Healthcare: 10 Megatrends That Will Affect Your Life

Singh Jasjeet and Cynthia Mar

One of the best ways to anticipate change in your sector is to spend time outside it.”

– Michael Cameron (The Australian Newspaper, 18 May 2012)

I couldn’t agree more with Michael Cameron on this. Working outside healthcare and wellness, the incremental changes have become more prominent to me. Looking at them continually in action gives you a better perspective about the bigger megatrends ready to unfold in the near future.

healthcare megatrends in patient careToday, healthcare as an industry is rapidly evolving. The changes are not sudden and spectacular, but steady and evolutionary in nature. Most of the changes are engendered by the economic, social, and cultural trends already in action. In the future, health and wellness will punctuate and permeate our daily existence. The industry resonates with the spirit of today but also showcases the essence of the future.

Technology is also changing rapidly and transforming the way healthcare is provided. Organizations need to change to provide a more coherent and focused patient experience.  Healthcare needs to evolve into a form that is safe, immediate, evidence-based, and connected to cater to the patient needs of the future. Organizations will need to introduce new policy frameworks and business practices to succeed.

Through this series of blogs, I have tried to explore the potential ramifications of these trends on healthcare, including the extent in which they impact various stakeholders in the industry – payers, providers, and patients. While the jury is still out on most of megatrends, the signs of change are amplifying.  The rising costs of healthcare, the aging population, the development of emerging markets, the lack of skilled physicians, and ever-improving technology are factors that are tangible and have far-reaching consequences for the industry.  We know that that the old models of treatment and care are not working – making change an imperative, not a choice. In the immortal words of Bob Dylan: “Better start swimming or sink like a stone.”

We also look at current real-world examples and manifestations of the changes in action, and some ongoing research about the future implications of the changes. A poignant example of an emerging practice comes from Star Trek inspired tricorder: A portable device that can instantly take vitals and detect disease.  The size is even smaller than the device used by Spock!

This has been a profound, yet thought-provoking, research endeavor for me. But there is still a lot to be done. It would be interesting to see how healthcare evolves and updates itself to scale new heights in efficiency. I have researched examples that are pushing the envelope in healthcare – while not compromising on the integrity of the research – by looking only at trends that are widespread. I hope you find them earnest yet engaging, but I am sure you will enjoy the ride!!

Click here to read the rest of this blog series.

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About Singh Jasjeet and Cynthia Mar

Singh Jasjeet is the Competency Lead at SAP Labs. Cynthia Mar previously served as the Senior Director, Industry Solution Marketing, Healthcare, at SAP.

IoT Can Keep You Healthy — Even When You Sleep [VIDEO]

Christine Donato

Today the Internet of Things is revamping technology. IoT image from American Geniuses.jpg

Smart devices speak to each other and work together to provide the end user with a better product experience.

Coinciding with this change in technology is a change in people. We’ve transitioned from a world of people who love processed foods and french fries to people who eat kale chips and Greek yogurt…and actually like it.

People are taking ownership of their well-being, and preventative care is at the forefront of focus for both physicians and patients. Fitness trackers alert wearers of the exact number of calories burned from walking a certain number of steps. Mobile apps calculate our perfect nutritional balance. And even while we sleep, people are realizing that it’s important to monitor vitals.

According to research conducted at Harvard University, proper sleep patterns bolster healthy side effects such as improved immune function, a faster metabolism, preserved memory, and reduced stress and depression.

Conversely, the Harvard study determined that lack of sleep can negatively affect judgement, mood, and the ability retain information, as well as increase the risk of obesity, diabetes, cardiovascular disease, and even premature death.

Through the Internet of Things, researchers can now explore sleep patterns without the usual sleep labs and movement-restricting electrode wires. And with connected devices, individuals can now easily monitor and positively influence their own health.

EarlySense, a startup credited with the creation of continuous patient monitoring solutions focused on early detection of patient deterioration, mid-sleep falls, and pressure ulcers, began with a mission to prevent premature and preventable deaths.

Without constant monitoring, patients with unexpected clinical deterioration may be accidentally neglected, and their conditions can easily escalate into emergency situations.

Motivated by many instances of patients who died from preventable post-elective surgery complications, EarlySense founders created a product that constantly monitors patients when hospital nurses can’t, alerting the main nurse station when a patient leaves his or her bed and could potentially fall, or when a patient’s vital signs drop or rise unexpectedly.

Now EarlySense technology has expanded outside of the hospital realm. The EarlySense wellness sensor, a device connected via the Internet of Things, mobile solutions, and supported by SAP HANA Cloud Platform, monitors all vital signs while a person sleeps. The device is completely wireless and lies subtly underneath one’s mattress. The sensor collects all mechanical vibrations that the patient’s body emits while sleeping, continuously monitoring heart and respiratory rates.

Watch this short video to learn more about how the EarlySense wellness sensor works:

The result is faster diagnoses with better treatments and outcomes. Sleep issues can be identified and addressed; individuals can use the data collected to make adjustments in diet or exercise habits; and those on heavy pain medications can monitor the way their bodies react to the medication. In addition, physicians can use the data collected from the sensor to identify patient health problems before they escalate into an emergency situation.

Connected care is opening the door for a new way to practice health. Through connected care apps that link people with their doctors, fitness trackers that measure daily activity, and sensors like the EarlySense wellness sensor, today’s technology enables people and physicians to work together to prevent sickness and accidents before they occur. Technology is forever changing the way we live, and in turn we are living longer, healthier lives.

To learn how SAP HANA Cloud Platform can affect your business, visit It&Me.

For more stories, join me on Twitter.

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About Christine Donato

Christine Donato is a Senior Integrated Marketing Specialist at SAP. She is an accomplished project manager and leader of multiple marketing and sales enablement campaigns and events, that supported a multi million euro business.

Innovation In Healthcare: Who Cares?

Rakesh Shetty

The world has seen major innovations in health services over the past several years. These advances are enabling reimagined business models that deliver better services and care. The resulting transformation spans across not only healthcare, but also research, law, public services, and insurance sectors. This begs the question: Who benefits from the innovation and who cares? 

The common goal driving healthcare innovation is the delivery of the best care for the most affordable price. To this end, researchers and doctors have devised new techniques based on genomics that deliver precision care. For instance, gene tests can now help breast cancer patients avoid chemotherapy.

Another example is how pharmaceuticals companies are now coming up with personalized drugs for patients. According to data published by the Personalized Medicine Coalition, 42% of all compounds and 73% of oncology compounds in the pipeline have the potential to be personalized medicines.

Meanwhile, policymakers are working with key stakeholders across industry sectors to protect the interests of consumers and especially the underserved. Throughout the industry, everyone involved shares the purpose of improving health at affordable costs for all – and many are reaping the benefits.

Re-imagining business models

Consumers are now much better informed on the choices available to them, including ones on healthcare. In the United States, the Affordable Care Act offers consumers the opportunity to review health insurance from a wide variety of providers and make the best choice for their needs and budget.

To educate consumers on ways to improve their health, insurers are adopting new business models that include a major focus on healthy lifestyle choices. Employers are recognizing that healthy and engaged employees are good for business and they are working closely with the insurers to offer a broad, holistic portfolio of health services to employees.

The Centers for Disease Control and Prevention (CDC) offer employers a Worksite Health Scorecard. This helps companies assess if they have science-based health promotion and protection interventions at their worksites to prevent heart disease, stroke, and other related conditions.

Healthcare providers are re-imaging their business models too so they can cater to the informed consumer. For example, advanced practice registered nurses (APRNs) are often acting as the first point of care for patients as they address routine needs that may not require the attention of a doctor. These kinds of services expand the availability of health services while keeping costs down as highlighted in this summary on the effective utilization of APRNs.

Everyone recognizes that healthy choices lead to improved health and that prevention is better than cure.

Actionable insights for better care

Innovations in healthcare continue to unfold everyday at an accelerated pace. For instance, leading research institutions are leveraging Big Data to glean insights from patient data and associated outcomes to deliver precision care.

The American Society of Clinical Oncology can identify patterns in care based on cancer patient profiles. Their researchers can rapidly analyze millions of patient profiles using sophisticated software so doctors can offer precision care to cancer patients with matching profiles. The National Center for Tumor Diseases (NCT) leverages data from enormous amounts of patient profiles to better identify and treat tumors.

Recently, the healthcare industry introduced a new set of diagnostic codes in the United States. The update is based on the latest version of the International Classification of Diseases (ICD-10) tool. There are now 70,000 diagnostic codes for physicians (up from 14,000) and 72,000 diagnostic codes for hospitals (up from 4,000). This new coding system will provide much more granularity for tracking the care delivered to patients and deliver more meaningful insights based on actual patient outcomes. This will further empower consumers, doctors, and care providers to make informed decisions and improve health.

Improving lives

These are major strides in improved health services that benefit the entire community. I am optimistic about the journey ahead – yet there is more work ahead.

The vision and purpose of SAP is to help the world run better and improve people’s lives. SAP is already playing a key role in healthcare innovation and will continue to do so. SAP enables healthcare providers to transform their business models with technology that is at the epicenter of progress and innovation. To learn more about how our vision and purpose enables better health around the world, visit here.

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Rakesh Shetty

About Rakesh Shetty

Rakesh Shetty is the Head of Marketing for Strategic Industries at SAP responsible for financial services, retail, public services and telecommunications sectors. Mr. Shetty has worked in the software industry for over 18 years in a variety of roles delivering enterprise software solutions with assignments in Asia, Europe and the United States.

Diving Deep Into Digital Experiences

Kai Goerlich

 

Google Cardboard VR goggles cost US$8
By 2019, immersive solutions
will be adopted in 20% of enterprise businesses
By 2025, the market for immersive hardware and software technology could be $182 billion
In 2017, Lowe’s launched
Holoroom How To VR DIY clinics

Link to Sources


From Dipping a Toe to Fully Immersed

The first wave of virtual reality (VR) and augmented reality (AR) is here,

using smartphones, glasses, and goggles to place us in the middle of 360-degree digital environments or overlay digital artifacts on the physical world. Prototypes, pilot projects, and first movers have already emerged:

  • Guiding warehouse pickers, cargo loaders, and truck drivers with AR
  • Overlaying constantly updated blueprints, measurements, and other construction data on building sites in real time with AR
  • Building 3D machine prototypes in VR for virtual testing and maintenance planning
  • Exhibiting new appliances and fixtures in a VR mockup of the customer’s home
  • Teaching medicine with AR tools that overlay diagnostics and instructions on patients’ bodies

A Vast Sea of Possibilities

Immersive technologies leapt forward in spring 2017 with the introduction of three new products:

  • Nvidia’s Project Holodeck, which generates shared photorealistic VR environments
  • A cloud-based platform for industrial AR from Lenovo New Vision AR and Wikitude
  • A workspace and headset from Meta that lets users use their hands to interact with AR artifacts

The Truly Digital Workplace

New immersive experiences won’t simply be new tools for existing tasks. They promise to create entirely new ways of working.

VR avatars that look and sound like their owners will soon be able to meet in realistic virtual meeting spaces without requiring users to leave their desks or even their homes. With enough computing power and a smart-enough AI, we could soon let VR avatars act as our proxies while we’re doing other things—and (theoretically) do it well enough that no one can tell the difference.

We’ll need a way to signal when an avatar is being human driven in real time, when it’s on autopilot, and when it’s owned by a bot.


What Is Immersion?

A completely immersive experience that’s indistinguishable from real life is impossible given the current constraints on power, throughput, and battery life.

To make current digital experiences more convincing, we’ll need interactive sensors in objects and materials, more powerful infrastructure to create realistic images, and smarter interfaces to interpret and interact with data.

When everything around us is intelligent and interactive, every environment could have an AR overlay or VR presence, with use cases ranging from gaming to firefighting.

We could see a backlash touting the superiority of the unmediated physical world—but multisensory immersive experiences that we can navigate in 360-degree space will change what we consider “real.”


Download the executive brief Diving Deep Into Digital Experiences.


Read the full article Swimming in the Immersive Digital Experience.

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Kai Goerlich

About Kai Goerlich

Kai Goerlich is the Chief Futurist at SAP Innovation Center network His specialties include Competitive Intelligence, Market Intelligence, Corporate Foresight, Trends, Futuring and ideation. Share your thoughts with Kai on Twitter @KaiGoe.heif Futu

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Blockchain: Much Ado About Nothing? How Very Wrong!

Juergen Roehricht

Let me start with a quote from McKinsey, that in my view hits the nail right on the head:

“No matter what the context, there’s a strong possibility that blockchain will affect your business. The very big question is when.”

Now, in the industries that I cover in my role as general manager and innovation lead for travel and transportation/cargo, engineering, construction and operations, professional services, and media, I engage with many different digital leaders on a regular basis. We are having visionary conversations about the impact of digital technologies and digital transformation on business models and business processes and the way companies address them. Many topics are at different stages of the hype cycle, but the one that definitely stands out is blockchain as a new enabling technology in the enterprise space.

Just a few weeks ago, a customer said to me: “My board is all about blockchain, but I don’t get what the excitement is about – isn’t this just about Bitcoin and a cryptocurrency?”

I can totally understand his confusion. I’ve been talking to many blockchain experts who know that it will have a big impact on many industries and the related business communities. But even they are uncertain about the where, how, and when, and about the strategy on how to deal with it. The reason is that we often look at it from a technology point of view. This is a common mistake, as the starting point should be the business problem and the business issue or process that you want to solve or create.

In my many interactions with Torsten Zube, vice president and blockchain lead at the SAP Innovation Center Network (ICN) in Potsdam, Germany, he has made it very clear that it’s mandatory to “start by identifying the real business problem and then … figure out how blockchain can add value.” This is the right approach.

What we really need to do is provide guidance for our customers to enable them to bring this into the context of their business in order to understand and define valuable use cases for blockchain. We need to use design thinking or other creative strategies to identify the relevant fields for a particular company. We must work with our customers and review their processes and business models to determine which key blockchain aspects, such as provenance and trust, are crucial elements in their industry. This way, we can identify use cases in which blockchain will benefit their business and make their company more successful.

My highly regarded colleague Ulrich Scholl, who is responsible for externalizing the latest industry innovations, especially blockchain, in our SAP Industries organization, recently said: “These kinds of use cases are often not evident, as blockchain capabilities sometimes provide minor but crucial elements when used in combination with other enabling technologies such as IoT and machine learning.” In one recent and very interesting customer case from the autonomous province of South Tyrol, Italy, blockchain was one of various cloud platform services required to make this scenario happen.

How to identify “blockchainable” processes and business topics (value drivers)

To understand the true value and impact of blockchain, we need to keep in mind that a verified transaction can involve any kind of digital asset such as cryptocurrency, contracts, and records (for instance, assets can be tangible equipment or digital media). While blockchain can be used for many different scenarios, some don’t need blockchain technology because they could be handled by a simple ledger, managed and owned by the company, or have such a large volume of data that a distributed ledger cannot support it. Blockchain would not the right solution for these scenarios.

Here are some common factors that can help identify potential blockchain use cases:

  • Multiparty collaboration: Are many different parties, and not just one, involved in the process or scenario, but one party dominates everything? For example, a company with many parties in the ecosystem that are all connected to it but not in a network or more decentralized structure.
  • Process optimization: Will blockchain massively improve a process that today is performed manually, involves multiple parties, needs to be digitized, and is very cumbersome to manage or be part of?
  • Transparency and auditability: Is it important to offer each party transparency (e.g., on the origin, delivery, geolocation, and hand-overs) and auditable steps? (e.g., How can I be sure that the wine in my bottle really is from Bordeaux?)
  • Risk and fraud minimization: Does it help (or is there a need) to minimize risk and fraud for each party, or at least for most of them in the chain? (e.g., A company might want to know if its goods have suffered any shocks in transit or whether the predefined route was not followed.)

Connecting blockchain with the Internet of Things

This is where blockchain’s value can be increased and automated. Just think about a blockchain that is not just maintained or simply added by a human, but automatically acquires different signals from sensors, such as geolocation, temperature, shock, usage hours, alerts, etc. One that knows when a payment or any kind of money transfer has been made, a delivery has been received or arrived at its destination, or a digital asset has been downloaded from the Internet. The relevant automated actions or signals are then recorded in the distributed ledger/blockchain.

Of course, given the massive amount of data that is created by those sensors, automated signals, and data streams, it is imperative that only the very few pieces of data coming from a signal that are relevant for a specific business process or transaction be stored in a blockchain. By recording non-relevant data in a blockchain, we would soon hit data size and performance issues.

Ideas to ignite thinking in specific industries

  • The digital, “blockchained” physical asset (asset lifecycle management): No matter whether you build, use, or maintain an asset, such as a machine, a piece of equipment, a turbine, or a whole aircraft, a blockchain transaction (genesis block) can be created when the asset is created. The blockchain will contain all the contracts and information for the asset as a whole and its parts. In this scenario, an entry is made in the blockchain every time an asset is: sold; maintained by the producer or owner’s maintenance team; audited by a third-party auditor; has malfunctioning parts; sends or receives information from sensors; meets specific thresholds; has spare parts built in; requires a change to the purpose or the capability of the assets due to age or usage duration; receives (or doesn’t receive) payments; etc.
  • The delivery chain, bill of lading: In today’s world, shipping freight from A to B involves lots of manual steps. For example, a carrier receives a booking from a shipper or forwarder, confirms it, and, before the document cut-off time, receives the shipping instructions describing the content and how the master bill of lading should be created. The carrier creates the original bill of lading and hands it over to the ordering party (the current owner of the cargo). Today, that original paper-based bill of lading is required for the freight (the container) to be picked up at the destination (the port of discharge). Imagine if we could do this as a blockchain transaction and by forwarding a PDF by email. There would be one transaction at the beginning, when the shipping carrier creates the bill of lading. Then there would be look-ups, e.g., by the import and release processing clerk of the shipper at the port of discharge and the new owner of the cargo at the destination. Then another transaction could document that the container had been handed over.

The future

I personally believe in the massive transformative power of blockchain, even though we are just at the very beginning. This transformation will be achieved by looking at larger networks with many participants that all have a nearly equal part in a process. Today, many blockchain ideas still have a more centralistic approach, in which one company has a more prominent role than the (many) others and often is “managing” this blockchain/distributed ledger-supported process/approach.

But think about the delivery scenario today, where goods are shipped from one door or company to another door or company, across many parties in the delivery chain: from the shipper/producer via the third-party logistics service provider and/or freight forwarder; to the companies doing the actual transport, like vessels, trucks, aircraft, trains, cars, ferries, and so on; to the final destination/receiver. And all of this happens across many countries, many borders, many handovers, customs, etc., and involves a lot of paperwork, across all constituents.

“Blockchaining” this will be truly transformational. But it will need all constituents in the process or network to participate, even if they have different interests, and to agree on basic principles and an approach.

As Torsten Zube put it, I am not a “blockchain extremist” nor a denier that believes this is just a hype, but a realist open to embracing a new technology in order to change our processes for our collective benefit.

Turn insight into action, make better decisions, and transform your business. Learn how.

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Juergen Roehricht

About Juergen Roehricht

Juergen Roehricht is General Manager of Services Industries and Innovation Lead of the Middle and Eastern Europe region for SAP. The industries he covers include travel and transportation; professional services; media; and engineering, construction and operations. Besides managing the business in those segments, Juergen is focused on supporting innovation and digital transformation strategies of SAP customers. With more than 20 years of experience in IT, he stays up to date on the leading edge of innovation, pioneering and bringing new technologies to market and providing thought leadership. He has published several articles and books, including Collaborative Business and The Multi-Channel Company.