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Brigitte Piniewski, MD Chief Medical Officer PeaceHealth Laboratories, Oregon Vice Chair MAWG

Using technology to Co-produce better Health outcomes: Lifestyle, Healthcare costs, Social Networks. Brigitte Piniewski, MD Chief Medical Officer PeaceHealth Laboratories, Oregon Vice Chair MAWG Continua Health Alliance 2011 Alpbach Universities of Applied Sciences Forum.

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Brigitte Piniewski, MD Chief Medical Officer PeaceHealth Laboratories, Oregon Vice Chair MAWG

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  1. Using technology to Co-produce better Health outcomes: Lifestyle, Healthcare costs, Social Networks Brigitte Piniewski, MD Chief Medical Officer PeaceHealth Laboratories, OregonVice Chair MAWG Continua Health Alliance 2011 Alpbach Universities of Applied Sciences Forum 2011 PeaceHealth Laboratories

  2. Outdated Man-made constructs: Traditional Medical model, central currency, regulatory environments and so on… Pure pursuit of profit… Good Social justice and Human achievement Gaps Modernization Assumptions Social Justice Poor Time = 1980’s 2011 PeaceHealth Laboratories

  3. Low expectations for American students. America’s top math students rank 25thout of 30 countries when compared with top students elsewhere in the world. [1] By the end of 8th grade, U.S. students are two years behind in the math being studied by peers in other countries. [2] Seventy percent of 8th graders can’t read at their grade level, and most will never catch up. Project at Bristol University shows [3] Kids diet affects IQ perhaps permanently [1] Strong American Schools analysis of data from the Organization for Economic Cooperation and Development. Based on data from Volume 2, table 6.2a (p. 227). Rank is based on students performing at Level 6 in each country on the 2006 PISA math assessment. [2] Schmidt, W. (2003, February 4). “Presentation to Mathematics and Science Initiative.” [3] http://www.dailymail.co.uk/health/article-1354683/Junk-food-diet-hits-childs-IQ-reveals-major-UK-study.html 2011 PeaceHealth Laboratories

  4. Gone are the accidentally well… 5-6 Million Years 30-40 Years The Economist 2003 One billion adults overweight world wide 2011 PeaceHealth Laboratories

  5. Modern Crowd health landscape… Age 0 25 65 years Illness Pre-Illness Wellness 60-80% Preventable Death Crowd Achievable Health Crowd Actual Health Outcomes 2011 PeaceHealth Laboratories

  6. “Normal” means prevalent not “Optimal” Age 0 25 65 Illness Pre-Illness Wellness Death 2011 PeaceHealth Laboratories 2008 6

  7. Health Cost Landscape Age 0 25 65 $ $ $ 60-80% Lifestyle Illness Pre-Illness Wellness Unpredictable Health Predictable (Rules-based) Health Death 2011 PeaceHealth Laboratories 2008 7

  8. Business Model Landscape Age 0 25 65 60-80% Lifestyle Illness Pre-Illness Wellness $ $ $ Unpredictable Health Predictable (Rules-based) Health Death 2011 PeaceHealth Laboratories 2008 8

  9. $ $ $ Evidence-based Medicine Age 0 25 65 $ $ $ 60-80% Lifestyle Illness Pre-Illness Wellness Unpredictable Health Predictable (Rules-based) Health Death 2011 PeaceHealth Laboratories 2008 9

  10. High Transparency living Age 0 25 65 Illness Pre-Illness Wellness Unpredictable Health Predictable (Rules-based) Health Death 2011 PeaceHealth Laboratories 2008 10

  11. Provide feedback and reward using new currency models Reliable unit of Health value efficiency Centralized Currency Frivolous Gaming Money is a narrow expression of wealth Gaming expands our currency skill set 2011 PeaceHealth Laboratories

  12. Modern Knowledge procurement Age 0 25 65 Crowd-accelerated Strategic Intelligence 60-80% Lifestyle Illness Pre-Illness Wellness Legacy Knowledge Systems Death 2011 PeaceHealth Laboratories

  13. High Yield health data… • Weight change • Activity change • Response to • nutrition 2011 PeaceHealth Laboratories

  14. Crowd Data Lowering the barriers to participate Device Interface XHR Interface Community Data Commons Wireless Pulse Oximeter PHR Weighing Scale Secure PHR Wireless Ultra Low Power Ultra low cost Blood Pressure Monitor 2011 PeaceHealth Laboratories

  15. Student Community data commons: Online & Mobile Fast access to goals, guidance, support to stay motivated and connected • Real-time Activity Tracking • Personalized Goals • Virtual Coaching • Wellness Games & Competitions • Social Network & Nudging 2011 PeaceHealth Laboratories

  16. Social Network Impact SPD vs. SN size SPD The larger your social network, the more active you are. SN size

  17. CVD Risk Reduction of 12.3% in 3 months 0 mo 3 mos Reduced CVD risk

  18. Diabetes Risk Reduction of 15.8% in 3 months

  19. Global Health Economy Crowd-relevant Benchmarking Cloud Health Intelligence To leapfrog Sub-Optimal Outcomes Disruptive Innovation 2011 PeaceHealth Laboratories

  20. Wayne Gretzky “You miss 100% of the shots you don’t take.” “You miss 100% of the health intelligence you fail to monetize.” Brigitte Piniewski 2011 PeaceHealth Laboratories

  21. “In a Connected world, we are no longer responsible for what is reasonably known, we become responsible for what could have been reasonably known had we collected and organized the intelligence appropriately” Brigitte Piniewski, MD Continua Boston summit 2009 2011 PeaceHealth Laboratories

  22. Collaborators: Short list • C. Codagnone, Institute for Prospective Technology Studies, EU Commission Spain • D. Osimo, Tech4i2,Pursuasive Technologies, Brussels Belgium • Trevor Cooper,Connected Embedded Cloud Solutions, Intel US • David Kil, SKT Americas, CSO Informatics, Sunnyvale, CA USA • Dejing Dou, Associate Professor in the Department of Computer and Information Science, University of Oregon, USA • Jessica Greene,Associate Professor in the Department of Planning, Public Policy & Management , U of Oregon, USA • Xintao Wu PhD, Associate professor of Computing and Informatics at the University of N Carolina at Charlotte • RuomingJin PhD, Assistant professor of Computer Science at Kent State University • Prof. Iain E. BuchanDirector NIBHI & NWeH Science, University of Manchester • Others… 2011 PeaceHealth Laboratories

  23. US EU collaborative technical report, “Nudging lifestyles for better health outcomes: crowdsourced data and persuasive technologies for behavior change” Piniewski et al. EUR 24785 EN - 2011 Brigitte Piniewski, MD Chief Medical Officer PeaceHealth Laboratories 1201 Lloyd Blvd, Suite 200 Portland, OR 97232 503 720 0655 (c) 541-222-7461 (o)       541-431-9152 (f) bpiniewski@peacehealthlabs.org http://www.peacehealth.org/ The END 2011 PeaceHealth Laboratories

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