Health Trends Book PDF

Design
Health Trends 2017

Identifying future changes impacting the
4 Philips Health spaces
Philips Design
Q4, 2017
Strictly confidential – for internal use only
Introduction
Welcome to the latest Philips future Healthtrends report

This 360 degree trend report from the Philips Trendlab
gives an outside-in view of the future of Philips in health
technology to inform, trigger and inspire innovation
across the four Health Spaces: Cardiology, Oncology,
Respiratory and FPP.
Our Trendlab team has tapped the collective knowledge

and insights of a broad range of internal and external
experts, discovering trends in health systems,
technology, the economy, society and culture, all of
which help us in painting a picture of the future of care
across the health continuum.
This report is just the beginning, later in the year we will

launch four more Health Space-specific trend reports.
I hope you’ll be inspired and excited by the contents of

this work at this pivotal moment in the transformation
of Philips, and the report helps in guiding your future
thinking, or confirming the bold steps you are already
taking.
If you have any feedback, or want to dig deeper into

the trends and their implications, please contact me or
Claudia Lieshout ([email protected]).
Best regards,
Sean Carney | Chief Design Officer and Head of

Healthcare Transformation Services
Health spaces trends 2017 | 1 | Strictly confidential – for internal use only
Trend Program principles
People centric
We put our users’ behavior & attitudes central in order to
frame the trend.
Weak signal based

We provide a 360° view, informed by six perspectives.
Collaborative
We believe in cross-functional involvement, tapping
into the expertise and knowledge of multiple Philips
functions such as research, Marketing Intelligence, IP&S,
strategy and design.
Iterative
We strive to keep the trends alive through continuous
research and updates.
Storytelling
We walk the audience through inspiring content to trigger
ideas about plausible futures.
Sharing
We put the trends to work by activating the trends in an
interactive manner.
Trend Program teams
Core team Reference team

Esther Beckers Health Space Philips Design
Stefanie Bierbaum / Bianca Mueller Floor Borgonjen
Hanne Caspersen Marleen van Leengoed
Claudia Lieshout Jeanine Kierkels
Regina Beyhl
Contributors Eva Deckers
Hortense Koster (interviews) Carmen Escano Serrano
Tifanny Istamto Jon Rodriguez
Rachel Tiplady (copywriting)
Barry Hartman-Kok (layout) Health spaces 2016 / 2017
Adam Murphy (brand communication) Sue Gratton
Alessandra di Tullio Delphine Leboulanger
Bastian Schultes Gerald Poetzsch
Hanneke Hoogewerf Helen Routh
Design Business partners Chief medical officer

Geert Christiaansen Jan Kimpen
Jeroen Raaijmakers
Wick Thijssen Integrated solutions
Abby Godee Christopher Busch
Nina Warburton Maya Barley
David Bentham
Thomas Bonnell External trend agencies
Z-Punkt Germany
Linya International China
Ted J Gordon, LLC (TJG) United States
Trend Program contributors
Cardiology Oncology Respiratory FPP
Design Design Design Design

Floor van Borgonjen Regina Beyhl Jon Rodriguez Eva Deckers
Luc Geurts Greg Buser Vincent Buil Carmen Escano
Michael Heesemans Jos-Marien Janssen Beatrix Haeger Jacqueline Janssen
Marleen van Leengoed Tiffany Istamto Hanneke Hoogewerf Simona Rocchi
Jeanine Kierkels Jon Pluyter Emma Sandberg
Benjamin Lopez Leontien de Roode Research Janne van Kollenburg
Leontien de Roode Bastian Schultes Mark Aloia Hanne Österberg
Jos Stufzandt Alessandra di Tullio Sharon Baer Hoikee Wong
Jeroen Raaijmakers Ihor Kirenko Luc Geurts
Research Mareike Klee Chi-Yu Chen
Maya Barley Research Thomas Koehler Marloes de Wit
Wim Crooijmans Hans Hofstraat Joyca Lacroix Koel Chatterjee
Dietwich Lowet Sieglinde Neerken Denny Mathew
Francesco Sartor Dirk Binnekamp John Pritchard Research
Alexandra Tesanovic Anja van der Stolpe Freek Suijver Mark Johnson
Roel Truyen Pavan Dadlani Anton Vink Josea Rono
Alwin Verschueren Marcel Dirkes Nataly Wieberneit Julien Senegas
Leonie Waanders Gijs Geleijnse Joyce Westerink
Marjan Hummel Business Javier Espina Perez
IP&S Sander Langereis Delphine Leboulanger Elly Zwartkruis
Thomas Steffen Katarzyna Markiewicz Cheryl Nickerson Laure Vanoudheusden-Perset
Jevita Poer Paul Quigley Sebastiaan den Boer
Business Sandra Vosbergen John Stelzner Anne Jochems
Prasad AV Maya Barley Alice van Beukering
Wendy Berkers MI Pearl Vyas
Will Ickenroth Chief Medical Office Han van Lier
Bente de Lat Joris Bokkes Business
Milan Petkovic IP&S Sandra Klijn
Shankara Reddy Business Arnold Freeke Gerard Majoor
Jeffrey Chan Michael Haas Helene Beaugrand
Chief Medical Office Viktoriia Gryshko Tom Tassignon Martin Kleinertz
Christine Muzel Joop van den Heuvel Shara Senior
Jos Rijntjes Sue Gratton
Strategy L.J. Gage
Andre Soromenho Da Silva MI Rob Hendrikx
Fialho Hongli Joosten-Ma
Anthony de Fillipo Mieke van der Wijst Marketing
Joost Horsten Leslie Altimier
Florentina Precup Chief Medical Office Rosemonde Lesobre (France)
Christine Muzel Beatriz Isabel Inumerable
Joris Bokkes
MI
IP&S Andrew Tsui
Hannie van Iersel
Nat Viswanathan Seshan Strategy
Sven Hermans
BC&D
Michael Dumigan (Ogilvy)
Peter van den Hurk
Saskia Nijs
Strategy
Mary Sargent
Medical Leadership community interviews
Marcel Dirkes Philips: R&D Leader Program Office

Expertise: digital health innovation
Elena Dizendorf Philips: Chief Medical Officer, Health Systems RCA Marketing
Expertise: radiologist, nuclear medicine
Ilya Gipp Philips: Oncology Sales Executive, BIU RadOnc North America Sales
Expertise: radiologist, marketing, market development
Tim van der Graaf Philips: Senior Function Developer, Air Product Development
Expertise: System Architecture
Atul Gupta Philips: Head of Medical Office BG IGT

Expertise: Practicing physician and medical professional
Severin Harvey Philips: Senior Clinical Affairs Manager, M&CC Professional Marketing
Jan Kimpen Philips: Chief Medical Officer, Strategy & Innovation

Expertise: Professor of Pediatrics; scientist
Lina Meinel Philips: Oncology Solutions Leader, Health Systems MET Marketing and MI team
Expertise: radiologist; breast cancer scientist
Brian Rosenfeld Philips: Senior Director, & CMO – PMI, Hospital to Home
Expertise: Intensive Care Specialist, health care entrepreneur
Anja van de Stolpe Philips: Research Fellow, Precision & Decentralized Diagnostics
Expertise: Internal medicine, Oncology, Cardiology, Cell/molecular biology
Maaike van Velzen Philips: Head of IP Portfolio Management, IP&S

Expertise: IP counseling, IP licensing, IP acquisition, IP enforcement
Marilyn Ward Philips: Director Consumer and Dental Affairs, OHC Innovation
Expertise: Doctor of Dental Surgery
Kors van Wyngaarden Philips: Medical Offices Digital Health, Digital Marketing
Expertise: radiologist, pharmaceutical industry, marketing
Contents
Introduction Contents Fit with other

Philips-wide
trends activities
1 7 8
Philips market trends Trend program Health spaces in the

facts and figures transformation age
9 10 12
Overview health
spaces trends
13
Maximizing value by The Superprofessionals Collaborative care

improving quality across the continuum
14 24 34
Digital dialogue Empowered patient Consumerization of care
44 54 64
Personalized care Global health brain Minimal impact
76 88 98
360˚ Patient care One step ahead Mastering our destiny
108 118 130
Appendix References
140 142
Fit with other Philips-wide trends activities
Philips Market Trends in HealthTech

Broad trends driving Philips strategy:
published 2015 by Corporate Strategy
Philips Clinical Trends Philips Design Health Trends

Initiative for Health Spaces
People
Trends in adoption of People-centric health-
clinical and patient-centric related trends driven by:
xt So
technology, driven by: on
te ci - Socio-cultural shifts
- Clinical problems and - Technological evolution
et
C
y+
ce
Experien
Cul
clinical needs - Economic change
ture
- Technological evolution
- Evidence of clinical value View:
View:
Trends Broader scope, contextual
view, looking also beyond
Narrower scope, deeper Philips’ current focus
clinical view, looking at areas
Tec h
ss
in e
within Philips’ strategic focus Available:

no
us
lo
y
April 2017
B
g
Available:
January 2017 Main contact:
Co m p a ny
Claudia Lieshout
Main contact:
Maya Barley
To be used jointly to inform and inspire

Philips Healthtech strategy, research and
proposition roadmaps, solution offerings,
commercial and research partnerships
Philips market trends
These global trends are shaping the future of healthcare

systems worldwide
1. Global resource constraints are driving the shift to value-based

healthcare to reduce cost, increase access and improve outcomes.
2. Consumers are increasingly engaging in their health — creating

opportunities to focus more on healthy living and prevention.
3. Aging populations across the globe and the rise of chronic conditions
are shifting care to lower cost settings and homes.
4. Digitalization has reached a turning point in healthcare, shifting value

from devices to software and services.
Source: Philips market playbooks for the health spaces
Healthy living Prevention Diagnosis Treatment Home care
Connectivity and digital shifting value from devices tot software and services
Consumers incleasingly Shift to value-based Care shifting to

engaged in their health healthcare will reduce lower cost settings
waste, increase access and homes
and improve outcomes
Trend program facts and figures
FPP USA + DACH

295 signals
Respiratory USA
140 signals
Cardiology &
Oncology DACH
160 signals
Trend collaboration &

internal expert interviews
Research 20
IPNS 4
Business 10
Strategy 6
Design 25
MI 4
Trend team
research
950 signals
FPP CHINA
70 Signals
Medical Leadership Community

13 interviews
Health spaces in the transformation age
We are living in an age of complex problems and healthcare is one

of them. In order to properly understand the dynamics of change we
need to look at this as a system of many interconnected forces.
The ageing population and new expensive treatment methods

are threatening to spin healthcare costs out of control. Looking at
healthcare as a business with value that needs to deliver better quality
is a new way of approaching healthcare. Healthcare professionals are
also an ageing segment and at the same time digitizing which creates
new angles on healthcare education and delivery. To deliver complex
care we need a much more collaborative mindset and approach both
horizontally and vertically across the continuum. And we need to
involve the patient in dialogues as a true stakeholder empowered with
a voice and (purchasing) decision power in control of their own health
journey. This collaboration and dialogue is enabled by technology that
makes all medically relevant information accessible.
Care is becoming personalized, every patient represents a unique data-

set that demands a unique solution. Big Data and Artificial Intelligence-
our new artificial brain enables the complex task of identifying the
patterns amongst millions of patients symptoms, diagnoses and
treatment plans. Care is becoming less invasive, allowing patients to
live more like people and when we look at patients from a 360˚ angle
we are starting to understand that one disease is often part of a system
of diseases.
The ideal end-state would be that disease would be eradicated, and we

are increasingly one-step ahead in anticipating disease, we increasingly
understand what causes it and can sense the signs before it happens
and can intervene pro-actively. Our understanding is becoming so
profound that we, the masters of science and technology, can now
manipulate nature at a level that may change humankinds destiny.
We hope you will enjoy this issue and wish you happy reading!
Introduction | 12 | Strictly confidential – for internal use only

Overview health spaces trends
Maximizing value by improving quality Personalized care

A value-based system that aims to A fully tailored and unique approach
deliver quality healthcare to everyone by designed for the individual patient
improving patient outcomes and lowering
costs
The Superprofessionals The global health brain

Super-skilled digital natives who An age where artificial intelligence
collaborate with new players in a hyper- mimics the human brain to enable faster,
connected network future-proof, and fail-safe healthcare
Collaborative care across the continuum Minimal impact

Integrated teams share responsibility to Prioritizing quality of life by applying less
deliver patient-centric care across the aggressive and less obtrusive methods
health continuum
Digital dialogue 360˚ Patient care

Patients and clinicians having real-time A holistic approach to care that
access to engaging, motivating and acknowledges a patient’s physical, mental,
collaborative care whenever, wherever social and financial wellbeing, right across
the health continuum
Empowered patients One step ahead

Proactive individuals who feel informed Predictive technology and proactive
and enabled to take control of their own initiatives that motivate people to lead
health healthy lives
Consumerization of care Mastering our destiny

A competitive, global multi-player industry Pushing the boundaries of science
that fulfils the demands of cost-savvy to enhance the body’s capabilities at
consumers any cost
Introduction | 13 | Strictly confidential – for internal use only

Maximizing value by
improving quality
Transforming an age-old healthcare system
Maximizing value by improving quality | 14 | Strictly confidential – for internal use only
Definition
The world of healthcare is undergoing an enormous transformation.
A global rise in chronic diseases alongside a growing and aging population is
driving the need to improve patient outcomes while at the same time ensure
accessibility and reduce spiraling costs.
A standardized and measurable model based on long-term quality and value

that is proactive, collaborative, preventative, and enabled by digital health
solutions, could potentially save healthcare systems hundreds of billions of
dollars and vastly improve the lives of billions of people.
From fee-for-service system that To a value-based system

pays providers based on that aims to deliver quality
numbers of patients seen or healthcare to everyone by
procedures performed improving patient outcomes
and lowering costs
Health space specific
Cardiology Oncology
This trend can be seen as a paradigm shift Current cancer care is financially unsustainable,
impacting all health spaces. What makes Costs of cancer has been increasing rapidly.
it specific for cardiology is that this is the In USA from 1996-2010 we have seen 12-20%
specialism with the most developed and tested cumulative annual growth depending on medical
outcome measures in the world. In Europe, or drug treatment.
several initiatives are popping up to complete the
set patient relevant medical outcome measures Key drivers for increasing costs include: Higher
to support the treatment of the most common incidence rate, increasing number of cancer
medical conditions, namely cardiovascular survivors, access to established treatments,
diseases. advances in cancer technologies and therapies
(incl. personalized medicine) that come at a
Another angle of maximizing value is that many tremendous price.
cardiology practices have a combination of
medical assistants, nurses, nurse practitioners, Costs increases are driving the shift in oncology
physician assistants as well as physicians reimbursement from volume-based to value-
working in the office setting. It is an efficient based.
way for more patients to access providers with
specific expertise. In addition to improving
access, these specialty clinics improve
coordination of care for patients who often see
other specialists along with their primary care
physician.
Respiratory FPP
As relevant as this trend is for healthcare in For the FPP space there are two key aspects
general, we found little Respiratory-specific within this trend.
evidence for it.
Family planning programs play a major role
Yet, according to a report of University of in population health and it is one of the most
Michigan Health System coordination of care highly cost-effective interventions in medicine,
among clinicians and institutions remains a saving lives and money by reducing unintended
challenge for COPD. Although penalties for pregnancy and the transmission of sexually
readmissions of COPD patients have been transmitted infections.
implemented, it’s not clear if readmissions among
the patient group can be prevented. The US and the Netherlands are experimenting to
shift accountability to a single provider-led entity
A study from University of Alabama at that must ensure quality, thereby emphasizing
Birmingham even concludes that Implementation value over volume of care. Bundling payments
of the Medicare Bundled Payments for Care may help recalibrate maternity care to focus on
Improvement (BPCI) initiative has failed to cut what’s best for the mother and child, smooth
readmission rates following hospitalization for out imbalances in costs and make prices more
acute exacerbation of COPD. predictable. Maternity budgets should include
all phases of the care: pregnancy, delivery, and
Quality measures for COPD need to be neonatal.
developed to promote evidence-based, high-
quality care; the quality of care for COPD is
lagging compared to other complex chronic
diseases and will require a multi-disciplinary
effort to improve.
Sub-trend 1
The long-term value of

population health management
Current care systems are focused on delivering One of the main sticking points to investing in
short-term cures. By contrast, population health PHM tools is the lack of transparency in the
management (PHM) is a collection of best system: providers, patients and payers have
practices to improve care delivery and make it asymmetric information about the cost and long-
more sustainable in the long term. term benefits of the services they receive. But as
systems become increasingly interconnected, all
This can mean anything from promoting parties should get a much clearer view of the risk-
prevention and screening for diseases, right return ratio.
up to investing in digital solutions. Digitally-
enabled PHM tools are a relatively young but a
fast-growing market (Philips eCareCoordinator
and eCareCompanion). That’s because their
potential is, quite literally, life changing. These
interconnected solutions and services are
beginning to enable healthcare professionals
to predict when certain populations might be at
risk, to make informed and proactive treatment
decisions that could save lives, and communicate
with communities of patients as well as with
individuals as they increasingly take charge of
their own health.
Research suggests that all parties stand to gain

from PHM. Early screening has been shown to
reduce both clinical and societal costs (in the
form of taxpayer money) in the long run. While
investing in digital health management systems
could save billions of dollars.
Transforming Care
Pulse Headlines
If the providers deliver high-quality, efficient care to a “More than a third of American patients with diabetes are
population, they are rewarded for their high performance. unaware that they are living with the chronic disease [...]. The
worrying statistic, [...] highlights the significant opportunities
for improvement in the healthcare industry’s population
health management, risk identification, and chronic disease
management strategies. Diabetes is one of the most
common – and most expensive – chronic diseases in the
United States, incurring approximately $245 billion in lost
productivity and healthcare service expenditures in 2012,”
The Journal of the American Medical Association / Health IT
Analytics, 2015
Sub-trend 2
How do we measure quality?
Traditionally, quality in healthcare means positive

short-term clinical outcomes. But as healthcare
starts to look at the broader picture, we’re
redefining what quality and value mean.
Objective details of clinical outcomes are still “The outcome we should be looking for is
crucial, but subjective experiences are now
rising in importance. Hospitals increasingly use
a patient who is now recovered from hip
patient reports to measure both: Patient Reported replacement who’s functioning at a high level,
Outcome Measures or PROMs reflect how the
patient perceives the outcome of their treatment,
back to work, and is living life comfortably.
while Patient Reported Experience Measures or This is transformational. I think we are in the
PREMs are a more subjective measure of how the
treatment affected them.
middle of that change.”
George S. Barrett | CEO of Cardinal Health
These definitions are changing how hospitals
based in Dublin, Ohio
get paid. In the US, the HCAHPS (Hospital
Consumer Assessment of Healthcare Providers
and Hospitals) adjusts hospital payments based
on their performance in four areas: the clinical
process of care, the patient experience of care,
the outcome, and the efficiency.
Just like PHM tools, these quality measures

focus on longer-term value, across the entire care
pathway of the patient (from diagnosis to home
care), and most crucially as that patient (ideally)
returns to normal life as a happy and productive
member of society.
Healthsstandards.com
EHR Intelligence
By measuring Clinical Quality Measures (CQMs) in various Leonard Kish’ is the author of the eBook titled, “Patient
categories of performance by eligible professionals, eligible Engagement is a Strategy, Not a Tool. How healthcare
hospitals, and critical access hospitals, CMS can ensure organizations can build true patient relationships that last
that quality healthcare is available to the individuals who a lifetime.”
visit them, and work to improve the categories in which the
industry is falling behind.
Sub-trend 3
Financing our way to better outcomes
Value-based care is built on systems that

reward desired long-term outcomes, instead
of unsustainable fee-for-service payments.
Today, more progressive models are growing in
popularity, such as bundled payments for both
hospitals and patients that offer one fixed price to
successfully treat one illness.
For example, hospitals in the US have a new “Half of payment via bundled healthcare
mandatory Medicare payment program for heart
attacks and bypass surgery. The bundle makes
mandatory in 10 years”
hospitals accountable for the cost and quality of
Kevin Apparetti | Medical Leadership Board, Philips
care provided during the inpatient stay and for
90 days after discharge – those that reach higher
quality targets will qualify for higher payments.
For patients themselves, the iconic innovator

around bundled payments is Geisinger Health
System, which offers one price for all services
connected to certain kinds of heart surgery. And it
even offers a warranty.
Sightpath Medical
Inomax
Sightpath Medical provides simple, affordable ophthalmic Ikaria’s INOmax, treats hypoxic respiratory failure in term and
surgical solutions for mobile refractive and cataract near-term infants. Hospitals, INOmax’s primary customer
outsourcing. The company provides advanced technology, base, have several invoicing options including a per-hour
skilled ophthalmic technicians, personalized solutions billing model. Charging by the unit of time is a novel concept.
and responsive support for a flat, standard price based Rather than leasing and financing capital equipment,
on volume of patients treated. This model eliminates the INOmax offers hourly rate packages that also include the
need for big capital financing or maintenance contracts cost of service.
and simplifies the business management for physicians
and facilities so they can focus on doing what they do best:
treating patients.
Trend implications – then what?
Where will the impact be? How will this change experiences Opportunity & challenges
and expectations?
Health systems
Health services organized as •M

andatory (micro)reporting of steps • Clinical pathway navigator
bundled pack taken
Risk is moving from payer to provider •H
igher integration of services
•R
ule based care will have significant
implications for (cancer care)
workforce (Asco)
Evidence-based healthcare ++ •M
easuring quality outcome & • (data-enabled) Evaluation tool
Rule based care/high control experience • Patient Reported Experience
pathways •E
asy registration & reporting Measures (PREMs)
Less flexible guidelines & protocols •E
asy tracking of the patient along the • & Patient Reported Outcome
Quality control / accountability path Measures (PROMs)
Cutting non-result creating tests and
treatments
New relationship model; Patient will expect service New roles and stakeholders
patient – insurer – hospital
Professional
Increase in paperwork/reporting Physicians spending significant Data-enabled metrics & reporting tool
proportion of their time filling out
paperwork
The outcome we should be
looking for is a patient who is now
recovered from hip replacement
who’s functioning at a high level,
back to work, and is living life
comfortably.
This is transformational. I think we
are in the middle of that change.
George S. Barrett | CEO of Cardinal Health based in Dublin, Ohio
The Superprofessionals
A new breed of digital doctor
Superprofessionals | 24 | Strictly confidential – for internal use only

Definition
A global shortage of medical staff coupled with radical advances in
technology will profoundly change the role of healthcare professionals in the
near future.
Challenged to perform an ever-increasing variety of tasks – having to keep

up with more data, more digital paperwork, and more players – doctors
report having only eight minutes to spend doing what’s arguably the most
important part of their job: seeing patients.
From offline medics who perform To super-skilled digital natives

linear and standardized tasks who collaborate with new
in a hierarchical setting players in a hyper-connected
network

Cardiology Oncology
Where will the education of future cardiologist The oncologist workforce is ageing and
have to focus on? decreasing and at the same time the need for
oncologists is increasing because of an ageing
Next to the increase of specialism vs. dealing with population that brings more patients and better
co morbidities, the use of large clinical datasets, treatments that bring more survivors.
increased technology and devices, expansion
in mobile healthcare and an exponential rise The field of oncology is changing into an even
in publications are already shaping the field of more complex area where understanding of
cardiovascular research and integrating into genomics and molecular biology becomes
routine clinical practice. important to diagnose and treat precisely. The
digitalization of the medical field is requiring
The age of ‘–omics-based’, ‘personalized the workforce to become digitally minded to
medicine’ and ‘learning health systems’ optimally benefit from all the new knowledge
demands knowledge of data science from and tools. The new tools are promising to free up
clinicians and academics alike, and cuts across doctors to spend more time on complex cases.
the subspecialties, whether electrophysiology, Empathic skills are high in demand for difficult
intervention or imaging. Basic knowledge of conversations about treatment decisions.
big data is relevant to all cardiologists in order
to interpret and contextualize the research of
tomorrow.

Respiratory FPP
This trend – which addresses the changing Nurses are taking over more tasks, esp.
nature of the healthcare profession – is very with neonatal care and the shift towards
relevant in Respiratory Care with its digital neuroprotective care. They are forced to broaden
innovations in the area of smart inhalers. their skillset and provide more empathic, holistic
care.
This increasing digitalization of health-care
requires a new and open-minded breed of Acknowledging the whole journey towards
healthcare professionals to build their digital having a child and including the postpartum
skills and tools, in order to be able to correctly period requires a different skillset for doctors,
interpret inhaler data and other tracked data. It too. So far, education addressing new focus
will enable them to judge the patient’s progress issues such as postpartum treatment are lacking
based on objective data instead of self- behind: “Millions of women are injured during
reported information and – if needed – adjust childbirth but doctors aren’t properly diagnosing
their consultations with patients accordingly. them.”
Consumer research in Philips reveals that the
doctor-patient relationship remains a very New medical technologies (i.e. early warning
important factor despite all digital advances: for systems, connected devices) and procedures (i.e.
adherence management, 50% of interviewed in-utero surgery, genomics) expand the options
COPD patients still preferred personal coaching of pediatricians, esp. to prevent prematurity.
and analysis through a real person in order to In terms of education, AI and VR provide new
understand the data, and they want another opportunities for deeper and self-learning.
person to hold them accountable.

Sub-trend 1
Healthbots to the rescue
Doctors report spending less and less time future the technology may be used to help digital
with their patients because of the increasing assistants such as Siri, Cortana or Alexa recognize
need to complete digital paperwork (such as when a patient is ill and call for help.
electronic medical records and documentation for
accountable care organizations). New initiatives
are hoping to change that by using intelligent
machines to do what machines are good at:
perform automated tasks.
A new initiative called Healthcare NExT by “[mHealth] may be the biggest untapped
Microsoft will combine work from existing
industry players and Microsoft’s Research and AI
potential for Siri, Cortana, Alexa, Google
units to help doctors to reduce data entry tasks, Assistant and the next wave of personal
triage sick patients more efficiently and ease
outpatient care.
computers and chatbots. As they’re
embedded with better natural language
And also Babylon’s new Artificial Intelligence
tool will help clinicians by providing them with
processing capabilities and artificial
diagnosis of more routine conditions, using intelligence tools, and as the typical home
natural language processing to take notes in
patient consultations.
sees more and more smart devices, they may
While healthbots use artificial intelligence (AI) someday become the electronic version of a
to coach patients to better health (see Digital
Dialogue), computer technology can now even
personal nurse.”
sense the emotional state of a user – via sensors,
mhealthintelligence.com
microphone, cameras or software logic; Affectiva
is an emotion recognition technology that can
read people’s moods from facial expressions in
digital videos. Its founders believe that in the
Digitalhealth.net
Daily Mail (UK)

Affectiva.com
NHS England will be testing the MIT-spinoff Affectiva offers emotion In a two-year study, researchers from
Babylon Health app, a chatbot driven recognition technology based on MIT have investigated whether robots
by clinically-based algorithms that patented science using deep learning, can effectively take on the job of a
will triage patients without human cloud-based APIs and Artificial ‘resource nurse,’ making complex
intervention based on reported Intelligence. decisions in a fast-paced environment.
symptoms.

Sub-trend 2
Super doctors & super nurses
Technology, science and market dynamics

are driving specialization in healthcare with
practitioners becoming superprofessionals in
their field; as more and more (trivial) tasks are
automated by intelligent machines, the doctor
gets to focus on the complicated cases: for
example when specialist knowledge is needed
to develop a new field of medicine (such as
genomics), or where human insight really serves.
“What was once the preserve of doctors –
The shortage of doctors is also driving the need
for a new species of super organized, connected
prescribing drugs, ordering x-rays, referring
and many-sided healthcare assistant: the super patients and diagnosing – is now also done
nurse. Medical specialists are increasingly
handing over tasks and responsibilities to these
by many senior nurses who have had extra
nurses who are taking on larger coordination training.”
and communication roles to manage patients
throughout the care continuum to avoid BBC report | ‘Are nurses the new doctors?
readmissions. As such, nurses are increasingly
expected to have higher social and empathic
skills.
Neonatal Nurse, Cedars-Sinai Medical Center

Superprofessional, De Volkskrant
Image: souce
Recent research shows: “A super Nurses in the NICU at Cedars-Sinai Pioneering In-utero surgery, using
specialist makes less mistakes than a Medical Center in Los Angeles minimally invasive procedures
‘generalist surgeon in the case of often developed a program called BabyTime (to counter the potentially fatal
recurring operations. [...] well executed that uses iPads to promote maternal/ consequences of a congenital
standardization and optimization lead child bonding across hospital units. diaphragmatic hernia).
to the most beautiful there is in the About 10%-20% of new moms cannot
medical field: time.” visit the NICU due to recovering or
complications.

Sub-trend 3
The virtual surgeon
As digital technologies and services become more

engrained in healthcare, this new reality calls for
new skills and new ways of learning. While most
healthcare professionals are already digitally
savvy enough to report with mobile devices
and fact-check prescription recommendations
through apps, some members of the older
generation may need to up their game in the near
future.
Younger medics – many of whom are used to the “Some hospitals and doctors have begun to
gaming culture – are being trained using digital
tools like virtual reality surgery; students from
use VR to train surgeons before they operate
around the world can use an Oculus headset to on real patients, while others are exploring
get a crystal-clear, first-person view of surgery on
their smartphones as it’s being performed in real
how to use it to aid diagnosis, allowing
time by an expert surgeon. multiple, complex 3D scans to be examined in
Others use serious gaming and simulation to learn
a virtual environment”
and perform surgery at their own pace, and make
The Guardian | ‘Can virtual reality help women
mistakes without the fear of hurting a real person.
cope with childbirth?’
And 3D printing has a role to play, too. In China,
surgeons used a 3D printed heart to successfully
prepare for a risky operation to place an infant’s
heart back inside her chest and replace two
valves through blood vessels during the same
procedure.
Embryon iPad learning app

WIRED.COM
HealthIT
In recent years, drones, 3D printers, and Virtual reality simulated training can Embryon is an educational web and
even video games have begun to be teach basic skills to surgeons by using mobile application for teaching human
used by the health care industry to help a computer generated environment to embryogenesis to medical and dental
managers and care teams streamline improve their efficacy at performing students.
operations, reduce costs, increase procedures like laparoscopic surgery.
safety, and improve patient well-being These tools are then used to evaluate a
– now, VR is gaining traction. surgeon’s competencies for performing
specific tasks.

Sub-trend 4
Hacking healthcare
On average, it takes 15 years between the time other healthcare professionals.

that a drug is discovered and it getting on the Scientists have also successfully created a
market. If diagnosed with cancer, having to wait 3D image of a patient’s torso to measure and
that long for a new treatment is not an option. assess how a chest wall moves simply by using
We’re increasingly seeing super doctors play Microsoft’s Xbox Kinect sensors.
the system to get cancer patients access to
experimental drugs. For example, My Tomorrows
has created a digital database where physicians
can find so-called phase 2 medicines that aren’t
yet approved. Through mediation, the startup
provides access to these development-stage
drugs. The pharma industry benefits because the
trial is speeded up, thereby making it cheaper.
Also the healthcare system and hospitals are “The idea is to enhance medicine by giving
looking for ways to hack the system to get the
innovations they need faster than the service
those on the front lines a place to dream up
providers can provide them. For example, the and develop fixes that improve patient care
Isala hospital in Zwolle (NL), specialized in
cardiology and oncology, invests in their own
and boost medical efficiency.”
innovation solutions through its participation in
MakerHealth Space lab
the Health Park (HIP). The Dutch government has
just decided to give Healthcare innovations that
don’t fit within the existing boundaries two extra
years to experiment.
The University of Texas Medical Branch at

Galveston (US) is the first hospital system to fully
embrace the spirit of hands-on innovation by
opening a maker space for nurses, doctors, and
Nurse in the MakerHealth Space lab
Microsoft Kinect Hack

MyTomorrows
myTomorrows facilitates early access to Maker culture is all the rage these Microsoft’s Xbox Kinect – a popular
drugs in development when you have days. So it’s no surprise that do-it- sensor-based gaming console – can
no other treatment options left. yourself hackers, tinkerers and masters assess the respiratory function of
of 3-D printing have moved into the patients and spot conditions such as
healthcare arena. cystic fibrosis, researchers including an
Indian origin scientist report.

and expectations?
Professional
Digital-savvy professionals expect • Modularity • Need to better understand the world

a digitally-enabled environment • Compatibility of the Superprofessional (co-create
but encounter a slowly adopting •U pgradable systems with them);
health system (also a question of • Remote monitoring • Faster testing and approval cycles
money; new tech has to be tested and •S erious gaming operational systems
approved, new protocols need to be
created)
This will require lower educated Equipment that is more intuitive, self- • Supplying analysis and decision
personal to get more education to do explanatory and easy to use; support
their specialized tasks; Clinical decision support; • Voice control
nurses need to be authorized to do Fast, efficient input and reporting tools
more tasks
Super specialists wanting to excel at • High precision tools (always getting

clinical outcomes & specialism better),
• Imaging technologies to improve
work
Home-grown innovations, ingenious Co-create; provide instructables &

solutions that solve unfulfilled needs maker kits (Philips to re-learn from
their inventions; industrialize & scale
best ideas)
Always on call 24/7 Alert fatigue

The key change is that students
will need to be trained to be
leaders in improving systems
of care, in working effectively in
teams, in partnering with patients
in new ways, and in using digital
capabilities to enhance all of this
work.
Robert M. Wachter | UCSF internist,
author and patient advocate
Health spaces trends 2017 | 33 | Strictly

Superprofessionals | 33 | Strictly confidential
confidential
– for
– internal
for internal
useuse
onlyonly
Collaborative care
across the continuum
Powered by integration
Collaborative
Health care
spaces
across
trends
the2017 | 34 | Strictly
continuum 34 | Strictly
confidential
confidential
– for internal
– for internal
use onlyuse only
Definition
Vital time, money and patient lives can be saved by improving collaboration
in healthcare.
But no single player can offer all the solutions, particularly when it comes to
treating complex diseases.
Which is why players with a shared purpose and shared responsibilities are
increasingly working together to deliver patient-centered care across the
continuum.
From a fragmented landscape To integrated teams sharing

where opportunities to save responsibility to deliver
vital resources and improve patient-centric care across
patient care can slip between the health continuum
the cracks
Collaborative care across the continuum | 35 | Strictly confidential – for internal use only
Cardiology Oncology
Compared to other (chronic) diseases, a heart For oncology this is about using diagnostics and
disease is often linked to other diseases and treatment resources smartly in a specialized
(mental) health issues. It is therefor crucial for center of excellence with highly specialized
patients to be taken care of by multi-disciplinary health care professionals, with a care network
teams. Cardiologists are increasingly faced with that delivers less complex care or follows up
managing the cardiac health of patients during under guidance of the specialized center.
cancer therapy and throughout survivorship. Multi-disciplinary care an important
Also the heart team approach turned out to development. Integrated care across the multi-
be a success. Here surgeons are involved with disciplinary (medical) team that deal with the
cardiologists at all stages of TAVR as part of a patient is important to coordinate care, speed-up
multi-disciplinary approach. decisions to create efficiencies and deliver better
quality care.
These teams need to be supported. A good
example is Mount Sinai Health System in New Community care is provided through the
York is using technology to connect not just Oncology patient-centered medical homes
caregivers within the hospital, but community (OPCMH) in the US, a practice model in which
organizations as well. physician-led care teams coordinate and manage
primary care for all their patients.
Respiratory FPP
Both COPD and asthma have a very complex Within FPP collaborative care is mainly effective
stakeholder landscape; when it comes to specialized centers for fertility
in the case of a young asthma patient, it’s not problems, high-risk pregnancies and postnatal
only the general practitioner, pulmonologist and complications where highly specialized surgeries
respiratory therapist, but also school teachers, and knowledge required.
school nurses and, above all, the patient’s
parents who are playing a key role. But also in terms of new research, universities,
research centers, charities and a number of
Also in COPD collaboration between NGOs are working in the area of providing
stakeholders is key in order to successfully support programs, including financial support,
support patients throughout the care continuum; education, and consulting. Recently, companies
In early 2016 the first National COPD Town such as Johnson & Johnson, NxGen MDx, and
Hall Meeting took place with the goal to set a NX Prenatal, have partnered with government
National COPD Action Plan to tackle the COPD organizations and NGOs to address issues related
epidemic in the United States: “Real progress is with preterm birth and stillbirth.
going to take an army of individuals and groups
working together” was one of the major findings
during that meeting.
Sub-trend 1
Concentrated care
We’re seeing a rise in centers of excellences,

or disease-specific clinics and hospitals that
concentrate specialist teams and equipment in
one location. This specialized approach brings
together very different capabilities under one
roof to drive a more holistic treatment approach
to care and encourage prevention and early
intervention. Reports suggest that by having care
providers work more closely together, care is “Previously there were more than 20 hospitals
improved and lives are saved.
providing acute care [to stroke patients] in
However, some smaller hospitals are resisting the London. [...] So they reduced the number
change as they don’t want to lose vital services.
Also, on average, patients will need to travel
of acute stroke units from 20 down to eight
further to get to a center of excellence. Although and the evidence shows that each year
this loss is often balanced out by time-saving
efficiencies at the other end: the Isala hospital in
more than 100 patients extra are saved as a
the Netherlands has a “cardiac highway system” consequence. That’s now been replicated in
(‘cardiale snelweg’) which can give patients a
complete diagnosis in one day.
Manchester, with equivalent numbers of lives
saved,”
Chief executive of the UK’s Stroke Association
Juliet Bouverie | as quoted in The Guardian
NgTeng Fong General Hospital
University of Florida Health

Heartland-Manorcare
As part of their effort to transform care, Specialized cancer-centers: The NYC Children’s Hospital at
Singaporean Ng Teng Fong General increasingly, the most important Montefiore (CHAM) includes a pediatric
Hospital has map-ped and reimagined question in cancer care isn’t “Who’s asthma center that’s managed by
care journeys. Above is the lengthy the best doctor for a particular tumor a team of specialists of pediatric
process for a typical outpatient visit type?” but rather, “Where can I find the respiratory medicine and allergy
today, below the redesigned journey, best team to identify, diagnose, and experts (physicians, nurse practitioners
reimagined, from the outpatient’s treat a specific malignancy?” and health educators). The team
perspective. identifies the allergy profile of children
and helps the families manage it better.
Sub-trend 2
Multi-disciplinary teams across

the continuum
Typically, a patient with a chronic illness such coordinate and manage primary care for all their
as heart disease will see multiple healthcare patients.
practitioners. These could include a GP,
cardiologists and surgeons, as well as dieticians,
community nurses and pharmacists. Most of
the time these people do not communicate
with one another, which potentially leads to lost
information, broken care paths (for example, the
patient has to repeat the same story about their
illness each time they see a new person) and huge
inefficiencies.
Now the growth of Accountable Care “If we avoid a hospital day, we save $3,500.
Organizations and bundled payments is forcing
practitioners to deliver more efficient care from
You give me somebody with five chronic
A to Z – from prevention and diagnosis right conditions living in a bad home situation,
through treatment to home care.
and we can make a heck of an impact,
One of the ways they can do this is by which an individual doc in his office with no
forming multidisciplinary teams. These teams,
which include all the same people as above,
infrastructure can’t.”
communicate with one another to deliver
networked care as one single body of knowledge Dr. Bob Margolis | founder and CEO of Healthcare Partners
and expertise. They use clinical and patient in Olyver Wyman’s From Volume to Value Revolution
portals, which are linked to electronic health
records, to keep in touch with colleagues as
well as with patients. One example is patient-
centered medical homes (PCMH) in the US, which
sounds like a physical location but is actually a
practice model in which physician-led care teams
Nationalbreastcancer. org
UC Hospital
Oregon.gov
At US-based CareMore, which offers Midwife model; the University of Patient-centered medical home:
personalized disease specific care Chicago Medicine Family Birth patients have continuous access to a
programs, the care team includes Center offers a broader range of primary care physician who provides
besides physicians also social workers, birthing options in the safety of a comprehensive and coordinated
nurse practitioners, fitness trainers, hospital setting. Nurse midwives care for the majority of their health
nutritionists, pharmacists and care play a unique role in optimizing the needs. The medical home staff of
coaches. childbirth experience for women whose PCMHs coordinates patient care with
pregnancies are low-risk. specialists, lab and X-ray facilities,
hospitals, home care agencies and
other healthcare professionals on the
patient.
Sub-trend 3
Better care through the community
To connect up the health continuum, people need

care in their homes and daily lives as well as in
hospitals. As healthcare systems are increasingly
squeezed for resources, we’re seeing the role of
informal care givers becoming more important.
These are members of the local community
with little or no formal healthcare training,
such as social workers, who help to increase
patient engagement and stimulate the patient’s
adherence to their medication or care plan.
What we see here is the professionalization of “Most partnerships today are between
the community, meaning that they are provided
professional training by dedicated and certified
healthcare organizations. We need to also
health care professionals to increase patient focus on integrating community partners to
engagement and treatment adherence outside
the healthcare organisations.
help lead patient engagement.”
Jonathan Weiner | director of the Johns Hopkins
In the US city of Lowell, Massachusetts, more
Center for Population Health Information Technology at
than one in 10 people suffer from asthma. In a
the university’s Bloomberg School of Public Health.
federally-funded collaboration, doctors, hospitals
and public health workers helped to cut asthma
attacks in children by 76%, equal to monthly
healthcare savings of more than $70,000.
Community health workers visited children to find
and eliminate environmental triggers in the their
homes.
RWJF Culture of Health Prize Winners
Forbes / iStock
Burger AED
Cross-Sector collaboration The city of Lowell, Massachusetts, Within the Burger AED initiative, citizens
improves health in Brownsville, managed to drop children’s asthma are trained for a heart incidence. Once
Texas: through a combination of attacks by 76% simply by getting a 112-call comes in, 2 citizens who
community partnerships, seamless doctors, hospitals and public-health are closest to the accident receive an
active transportation and clear workers to work together. alarm. One is sent the address of the
communication, the people in nearest AED device, the other is guided
Brownsville are achieving the health to the patient to provide First Aid.
improvements they seek. Brownsville
was one of six winners of the 2014
RWJF Culture of Health Prize.
Sub-trend 4
Hospitals integrate lifestyle providers
As research increasingly highlights the importance

of understanding health as systemic, providers
are starting to expand their services by working
with partners that encourage patients to maintain
their health and wellbeing. These include
fitness studios, rehabilitation centers, and even
vegetable gardens or farms that inspire a healthy
lifestyle.
A dozen hospitals in the US are pioneering on-

site farms or partnering with local farmers to
help patients eat healthier and raise community
awareness about the importance of nutrition.
Meanwhile two hospitals in New York have “40% of participants of the Fruit and Vegetable
implemented The Wholesome Wave’s Fruit and
Vegetable Prescription (FVRx®) program for
Prescription (FVRx®) Program® saw a
low-income patients. The program gives those decrease in their BMI. 70% indicated that the
patients medical and nutritional advice as well
as access to affordable fresh fruit and vegetables
knowledge about the importance of fruit and
from participating retailers, who also track their vegetables in their family’s diet had increased.
progress.
And 76% had a better idea of where to buy
fresh, locally-sourced fruit and vegetables.”
Wholesome Wave’s FVRx® Program
Mad River Hospital Farm

Wholesomewave.org
Rodale Institute
St. Luke’s University Health Network The Wholesome Wave program makes Mad River Community Hospital is one
and Rodale Institute for Organic produce more affordable across of the first that serves fresh produce
Farming started up an organic farm. America with a national network from an on-site vegetable garden to
The annual yield is utilized in the comprising of 700+ farmers markets, patients and in the hospital “Garden
network of cafeterias and served to grocery stores, corner stores, farm Café”. “There’s an amazing sense of
patients, staff and visitors. The initiative stands, CSAs, hospitals, clinics and accomplishment felt when serving
will allow the six-hospital network to more. fresh, homegrown vegetables to
raise community awareness about the patients and staff.”
importance of healthy eating and the
impact of food on overall health.
and expectations?
Patient
Centralization •S
eamless and smooth transition • Combine systems for home care &
• Patient may have to travel longer to through the treatment journey hospitals to improve care continuum
get to the specialized centers, but (improved follow-ups)
appointments as such will be more
efficient and patients get better
quality care
Integrated care Care plans including lifestyle advise Lifestyle offerings integrated in
• Access to ‘lifestyle providers’ at the care-plans
point-of-care
Decentralization •G
overnance model needed (RACI • Integrated platforms for
• More responsibilities to GPs, informal model – responsible, accountable, collaboration, work, communication
caregivers consulted, informed) • Combined systems for home-care
• Tasks get moved around to the mooth & seamless hand-overs
•S and hospitals to improve the care
cheaper person continuum
• Local hospitals and other caregivers • Post-acute care beyond hospital
follow-up on the guidance of the walls
specialized center
Less in-patient and more outpatient Re-think hospital architecture & Consultancy in how to re-think
procedures; More efficient, integrated logistics architecture & logistics
workflows
In the new value networks,
collaboration among partners is the
essence and win-win-win is the
payoff. Each player brings optimal
capability in its domain of capability
and together they develop new
operational work streams that can
scale fast and earn trust in the
marketplace which is essential for
the sustainability of their business
innovation.
The Huffington Post
Digital dialogue
The new levels of engagement
Health
Digital
spaces trends 2017 | 44 | Strictly
dialogue | 44 | Strictly confidential
confidential
– for –
internal
for internal
use only
use only
Definition
Digital systems are transforming how we interact with each other – meaning
how patients talk to doctors, how doctors talk to colleagues, and increasingly
how patients and doctors talk to smart digital systems.
Patients are open to new ways of receiving care such as at-home diagnostics
and virtual visits, which deliver comparable clinical quality to in-person visits,
and outperform on consumer satisfaction by virtue of being on demand and
more comfortable.
From sporadic and fragmented To patients and clinicians having

communication between real-time access to engaging,
clinicians and patients during motivating and collaborative
in-person appointments at care whenever, wherever
centralized bricks and mortar
buildings
Health
Digital
confidential
– for –
internal
for internal
use only
use only
Cardiology Oncology
Shutterstock
In cardiology, the dialogue between patient For Oncology this trend is important for engaging
and health professional starts with accurate patient in their care-plans, by providing access to
and multiple data sets. Monitoring of everyday Electronic Medical Records, and engaging them
activities is crucial because heart diseases are through Patient Portals.
so closely connected to the way we live. Sharing
these measurements will empower health Further it’s important when providing care
professionals to engage patients in influencing in the decentralized setting, i.e. in the home,
their health for the better. Monitoring of the enabling care-givers to monitor and advise on a
vital signs is possible throughout the whole distance, or even adjust care-plans/medication
care continuum, especially for people at risk. intake based on the patients response to the
We have seen a development starting from plan/medicine. Apps i.e. with patient reported
stationary monitoring to devices to wearables. feedback play an increasing role in remote
ECG measurements through clothes will give the monitoring.
ability to manage chronic heart conditions. Being
less obtrusive, will ‘insertables’ be the next step?
In the far future, the body itself might be the
wire. There will be a continuous monitoring of
the patient across the hospital workflow, by just
touching the patient care providers can pull up
their info and status.
Digital dialogue | 46 | Strictly confidential – for internal use only

Respiratory FPP
www.prweb.com GeckoCap
HITconsultant.com
This trend is particularly evident within the Tracking and documenting certain aspects of the
respiratory health environment. Research pregnancy is already common. For professionals,
shows that digital self-care interventions reduce monitoring, measuring and interventions are
symptoms of asthma, improve lung function and more and more handled remotely. But until
also lead to lower clinical appointment return now the ‘dialogue’ is more about making sure
times as well as fewer hospitalizations. that people do what they are supposed to, and
less about real interaction and coaching. Also
New technologies such as smart inhalers, motivation and sensorial engaging experiences
unobtrusive monitoring solutions, engaging (i.e. via VR) are still in their infancy.
coaching programs and the possibility for remote Further areas of opportunity lay in digitally
physician visit – for example via video call – all aided handovers and communication amongst
help extend the reach of the health professional professionals, especially when it comes to
right into patients’ homes. continuation of aftercare at home. With regards
In a study by the University of Edinburgh to telehealth offerings they have proven to be
monitoring of respiratory rate was found to be most effective with high-risk pregnancies to
the most important indicator to prevent COPD avoid preterm birth.
exacerbation.
Last not least this trend plays an important role
Philips Research is working in this field, and when it is about bringing health services to rural
patient breathing rates could now successfully areas and developing countries.
and unobtrusively be monitored remotely with
optical respiratory rate measuring technologies
embedded in a tablet.

Sub-trend 1
Care in the palm of your hand
Patients take snapshots of their health and

send it to their physicians in the same way they
would post a selfie on Instagram. This could be
anything from a short message about symptoms,
to an electrocardiogram (ECG) on your mobile
device. With services like Pager or Justdoc they
increasingly expect to be able to chat with their
doctor whenever and wherever they want, which
may place additional strain on professionals.
Providers are following the example of (lifestyle)

brands like WeWork or Domino’s to offer their
services via social media: psychotherapeutic
Skype sessions are gaining traction, particularly
in the US.
“Knowing that we could send an ECG directly
But privacy and security are a must for both
patients and professionals. Which is why
from our home to my wife’s cardiologist’s
WhatsApp may be a game changer in this office within two minutes is a game-changer.”
field. A huge nine out of 10 Brazilian doctors
communicate with patients using the messaging Tech writer Jeremy Horwitz |
app, thanks to its end-to-end encryption. AliveCor’s Mobile ECG in PWC report
Increasingly, a wide range of providers and health

organizations are enabling patients to access their
own electronic health records (EHRs) using patient
portals. These 24/7 web-based access points
allow doctors and patients to communicate and
share health information remotely, supplementing
the ongoing management of the patient’s care.
Cello Health Insight; China: Wechat

Intel® Health Guide
American Well
American Well’s Online Care At CareMore patients are remotely While WhatsApp doesn’t market itself
offers patients real-time internet monitored with devices that submit specifically for health care, it’s just as
consultations via video to doctors and health data to doctors automatically, HIPAA-compliant as other doctor-
nurses and gives patients the option to like a wireless scale and a pillbox that specific apps—if not more so—if used
track their own biometric infor-mation chimes when medication needs to be properly. Text messaging is one of the
or transmit it to other providers. taken. Engagement with professionals disruptive technologies that allows
happens via smartphone. us to think of access to care in a new
paradigm

Sub-trend 2
Clinician collaboration
Professionals are increasingly using messaging

services to talk to colleagues, too. WhatsApp,
which could be a good candidate for HIPAA
compliant, played a key role in tracking Brazil’s
Zika virus outbreak, as doctors used it to share
symptoms they were seeing, as well as babies’
“As a result of using the EHR, a marker placed
CT scans. More medical conditions can now get on the chest CT exam generated a series of
diagnosed faster and acted upon – connecting
different disciplines makes this even more
computer commands and notified a team
efficient. Medical photo sharing app Figure1, for of cancer experts […]. Each had access to
instance, is used by healthcare professionals to
share photographs and information about their
the same comprehensive information at the
patients to increase knowledge and aid diagnosis. same time, and together they were able to
And the use of an EHR in an integrated, multi-
reach a consensus on the best next steps.
specialty medical group eliminates the potential By bringing together all of the specialists, the
for confusion and medical error, and shortens
what otherwise would take weeks to be
patient, rather than hearing conflicting advice
completed, to less than a day. from each physician in sequence, was, and
Easy communication and data exchange is also
continues to be, provided with a clear, expert
transforming bedside care. Handheld diagnostic recommendation for treatment all at once.”
tests can be carried out with-out the need to
move the patient and results are immediately Robert Pearl | M.D. in Forbes article How An Electronic
ready and available. Health Record Can Save Time, Money And Lives
RadiologyInfo.org
Fastcompany
A California-based chain of urgent care When users upload an image on During an innovative program,
clinics is integrating data from a digital Figure1, any identifying information is physicians of The Permanente Medical
stethoscope into its electronic health removed.. Here, an x-ray of a patient’s Group made sure no patient failed
record, giving clinicians instant access veins, is uploaded for consultation. to obtain the follow-up needed: A
to heart and lung sounds. trackable electronic marker, attached
by the radiologist on all chest CT
exams with a single click, instructed
the computer system to extract key
information from the EHR about prior
imaging and past medical history.

Sub-trend 3
What now, coach?
Lifestyle change is crucial for patients with

a chronic disease – but how can they be
supported? These patients need reminders for
medication intake, nudging for better behaviours
and motivational feedback. That’s where coaching
comes in.
A fundamental change in lifestyle requires

more dedicated coaching than simply remote
monitoring. So some players connect patients
with real people, such as the virtual breastfeeding
coaching service over Skype.
But this kind of health support is often too costly “We are used to dealing with our health like
for large-scale deployment, which is why smart
systems and devices are being used for personal
we used to deal with cars; we’d wait until
coaching for the masses. One example is the they broke down and then take them to the
smart inhaler by Adherium, whose reminders
lead to dramatically improved clinical outcomes
mechanics.”
among asthma patients, and a five-fold reduction
in asthma-related hospitalization. Ali Parsa | founder of Babylon Health in
an interview with Wired Magazine
Taking it even a step further, healthbot Sophie
uses artificial intelligence (AI) to coach patients
to better health. Sophie applies emotional
intelligence to deliver compassionate,
individualized care with patience, honesty, and a
sense of humor.
smartinhaler
Swedish.org
Apkmonk.com
Sophie is the first emotionally More and more lactation specialists The automatic reminders of the
intelligent avatar of her kind, delivering offer video consulting that can be smartinhaler led to a 180% increase
compassionate, individualized care followed from a tablet, smartphone or in adherence in asthmatic children,
with patience, honesty, and a sense of computer. Services include wellness according to Adherium.
humor. screening, basic lactation consultation,
prenatal breastfeeding classes, back-
to-work consult.

Sub-trend 4
Immersive learning
Digital tools these days inspire a new level

of patient support, engagement and learning
through immersive experiences and gamification.
Though some experts are sceptical about the

effectiveness of such tools, others are designing
new solutions that tap into patient’s psychology
via enjoyable interactions to motivate patients
and improve adherence. For example, Windtales
is a game for lung patients to practice breathing
techniques, but also enables clinicians to observe
patient progress and adjust treatment plans.
Meanwhile, some players are exploring virtual

“Using VR for pain relief is still rare, but
reality as a method of pain relief or to enable new there is evidence that this technique
ways to engage with the world: INFORM by MIT
is a surface that three-dimensionally changes
of being immersed in a different
shape, allowing users to not only interact with sensorial environment can temporarily
digital content in physical world, but even hold
hands with a person hundreds of miles away.
relieve pain. Adults using VR while
As such smart surfaces could in the future be experiencing pain reported an average
embedded in everyday objects.
82% reduction compared to those who
do not.”
Report in the Psychology of
Consciousness Medical Journal 2016
Nydailynews.com
Liftconference
360cities.net
Re-mission 2 is targeted at adolescents In tests, patients using VR glasses Therapy Games is a game by Breathing
and young adults with cancer. The experienced less discomfort during Games and the Swiss Game Center.
game is based on actual treatment chemo cures, less pain during It makes daily breathing exercises
methods used to combat cancer, treatments and they had an improved more enjoyable for patients with cystic
and intended to empower players & emotional status during hospitalization. fibrosis who can control characters
encourage treatment adherence. Virtual Reality meditation also helps in the game by using breathing
women through labor pains. techniques that benefit their health.

and expectations?
Patient
24/7 access Enhancing continuity of contact Improve and increase access while
reducing delays and hospital decreasing costs for patients
readmissions
Regular monitoring More targeted, relevant warnings Monitoring that adds value:
• Data overload instead of broad-brush signaling identifying the crucial moments
Professional
• Monitoring is not leading to cost Design with security, privacy and risk
reduction (now) in mind
• Drive-up patient-adherence
Increase of the virtual hospital: Rehabilitation services: coaching on • Integrated platforms for
re-think the hospital a distance Dashboard that facilitates collaboration, work, communication
More communication and second professional – to – professional- • Combined systems for home-care
opinion between HCP peers communication and hospitals to improve the care
Professional to professional coaching continuum
GP will become coach on a distance Service & monitoring of patient Tele-health solutions
• re-think the doctor’s practice adherence Call-center a la Lifeline: Services to
• GP office becomes digital hub support GP’s digital hub
• GPs have financial incentive to Organizations will need help in
safeguard patient adherence managing utilization, connecting
fragmented healthcare providers and
overseeing data

Tele will be dropped from
#Telehealth just like online was
dropped from online banking.
John Sculley (@johnsculley) | US tech investor and former CEO
of Apple and Pepsi, April 2015
Health
Digital
confidential
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internal
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Empowered Patients
Orchestrating their own health
Health
Empowered
patients | 54 | Strictly confidential
confidential
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internal
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Definition
Until recently, the power in healthcare was seen to be held by the
medical professional.
Now – thanks to a wealth of online health information, the convergence

of electronic health records, cloud computing, mobile monitoring, and
the consumerization of care – that power is shifting into the hands of
the patient.
From passive patients dependent To proactive individuals who

on established authorities to feel informed and enabled
monitor and treat them to take control of their own
health
Health
Empowered
patients | 55 | Strictly confidential
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internal
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Cardiology Oncology
Shared decision-making, central to evidence- Patients will hold more knowledge; both popular
based medicine and good patient care, begins and expert views. They will have access to their
and ends with the patient. It is the process by Health records through patient portals and will
which a clinician and a patient jointly make be more engaged in their own care, and are
a health decision after discussing options, expected to be (full) partners when it comes to
potential benefits and harms, and considering deciding which care is right for them.
the patient’s values and preferences.
They will be empowered to live their lives
Patient empowerment is crucial to shared more independently during after-care or when
decision-making and occurs when a patient terminal with the help of patient managed pain-
accepts responsibility for his or her health. They and drug management with (digital) coaching on
can then learn to solve their own problems with a distance.
information and support from professionals.
Patient empowerment begins with the provider
acknowledging that patients are ultimately
in control of their care and aims to increase a
patient’s capacity to think critically and make
autonomous, informed decisions about their
health.
Empowered patients | 56 | Strictly confidential – for internal use only

Respiratory FPP
Increasing availability of health information This is a strong trend for FPP. Personal health
and technological advances like sensors and trackers, growth monitoring, and contraction
monitors are empowering patients also in the timers – the options are endless to keep track of
Respiratory area. There’s growing information the mother’s as well as the baby’s health during
about (crowdsourced) air quality, which increases a pregnancy. Health trackers in particular are
consumer awareness. With this information at changing the experience of a pregnancy.
hand, respiratory patients can now avoid areas
that could exacerbate their condition and plan But also the whole area of fertility and female
accordingly. as well as male reproductive health are now on
the agenda and more and more information is
Inhaler training is another opportunity to available to empower future parents to make the
empower respiratory patients towards better right choices.
health.
The next step will be solutions that link different
Challenges remain very much for those pockets sets of information together and provide more
of population that have no education or access guidance.
to information and technology, and hence don’t
have the means to identify the risks and act upon it.

Sub-trend 1
You’re the CEO of your own health
Armed with more data than ever before, and Many of these initiatives hinge on giving patients
encouraged by their peers, patients are taking access to their Electronic Health Records (EHR),
control of their own health. They are starting to which are digital versions of their medical records.
become experts in their own disease, entering the EHRs are real-time, patient-centered records that
doctor’s practice well-informed (and sometimes make information available instantly and securely
misinformed) by sources like dr. google, and they to authorized users. The challenge so far however,
expect to make active choices about how they are is that uptake isn’t strong; in the UK, 86% of adults
treated. use the internet, but only 2% use it to contact their
GP.
With out-of-pocket payments in the US and other
countries on the rise, people shop around for the
best deals and search online for best procedures
and products (see also The Consumerization of
care).
Now they’re being given more responsibility by

governments too. Dutch health minister Edith
Schippers has budgeted €105 million to give
hospital patients digital access to their data,
which will enable them to decide when, where,
and with whom they share personal health
information.
The UK is making a similar move: the NHS aims to

find efficiencies and empower patients by helping
them to organize and manage their own health
and care via accredited health apps.
Website screenshot
WebMD screenshot
MedicalExpo
Consulting an online symptom checker Hospital Spaarne Gasthuis (NL) While access to Electronic Health
is becoming the norm. But self- provides patients online access to most Records is one thing, another challenge
diagnosis often brings misinformation. parts of their medical records. Via a will be the visualization of health
A study by the Harvard Medical secure website patients can look into data to make it more accessible and
School found out that these programs medical research and results as well understandable (to the patient).
diagnose the correct illness on the first as make appointments, connect to
attempt only about one-third of the doctors or order prescriptions.
time.

Sub-trend 1
Actionable health information
Patients have access to a vast wealth of personal the potential to connect consumers to mHealth
health data, from wearables (a market that grew services in the home.
18.4% in 2016 on sales of $28.7 billion) and online
information. But what does it actually mean when Also website Understanding Health Research
your Fitbit tells you you’ve walked 10,000 steps wants to empower consumers – by improving
that day? their health literacy. It provides a free online tool
that helps consumers to decipher online health
We are now heading towards a phase where information by evaluating the strengths and
patients don’t only want to record data but weaknesses of any given health paper.
also understand their impact – they look for
actionable health information. Companies need
to learn what, for whom, how much and in what
way data can be meaningful. Next generation
wearables like the Mio Slice are starting to do
just that, by combining movement tracking and
biometrics with more personal information
about the user such as age and gender to create “Without tools to assess contradictory health
personal fitness goals. Air quality tracker Awair,
can get personalized to focus on reducing
messages and claims about new discoveries
allergies, for example. Awair will then provide and treatments, the public is vulnerable
recommendations on how to improve the air
quality for that particular purpose.
to false hope, emotional distress, financial
exploitation and serious health risks.”
Consumers value devices that learn from their
behavior and act intuitively according to their Dr. Shona Hilton | Deputy Director of the Medical
needs. Some believe that digital assistants have Research Council, in TheGuardian.com, 8 August 2016
Understanding Health Research
Dcrainmaker.com
CliMate
Consumers are constantly bombarded MIO Slice promises a new way of CliMate is a Bluetooth tracker that
with conflicting and confusing studies individualizing data from wearables syncs your environment’s real
about health and wellness. The to provide some measurable and humidity, temperature and UVI to
Understanding Health Research web- tangible benefit to the average your smartphone. It’s the first device
based tool helps them sort through person, producing a Personal Activity to measure true HUT (Humidity/UV/
some of the noise. The free-to-use Intelligence Index (PAI). Temperature) and provide a holistic
tool guides users through a series of plan of action against it.
questions, helping them evaluate the
strengths and weaknesses of any given
health paper.

Sub-trend 3
Palliative care
Traditionally, therapeutic decisions and end-

of-life discussions are framed by a guarded
prognosis measured in months. Now that
discussing death is being de-stigmatized, people
are empowered to make their own decisions
about living/dying. Hundreds of thousands
followed Driving Miss Norma on Facebook, a
90-year-old who eschewed assisted living after
being diagnosed with cancer and instead traveled
the country in a motor home.
Dying patients want to live life to the fullest in the

time they have left, and fulfill as many wishes as “The Let’s Talk About Palliative Care Survey
possible before they die. This includes spending
time with people they love, communicating their
Report found that over two thirds (68%) of
feelings and seeking closure and satisfaction people with palliative care needs regarded
about the life they have lived.
‘planning for the future’ as their biggest worry.
Palliative care aims to offer not only pain Revealingly, half of palliative care users (52%)
management, but also psychological, social and
spiritual support. Organizations provide tools and
said they felt frustrated or helpless, while 51%
services to help dying patients plan how they said their emotional and psychological needs
want to spend the final days of their life, or even
plan exactly when they want to die. (see also 360
were not met. A further 42% wanted better
Patient care) co-ordination of care or treatment.
The Irish News
Good News Network
Image RTL
Quality of Life: A special day for three After having experienced cancer InMyHands is a creative way for
terminally ill people. Yesterday they had treatment and a hospice center with her independent types to capture and
the whole exhibition ‘Late Rembrandt husband, 90-years-old Norma favors update end-of-life wishes, without
at the Rijksmuseum for themselves. a last road trip over chemotherapy. navigating complex systems and forms.
(RTL) Her doctor’s response: “We see what InMyHands is for people 30-70 years
cancer treatment looks like everyday. who are D-I-Y individuals, forward
ICU, nursing homes, awful side effects planners who are willing to understand
and honestly, there is no guarantee she their illnesses as they arise, and want
will survive the initial surgery to remove be an active decision-maker in their
the mass. You are doing exactly what I end-of-life treatment. Frontline medical
would want to do in this situation. Have staff and those in aged care facilities
a fantastic trip!” are also beneficiaries. From OpenIDEO.

and expectations?
Patient
Patient self management • Patients expect to be coached instead • Connecting patients with experts /
Patient at the table of being told what to do; on par the right platforms
Influencing their own care plans •C ollaborative, engaging interaction • Coaching approach
•A ccess to one’s desired hospital/ •R ating platform for HCP > connecting
expert sources
•B e presented with options to •D IY home set-up of tools and
facilitate choice equipment
Professional
“Expert” inflation Staging & evolving expertise Quality control by patient organisations
Dr. Google is often the first point of Filtering “expertise” to what is really Authoritative content
contact relevant & correct
Doctors will discuss and re-educate
misinformed patients
Normal symptom reporting gets Information flood, increasing Data Dashboard: integrating data
replaced with “objective” patient complexity sources, connecting patient data with
reported data Ideally, speeding up & more correct a professional system (i.e. my fitness
Anamnesis, case history will start at a diagnostics (more evidence) pal)
much higher / more elaborate level More time for personal interaction Tools to change diagnostics
/ empathic conversation discussing
options
Shift in medical authority affecting Acknowledge that the patients informs Professionals / Philips to build
the relationship between patient & himself in various ways authority by being present on content
doctor Discussion on options & impact of portals
treatment

Healthcare will improve only when
patients are seen by the healthcare
system, and physicians in particular,
as partners and decision makers.
Robin Farmanfarmaian | author of The Patient as CEO

Consumerization of care
Shopping for healthcare
Health
Consumerization
spaces trends 2017 | 64 | Strictlyconfidential
of care | 64 | Strictly confidential––for
forinternal
internaluse
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Definition
Healthcare costs are high and rising, prompting the patients who
directly or indirectly foot the bills to demand more for their money.
In response, new players, new channels and cross-industry competition

offer fast access to exciting, differentiated and personalized services.
From healthcare dominated by To a competitive, global multi-

large national providers who player industry that fulfills
hold the decision-making the demands of cost-savvy
power consumers
Health
Consumerization
spaces trends 2017 | 65 | Strictlyconfidential
of care | 65 | Strictly confidential––for
forinternal
internaluse
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Cardiology Oncology
Shopping from the heart: In Cardiology, We found very little evidence of this trend for
entrepreneurs in private health services are filling oncology.
the gaps to answer the needs of heart patients
and/ or people at risk by providing diagnostic Which means it’s either less applicable for the
solutions that are convenient, complete, easy and health space or it’s still at an infancy level.
transparent.
Patients expect to be treated as consumers who

do not have to wait for weeks for having self-
initiated heart checkups and who are enabled
to choose from the best rated (based on patient
ratings) hospitals and private clinics. They
demand to know the truth when it comes to
differences in prices and are searching for trusted
partners providing the correct information, e.g.
the healthiest nutrition.
Prevention is key for people with heart risks,
and is very much linked to their lifestyle.
New business models with monthly-based
subscription payment, such as Forward, are on
the rise where people have unlimited access to
health whenever they feel the need.
Consumerization of care | 66 | Strictly confidential – for internal use only

Respiratory FPP
In the respiratory health area alternative channels Maternity care and childbirth are covered by
such as online sales have been rising over the health insurances in most of the key markets,
past years. Patients are looking for information so consumerization is mainly happening in form
and products on sources like CPAP.com, and for of premium offerings and additional services.
smaller items like masks and accessories, over-the- People are waiting longer in life to have children;
counter sales are on the rise. Experience stores like pregnancy and parenthood become a status
REMWorks in Pittsburgh which was opened in 2015 symbol. Moms to be look for the support of
by health insurer Highmark Inc., start to become maternity concierges or nutrition coaches,
an alternative for traditional DMI stores, giving get pampered at babymoon hotels or opt for
consumers the possibility to touch, feel and try postpartum doulas to ease the transition into
different options in a retail-like and non-medical parenthood.
environment.
Alternative channels and online portals have
Coincidence or not, also when it comes to service been rising over the past years and pregnancy
approach Pittsburgh is leading by example. The and parenting definitely move into a fashion and
Pittsburgh Regional Health Initiative supports lifestyle segment with products such as Bellabeat
COPD patients who are leaving the hospital with smart jewelry or designer baby bath tubs. Access
inhaler training and pharmacist follow-up calls. As to specific fertility treatments, ‘Reproductive
such patients receive help with timely access to Tourism’ and ‘outsourcing pregnancy’ are the
clinical resources, including community pharmacies most extreme form of commercialization:

Sub-trend 2
‘Your doctor is arriving now’
It’s a 24/7 world and healthcare is finally getting

in on the act. Technology companies are spotting
opportunities to provide new ways to deliver
care beyond the hospital walls. Same day
access becomes the new baseline for consumer
expectations.
Health is taking its cues from fast food and taxi

services and is now delivered to your doorstep.
The UberHEALTH service works through the
Uber app and ordering a nurse visit is as easy as
ordering an Uber taxi. Heal offers a similar app-
based service for on-demand house visits.
Both Uber and also ridesharing company Lyft

“Patients who miss medical appointments
presented visions for using their software […] frequently cite transportation as a factor.
platforms to solve transportation problems in
healthcare by getting patients to clinical trial sites.
We’re very excited about the collaboration
because it will give people a simple way to
Other tele-services like the successful Doctor
on demand put you in touch with a doctor via
plan their appointments and ensure they
webcam. always have access to a reliable ride.”
Rob Daniel | Product Partnerships Lead at Uber
about collaboration with Relatient
Doctorondemand.com
raredr.com
Heal.com
Uber together with healthcare See a Doctor Now: Live video doctor On-demand house-calls: ‘see a doctor
communication company Relatient visits including assessment, diagnosis now, in the comfort of your home’ –
aim at increasing access to healthcare and prescriptions when needed with with the Heal app.
by overcoming one big barrier: lack of Doctor on Demand.
transportation.

Sub-trend 2
At-your-service care
Bricks and mortar companies are also stepping

up to the plate. Retail clinics run by stores like
CVS, Walgreens or Target in the US or Boots in the
UK are becoming increasingly popular. Many are
staffed by nurses, offer a priced menu of services,
low-cost walk-in appointments, and are open late
at night and on weekends.
Similar health kiosks are also appearing at

supermarkets, airports and train stations for ad-
hoc health consultations, quick diagnostics or
even requesting a health insurance quote.
In turn, traditional players are following suit.

US based ThedaCare hospitals took inspiration
from the Toyota model “Lean” which focuses on
efficiency and customer care, to create its Fast
Care clinics. Open nights and weekends, they
offer same-day appointments with extremely fast
processing and short wait times. “It was nice to walk in, give my insurance and
get seen right away- versus scheduling an
appointment with my normal doctor.”
Mat M | Minute Clinic customer on Yelp
insurancetech.com
Prescan.com
Heal.com
For their FastCare clinics, Theda Care Next to getting responses about health Prescan offers total body 3D scans
hospitals took inspiration from the symptoms users of the IBX Healthy including MRI scans to check heart,
Toyota model “Lean” which focuses on Steps kiosk at Philadelphia Airport can lungs and veins and lung function test
efficiency and customer care. also receive a quote for an individual amongst many other things – paid out
health plan. of pocket.

Sub-trend 3
What’s our wellness Return on

investment?
Employers and hospitals are consumers too, and
demand more value for money. Some companies
that pay for health insurance are now asking
employees to make it worthwhile, with financial
incentives and consequences for poor health
habits.
Johnson & Johnson’s “Live for Life” workplace

health program has achieved a double-win, by
encouraging its employees to live healthier while
at the same time cutting health costs.
German multinational SAP has taken this even

further. It offers employees access to the most
advanced cancer tests to enable personalized
cancer care bypassing the national healthcare
system.
As patients gain more access to information from “The program [...] has resulted in significant
peers about quality and experience, hospitals
are shifting their investment in order to deliver
improvements in employee health as well as
what consumers want. There has been a trend of a reduction in company health care costs”
outsourcing non-core activities such as laundry,
catering, lab work, etc. to commercial providers. Kaiser Health News
But some hospitals are now following a model
used by hotel chain Myriad, which leases both
the hotel building and all maintenance services to
focus instead on delivering a great experience.
Johns Hopkins University, 2015

Heal.com
Scripps
Inivata
On-demand house-calls: ‘see a doctor See a Doctor Now: Live video doctor Johnson & Johnson incorporates
now, in the comfort of your home’ – visits including assessment, diagnosis health metrics into its overall company
with the Heal app. and prescriptions when needed with sustainability goals, and regularly
Doctor on Demand. measures progress toward achieving a
culture of health.

Sub-trend 4
 450 customer reviews
Transparency is key when it comes to cost and

quality of care. With deductibles (the out-of-
pocket payments consumers pay before insurance
kicks in) rising, patients want to know what
they are paying for. Providing dependable and
accurate information can be a big differentiator,
both for securing repeated business as well as
engaging with first-timer users.
There are more and more consumers turning to

“Providing accurate pricing – something
external ratings sites like Yelp or WebMD as part consumers increasingly are demanding – can
of their provider selection process; using 1-5
star rating, an increase of half a star in a doctor’s
be a differentiator among health systems.”
rating raises the number of appointments booked
PWC’s Health Research Institute annual report 2016
through the site by an average of 10% American
Economic Association found out.
Despite rumors in 2014, Amazon (famed for its

much loved customer star rating) has yet to enter
the healthcare market.
Some hospitals have set up comparison services.

ProMedica, a group of 13 hospitals, has created
an out-of-pocket expense tool. Users enter their
insurance details and the tool queries the payer in
real time to deliver a personalized response.
Smaller independent online services are also
growing. NewChoiceHealth.com lists the costs for
18 common procedures in 32 US cities.
Valero Doval/Ikon Images/Corbis

Nexthink & Advocate Healthcare
Kaiser Health News
Annually, hospitals in the US are rated Advocate Health Care launched flat ProMedica’s online tool helps patients
by the CMS. The ratings are meant to prices for certain services like treatment calculate out-of-pocket cost estimates,
sum up performance on 64 quality by a nurse practitioner for 30 common currently only providing estimates for
measures with a designation of from conditions (i.e. respiratory infection) for lab, surgery, and radiology services, but
one to five stars. $89 and plan to introduce fixed prices soon expanding to other “shoppable”
for imaging procedures. services.

Sub-trend 5
Paying for more premium care
With more (or less) paying power and access to

more information, consumers create demand
for a more diverse range of health services.
A secondary healthcare market is emerging
where consumers will pay a premium for certain
services, many of which go beyond necessary
patient needs.
One example is health tourism. Crystal Cruises

are the first to introduce hypoallergenic rooms on
their ships, each equipped with filters that remove
99.9% of impurities and dust.
Clean air is becoming a privilege in regions like “66% of top nine loyalty drivers for specialists
China. The British school in Beijing offers sports
classes for their students in an inflatable dome-
are related to experience (rather than cost or
building an artificial bubble and simulating a clinical quality)”
normal environment beneath the cloak of smog.
The Advisory Board Company,
Cleaner indoor air may soon also be a selling Market Innovation Center, 2015
point for employers in China’s pollution-heavy
parts as real estate owners start to invest
in advanced indoor air cleaning. Clean air is
becoming a privilege.
The Guardian
Airocide.com
Hyatt
Airocide is a NASA approved high tech A sports class inside the inflatable Hyatt Hotels and Crystal Cruises
air purifier for home use: this powerful clean-air dome at the British School of are both examples of brands who
technology is even in use at the Beijing. introduced hypoallergenic rooms,
International Space Station. equipped with systems designed to
eliminate airborne viruses and bacteria,
as well as pollen and other irritants.

and expectations?
Patient
Personalization: searching for the best People will expect comparable sets New finance models: try before you
options i.e. prices and qualities of comparable buy, rental or lease options
blood pressure meters Need to compete on cost &
Test & try product & services, differentiation (variety, offer)
Expectations for specialty services are Variety in price points: offering a
rising (service) portfolio from Low End to
High End (free, basic to premium)
Point-of-care shopping: being Real-time feedback on shop floor Online presence needs be great
supplied with all the information Frictionless transactions: ease of Consumer comparison sites on pack
needed use in finding a provider, scheduling Partnerships: teaming up with shops
an appointment, accessing health like Walmart, Walgreen, Albert Heijn
information and paying bills Hospital-ity: hospitals and treatment
facilities starting to look more like
hotels
Professional
Highly skilled (non-)professionals in Standardized, low threshold More small, portable, affordable tools,
health kiosk guidelines for daily issues/ailments i.e. handheld x-ray
Health professional with a service- Consumer-driven quality dashboard Extending your service offer
mindset: In line with retail & hospitality Ecosystem of product & services: Subscription model
think in service packages Business modelling: what can we learn
from Uber, Netflix, AirBnB etc.

Healthcare is just like retail
Dave Baker | chief enterprise architect at
Ascension Information Services, one of the largest
healthcare IT services companies in the US

Personalized care
Right for me
Health
Personalized
care | 76 | Strictly confidential
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Definition
Much of the healthcare industry still treats patients based on averages and
not as individuals.
Now thanks to the digital revolution, we can start to do the previously

unthinkable: to improve patient outcomes while delivering increasingly
personalized care, right across the continuum.
From mass-market drugs and To a fully tailored and unique

care paths calculated on the approach designed for the
majority and the average individual patient
Health
Personalized
care | 77 | Strictly confidential
confidential
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use only
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Cardiology Oncology
Personalized Care in the cardiovascular context Each cancer is different, because people are
is key. As new research is telling us that not only unique in their genes and exposed to diverse
everyone is unique but each individual also environmental factors. Evidence-based
responds differently to treatments and therapies. diagnosis and treatment is becoming more and
We really have to know the inside out, literally, in more personalized, analyzing patients from a
order to understand the problem and avoid false molecular, cellular, organ and whole system
diagnoses. level including cultural background and medical
history/record.
The combination of patient needs, lifestyle
behavior and external influencers will give more Nowhere in medicine is the change towards
insights to both patient and care providers personalized care as eminent as in cancer.
to understand better of what is causing
cardiovascular disease for this particular person
and therefore be able to better predict the type
of treatment is needed.
Personalized care | 78 | Strictly confidential – for internal use only

Respiratory FPP
COPD is incurable; however, early diagnosis, Within the whole spectrum of FPP there is an
new ways of assessment – for example through increasing focus on Personalized Care – from
phenotyping – and proper treatment can slow the personalized approaches to treat infertility,
progression of the disease. personal coaching during the pregnancy, more
individual birth experiences and last not least,
Also in asthma professionals are investigating parenting and the needs of the child are ideally
methods to ‘cluster’ asthma groups. As a result of a catered to in a very particular fashion. More
study researchers proposed to distinguish between than phenotyping or biomarkers (as with the
asthma phenotypes as it could help doctors other health spaces) the focus here is about
provide more personalized care. personalized approaches, experiences and
Technological advantages are enabling new communication.
research methods and discovery of new diagnostic
biomarkers. Growing expectations: The young generation of
Also precision medicine, which integrates mothers is growing up with a total individualist
endotype and phenotype with complete biological mindset. This will shape their expectations
and clinical data, ensures a more personalized regarding pregnancy and birth as well. Creating
approach. a truly personal experience during birth in
the hospital setting is an opportunity and will
Eventually, personalized care throughout the entire increase satisfaction and outcome.
care continuum could be realized through services
and solutions that include contextual and real-time
monitoring and coaching.

Sub-trend 1
Precise diagnosis
Healthcare professionals are recommended to

consider a much wider range of factors when it
diagnoses a person’s health. These range from
the macro (context, lifestyle, personality, medical
history) to the micro (phenotype, enterotype,
microbes, proteomics and genomics). Each
individual patient has a unique constellation of
these factors which represents a unique dataset.
By zooming in and analyzing personal data,
we can zoom out to find correlations between
patients.
This is leading to ever more precise diagnoses, “Sequencing the human genome took 13
where thousands of people can contribute to the
diagnose of one person. In oncology, clinicians
years and 1 billion dollars and now you can
carry out genetic profiling of a cancerous tumor sequence multiple patients, make a diagnosis
using companion diagnostics. This approach
enables them to pinpoint the signal pathway
and report back to the clinician and patients
disturbance in order to identify the immunotherapy in less than a week. It’s amazing,”
treatment most likely to be successful. It is fast
becoming the new industry standard. Tom Weaver | CEO of Congenica
In cardiology, researchers are looking into

metabolomics, which is the study of metabolomes
(the thing that is created by a combination of
a person’s genetics and all the environmental
influences it is exposed to). Metabolomics
profiling research is starting to reveal new
biomarker sets, which in turn is enabling new
stratification of cardiology risk groups.
Oncology-central.com
Somalogic.com
Wired.com
A dynamic portrait of metabolic “At Novartis, whose collaborators Early research suggests all people have
profiles known as “metabolomics” include biomarker discovery company one of three enterotypes, as distinctive
has been used to identify new blood- SomaLogic, “we start looking for as blood types. Each is dominated by
derived metabolite biomarkers that the biomarkers basically at the time a different bacterial genus, affecting
can distinguish between pancreatic that we start finalizing the drug everything from nutrient absorption to
ductal adenocarcinoma and chronic candidate. There’s a lot of pre-work immunity.
pancreatitis with a high degree of that wasn’t really on the agenda 10
accuracy and at an earlier disease or 15 years ago that’s now become
stage than conventional diagnostic pretty routine.“Ronenn Roubenoff,
testing, researchers say. Global Translational Medicine Head,
Musculoskeletal Diseases at Novartis
Institutes for Biomedical Research.

Sub-trend 2
Precision treatment
With a more precise understanding of the causes Merck and Bayer are increasing their research
of diseases at a molecular or genetic level, the in this area, even though US companies are
industry can develop increasingly targeted drugs leading the field so far. However there is also
and therapies, and also start to predict who criticism to immunotherapy being hyped and
will respond well to which therapy. Rather than not delivering the promised results. Precision
administering therapies based solely on the medicine as a concept is still under development
disease, new strategies to identify biomarkers, with more research needed to reduce treatment
help doctors select the best therapies for uncertainties.
individual patients.
In 2015, in recognition of this potential, President

Obama announced a nationwide research
effort called the Precision Medicine Initiative to
support research in oncology. Precision medicine
in oncology targets a specific signal pathway
disturbance. Most human cancer are caused by
“Patients given precision – or personalized
two to eight sequential alterations and there – treatment experienced a tumor shrinkage
is frantic development activities in the field of
developing drugs that target these flaws. There
rate six times that attained by regular
are two approaches in immune therapy, one is chemotherapy. But, that only happened if
based on the so-called “checkpoint inhibition”,
which blocks certain signal paths so that immune
doctors used genetic information to choose
cells can hit tumors more effectively. The other the appropriate targeted therapy”
approach is based on activating signal paths that
in turn activate the immune system. (see also Maria Schwaederle | Lead Researcher Clinical Scientist
Mastering Our Destiny) at UC San Diego Moores Cancer Center
Immunotherapy drugs is an upcoming market

with an expected growth of 14 billion dollars
in 2018. German pharmaceutical companies
Precision Medicine Forum
Atomwise.com
PM Live.
This was the latest example of the The All of Us Research Program, Atomwise uses AI to predict how
accelerating shift by pharmaceutical formerly known as the PMI Cohort existing drugs will react with certain
companies away from one-size-fits- Program, will be a participant- biological markers to treat diseases
all drugs towards more personalised engaged, data-driven enterprise and chronic conditions.
medicines. Underpinning the trend supporting research at the intersection
has been the rise of “companion of lifestyle, environment, and genetics
diagnostics”, which pinpoint the to produce new knowledge with the
patients who stand to benefit. goal of developing more effective ways
to prolong health and treat disease.

Sub-trend 3
Personalized care across the

entire continuum
Currently, care paths are standardized and mostly
considering clinical conditions. But we know
that a contextual information about the patient’s
situation is essential to how a patient will respond
to treatment. All this additional information
now gets taken into account. It will support in
delivering care tailored to the individual needs
of a patient, who stays at the center of the care
pathway as they move through the continuum.
The daily diary method, or Ecological Momentary

Assessment is gaining traction in today’s behavioral
medicine and describes truly personalized
coaching that is based on real-time behaviors and
experiences in patients’ everyday context.
In Sweden, personalized care pathways for

patients with hip fractures take into account
their capability before the injury, their existing
social network, and their objectives in life. Care is
differentiated for different personality types.
Meanwhile, OhMyGut is the first Russian
research project into microbiota (the intestinal
bacteria that influences the body’s reaction to
medication, disease resistance and food) that
gives consumers personalized “bio-feedback”
by learning about the bacterial contents in their
intestine. Based on this information, nutritionists
advise clients on the most suitable diet plan,
medications, and lifestyle changes
Genomemag.com
Knowridge.com
Movisense.com
MovisensXS is one of the current “A new treatment paradigm is rapidly Molecular Health Treatment Map is the
smartphone platforms for EMS. As of evolving. Deep genomic analysis will first registered medical device of its
2014, Movisens have developed the drive treatment decisions based on kind in Europe for personalized cancer
ability to trigger sampling forms from … cell type and pathway-matched medicine. information on a person’s
physiological data such as actigraphy therapies.” Professor Matthew Ellis complete genomic sequence can be
and ECG.[14]. Washington, University School of read relatively cost-effectively and in
Medicine. just a few days and it translates the
language of genes into actionable
information that doctors and patients
can use to make informed decisions
about cancer care.

Sub-trend 4
Truly bespoke care
If data is enabling us to reveal the unique Eventually, in the further away future, will we be
personal needs of people, health professionals able to develop this field towards a space where
would be able to deliver unique treatments, the care-paths is 1-to-1 customized and where
therapies and solutions to, for example oncology drugs are made to measure?
patients.
Still in far off and in experimental phase, Pink

army cooperative is an open source, community
based biopharma company. They want to tackle
the challenge of the need for custom engineered
cancer drugs, whereas the current pharmaceutical
business models can only make mass market
medicines. Rather than develop a new drug, it
has developed a new business model for the drug
industry, one for the digital age. Pink Army aims
to make an endless supply of these medicines for
any person, delivered to their door, in days. As
many as they need. On subscription. Like Netflix,
only with drugs.
“If you look at your phone, you have the same
Another example is genetics startup Helix, who phone as 10 million other people but it’s
has begun to partner with labs, clinics, and
consumer brands to identify and create novel
unique because of the apps you’ve got on
products based on genetic information such it. We’re inching towards that paradigm with
as bespoke supplements, or creating shoes
tailored to a person’s genetic profile. Eventually,
medicine. This printing technology unlocks
Helix wants to build an app store–like platform those possibilities.”
where consumers can sequence their data once,
access their data, and discover a marketplace of Max Shtein | B.S. in Chemical Engineering,
applications build on it. University of California Berkeley
Computerworld.com
Forbes.com
Helix.com
“We want to deliver bite-size The first 3D-printed drug to receive “Basically, what we’re seeing is the
information about your genome, at just approval from the U.S. Food and digitization of human beings,” says
the right time of your life,” says CEO Drug Administration (FDA) is now Dr. Eric Topol, a cardiologist and the
Robin Thurston of Helix. being shipped to pharmacies. Aprecia director of the Scripps Translational
Pharmaceuticals said its 3D-printed Science Institute. “All these new
Spritam tablets are used to treat tools give you the ability to basically
epilepsy. quantify and digitize the medical
essence of each human being.

Sub-trend 5
Clinical trial disruption
Hyper personalized and regenerative medicine Drug approval institutes are faced with a paradox
will disrupt the way clinical trials are currently they have never experienced before, as there are
run and impact the approval procedures. too many drugs and too little patients. Data can
For example, genomic profiling enables play a center role in helping to understand where
characterization of diseases in new ways which potential participants for trials can be found.
creates more sub-types than previously known.
This is complicating clinical testing as the eligible
patients a for trial can be so small that’s almost
impossible to find enough participants. According
to ASCO, in the future more patients will need to
participate in clinical trials and we are seeing the
arrival of clinical trial match-making sites that
help professionals or patients find the right trials
“In some ways, science is like a recipe, in
to join medical studies. that both can go through a number of
Using phantom organs in 3Dprint or Labs-on-a-
incarnations before they work. There’s a lot
chip might help to be able to run sufficient tests. of experimenting and tweaking, collaborating
While this technology is extremely promising,
using organ chips in human clinical trials is still a
and comparing. And that’s what we’ll be
decade or so away. doing at FDA with the organs-on-chips
Currently, FDA is swamped with all the new
research. We’re excited to be at the forefront
precision drugs that need approval. But there of this groundbreaking research, which may
is a move from scientifically interesting or new-
to-the-world drug approvals to marketable drug
one day be routinely used to safeguard
approvals where a similar drug has already been public health.”
approved from another maker, which will up the
process. Suzanne Fitzpatrick | FDA senior advisor for toxicology
http://bit.ly/2wHELJa
http://bit.ly/2wHLlzy
http://bit.ly/2eYIBGj
While traditional clinical trials focus Doctors around the world are using Lab-on-a-chip. Researchers at BYU are
on a particular cancer type, basket iPhone to transform the way we think the first to 3D-print a viable microfluidic
studies test therapies that target a about health. Apps created with device small enough to be effective at a
specific genetic mutation found in the ResearchKit are already producing scale much less than 100 micrometers.
tumour, regardless of where the cancer medical insights and discoveries at a Microfluidic devices are tiny chips that
originated. Some patients with different pace and scale never seen before. That can sort out disease biomarkers, cells
cancer types will share the same success has inspired to widen the scope and other small structures in samples
mutation in their tumours (represented from medical research to personal care like blood by using microscopic
by white dot). A basket trial tests a with the introduction of CareKit — a channels incorporated into the devices.
drug that targets the mutation in these framework for developers to build apps
patients. that let you manage your own well-
being on a daily basis.

and expectations?
Patient
The Whole You: being able to Hyper personalized advise Data enabled workflows
understand the entire profile by Differentiated care Transform clinical data into living
combining ‘segmenting the disease’/ Limiting side effects crowd sourced documents (Asco)
phenotyping with personal data Individual profiles influencing
standardized pathways
In-situ coaching
Matching individual profiles to identify
efficient pharma
Identifying biomarkers for
phenotyping / diagnosis
Data-drive in-vitro diagnostics and
histopathology
Oncology specific: more people will People will have to live with
be able to live longer and survive – but side-effects
also more people living with a chronic (link to 360° Patient Care)
(suppressed) disease
Professional
Augmented decision making HCP will need to trust algorithm when Backtrack options: Decision making of
Machines supporting clinical decisions / if all data is considered the algorithm needs to be transparent
Physician will feel confident and
supported

When asked what would make
patients effective in managing
their health, among the highest
proportion of both healthcare
professionals and patients polled
(40% and 32%, respectively) cite
more personalized consultations
and treatments.
Future Health Index

Global health brain
accelerating thought power beyond human capability
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Definition
We’ve been sitting on a data goldmine for years, produced and stored
by connected devices and systems.
Until recently we’ve struggled to tap into its full potential. But now,
thanks to the rise of Blockchain, a secure database of transaction
records and companies like Google’s DeepMind, healthcare is at the
dawn of a new paradigm of artificial intelligence (AI).
From an age of missed To an age where artificial

opportunities and vast, intelligence mimics the
unstructured, and unused human brain to enable faster,
health data sets future-proof, and fail-safe
healthcare
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Cardiology Oncology
ViosWorks
ViosWorks
“The future of cardiovascular research is to stop Big data and artificial intelligence is bound to
the disease before it starts,” This statement of have profound impact on the complex field of
Dr. Steven Houser, president of the American oncology.
Heart Association, underlines even more the
importance of having the best algorithms Deep learning, which deals with problems such
and systems to support health professionals as translating genome sequencing data to clinical
in making this happen. Artificial intelligence implications holds great promise. We need,
techniques, such as machine learning, deep however, qualitative and accurate data which is
learning, and cognitive computing are promising crucial to train our systems in the best way. At
and can potentially change the way in which the moment data is considered to be not clean,
medicine is practiced. Over the past decade, and valid enough due contamination through
several machine-learning techniques have been co-morbidities. Artificial Intelligence will radically
used for cardiovascular disease diagnosis and transform medical imaging and pathology, and
prediction. In the near future, AI will result in a has already been proven to make less mistakes
paradigm shift towards precision cardiovascular than humans. The technology however can never
medicine. According to an article published in replace humans, it can significantly optimize
Journal of the American College of Cardiology, AI workflows, but it will always be physicians that
could even replace physicians in the end. make the final call.
The global health brain | 90 | Strictly confidential – for internal use only
Respiratory FPP
Valarm.net
Celmatix
Digitization is revolutionizing respiratory care This is a relevant trend for FPP but at the same
management since the rise of smart inhalers on the time a difficult one. While more and more
market, Forbes reports. connected devices and tracking tools enter
Pharmaceutical companies such as AstraZeneca, the market, this data is often still locked up in
Boehringer Ingelheim, Novartis GSK have diaries or on individual platforms and cannot be
recognized the role of digital health in improving properly used yet.
treatment adherence since smart inhalers enable
patients and healthcare providers to access Advances in artificial intelligence (cognitive
real-time data and apply these data to improve analysis, clinical decision support, predicative
treatment outcomes. modelling) are rapid and will provide an
Also last year’s National COPD Action Plan important enabler to deliver FPP continuum
committee concluded that innovative ways of impact. Available options within FPP so far
collecting and using data are needed to drive include:1. Fertility (prediction of ovulation,
progress in COPD treatment, and that patient selection of follicles (IVF))2. Prediction of
registry is a central part to that. potential pregnancy complications and child
development in first 1,000 days3. Personalized
A good first example is GSK’s smart inhaler that and contextual nutrition advice during
automatically reports patient use and patterns and pregnancy.
then links this to a research database for future
studies on asthma and COPD. In the future it’ll be about adding more
Another promising area is that of acoustic intelligence, i.e. to video monitoring, extending
algorithms for diagnostics or to measure correct seamless data collection.
inhaler technique and dosing.
Sub-trend 1
How AI will transform healthcare
If improving patient outcomes at lower cost is

the aim, then AI is the game. Technology giants
are pushing the boundaries of health and care
with their research into deep learning. For many,
mining medical records is the first step toward
revolutionizing existing healthcare systems.
Google’s DeepMind and IBM’s WatsonPaths can
both diagnose patients precisely and rapidly
by asking and answering questions using the
electronic medical records of patients.
Another field that is being transformed by AI is “Artificial intelligence systems will generate
medical imaging. Arterys is Introducing a SaaS
(software as a service) analytics platform founded
$6.7 billion in global revenue from healthcare
on cloud computation to revolutionize medical by 2021, compared with $634 million in 2014.”
imaging. It’s the first company to get FDA approval
for a machine learning application to be used in a Frost & Sullivan report
clinical setting.
Other startups are using AI to ask and answer

question about our genes. Today, we can see our
genetic makeup, but we don’t know what a lot of it
means. Deep Genomics is trying to change that by
developing an engine that can predict how more
than 300 million genetic variations could affect
a genetic code. This in turn could help with the
development of more targeted treatments, and
improve detection of risks for genetic disorders.
http://bit.ly/1kn0Dme
http://bit.ly/29NFoXc
http://bit.ly/2lCEsZe
IBM’s artificial intelligence platform 3Scan—Converts thin slices of human The Human Diagnosis Project—
Watson will work with doctors in tissue into interactive 3D pathology Initiative that aims to map all human
Germany attempting to solve some slides that physicians use to detect health symptoms to every type of
complex medical cases. Source: BBC. diseases or other issues. (picture is a diagnosis—a kind of Humane Genome
mouse). Project for disease detection.
Sub-trend 2
Data is the new currency
AI healthcare will be built on the personal medical People want to have control of what is happening
data of patients. But consumers are getting with their personal and health data. The new
wise to the fact that global companies have European General Data Protection Regulation
been using their information to make money (GDPR) effective per May 2018 promises to
(think: Facebook it’s not a free service, you’re take privacy seriously and protect the sensitive
the product). It’s giving rise to a new economy personal data of customers and employees. And
in which the individual demands control of their Blockchain the secure database of transaction
data, alongside the option to actively trade it in records empowers individuals to control their
return for services. data.
The value consumers place on their data tends

to rise in line with how sensitive the information
is and how it is used: detailed or personal
information that benefits the company (in the
form of revenues from selling data, for example)
should be paid for. For example, Walgreens has
launched an app that gives consumers discounts
in exchange for access to their digital health
trackers.
But basic information is voluntarily shared, so “Data is the only real currency of the web.”
long as it principally benefits the consumer or
society in general (e.g. in the form of access to TEDx article
services or product improvements). For example,
people will donate their data to services such
as 23andme to find out about their geographic
ancestry. Some even donate out of scientific
altruism, by sharing genomic data to support
scientific research on diseases.
https://youtu.be/J1wx2sEDuVo
http://bit.ly/2miKfrl
http://bit.ly/2li1skH
23andme offers a popular personal American Gut. allows you to contribute Asco’s CancerLinQ™ LLC uses every
genome test along with its ancestry data about your gut microbiome, The patient’s experience to contribute to
service, powers the B2B aspect of goal is to expand existing medical the most compassionate, effective, and
23andMe’s business: users can opt in to databases and to share them, to speed sustainable cancer care possible.
share their genetic data. up treatment.
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Sub-trend 3
Companies learn to share

(and share to learn)
The healthcare industry has traditionally been intelligence to send clinicians real-time alerts
unwilling and/or unable to share data. Now about patients at risk of acute kidney disease.
the likes of Google and IBM are encouraging
other organizations to share their data and APIs
(application program interface: digital tools
that give a developer programmatic access to a
proprietary software application).
In 2015, Google freely shared its AI engine

TensorFlow with the world in the hopes of
accelerating the evolution of AI. Hundreds of
labs and institutions are sharing genomic and
phenotypic data from diverse patient groups for
the genomics project ClinGen in order to analyze
outcomes and make them available in Electronic
Health Records. “The expertise that each party brings to
But sharing patient data is still a controversial
the table is more than the sum of its parts.
topic. When Google’s DeepMind announced a Providers offer their substantial expertise
new partnership in 2016 with London hospital
group the Royal Free Hospital Trust to share huge
on patient care, and companies provide
quantities of patient data to help spot early signs technology innovation, industry benchmarks,
of illness, the fact that a national service such
as the NHS would enter into such an agreement
data analysis, funding and research support
caused uproar. The five-year deal will mean that to drive value and create unique approaches
DeepMind has access to information about more
than 1.6 million patients every year, alongside
to population health management,”
historical data going back five years. The
Forbes
information gathered will be put to work in an app
called Streams, which uses DeepMind artificial
image http://bit.ly/2lmCxg9
http://bit.ly/2mm9p8c
http://bit.ly/2blDYCs
NASA has made all the scientific NCI Geomic data commons, provides Traditional healthcare companies are
research it funds available for free, the cancer research community teaming up with genomics and data/
launching a new public web portal that with a unified data repository that IT-companies in order to form alliances
anybody can access. enables data sharing across cancer and partnerships.
genomic studies in support of precision
medicine.
Sub-trend 4
Is it safe?
The flipside to open software and data sharing

is a potential lack of privacy and security. Media
headlines report data breaches with alarming
regularity. In 2016, for example, the Washington
State Health Care Authority in the US reported
a breach involving the Social Security numbers
and personal health details of more than 91,000
recipients of Medicaid.
Perhaps even more worrying is news of

“I realized that my heart was now wired into
connected healthcare devices such as drug the medical Internet of Things, and this was
infusion pumps and pacemakers being vulnerable
to hackers.
done without informing me or asking for my
consent”
For some, Blockchain technology is the answer.
IBM Watson Health and the US FDA (Food and
Marie Moe | security researcher and
Drug Administration) announced in early 2017 that
pacemaker patient, as quoted in Wired
they will work together on an initiative to create a
secure, efficient and scalable exchange of health
data using Blockchain technology.
http://bit.ly/2n5lueT
image Inivata
Image: Getty
Analyze genomic data in the cloud. MedRec tested a blockchain for Guardtime partnered with Estonian
Google Genomics offers petabyte scale prescriptions tracking six months of eHealth Foundation in March to deploy
and fast performance on Google Cloud inpatient and outpatient medication a blockchain-based system that will
Platform. data at Beth Israel simulating data secure over 1 million patient HER’s.
exchange.
and expectations?
Patient
Imaging / Digital Pathology Pathologists spending more time How can we present, deliver,
understanding and contextualizing communicate data so that it will be
data and decisions, less time on the perceived as a trusted partner to the
microscope professional
Empower doctors to accelerate Doctors spending more time to behind Natural language processing / data
diagnostics screens for diagnostics and research. mining
Staying up-to-date in their medical Reduction of medical errors Teaming up with / collaborating with
field other AI companies (start-ups) to grow
capabilities
Open source / open API / open A.I.
Some roles will become obsolete, Less manual tasks, freeing up more Support new roles, new/adapted tools
Professional
other roles will be created, i.e. Chief time for other tasks
Medical Information Officer
There is an increasing need for
technically educated people in
healthcare
Enabling a more holistic view on root Fully informed patient experience Integrate data sources into one holistic
causes (more than any professional view for the patient (i.e. fitness pal)
ever could do)
Making connections, putting data in
context
People will increasingly expect that

every disease can be diagnosed and
that every root-cause of disease can
be identified
Artificial Intelligence has to and will
redesign healthcare
Health technology blog The Medical Futurist
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Minimal impact
Doing more by doing less
Health
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Definition
For a long time clinicians have mainly relied on clinical guidelines to
define care plans for their patients.
Now healthcare professionals are recommended to listen to what

actually matters to the patient and giving careful consideration to a
broader range of care plans.
Both in clinical and lifestyle context, increasingly procedures and

changing mindset towards minimally invasive will radically change the
impact of disease & treatment on a patients life.
From curing a condition at any cost To prioritizing quality of life by

applying less aggressive and
less obtrusive methods
Health
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Cardiology Oncology
ViosWorks
Several cardiovascular diseases arise and Better risk stratification is leading to a more
develop in a relatively long time. diverse approach, where patients at low risk
can enter “wait-and-see” programs with active
In order to prevent the onset of life-threatening surveillance, calling for a major shift in the way
episodes by confidently monitoring individuals’ doctors treat – and talk about – the disease.
health condition, it is important to accurately
visualize (with high quality and informative We are moving towards minimally invasive cancer
imaging) and measure in time (non-invasively to treatment with less radiation, less interventions,
observe the heart and vessels without interfering less medicine which on-top of it saves time for
with the physiologic functions, and possibly both doctors and patients and costs for hospitals
reducing exposure to radiation and contrast and insurers.
injection).
Once treatment is planned for a patient,

minimally invasive procedures will performed
more and more for a more precise intervention,
improve clinical outcomes and to reduce recovery
time for patients.
During interventions, sophisticated imaging and

measures will be taken to continuously guide,
monitor and predict the possible outcome of the
procedure, so that physician can act on time to
minimize potential life-threatening mistakes.
Minimal impact | 100 | Strictly confidential – for internal use only

Respiratory FPP
There’s a high and growing prevalence of COPD. Women are looking for more natural, less
Early detection can slow down the disease and invasive and non-hormonal options regarding
improve quality of life for the patient, limiting the contraception, fertility treatments or the birth
negative impact the disease has in one’s daily life. experience as they fear side effects and long-
term issues.
While COPD is often not diagnosed or only in a
later stage of the disease, a recent study amongst In the West more gentle approaches are gaining
children in the Netherlands indicates that asthma, ground and people step back to rely on the body
on the other hand, might be over diagnosed. This is and it’s natural ability to conceive and carry a
an issue that particularly worries the growing group baby. Especially in Germany, the desire of many
of parents who are concerned about the amount women for a natural (or even unassisted) birth
of heavy drugs their children have to take and who is turning into a new ideal. Reasons are distrust
are eager to find less harmful alternatives to control in the school medicine and an alleged profit-
the asthma of their children. oriented hospital as well as concerns regarding
the use of medication during labor.
Eventually, for those who have to live with a
respiratory disease new technological and digital In contrast, the perspective in large parts of the
developments are an outcome, enabling them to US and in China in more about the enhancement
easily and unobtrusively use or even travel with of ‘nature’.
their medical devices. This increases patients’
confidence and overall quality of life.

Sub-trend 1
Minimally invasive
New technologies are taking the notion of

“minimally invasive” to an entirely new level. If the
goal is to give the patient fewer drugs and subject
them to less surgery, then nanomedicine could
be the answer. Microscopic robots, so small that a
teaspoon can hold billions of them, would allow
the patient to “swallow a doctor.” The nanorobots
act like tiny surgeons, working from within to
deliver drugs or operate with extreme precision
without affecting healthy parts of the body.
Or how about no physical contact at all? This

“We are always looking to be more minimally
device, which resembles a medical tricorder invasive. We’ve gone from very large incisions
from Star Trek, uses microwaves to detect cancer
without touching any surface of the body.
to much smaller incisions, and now to almost
This might come as some relief for patients no incisions at all. Hopefully, with prevention
who are used to diagnostic tests that can be
uncomfortable and distressing.
and these newer treatments, I will go out of
business as a surgeon. And I’m OK with that.”
Meanwhile, advances in imaging are improving
minimally invasive techniques by making Dr. Edward Uchio | quoted in anti-cancer.com
surgeon’s lives a lot easier. Companies like Philips
been able to combine multiple modalities – such
as ultrasound and X-ray – to create 3D views
of a body in real time from 2D images. It means
surgeons can finally see clearly, which means
they need less time to plan and can perform
operations much faster. Ultimately, this means
less downtime for patients and more up time for
clinicians.
BBC/ Radio 4’s Today
Image ETH – / CNN

IVM treatment
In-vitro maturation (IVM) is a new and Surgeons have described a new Nanorobots act like tiny surgeons,
alternative to in-vitro fertilization (IVF). minimally invasive treatment for working from within to deliver drugs or
The method reduces the risk of Ovarian early stage prostate cancer as “truly operate with extreme precision without
Hyperstimulation Syndrome, is cheaper, transformative”. The approach uses affecting healthy parts of the body.
and less invasive as it uses minimal lasers and a drug made from deep Guided through a catheter – 2 to 3
drugs. sea bacteria to eliminate tumors, but millimeters in diameter – they could
without causing severe side effects. reach a specific part of heart that
needs to be treated

Sub-trend 2
Free to be people, not patients
All too often patients can feel weighed down by

their illness or condition, constantly reminded
of what makes them different by burdensome
equipment and obtrusive tests. Now new
solutions are enabling them to live more
independent lives.
Technological advances mean that people

who suffer from respiratory diseases such as
COPD and asthma can use lighter and more
portable devices. Etsy.com now sells fashionable
backpacks to carry oxygen tanks.
For the elderly or infirm, sensors in wearables and “You don’t have to adjust, the treatment
smart home devices such as air sensors can track
and adapts to changes in the environment or alert
adjusts to you.”
friends, family or doctors if help is needed.
FPP Workshop 2016
Meanwhile, contactless monitoring of a patient’s
vital signs using just a camera promises to
improve outcomes and save valuable resources in
hospitals.
Emily Robinson Photo

Willow breast pump
raredr.com
An inspirational student who has cystic Breast pumps are large, loud, often Birthing Suite improvements: Gentle
fibrosis has become a CHEERLEADER painful – and require women to stop c-section focusing on supporting
despite having to rely on an oxygen what they’re doing in order to pump. the new family and less on medical
backpack to breathe. “I have never Willow, the first smart, hands-free procedures and protocol.
allowed cystic fibrosis to hold me breast pump, a pair of teardrop-
back and despite always getting lung shaped devices fits in a woman’s bra
infections, I was determined to get and silently pumps – no awkward
fitter.” tubes required.

Sub-trend 3
Nature knows best
Increasingly available information about the

dangers of toxins and chemicals is driving a
growing interest in more natural approaches to
improving health.
Driven by a more holistic vision on health,

Complimentary and Alternative Medicine (CAM)
including treatments like acupuncture, Reiki or
Ayurveda become more attractive (i.e. Mercier
Therapy or acupuncture against infertility).
The argument for including naturopathy as “Forest bathing’ experiments in Japan show
an addition to traditional medicine for health
insurances is becoming stronger, since more
that when walking 3-6 kilometers in the
people are switching to have those treatments forest, blood glucose levels of non-insulin-
covered. Securvita was voted as best German
health insurance 2013 by Business Magazine
dependent diabetics dropped on average
EURO, because of their remarkable coverage of from 179 milligrams to 109 milligrams.”
alternative medicine.
PubMed.gov
Also the human microbiome gets more in the
focus. We have approximately as many bacteria
as we have cells. Most of these bacteria are good,
and are necessary for our bodies to function
properly. This microbiota has a circadian rhythm.
Scientists are studying how harnessing these
rhythms could affect how and when medications
are administered; and pregnant women are
advised to consider their baby’s microbiome when
deciding on what treatments to take.
Fertility Thermometer + App Kindara Wink
Newsmedical.net
BabyBe
In 2016, the US Congress got serious The human microbiome gets more in Mimicking ‘nature’ and the mother’s
about hazardous chemicals in the focus. We have approximately as chest: BabyBe haptic nurturing
household products and industrial many bacteria as we have cells. Vaginal mattress that helps premature babies
goods, overhauling a 1976 chemical Seeding (also known as micro birthing) to feel their mother’s heartbeat (while in
safety law. is increasingly applied after C-section the incubator).
to naturally boost the immune system
of the baby.

Sub-trend 4
Food as medical supplement
As part of a new understanding of how our daily

lives can affect our health, companies are starting
to develop food as medical supplement to reduce
or avoid inflammation and improve overall health
and fertility.
This trend is reflected in a return to non-processed

foods – i.e. as part of an anti-inflammatory diet
to treat different types of arthritis or conditions
like diabetes, heart disease or Multiple Sclerosis.
There are now several dietary principles that have
strong research backing such as Low FODMAP, “Let medicine be thy food and
Ketogenic diet, Low Glychemic Index (LGI) and
Ornish diet (which includes lifestyle changes).
let food be thy medicine.”
However robust clinical studies are still needed to
get reliable clinical proof of their effects.
Hippocrates, 400 B.C
The trend is also reflected in the research of
so-called nutraceuticals: Nestlé is developing
medical foods such as prescription-based
powders and drinks to treat diseases.
Tulane University’s School of Medicine now

even integrates culinary arts into their medical
curriculum, teaching cooking techniques to med
students as a means to managing obesity and
diabetes.
Image by Nutritiongenome.com
Lifelovefruit.com
PBS
Nicole Farmer, M.D. in Maryland, The expanding field of Nutrigenomics Modern diets and lifestyles are
founder of the program “Physician’s is studying how food influences gene under suspicion of causing chronic
Kitchen” is meeting her patients in the expressions and contributes to either inflammation. Nutrition can protect
kitchen of Casey Health Institute in US. health and longevity or to disease and cells from inflammation. Cranberries,
Farmer shows patients how to build earlier death. Each person is different for example, have been shown to
more nutritious meals. in terms of how much their genes/ contain important anti-inflammatory
health are impacted by their diet; and phytonutrients that protect the
a healthy but also personalized diet cardiovascular system.
can be used to prevent, mitigate or cure
chronic diseases.

and expectations?
Patient
No limitation in daily life, not Unobtrusive & flexible care; small, Portable and versatile solutions,
interrupting my lifestyle, don’t get portable solutions: easy accessible & masking technology
reminded of the disease/problem self-explanatory Less hospitalization, more outpatient/
Invisible treatment, i.e. home-like all-in-one treatment
environment, organized around the Hospital architecture
patient’s agenda
Pleasant experiences; distracting,
soothing, natural environments
Strong impact on the decisions More holistic clinical decision support, Education
patients make when they choose a communicating/visualizing options & Becoming a fact-based, trustworthy
treatment they (not necessarily follow consequences content provider
the advise of the professional) ‘Humanize’ and ‘emotionalize’
Less aggressive, less medical, less hardware by balancing clinical &
harmful, less hormonal etc. trustworthy look/feel with empathetic
and responsive qualities
Professional
Openness towards more natural/ Seamless, complimentary, non Education & ‘myth-busting’
alternative interventions contradictory experience Becoming a fact-based, trustworthy
More integral care (fact-based and Make outcomes measurable content provider
alternative together), larger repertoire Collaborations with IQ partners
of specialists that can be considered,
more HCP will blend therapies
Quality of life-aspects get more weight More holistic clinical decision support Extended portfolio, i.e. consultancy
when deciding on the right treatment More facilitation in consulting skills rooms
Understanding phenotypes Hospital architecture: consultancy Hospital architecture
More personal connection between rooms for difficult conversations (plus
professional & patient their virtual extension)

They don’t want to feel like a patient.
They want to feel like a person.
Sharon Baer | Program Director
Advanced Innovation,Philips SRC
Health
confidential
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for internal
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360˚ Patient Care
Extending care beyond the physical
Health
360˚spaces
Patient
trends 2017 | 108 | Strictly
Care | 108 | Strictly confidential
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Definition
Our health and wellbeing depends on more than being free of disease.
Currently, clinicians tend to treat an isolated health problem at a specific
moment.
Yet studies show that by addressing the full spectrum of a patient’s

needs – from the physical to social, mental and financial – throughout
their entire health journey, that patient recovers faster and stays well for
longer.
From a targeted approach to To a holistic approach to

care that treats the clinical care that acknowledges
symptoms of a physical a patient’s physical,
illness at a specific moment mental, social and financial
wellbeing, right across the
health continuum
Health
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Cardiology Oncology
ViosWorks
In the context of Cardiology, more and more With more and more people surviving cancer, it
attention seem to go to the whole ‘eco system’ of will become increasingly important to care for
the disease, instead of focusing predominantly the whole patient during and after the episode,
on the heart (and the defect) itself. as ‘many cancer survivors live with severe
Valuable clues that results into better and limitations and other health conditions’.
accurate diagnoses are gained because of more New services and initiatives are enabling patients
knowledge about the differences in people, like to keep their pride and dignity to overcome the
gender and age. emotional loss, social isolation, loneliness and
Depression go often hand in hand with exclusion from daily life to deal with the true
CVD either as an indicator of a risk or as a impact of the disease.
consequence. Much is known about the two
individual clinical conditions; however, it is
not until recently, biological mechanisms have
been uncovered that link both MDD and CHD.
When closely linked, this could change current
treatments by introducing multidisciplinary
teams.
This wider ‘landscape’ of the disease as such is
therefor asking for a wider approach where more
aspects and impacts of the disease will be taken
into account.
360˚ Patient Care | 110 | Strictly confidential – for internal use only

Respiratory FPP
Research increasingly shows that it’s very important There’s a new understanding that it is very
to look beyond the physical health and clinical important to look beyond the physical health
needs of patients with respiratory conditions like and clinical needs of women, young families and
COPD or asthma. Particularly the COPD population (premature) babies. Key aspects are:
is socially isolated and in need for mental and
social care – for example through social networks. Social Care: Family-centered care, the
importance of including the wider social network
While for asthma there has been a ‘driving force’ or doing care in the group, are gaining traction.
of public support and research for many years, Mental Care: Fertility and birth traumas, perinatal
COPD has a less long history of public support and & postpartum depression are diagnosed more
campaigns with Drive4COPD or the National COPD often and get more attention in the (social)
Action Plan, held in early 2016 to tackle the COPD media.
epidemic in the US.
Neonatal Care: Developmental Care and
Although there’s higher overall public awareness Neuroprotective Care is focusing on the cognitive
for asthma than for COPD, still extra attention is development of premature babies – and not
needed also for asthma. Particularly addressing just on survival. Postpartum Care: When trying
kids’ circumstances and emotional needs in to get a 360° degree view and acknowledging
addition to their medical requirements should be a the full FPP journey, postpartum care has to be
focus point. considered as well which is startlingly under-
researched.

Sub-trend 1
Understanding psycho-social health
We’re seeing an increased awareness that behind

every (chronic) disease or dysfunction, a tailwind
of psycho-social diseases and problems follow
behind patients, their families and caregivers.
These mental issues can be caused by the
patient’s reduced physical ability to perform
daily activities, anxieties about the future of his
or her health, or the financial burden of extended
treatment.
A spectrum of new services are appearing that

aim to diagnose mental distress and coach
patients to better mental health during and after a
medical event.
For example, UK company Concepta is developing “Having cancer is of course painful but it’s the
kits to detect stress levels in both men and
women. While the initial aim is to reveal if
mental trauma that’s the hardest.”
anxiety levels are affecting the couple’s ability to
Fabian Bolin | in his blog War on Cancer
conceive, these kits could find a market outside of
fertility treatment, given the prevalence of stress-
related
Another example, the Melomind relaxation

headset, aims to diagnose mental distress and
coach patients for better mental health during
and after treatment.
Todd McInturf, The Detroit News
Philips IntelliSpace 8
Corbis
New research suggests young people Malignant tumors can change one´s Concepta is working on stress kits, to
living with asthma are at a higher risk personality± the diagnosis cancer not be used by men and women to mea-
of also suffering from a mental health only changes a person’s life from one sure their stress levels. Easy-to-use kits
issue. In an article, experts mention the moment to the other – sometimes also could show couples when and if stress
need to set out short- and long-term the patient’s personality changes. is affecting fertility, allowing them to
strategies to address asthmatic kids’ seek treatment at an early stage.
circumstances and emotional needs in
addition to their medical requirements.
Image: ‘Clara’, pediatric-based mobile
unit.

Sub-trend 2
Peer power
Evidence suggests that being compassionate is

good for our health. Studies show that responding
to the suffering of others is hardwired into our
brains, and actually has a positive physical
effect on us by boosting our immune system and
reducing inflammation.
Social media have become a powerful tool for “Instagram changed my infertility battle for the
patients and support groups; Consumers trust
and value the more direct, personal and authentic
better. There are thousands of users just like
support from members of online communities me who are sharing their journey. I was able
like WebMD, PatientsLikeMe.com or BabyCenter.
com (which reaches more than 45 million parents
to gain insight into which supplements to take
a month, worldwide). They follow the journeys and fertility treatments to pursue, questions
of their peers, whose stories make complex
healthcare issues easier to understand, and who
to ask my doctor, books to read and so much
encourage them to take control, learn more and more. We are still connected and give each
expect more from healthcare.
other comfort”
Social groups are using connected technology
Blogger Brittany Link, USA
to raise awareness and encourage community
support for patients. Examples include health
support groups in the virtual world through games
like Second Life, a Tumblr account that posts
selfies from patients in hospital to remove the
shame of being in treatment, and a support group
for carers to help them feel less isolated and
enable them to continue in their caring role.
Hospital Handbook
Reel COPD
A Hospital Handbook has been A new ad for Canadian children’s Reel COPD is a video series sharing
compiled with the help of real hospital SickKids Foundation takes a first-hand stories from patients and
patients’ experiences. Available for bold approach. Instead of telling stories caregivers. Available at COPDTogether.
free download the handbook includes from the hospital in a sober, emotional com, the videos provide personal
a.o. a packing checklist, definitions tone, it presents the children in a slick insights into life with COPD and are
for frequently used medical terms and style more akin to a Nike spot: showing intended to motivate and help guide
types of doctors and a worksheet to them as gladiators, knights and others dealing with the disease.
identify various members of one’s care superheroes engaged in a fight against
team. illness.
Health
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spaces
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confidential
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onlyonly
Sub-trend 3
Next stop: emotion sensing
What if someone could be notified if their best

friend was showing signs of depression? Could
hospitals track the emotional state of their
patients to detect early warning signs of an
emergency event?
The answer to these questions could be found in

emotion sensing technology. UK-based startup
Vinaya has developed a wristband that uses
advanced sensors and smart algorithms to cross
reference physiological cues (such as heart rate
variability, blood oxygen levels, respiration,
perspiration and temperature) against other data
from the user’s smartphone (including social
media usage, calendar, and location) to derive
actionable insights.
The more the user wears Zenta, the more it builds “2017 will be ‘The Year of Emotion Tech’.”
up a profile of the user’s emotional responses
over time, identifying possible triggers, and
Kate Unsworth | founder of London-based technology
spotting patterns in their behavior. The idea is that
design firm Vinaya, the company behind emotional
these personalized insights enable the wearer
biometric wristband Zenta as quoted in Forbes
to make changes in their life that decrease stress
and increase happiness.
Meanwhile, studies are analyzing pain by facial

expression of babies in the NICU. By interpreting
the emotions of these premature babies, new
tools could help to improve clinical care and
reduce a great deal of parents’ anxiety.
Railway Gazette
MyFeel.co
News MIT
PEPPER is the first humanoid robot The Feel Wristband by startup Sentio Affectiva, based on years of MIT Media
capable of recognizing the principal Solutions is a wrist-worn tracker that Lab research, is an emotion recognition
human emotions and adapting his claims to be able to monitor emotions technology that can read people’s
behavior Pepper, a ‘social robot’, and stress levels throughout the day moods from facial expressions in digital
uses a 3D camera to understand and help you get in a better mood. videos.
facial expressions, body language
and speech to recognize and react to
emotions.

Sub-trend 4
Inclusive care
As well as delivering 360˚ care to each individual

patient, we also need to ensure we care equally
for entire populations. Today, our treatment
approach to an illness or disease is often
optimized for a specific age group, gender or
social class.
For example, cancer treatment is optimized for “Unlike the Hollywood heart attack we are
the needs of 50+ adults (and to some extent,
children), but the needs of young adults (16-35
all accustomed to seeing in movies and
years old) are under-researched and under- television where the man grips his chest and
served. People from lower income groups have
less chance of surviving cancer, coronary heart
falls to the floor, most women who have a
disease and diabetes. While in many developed heart attack experience nausea and vomiting,
countries, more women die each year from heart
disease than men, yet are often still treated based
sweating, and lightheadedness.”
on diagnostics that were created for men.
actor, singer and director Barbra Streisand |
as quoted in The Huffington Post
Thanks in part to social media, we’re seeing a
push towards more inclusive care. Incorrect or
clichéd notions about the symptoms of illness are
being corrected by viral videos and articles, and
people are becoming more aware of how to spot
symptoms among friends and family.
baranau/Shutterstock
Women Inc.
Glow
Out of all strokes occurring to women According to researchers, black men Glow Fertility Tracking App`also
in the Netherlands only 54% are and women are two to three times more engages men to take charge of their
diagnosed because healthcare for likely than whites to be hospitalized fertility, with new support just for them.
CDV is currently mainly based on men. or die from asthma. And genetic risk Also men log data about their health,
‘Treat me as a lady’ is a Dutch public factors for asthma identified in recent intended to reveal potential stumbling
campaign to create awareness for years may not apply to black children blocks to conceiving.
gender inequality in healthcare. due to studies including only white
asthma patients.

and expectations?
Patient
Being cared for by a network of care Connected, coherent care throughout Offering extra coaching, support
givers both professional and informal the care continuum programs (i.e. mental, nutrition)
Impact on in between-treatment care/ Being supported, not left alone Handbook, guidelines, advise,
post-treatment care educational material, schools (‘heart
school’)
Hotline for patients to connect to
professionals
Feeling inclusive, being heard, taking Experiences that put the focus on Addressing / services for mental health
into account, taken serious attention, feeling heard & empathy by for example emotional sensing (i.e.
Ginger.io)
Services for ‘financial health’ (paying
during treatment, getting back to work
afterwards
Managing stress levels
Social relationship care (also informal
care givers)
Professional
Extending care beyond the traditional Smooth & seamless hand-overs Offering services beyond curing the
points of contact Holistic care plan by specialist disease
Connecting and Collaborating with
external service providers, partnerships
Being present & facilitating online
support groups (like Babycenter.com)
Become a trusted content provider/
curator/delivery
Longitudinal overview across the entire
care path
Extending the capability of the health Being part of a holistic care network Support education / services / tools
professional towards a 360° mindset Understanding the bigger picture Supporting network
Listening skills, empathy Clinical decision support for
survivorship plan
Health ‘call center’ that receives
alerts at deteriorating mental health
(emotional sensing)
Co-create with patients

Instagram changed my infertility
battle for the better. There are
thousands of users just like me
who are sharing their journey. I
was able to gain insight into which
supplements to take and fertility
treatments to pursue, questions to
ask my doctor, books to read and so
much more. We are still connected
and give each other comfort.
Blogger Brittany Link | USA
Health
360˚spaces
Patient
confidential
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for internal
use only
use only
One step ahead
Prevention is better than a cure
Health
Onespaces trends 2017 | 118 | Strictly
step ahead | 118 | Strictly confidential
confidential
– for –
internal
for internal
use only
use only
Definition
As global health systems shift toward value-based models that focus
on delivering more effective care at lower costs, the role of prevention
becomes crucial. Top down initiatives from governments and employers
are pushing individuals to make healthier choices.
Yet we still struggle with prevention as one of the biggest challenges

in health remains how to motivate people – particularly those who are
more at risk – to change.
From solutions focusing on the To predictive technology and

majority and the average proactive initiatives that
motivate people to lead
healthy lives
Health
Onespaces trends 2017 | 119 | Strictly
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confidential
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Cardiology Oncology
Did you know that about half of all cancers
could be avoided?
What can you do to reduce your risk of cancer?
4 BE PHYSICALLY ACTIVE IN EVERYDAY LIFE 9 RADIATION
Limit the time you spend Find out if you are
sitting and aim for at least exposed to radiation
30 minutes of moderate from naturally high radon
physical activity a day. levels in your home. Find
out more information
on radon levels from the
£º
Environmental Protection
Agency. www.epa.ie
min
5 HAVE A HEALTHY DIET 10 ADVICE FOR WOMEN
Eat fruit, vegetables, whole Breastfeeding is proven to
grains and pulses. Limit foods reduce the risk of cancer.
high in sugar, salt and fat. HRT is a hormonal drug
Avoid processed meat and for menopausal symptoms
limit red meat. which increase risk of certain
cancers. Limit HRT.
1 DO NOT SMOKE 6 AVOID ALCOHOL 11 GET VACCINATIONS

One in three of all cancers Drinking alcohol can cause Some cancers are spread
is related to smoking. Cut at least seven types of by viruses and bacteria.
out the cigarettes and cut cancer. Cutting back - or Ensure your children
your cancer risk. even better - avoiding take part in vaccination
alcohol altogether will programmes for Hepatitis
reduce your risk. B (for newborns) and
Human papillomavirus
(HPV) (for girls over 12
Currently it remains a challenge to prevent heart Cancer is not yet considered a lifestyle disease
years).
diseases because early symptoms are not always but there is mounting
2 AVOID SECOND-HAND SMOKE
Keep your home and
workplace smoke free.
evidence that
7 AVOID TOO MUCH SUN
Skin cancer is the most
common cancer in Ireland
lifestyle
12 GET SCREENED FOR CANCER
Screening is checking for cancer
or conditions that may lead to
Second-hand smoke with over 10,000 new cases cancer in people that may have no
correctly diagnosed, or not recognized at all. Next factors play a big role in whether or not a person
increases the risk of lung diagnosed in 2011. Be symptoms. Take part in organised
cancer and heart disease in SunSmart: protect your cancer screening programmes for
non-smokers. skin when outdoors bowel cancer (men and women,
(sunscreen is not enough) breast cancer (women) and
and avoid sunbeds. cervical cancer (women).
to this preventative screening remains difficult as develops cancer, rather than bad luck. Behavioral www.cancerscreening.ie
well. change (beyond stopping

3 BE A HEALTHY WEIGHT
As the amount of fat in
HE 8 POLLUTANTS
ALTHY
smoking) is just as
Protect yourself in your
the body increases, so does workplace and follow
We won’t give up
relevant for cancer prevention as elsewhere.
the chance of developing health and safety
certain cancers. Take action instructions.
to have a healthy body
weight by being physically
active and eating a healthy
until cancer does.
Also, will the increase of lifestyle diseases makes Traditional vaccinations and screening programs
diet.
people realize they are not always aware of areoutunder

Find more aboutscrutiny and
the European Code there
Against Canceris
andaways
big drive
to reduce yourto cancer risk
on www.cancer.ie/europeancode or call: 1800 200 700
how harmful it is what they do, or are simply not make screening programs preciser, less invasive
motivated do so? The majority of cardiovascular and as harmless as possible and to screen the
diseases is caused by unhealthy behavior and right people at the right time.
is strongly connected to other diseases such as
obesity and mental disorders such as depression. In the future liquid biopsies will become available
Fewer than 3% of American adults follow four that provide much easier tests that enable much
main components of a heart-healthy lifestyle earlier detection and that have a much lower
according to new research. Two thirds of the threshold to participate.
cardiovascular diseases can be prevented if we
take better care of our bodies.
One step ahead | 120 | Strictly confidential – for internal use only

Respiratory FPP
Decrease of air quality, increase in allergies Prevention plays a huge role within FPP. When
– particularly amongst children – and the it comes to behaviors, a healthy lifestyle (no
exponential growth of lifestyle diseases such obesity, less alcohol, sport) certainly increases
as COPD highlights the need for preventative the chances to get pregnant in the first place but
and proactive measures in order to get grip on also helps to prevent complications for baby or
population health and ever rising health care costs. mother during. Further, the first 1000 days are
Diagnosed COPD patients today are only the tip relevant to give the child a good start in life to
of the iceberg: “how to find the missing millions?” best avoid issues later on.
Quicker, cheaper and more precise tools for early
diagnostics are on the rise. Also the rise of tracking The rise of monitoring devices, connected
and monitoring devices offers new possibilities in wearables and sensors offers new possibilities
the respiratory field, above all when these tools for women to – ad-hoc, on the go or at home
start to predict future health state like exacerbation – document their own health and gather more
or an asthma attack. COPD is incurable; however, insight into their status. It changes the approach
proper treatment can slow the progression of to maternal health to a more proactive one.
the disease. According to the latest forecasts, if Fertility issues could in the future potentially
appropriate measures for prevention are taken be detected earlier (or health issues affecting
in the near future, the overall mortality rate fertility), complications of the unborn baby could
associated with COPD will decrease by 30 per cent. be on the radar faster.

Sub-trend 1
Systemic health
Research suggests that we need to place a greater

emphasis on systemic health.
For example, there is an increasing awareness &

evidence of connection between apnea and CVD.
Two or more diseases, or comorbidities, can have
a profound effect on each other: for example,
plaque can increase the risk of heart failure,
depression can cause gestational diabetes, and
stress can even change a baby’s genes.
Data will help us find these cross links between

health issues. Therefore, these insights into our
systemic health through cross analytics and vast
amounts of health data will help us to stay one “In the next five years, no doctor will practice
step ahead.
without these tools. AI will become a tool
that’s indispensable.”
Vic Gundotra | CEO AliveCor
Health Spectator
Oralucent.com
Poor oral health has been debated as a possible cause of Many pregnant women are anxious or depressed, and this
heart disease can affect how the baby’s brain develops. If we are born too
small, for example, we are more likely to have cardiovascular
disease later.

Sub-trend 2
From the top down …
Successful top down initiatives from governments

to force healthy behaviour change include
smoking bans and taxes on sugary food. In the
light of population health management, they
are now taking a new approach, by increasing
coverage of preventative care too. In 2016 the
US Diabetes Prevention Program, an intensive
intervention program for people at risk, was the
first of its kind to become eligible for expanded
coverage under Medicare, but this might change
considering the new US government. Similarly the
German Preventive Health Care Act of 2015 sets
out measures to prioritize disease prevention.
As more people live in cities than ever before and “Employers who invest in workplace wellness
global pollution spikes, cities introduce ever more
ingenious green initiatives. Hong Kong recently
programs saved on health insurance
tested a prototype of an outdoor air purification premiums, reduced absenteeism and time off
system that looks like a public bus stop shelter
and proved to filter between 30% and 70% of
for medical care, enjoyed greater productivity
air pollution. Next stop could be air purifying and improved employee morale.”
billboards and art installations or pollution eating
materials in public spaces. Harvard Business Review | 2010
Insurance companies and employers are getting

in on the act too. One rewards customers for
eating more vegetables, while others offers
financial incentives and consequences for poor
health habits.
Food Manufacturer
Mass.gov blog
Sino.com
Jamie’s strategy to combat childhood National Diabetes Prevention Program The Hong Kong office of Arupand Sino
obesity resulted into draft legislation for named the first preventive health Green developed a patent-pending air
a tax on sugar-sweetened drinks, which initiative eligible for medicare coverage. purification system that targets street-
is set to begin from April 2018. canyon pollution at the pedestrian
level.

Sub-trend 3
… To the ground up ?
The challenge now is to motivate people “at risk”, but recently the Philips Sleep team has found a
for example due to lifestyle issues or a family way to incorporate it into their DreamMapper app
history, to take part in preventative actions. – with very encouraging results
To plan for better future health creating
awareness and raising the level of health
knowledge is a difficult and enormous task. Good
healthy behavior doesn’t pay-off immediately it
may take years before the effect pays back, so
finding motivation to change therefore needs to
be based on long-lasting ideas and goals need
to be realistic. Using positive motivational tactics
such as nudging, educational videos, and bringing
cause and effect together in a way that is simple
and understandable are amongst the strategies
that are proven to have effect and are now gaining
momentum.
CMS (centre for Medicare and Medicaid services)

cites a physician in New York who developed a “Most people don’t want to know about
video for patients experiencing lower back pain.
Seventy-nine percent of eligible patients viewed
prevention. They only get interested in it
the video, CMS said, and as a result, the practice once they get sick.”
saw a 4% drop in radiological exams with no
adverse results. Lynne Dunbrack | research vice president
for IDC Health Insights
Another approach to engaging and coaching
people is using “motivational interviewing” to
enable behavior change by focusing on the
patient’s own concerns and perspectives. The
technique is usually used by a real life clinician,
Health Affairs
Dreamstime
Motivating people at risk remains a Nudging: making the most unhealthy So-called challenges, enabled by
challenge. drinks more difficult to reach at Alfred Social Media and peer power, are
Hospital, led to a drop in their sales by increasingly encouraging behavior
12%, and a jump in sales of healthier change: Stop-smoking-in 28-
and healthiest drinks by 4% and 8% days, the Quit-30-Challenge or
respectively. Only 1 in 100 consumers the Sugarchallenge to name a few
even noticed the change 0. examples.

Sub-trend 4
Predictive monitoring
While wearables have increased awareness

of how a change in habits can contribute to
a healthier life, most are still reactive devices
that merely track what happened to a person’s
biometrics in the past. However, one area that
shows huge promise in the field of preventative
medicine is predictive monitoring.
These are devices that are usually worn or stuck

to the body that track and analyze physical
metrics (such as breathing rate and heart rate) and
combine it with personal clinical data and other
data to recognize patterns and predict illness.
Some new solutions can predict asthma or heart
attacks hours ahead of time. One can even predict
an emergency event up to a month in advance:
the Philips Lifeline fall detector with CareSage for “Around 40% of expensive hospital transfers
the elderly or infirm can calculate the likelihood
of the person falling up to 30 days ahead of time,
could have been avoided if patients had used
which save lives as well as expensive hospital Lifeline with the predictive service CareSage,
bills.
according to a study by non-profit US
Predictive technology has enormous potential healthcare group Partners Healthcare”
for use in both the hospital and at home. But not
everyone is convinced. Many health professionals Retrospective Evaluation of Philips Lifeline
still trust their own measured data to predictive CareSage Predictive Model on Patients of
technologies. Partners Healthcare at Home
Cardiac Monitoring.com
Med Device Online
Philips.com
The ZIO® Patch is a new form of This ECG chip maintains consistent Eight leading US health systems adopt
ambulatory cardiac monitoring beat detection capabilities, even under CareSage to monitor fall risk for up to
described as a wearable patch and has movement (~40mVpp), paving the way 6,500 discharged patients per month.
no leads, no wires and no batteries. to a low cost, low power multi-sensor
Systems-on-Chip (SoCs) solution for
wearable medical applications.

Sub-trend 5
Faster, cheaper, smaller, better
Cheaper, faster, and more accurate digital tools

are helping clinicians to screen for diseases earlier
too. New 2D and 3D reconstruction methods
are starting to allow doctors to see things that
previously couldn’t be visualized.
A team around Thomas Koehler at Philips

Research in Hamburg has developed the Dark-
field X-ray method to detect early-stage COPD;
making visible what wasn’t visible before by
simply adding a part to existing x-ray machines.
Scientist have invented a hand-held breath “The Biop device is perfect for any setting,
monitor to detect flu. The device is similar to
the breathalyzers used by police officers when
especially for doctors and nurses in rural
suspecting a driver influenced by alcohol. “I think areas who don’t have, and can’t afford, the
that technology like this is going to revolutionize
personalized diagnostics,” according to Dr. Perena
fancy equipment usually needed to test for
Gouma, “This will allow people to be proactive cervical cancer.”
and catch illnesses early, and the technology
can easily be used to detect other diseases, such
Ilan Landesman | Biop medical founder and CEO
as Ebola virus disease, simply by changing the
sensors.”
Cheaper and more accurate imaging technology

is also helping health professionals to reach
patients in remote and rural areas. Portable
screening devices such as the Biop device are
being hailed as game changing solutions.
University of Texas
Biopmedical
Philips.com
Gouma’s device is similar to the Biopmedical is intended to assist “Lumify is a game-changing

breathalyzers used by police officers gynecologists in early diagnosis of pre- innovation. The affordability, flexibility
when they suspect a driver of being cancerous and cancer cells in real time. and versatility of Lumify make
under the influence of alcohol. it appealing to those working in
emergency settings”.

and expectations?
Patient
Moving responsibility to patients that Positive motivational tactics: Show Leverage the existing position in
are not necessarily willing, motivated progress, results, benefits to make business (kitchen appliances, sleep)
lifestyle change more rewarding Education and guidance
Tools that make the problem visible/ (interrelatedness of lifestyle, nutrition,
tangible for the patient sleep etc.)
Addressing the person in their context/ Population management tools
environment
Readable and understandable for
consumers
Patients expect to be warned in time Expectation that everything is Sell more tracking and monitoring
predictable and preventable (no risk devices
society) Population management tools
Predictive algorithms
Triggering early checkup – looking Lifestyle integration: Blur between Subscription health checks
Professional
for the invisible when there are no medical and lifestyle offerings Do-it-yourself checks
symptoms, visible signs or history (i.e. All in one go: total check-ups Patient-reported data
with regards to infertility) Population management tools
Growing awareness about Early warning systems More integrated health tech offerings
comorbidities (touching lifestyle and health care)
Understanding which content providers
are best suited for patients portals (i.e.
FB)
More capacity needed for keeping More predictive insights Data management center detecting
track and analyzing streams of in- Better communication tools between abnormal behavior
coming data all involved parties
Tasks get distributed amongst more
players
Rise of GP assistants to manage larger
populations in primary to tertiary
prevention programs

Behavior change is the Holy Grail.
Dr. Janet Wright | executive director of Million Hearts, an initiative from
the US Center for Disease Control and Prevention to prevent 1 million
heart attacks and strokes by 2017

Mastering our destiny
Manipulating nature
Health
Mastering
spaces
our
destiny | 130 | Strictly confidential
confidential
– for
– for
internal
internal
useuse
only
only
Definition
These days, we seem more bound by the limits of our own imagination
than those of scientific possibility. Thanks to pioneering research and
ground breaking discoveries in the field of molecular biology we are
starting to become true masters of our own health.
But it raises some big questions too, around the ethical, financial
and emotional cost to us all. Will patients expect solutions, whatever
the price? Will our societies be overfull of people living with chronic
diseases? Where do we draw the line, if at all?
From a deterministic view that we To pushing the boundaries

cannot and must not alter the of science to enhance the
fundamental building blocks body’s capabilities at any
of the human body cost
Health
Mastering
spaces
our
destiny | 131 | Strictly confidential
confidential
– for
– for
internal
internal
useuse
only
only
Cardiology Oncology
Currently, the only treatment options for Genomics of cancer and cell-growth are
damaged heart muscle are surgery, if possible, important research areas, biomolecular medicine
and for the worst cases, a whole heart is an area under continuous development,
transplantation. But there’s a huge shortage of the new learnings open doors to potentially
organs for transplantation, and for this reason, new diagnostics and treatment methods.
new strategies to treat heart disease need to Immunotherapy, science breakthrough of
be developed. But what if instead of curing and the Year 2013, is now a field under frantic
treating heart diseases, we can repair, replace, development. The first ever human to be treated
or recode the heart and heart vessels? The with activation immunotherapy (using gene-
discovery of a regenerative stem cell active in editing) was a baby suffering from ALL in 2015.
human blood vessels could help patients with a China where the first to treat an adult human; a
cardiovascular disease. Next to self repairment, lung cancer patient in 2016. Also pioneers in 3D
3D printing of organ (tissue) is a potntial future printing are testing and trying 3D printed bones
for cardiology. Organovo successfully bioprinted as replacement when tumors are too difficult/
liver tissues already in 2014. Still at its infant impossible to remove. Perhaps a long time
stage, researchers have been studying the into the future these techniques may become
CRISPR-Cas9 gene-editing system as a potential transferable to organs.
therapeutic tool to modify or delete pathogenic
sequences within the human genome. Cpf1-
based gene editing was able to at least partially
restore function in cultures heart muscle cells
derived from a DMD patient.
Mastering our destiny | 132 | Strictly confidential – for internal use only

Respiratory FPP
We found very little evidence of this trend for Science is expanding possibilities for new
Respiratory. diagnostics and treatments for infertility,
Which means it’s either less applicable for the pregnancy-related diseases or prematurity.
health space or it’s still at an infancy level. But also on the side of future parents a shift in
attitude can be observed: Almost everything
“So many people have established disease [COPD] seems possible nowadays and not having a baby
so we need to find a way to regenerate or repair isn’t an option anymore. Age, infertility or the lack
damaged lungs. But that’s of course not easy. The of a partner (see Platonic Parenting trend) aren’t
potential risk of cancer with stem cell therapies seen as a hindrance as new treatments allow
added to the already increased risk of lung cancer them to still conceive. Overall, this trend is about:
in people with COPD makes stem cells an unlikely
candidate. And the complicated genetic milieu, Preserving potential: Be in control, pre-plan,
along with the strong environmental component of keep all options open and actively define the
the disease, precludes a blockbuster gene therapy.” moment of a pregnancy.
Ian Jarrold, head of research at the charity British Managing fertility: Growing numbers of ‘middle-
Lung Foundation in the Pharmaceutical Journal. aged mothers’ and issues with infertility. People
exhaust all options to overrule the biologic clock.
The best start in life: Parents only want the best

for their children – from stem cell therapy to early
education programs.

Sub-trend 1
We can regrow you
If you have been hospitalized because of heart

failure at least once, the outlook is grim: at five
years, more than 50% of these patients are dead.
But that’s changing. Trials in the US using stem
cells from the patient’s own heart have shown
dramatic results. Some patients were able to walk
again for the first time, while the heart of another
showed healthy functionality in scans a year later.
This method of using stem-cells to stimulate

the body’s own repair mechanisms to heal
previously irreparable cells or organs – called
regenerative medicine – is a very promising
field for cardiovascular disease. Other studies “It is a truly dramatic result. [Thanks
have explored using stem cells to heal teeth
(in mice) and restore eye sight after injury. And
to your own stem cells] we were able
in a promising new study stem cell transplant to bring your heart function back to
was used as a follow-up after chemotherapy
with multiple sclerosis patients, for 23 out of 24
normal.”
patients the treatment greatly reduced the onset Dr Roberto Bolli | Chief of Cardiology at University of Louisville
of disease, but one patient died, so the treatment talking to heart failure patient Jim Dearing, who received adult
does “offer hope” but also comes with “significant stem cells harvested from his own heart in a groundbreaking
risks” says An MS Society spokeswoman. clinical trial to reverse heart failure; WebMD
http://bit.ly/1kn0Dme
http://bit.ly/29NFoXc
Scientists Turn Skin Cells into Heart In a world first, Australian scientists cavities self-repair (in mice). The
Cells and Brain Cells Using Drugs. have figured out how to reprogram dentine regenerates when a low doses
Source: Gladstone.org adult bone or fat cells to form stem of the small molecule inhibitor glycogen
cells that could potentially regenerate kinase (GSK-3) is administered, “leading
any damaged tissue in the body. to a complete, effective natural repair.”
Source: sciencealert. Source: Fastcoexist.

Sub-trend 2
Hacking your own cells or genes
In the future, doctors may be able to treat a Some scientists are even trying to stop time itself.
disease – or even stimulate re-growth of a body PhD microbiologist Brian Hanley is testing anti-
part – by inserting a gene into a patient’s cells aging gene therapy on himself, by injecting copies
instead of using drugs or surgery. The World-first of a gene into his thigh in the hope that his body
‘three-parent’ baby born to an infertile couple, will produce more of a hormone that may increase
using mitochondrial donation. his strength, stamina, and life span.
In Oncology the much hyped Activation

Immunotherapy technique involves taking T-cells
from patients, arming them with molecules that
target cancer, and putting them back into the
body. And researchers are looking at changing the
tumor surrounding cells genetically so that they
hinder apoptose, the researchers could break the “We are delighted to have shown that
tumor and prevent further growth.
gene-edited cells can successfully treat
New genome-engineering technologies such leukaemia that has not responded to
as CRISPR could allow researchers to perform
microsurgery on genes, precisely and easily
standard treatments”, “This is a landmark
changing a DNA sequence at exact locations in the use of new gene engineering
on a chromosome, which enables us to modify
genes to treat disease. Researchers in China have
technology and the effects for this child
reported editing the genes of human embryos have been staggering.”
to try to make them resistant to HIV infection.
Waseem Qasim | Professor of Cell & Gene Therapy at the
Autodesk has brought genetic design tools to
Institute of Child Health, UCL and Consultant in Paediatric
scientists and Invitrogen/Thermo Fisher have a
Immunology/BMT at Great Ormond Street Hospital, London
complete cell-engineering solution.
Cardi http://bit.ly/2miKfrl
http://bit.ly/2li1skH
Philips.com
Brian Hanley is testing anti-aging gene The Los Angeles clinic HRC Fertility Gene drive to hijack evolution. Gene
therapy on himself, injecting plasmid says it will soon help couples select Drives as biologists call the cellular
containing the human GHRH into his both gender and physical traits in a machinery that guarantees inheritance
thighs. Source: MIT technology review. baby when they undergo a form of — have enormous potential promise
fertility treatment. as well as risks. No Experiments using
Source: The Wall-Street Journal. gene drives in vertebrates, let alone
humans, are known to be underway.
But a growing number of labs are
working with the technology in about
six species.

Bio-engineering the body
We can also enhance or repair the body’s building a synthetic human genome from scratch.
capabilities by engineering or 3D printing “scientists could build exactly the genomes they
replacement bones and bio-printing skin. Organs want from scratch, by stringing together off-the-
and limbs are next on the horizon. Bio printers shelf DNA letters” said George Church, Harvard
artificially construct living tissue by placing living geneticist. Analysts estimate that we’re around 20
cells layer upon layer (using a bio-degradable years away from being able to 3D print at cell or
support structure) to create a 3D structure. gene level. And the ability to do so raises serious
Organovo’s exVive 3D printed liver tissue has ethical questions.
revolutionized pharmaceutical drug testing and
experts expect the first fully 3D printed human
organs to be ready by 2030.
A recent study promises to enable us to print the

key to life itself. In 2016, scientists at Northwestern
University 3D printed an ovary from living cells
and a Jello-like material. When implanted into
mice that had had their ovaries removed, the
mice regained their monthly cycle and gave birth
to healthy pups. If successful in humans, the
prosthetic could extend female reproductive
lifespan by decades, and even restore fertility in
women who previously couldn’t have children.
In 2010 the Craig Venture Research Institute

managed to create the First Self-Replicating
Synthetic Bacterial Cell and recently scientists,
lawyers and entrepreneurs gathered “to discuss
the concept of an international project focused
on large genome synthesis as the next chapter
in our understanding of the blueprint of life,”
3D printing skin grafts toheal burns. Man with spinal tumor has 3D-printed Drugs on demand: So far, one of
Source: PSFK. vertebrae implanted in world-first the biggest successes of synthetic
surgery. Source: Mashable. biology has been the antimalarial
drug artemisinin. Source: The
Pharmaceutical journal.

and expectations?
Patient
Precision and personalized treatment Bio-molecular procedures save more Use imaging tools to create perfect
becomes possible lives renders to 3D print/copy blueprint of
More patients get 3D printing body parts (bones for now, organs
replacement bones later)
Long term: solving organ shortage Develop advanced 3D printer/
Better care experience (less partnering
debilitating)
Increasing patient satisfaction
It takes years before it becomes clear Living with devastating side-effects of Develop algorithms and equipment
what the side-effects are of new super toxic new treatments that allows treatment to be even more
treatments. precise.
Professional
New life-changing/life-saving Growing expectations for the Need for scientific proof of new
(pioneering) treatment options professionals on what they can help to procedures, very little data available
achieve/cure
Risk of glorification of the profession
(‘miracle maker’)
Increasing pressure if they fail
It’s changing how we look at therapies. Make it easy for professionals to work Genomic Informatics/Genomic
Biomolecular therapy with new therapies (i.e. Thermo Fisher) sequencing/Genomic Services,
supporting new (gene)therapies,
partnering up.
Increasing costs of treatments, using Financial pressure on the patient and New financial models
pioneering technologies. the system
There will be ceilings for spending per
patient per year.

The reason you want to alter the
human body is because that’s the
way humanity survives long-term
extinction. It’s actually unethical
not to evolve the human body
even though it can be scary and
challenging. But it’s what’s going
to allow us to explore, live and get
to places we can’t even dream of
today.
Juan Enriquez | Mexican-American businessman and speaker,
TED Talk “What will humans look like in 100 years?”

Appendix
Trend evolution
Health spaces trends 2017
Appendix
Trend Evolution 2010 2015 2017
Empowering Cyber
Patients chondria
Healthy
Fun
Entrepreneur Health
ship Horizons
Informal
Caregivers
Holistic Natural
Health Health
Body
Control
Social
Health
Health spaces trends 2017

124
About us and further info
Why?
At the end of 2013 Philips Design took initiative to start a trend program to
inspire the the Philips Innovation community. We live in times of turbulent
change, we need to anticipate these changes in order to remain relevant to
people and markets.
What do we do?
We deliver company wide trend reports to inspire innovation for Health &
Wellbeing and Philips Health Spaces.
How to use this report?

Feel free to use this document in internal presentations, workshops and
innovation activities.
If you want to learn more about trends, as well as having questions on

how to leverage the findings in the most effective way and / or want to
stay connected to The Trend Network? Please contact:
Cardiology [email protected]
Oncology [email protected]
Respiratory [email protected]
FPP [email protected]
[email protected]
For regular trend updates and inspiring signals:

https://connectus.socialcast.com/groups/4137-thetrendnetwork
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General
40 trend driving the future of medicine, 2016 by The Medical Futurist
Faculty perspectives on Healthcare, 2012 by Michael Porter
Disrupt or be disrupted, 2016 by Accenture
Inside wearables, 2014 by Dan Ledger, Daniel McCaffrey, Endeavour Partners
Future Health Index report, 2016 by Philips
Healthcare rallies for Blockchains, 2016, by IBM Institute for Business Value survey conducted by
The Economist Intelligence Unit
Patient engagement is a strategy, not a tool, 2014, by Leonard Kish
5 year forward strategy, 2014, by NHS
What are PROMS and PREMS, 2014, by Raj Verma
US patient portal market for hospitals and physicians, 2013 by Frost & Sullivan
Implementing a successful population health management program, 2016, by James Proctor,
Brain A. Rosenfeld, Laurel Sweeney
President-elect Donald Trump: Turnaround time, 2016, by PWC
Population health: scaling up, 2016, by PWC
Top healthcare issues of 2016, Thriving in the new health economy, 2016, by PWC
Top ten big data trends for 2017, 2016, by Tableau
Winning in the API economy, 2016, by 3Scale
Wired health 2016, 2016, by Stylus
Healthcare 2020 Business model transformation guidebook, 2016, by Frost & Sullivan
Cardiology
Cardiology Trends, 2016, by Leontien de Roode
Clinical Trends, 2016, by IGT systems
Geographical clinical trends, 2016
Mental vitality, 2016, by Joost Horsten
Body fluid metabolite profiling for biosensors, 2016, by Alwin Verschueren
Coronary artery disease, 2016, by Shankara Reddy
Transformation of the American Hospital, 2016, by Frost & Sullivan
Identification of metabolicbiomarkers in patients with type 2 diabetic coronary heart diseases based
on metabolomic approach, 2016, by Xinfeng Liu, Jian Gao, Jianxin Chen, Zhiyong Wang2, Qi Shi2,
Hongxue Man, Shuzhen Guo, Yingfeng Wang, Zhongfeng Li & Wei Wang
Metabolomics, a promising approach to translational researchin cardiology, 2015, by Martino Deidda,
Cristina Piras Pier Paolo Bassareo, Christian Cadeddu Dessalvi, Giuseppe Mercuro
Cardiovascular Biomarkers in Exhaled Breath, 2012, by Frank S. Cikach Jr.a, Raed A. Dweika
Cardiology Seminar Series, 2016, by Shankara Reddy
Oncology
Shaping the Future of Oncology: Envisioning Cancer Care in 2030 by ASCO; American Society of
Clinical Oncology
“Collective Wisdom; The Future of Patient-Centered Care and Research” 2016 educational book by
ASCO American Society of Clinical Oncology
Cancer Moonshot, report to the US present Barack Obama from the vice-president Joe Biden
Patient-centered oncology payment, May 2015 by ASCO; American Society of Clinical Oncology
Clinical Pathways and Guidelines, Oct 2016: by Gijs Geleijnse, Brian Pagan, Lu Wang, Aisan Maghsoodi,
Philips Research
Trends, unmet needs in clinical oncology diagnostics, May 2014 by Anja van de Stolpe, Philips Research
Quick intro to cancer diagnosis by Swiss Reinsurance Company Ltd.
Development of a Total Solution for Next Generation Cancer Diagnostics: rising to the number one in
Cancer Diagnostics Jan 2015, by Group MDx, Philips Research
BIG BETS in oncology: Diagnosis and treatment of the cancer patient in 2030, A clinical point of view,
by Philips Research
Oncology Clinical Trends, Sep 2014 by Philips Imaging Systems, ICAP (HISS) and Philips Research
Medical Academy Oncology, Jul 2017, Brabic Drazenko
Oncology Clinical Technology Compendium, May 2015 by The Advisory Board Company
Global Oncology Trend Report, June 2016 by IMS Institute
Crisis, Opportunity…or the “New Normal”?, 2013, by Dave Emery, Kantar Media
Global Oncology eLandscape, July 2015 by Ogilvy
UX trends for IP-gen, Aug 2016, Philips Design
US Patient Portal Market for Hospitals and Physicians, Overview and Outlook, 2012–2017 by Frost &
Sullivan
Deep Learning, Innovation Brief – status update Sep 2015 by Philips Research
Digital Reinvention for the Cognitive Era, reinventing Healthcare, Oct 2016 by Peter J. Korsten, IBM
Blockchain, Enigma. Paradox. Opportunity by Deloitte
An introduction to Artificial Intelligence and its relevance to healthcare, May 2017 by Homer Pien,
Philips Research
Distributed Ledger Technology: beyond block chain, A report by the UK Government Chief Scientific
Adviser
Cancer Treatment & Survivorship, Facts & Figures 2016-17 by American Cancer Society
Oncology baseline facts & figures by Hans Hofstraat, Philips Research
Oncology players, 2015 by Elektra
Benchmark Competition Mammography, Consumer/patient facing communication, apr 2016, Susanne
Klarenbeck Philips Healthcare
2016 Oncology Service Line Outlook, by The Advisory Board
Delivering affordable cancer care, a value challenge to health systems, report to World Innovation
Summit for Health Forum 2015
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Health systems research report executive summary, Nov 2016, by Philips
Respiratory
Health Research Institute – Top health industry issues of 2016 – Thriving in the New Health Economy,
2016, by PWC
Health Research Institute – Population Health, May 2016, by PWC
Health Care Advisory Board: 5 Must-Have-Upgrades for the Consumer-Focused Health-System
Future Health Index Report, 2016, by Philips
The volume-to-value Revolution, 2012, by Oliver Wyma
US Patient Portal Market for Hospitals and Physicians Overview and Outlook, 2012–2017, Frost &
Sullivan
Preparing a health care workforce for the 21st century – The challenge of chronic conditions, 2016,
by WHO
Ambient Air Pollution – A global assessment of exposure and burden of disease, 2016, by WHO
Digital Reinvention for the Cognitive Era – Reinventing Healthcare, 2016, by WHO
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Ch. Barretto, A. Vink, D. Matthew
Air2020 Lifestyle trend report, 2015, Philips Design
Asthma Research NL, 2016, Philips Design, H. Hoogewerf
Dark-Field X-Ray (DAX) Imaging, 2016, Philips Research T.Koehler & N.Wieberneit
Unobtrusive Respiration monitoring, 2016, Philips Research, I.Kirenko
Behavior Change Programs: The way forward, 2016, Philips Research, J.Lacroix
FPP
State of Modern Motherhood Report, 2015, by Babycenter
Millennial Moms, by Weber Shandwick / KRC Research
Future of Parenting, 2016, by Trend Bible
Lifestyle trends – Parenting in US & Europe, 2015, by Philips Design, E.Beckers
Lifestyle trends – Pregnancy Journey China, 2015, by Philips Design, E.Beckers
Parenting trends in Brazil, 2014, by Philips Design, E.Beckers 2014
Family Care Experience Journey, 2016, by Philips Design/ FPP
References per trend
Maximizing value by improving quality

http:// www.westhealth.org/wp-content/uploads/2015/02/The-Value-of-Medical-Device-
Interoperability.pdf
https:// www.nlm.nih.gov/medlineplus/news/fullstory_159164.html
https:// www.sciencedaily.com/releases/2016/05/160517191825.htm
http:// www.clinicaladvisor.com/copd-information-center/bundled-payment-initiative-did-not-
reduce-copd-readmissions/article/628946/
https:// en.wikipedia.org/wiki/Population_health
http:// catalyst.nejm.org/bundled-payments-maternity-care/
http:// www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60063-X/fulltext
https:// experts.umn.edu/en/publications/health-economics-of-screening-for-gynaecological-
cancers
http:// www.philips.co.uk/healthcare/product/HCNOCTN482/ecarecoordinator-clinical-dashboard-
for-ambulatory-health
http:// www.philips.co.uk/healthcare/product/HCNOCTN483/ecarecompanion-patient-app-your-
patients-gateway-to-care
https:// www.ncbi.nlm.nih.gov/pubmed/27919292
http:// www.westhealth.org/wp-content/uploads/2015/02/The-Value-of-Medical-Device-
Interoperability.pdf
http:// revcycleintelligence.com/news/per-capita-diabetes-spending-soars-to-
10000-per-person?__hstc=33802686.70320e9cdbf557431a5268f18133
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&__hsfp=1989147656
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https:// www.aci.health.nsw.gov.au/__data/assets/pdf_file/0003/253164/Overview-What_are_
PROMs_and_PREMs.pdf
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hospitalqualityinits/hospitalhcahps.html
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The Superprofessionals
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https:// www.bloomberg.com/news/articles/2017-02-16/microsoft-takes-another-crack-at-health-
care-this-time-with-cloud-ai-and-chatbots
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http:// www.affectiva.com/?_sm_au_=isV0MfKF035tDk3s
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patients-babies-in-utero-kypros-nicolaides
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http:// www.wired.co.uk/article/wired-health-virtual-reality-surgery-shafi-ahmed
http:// www.popsci.com/how-virtual-reality-could-help-doctors-treat-cancer
https:// 3dprint.com/162522/3d-printed-heart-models-china/
https:// www.theguardian.com/technology/2016/dec/09/virtual-reality-childbirth-pain-relief
https:// elearningindustry.com/surgical-simulation-training-virtual-reality-future-surgical-training
https:// www.indiegogo.com/projects/embryon-a-path-to-learning-human-embryology
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https:// mytomorrows.com/en/
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http:// www.mnn.com/green-tech/research-innovations/stories/medical-makers-reinvent-healthcare
http:// www.mnn.com/health/fitness-well-being/stories/the-doctor-is-in-your-living-room
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development-80c6503ff1f8
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with-respiratory-illnesses.col
Collaborative care across the continuum
https:// www.theguardian.com/society/2017/feb/04/stroke-clinics-hospitals-centralised
http:// www.isala.nl/verwijzers/verwijzen/behandelingen-onderzoeken/cardiale-snelstraat-spect-ct
https:// www.theguardian.com/society/2017/feb/04/stroke-clinics-hospitals-centralised
http:// www.joycehostyn.com/blog/2016/03/16/are-hospitals-ready-to-embrace-creativity/
http:// www.forbes.com/sites/robertpearl/2016/12/01/how-an-electronic-health-record-can-save-
time-money-and-lives/4/
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pediatric-asthma-center
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http:// www.caremore.com/Care-Programs/Lung-Disease.aspx
http:// www.dukechronicle.com/article/2016/12/incorporating-personal-care-into-the-medical-field
http:// birthcenter.uchospitals.edu/our-team/our-midwives/
http:// bhmpc.com/2012/04/patient-centered-medical-home-a-model/
http:// www.rwjf.org/en/library/articles-and-news/2014/06/coh-prize-brownsville-tx.html.
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saving-money/
http:// www.rwjf.org/en/library/articles-and-news/2014/06/coh-prize-brownsville-tx.html
https:// youtu.be/7ExuAiKoVi0
http:// international.foodinspiration.com/en/magazine/11239/810500/farm_to_bed_cooking.
html?utm_source=email&utm_medium=regularemail&utm_content=textlink
http:// www.wholesomewave.org/our-initiatives/nationalnutritionincentivenetwork/currentprojects/
fruit-and-vegetable-prescription-projects/
https:// rodaleinstitute.org/rodale-institute-and-st-lukes-university-health-network-partner-to-
provide-organic-produce-to-to-patients-staff-and-visitors/
https:// youtu.be/rwfJtIBsgFk
Digital dialogue
https:// www.alivecor.com/en/?gclid=Cj0KEQiAtqHEBRCNrdC6rYq9_oYBEiQAejvRl2n25y534mKv-n7PF
MNfnqiwyW5C9uGn1GRmsGapYU4aAoCe8P8HAQ
https:// www.pager.com/
https:// justdoc.com/content/general-physician/doctor-live-chat-free
https:// www.instagram.com/wework/
https:// econsultancy.com/blog/66445-tweet-to-order-pizza-pr-stunt-or-the-future-of-social/
http:// www.theatlantic.com/health/archive/2014/12/the-skype-psychologist/382910/
https:// www.whatsapp.com/
http:// fortune.com/2016/08/25/whatsapp-encryption-doctors-healthcare-hipaa/
http:// www.oliverwyman.com/content/dam/oliver-wyman/global/en/files/archive/2013/OW_ENG_
HLS_PUBL_Volume_to_Value_Revolution.pdf
http:// www.frost.com/c/10036/sublib/frost-content.do?sheetName=report-
overview&sheetGroup=NC61-01-00-00-00&viewName=virtual-
brochure&repid=NC61-01-00-00-00
https:// www.alivecor.com/en/?gclid=Cj0KEQiAtqHEBRCNrdC6rYq9_oYBEiQAejvRl2n25y534mKv-n7PF
MNfnqiwyW5C9uGn1GRmsGapYU4aAoCe8P8HAQ
https:// www.pwc.com/us/en/health-industries/top-health-industry-issues/assets/2016-us-hri-top-
issues.pdf
https:// www.americanwell.com/
http:// www.doctorondemand.com/blog/allergy-asthma-network
http:// www.caremore.com/
http:// fortune.com/2016/08/25/whatsapp-encryption-doctors-healthcare-hipaa/
https:// www.linkedin.com/pulse/new-whatsapp-end-to-end-encryption-free-hipaa-shlomo-heifetz
https:// figure1.com/
http:// www.forbes.com/sites/robertpearl/2016/12/01/how-an-electronic-health-record-can-save-
time-money-and-lives/3/
http:// www.medgadget.com/2017/02/clarius-wireless-handheld-ultrasounds-cleared-europe.html
https:// news.fastcompany.com/this-digital-stethoscope-can-now-add-heart-lung-sounds-to-your-
medical-record-4008253
https:// ekodevices.com/blog/heart-and-lung-sounds-become-part-of-the-EHR
http:// www.breastfeedinghousecalls.com/virtuallactationconsultant.html
http:// www.smartinhaler.com/
http:// lifesciences.instinctif.com/news/2016/11/independent-clinical-study-shows-adheriums-
smartinhaler-dramatically-improves-clinical-outcomes-and-medication-adherence-in-
children-with-asthma
http:// www.idavatars.com/meet-sophie.html?_sm_au_=isV0MfKF035tDk3s
https:// www.babylonhealth.com/
http:// www.wired.co.uk/article/babylon-ali-parsa
https:// www.mytherapyapp.com/
http:// www.idavatars.com/meet-sophie.html
http:// www.breastfeedinghousecalls.com/virtuallactationconsultant.html
https:// virtual.swedish.org/
http:// windtales.net/
https:// www.dokterdokter.nl/gezond-leven/algemeen/technologische-ontwikkelingen-voor-het-
bestrijden-van-verschillende-soorten-kanker/
https:// www.youtube.com/watch?v=lvtfD_rJ2hE
https:// youtu.be/lvtfD_rJ2hE
http:// appliedvr.io/
http:// breathinggames.net/?q=fr
http:// www.swissgamecenter.ch/
http:// patient.info/leaflets/dr_google.htm
Empowered patients
https:// www.rijksoverheid.nl/actueel/nieuws/2016/10/06/schippers-investeert-105-miljoen-in-
inzage-eigen-dossier
http:// www.raconteur.net/technology/how-technology-is-helping-save-the-nhs
https:// www.healthit.gov/providers-professionals/faqs/what-electronic-health-record-ehr
http:// www.uspnn.com/featured/how-accurate-are-online-symptom-checkers/
https:// spaarnegasthuis.nl/mijn-spaarnegasthuis
https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC4394966/
http:// www.gartner.com/newsroom/id/3198018

http:// www.mioglobal.com/en-uk/Mio-SLICE-heart-rate-fitness-tracker-UK/Product.aspx
https:// getawair.com/
http:// www.gizmag.com/awair-monitor-air-quality-home/37750/
http:// mhealthintelligence.com/news/can-digital-assistants-be-mhealth-assistants
http:// www.understandinghealthresearch.org/
https:// www.mrc.ac.uk/
https:// www.theguardian.com/science/blog/2016/aug/08/the-online-tool-that-helps-the-public-
decode-health-research
http:// www.mioglobal.com/en-us/Mio-SLICE-heart-rate-fitness-tracker/Product.aspx
https:// getawair.com/
https:// www.kickstarter.com/projects/962920513/climate-create-your-own-friendly-environment
http:// lungdiseasenews.com/2016/03/02/free-asthma-health-app-expanded-uk-ireland-
according-mount-sinai-lifemap-solutions/
https:// www.facebook.com/DrivingMissNorma/?fref=ts
http:// www.ncpc.org.uk/palliative-care-explained
http:// hospicefoundation.ie/tag/think-ahead/
http:// www.dignitas.ch/
http:// www.irishnews.com/lifestyle/2016/06/22/news/palliative-care-to-be-improved-by-patient-
feedback-573376/?param=ds441rif44T
http:// www.rtlnieuws.nl/nieuws/opmerkelijk/laatste-wens-nog-een-keer-naar-rijksmuseum
http:// www.goodnewsnetwork.org/they-wanted-her-to-undergo-cancer-treatment-but-90-year-
old-hits-the-road-instead/
Consumerization of care
https:// newsroom.uber.com/uberhealth/
https:// heal.com/
http:// www.raredr.com/news/uber-lyft-clinical-trials
http:// blog.doctorondemand.com/
http:// www.doctorondemand.com/
https:// newsroom.uber.com/relatient-integration/
http:// www.caremore.com/
http:// jamanetwork.com/journals/jama/article-abstract/2547765
http:// www.doctorondemand.com/blog/allergy-asthma-network
https:// heal.com/
https:// cvshealth.com/about/our-offerings/cvs-minuteclinic
https:// www.walgreens.com/pharmacy/scheduler/health_schedule_appointment.jsp
http:// intl.target.com/c/-/N-54x94
http:// www.boots.com/en/Pharmacy-Health/Online-Clinic/
http:// www.usatoday.com/story/money/business/2013/02/18/companies-invest-in-self-service-
health-care-kiosks/1928873/
http:// www.insurancetech.com/would-you-get-a-health-insurance-quote-at-the-airport/a/d-id/1313130?
https:// www.thedacare.org/about-us/ThedaCares-Improvement-Journey/Collaborative-Care-Case-Study.aspx
https:// everydayinnovators.org/2016/12/15/applying-toyota-model-to-health-care/
https:// www.thedacare.org/Hospitals-and-Clinics/FastCare.aspx
https:// www.yelp.com/biz/minute-clinic-blaine?hrid=xoRx0KXxP0C4jEkJF7lfXw&rh_ident=nurse_
practitioner&rh_type=phrase
https:// www.pwc.com/us/en/health-industries/top-health-industry-issues/assets/2016-us-hri-top-issues.pdf
http:// www.insurancetech.com/would-you-get-a-health-insurance-quote-at-the-airport/a/d-
id/1313130?_sm_au_=isVPsJDNkHQDt21V
https:// www.prescan.nl/total-body-scan/
http:// www.jhsph.edu/research/centers-and-institutes/institute-for-health-and-productivity-
studies/_docs/promoting-healthy-workplaces/JNJ.pdf
http:// www.tagesspiegel.de/wirtschaft/erbgutanalyse-von-molecular-health-krebsgene-auf-
kosten-des-arbeitgebers-testen/12356674.html
https:// blog.flatworldsolutions.com/outsourcing-healthcare-sector-know/
https:// www.hosco.com/en/advice/article/outsourcing-and-whats-next-for-hotels
http:// khn.org/fikry-wellness-q-and-a/
https:// www.scripps.org/services/executive-health
http:// finance.yahoo.com/news/two-day-5-000-c-140022794.html?_sm_au_=isVjjmfvFPq2RB1B
http:// www.tagesspiegel.de/wirtschaft/erbgutanalyse-von-molecular-health-krebsgene-auf-
kosten-des-arbeitgebers-testen/12356674.html
http:// khn.org/news/studies-employer-costs-slow-as-consumers-use-less-care-deductibles-soar/
http:// liveclinic.com/blog/healthcare/the-top-10-doctor-review-sites/
http:// www.aeaweb.org/
http:// www.forbes.com/sites/dandiamond/2014/08/22/apple-google-are-jumping-into-health-
care-is-amazon-next/
https:// www.promedica.org/pages/home.aspx
https:// www.newchoicehealth.com/
https:// www.managedcaremag.com/archives/2017/1/reviews-are-cms-rating-hospitals-gets-15-stars
https:// www.advisory.com/daily-briefing/2016/11/02/health-systems-price-transparency
http:// www.gesundheitsregionaachen.eu/en/handlungsfelder/secondary-healthcare-market.html
http:// www.travelandleisure.com/blogs/cruise-news-hypoallergenic-rooms-on-crystal-cruises
https:// www.theguardian.com/cities/2014/dec/16/beijing-airpocalypse-city-almost-uninhabitable-
pollution-china
https:// spinoff.nasa.gov/Spinoff2013/cg_4.html
https:// www.theguardian.com/cities/2014/dec/16/beijing-airpocalypse-city-almost-uninhabitable-
pollution-china?_sm_au_=isVfJvSWrQ0M8tDR
http:// finance.sina.com.cn/stock/usstock/mtszx/20150302/100921621704.shtml?_sm_au_
http:// www.luxuo.com/properties/hotel/respire-by-hyatt-allergenic-rooms.html
Personalized care
https:// www.raadrvs.nl/uploads/docs/Zonder_context_geen_bewijs.pdf
https:// en.wikipedia.org/wiki/Enterotype
https:// www.bloomberg.com/news/articles/2014-03-20/andrew-hessels-autodesk-team-seeks-
crowdsourced-cancer-cure
https:// www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/InVitroDiagnostics/
ucm407297.htm
https:// en.wikipedia.org/wiki/Metabolomics
http:// www.medscape.com/viewarticle/875099
https:// www.ft.com/content/c1fed4c0-944c-11e5-bd82-c1fb87bef7af
https:// www.linkedin.com/in/ronennroubenoff
http:// www.the-scientist.com/?articles.view/articleNo/48070/title/Pharma-Cooperates-to-Achieve-
Precision-Medicine/
https:// www.nih.gov/research-training/allofus-research-program
http:// www.wsj.com/articles/bristol-bucks-trend-toward-precision-medicine-1457912801?mod=pls_
whats_news_us_business_f
http:// www.investors.com/news/technology/merck-bristol-myers-incyte-race-toward-a-cure-in-25-
billion-i-o-market/
http:// www.news-medical.net/news/20160808/Immunotherapy-innovations-in-oncology-an-
interview-with-Robert-LaCaze.aspx
http:// finance.yahoo.com/news/rapidly-screen-molecules-novel-immuno-140000673.html
http:// www.cnbc.com/2016/02/16/scientists-hail-spectacular-results-from-cancer-revolution.html
http:// www.nature.com/nature/journal/v537/n7619_supp/full/537S63a.html
http:// www.zeit.de/2015/35/karl-lauterbach-spd-krebs-chemotherapie-buch/seite-2
http:// www.prnewswire.com/news-releases/precision-medicine-unlocks-the-future-of-targeted-
therapy-in-the-global-healthcare-industry-300404940.html
https:// www.nytimes.com/2016/12/03/health/immunotherapy-cancer.html?_r=3
https:// www.nih.gov/precision-medicine-initiative-cohort-program/pmi-cohort-program-announces-
new-name-all-us-research-program
https:// en.wikipedia.org/wiki/Experience_sampling_method
https:// gupea.ub.gu.se/handle/2077/716?locale=sv
https:// boomstarter.ru/projects/385566/ohmygut_issleduy_svoy_vnutrenniy_mir
http:// www.movisens.com/en/
http:// pinkarmy.org/
https:// www.fastcompany.com/3065413/world-changing-ideas/genetics-startup-helix-wants-to-
create-a-world-of-personalized-products
http:// www.multivu.com/players/English/7764551-aprecia-pharmaceuticals-spritam/
http:// www.cftr.info/about-cf/cftr-mutations/the-six-classes-of-cftr-defects/
https:// www.nytimes.com/2017/08/12/health/cancer-drug-trials-encounter-a-problem-too-few-
patients.html?mcubz=1
https:// www.asco.org/
https:// www.asco.org/about-asco/overview/asco-vision
http:// www.fiercebiotech.com/it/epatientfinder-raises-8m-to-use-algorithms-to-match-patients-
to-clinical-trials
https:// www.cnbc.com/2017/08/14/fda-tests-groundbreaking-human-organs-on-a-chip.html
https:// www.nytimes.com/2017/08/12/health/cancer-drug-trials-encounter-a-problem-too-few-
patients.html?mcubz=1
https:// www.digitaslbi.com/en-gb/insights/disrupting-clinical-trials-digital-data-and-technology
https:// www.mskcc.org/blog/clinical-trial-shows-promise-basket-studies-drugs
https:// www.apple.com/uk/researchkit/
https:// www.technologynetworks.com/microfluidics/news/first-3d-printed-microfluidic-lab-on-a-
chip-produced-291112
https:// www.cnbc.com/2017/08/14/fda-tests-groundbreaking-human-organs-on-a-chip.html
https:// medicalxpress.com/news/2016-05-precision-cancer-treatment.html
https:// www.technologynetworks.com/genomics/articles/personalised-medicine-transforming-lives-
one-diagnosis-at-a-time-292712
Global health brain
http:// www.cnbc.com/2016/12/22/as-heart-disease-deaths-rise-health-experts-focus-on-
prevention.html
http:// www.sciencedirect.com/science/article/pii/S0735109717368456
http:// www.forbes.com/sites/reenitadas/2016/02/04/the-internet-of-medical-things-digitalization-
revolutionizes-respiratory-care-management
https:// www.nhlbi.nih.gov/health/educational/copd/get-involved/COPD-Action-Plan-Draft-
FINAL_508.pdf
http:// www.gsk.com/en-gb/behind-the-science/innovation/how-smart-is-your-inhaler/
http:// www.thenewsminute.com/article/cough-your-phone-and-app-will-tell-you-if-you-have-
tb-59340
http:// www.tcd.ie/innovation/industry/academic/vitalograph.php
https:// deepmind.com/
https:// youtu.be/07XPEqkHJ6U
https:// arterys.com/
https:// youtu.be/hVibPJyf-xg
https:// ww2.frost.com/news/press-releases/600-m-6-billion-artificial-intelligence-systems-poised-
dramatic-market-expansion-healthcare/
http:// www.bbc.com/news/technology-37653588
http:// www.3scan.com/
https:// www.humandx.org/
https:// hbr.org/2015/05/customer-data-designing-for-transparency-and-trust
http:// www.popsci.com/pharmacy-chains-offer-discounts-in-exchange-for-your-personal-health-
data
http:// uk.businessinsider.com/best-dna-test-23andme-vs-ancestry-2016-11?r=US&IR=T
https:// www.buzzfeed.com/ryanbergara/people-got-tested-to-see-what-their-actual-ethnicity-is-
and?utm_term=.wpwREbZaM
http:// www.ringholm.com/column/GDPR_impact_on healthcare_data_interoperability.htm?utm_
content=buffer768df&utm_medium=social&utm_source=linkedin.com&utm_campaign=buffer
https:// www.wired.com/2017/02/moving-patient-data-messy-blockchain-help/
http:// tedx.amsterdam/2015/07/is-data-a-new-currency/
https:// www.fastcompany.com/3040356/what-23andme-is-doing-with-all-that-dna
http:// americangut.org/
https:// cancerlinq.org/
http:// www.ibm.com/watson/health/index.html
https:// www.tensorflow.org/
https:// www.clinicalgenome.org/
http:// hitconsultant.net/category/emr-ehr/
http:// www.wired.co.uk/article/deepmind-nhs-data-sharing-streams-app-privacy
https:// deepmind.com/applied/deepmind-health/streams/
http:// www.forbes.com/sites/siemenshealthineers/2017/01/30/breaking-down-silos-partnerships-
may-foster-better-healthcare-pathways/
http:// www.sciencealert.com/nasa-just-made-all-the-scientific-research-it-funds-available-for-free
https:// gdc.cancer.gov/
http:// www.govtech.com/security/Washington-Medicaid-Authority-Exposes-91000-Health-
Records.html
http:// www.popsci.com/fda-issues-warning-cyber-security-risks-medical-devices
https:// www-03.ibm.com/press/us/en/pressrelease/51394.wss
https:// www.wired.com/2016/03/go-ahead-hackers-break-heart/
https:// cloud.google.com/genomics/
https:// www.wired.com/2017/02/moving-patient-data-messy-blockchain-help/
http:// www.beckershospitalreview.com/healthcare-information-technology/what-the-us-can-
learn-from-estonia-s-electronic-health-records.htm
http:// www.beckershospitalreview.com/healthcare-information-technology/8-blockchain-
healthcare-startups-to-know.html
Minimal impact
https:// www.raadrvs.nl/uploads/docs/Zonder_context_geen_bewijs.pdf
http:// edition.cnn.com/2015/01/29/tech/mci-nanobots-eth/
https:// futurism.com/new-tricorder-like-tech-lets-us-detect-tumours-without-touching-skin/
http:// www.usa.philips.com/a-w/about/news/archive/standard/news/press/2015/20150612-Philips-
launches-anatomically-intelligent-quantification-tool-for-cardiac-ultrasound-imaging.html
http:// www.ucirvinehealth.org/find-a-doctor/u/edward-uchio/
http:// anti-cancer.com/story/right-treatment-right-patient/
https:// www.plannedparenthood.org/learn/birth-control/fertility-awareness
https:// www.kindara.com/
http:// fobi.vub.ac.be/image/Contents/IVMART.jpg
https:// futurism.com/new-tricorder-like-tech-lets-us-detect-tumours-without-touching-skin/
http:// www.usa.philips.com/healthcare/product/HC881062/intellispace-portal-80-all-your-
advanced-analysis-needs-one-comprehensive-solution
http:// clinicalinnovations.com/portfolio-items/rom-plus-rupture-of-membranes-test/
https:// www.etsy.com/search?ref=auto1&as_prefix=oxygen+&q=oxygen+tank+bag&order=most_
relevant&view_type=gallery&ship_to=GB
http:// www.usa.philips.com/a-w/about/news/archive/standard/news/press/2016/20160606-
philips-proprietary-camera-based-monitoring-technology-is-first-in-the-world-to-measure-
absolute-arterial-blood-oxygenation-levels-without-ever-touching-the-patient.html
http:// www.mirror.co.uk/news/world-news/brave-teenager-cystic-fibrosis-fulfils-6146202
https:// www.willowpump.com/
http:// www.idsa.org/awards/idea/graduate-student-designs/safety-animal-band
http:// www.babycenter.com/0_gentle-c-section_10404484.bc
http:// www.reuters.com/article/us-health-asthma-cleaning-products-idUSKBN0O71QM20150522?_
sm_au_=isVJ7bsKJ5WrN576
https:// nccih.nih.gov/health/integrative-health
http:// www.parentherald.com/articles/64030/20160829/the-fertility-crisis-is-real-and-its-getting-
worse.htm
http:// americanpregnancy.org/infertility/acupuncture/
http:// www.securvita.de/securvita-aktuell/erneut-deutschlands-beste-krankenkasse.html
https:// www.securvita.de/
https:// www.sciencedaily.com/releases/2016/12/161201121135.htm
https:// avivaromm.com/protecting-babys-microbiome/
https:// www.nytimes.com/2016/05/24/opinion/congress-moves-finally-on-toxic-chemicals.html
http:// learn.genetics.utah.edu/content/microbiome/changing/
http:// www.iflscience.com/health-and-medicine/what-vaginal-seeding/
http:// www.babybemedical.com/
http:// www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation
http:// www.huffingtonpost.com.au/2016/04/19/anti-inflammatory-diet_n_9717524.htm
https:// www.betterhealth.vic.gov.au/health/conditionsandtreatments/arthritis-and-diet
https:// www.monash.edu/medicine/ccs/gastroenterology/fodmap
https:// en.wikipedia.org/wiki/Ketogenic_diet
http:// www.gisymbol.com/about/glycemic-index/
https:// www.ornish.com/
https:// www.nestlehealthscience.com/
http:// tulane.edu/news/releases/tulane-teaching-kitchen-cooks-up-lessons-in-culinary-medicine.cfm
http:// fertilekitchen.blogspot.nl/2011/06/fertility-diet-and-journey-to-our.html
https:// en.wikipedia.org/wiki/Nutrigenomics
https:// draxe.com/food-is-medicine/
https:// draxe.com/personalized-diet/
http:// www.pbs.org/newshour/updates/five-healthy-recipes-doctor-approved/
http:// www.bbc.co.uk/news/health-38304076
http:// edition.cnn.com/2015/01/29/tech/mci-nanobots-eth/
360° patient care
http:// www.swp.de/bietigheim/lokales/bietigheim_bissingen/mit-dem-krebs-klarkommen-
pschychoonkologin-im-interview-11798970.html
http:// welovecarers.org/
https:// www.cancer.gov/about-cancer/managing-care/track-care-costs/financial-toxicity-pdq
http:// www.conceptaplc.com/investors-dashboard/media-centre/75-the-mail-on-sunday-
pregnancy-kit-maker-concepta-passes-all-the-tests
https:// www.kickstarter.com/projects/865795124/melomind-the-ultimate-relaxation-headset/
comments?cursor=13385970
http:// thisismedtech.com/article/make-way-new-global-cancer-movement
http:// www.abc.net.au/pm/content/2015/s4165360.htm
http:// www.detroitnews.com/story/news/special-reports/2015/12/09/urban-asthma-solutions-
needed/77004548/
http:// lungdiseasenews.com/2015/12/07/copd-patients-mental-health-can-affect-life-quality/
http:// www.proactiveinvestors.co.uk/companies/news/172789/concepta-aims-to-take-stress-out-
of-conception-172789.html
http:// consumer.healthday.com/senior-citizen-information-31/misc-aging-news-10/copd-may-
damage-aging-brain-685873.html
http:// greatergood.berkeley.edu/article/item/compassionate_mind_healthy_body
http:// www.webmd.com/
https:// www.patientslikeme.com/
http:// www.babycenter.com/
http:// john-norris.net/2008/12/02/healthcare-support-groups-in-the-virtual-world-of-imvu/
https:// hospitalglam.tumblr.com/
http:// inallthings.org/how-instagram-changed-my-infertility-battle/
http:// www.forbes.com/sites/viviennedecker/2016/05/31/vinayas-kate-unsworth-launches-zenta-
the-worlds-first-biometric-band-for-your-emotional-wellbeing/
http:// www.forbes.com/sites/viviennedecker/2016/05/31/vinayas-kate-unsworth-launches-zenta-
the-worlds-first-biometric-band-for-your-emotional-wellbeing/
https:// www.indiegogo.com/projects/zenta-stress-emotion-management-on-your-wrist
http:// www.railwaygazette.com/news/technology/single-view/view/robot-station-attendants-
introduced.html
http:// www.myfeel.co/
https:// www.wareable.com/wearable-tech/feel-wristband-specs-price-release-date-details-2148
http:// www.affectiva.com/
http:// news.mit.edu/2014/with-emotion-tracking-software-affectiva-attracts-clients-mood-aware-
internet-0731
http:// www.cancerresearchuk.org/prod_consump/groups/cr_common/@nre/@pol/documents/
generalcontent/crukmig_1000ast-3344.pdf
http:// www.independent.co.uk/life-style/health-and-families/health-news/the-5-warning-signs-
that-show-you-might-have-cancer-a6675681.html
http:// www.huffingtonpost.com/barbra-streisand/womens-heart-health_b_1135486.html
http:// inallthings.org/how-instagram-changed-my-infertility-battle/
https:// www.womeninc.nl/behandelmealseendame/?utm_source=Facebook
http:// www.newswise.com/articles/view/667270/?sc=dwhn
http:// www.upi.com/Health_News/2016/05/12/Study-Most-asthma-research-does-not-apply-to-
black-children/3011463061838/
http:// www.dailymail.co.uk/health/article-3254720/Revealed-5-warning-signs-cancer-young-
people-shocking-new-figures-diagnosed-E.html
http:// www.148apps.com/app/638021335/
https:// www.ons.gov.uk/peoplepopulationandcommunity/
healthandsocialcare/healthandlifeexpectancies/datasets/
inequalityinhealthylifeexpectancyatbirthbynationaldecilesofareadeprivationengland
One step ahead
http:// www.wired.co.uk/news/archive/2015-12/17/external-factors-key-to-cancer-risk
https:// www.nih.gov/news-events/news-releases/depression-early-pregnancy-linked-gestational-
diabetes-nih-study-finds
https:// health.spectator.co.uk/a-stressful-pregnancy-matters-it-can-change-a-babys-genes/
http:// www.medscape.com/viewarticle/775950
http:// www.bbc.com/news/health-35824071
http:// www.diabetes.org/newsroom/press-releases/2016/national-dpp-named-first-preventive-
health-initiative-eligible-for-medicare.html?referrer=https://www.google.nl/
https:// www.bundesgesundheitsministerium.de/prevention/the-preventive-health-care-act.html
http:// www.sino.com/en-US/Media-Center/Photo-Library/2015/Corporate-Social-Responsibility/
Sino-Green-and-Arup-Unveil-City-Air-Purification-S
http:// www.theguardian.com/cities/2014/nov/14/parasitic-robots-neon-billboards-purify-city-air
http:// www.psfk.com/2014/05/new-simon-armitage-poem-fights-pollution-literally.html

http:// www.psfk.com/2014/05/pollution-cleaning-tiles.html
http:// www.peta.org/living/other/life-insurance-company-rewards-customers-eating-veggies/
http:// www.chicagotribune.com/business/ct-rush-united-cheaper-surgery-0508-biz-20160506-
story.html
http:// www.investopedia.com/articles/personal-finance/030116/why-higher-bmi-shouldnt-raise-
insurance-rates.asp
https:// hbr.org/2010/12/whats-the-hard-return-on-employee-wellness-programs
http:// www.pwc.com/us/en/health-industries/health-research-institute/weekly-regulatory-
legislative-news/week-of-10-24-2016.html
https:// www.sleepapnea.com/products/dreammapper
http:// www.behaviouralinsights.co.uk/trial-results/behavioural-insights-and-healthier-lives-our-
new-report-with-vichealth/
https:// www.mychallengetribe.com/Challenge-839357-stop-smoking-in-28-days
https:// quitsmokingcommunity.org/quit30/day-30/
https:// www.sugarchallenge.nl/
http:// www.newindianexpress.com/states/tamil_nadu/Wear-a-Battery-Chip-as-New-ECG-
Device/2016/01/17/article3230462.ece
https:// www.lifeline.philips.com/business/caresage
https:// www.technologyreview.com/s/543716/your-doctor-doesnt-want-to-hear-about-your-fitness-
tracker-data/
https:// www.managedcaremag.com/news/scientist-invents-hand-held-breath-monitor-detect-flu
http:// www.biopmedical.com/product
http:// www.anywherehealth.com/2016/04/21/anywhere-ultrasound-philips-lumify-is-a-game-
changer/
Mastering our destiny
http:// www.webmd.com/heart-disease/heart-failure/video/stem-cell-healing-hearts
http:// hplusmagazine.com/2015/09/14/stem-cells-could-cure-heart-disease/
http:// www.worldhealth.net/news/new-treatment-uses-stem-cells-induce-teeth-self-re/
http:// www.mdr.de/wissen/blindheit-heilen-mit-stammzellen-100.html
http:// www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)30169-6/abstract
https:// gladstone.org/about-us/news/scientists-turn-skin-cells-heart-cells-and-brain-cells-using-
drugs
http:// www.sciencealert.com/new-stem-cell-treatment-using-fat-cells-could-repair-any-tissue-in-
the-body
https:// www.fastcoexist.com/3067151/scientists-have-found-a-way-for-cavities-to-repair-
themselves-but-dont-stop-flossing-yet
http:// www.sciencealert.com/world-first-in-ukraine-as-three-parent-baby-born-to-an-infertile-
couple
https:// en.wikipedia.org/wiki/Mitochondrial_replacement_therapy
http:// www.cnbc.com/2016/02/16/scientists-hail-spectacular-results-from-cancer-revolution.html
http:// www.blikopnieuws.nl/gezondheid/237622/proces-van-celdood-stopzetten-zou-kanker-
kunnen-bestrijden.html
https:// en.wikipedia.org/wiki/CRISPR
http:// www.nature.com/news/second-chinese-team-reports-gene-editing-in-human-
embryos-1.19718
https:// www.autodeskresearch.com/news/truly-make-anything-autodesk
https:// www.thermofisher.com/nl/en/home/life-science/genome-editing.html
https:// www.technologyreview.com/s/603217/one-mans-quest-to-hack-his-own-genes/
https:// www.wsj.com/articles/SB123439771603075099
https:// www.engadget.com/2016/07/03/cancer-patient-receives-3d-printed-jaw/
http:// www.wakehealth.edu/Research/WFIRM/Research/Military-Applications/Printing-Skin-Cells-
On-Burn-Wounds.htm
http:// 3dprint.com/25499/organovo-exvive3d-liver/
https:// 3dprint.com/118932/uc-san-diego-3d-printed-liver/
https:// ascent.atos.net/3d-printed-hearts-homes-mars-future-additive-manufacturing/?utm_
content=bufferc7ea0&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer
https://s ingularityhub.com/2016/04/10/this-3d-printed-prosthetic-ovary-restores-female-fertility-in-
mice/
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bacterial-cell-constructed-by-j-craig-venter-institute-researcher/home/
https:// www.statnews.com/2016/05/13/harvard-meeting-synthetic-genome/
http:// www.psfk.com/2014/10/skin-graft-technology-3d-printing.html
http:// mashable.com/2016/02/25/3d-printed-vertebrae-spine/
http:// www.pharmaceutical-journal.com/news-and-analysis/features/synthetic-biology-microbes-
made-to-manufacture-drugs/20069575.article
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Design

Health Trends 2017

Welcome to the latest Philips future Healthtrends report

Our Trendlab team has tapped the collective knowledge

This report is just the beginning, later in the year we will

I hope you’ll be inspired and excited by the contents of

If you have any feedback, or want to dig deeper into

Sean Carney | Chief Design Officer and Head of

Weak signal based

Core team Reference team

Design Business partners Chief medical officer

Cardiology Oncology Respiratory FPP

Design Design Design Design

Marcel Dirkes Philips: R&D Leader Program Office

Atul Gupta Philips: Head of Medical Office BG IGT

Jan Kimpen Philips: Chief Medical Officer, Strategy & Innovation

Maaike van Velzen Philips: Head of IP Portfolio Management, IP&S

Introduction Contents Fit with other

Philips market trends Trend program Health spaces in the

Maximizing value by The Superprofessionals Collaborative care

Digital dialogue Empowered patient Consumerization of care

Personalized care Global health brain Minimal impact

360˚ Patient care One step ahead Mastering our destiny

108 118 130

Philips Market Trends in HealthTech

Philips Clinical Trends Philips Design Health Trends

within Philips’ strategic focus Available:

To be used jointly to inform and inspire

These global trends are shaping the future of healthcare

1. Global resource constraints are driving the shift to value-based

2. Consumers are increasingly engaging in their health — creating

4. Digitalization has reached a turning point in healthcare, shifting value

Source: Philips market playbooks for the health spaces

Healthy living Prevention Diagnosis Treatment Home care

Consumers incleasingly Shift to value-based Care shifting to

FPP USA + DACH

Trend collaboration &

Medical Leadership Community

We are living in an age of complex problems and healthcare is one

The ageing population and new expensive treatment methods

Care is becoming personalized, every patient represents a unique data-

The ideal end-state would be that disease would be eradicated, and we

Introduction | 12 | Strictly confidential – for internal use only

Maximizing value by improving quality Personalized care

The Superprofessionals The global health brain

Collaborative care across the continuum Minimal impact

Digital dialogue 360˚ Patient care

Empowered patients One step ahead

Consumerization of care Mastering our destiny

Introduction | 13 | Strictly confidential – for internal use only

A standardized and measurable model based on long-term quality and value

From fee-for-service system that To a value-based system

The long-term value of

Research suggests that all parties stand to gain

How do we measure quality?

Traditionally, quality in healthcare means positive

Just like PHM tools, these quality measures

Financing our way to better outcomes

Value-based care is built on systems that

Marcel Dirkes Philips: R&D Leader Program Office

1. Global resource constraints are driving the shift to value-based

2. Consumers are increasingly engaging in their health — creating

4. Digitalization has reached a turning point in healthcare, shifting value

Digital-savvy professionals expect • Modularity • Need to better understand the world

Super specialists wanting to excel at • High precision tools (always getting