Tag: healthcare

Globally, the HealthTech innovation ecosystem has many startups working at the intersection of IoT and AI to solve some of the tough problems faced by patients and other stakeholders in the healthcare space. Several factors have led to a proliferation of a class of devices in the health, fitness and wellness space – such as, miniaturisation of sensors, advancements in microcontroller design and power management, low cost and flexible circuit design The ubiquitous availability of smartphones and always-on connectivity has enabled real-time access to cloud-based AI capabilities to transform IoT data into meaningful insights that can be used anywhere and anytime.

The key objective of healthcare provision is to engage the multiple stakeholders involved within an ecosystem to deliver better and holistic clinical outcomes.

The Key Challenges to Widespread Stakeholder Acceptance

Despite the promises and great potential of IoT and AI in the healthcare industry, there are major gaps in adoption by stakeholders, especially clinicians. I believe there are three main reasons for the gap:

• The Principle of Conservatism in Medicine

The basic premise of medicine is “Do NO Harm”. Due to the relative newness of both devices and apps, there is only a small body of knowledge and precedence for a clinician. This is too small to take a risk with using “new” data to make decisions, even though the new data may be better than other available “time-tested” options on hand.

Clinical diagnosis is based on years of medical training, time-tested knowledge and practice and clinician “Gestalt”. More often than not, the way an AI system performs the predictions is not fully understood by the clinician. Because of the relatively new field, any new AI-based prediction system will need to establish its credibility that it will NOT do any harm to the patient. Clinicians value their ability to do the right thing for the patient more than anything else.

Establishing the trust between the clinician and the black-box algorithm is critical for any successful adoption.

• Features vs. Function

There is a lack of a common language and understanding between clinicians and technologists, especially when it comes to what “innovation” means for the other party. For a technologist, innovation lies mostly in the features and capabilities of the technology. Their mindset is that innovative technology can be easily adapted to healthcare, similar to the way mobile phones have been adopted by consumers. Their belief is that people and practices will change quickly when presented with better technology and insights. For a technologist, innovation is what transforms a practice in leaps and bounds.

For a clinician, innovation is incremental to start with, and it evolves with time. There is a widely-held belief that if a new technology is not easy to understand, then it probably will not be good. Features and capabilities do not mean much to them. Innovation MUST be simple to understand, reliable, repeatable and MUST solve a problem that they cannot solve by themselves. The arguments in the public domain whether or not AI will replace clinicians adds to the skepticism.

• Evidence through Clinical Trials

Perhaps the biggest factor of all is that clinicians demand evidence of safety and efficacy of new technology through the lens of time-tested processes of randomised clinical trials. Unless there is evidence created by the technologists through well-designed and robust clinical trials, adoption of new technology will be a hit and miss. Technology companies interested in transforming healthcare should have a solid understanding of the clinical trials process and should create adequate scientific evidence to positively influence clinicians.

The most important aspect of gathering clinical evidence is to identify the relevant data for decision making. Many clinicians do not readily utilize the data collected from connected healthcare devices into their diagnosis and decision processes due to the lack of connections between data and clinical practice. While 10,000 steps a day might be a good benchmark for exercising right,  that number means nothing if it is not connected to a clinical decision framework.

The Way Forward for Stakeholder Adoption

5/5 (4) There is no argument that the healthcare industry is ripe for Digital Transformation, especially because the needs and concerns of the industry have remained essentially consistent over the last few decades, in spite of tremendous technological advancements. Healthcare organisations have access to higher volumes of data than ever before. While a decade ago healthcare organisations were at a data creation stage, they will now shift focus on data management, extracting intelligence out of the data collated, and the use of that intelligence to transform their organisations and the industry, as a whole. So, what can the industry expect in 2019?

• India will Receive a Lot of Attention from Technology Vendors
  At the turn of this decade, there was a plethora of healthcare IT vendors, driven by investments in the Affordable Care Act in the US. The industry has since become far more consolidated. A similar situation will open up in the Indian market. What is popularly being termed as ‘Modicare’ is narrower in scope and has a long way to go in terms of policy as well as planning. However, it will create a ripple effect and get vendors – especially the smaller ones – very interested in India in 2019. Every large global insurance company has a presence in India, attracted by the population base. It will be similar for healthcare technology vendors.
• CX will go Beyond Managing Patient Experience to Providing Personalised Healthcare
  Improving customer experience (CX) is a key objective for most healthcare organisations. This has been compounded by how technologically savvy people have become over the years. Patients often do their own research before they even visit their doctors. While most physicians consider this a bit of a nuisance, it is increasingly going to be the way forward. Patients are also expecting better experience, when it comes to access of timely alerts and information, education, and access to their reports. Healthcare organisations will eventually go beyond patient experience to personalised healthcare and deeper customer engagements. While this will become most apparent for chronic disease management, it will go into spaces such as predicting patient risk over the next few years.
• Operations will Lead Investments in IoT ….
  The global Ecosystm IoT Study reveals that of the healthcare organisations that have embarked on their IoT journeys, 2/3rd are still at the evaluation stage. What then are the drivers for healthcare organisations to adopt IoT? The top three drivers tell us that the key stakeholder is not the clinical   departments, but Operations. Struggling with the workforce constraints, IoT is deemed as the technology that will allow better optimisation and innovative ways of providing customer care to improve patient experience. Internal process monitoring emerges as a key driver, in an industry where medical error monitoring and reporting is an important mandate.