We went ‘back to school’ on November 1-2 for our first-ever DIABETESMINE UNIVERSITY affairs captivated at UC San Francisco Mission Bay.
This two-day acquisition of diabetes “stakeholders” (patient advocates, Pharma, entrepreneurs, authoritative and analytic experts) consisted of our anniversary DiabetesMine Addition Summit, and bi-annual Fall 2018 D-Data ExChange technology forum. Read all about the participants and aim of our Addition Days here.
Before we dig in with a play-by-play, some links from the event:
* Our DiabetesMine Accommodating Voices video, anchored in this post
* The accident affairs here
* The accident Slidesets on Slideshare (click about to explore)
* The accident PHOTO ALBUM on Facebook
* diaTribe’s amazing abundant advantage of the #DData admirers calendar
Rachel Kerstetter, a T1D apostle and our absolute own amusing media abettor and contributor actuality at the ‘Mine, abounding the accident for the aboriginal time, and letters on the experience:
Day 1 kicked off with a acceptable abode from our own Amy Tenderich. She presented this year’s featured video that acknowledgment the change of the DiabetesMine Addition Project, and presented an accolade for “perfect attendance” to Ansley Dablo of Diabetes: What to Know, for accessory every distinct #dbminesummit accident aback its birth in 2011! Amy additionally alien the 2018 Accommodating Voices Winners who were to act as TAs (teaching assistants) for our Day 1 Workshops.
Day 1 (#dbminesummit18) was fabricated up of two accepted sessions and three alarming workshops with alternate acquirements adventures for attendees.
The anniversary Addition Summit consistently has a appropriate theme, and what could be added appropriate appropriate now than the admission of Agenda Health? As Amy noted, we’re witnessing a alpha crossover of the acceptable medical enactment with customer bloom technology… so the amount affair was exploring this new digital, consumer-driven apple of D-care.
The aboriginal accepted affair of the day kicked off with a keynote from Chris Bergstrom, Agenda Bloom Lead of Boston Consulting Group, exploring the consumerization of diabetes. Chris’ aboriginal catechism to the allowance was, “Is diabetes administering customer affable enough?”
The accepted accord of the allowance was no. Chris connected to explain that the mission needs to be to advantage technology and assets to ability anybody with diabetes and advance outcomes. He took a moment to analyze diabetes addition over the years administering some absolute cogent slides comparing pumps, glucometers and insulin pens from the ‘70s to their counterparts today. Clearly advance has been fabricated in these areas, but aback we attending at customer electronics over that accomplished nine years, the adverse is shocking.
Chris acicular to Amy’s Accessible Letter to Steve Jobs from 2007 as a anniversary acceptance of an accessible charge to the user association that wasn’t accessible to the accomplishment community. Action forward, “digital and delightful” adventures are analytical paths to consumerization. He acclaimed that naturally, if we accept addition on the medical accessory and biologic fronts but the payors aren’t on board, it creates abrasion and slows things down.
Chris again chastened a console altercation amid admiral from arch companies in this space: Verily, Onduo, Samsung and Fitbit.
Some of the key takeaways from the console included:
But what about costs?
An admirers affiliate asked during the Q&A affair whether the ambition of these new developments is to save bodies with diabetes money. The amount and advantage of technology were hot chat capacity amid sessions and over coffee throughout the event. The panelists did a abundant job of acknowledgment that the goals accommodate allowance bodies abbreviate medication charge (Fitbit targeting blazon 2s), lower the accountability on patients and advance outcomes (Samsung), and reinvent the anatomy to account the “death by 1,000 cardboard cuts” phenom in healthcare by deploying assets added calmly (Onduo).
The panelists’ companies are actively aggravating to coact with accommodating entrepreneurs as able-bodied through agreeable with developers and accessible abstracts platforms to advance innovation.
At one point in the discussion, abounding of us got absent by the Onduo representative’s animadversion on whether patients were “sick enough” to charge added than primary care, but “not ailing enough” to crave seeing an endo. This adverse delivery created a gnawing action in my own stomach, aback abounding PWDs don’t accede themselves “sick” to activate with – and the actuality that this basic dispensary is baronial bodies on levels of ailing rather than on real-world needs for medication and coaching. I was not the alone one agitated by this. Although Onduo tweeted an acknowledgment and description bound thereafter.
Korey Hood of the Stanford Diabetes Analysis Centermost and Diana Naranjo of the Lucile Packard Children’s Hospital ran a branch on how they are application basic absoluteness to analysis patients’ address and challenges application diabetes technology, affective above assurance to attending into the cerebral side. They aggregate three VR video snippets of accommodating adventures cutting a bankrupt bend system, including a book breadth the cartoon-like avatar looks into a mirror to see how apparent the accessory is and administering an anxiety in a amusing situation.
One aim is to analyze how “patient preference” differs from patient-reported outcomes (PROs), the closing actuality what after-effects afterwards a accommodating has fabricated the accommodation to use a device. They additionally advised some highlights from the INSPIRE Abstraction attractive at lived acquaintance of bankrupt bend for 294 participants. Learnings were that bodies tend to allocution added about what they don’t appetite than what they do, and that if commodity can actually advance a bloom outcome, users are generally accommodating to accord with the hassles it may bring.
Then in baby accumulation settings, we discussed our reactions to VR and its amount for agreeable patients, caregivers and physicians.
The additional accepted affair of the day took a abysmal dive into accommodating Addition and “Health Architecture Hubs” created accurately for acceptance and designers to assignment hands-on with patients to ascertain applied new solutions to real-world needs.
These hubs are bustling up at universities all over the country — San Diego, Humboldt State University, University of Minnesota, University of Arizona, Brigham and Women’s in Utah, and Ohio State to name a few. Not to acknowledgment a new bloom architecture centermost aloof accustomed at Yale. Industry groups are additionally creating these hubs, both absolute and big accustomed organizations like Kaiser, which has already won awards for its efforts in this area.
What is the mission and amount of these hubs?
Well, according to our accompany at healthcare analyst close Research2Guidance, there are added medtech Accelerators and Incubators than actually acceptable account for bloom accoutrement in charge of incubating… which is odd, accustomed that healthcare has been alleged “a adjudicator upper.” It all comes aback to – rather than absorption on engineers who apperceive how to body things – absorption on the real-world needs of patients themselves. That’s what this growing beachcomber of patient-focused bloom architecture is all about…
Aaron Sklar, co-founder of Prescribe Design, batten about architecture as a aggregation action and led a console of innovators that included:
A few key takeaways from this panel:
Clearly, amusing media has afflicted the diabetes world, acceptable a disciplinarian of both advancement and bazaar influence. (Read our just-published Journal of Diabetes Science & Technology analysis commodity on this affair for details.)
So it was agitative to accept Thom Scher and Dana Howe of the assertive nonprofit Above Blazon 1 run a branch on how anticipate about amusing media in these terms.
They presented a case abstraction on Above Blazon 1’s Instagram action and success, and advised altered accoutrement and approaches that can be acclimated to appoint the online accommodating association and means to admeasurement and ascertain success.
Then they absolved us through creating a attack for amusing impact, allowance us anticipate through the three-step action of Listen, Create, Iterate.
This abundantly alternate branch was run by Joe Cafazzo of University Bloom Network in Toronto and software architect and apostle Thacher Hussain, forth with associates of Joe’s UHN Healthcare Human Factors team.
The branch kicked off with a video of bodies aggravating to achieve a ambition on anniversary of the primary insulin pumps on the bazaar and it was maddening to watch – so abounding buttons to advance and so abundant confusion! But they accustomed that a abundant accord of advance has been fabricated in convalescent artefact design.
Now it is time to about-face our absorption to designing bigger account adventures for PWDs, a added and added circuitous claiming than designing products. They explained that acceptable casework are: end-to-end, cohesive, accommodating and organized for context.
Each table again alleged a book of a specific healthcare claiming (from camping with blazon 1 to ambrosial a denied bloom allowance claim) and abounding out a “journey map” – a poster-sized arrangement for recording moments of acquaintance and agnate thoughts.
It’s absurd to analyze all of the genitalia of a acutely simple experience. My table advised the adventure of visiting the endocrinologist. We had to appraise the big stages, ample in the abundant steps, abduction animosity throughout, analyze the aerial and low credibility and again accomplish ideas.
Day 1 concluded with closing comments from Amy and a active Networking Reception featuring an absolute boot bandage – go DMU!
Day 2 of DMU brought us the 11th DiabetesMine D-Data ExChange, a day of abysmal diabetes tech-talk.
Bakul Patel, the FDA’s Associate Director of Agenda Health, took the date to accessible the day by appointment us on the FDA mHealth Pre-certification Program, how it’s progressed in this aboriginal year and what the affairs are action forward. The affairs is architecture a “feedback bend with authoritative science” that should be alien in alive archetypal (v1.0) anatomy by the end of the year, and will again be activated and aesthetic with pilot participants throughout 2019. A alive archetypal (v2.0) should again go alive at the end of the year.
Bakul aggregate the bristles attempt aloft which the FDA wants to body the program.
He was again abutting by associates of the pilot actor orgs Fitbit, Tidepool and Verily for an accessible chat on how the affairs is action and how added orgs can become involved.
Some key takeaways from the console included:
Howard Look, president, CEO and architect of Tidepool, backward on date afterward the FDA Pre-certification console to present updates on #WeAreNotWaiting and highlight his organization’s agitative new affiliation with Loop. Tidepool will advice body this accessible source, bankrupt bend apparatus into an established, FDA-approved product.
Howard reminded us how the #WeAreNotWaiting movement began in 2013 at our own D-Data Exchange, and ran through a abundant quick history of how far we’ve appear in aloof 5 years. Again he aggregate his action about breadth it’s going, accurately as it relates to Tidepool and Loop: “We should be able to use great, on-the-market, in-warranty pumps” in an ecosystem that allows for accurate accommodating choice, he explained.
He was additionally able to advertise the antecedent day’s big news: Insulet became the aboriginal pump aggregation to accomplice with Tidepool as an official accessory alive with Bend (!)
Deepak Gopalakrishna, Director at Boston Consulting Accumulation Agenda Ventures, presented an advisory analysis of blockchain technology and its abeyant in healthcare.
He advised the eras of technology and how we got to breadth we are, starting with the Hardware Era of the 50s and 60s, the Software Era of the 70s and 80s followed by the Networks Era of the 90s and 00s bringing us to breadth we are now: the Blockchain Era. This era is characterized by crypto-networks and open-source data.
What actually is blockchain?
Blockchain unites the disparate disciplines of the afterward theories: game, cryptographic, computer networking and abstracts transmission, and bread-and-butter and monetary. Aback you abscess it all down: Blockchain is about creating assurance amid two untrusting parties by intermediaries. Blockchain can alter key functions of acceptance character and actuality of transacting parties, acceptance actuality of assets and immutably recording their transfer, incentivizing counterparties to behave in assertive means and administering acknowledged obligations through algorithms.
Blockchain does accept the abeyant to change industries, about Deepak cautions that it is currently has some “terrible” drawbacks that include:
Despite all that, “We are attractive at a about-face in breadth amount will be generated,” he said. We are currently at an articulation point and will activate to see these problems solved, forth with scaling. Blockchain’s applications in healthcare could aid in anti-counterfeiting in the biologic industry, telemedicine and more.
Dr. Niti Pall, Medical Director of KPMG Global Healthcare, presented on alluring diabetes and healthcare initiatives about the apple involving new players and new business models.
Her examples included:
In abounding of the countries Niti discussed, spending the money to see a doctor can beggarly not bistro that day for the family. Innovations in access, micro allowance and affordability are acute for these populations.
She additionally discussed Diatravellers, an online belvedere enabling bodies with diabetes to accommodated others with the action beyond Europe; and Yourah, a adolescence belvedere for the International Diabetes Federation in Europe.
With Artificial Intelligence and Apparatus Acquirements (ML) acceptable so broadly discussed and active in the diabetes tech world, the #DData affairs included a accelerated academy abutting the affair from the three absolute altered viewpoints of:
D-Dad Marius Eriksen presented on a arrangement he developed based on ML alleged TinyAP. He told the adventure of utilizing apparatus acquirements models to accommodate bigger active with blazon 1 diabetes accurately for his adolescent daughter.
TinyAP learns carb and insulin ambit ambit and acuteness based on the time of day, forth with abounding added factors. Marius actually acclimated the account of 42 Factors that Affect BG created by Adam Brown of diaTribe as ambit to alternation the apparatus acquirements in TinyAP.
Lane Desborough of Bigfoot Biomedical presented an arresting “20 assertions in 20 minutes” on apparatus acquirements and abstracts science. Diabetes is actually a abstracts disease, and one of the best able slides he aggregate was a blueprint of 304 altered responses his child’s claret amoroso had to a juicebox with 16 grams of carbs.
Bigfoot chose to additionally allotment Lane’s presentation on YouTube, and it’s arranged abounding of absorbing #Ddata info.
Bill Evans, CEO of Rock Health, approached apparatus acquirements from a altered angle: investment. Rock Bloom exists to armamentarium and abutment entrepreneurs alive at the circle of healthcare and technology. He discussed the affidavit to accept that addition “AI winter” is not on the border due to four apparatus acquirements accelerants: bigger algorithms, added infrastructure, faster processing and added health-related data.
He aggregate the top amount propositions for AI allotment which included R&D, citizenry bloom management, analytic workflows, bloom allowances administration, analysis and ecology of diseases. However, he put into words what abounding of us accept accepted for a while: Money isn’t in prevention.
Note that Bill and his aggregation at Rock Bloom are alive anon with FDA to advice the bureau advance authoritative guidelines for ML accoutrement in healthcare.
This affair led by the world-renowned architecture close IDEO was altogether timed for aback we all bare a breach from sitting. Anybody was asked to get out of their seats and comedy a game. IDEO presented questions and one ancillary of the allowance represented one view, the added bank the adverse view; we were asked to airing to the point amid them breadth our own angle fell. The questions sparked an absorbing and advantageous chat amid all of the participants. We tweeted best of the questions as acclamation application the #ddata18 hashtag.
Per tradition, we bankrupt out the D-Data barter with demos from new companies in the diabetes amplitude including:
Be abiding to analysis out diaTribe’s abundant advantage of the Fall #ddata18 demos here.
We were advantaged to accept diabetes podcaster (and 2018 Accommodating Voices winner) Stacey Simms on duke interviewing attendees for what we were calling “DMU Radio.”
Just a few of the comments included:
“This appointment is so important because Amy brings calm a actually big accumulation of bodies from industry, and clinicians and patients and aloof accepting that array of everybody who’s actuality actually gives me a abundant abstraction of what’s accident in the acreage so I can accompany it aback to educators… The Workshops were agreeable and fun and actually fabricated bodies anticipate alfresco the box.”
– Crystal Broj, Head of Technology and Addition for the American Association of Diabetes Educators (AADE)
“It’s consistently absolute alarming to be actuality and to accept to what’s currently actuality discussed… You accommodated aggregate from crazy scientists to hackers, entrepreneurs, industry, and the FDA. It’s an amazing mix, (and) the discussions you accept with attendees are consistently mind-opening. We acquisition it the best absorbing diabetes appointment of the year.”
– Frank Westermann, CEO of MySugr
“Bigfoot is a sponsor of the appointment and that is attestation to the abutment we accept for the association and the absurd affair Amy has created over the years. I’ve been advancing aback the absolute beginning, and these are my people: it’s the resolve, the commitment, the affection – bodies who get it, at a ache level, what it’s like to alive with diabetes. The technology is accessory to that. ”
– Lane Desborough, Co-founder & Chief Architect of Bigfoot Biomedical
“This is a big focus breadth for JDRF. It’s actually an important accident for JDRF to attend, accustomed our continued history in acknowledging innovation, accessory development, articulation of the patient.”
– Karen Jordan, JDRF International Lath Affiliate & Admiral of the Greater Bay Breadth Chapter
Our abutting accident will be the Summer 2019 D-Data ExChange demography abode on June 7 in San Francisco. Please ability out if interested.
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