployments. Because what we're also seeing is that, there's. A lot of pharma customers, that, have, developed AI algorithms, but I want to deploy this into market and they don't have the data they don't have the connectivity into the hospitals to get the right data out of the EMR so out of the other hospital, system they don't have the patient data at home so, how, then to deploy such a solution. Which will make life for patients way better which will solve the real need and that, those are still hurdles that we need to take I. Mean. How do you think that's that, reframing. Healthcare, the use of AI well. I you, know I thought your example, with NHS is brilliant and. The. Truth. Is that there are lots of organizations now, there's a real race now to figure out how to create these sort of chronic disease management. Command. Centers so so. Think about this every. Day in this country there, are millions of people who go to the doctors go to Urgent Care etc, those. Are slots, there's a limited number of those slots and you're using a very. Costly, resource. Providers. Wisdom experience and, everything their teams everything behind that and the, question is what percentage I'll, ask you this question what percentage of those visits do you think are appropriate. Any. Guess it's. Probably. What's that, 25. Yeah, I I think you're probably I heard, I think you're probably right probably 25 to 50% at best are appropriate. That means that at least half of the visits are inappropriate. That and and the problem with that is that the people who actually need to see the doctors are, not able to get in it takes weeks if you look up online at any state right now it could be anywhere to four to six to eight weeks to see a primary, care doctor or specialist, and so, I think the the promise. Of AI is if we could figure out who, are the people in the community, who are actually getting worse with, diabetes high blood pressure etc, neurologic, problems heart, failure who. Are and we can tell this the databases, they're all the technologies, they're all the data is there in fact I've got some colleagues now that are looking and not just social determinants of health and and and, and. Physical, data, points but they're actually looking at consumer shopping because, if you stop shopping if you change your shopping behavior something's, going on with you either physically, relationally, emotionally, and they're using that to determine yes, a person with heart failure is something's happening, to them and they're, literally streaming, in all these databases using. AI using, the technology to say this is a person, who needs to see a doctor today and I think that again the technology is almost off the shelf it's, just really putting it together I think that is just one.

Example I think another example is quite honestly the, three 5%, of the population that produces. 50% of all utilization, costs and it is the Pareto principle and, it really is true a very, small percentage create. Literally 50 percentage of 50 percent of the cost of care if, we could use AI if we use the Internet, of Things to actually monitor, those, two or three percent even if it was a fraction of a percent we, would literally save hundreds of millions if not billions of dollars a year and actually save lives so again, just the. The digital IOT, technology. Enablement it. Is the enabler, of what. We need to be doing but that but that's also. Part. Of the challenges, with, medication. Adherence yes, is that, the. Through. All the trials. And we develop, more costly. Medication. Better medication. But. The insurers will only. We'll, only pay this if, if, somebody really takes it but now we're getting into Adina Friedman's the, pricing, how do you price and and what's the appropriate price but I you. Know I'm not sure that's the topic I'm not I'm not an economist, I'm not gonna argue pricing, but no, not so much pricing, but I would say medication, adherence right well but but don't you think if if if you use the technology, and you were talking about that before core if you made it easy or easier for, people to do the right thing if you just you know and again the the science, of habit formation is, is there we know the, 10 12 15 things you can do to really bring adherence, from like 20 30 percent up to 80 90 percent or more so and that's technology enabled, and it's not that costly either. Yeah. Absolutely if you can if you can make it as simple as brushing your teeth that's a habit that everybody has that's kind of the you know the. Ethos that we adopted, you know just make it a daily ritual make health a daily ritual something, that's just incredibly. Easy and all of the friction is removed I did also just want to touch on you. Know being able to stratify, patients in. Terms of you know whether they need to be hospitalized, or not or see a doctor I think that there's also an interesting spectrum. In there where, we can also identify. Patients. Whether. They need to see a physician or maybe some other care provider, as well so. Really starting, to, change. What. We identify. Or how we define, a care coordinator, or a care provider and. That's why we're actually bringing, individuals. Care, coordinators, on to our team these, aren't necessarily physicians. They're not even necessarily, nurses, but because they're empowered, with the data coming from our system because. The science, a lot of the science behind it is removed, they, can now deliver, the care element, the, compassion.

That A lot of these patients dealing, with chronic disease need so it's it's also directing, them to the right resource not just the the binary of do they need to see a doctor or not absolutely. And it's it's around. Inside. Of the homes show you you trigger me with with, the toothbrush, right, so, yes, toothbrushes, we, make the toothbrushes, with sensors that, can detect in, the saliva and from saliva they can also detect certain, things for people's health so this is really interesting. And. I think one, of the one. Of the other elements to that is that, how. Many, more, of those, solutions were, able to put on the market it's still. Going to be really, really hard to. To. Gather doubt and to pay for it because. We. Had a solution at Philips that actually that aging and caregiving, so monitoring, the elderly, at home so, it was around simple. Census yet that that monitored, and, non-invasively. The, patient, moving about their daily, routines or the elderly moving by the daily routines, some, algorithms, in the back that could detect deterioration. The chat, the problem, with that was there, was no way to put it into the market right it was too expensive, yeah. To have somebody drive, around put it into the market so I think from, that perspective and I think that's only a point-in-time problem. Because, I think through, what we're doing today through, partnerships. And ecosystems, we, will work with with. The googles with the Amazons, with the ATS in, order to get those solutions and leverage what's already out there where, those face exactly. To your point right if, there's something that's already out there and we can leverage that then we can absolutely make. A difference, and make it affordable yes so so I would I would actually maybe differ. A little bit I I think your your technology is affordable, and I'm very impressed with what Phillips has done in, the home work, I actually, think it's affordable if you think about give, me a price that I would cost and I'll compare. To the cost of one hospitalization. Okay, so it's it's affordable, it's it's the right thing to do and and the cost is going down so I think the problem is actually the payment structure we, and again one major capability, right now is is, clearly, you. Know digital as we talked about the other capability. And our barrier. Is payment so, we're currently not paying to actually deliver what, we call value-based care preventive, proactive. Care that's, not the way the system works so you get paid if you do something whether it, works or not whether. It's preventive, or reactive. Or not and I think that what's happening, and you're seeing this as well is again, this is part of the consumer revolution, is the payment part of it what you're seeing is payment whether it's the feds and you're talking about a COS or. The Medicare, Vantage product, and again for the elderly if you're on Medicare Advantage you. You get a lump sum payment so if you can install your technology or your technology into the home and save, hospitalization save edy visits save costly, specialty, doctor, care right into a lower-cost option, which. The technology does and can help enable and empower people, the. You'll get you'll actually do better in your business model because you again you've, got a top-line payment.

And And, so if you reduce costs, and and again part of it is also outcomes so there is that balance as well but but I think I think to your point I think it's really payment, which is the barrier that we need to also get passed yeah you, know I think this has been good dialogue we're running out of time and there was one question I wanted to kind of throw out to the. Panel here, because I know there's a lot of us in the audience who, are looking. To introduce, technology or might be one, of the the next entrepreneurs, out there so, I'm gonna phrase, it in two ways and you guys it could round-robin this really quickly is that what. Has been the biggest. You. Know biggest. Game-changer. From, a technology perspective to date and what. Do you see as the, next big catalyst, going forward, I know we don't have a lot of time so one. Minute each. Start. With you Cory. Lucky. You that was five seconds it ready yeah, so. So I think for, us it's it's probably you know once again the combination of. Sensors. And connectivity. So. The advances, in sensors, where, we can put sensors now the cost, of those sensors, has come down. Drastically. Making. This kind of passive data collection, very. Possible, and then, you, know we are at the the AT&T summit. So you. Know we're leveraging CAD. M and narrowband, IOT, and our technology. It's really these new forms of wireless connectivity, that are really breaking down some of the barriers in. Healthcare, right now, specifically. Our device would not be possible without it it's the combination of the the low power consumption, you get with, the deep penetration indoors, the. Wide geographic. Distribution. That really allows a technology. Like artists, to thrive and, then, I think, moving forward just. Really quickly I think one of the big things we'll see is really these. End-to-end solutions, becoming. More. Common, so you know specifically, a body port we are building the hardware we're building the software the, algorithms, and then also have the care delivery, element, of our solution, so really. Having you. Know startups, but. Also I think larger, companies enter the space where they're, building. The technology, and then also delivering, the care so it really looks like a full, stack solution, around healthcare those. A lot of that is their unconscious, connection. You don't have to worry about connecting, to your Wi-Fi the product, just works out of the product perfect. Example, edie so. I'm not going to repeat what Corey said because I agree with everything he said so so we have a teensy, IOT, we have but. I think were from, ups one, element is patient centric right so, patients, carrying their own records yeah, so, it's really carrying. Your record, across for the care, continuum whether, you're a consumer, a patient. In the hospital already you, keep a, tient centricity will be with your own records which controls your own day there will be one of the big things, going forward the, other thing is data integration right, so for me. Integrating. Data from IOT device from census where, data from other sources so. In order to build out those ecosystems, where you build solutions, right you need to create, those ecosystems and data integration, and the capabilities, to do that will. Be key, to. Do successful, solutions, come forward okay, ed bring us home in your last minute so, I'm. Gonna pick up on, what what, Cori and ad said but I think it's this up. Till now, the. Big progress has been really, information. So. That just. A few years ago we weren't able to tell how we were doing and, the. Technology, has enabled providers.

And AD to really understand you're you're you know you're doing this well with this patient, compared. To other patients and so you're able to measure the variation and, and, ask the question why is there so much variation why does one doctor do surgery five percent of the time another does that 80 percent of the time why, is this patient controlled, and high blood pressure wines not so that, that has really enabled the provider, to, sit in front of a squeeze a screen and do analysis and, and really all that process improvement, that's been going on for the last ten twenty years that's, been the era up till now and I, think someone. Actually shared this with me and I'm gonna I'm gonna give her credits Jennifer Schneider who's the president, of LaVon go and she said you know she said to his interviewer in my podcast, and she says that but it's all changing now because if you remember used to go to a travel agent and if, you recall years, ago you would go in and they would sit in front of a screen and they all the technology, all the software, was, there to make the travel, agent a better travel agent and that's essentially the same as healthcare but. Remember what happened in travel agency awesome, the technology, flipped and it's no longer about making the travel agent better it's about making you the customer, a better, travel agent for yourself, and I would suggest you that that's exactly what we're on the cusp of in healthcare, today to, to adds point you you know what we're gonna see is all, that technology, all that information, the data transformed, into meaningful usable, convenient, information, and Anna, Cory I think your your group is doing that is, a great example of that it's gonna make the consumer the healthcare consumer, themselves. A better. Healthcare consumer, a better able to take care of themselves we use the words enablement, empowerment. Engagement. All that sort of stuff that, is what's about to come and, I think that all the technology is really again, allowing. That to happen okay. That. Concludes our panel I mean the 40 minutes went quick I got, to know these guys over. The course of multiple. Different calls we, could have had this discussion for multiple, hours. Though. I'll be here for. The show I I you. Know if. You guys have any questions or concerns we didn't have time to open up for questions feel, free to stop these guys I think there's a lot of new. Technology. New stuff they're doing they could actually help out what they're doing not. Only what they're doing but how their new. Entrepreneur, could start. Up and what, technology, is out there thanks, everyone go to your app if you have good feedback, enabling. Wellness. And the age of technology, if it's a bad feedback pick any other wanted. Thanks. Again everyone. Thanks. For watching for, more videos from AT&T business, click Subscribe.

2020-02-07 17:56

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