It has not yet been 20 years since the term Digital Healthcare was defined in the year 2000. Yet arguably the most important day in the history of Digital Health occurred on September 24th, 2019, and relatively few in the healthcare sector even took note. On this one single day, five simultaneous, but uncoordinated announcements were made that collectively signaled the beginning of a seismic shift in the healthcare sector.

The first announcement, in Forbes magazine, indicated that analysts at Morgan Stanley are predicting that healthcare may eventually become a bigger business for Best Buy than selling electronics. “Health monitoring services for seniors and other digital health initiatives … could generate anywhere between $11 billion and $46 billion. This study was commissioned because a non-healthcare company wanted to assess its potential ROI in the health sector and they found it to be significant.  The article also sheds light on the electronics giants’ intentions to offer healthcare services, not just sell health related digital electronics. Secondly, Walmart announced its plans to build a healthcare workforce to fill future healthcare jobs at Walmart and Sam’s stores. They will accomplish this by offering 7 health related college degrees and certificate programs for $1 per day. That’s a full bachelor’s degree for $365 per year, to build a healthcare workforce for stores, not hospitals. Thirdly, Humana & Walgreens announced an expansion of their full-service primary care clinics for seniors, some of which are in Walgreens stores.  This partnership, unlike the current versions of the CVS Health efforts located at CVS stores and Minute Clinics, are designed to offer full service primary care. Anything a traditional primary care provider can do in their office or hospital, will now be done in a Walgreens store. Fourth, Amazon launched “Amazon Care”, a 100% virtual health clinic with in-home follow-ups.  Here individuals can see a health provider via a mobile app or website. They can text a nurse on any health topic any time and if follow-up care is needed, a nurse goes to the home. The patient goes nowhere. If medicines are needed Amazon will prescribe medications within a few hours for immediate pick up or in some cases delivery by drone. No hospital involved or needed! And Finally, CVS Health announced the availability of their first purely digital therapy which uses an avatar to provide behavior modification therapy to treat insomnia. No doctor involved. No prescription needed.

Individually, these announcements could appear to be of relatively minor importance.  Collectively they also could be seen as of little importance because they do nothing to fundamentally change the practice of medicine. They do collectively however they do signal an effort, that if ultimately successful, would at scale, represent a seismic shift in the organization and delivery of healthcare. None of these solutions were conceived with the belief that the hospital is a critical or central cornerstone of healthcare service delivery. The fact that all five of these announcements occurred on the same day, by tech companies and payors, suggests the speed and seriousness at which the market is moving, compared to traditional healthcare-initiated practice and policy changes. Finally, the current national and international footprint and consumer reach of the companies involved in these announcements, makes them able to serve large numbers of consumers relatively quickly, should they choose to scale nationally and beyond. Traditional hospital CEO’s, health systems administrators and even astute medical providers should now be able to appreciate the reality that digital technologies will bring significant change to the historic organization and delivery of healthcare in addition to changing the practice of medicine and traditional business models.  Digital Health can no longer be credibly viewed as a fad, an app, or snake oil. In reality, it represents a significant, clear and present threat to the current healthcare system. Only those CEO’s who understand this reality and move aggressively to adapt, stand the best chance of surviving.  The good news is that the end of the story has not yet been written. With the right effort, some traditional healthcare organizations may not only survive, but become health and care leaders in the emerging digital economy.

In our next blog we will discuss the impact of Digital Health on the patient experience and what this will mean for the healthcare sector.

GreystonevectorSocietal forces are pushing healthcare out of hospitals and into the home.  Healthcare professionals have new incentives to care about the behavior of their patients, in between hospital visits. Many patients are taking more ownership of their health and healthcare.  Soon one in three Americans will be over the age of 65 and almost 90 million people will be over the age of 85. Approximately 11,000 baby boomers are turning 65 every single day. Most of these people want to continue living independently in their homes as long as possible. These consumers will demand a paradigm shift in which they can receive healthcare services, use educational content and respond to employment opportunities “On Demand”, when they need/want them, not just when the store, office or clinic is open.

In the future, our homes and cars will identify us and unlock the doors by reading our heartbeats. These homes will diagnose health issues and instantly deliver treatments, sometimes before we even know there is an issue. They will use cloud based artificial intelligence, machine learning and smart devices in the home, to prevent serious health problems from ever even occurring.  Residents, caregivers and homeowners will have unprecedented ability to engage, monitor and manage their health and the care of loved ones anytime, anywhere.

Smartcare Communities are about reimagining living spaces into residential networked community dwellings that are optimized for health.

SmartCare community residents who need health services could receive televisits through flat screen TV’s located in the privacy of their apartments. Alternatively, they could walk down to the community urgent care center if they like. Also, residents could even receive in person, robot or avatar based house calls if necessary. Health sensors in the homes along with information from wearable devices like smart watches and other wearables would be collected and insights delivered to residents each morning, by their preferred method, email, text, voice (Alexa), video (TV), to help patients manage their health concerns. This is just the beginning.

The question is though, will the poor and middle class ever benefit from these advances or will they remain in the hands of the wealthy? How will people from underserved populations (rural, inner city, elderly, homeless, substance abusers etc.) be able to purchase these homes? Join us for a special discussion on “Smart Cities and Smart Care at HIMSS18 at the Sands Expo and Convention Center in Las Vegas March 5-8, 2018. Here we, along with 40,000+ others will discuss this and many other important topics in Health and technology. Join us for a fascinating discussion as we create the future of health and care!

Face A lot has been said about the disruptive effects of emerging technologies on diagnostics, clinical decision making, therapy and patient engagement. However a new report from the health technology research, innovation and consulting company suggests emerging technologies will have a profound impact on the organization and composition of future health care systems. The report details eight national trends that will drastically reduce the need for hospitals, radically change insurance practices, provide disruptive new business models in health care. The resulting systems will not be located in one centralized area but more virtual and located in consumers connected smart homes and communities that automatically treat the environment not just the patient, sometimes before they or family members recognize they are even sick.

If the authors are right, the healthcare systems of tomorrow will look nothing like the healthcare systems of today, yet these future systems will provide better care, when consumers need it, at lower cost and with higher patient satisfaction and better outcomes. At this point, it is probably reasonable to drop the mic!

To read the full report click here.