La révolution numérique … un remède digital? Bruno Schroder BeLux Technology Officer

Présentation au sujet: "La révolution numérique … un remède digital? Bruno Schroder BeLux Technology Officer"— Transcription de la présentation:

1 La révolution numérique … un remède digital? Bruno Schroder BeLux Technology Officer Microsoft brunosch@microsoft.com @bruno_schroder

2 Qui parmi vous est un utilisateur de services internet ou cloud? - oui - non

3 Qui parmi vous est un utilisateur de services internet ou cloud? 1 - oui 2 - non 86% 14%

4 Qui parmi vous utilise un smartphone? - oui - non

5 Qui parmi vous utilise un smartphone? 1 - OUI 2 - NON 90% 10%

6 Qui parmi vous a un profil Facebook? - oui - non

7 Qui parmi vous a un profil Facebook? 1 - oui 2 - non 43% 57%

8 Quelle sera laugmentation de la puissance de calcul des ordinateurs dans les 10 années à venir? - de 1 à 10 fois plus puissants - de 10 à 100 - de 100 à 1000 - de 1000 à 10.000

9 Quelle sera laugmentation de la puissance de calcul des ordinateurs dans les 10 années à venir? 1 - de 1 à 10 x + puissant 2 - de 10 à 100 3 - de 100 à 1000 4 - de 1000 à 10.000 0% 10% 17% 72%

10 Image of CPU

11 Intel ASCI RED 1 TeraFlops 12TB de données 9298 processeurs 114 racks 230M² Active till September 2005 Top computer in 1999

12 512 GFLOPS peak 10 Years Later …

13 June 2011: 10.5 petaflops Asia has come out swinging at the top of June 2011s Top500 list, which rates the worlds fastest computers based on the LINPACK benchmark. Leading the list is the K Computer, which achieved 10.5 quadrillion floating-point operations per second (petaflops) (Source: Communications of the ACM, Copyright 2011) 12 years of Moores law: 256 Real life: > 10.000 ~ 3.000.000 in 25 years

14 + Hotmail 1.3 billion mailboxes 155PB storage, growing 2PB per month (70.000 LTE) Windows Live Messenger 300 million users 76 countries, 48 languages ~40 million people simultaneous connections 9.9 billion messages a day via Windows Live Messenger 600 million unique users every month on Windows Live & MSN 1M Business Productivity Online Suite users in 36 countries & regions 5 petabytes of content served by Xbox Live during Christmas week 1 Petabyte+ of updates served every month by Windows Update to millions of servers and hundreds of millions of PCs worldwide Hotmail 1.3 billion mailboxes 155PB storage, growing 2PB per month (70.000 LTE) Windows Live Messenger 300 million users 76 countries, 48 languages ~40 million people simultaneous connections 9.9 billion messages a day via Windows Live Messenger 600 million unique users every month on Windows Live & MSN 1M Business Productivity Online Suite users in 36 countries & regions 5 petabytes of content served by Xbox Live during Christmas week 1 Petabyte+ of updates served every month by Windows Update to millions of servers and hundreds of millions of PCs worldwide A worldwide infrastructure

15 http://www.petap ixel.com/2011/07/ 27/turning-the- eye-into-a- camera-sensor/ http://www.petap ixel.com/2011/07/ 27/turning-the- eye-into-a- camera-sensor/

16 + World changes:

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18 Indian entrepreneurs apply mass-productiontechniques to sophisticated services. Aravind, theworld's biggest eye-hospital chain, performs 200,000operations a year. Four operating tables are laid side byside as two doctors operate on adjacent tables. Whenthe first operation is done, the second patient isalready in place. (Economist, April 2010) (link) Indian entrepreneurs apply mass-production techniques to sophisticated services. Aravind, the world's biggest eye-hospital chain, performs 200,000 operations a year. Four operating tables are laid side by side as two doctors operate on adjacent tables. When the first operation is done, the second patient is already in place. (Economist, April 2010) (link)link Dr Shetty is only one of many Indians who are applying Henry Fords principles to health care. LifeSpring has reduced the cost of giving birth in a private hospital to $40 by looking after many more mothers.

19 Quel pourcentage de la population mondiale dispose dun GSM? 27% 47% 67% 87%

20 Quel pourcentage de la population mondiale dispose dun GSM? 1 - 27% 2 - 47% 3 - 67% 4 - 87% 10% 21% 45% 24%

21 Associated behavior, here The power of anonymity and IT as social breaker

22 … and there.

23 Quel pourcentage dinternautes a obtenu des informations médicales en ligne? - 35% - 55% - 75% - 95%

24 Quel pourcentage dinternautes a obtenu des informations médicales en ligne? 1 - 35% 2 - 55% 3 - 75% 4 - 95% 11% 46% 32%

25 75% of internet users have obtained health ormedical info online, more than those whohave checked news (71%), watched videoonline (48%), and paid for digital content(28%). (Pew, 2009) 75% of internet users have obtained health or medical info online, more than those who have checked news (71%), watched video online (48%), and paid for digital content (28%). (Pew, 2009)

26 The Social Proof http://techcrunch.com/2011 /11/27/social-proof-why- people-like-to-follow-the- crowd/

27 The task is not so much to see what no one yet has seen, but to think what nobody has yet thought about that which everyone sees – Schopenhauer The Knowledge Paradox. Cooperation

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29 Twitter comme indexeur

30 Facebook deviendra-t-il: - un centre de formation médicale continuée? - le lieu sécurisé des interactions avec les patients - lannuaire médical?

31 Facebook deviendra-t-il: 1 - un centre de formation médicale continuée? 2 - le lieu sécurisé des interactions avec les patients 3 - lannuaire médical? 38% 23%

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33 CareMore CareMore started over 15 years caring for seniors as a Medical Group. Years later, CareMore began serving seniors as a Health Plan and continues to do so today through our Provider partners and as a Medical Group. CareMore is dedicated to the senior market in 3 states and we have plans for future expansion. http://www.caremore.com/About.aspx http://www.facebook.com/CareMoreHea lth http://www.facebook.com/CareMoreHea lth

34 Healthcare Spending With technology and preventive measures,CareMore - with its 26 care centers - has ahospitalization rate that's 24% below average,hospital stays that are 38% shorter, and amamputation rate among diabetics that's 60%lower than average. The overall member costsare also 18% below the industry average(CareMore, January 2011). With technology and preventive measures, CareMore - with its 26 care centers - has a hospitalization rate that's 24% below average, hospital stays that are 38% shorter, and am amputation rate among diabetics that's 60% lower than average. The overall member costs are also 18% below the industry average (CareMore, January 2011). The United States spends $2.1 trillion on healthcare, $650 billion above expectations. (MGI,November 2008) (link) The United States spends $2.1 trillion on health care, $650 billion above expectations. (MGI, November 2008) (link)link

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36 Doximity and Sermo Professional Networks for Physicians Launched a little more than a year ago, Doximity now has 9% of all U.S. physicians as members. Sermo has over 125,000+ physicians in 68 specialities https://www.doximity.co m/ https://www.doximity.co m/ http://www.sermo.com/ Recent Articles Complex Disease Management: Whats next for mHealth LinkedIn Co-Founder Konstantin Guericke Joins Doximitys Board of Directors Doximity Partners with Stanford on Alumni App Why Social Media is Just What the Doctor Ordered Now on Our Site: Doximity Product Videos Why Online Social Networking Should Change What We Know about Health Care Social Media and Health Care: The Power of Networked Physicians The Rebirth of Primary Care Doximity Notes from the Road: SXSW Recap Getting to a Better Patient Handoff

37 Que peut faire un smartphone? téléphoner diagnostiquer la malaria dépister le mélanome prise de tension ecg Stéthoscope

38 Que peut faire un Smartphone? 1 - téléphoner 2 - diagnostiquer la malaria 3 - dépister le mélanome 4 - prendre la tension 5 - un ecg 6 - diagnostiquer une pneumonie 7 - un stéthoscope 75% 59% 66% 56% 47% 63%

39 Silver Edison Award http://eyenetra.com/netra-g.html

40 Anatomy Of A Handheld Hospital 1 Processor that can power a pacemaker Smartphones run superfast (in excess of 1 GHz) without consuming much power, much like top-notch pacemakers and cardiac defibrillators. 2 Display that can assess an ultrasound The iPhone 4S's resolution (300 pixels per inch) is on par with most hospital-grade ultrasound monitors, and small screen size won't matter once projection tech takes off. 3 Camera that can capture cells The HD video camera, which shoots 30 frames per second, is more advanced than some of the ones in colonoscopes, which doctors use to seek out potentially cancerous tissue. 4 Accelerometer that can guide physical therapy The three-axis accelerometer captures the same subtle movements--tilts, shocks, rotations--as APDM motion sensors, which are used to monitor patients' Parkinson's disease and help them through physical therapy. 5 Microphone that can hear your heart Because of its flat-frequency response rate--which drastically reduces noise distortion--a smartphone mic (with help from an amplifying attachment) can detect a heartbeat almost as well as a $500 electronic stethoscope. http://www.fastcompany.com/magazine/162/health-industry-smartphones-tablets

41 Mobile Health In 2011, 14% of all adult Americans (approximately 31 million), up from9%, will use a mobile health application to manage their health, wellness,and chronic conditions. (IDC, December 2010) (link) In 2011, 14% of all adult Americans (approximately 31 million), up from 9%, will use a mobile health application to manage their health, wellness, and chronic conditions. (IDC, December 2010) (link)link 14% of adult Americans will use a mobile health application to managetheir health, wellness, and chronic conditions in 2011. (IDC, December2010) (link) 14% of adult Americans will use a mobile health application to manage their health, wellness, and chronic conditions in 2011. (IDC, December 2010) (link)link There are 17,000 mHealth applications in major app stores, 74% of themadhering to the paid business model. (research2guidance, November2010) (link) There are 17,000 mHealth applications in major app stores, 74% of them adhering to the paid business model. (research2guidance, November 2010) (link)link Ford researchers demonstrate a series of possible in-car health andwellness connectivity services and apps aimed at helping people withchronic illnesses or medical disorders such as diabetes, asthma or allergiesmanage their condition while on the go. (Ford, May 2011) Ford researchers demonstrate a series of possible in-car health and wellness connectivity services and apps aimed at helping people with chronic illnesses or medical disorders such as diabetes, asthma or allergies manage their condition while on the go. (Ford, May 2011) 500 million of 1.4 billion smartphone users in 2015 will be running somekind of mobile healthcare application. (research2guidance, November2010) (link) 500 million of 1.4 billion smartphone users in 2015 will be running some kind of mobile healthcare application. (research2guidance, November 2010) (link)link

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43 Shimba Technologies plans a Yelp-like feature formobile health app MedAfrica so that users cancomment on doctors in order to provide contextfor who is better out of a "laundry list" ofproviders (Technology Review, December 2011). Shimba Technologies plans a Yelp-like feature for mobile health app MedAfrica so that users can comment on doctors in order to provide context for who is better out of a "laundry list" of providers (Technology Review, December 2011). Of ther 25,000 people who have downloadedmobile health app MedAfrica between lateNovember and mid-December 2011, 60% are"active users" (Shimba Technologies, December2011). Of ther 25,000 people who have downloaded mobile health app MedAfrica between late November and mid-December 2011, 60% are "active users" (Shimba Technologies, December 2011).

44 Medical Records and Research One vision of digital technologies bringing about true prevention includes telemonitoring movesfrom mobile apps to nanosensors to measure BP, respiration, blood glucose, cholesterol, and otherphysiological indicators (National Heart, Lung & Blood Institutde, December 2011). One vision of digital technologies bringing about true prevention includes telemonitoring moves from mobile apps to nanosensors to measure BP, respiration, blood glucose, cholesterol, and other physiological indicators (National Heart, Lung & Blood Institutde, December 2011). A review of randomized studies of mobile apps for smoking cessation found that they helped in theshort term, but that there is insufficient research to determine long-term benefits (National Heart,Lung & Blood Institute, December 2011). A review of randomized studies of mobile apps for smoking cessation found that they helped in the short term, but that there is insufficient research to determine long-term benefits (National Heart, Lung & Blood Institute, December 2011). By preemptively identifying who's in which half of the population that are helped by certain drugs,genomics might keep patients, private insurers, and Medicare from wasting tens of billions ofdollars a year (Technology Review, December 2011). By preemptively identifying who's in which half of the population that are helped by certain drugs, genomics might keep patients, private insurers, and Medicare from wasting tens of billions of dollars a year (Technology Review, December 2011). Every minute of the most commonly used high-resolution video in surgeries generate 25 times thedata volume (per minute) of even the highest resolution still images such as CT scans, and each ofthose still images already requires thousands of times more bytes than a single page of text ornumerical data. (McKinsey Global Institute, 2011) Every minute of the most commonly used high-resolution video in surgeries generate 25 times the data volume (per minute) of even the highest resolution still images such as CT scans, and each of those still images already requires thousands of times more bytes than a single page of text or numerical data. (McKinsey Global Institute, 2011) More than 95% of the clinical data generated in health care is now video. Multimedia data alreadyaccounts for more than half of Internet backbone traffic (i.e., the traffic carried on the largestconnections between major Internet networks), and this share is expected to grow to 70% by 2013.(McKinsey Global Institute, 2011) More than 95% of the clinical data generated in health care is now video. Multimedia data already accounts for more than half of Internet backbone traffic (i.e., the traffic carried on the largest connections between major Internet networks), and this share is expected to grow to 70% by 2013. (McKinsey Global Institute, 2011)

45 1,900 physicians in Ghana have logged 1M+calls to patients since 2008 thanks to MDNet;a system that allows users in Ghana andLiberia to call or text doctors for free(AfricaAid, December 2011). 1,900 physicians in Ghana have logged 1M+ calls to patients since 2008 thanks to MDNet; a system that allows users in Ghana and Liberia to call or text doctors for free (AfricaAid, December 2011).

46 QuantifyMe HealthVault >< GoogleHealth

47 Big Data If the US health industry would use big datacreatively and effectively to drive efficiencyand quality, the potential value could be $300billion every year, two-thirds of which wouldbe in the form of reducing national health careexpenditures by about 8%. (McKinsey GlobalInstitute, 2011) If the US health industry would use big data creatively and effectively to drive efficiency and quality, the potential value could be $300 billion every year, two-thirds of which would be in the form of reducing national health care expenditures by about 8%. (McKinsey Global Institute, 2011)

48 Big Data/ Data analysis saves life Uncovering New Ways the Human Immune System Fights HIV http://research.microsoft.com/en- us/collaboration/stories/hiv_research_za.aspx Adjusting Pneumonia Vaccination to Save Lives http://research.microsoft.com/en- us/collaboration/stories/pneumonia- vaccination.aspx

49 A database that could save Healthcare: On May 22 a new nonprofit called the Health Care Cost Institute will roll out a database of 5 billion health insurance claims (all stripped of the individual health plans identity, to address privacy concerns). http://mobile.washingtonpost.com/rss.jsp?rssid=615&item=http://www.washingtonpost.com/Fragment/SysConfig/WebPortal/twpweb/feeds/Bl ogsMobileIndividual/mobile- blogs.jpp%3Fid%3D1000.4.1601919935%26wprss%3D&cid=-1&spf=1 http://mobile.washingtonpost.com/rss.jsp?rssid=615&item=http://www.washingtonpost.com/Fragment/SysConfig/WebPortal/twpweb/feeds/Bl ogsMobileIndividual/mobile- blogs.jpp%3Fid%3D1000.4.1601919935%26wprss%3D&cid=-1&spf=1

50 En 2016, quel dispositif permettra de suivre sa glucomètrie en temps réel: - un GSM - des lentilles de contact - un T-Shirt?

51 En 2016, quel dispositif permettra de suivre sa glucomètrie en temps réel: 1 - un GSM 2 - des lentilles de contact 3 - un T-Shirt? 52% 31% 17%

52 Functional Contact Lens Monitors Blood Sugar Without Needles Researchers from the University of Washington (UW) and Microsoft Research Connections (MRC) are working together to develop a non-invasive, technological solution that promises to improve both the health and overall quality of life for diabetics: a contact lens that monitors blood glucose levels. This innovative solution represents a trend in technology, the Natural User Interface (NUI). – http://research.microsoft.com/apps/video/default.as px?id=150832 http://research.microsoft.com/apps/video/default.as px?id=150832

53 Surgeons at a Toronto hospital are using Microsofts Xbox 360 motion sensor Kinect to call up images during operations, saving around 20 minutes each time. (Winnipeg Free Press, March 2011) http://www.bright.nl/chirurgen-gebruiken-kinect-voor-fotos-de- operatiekamer?utm_source=feedburner&utm_medium=feed&utm_campaign=Fee d:+brightmagazine+(B+R+I+G+H+T+-+innovative+lifestyle) http://www.bright.nl/chirurgen-gebruiken-kinect-voor-fotos-de- operatiekamer?utm_source=feedburner&utm_medium=feed&utm_campaign=Fee d:+brightmagazine+(B+R+I+G+H+T+-+innovative+lifestyle)

54 Quelle est la distance maximum possible entre un ophtalmologue et son patient? - 1 mètre - 5 mètres - 20.000 kilomètres

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58 Connexion par la pensée? Le singe à 3 bras

59 Combien de professionnels de la médecine faudrait-il en 2050 pour assurer une couverture correcte en soins de santé à la totalité de la population de notre planète? - pas plus -2 fois plus -3 fois plus -10 fois plus

60 Combien de professionnels de la médecine faudrait-il en 2050 pour assurer une couverture correcte en soins de santé à la totalité de la population de notre planète? 1 - pas plus 2 - 2 fois plus 3 - 3 fois plus 4 - 10 fois plus 62% 28% 3% 7%

61 Global Health Workforce Service Providers Current: 39 470 000 Ideal Today: 84 138 046 Ideal in 2050:110 220 046 (x2.8) Missing till 2050: 70 740 046 40 years to x2.8 Source: www.who.int/whr/2006/overview fig6 en.pdfwww.who.int/whr/2006/overview fig6 en.pdf

62 Quelles sont les données médicales qui devraient être libre daccès? - aucune - toutes - celles que le patient accepte de partager - celles que le médecin accepte de partager - toutes mais anonymisées

63 Quelles sont les données médicales qui devraient être libres daccès? 1 - aucune 2 - toutes 3 - celles que le patient accepte de partager 4 - celles que le médecin accepte de partager 5 - toutes mais anonymisées 0% 4% 43% 7% 46%

64 À qui appartiennent les données médicales dun patient? - à son médecin - au patient - à la sécurité sociale? - à la communauté médicale - autre

65 À qui appartiennent les données médicales dun patient? 1 - à son médecin 2 - au patient 3 - à la sécurité sociale? 4 - à la communauté médicale 5 - autre 14% 62% 10% 31% 3%

66 Transformation par la technologie Les technologies permettent la capture, la distribution et lutilisation répétitive de la compétence créatrice de valeur Connexion Induit des économies déchelle Crée les effets réseaux Abstraction Les généralistes remplacent les spécialistes Réduit la complexité Transcription Rend explicites les compétences tacites et implicites Formalise la connaissance

67 Dans 10 ans: la transformation algorithmique* Transcription Abstraction Connexion Réalité augmentée simple, naturelle et adaptative Formalisation et transcription de modèles abstraits massifs Réseaux autonomes ad-hoc omniprésents Calcul illimité Stockage illimité Bande passante illimitée *Prof. John Zysman, BRIE – UC. Berkeley Loi de Clark: Toute technologie suffisamment avancée est assimilée à de la magie…

68 La révolution technologique … … est surtout une révolution des données et passe par un changement de mentalité.

69 À quand un docteur électronique? - jamais - dans 5 ans - dans 20 ans - Il est déjà là

70 À quand un docteur électronique? 1 - jamais 2 - dans 5 ans 3 - dans 20 ans 4 - Il est déjà là 59% 4% 11% 26%

71 Future is the only way forward! Anonymous techno freak – Internet 2010