Philips #Digital4Health Conclave 2016, Bengaluru – A Recap

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The agenda of the conclave:

Source: https://twitter.com/Sushmab1981/status/800637470811402241

The Conference agenda included Keynotes from Dr. Rajendra Prasad Gupta, Advisor, Union Minister of Health & Family Welfare Govt. Of India and Mr. Rajesh Batra, CIO & VP, Kokilaben Dhirubhai Ambani Hospital, Mumbai.

After the keynotes came the panel discussions, both moderated by Dr. Vikram Venkateswaran, Healthcare India.

Panel 1: Leveraging Digital India for Healthcare

Mr. Pramod Varma, Chief Architect, Aadhar

  • Frameworks over Aadhar are currently carrying out 50 million + ID authentications a day
  • Aadhar is the basic Identity management framework. Over which additional aspects of a system can be developed.
  • Recently launched the Digital Signature, eSign service, which is currently enabling 2million auth/ day
  • The Digital Locker facility currently being developed over Aadhar framework will allow for creation of EHRs in a federated model. Once the e-sign has been enabled by the patient at a particular location, the Federated model will pull in the patient records from wherever they are currently being stored. There will be no need to extract and move the patient records from their original storage location, instead they will be pulled in on-demand.
  • This will enable paperless storing of patient data & allow for an electronic consent framework
  • UPI will allow for a seamless payments gateway
  • 1 Billion people can be authenticated currently, using the Aadhar ID Management system. Jio in India is currently enabling service delivery to the customers using the Aadhar ID management and KYC systems to issue mobile services to customers. It takes just 5 min to issue the SIM card to a new customer.
  • Pramod Varma was of the opinion that IoT hacks happen because of inability to secure the software stack. In most hardware IoT based startups, Hardware aspects are taken up and innovated upon, but network level software security is generally the issue.
  • Software is taking over the architecture at every level, each level needs to be secured
  • Very strong tech exists to control trusted systems 
  • In Aadhar, data is digitally signed and encrypted using HW security module at network security level
  • Software security architectures ensures, that the data is also encrypted and stored in the Database. Not even the database administrator is able to see the data
  • It costs Rs. 40 per Citizen enrolled in aadhar
  • The cost of equipment for enrolling Citizens has been bought down to $1500 from $15000
  • Now work is being done on a API based Healthcare platform, details to be published soon

  
Dr. Pinak Shrikhande, Director, Critinext and Healthquad

  • To implement solutions in Healthcare, the following three factors need to be considered: Connectivity, Acceptability and Cost of Implementation of services such as Telemed, TeleICUs
  • Additionally, the solutions should also enable productivity and scaling of services
  • Security of Healthcare Data a major concern in the future. How the owner/ generator/ custodian of data will use the data needs to be defined
  • What part of data can be monetised and privacy enabled, will be decided by the individual

Ravi Gururaj, Head of Product Council, NASSCOM

  • Chasm in Healthcare needs to be bridged, this certainly cannot be filled by the current technology that is being in most of the Big hospitals
  • Gaps need to be identified and filled by the startups
  • Technology needs to take a frugal shape, it should be self contained, either powered by battery or solar, needs to be scalable and affordable, this should be the focus of the startups
  • For instance, consider the case of CAT scan, the machine needs to be installed at a Capex cost, this should for instance be replaced by a solution that contains Cloud + Sensors + intelligence component. Only this component is taken to the rural setting, reading of results is done remotely
  • Ravi mentioned, Data Aggregation needs to be done at scale, so that insights from treatments for similar patients will be presented for each patient condition.
  • Ravi, opined, security is over hyped and should not be treated as the end of the world. Data Aggregation requires transparency of data, else it stops the discovery of innovations

Dilip Kumar, Praxify

  • needs of urban hospitals very different from rural hospitals
  • startups prime responsibility to innovate
  • data aggregation/ analytics need to scale at a national level

Panel 2: IoT & AI – A Potent combination defining healthcare

Dr. Anoop Amarnath, Head Medical Strategy, Manipal Health Enterprises Pvt. Ltd.

  • 1000 patients have been through the Watson system for oncology cases. The outcome of the study will be published in due course
  • Peer review of 1k people, Decisions the machine makes corroborate what the doc does
  • Doctors’ will not replaced in next 5 years, at least.
  • In Healthcare Organisations, its important to have a CMIO role who BRIDGES the gap between technology and healthcare
  • On collaborating with Startups: Dr. Anoop shared as an example of working with Dr. Randeep, from Docsper for enabling ease of data entry for clinical records by the doctors
  • Technology folks need to find out what are the problems being faced by the doctors and in healthcare, and try and solve these problems
  • Why manipal implemented AI? The decision to implement Watson in oncology was taken to take the leadership position in Healthcare, rather than a follower. The success factor for the implementation is because of the team. ROI for watson is a long term goal for Manipal. The solution is free of cost to the patient, and not charged for the service. With technology gaining importance in delivery of healthcare, it was required to either adopt or perish. As of today 120+ papers are published in oncology and to handle this overload of data for a physician, they need an assistant who is able to augment the decision making for the doctor. To  be the leader, need to define trends


Shivakumar KR, Phillips Fellow and Global Architect:

  • IoT & AI will be implemented in managing elderly care. Additionally will eventually find its way into home healthcare
  • Analyze and draw inferences in Imaging and radiology
  • Enable innovations from startups by allowing access to data. This can be done by allowing the establishment clinical context how the data is used
  • Tech companies, should focus on the pain points of the doctors. Find solution for the problem
  • From India, should step in to enable ROI VIA REGULATION, EG. US HEALTHCARE, INCENTIVE BASED SOLUTIONS
  • Introduce regulation in using of EMR in hospitals


John Paul, Founder, Plackal Tech/ Maya:

  • Women Health, provide actionable data
  • Built the app for the Preventive and wellness space
  • The app Provides warnings for preventive care
  • Seed data Was drawn from the users, 100 million data points. Built data analytics over the data points gathered from the users.
  • How data becomes actionable, can be done by bringing doctors to the platform.
  • Interesting reverse engineering proposition, instead of going to the hospitals, went to the customers and generated about 100 million data points
  • Build mutual trust between people in the network
  • Regulatory framework? For AI


Rama Chandra Dash, Business Unit Head, IBM Watson Health:

  • Built for the problem for oncology
  • Augmenting the human brain, since there are only 1:16k, oncologists to patient ratio
  • Platform has been developed so that it can be used by enterprises and startups
  • India healthcare market for informatics is cost sensitive. And hence the model of working with Manipal was developed based on multiple considerations


Sanjeev Malhotra, CEO of NASSCOM, Center of Excellence for IoT:

  • The CoE is working to bring diverse groups together to build solutions for various industries
  • Hospitals may not want to talk to startups, but CoE can be an enbaler in building the ecosystem of collaboration
  • Late adopters of tech, traditional approach followed in India
  • Try and bring that change into the ecosystem

Audience questions
1. How can startups partner with hospitals
2. How to manage security of data from patients
3. Allow for informed consents for sharing data with startups

Fireside Chat with Ashwin Raghuraman, Bharat Innovation Fund

Mr. Raghuraman is looking at the following trends of Startups in Healthcare

    1. Personalisation, focus on individuals
    2. Home healthcare, diagnostic, dental services, ECG images
    3. Second wave in digital healthcare, will be startups moving from managing data to leveraging data

    Mr. Raghuram shared insights on the various aspects a VC considers in selecting a venture to invest into, these are very informative as they present an area that current and future startups should consider while presenting about their startups.

    • In the past year, the venture funding in Healthcare has gone to the following sectors: 50%, op pharma, then service delivery, then 5% in tech startups. There is an Increase in the healthcare technology startup funding
    • The reason for the difficulty for the tech startups to find funding is because In US, spend in healthcare per capita dollars is USD450, the world average is USD 45, its USD3 in India. Hence you find India startups in core tech areas looking for markets out of india
    • The number of venture funding in India, in Healthcare 2014 – 24, 2016 – 58 
    • Risks, in regulatory aspects and market size for scale in India 
    • Corporates are looking to engage with startups. The best way ahead for the collaboration to be successful would be to engage the expertise of the startups to fill the customer requirement gaps  that they identify 

    Periscope TV from @PhilipsBlore

    Photos from the Conclave

    To view the list of the startups who presented at the conference and their solutions that were part of the First Philips Startup Cup, head over to our Event Album below to discover the details of each of the finalists.

    As a personal plug, 4 out of the 8 Technologies that we have identified to be making an impact on future of healthcare were presented by various startups. Do review the article here: http://blog.hcitexpert.com/2016/09/the-current-status-of-8-future-technologies.html

    I was honored to be invited to the Phillips Digital Health Conference on 23 Nov 2016. Thanks to Dr. Vikram Venkateswaran and Ms. Sushma. Here are the notes that I have made from the conference about the learnings and insights shared by the experts from the conference.
    – Manish Sharma, Founder HCITExpert Forum
    Author
    Team HCITExperts

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