1. Matthew A. Michela President & CEO, lifeIMAGE
Shockwaves
beyond the point of care:
forces impacting the patient experience outside your clinical setting
Matthew A. Michela
President & CEO, lifeIMAGE

2. big trends impacting your practice4
big trends impacting your practice
Interoperability
Artificial Intelligence
Consumerism
Consolidation

3. life IMAGE About lifeIMAGE
Formed in 2008: the largest network of the leading hospitals complimented by their sharing sites.
Experts in managing the technical complexity of imaging for all types, forms and modalities.
Lead the industry in interoperability with IP in workflows, multiple standards, and platform that allow connectivity to other data types and networks.

4. A decade dedicated to interoperability
life IMAGE
A decade dedicated to interoperability
1,400
US hospitals including academic medical facilities and specialty hospitals
Top 10
7 of top 10 US hospitals have chosen lifeIMAGE
150,000
Providers connected
58,000
Global clinics connected
350,000
20+
Hospital beds
Strategic corporate partners including Google Cloud
10+
million
Clinical encounters per month 4+
billion
Images exchanged

5. life IMAGE
Ecosystem Platform

6. Consolidation: No Slowdown
Vertical
Horizontal
Only 50%
Of current health systems will likely remain in 10 years
5,000 independent physician practices acquired in one year.
(Between July 2015 – July 2016
Source: Physicians Advocacy Institute and Avalere
Source: Deloitte

7. Consolidation: No Slowdown
What It Means To You
Vertical
Horizontal
Drive to own/control the site of care delivery:
Less market power for independent Providers
Lower rates and less influence over care access and economics
Are being pressured to choose sides
Forced to assume more risk, take on shifted costs, and take on new work
In Summary: Difficult to remain independent

8. Interoperability: Breaking Silos
New Interoperability: Regulation + Value Based Care + New Technology Entrants
Data Blocking was a strategy in healthcare

9. Interoperability: Breaking Silos
What it means to you
Drive to consolidate platforms through data access and availability:
Future solutions, once adapted, will allow improved workflows and easier access to essential information
Providers will be faced with providing new data types and forms (new requirements)
Providers will face new administrative requirements
Providers will continue to bear the costs and distractions associated with new technology implementations
In Summary: The promise of care improvement will be offset by the costs and pain in implementing.

10. Emerging Universe of AI
Definition of artificial intelligence
1: a branch of computer science dealing with the simulation of intelligent behavior in computers
2: the capability of a machine to imitate intelligent human behavior

11. Tech Giants Partner & Invest in AI

12. AI in Healthcare Algorithms, Machine Learning, & NLP
Definition of artificial intelligence
1: a branch of computer science dealing with the simulation of intelligent behavior in computers
2: the capability of a machine to imitate intelligent human behavior
Algorithms, Machine Learning, & NLP
Algorithms: Kaiser: identification of patient risk, Watson Oncology: analysis of patient notes to recommend treatment options
Machine Learning: visual tools e.g. Zebra Medical: ID patients at risk and prioritize radiology worklists, Google Brain: identification of clinical conditions
NLP: (process of using key elements of everyday language and extract meaning from unstructured spoken or written input). E.g. voice, text, reports, optics, Amazon: Alexa, Google: Assistant, Apple: Siri

13. AI in Healthcare What it Means to You Drive to automate and augment:
Future solutions, once adapted, will allow improved workflows and easier access to essential information
Information provided for clinical care should be more comprehensive
Providers will be faced with new administrative requirements
Consumers will have a more active role in providing data as well as in choosing services/providers
In Summary: AI will not make you unemployed but will be a long-term influencer of how you provide care and operate your practice

14. 57% 325,000 Consumerism 41% Amplification of Healthcare Price
Transparency
Self Diagnosis
57%
325,000
41%
Of consumers turn to the internet first before their doctor
Mobile health apps were available in 2017
Of consumers who price shop are concerned about their ability to pay for services
Source: AMA.org
Source: research2guidance.com
Source: Accenture

15. Consumerism What it Means to You
App-lification of Healthcare
Price
Transparency
Self Diagnosis
Consumers will become much more active participants and decision-makers over services required and site of care:
Patients will have their medical data and the ability to track and compare.
Patients will be much more cost/value conscious as they bear an increasingly larger share of the insurance burden.
Providers who can truly differentiate with patients will benefit at the expense of those who can/do not
In Summary: Consumers have the potential to drive change in every part of clinical practice and payment.

16. Dialog?