EEC Smart Health City and
Healthcare Digital Disruption
Nawanan Theera-Ampornpunt, M.D., Ph.D.
www.SlideShare.net/Nawanan
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What words come to mind when you hear...
Digital Health
Transformation
3https://medium.com/@marwantarek/it-is-the-perfect-storm-ai-cloud-bots-iot-etc-4b7cbb0481bc
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http://www.ibtimes.com/google-deepminds-alphago-program-defeats-human-go-champion-first-time-ever-2283700
http://deepmind.com/ http://socialmediab2b.com
An Era of Smart Machines
5englishmoviez.com
Rise of the Machines?
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A Familiar Optimism
https://www.prachachat.net/marketing/news-202693
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Digitizing Healthcare?
http://www.bloomberg.com/bw/stories/2005-03-27/cover-image-the-digital-hospital
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Why Aren’t We Talk About These Words?
http://hcca-act.blogspot.com/2011/07/reflections-on-patient-centred-care.html
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“Big data is like teenage sex:
everyone talks about it,
nobody really knows how to do it,
everyone thinks everyone else is doing it,
so everyone claims they are doing it...”
-- Dan Ariely @danariely (2013)
Substitute “Big data” with “AI”, “Blockchain”, “IoT”
of your choice.
-- Nawanan Theera-Ampornpunt (2018)
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Hype vs. Hope
Jeremy Kemp via http://en.wikipedia.org/wiki/Hype_cycle
http://www.gartner.com/technology/research/methodologies/hype-cycle.jsp
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Gartner Hype Cycle 2017
https://www.gartner.com/smarterwithgartner/top-trends-in-the-gartner-hype-cycle-for-emerging-technologies-2017/
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Digitization 
Digital Transformation
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The Goal of Health Care
The answer is already obvious...
“Health”
“Care”
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Health IT
Health
Information
Technology
Goal
Value-Add
Means
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High Quality Care
• Safe
• Timely
• Effective
• Patient-Centered
• Efficient
• Equitable
Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality chasm:
a new health system for the 21st century. Washington, DC: National Academy Press; 2001. 337 p.
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Examples of Health IT
https://www.youtube.com/watch?v=gxz9ZVvduGc
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Areas of Health Informatics
Patients &
Consumers
Providers &
Patients
Healthcare
Managers, Policy-
Makers, Payers,
Epidemiologists,
Researchers
Copyright  Nawanan Theera-Ampornpunt (2018)
Clinical
Informatics
Public
Health
Informatics
Consumer
Health
Informatics
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Incarnations of Health IT
Clinical
Informatics
Public
Health
Informatics
Consumer
Health
Informatics
HIS/CIS
EHRs
Computerized Physician
Order Entry (CPOE)
Clinical Decision
Support Systems
(CDS) (including AI)
Closed Loop
Medication
PACS/RIS
LIS
Nursing
Apps
Disease Surveillance
(Active/Passive)
Business
Intelligence &
Dashboards
Telemedicine
Real-time Syndromic
Surveillance
mHealth for Public
Health Workers &
Volunteers
PHRs
Health Information
Exchange (HIE)
eReferral
mHealth for
Consumers
Wearable
Devices
Social
Media
Copyright  Nawanan Theera-Ampornpunt (2018)
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Hospital A Hospital B
Clinic D
Policymakers
Patient at
Home
Hospital C
HIE Platform
Health Information Exchange (HIE)
20https://www.youtube.com/watch?v=MuoDaJAqQ6c
YouTube Search: TEDx Nawanan
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Where We Are Today...
Copyright  Nawanan Theera-Ampornpunt (2018)
Clinical
Informatics
Public
Health
Informatics
Consumer
Health
Informatics
Technology that
focuses on the sick,
not the healthy
Silos of data
within hospitalPoor/unstructured
data quality
Lack of health data
outside hospital
Poor data
integration across
hospitals/clinics
Poor data integration
for monitoring &
evaluation
Poor data quality (GIGO)
Finance leads
clinical outcomes
Poor IT change
management
Cybersecurity
& privacy risks
Few real examples
of precision
medicine
Little access
to own
health data
Poor patient
engagement
Poor accuracy
of wearables Lack of evidence
for health values
Health literacy
Information 
Behavioral
change
Few standards
Lack of health IT
governance
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WHO-ITU eHealth Components
23MoPH (2018)
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Healthtech Startup Ecosystem
www.facebook.com/HealthTechThailand/ No endorsements implied
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Trends to Watch
• “Smart Hospital” Gradual Adoption
• The Disillusionment of Technology
• More Knowledge on Proper Roles of AI
• Consumer App’s Clearer Value Offerings
• “Design Thinking”
• More Mature Consumer Health Devices
• Value-based Healthcare
• Hope of Precision Medicine
• Healthtech Startup Successes & Failures
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#LessHype
#MoreHope
My Plea...

EEC Smart Health City and Healthcare Digital Disruption (August 24, 2018)