Imagining Supply Chains in 2030
Steve Downey
Chief Supply Chain & Support Services Officer
Cleveland Clinic
GLOBAL SUMMIT
Imagining Supply Chains in 2030
IMAGINE 2022
2
Care Shifting
“Medicine will move from sick care to healthcare. Life expectancy will approach 100 years. There will be
less acute disease and more chronic disease. Diagnosis will be precise and data-enabled. Treatment will
be preventative and less invasive. Providers will be digitally savvy and practicing at the top of their
training.” ~Delos “Toby” Cosgrove, MD | Cleveland Clinic CEO & President | 2004-2017
CARE AT HOME * LAST MILE SERVICE * WEARABLE DEVICES
Imagining Supply Chains in 2030
IMAGINE 2022
“Medicine will evolve from disease-focused care to patient-centered care to community-centered care.
Prevention and public health will assume new importance, without losing ground on advances in
treatment.” ~ Angela Duckworth, PhD | Rosa Lee and Ebert Chang Professor at the University of Pennsylvania
~Thomas Lee, MD | Chief Medical Officer at Press Ganey
PATIENT-CENTERED * PREDICTIVE * PUBLIC HEALTH
Imagining Supply Chains in 2030
IMAGINE 2022
“Routine medicine is done remotely with telemedicine, AI and nanotech. Advances in gene engineering enable
individualized medicine. The complexity is beyond human cognition, so we rely on AI for each patient’s ideal
treatment. It’s fun to imagine the future — and a little scary if it all comes true.” ~Judy Faulkner | Founder and CEO of Epic Systems
TELEMEDICINE * TAILORED MANUFACTURING * AI
Imagining Supply Chains in 2030
IMAGINE 2022
6
“We will be able to control our gene to behave as if they were 3 or 30 years old. We will have models for
the thousands of metabolic pathways in our body and will know how to manipulate them using a
mathematical version of complex systems theory, microbots, brain rewiring, organ renewal capability
and molecular continuous monitors for all bodily functions.” ~Vinod Khosla | Founder of Khosla Ventures & founding CEO of Sun Microsystems
DIGITAL TWIN * ROBOTICS * SUPPLIER INNOVATION
Imagining Supply Chains in 2030
IMAGINE 2022
“Hospitals will be few and far between. For most things, you’ll never need to leave your couch for the
care you need. Unlike today, incoming data from tech won’t be intrusive and disorganized; it will be
intuitive, fueled by AI and matched to your preferences. In fact, you will stop work when your brain has
reached its peak for the day and nudges you to do something more fun until it recharges. Sounds good,
doesn’t it?” ~Adrienne Boissy, MD, MA | Clinic’s Chief Experience Officer and a staff physician at Cleveland Clinic’s Mellen Center for Multiple Sclerosis
DECENTRALIZED * CYBER SECURITY * DATA MANAGEMENT
Imagining Supply Chains in 2030
IMAGINE 2022
“Healthcare will be accurate and precise. We will use big data to understand how to treat a specific
person with a specific disease. We will be able to predict outcomes. Genomics and a personalized
approach to disease will allow us to target an individual with disease susceptibilities and intervene
before a disease has a chance to develop.” ~Beri Ridgeway, MD | Cleveland Clinic’s Chief of Staff
BIG DATA * AGILE * PREDICTED PREVENTION
Imagining Supply Chains in 2030
IMAGINE 2022
“It’s staggering to imagine what innovations the coming decades will bring to improve care, research and
education, particularly in light of the game-changing power of artificial intelligence. Never losing sight of
the human touch will be key.” ~Tom Mihaljevic, MD | CEO and President of Cleveland Clinic
RESEARCH & EDUCATION * CHANGE DYNAMICS * HUMAN TOUCH
Imagining Supply Chains in 2030
IMAGINE 2022
10
Caregivers are used
where they are most
valued and necessary
Transition to robots and
AI where humans are not
needed
All caregivers work at top
of licensure
Working to get to 2121
Caregivers are trained
and properly equipped
Imagining Supply Chains in 2030
IMAGINE 2022
SUPPLY
CHAIN
EVOLUTION
11
Imagining Supply Chains in 2030
IMAGINE 2022
Partner with us to drive the future…
12
Quantum Computer First-in-world multi organ transplant for rare cancer
Imagining Supply Chains in 2030
IMAGINE 2022
13
Any Questions?
THANK YOU!

Future of Healthcare--2030

  • 1.
    Imagining Supply Chainsin 2030 Steve Downey Chief Supply Chain & Support Services Officer Cleveland Clinic GLOBAL SUMMIT
  • 2.
    Imagining Supply Chainsin 2030 IMAGINE 2022 2 Care Shifting
  • 3.
    “Medicine will movefrom sick care to healthcare. Life expectancy will approach 100 years. There will be less acute disease and more chronic disease. Diagnosis will be precise and data-enabled. Treatment will be preventative and less invasive. Providers will be digitally savvy and practicing at the top of their training.” ~Delos “Toby” Cosgrove, MD | Cleveland Clinic CEO & President | 2004-2017 CARE AT HOME * LAST MILE SERVICE * WEARABLE DEVICES
  • 4.
    Imagining Supply Chainsin 2030 IMAGINE 2022 “Medicine will evolve from disease-focused care to patient-centered care to community-centered care. Prevention and public health will assume new importance, without losing ground on advances in treatment.” ~ Angela Duckworth, PhD | Rosa Lee and Ebert Chang Professor at the University of Pennsylvania ~Thomas Lee, MD | Chief Medical Officer at Press Ganey PATIENT-CENTERED * PREDICTIVE * PUBLIC HEALTH
  • 5.
    Imagining Supply Chainsin 2030 IMAGINE 2022 “Routine medicine is done remotely with telemedicine, AI and nanotech. Advances in gene engineering enable individualized medicine. The complexity is beyond human cognition, so we rely on AI for each patient’s ideal treatment. It’s fun to imagine the future — and a little scary if it all comes true.” ~Judy Faulkner | Founder and CEO of Epic Systems TELEMEDICINE * TAILORED MANUFACTURING * AI
  • 6.
    Imagining Supply Chainsin 2030 IMAGINE 2022 6 “We will be able to control our gene to behave as if they were 3 or 30 years old. We will have models for the thousands of metabolic pathways in our body and will know how to manipulate them using a mathematical version of complex systems theory, microbots, brain rewiring, organ renewal capability and molecular continuous monitors for all bodily functions.” ~Vinod Khosla | Founder of Khosla Ventures & founding CEO of Sun Microsystems DIGITAL TWIN * ROBOTICS * SUPPLIER INNOVATION
  • 7.
    Imagining Supply Chainsin 2030 IMAGINE 2022 “Hospitals will be few and far between. For most things, you’ll never need to leave your couch for the care you need. Unlike today, incoming data from tech won’t be intrusive and disorganized; it will be intuitive, fueled by AI and matched to your preferences. In fact, you will stop work when your brain has reached its peak for the day and nudges you to do something more fun until it recharges. Sounds good, doesn’t it?” ~Adrienne Boissy, MD, MA | Clinic’s Chief Experience Officer and a staff physician at Cleveland Clinic’s Mellen Center for Multiple Sclerosis DECENTRALIZED * CYBER SECURITY * DATA MANAGEMENT
  • 8.
    Imagining Supply Chainsin 2030 IMAGINE 2022 “Healthcare will be accurate and precise. We will use big data to understand how to treat a specific person with a specific disease. We will be able to predict outcomes. Genomics and a personalized approach to disease will allow us to target an individual with disease susceptibilities and intervene before a disease has a chance to develop.” ~Beri Ridgeway, MD | Cleveland Clinic’s Chief of Staff BIG DATA * AGILE * PREDICTED PREVENTION
  • 9.
    Imagining Supply Chainsin 2030 IMAGINE 2022 “It’s staggering to imagine what innovations the coming decades will bring to improve care, research and education, particularly in light of the game-changing power of artificial intelligence. Never losing sight of the human touch will be key.” ~Tom Mihaljevic, MD | CEO and President of Cleveland Clinic RESEARCH & EDUCATION * CHANGE DYNAMICS * HUMAN TOUCH
  • 10.
    Imagining Supply Chainsin 2030 IMAGINE 2022 10 Caregivers are used where they are most valued and necessary Transition to robots and AI where humans are not needed All caregivers work at top of licensure Working to get to 2121 Caregivers are trained and properly equipped
  • 11.
    Imagining Supply Chainsin 2030 IMAGINE 2022 SUPPLY CHAIN EVOLUTION 11
  • 12.
    Imagining Supply Chainsin 2030 IMAGINE 2022 Partner with us to drive the future… 12 Quantum Computer First-in-world multi organ transplant for rare cancer
  • 13.
    Imagining Supply Chainsin 2030 IMAGINE 2022 13 Any Questions? THANK YOU!

Editor's Notes

  • #3 In imagining supply chains in a decade, you have to know where the industry is going to support it. We asked top leaders around the globe, visionary thinkers, clinicians, scientists, leaders, about their vision for where clinical care will be 100 yrs from now You may be excited, you may be scared.
  • #4 I have eight of these statements, you can read their vision. For each, we’ll talk about what this means operationally, and what will change in the next ten years as we head towards this goal. More chronic care means more care at home Data enabled means we will have wearables that monitor continuously. We are starting to see this today, wearables connected to health records The last mile is usually the hardest in supply chain. Imagine it now for healthcare plus supply chain We have getting it there. Security, chain of custody Using the product, like a lab test Answering support questions Cybersecurity Connectivity Interface across systems and records Already working on: Interfaces Drone delivery Lab devices
  • #5 Research shows that a portion of your health is related to your environment, home, neighborhood, all included in social determinants of health Care today is diagnose-treat. You have gall bladder issue, remove it. But, what caused it? What factors influenced that? DNA? Environment can influence DNA mutuations. We will go to more YOU based operations. Getting your information, all of it. Tracking it with you. Providing it to you And we will expand that work to your community. Food desert solutions Pre-surgical and post-surgical nutrition Educational programs, remote Virtual training
  • #6 Virtual medicine saw an increase from 1%-75%-11% with Covid. Tie operations to telemedicine. Today you still have to get meds, supplies, wearable. It’ll be all integrated. Operations are location based, at scale. This means flexibility, system based. Multi-variable solutions with complex information in unstructured forms. Clinicians look, feel, listen, analyze tests, compare to knowledge bases, and develop a care plan Visual clues, tactile, key words, data –more and more, and ever increasing knowledge bases AI help to compile, and suggest and aide. Not replace, but help. How is my supply chain reacting? Already working on GMP manufacturing for individualized meds. Care at home. Building AI expertise.
  • #7 Taking the AI a step further, take it modeling and digital twins. Digital twin of a supply chain? Of a health system? Or you? Heavy data needs, heavy customization, 3D printing How can my sourcing team keep current on these new technologies, introduce and test? Yet save costs? Innovative supplier partnerships Educated/training staff
  • #8 User centered data Home based, wearables are a key to this Spare part reordering? Replacements? Self-service triggers? More connected…more risk….cyber Streams of data. What’s relevant to what part of the health system? Ops, food, clinical, service, supply Operational workforce, pickers in the warehouse, will have the same. Measure fatigue, ahead of a problem. Think of your step counter, triggering when it’s time for a break or a master panel + AI re-assigning work
  • #9 Individualized medicine is real, we can read the genome and are building towards medical solutions to repairs. Gene for something bad at 60, replace it with something that doesn’t. Means measure, make, deliver individual solutions Means big data, kept clean Fast reaction, incredibly agile Comfortable with prediction and prevention vs. reaction. That’s a new concept for medicine….
  • #10 In summary for these Three wheels of focus Continually changing, be at forefront Partner operations with care, with suppliers, with technology Always people always human. As long as we are, we need that
  • #11 We will optimize the workforce to create bandwidth for our teams to shift and respond to CCF business needs. This what we are working on right now Trust Workforce Optimization-people used where they are most valued and necessary Appropriately trained and properly equipped Things not needing person can be transitioned to robots, AI, Supplemental activities allowing people to work on what they need to do
  • #12 Healthcare Last mile care at home Personalization agility Reliability/resiliency AI enablement Data management Demand forecasting Decentralization Partnerships and changing culture of trust Staying healthy while aging into our 100s Older, overcrowded Life expectancy changes year over year Future has challenges-food, nutrition, global population,
  • #13 Partner with us to drive the future Innovation Quantum computer,