Chief Strategist, IBM Watson Cloud Platform, IBM Cloud

Andy Thurai

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IoT and Digitizing Healthcare | @ExpoDX @AndyThurai #IoT #IIoT #BigData #SmartCities #DigitalTransformation

APIs, IoTs, Analytics - helps save lives and reduce healthcare costs

Slow Healthcare Costs by Digitizing Healthcare

The United States spends around 17-18% of its GDP on healthcare every year. When you put this into dollar numbers, it is a mind-boggling $2.9 trillion.

Unfortunately, that spending will grow at a faster rate now due to baby boomers becoming an aging population, and they are the largest demographic in the U.S. (Baby boomers are about 76 million, which accounts for 25% of the population of the U.S.). The healthcare related spending is expected to grow at a faster pace than the under 5% annual rate it grew over the last decade.

Unless the U.S. gets this spiraling healthcare spending under control, in a few short years we will be spending almost 25% of our entire GDP in healthcare trying to fix people’s failing health, instead of spending it somewhere else where it is desperately needed. Obviously, we can’t stop the aging population, but we can make the healthcare system more efficient. Overall, chronic diseases account for about 86% of the health care spending in USA. Severe chronic conditions such as heart disease, arthritis, asthma and diabetes alone cost 33% of the total spending.

In the healthcare system, “mass medicine” without individual diagnosis is not a solution unless there is an epidemic that needs to be localized and cured. The physician is the authoritative person to give us the personalized medicine. But the unfortunate fact is that wait times to see doctors are getting longer, and the typical doctor/patient visits are getting shorter – typically lasting for 30 minutes or less. Even during that short visit, the diagnosis is based on how well the patient tracks the symptoms and, more importantly, how effectively the symptoms are communicated to the physician. Most times, the physicians try to associate the symptoms based on the local happenings to figure out the root cause. While this works most of the time, with the increasing load, there are times the opportunity for right diagnosis might be missed in the first visit. This could lead to costly hospitalization later. Especially when you take into account the monitoring of the symptoms and the effective communication of that to the physician is based on the patient’s knowledge and self-monitoring the results can lead to subjective decision making. Most times, symptoms won’t surface when at doctor’s office, much the same way car problems never surface when at a repair shop :).

Solving this problem was not easy, until now. This is because we were faced with mostly closed down patient record systems, no remote monitoring devices that can effectively and accurately monitor the patient vitals, near impossible retrieval and return of information back into patient records, heavy government and insurance regulations on what can be monitored, collected, communicated and stored, etc.

In the past, digitization of patient records was just for record keeping purposes. But with the advances in IoT, predictive analytics, cognitive computing and the mighty APIs to connect them all together, things have changed dramatically.

While the goal is not to replace the doctor in the process, the “quantified self” concept will get the right information for future analysis, and it can also predict and prescribe a treatment in appropriate time to save lives in a much more cost-effective manner.

Predicting Patient Readmission via Remote Patient Monitoring: Readmission for patients with heart failures is very high in USA.

In a simple study conducted with 1095 patients, just two automated phone calls were made in the space of 30 days to check on the status of their health. Of those reported having a negative response trend, 37% were readmitted; whereas, only about 16% from positive trend and 14% from neutral trend were readmitted. The only problem with this test was that the self-monitoring and assessment were left to the patient which makes the results subjective.

But instead, a predictive analysis can identify patients at a higher risk for readmission even before discharge. This allows for the doctors, nurses and other caregivers to train the patients about managing their health and reporting the status back on a regular basis. An educated patient is the best patient to control his/her own destiny.

With the advances in wearable/mobile health technologies, health vitals such as heart rate, blood pressure, glucose levels, respiration rate, blood oxygen saturation levels, and even ECG patterns can all be monitored almost to the clinical grade and the information can be fed back into the patient records in real time. With that the physician-directed patient self-monitoring becomes a reality.

This takes the subjective nature out of the equation, and fairly accurately predicts the path towards readmission very early. This detection will allow the patients to be put on customized, proactive programs where they will be constantly monitored. They will be guided to participate in healthy lifestyles by doing behavioral modifications and constant in-person coaching will be provided as necessary. This eliminates the re-admission occurrences.

Telehealth for the veterans: We all know the fiasco the VA (Veterans Affairs) went through recently. But they seem to be doing the telehealth portion of it more effectively now. Over ½ million veterans get healthcare via telehealth home monitors every year. Most of these veterans live in remote areas and may not have access to healthcare as needed. According to Dr. Darkins, VA’s chief consultant for telehealth services, they can take digital pictures of retina, skin lesions and send them securely for analysis and recommended next steps. This service keeps about 40,000 people living at their homes instead of nursing homes or other assisted care facilities. A quarter of a million patients are screened for eye diseases without a need to over crowd eye clinics. According to him, the home telehealth program has reduced the hospital admission by over 30%.

Remote monitoring of patient’s health and safety: M2M technologies, a customer of IBM API Economy solutions, decided to take their security and comfort monitoring for the elderly, called Kizuna One, to the next level. Kizuna One, which collects data from wearable health devices to a repository, has decided to expose the information as APIs to their business partners to create new business opportunities. Essentially, keep the inflexible backend systems, but convert them into flexible and customized APIs to their business partners as their Chief Architect suggests. This allows them to scale up their business and IT systems without a very costly engagement. Those resold APIs allowed their business partners to create newer, modern and engaging digital apps and business models using the same baseline service that is offered by M2M.

To make all this happen, IBM is working with Mayo Clinic, MD Anderson cancer center, MSK cancer center, Apple, CVS, Epic and numerous other companies to make the above a reality in collecting the data from IoTs, getting that data securely into the existing patient medical record systems, analyzing the data using predictive analytics, integrating the data movement easily with existing restricted systems using APIs, and recommending smarter decisions using our Watson cognitive systems to move the healthcare systems from a siloed legacy systems into a mainstream data economy.

All of those changes mean going forward we can diagnose right the first time, predict right all the time, treat efficiently, monitor/follow-up effectively, and reduce costs along the way. It is the care we all deserve!

Reach out to me at @AndyThurai to find out more about the above usecases or how APIs are the foundational piece for accelerating digital healthcare.

DXWorldEXPO LLC, the producer of the world's most influential technology conferences and trade shows has announced the conference tracks for CloudEXPO |DXWorldEXPO 2018 New York.

DXWordEXPO New York 2018, colocated with CloudEXPO New York 2018 will be held November 11-13, 2018, in New York City.

Digital Transformation (DX) is a major focus with the introduction of DXWorldEXPO within the program. Successful transformation requires a laser focus on being data-driven and on using all the tools available that enable transformation if they plan to survive over the long term.

A total of 88% of Fortune 500 companies from a generation ago are now out of business. Only 12% still survive. Similar percentages are found throughout enterprises of all sizes.

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2018 Conference Agenda, Keynotes and 10 Conference Tracks

DXWordEXPO New York 2018 and Cloud Expo New York 2018 agenda present 222 rockstar faculty members, 200 sessions and 22 keynotes and general sessions in 10 distinct conference tracks.

  • Cloud-Native | Serverless
  • DevOpsSummit
  • FinTechEXPO - New York Blockchain Event
  • CloudEXPO - Enterprise Cloud
  • DXWorldEXPO - Digital Transformation (DX)
  • Smart Cities | IoT | IIoT
  • AI | Machine Learning | Cognitive Computing
  • BigData | Analytics
  • The API Enterprise | Mobility | Security
  • Hot Topics | FinTech | WebRTC

Register for Full Conference "Gold Pass" ▸ Here (Expo Hall ▸ Here)

DXWorldEXPO | CloudEXPO 2018 New York cover all of these tools, with the most comprehensive program and with 222 rockstar speakers throughout our industry presenting 22 Keynotes and General Sessions, 200 Breakout Sessions along 10 Tracks, as well as our signature Power Panels. Our Expo Floor brings together the world's leading companies throughout the world of Cloud Computing, DevOps, FinTech, Digital Transformation, and all they entail.

As your enterprise creates a vision and strategy that enables you to create your own unique, long-term success, learning about all the technologies involved is essential. Companies today not only form multi-cloud and hybrid cloud architectures, but create them with built-in cognitive capabilities.

Cloud-Native thinking is now the norm in financial services, manufacturing, telco, healthcare, transportation, energy, media, entertainment, retail and other consumer industries, as well as the public sector.

CloudEXPO is the world's most influential technology event where Cloud Computing was coined over a decade ago and where technology buyers and vendors meet to experience and discuss the big picture of Digital Transformation and all of the strategies, tactics, and tools they need to realize their goals.

FinTech Is Now Part of the DXWorldEXPO | CloudEXPO Program!

Financial enterprises in New York City, London, Singapore, and other world financial capitals are embracing a new generation of smart, automated FinTech that eliminates many cumbersome, slow, and expensive intermediate processes from their businesses.

Accordingly, attendees at the upcoming 22nd CloudEXPO | DXWorldEXPO November 11-13, 2018 in New York City will find fresh new content in two new tracks called:

  • FinTechEXPO
  • New York Blockchain Event

which will incorporate FinTech and Blockchain, as well as machine learning, artificial intelligence and deep learning in these two distinct tracks.

Register for Full Conference "Gold Pass" ▸ Here (Expo Hall ▸ Here)

Show Prospectus V041818 Here

Speaking Opportunities Here

Sponsorship and Speaking Inquiries: info@dxworldexpo.com.

FinTech brings efficiency as well as the ability to deliver new services and a much improved customer experience throughout the global financial services industry. FinTech is a natural fit with cloud computing, as new services are quickly developed, deployed, and scaled on public, private, and hybrid clouds.

More than US$20 billion in venture capital is being invested in FinTech this year. DXWorldEXPOCloudEXPO are pleased to bring you the latest FinTech developments as an integral part of our program.

DXWorldEXPO | CloudEXPO are accepting speaking submissions for this new track, so please visit Cloud Computing Expo for the latest information or contact us at info@dxworldexpo.com.

Register for Full Conference "Gold Pass" ▸ Here (Expo Hall ▸ Here)

Show Prospectus V041818 Here

Speaking Opportunities Here

Sponsorship and Speaking Inquiries: info@dxworldexpo.com.

Download Slide Deck ▸ Here

Only DXWorldEXPO | CloudEXPO bring together all this in a single location:

Attend DXWorldEXPO | CloudEXPO. Build your own custom experience. Learn about the world's latest technologies and chart your course to Digital Transformation.

22nd International DXWorldEXPO | CloudEXPO, taking place November 11-13, 2018, in New York City, will feature technical sessions from a rock star conference faculty and the leading industry players in the world.

Register for Full Conference "Gold Pass" ▸ Here (Expo Hall ▸ Here)

Show Prospectus V041818 Here

Speaking Opportunities Here

Sponsorship and Speaking Inquiries: info@dxworldexpo.com.

Download Slide Deck: ▸ Here

Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy. Meanwhile, 94% of enterprises are using some form of XaaS - software, platform, and infrastructure as a service.

With major technology companies and startups seriously embracing Cloud strategies, now is the perfect time to attend and learn what is going on, contribute to the discussions, and ensure that your enterprise is on the right path to Digital Transformation.

Every Global 2000 enterprise in the world is now integrating cloud computing in some form into its IT development and operations. Midsize and small businesses are also migrating to the cloud in increasing numbers.

Register for Full Conference "Gold Pass" ▸ Here (Expo Hall ▸ Here)

Show Prospectus V041818 Here

Speaking Opportunities Here

Sponsorship and Speaking Inquiries: info@dxworldexpo.com.

Download Slide Deck: ▸ Here

Companies are each developing their unique mix of cloud technologies and services, forming multi-cloud and hybrid cloud architectures and deployments across all major industries. Cloud-driven thinking has become the norm in financial services, manufacturing, telco, healthcare, transportation, energy, media, entertainment, retail and other consumer industries, and the public sector.

Sponsorship Opportunities

DXWorldEXPO | CloudEXPO are the single show where technology buyers and vendors can meet to experience and discus cloud computing and all that it entails. Sponsors of DXWorldEXPO | CloudEXPO will benefit from unmatched branding, profile building and lead generation opportunities through:

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Speaking Opportunities

The upcoming 22nd International DXWorldEXPO | CloudEXPO November 11-13, 2018 in New York City, NY announces that its Call For Papers for speaking opportunities is now open.

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Submit your speaking proposal Here or by email info@dxworldexpo.com.

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DXWorldEXPO LLC is a Lighthouse Point, Florida-based trade show company and the creator of DXWorldEXPODigital Transformation Conference & Expo. The company produces and presents CloudEXPO, DevOpsSummitFinTechEXPO Blockchain Event, the world's most influential conferences and trade shows.

More Stories By Andy Thurai

Andy Thurai is Program Director for API, IoT and Connected Cloud with IBM, where he is responsible for solutionizing, strategizing, evangelizing, and providing thought leadership for those technologies. Prior to this role, he has held technology, architecture leadership and executive positions with Intel, Nortel, BMC, CSC, and L-1 Identity Solutions.

You can find more of his thoughts at www.thurai.net/blog or follow him on Twitter @AndyThurai.