Connect to Health Experts for Personalised Consultations and Share Health Data for Actionable

Advice that gets Results.

HealthPanel

Hi, my name is Stuart Worth

I live for Health Tech & Marketing.

I believe everyone should be empowered to live: Healthier, Happier & More Productive lives

Queens University Belfast | Engineering ‘12

Stanford University | Entrepreneur programme E-commerce

Member of the Silicon Valley Health Institute

Part of Quantified-self movement.

Before we start, I’ll give you a snapshot of my background..

Some highlights

Developing social commerce application utilising persuasion & behaviour psychology principles.

Some past projects i’ve worked on.

The big idea I’m introducing to you..

has emerged from series of converging market forces that I have seen steadily evolve over the past 4 years.

Today the technology is used by:

professional athletes

minority niche of health conscious early adopters

individuals in the quantified-self movement.

but they will be.. soon because an entire industry is spawning. Giants in the healthcare industry and tech industry are moving into this space. Greater market forces are pushing in this direction, as a result of technological innovations in medical diagnostics and advances in low cost computational processing.

majority of people are not yet familiar with some of these health concepts.

The companies that win in this space - will make it easy for everyday people to use.

As we see it today….

Healthcare systems are broken

In the U.K. - while most of the services are free

the taxpayer pays £100 Billion + / year for it.

It is proving unsustainable both economically and environmentally. - All round wasteful and inefficient.

By 2035, diabetes care 'could cost the NHS £17 billion a year'.

“Diabetes could 'bankrupt' the NHS in 20 years,”

Service problems to customers include:

Inconvenient waiting lists to see a professional.

High level of mis-diagnoses from doctors intuition.

Geographic limitations - what GP’s/ experts are available locally.

Treating symptoms with short term solutions - antibiotics and prescription drugs.

Not treating core problems that generate illness

Not using long term solutions.

In many cases a health professional will not be able to recommend a diagnostics test due to budget spend limitations or supply chain restrictions.

Often they are not trained to interpret the information in a way that is useful to patients.

And they don’t have the expertise to give advice which gets the best long term results for the individual.

This has lead to individuals to seek private health consultants and paid for diagnostics tests, which have proved life-saving to many.

Historically spending in healthcare has been: disproportionally sided to the last — days — weeks — months — and years of life. Because people want to hang on to life, and are willing to pay for it. The procedures, drugs, medical equipment and staff required to achieve cheating death just a little longer.. are costly.

But we are seeing a societal shift.

Baby Boomers & Generation X are getting into preventative medicine and healthcare.

They want and expect to live longer and at a higher quality of life than their parents or grandparents generation.

They are spending money on health foods, supplementation, gym membership, coaching, private consults, health spas, etc.

In the past - it was a small niche, now it’s become mainstream and growing.

Millennials have grown up with the internet, mobile devices and are experimenting with various forms of self tracking, fitbit, jawbone, sleepcycle app

So what direction is the future taking us?

Thought  leaders  are  saying..

“in  the  future,pa6ents  will  have  the  data  &  analysis  to  become  the  CEO  of  your  own  health”  

!- Peter Diamandis

XPRIZE, Singularity University & Author of Abundance.

“More  and  more  major  businesses  and  industries  are  being  run  on  soCware  and  delivered  as  online  services

—from  movies  to  agriculture  to  na6onal  defence”  “Over  the  next  10  years,  I  expect  many  more  

industries  to  be  disrupted  by  soCware”  !

- Marc Andreessen

General partner - Andreessen Horowitz

“1.  80  percent  of  what  doctors  do,  diagnos6cs,  will  be  replaced  by  machines  

2.  Medicine  will  become  tailor-­‐made  for  each  pa6ent  3.  Consumer-­‐driven  tech  will  create  beMer  incen6ves  

to  keep  people  healthy”  

- Vinod Khosla

Co-founder Sun Microsystems & VC

The future of healthcare will be personalised & software based

In terms of personalisation - we all process nutrition, toxins, and stress differently. A one-size-fits-all answer will not give us optimal health. A diet that is beneficial for some may be deleterious to others. Diagnostic technology enables a baseline to be set, and measured again, to gain greater understanding, can track and observe changes over time in concert with lifestyle changes. Enables informed behaviour change advice, for best outcome Having a database of an individuals many biomarkers. Through the feedback loop can see effective changes made to avoid disease, and take control of our health, performance and longevity.

Systems biology is measurable and results-orientated

Today we have a reactive medicine approach, and one-size-fits all, and it is incompatible the modern western lifestyle which has contributed to the majority of public health problems. Lifestyle choices in the areas of: diet, stress management, cardio exercise and mental wellness. We live in a time, where we have excess resources and time to think, more than other time in recorded history. The human mind evolved for a life of preset constraints— a limited selection of food and resources. Humans have cognitive limitations, finite will power, they develop habits and behaviour patterns they struggle to change. They get into negative mental loops which cause addiction and anxiety.

“40,000+ patients in U.S. may die with a misdiagnosis annually” !

winters, et al., bmj quality & safety, 2012

“Surgeons were given detailed diagnoses & asked if patients should get surgery…

!50% said yes …

other 50% said no … !!

when asked again 2 years later, 40% gave a different answer

Article: http://jama.jamanetwork.com/article.aspx?articleid=380215

wide ranges of uncertainty

Article: http://jama.jamanetwork.com/article.aspx?articleid=380215

seventeen  experts’  es6mates  of  the  effect  of  screening  on  colon  cancer  deaths

propor6on  of  colon  cancer  deaths  prevented  

=  one  expert’s  response  

0%! 25%! 50%% 75%% 100%%

“premature closure the single most common cause of diagnosis error”

Article: http://archinte.jamanetwork.com/article.aspx?articleid=486642 !

misdiagnosis and incorrect decision-making are proven to be rampant by multiple peer reviewed studies.

Conclusion

Healthcare Practitioners are human and like all humans they have: cognitive biases memory biases and mental limitations. !

Here’s why

They have to make decisions based on imperfect & incomplete information. !

the shift to “computerization” has already happened in other areas… !…airline pilots, stock trading, car driving

and its going to happen to healthcare and wellness.

The game changer is in ‘measurement’ and feedback. The quantified self movement is about tracking data points, trending them and trying to gain useful insights to improve future results. It can be leveraged to create accountability of the customer. Research shows people perform better under observation than they do without. Evidence shows we have to create structure and measurement artificially that we superimpose on top of our lives that to get ourselves to follow through, and get the results we want.

Architec6ng  Healthcare  as  feedback  loop

Diagnos6cs  tes6ng Health  ProfessionalsSharinglifestyle  informa6on

Ac6onable  Feedback

{1.} {2.}

{3.}

Accountability  /  behaviour  change

{4.}

{con6nuous.}

[Machine  Learning/big  data]  observing  process  above.{con6nuous.}

GP,  specialist,  nutri6onist,  fitness  coach,  psychologist

Why now.

High leverage industries

Healthcare Telecomms

Industries in chaos.. .. ripe for disruption & consolidation.

Education

Healthcare

10% to 20% of cases: delayed, missed, and incorrect diagnosis

graber, et al., jama, 2005

Healthcare

Healthcare can be a difficult space !Devices, diagnostics and drugs require FDA approval and other compliances. !Expensive, high-risk and time consuming.

Healthcare Telecomms

HealthPanel meets intersection between health and internet communication.

X

Providing the platform, not the actual advice or diagnostics.

No FDA, No Compliances.

The Telemedicine Space has excited a lot of companies. because.. they can see the potential of the internet to provide enormous scale at low cost, !combined with.. !the growing demand for lower cost, more convenient, accessible & better advice.

Healthcare TelecommsX

but !the winner of this space will be people who can make it easy. Simple and intuitive to use for everyday people. !There needs to be a X10 multiplier in benefit for people make the switch. !Data feedback and behaviour change systems get exponentially better results and consumers recognise it when they try it.

Healthcare TelecommsX

Offering for health professionals. Few health professionals happen to be world-class marketers, managers and business operators all rolled in to one. !They are focused on the core of their service.. patient/customer care. !There are few health experts who operate high traffic blogs, have national best-seller books, and a team of employees running their website and product distribution. They are the most heard, and perceived as authorities in their domain.

Healthcare TelecommsX

The right platform enables health professionals to -increase revenue using tools enable scale and structured organisation. -earn by referring other health professionals. -use pre-defined automated email scripts targeted at specific niche customer segments from different lists. They can automated: accountability to clients/patients, booking and scheduling. Systemising pre-booking application processes Built in payments. % commission

Healthcare TelecommsX

“Nearly  half  of  all  american  adults  have  difficulty  understanding  and  ac6ng  upon  health  informa6on  ”  

ins6tute  of  medicine  of  the  na6onal  academies  IOM  –  Health  Literacy:  A  Prescrip6on  to  End  Confusion  (hMp://www.nap.edu/openbook.php?record_id=10883&page=1)  !

Education

“Most  [pa6ents]  preferred  receiving  their  discharge  informa6on  from  the  [computer]  agent  compared  to  their  doctors  or  nurses   in  the  hospital  “  

bickmore,  et  al.,  interac6ng  with  computers  

Education

90M  adults  with  limited  health  literacy  cannot  fully  benefit  from  much  that  the  healthcare  system  has  to  offer  

Education

Data

The variability occurs because physicians must make decisions about phenomenally complex problems, under very difficult circumstances, with very little support. They are in the impossible position of not knowing the outcomes of different actions, but having to act anyway.

eddy,  et  al.,  jama,  1990  

A  simple  insight  from  to  big  data  analysis  

‘depression  is  a  risk  factor  for  diabetes’  !

Data

[During the 1850’s California gold rush - the majority of wealth wasn't created in mining gold. It was in supplying the pickaxes & maintenance tools. ] !

An online platform can create high leverage value by facilitating an ecosystem. - like facebook, ebay, freelancer, reddit, apple/android app stores.

Giving stakeholders the right tools enables them to define their own value, and create their own wealth.

HealthPanel enables professionals to create a ‘business in a box’.

And an open API data approach to let others innovate. There are hundreds of companies trying to offer genomics solutions, but with limited datasets from academic research made public, they are trying to build their own datasets selling genomics kits - but with little success. In future the cost of genomics tests and blood biomarkers will be extremely cheap $5-$10 range. The long term value will be in the platform and the use made from the data.

The HealthPanel vision is to be the communications hub of preventative health & wellness services.

It connects people to health & wellness professionals anywhere in the world. It creates ease in scheduling consultations and payment of services.

The HealthPanel term for health professionals encompass: doctors, medical specialists, nutritionists, fitness coaches, behaviour change experts, etc.. because health advice is a holistic approach, a range of expertise.

It connects people to diagnostic testing services, and a place to access and share that data with ease, to people who can interpret insights and give useful actionable plans for the customer to follow.

Who its for.

For Health Conscientious Men & Women aged 25 & over

Who want to have more convenience and choice over their health professional, and not be limited to whats available locally or experience inconvenient scheduling and long wait times.

Who want professionals that are accountable, have a proven track record, and public peer reviews supporting their speciality area.

They want results not misdiagnosis. They want actionable paths to success not vague medical advice and drug prescriptions for symptoms.

For health & wellness professionals who want to connect and sell advice services to more people, to be able to schedule consultations more efficiently, receive payments easier, manage and schedule employee consultants easier. And have easier access to customers health data, for better insights. And be able to charge for extra services like holding customer accountable to behaviour change.

There are a series of profound Market Forces Converging together

and they are following a trajectory..

1. Economic 2. Social 3. Technological

Ageing population and increasing national debt requires nations to rise retirement age. Declining younger people contributing to national insurance is increasing future economic uncertainty for many people.

Decreasing cost of scalable cloud services for data intensive requirements is making entry affordable.

National Healthcare costs in many countries are not affordable long term.

In U.S private Healthcare costs have escalated to uncompetitive prices due to unbalanced incentives.

High level debt and unemployment

Worldwide and growing population.

Alternative lower cost long term solutions are urgently required.

Costs decreasing for medical diagnostics in blood analysis, genomic, gut micro-Biome. Billions already spent on diagnostics R&D funded by governments. In terms of the boom & bust cycle, the mass-deployment phase is nearing, where entrepreneurs will bring the useful benefits to the population - based on Carlota Perez model - Technological Revolutions and Financial Capital: The Dynamics of Bubbles and Golden Ages

Economic Forces

The number of people in the world aged 60 and over - expected to grow past 2 billion by 2050

Source: United Nations Population Fund

Economic Forces

Costs 2014 = $1,000 2017= $100 2020 = $10 ?

The first full human genome was sequenced in 2003, after more than a decade of work and at a cost to taxpayers of $2.7 billion

Economic Forces

Ageing populations in developed countries have higher expectations for longevity and quality of life than their parents or grandparents generation health experts using internet as a communications tool for health advice business, and selling products. People expect access and freedom with their data. Personal tracking and wearables becoming mainstream - fitbit, Zeo. soon Apple iwatch, and Android watch OS Quantified self movement becoming mainstream Negative effects of western diet responsible for lifestyle illnesses continues and grows. Wide adoption of open platforms with app’s development

Social Forces

Getting information in the age of google and finding answers to questions has become cheap - virtually free. !The next area of growth is going to be in:

!finding the right questions to ask.

Social Forces

Innovations in data cloud storage/retrieval E.g. AWS

Increasing broadband internet speeds enabling high quality video conversations without lag and delay time.

It used to be difficult, expensive and time intensive to build a social platform. Now possible to buy ‘social platform in a box’ for less than $500, source code included. E.g. PHPfox, social engine

Research brings new diagnostics tests regularly which can pinpoint problems more accurately.

Technological Forces

I’ve played competitive sports since aged 11yrs . rugby, cricket, athletics.

At school training 3 days a week, weekends & summers.

Health & Fitness a priority - ridiculous cardio, weight training & work ethic.

but… still overweight. not only that- depression, anxiety, skin problems - acne and dryness.

Often had states of brain fog, where I literally couldn’t think..

caused notable drops in academic performance.

And serious gut pain and inflammation.

And no idea what was causing it, guessed it must be genetics.

My story with health diagnostics.

Later.. during time at University

I discovered genomic testing service 23&Me.

[not a full genome sequence but a partial sequence]

When my DNA results arrived..

I discovered a genetic predisposition to gluten intolerance.

This basically meant the greater portion of my ancestors where

hunter gathers not Agriculturists/farmers

and so grains where not favourable to my genetics

And eating gluten containing products could elevate risks for other health conditions

Snippet of Genomic data: 23&me.com

And it was interesting to some my family members & relatives..

Some, who have had the conditions above..

The family connection.

My grandfather died from an oesophageal cancer which have higher risk factor for developing.

My uncle and niece have Psoriases issues, again I’m also at higher risk factor for developing.

And new university research links gluten sensitivity issues with type-1 diabetes, Multiple Sclerosis, alzheimer’s disease and various other conditions.

My sister has type-1 diabetes. Is this all by chance, or could there be a connection ?

Type 1 diabetes, unlike type-2, is not developed based on lifestyle - the doctors consensus is- ‘we don’t know what causes it’.

There are a lot of questions we don’t have answers to, today.

Who ever gathers the most of ‘bio data’ and uses big data analysis to gather the most useful insights, will provide the most value in future.

Snippet of biomarker data: wellnessfx

After doing my own research and talking to experts I made dietary changes which suited my personal biology which proved transformational to my health, lifestyle and performance.

!I realised I’d lived much of my life up until then

with needless: pain, stress, and low quality life performance

!because of

!a few key unsuitable ingredients in my diet

!and !

a few key suitable ingredients missing in my diet.

And the big opportunity is all people in future could have direct access to the data locked within their body

and.. !

have it interpreted in a useful, meaningful way that gives insight that can enable them to live healthier, happier, longer & more productive lives with less pain,

suffering, illness and reduced spending on traditional healthcare services.

Diagnostics also gives people an opportunity to go beyond what was possible before, to enhance health to levels never seen before in

recorded history.

23&me provide health insight statements based on research. They do not connect customers to health professionals. Unless customers do their own research for useful actionable advice, customers are left paralysed unknowing what to do with the information. The main reason they have been attacked by the FDA, requiring health insights being closed to new customers and only having ancestry information available.

The data is not open to others for innovation.

They have est. 700,000 people with DNA analysed -one of largest databanks in the world, but slow growth, and significant drop in sales resulting from FDA disqualification.

Wellnessfx limited by connecting only to their own approved physicians and nutritionists at set hourly rates and is not managed through the platform. Partnership with one diagnostics company, labcorp for entire U.S.

What limits to todays service offerings from becoming great.

HealthPanel can be positioned to be ready when the time is right, to take full advantage, and grow a large network of users. !Leveraging the Metcalfe’s law principle Which states that the value of a telecommunications network is proportional to the square of the number of connected users of the system.

[ The health blogosphere with varying size of viewership ]

Health & wellness news sites and blogs obtain traffic, building trust & authority with readership and compile emails into segmented lists. A percentage of those readers seek one-on-one coaching, or advice. Funnel those people through an ‘embeddable card’ or a simple link on the website, to to the professionals personal page on HealthPanel. Build up the HealthPanel user base, acquiring a relevant qualified list of consumers who buy products and services in corresponding markets.

Growth Strategy

Targeted advertising based on individuals health problems

Percentage taken off service fee from: - consultation service sessions. - diagnostics purchase referral - health data applications

Monetization

Acquisition

There is high level of interest and speculation at the potential of next generation health tech companies.

Facebook are interested in the telemedicine sector, acquisition of Oculus rift based partially on telemedicine opportunities.

Google have projects to extend human longevity. They invested 23&me genomics service.

!

Potential Exit For Shareholders

Developing a minimum viable product, testing with health professonals and users.

!

Proof of concept funding