1. How Connected Health will change the way we practice medicine Seamas Donnelly March 3 rd 2016

2. …. what connected health means to me

3. …. we will all be patients some day

5. Escalating Healthcare Costs

6. $5,152 (2001) $12,019 (2015)

7. Healthcare Costs Heart Failure COPD Asthma Diabetes Thrombosis

8. An Ageing Population 2010 5 million

9. An Ageing Population 2010 5 million 2050 21 million

10. … impediments

11. ……. joining the dots

12. reimbursement model

13. Affordable Care Act (2014)

15. Cell & Molecular Biologist

19. Chronic Obstructive Pulmonary Disease

20. Inhaler Compliance

21. Chronic Obstructive Pulmonary Disease

22. Clinical Trials

24. Smart Inhaler encrypted electronic date stamp

26. Definition: ……… Precision medicine is identifying which approaches will be effective for which patients based on genetic, environmental, and lifestyle factors ……...

27. “Precision medicine -- gives us one of the greatest opportunities for new medical breakthroughs that we have ever seen” - President Barack Obama, January 30 th 2015

28. Better Disease Phenotypes Tailor therapy to individual patients Maximising patient engagement Influence individual behaviour Maximising patient engagement Influence individual behaviour

29. Disease Phenotypes Chronic Obstructive Pulmonary Disease (COPD)

30. Disease Phenotypes Chronic Obstructive Pulmonary Disease (COPD)

31. Influence an individuals behaviour

32. Chronic Obstructive Pulmonary Disease (COPD)

34. Maximising Activity & Independence

35. 2 nd Salthill 47 th Connacht 278 th Ireland

37. …. we will all be patients some day