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Health and HealthCare in the 4.IR Generation

Health and HealthCare in the 4.IR Generation Technology advances always have a role in healthcare delivery MASHUDU TSHIFULARO Academic PROF .Med Dr. Chairman Chief specialist OTORHINOLARYNGOLOGY DEPARTMENT STEVE BIKO ACADEMIC HOSPITAL UNIVERSITY OF PRETORIA. Contents. Introduction

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Health and HealthCare in the 4.IR Generation

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  1. Health and HealthCare in the 4.IR Generation Technology advances always have a role in healthcare delivery MASHUDU TSHIFULARO Academic PROF .Med Dr. Chairman Chief specialist OTORHINOLARYNGOLOGY DEPARTMENT STEVE BIKO ACADEMIC HOSPITAL UNIVERSITY OF PRETORIA Prof M TSHIFULARO GEMS SYMPOSIUM

  2. Contents • Introduction • Medical Breakthroughs in Biotechnology • Enhancing Human Health for Improved Wellness • Analytics and Computing for Improved Diagnostics, Payments and Information Sharing • Modern Machines and Healthcare • Policy and Governance: Adjusting Society to Rapid Changes in the Health and Healthcare Ecosystem • Conclusion Prof M TSHIFULARO GEMS SYMPOSIUM

  3. Introduction • 4.IR impact of healthcare • By 2050 world 10billion • 2/5 aged 60 and 2/3 babies could live 100yrs ,or over/80yrs old(434 million)-geriatric med. • Cost Jobs reorientation and ethical issues • Accelerate challenges delivery of healthcare • Spending 13% GDP in OECD • Recent medical advances 1900-antibiotics discovery,2000 ;genome .21 centuary: 4.IR/AI. Prof M TSHIFULARO GEMS SYMPOSIUM

  4. IMPACT ON HEALTHCARE • Stakeholders private/public • Narrow competing objectives{silos) • Power asymmetry(north/south) • Advanced/emerging economies • Cooperation failures • These challenges need to be addressed collectively across the globe and generations in the 4IR . Prof M TSHIFULARO GEMS SYMPOSIUM

  5. SUSTAINABILITY COST • 1.Sustainability 2050 1/5th population >60yrs • 2/3 of baby born today could live beyond 100yrs-geriatric med • Increase NCDs 75% of medical expenses now • Rising cost by USD 47 trillion, World expenses lost in health by 2030 • 2.Acceleration of advances will decrease some test while increasing expenses of new drugs-cell therapy cost 1 million USD/patient cancer therapy Prof M TSHIFULARO GEMS SYMPOSIUM

  6. What is driving innovation Prof M TSHIFULARO GEMS SYMPOSIUM

  7. Radical transformation • 3.digitilization of health and healthcare into social media;internet of things(IoT),wearables,sensors,bigdata,artificial intelligence(AI),nanotechnology,robotics,and 3D printing • Transform society into increasing connectivity • Breaking structure of healthcare information accessibility • 4.Advances in discovery and clinical sciences,data science and technology-new developments. • Breakthrough:genetic engineering-genome editing • Regenerative biology and medicine,tissueengineering,cancer genomics and immunotherapy • Precision medicine,microbiome,opticalimaging,optogenetics and brain machine interface technology. Prof M TSHIFULARO GEMS SYMPOSIUM

  8. Data science • 5.Surge of data science with big data analytics • Digital technologies • AI has transformative impact on health and medicine and all aspect of healthcare if full potential is achieved in the coming decade. • Certain advances will not only transform medicine but will afford cure for some genetic conditions • Precision medicine babies: • Gene-editing technology :sickle cell anaemia,cystic fibrosis • Germline editing –familial dx • Somatic genome-acquired dx,control and cure(NCDs). Prof M TSHIFULARO GEMS SYMPOSIUM

  9. Precision medicine • Guide healthcare decisions towards most effective treatment for a given patient or subset of patients. • Key for preventative medicine by identifying predisposed or high-risk patients for specific conditions and dx could be readily prevented with early detection. • Appropriate Screening or through life style changes Prof M TSHIFULARO GEMS SYMPOSIUM

  10. Healthcare big data real-time • Real-time data can generate new knowledge and new evidence to better understand patterns of health and diseases. • Access to real-world evidence will play critical role in development of new system which evidence base medicine • Science,informativs,incentives and culture are aligned for continuous improvement and innovation,with best practices seamlessly embedded in the delivery process and new knowledge captured as an integral by-product of the delivery experience. Prof M TSHIFULARO GEMS SYMPOSIUM

  11. Integration of big data • Big data,analytics,new technology and connectivity inside and outside clinical encounters,coupled with payer activities and cost,pharmaceuticals and medical products R&D data,and patient behaviour. • Prediction outcome of diseases,drivers of health and social detrminants. Prof M TSHIFULARO GEMS SYMPOSIUM

  12. Fundamental shifts • Two fundamentals will shape the healthcare industry: • First :Delivery as a seamless continuum of care away from the clinic-centered point of care model and with a greater focus on prevention and early intervention. • Secondly health and healthcare delivery will focus on each person within their own ecosystem,with greater impact from people or patients themselves often referred to as the consumerization of health Prof M TSHIFULARO GEMS SYMPOSIUM

  13. Telehealth technologies • Patients send personal information to providers ;remotely diagnose health problems • IoT and technologies enable real-time monitoring; • Apps and wearable will help promote helthy behaviours and sustained behaviour modification. • AI will transform all areas of health and medicine towards clinical decision-making Prof M TSHIFULARO GEMS SYMPOSIUM

  14. Value-based care • Systems intergration will lead to value –based care approaches value-based payment models. • Focus on improving individual outcome • Optimization the cost of patient care • Improving care outcome • Rationalization at point of care • Reduction of redundancies and wastage • Reduction of cost as upto 3rd of current total spend for healthcare • Improve outcome and efficiency of healthcare delivery • Controlling costs • Keeping innovation at the centre of future healthcare enterprise. Prof M TSHIFULARO GEMS SYMPOSIUM

  15. Future • Despite mounting challenges to come facing healthcare delivery • There are promising prospects of precision medical healthcare due to combined advances in discovery,clinicalsciences,data science and technology and their convergences through fourth industrial revolution are paving the way for unprecedented changes in health. • Will Profoundly transform health and healthcare to become • More connected, Efficient • Pre-emptive,Precise, • Democratized, Affordable • Not only will this improve health of individuals • It will reduce imbalances across geographies while boosting economies and spurring employment a key factor in the wellness and health of society Prof M TSHIFULARO GEMS SYMPOSIUM

  16. Enhancing Human Health for Improved Wellness Prof M TSHIFULARO GEMS SYMPOSIUM

  17. Analytics and Computing for Improved Diagnostics, Payments and Information Sharing Prof M TSHIFULARO GEMS SYMPOSIUM

  18. Modern Machines and Healthcare Prof M TSHIFULARO GEMS SYMPOSIUM

  19. Policy and Governance: Adjusting Society to Rapid Changes in the Health and Healthcare Ecosystem Prof M TSHIFULARO GEMS SYMPOSIUM

  20. Conclusion Prof M TSHIFULARO GEMS SYMPOSIUM

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