Faces of Digital Health

Daniel Kraft is a Stanford and Harvard trained physician-scientist, inventor and entrepreneur focused on accelerating much improved future of health and biomedicine at the convergence of accelerating technologies and human innovation. He is the founder of NextMed Health & Digital.Health, Chairs the XPRIZE Health Alliance, and is a sought after speaker on the future of medicine, with 6 TED & TEDMED Talks.  

Join NextMed Health in December 2024 in San Diego: https://www.nextmed.health/

In this discussion, Daniel talks about: 

- Basic Health Practices: The importance of sleep, diverse food, exercise, and social connections as foundational health practices, alongside high-tech tools.

- Longevity vs. Healthspan: The discussion shifts from living longer (longevity) to improving the quality of life in later years (healthspan), through proactive health measures.

- Behavior Change is Key: Digital health innovations, while advanced, still face challenges in encouraging sustained behavior change, which is crucial for better health outcomes.

- Generative Health and Personalization: The concept of "Generative Health" is introduced, where AI-based health coaches personalize advice based on individual preferences, genetics, and lifestyle.

- AI in Healthcare: AI's most immediate impact will likely be in administrative areas, reducing burnout by automating tasks and helping clinicians focus on more critical decisions.

- Hospital-to-Home Care: The shift from hospital care to home care (or "homespital") is a major trend, driven by advances in remote monitoring, telehealth, and AI-based triage systems.

- Barriers to Digital Health: Regulatory, cultural, and business model barriers continue to impede the full integration of digital health solutions, despite technological advancements.

- Future of Healthcare Delivery: As healthcare moves towards more home-based care, the infrastructure and training for clinicians must evolve to support this shift effectively.

- AI and Ethical Considerations: There is a need to balance the use of AI in healthcare with maintaining human cognitive abilities, ensuring clinicians remain skilled in diagnosis without over-reliance on technology​

facesofdigitalhealth.com

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This episode features Dr. Chelsea Sumner discussing NVIDIA's significant role in healthcare, particularly in its work with AI startups. Key areas of focus include NVIDIA’s contributions to medical imaging, genomics, and drug discovery, and its innovative tools like Clara and NIMs. The conversation highlights how NVIDIA collaborates with startups, its global footprint, and insights into AI’s transformative potential in healthcare.

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This episode gives an in-depth insight into healthcare digitalization in Portugal. Cátia Sousa Pinto, Head of Global Digital Health and International Affairs at SPMS - shared services of ministry of health of Portugal talked about healthcare digitalization in Portugal, European Health Data Space (EHDS), patient data and more.

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Newsletter: https://fodh.substack.com/

Show notes:

[00:02:00] - Overview of Digital Health in Portugal

[00:06:00] - National-Level Initiatives and Successes

[00:10:00] - European Health Data Space (EHDS) and My Health at EU

[00:16:00] - Cross-Border Care and Digital Infrastructure

[00:20:00] - The Role of SPMS in Portugal’s Digital Health Journey

[00:30:00] - Challenges and Workforce Management in Digital Health

[00:34:00] - Benefits of Centralization in Small Countries

[00:38:00] - Electronic Health Records and Expanding Digital Services, Secondary use of data [00:42:00] - Portugal’s National Electronic Health Record

[00:46:00] - Future Vision for Health Data Integration

In this episode Anne Forsyth, Director of Clinical Applications and Support at Women’s College Hospital in Canada, discusses the challenges and opportunities in optimizing healthcare IT systems, particularly in data management and digital literacy. She shares her experiences transitioning from a policy role to a hospital setting and emphasizes the importance of data governance, workflow design, and continuous improvement in digital health projects.

www.facesofdigitalhealth.com

Newsletter: https://fodh.substack.com/

Show notes:

[00:04:00] Optimism in Canadian Digital Health

[00:06:00] The Role of AI and Data Standards

[00:08:00] Transition from Policy to Practice

[00:10:00] The Fundamentals of IT in Healthcare

[00:16:00] Tackling Unstructured Data

[00:22:00] Continuous Improvement in Healthcare IT

[00:26:00] Digital Health Literacy for Clinicians

[00:34:00] Cybersecurity and Business Continuity

[00:38:00] Closing Remarks and Advice

In healthcare, consultants are present more often than we might realise: they work with healthcare providers to improve clinical efficiency, manage costs, implement new technologies, or streamline administrative processes. They can help with regulatory compliance, help insurance companies design new poducts, governments hire them to help with policy development, program evaluation, and implementation of new regulations. 

In this episode we take a look under the hood of consultancy work, where governments make biggest mistakes and how consultants approach problem-solving.

Mehdi Khaled is Internal Medicine Doctor and Fortune 50 Health Tech Executive, with over 25 years of international experience. He has helped shaping many large-scale, transformative digital health projects across four continents and within 40 health systems. As a Managing Partner at Seha, he specializes in developing and executing cutting-edge health and digital health strategies, with a strong emphasis on the meaningful use of data to drive health system improvements.

www.facesofdigitalhealth.com

Newsletter: https://fodh.substack.com/

Topics covered:

00:04 - The Role of Consultants in Healthcare

00:06 - Challenges of Accountability

00:08 - Core Principles for Healthcare

00:10 - Singapore’s Healthcare Success

00:12 - Implementing Technology in Healthcare

00:14 - The Balance Between Technology and Clinical Needs

00:16 - The Importance of Clinical Engagement

00:18 - Managing Technology in Healthcare

Exploration of the concept of "management debt," where poor decision-making leads to the accumulation of ineffective technologies.

00:20 - Cultural Differences in Healthcare

00:22 - Bridging the Knowledge Gap in Digital Health

00:24 - Case Studies and Real-World Examples

00:26 - The Need for Long-Term Vision

00:28 - Lessons from Singapore and Catalonia

00:30 - Technology-Driven Change in Healthcare

00:32 - Overcoming Barriers to Innovation

00:34 - The Future of Digital Health

00:36 - Building Local Capacity

00:38 - Avoiding Dependency on Consultants

00:40 - Final Thoughts on Healthcare Consulting

Catalonia published a new digitalization strategy in 2017. It set a new path of the healthcare IT infrastructure, based on open-platform approach, focusing on data persistence with the use of openEHR data specification.

In this discussion, you will hear from Jordi Piera Jiménez, Director of the Digital Health Strategy Office at the Catalan Health Service and Director at openEHR International, representing organisational members.

He discussed specifics of the Spanish healthcare market, how far Catalonia came since 2017, how is Catalonia building, using and updating a multi-morbidity scoring system for patients which enables easier clinical decision making, cybersecurity attacks and ultimate improvement in information security measures, and more.

www.facesofdigitalhealth.com

Newsletter: https://fodh.substack.com/

Artur Olesch is Berlin-based journalist specializing in digital health, the founder of aboutDigitalHealth.com, and the editor-in-chief of ICT&Health International. In this discussion, he shares his thoughts on the European legislation of healthtech, his thoughts on most intriguing books in tech and AI, and more. 

His 3 book picks: 

Ray Kurzweil - Singularity is nearer 

Ethan Mollick - Co-Intelligence: Living and Working with AI

Philip E. Tetlock, Dan Gardner - Superforecasting: The Art and Science of Prediction

Show notes:

03:00 About Ray Kurzweil - Singularity is nearer 

10:00 Ethical use of healthcare data - how sharing is connected to democratic values 

14:00 Data analytics and data use examples and inspiration

17:00 DiGA in the field: do doctors know it 

18:45 Approach to behavioral health improvement and the role of digital

20:00 Book 2: Ethan Mollick - Intelligence 

22:58 Predicting disease - yes or no? 

26:00 Best insights from conference, top topic: ambient intelligence systems 

35:00 Hopes and fears about the future of healthcare digitalization

www.facesofdigitalhealth.com

Newsletter: https://fodh.substack.com/

John Halamka is the President of the Mayo Clinic Platform and a leading expert in digital health and AI. He has traveled to 21 countries, helping to scale digital health solutions and address regulatory and ethical challenges in the reuse of healthcare data.

Addressed topics in this discussion:

1. Differences in regulatory frameworks and cultural expectations across countries.

2. Comparison of the U.S. and European approaches to AI and data exchange.

3. Risks associated with generative AI and the need for a credibility scores.

4. Observations from various countries on AI adoption. Importance of local tuning for algorithm validation.

5. Data Standards and Future Trends.

6. Advice for Governments and Healthcare Institutions: Encouraging a proactive approach to AI adoption -Starting with low-risk projects and building trust and reliability.

Website: www.facesofdigitalhealth.com

Newsletter: https://fodh.substack.com/

Youtube: https://www.youtube.com/watch?v=tH9qYpFW-W8

You may not have heard about Prenuvo, but you probably know Kim Kardashian. Or perhaps you know about Prenuvo because of Kim Kardashian.

Prenuvo offers whole-body MRI scans for $2500. About 3-4% of people get something discovered, 10% have detected changes that require follow-ups.

Opinions about the usefulness of these scans are diverse, with some hesitation on the clinical side.

At HLTH Europe, the CEO Andrew Lacy explained:

🤔 How Prenuvo uses influencer marketing to attract new customers,

🤔 whole-body MRI scans in light of other preventive whole-body scans and the emerging field of liquid biopsies,

🤔 affordability/ scans as a status symbol,

🤔 the future of prevention,

... and more.

www.facesofdigitalhealth.com

Newsletter: fodh.substack.com

If you ever want to go to a healthcare innovation conference that doesn’t shy away from potentially controversive topics, HLTH is your place to go. In June 2024, the conference, which attracts 12,000 people in the US, came to Europe. At the center of the exhibition hall stood the Heart Stage focused on topics related to women’s health. Around it were the exhibitor booth and other stages, each designed with a different theme, each like a theatre setup that made speakers feel like stars. Why do people love going to HLTH? Because it’s focused on the experience of the attendees in “a little extra” way. The ticket includes meals, music, there were massage and hair salon in the middle of the exhibition floor, lots of evening networking events, from more formal but still unusual ones, such as the Phillips reception in a museum, to the closing evening with a concert by The Libertines. When the experience is good, and festival-live, it attracts people. When people come, you very quicky attract VIPs of the industry, who many hope to meet and do business with. Win win. In this episode, you will hear impressions and insights from speakers and attendees of the event. You will hear about: partnerships and investment in Europe, women’s health, the German market, what companies don’t understand about patient engagement, and AI. 

Speakers:

www.facesofdigitalhealth.com

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