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Technology in healthcare, a post-Sapphirenow update

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As noted here recently, technology is completely revolutionising the healthcare industry.

And that was brought home to us forcefully when we attended SAP’s 2014 Sapphirenow conference last week. I had fifteen meetings scheduled at the event, and while there wasn’t much mention of healthcare during the keynotes, seven of my fifteen meetings were healthcare related. In previous Sapphirenow conferences, there might have been one.

The meetings were with a range of organisations. Some were larger organisations like MKI, Stanford University (specifically their Center for Computational, Evolutionary and Human Genomics (CEHG)), and unsurprisingly SAP. MKI talked about their use of HANA, R, and Hadoop for genomic analysis. Stanford’s Carlos Bustamante talked about the research being done by the CEHG, in conjunction with SAP, on understanding different genomes and their health-related phenotypic consequences, while SAP discussed their Care Circles initiative, as well as their Genome Sciences projects.

One interesting data point that emerged from Prof Bustamante was that one dataset of 2534 individual genomes contained in excess of 20 billion records and it consumed 1.2 terabytes of RAM. This is big data. Especially when you consider you are interrogating it against matrices of other data points (such as age, nationality, gender, etc.).

CoreyMobile screen

Three of the companies I met were part of the SAP Startup Focus program. This is a program aimed at start-up companies with offerings in the big data, realtime or predictive analytics spaces. The program helps them develop their product on SAP’s in-memory HANA database platform, and also helps them with go to market strategies.

The three healthcare startups were Convergence CT, Phemi, and Core Mobile. ConvergenceCT makes software for hospitals which can take in data from multiple data sources (EMR systems, labs, radiology, etc.) and produce insights via predictive analytics, and reporting dashboards. Phemi, similarly takes in healthcare info from the various disparate hospital data sources, and then has a number of apps sitting on top of the data delivering results and outcomes. While Core Mobile has mobile apps for doctors, patients, and carers to help optimise care processes, and share patient information with authorised recipients.

So lots of interesting things happening in this sector right now and much of the innovation is down to SAP’s decisions to 1) turn it’s HANA database into a platform, and 2) to initiate the Startup Focus program. Now that IBM is going the platform route with it’s Watson cognitive computing engine, we’re likely to see a lot of healthcare innovation emerging there too.

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Technology for Good – episode nineteen with Craig Cmehil

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Welcome to episode nineteen of the Technology for Good hangout. In this week’s episode we had Craig Cmehil, Director of Global Developer Relations at SAP, as a guest on the show. Craig is an old friend, so we had a lot of fun discussing this week’s crop of stories. Given this was the week of Apple’s 2014 WWDC developer conference, there was a lot of Apple-related news to discuss, as well as the usual topics.

Here are the stories that we discussed in this week’s show:

Climate

Renewables

Comms

AI Personal Assistants

Apps

Development

Health

Wearables

Smart Home

Education

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Sustainability and SAP?

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SAP former CEO Dr Peter Graf

Dr Peter Graf, SAP’s Chief Sustainability Officer announced that he’s leaving SAP yesterday.

There has been a significant purge of executives re-organisation at SAP in the last few weeks since CTO Vishal Sikka resigned suddenly, and Co-CEO Jim Hagemann Snabe stepped back from his Co-CEO role leaving Bill McDermott as sole CEO.

Taken in isolation, the departure of Graf from SAP wouldn’t be too concerning, but SAP’s sustainability team has lost four of its most senior executives in the last few months. Jeremiah Stone was VP for SAP’s Sustainability Solutions. Scott Bolick was VP Sustainability. James Farrar was also VP of Sustainability for SAP, and Peter Graf was the Chief Sustainability Officer.

The loss of four such senior figures in such a short time leads to obvious questions about SAP’s ongoing commitment to sustainability.

Coincidentally I’m at SAP’s customer and partner conference SapphireNow this week, so I look forward hearing SAP’s take on this.

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Technology for Good – episode eighteen with Chris Adams

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Welcome to episode eighteen of the Technology for Good hangout. In this week’s episode we had Loco2 product and UX manager Chris Adams as a guest on the show. Chris is an old friend, and semi-regular co-host, so we had a lot of fun discussing this week’s crop of stories. Though I tried to whittle them down to a manageable number we still had quite a things to talk about, particularly in the energy, transport, and health spaces.

Here are the stories that we discussed in this week’s show:

Climate

Transport

Energy

Wearables

Apps

Sustainability

Health

Misc

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GE’s 2014 Digital Energy conference

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MedPanTuesday-6

GE held their annual International Digital Energy Software Summit in Rotterdam this year. They asked me to speak on a panel titled “The Grid of Tomorrow… the challenge of integrating renewables and distributed generation on the grid“. One of the reasons they invited me to present is because of the many posts I have written, and talks I have given on what I have termed Electricity 2.0 over the years.

The Electricity 2.0 vision I have espoused is one where, to help balance the grid and enable greater penetration of renewables onto it, in-home appliances would listen to realtime energy price signals from the grid and adjust their behaviour accordingly. They would come on at times of low demand, and reduce their consumption at times of high demand.

Obviously not all loads in the home are movable. If you have your evening meal at 8pm every night, you are not going to change that just because there’s a higher load on the grid. However, many in-home loads are eminently movable. Washing/drying of clothes, or dishes, for example; heating water in an immersion too is generally movable, as can be aircon or cooling fridges/freezers.

When I first started talking about these possibilities in 2006, it seemed a fantastical, impossible notion. But now that we’re in 2014, the Internet of Things is well established, and I can control the lights in my home from anywhere in the world using my phone, that dream is now a lot closer to being realised.

One company, almost uniquely in a position to deliver on that vision is GE, given that they manufacture everything from wind turbines, to sub-stations, all the way down to the appliances in the home which need to respond to grid signals.

During the panel discussion we talked about many aspects of smart grids, the utilities rolling them out, and the regulations which they are bound by. We also went into some detail on the newer technologies that are emerging, particularly as they pertained to electric vehicles, vehicle to grid, and storage in general.

And finally the panel felt that utilities will need to be far more open to change than they traditionally have been. The markets are changing, customers are changing, and the technologies are changing. Utilities are extremely risk averse and therefore slow to change, however the risk for utilities now is if they don’t move with the times, they’ll be left behind.

This conclusion was confirmed by two data points this week:

  1. Wind energy is now cheaper than coal, according to European utility EDP, and
  2. this week when Barclays downgraded the entire electric sector of the U.S. high-grade corporate bond market.

From Barclays credit strategy team:

Electric utilities… are seen by many investors as a sturdy and defensive subset of the investment grade universe. Over the next few years, however, we believe that a confluence of declining cost trends in distributed solar photovoltaic (PV) power generation and residential-scale power storage is likely to disrupt the status quo. Based on our analysis, the cost of solar + storage for residential consumers of electricity is already competitive with the price of utility grid power in Hawaii. Of the other major markets, California could follow in 2017, New York and Arizona in 2018, and many other states soon after.

In the 100+ year history of the electric utility industry, there has never before been a truly cost-competitive substitute available for grid power. We believe that solar + storage could reconfigure the organization and regulation of the electric power business over the coming decade. We see near-term risks to credit from regulators and utilities falling behind the solar + storage adoption curve and long-term risks from a comprehensive re-imagining of the role utilities play in providing electric power.

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Technology is completely revolutionising the healthcare industry

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Healthcare is changing. Recent advances in technology are completely revolutionising how we approach the prevention, diagnosis and treatment of illness. And this is just the beginning of what will be a technological revolution in healthcare.

Smartphone use is growing at an enormous pace. They now account for 87% of the total mobile handsets in the US, for example. And with the smartphones has come hundreds of new apps related to health and fitness. These apps do everything from monitoring sleep and movement (steps), to keeping track of glucose levels, blood oxygen, and even ovulation.

Fitbit Dashboard

The relentless rise of wearable connected devices is also having a big effect on people tacking their health and fitness. These small devices (such as the Fitbit Force, the Jawbone Up, and the Withings Pulse) are light and easy to wear, and they communicate with apps on the smartphone to monitor and record health-related information.

The next evolution of wearables, where they are built-in to the clothes you wear, has already begun. If these devices become as ubiquitous as smartphones, they will help us make far better informed decisions about our health and fitness.

Then you have major players like Apple going on a hiring spree of medical technology executives to bolster its coming Healthbook application, as well as its rumoured iWatch wearable device. Samsung too have wearable fitness trackers and announced their own Healthcare platform “to track your every move” today.

Going further back the stack, and we see IBM using its artificial intelligence play Watson to make inroads into the health industry (see video above). IBM has been partnering with WellPoint Inc. and Memorial Sloan-Kettering Cancer Center to help clinicians better diagnose instances of cancer in patients.

And more recently IBM has announced that it is working with New York Genome Center to create a prototype that could suggest personalised treatment options for patients with glioblastoma, an aggressive brain cancer. From the announcement:

By analyzing gene sequence variations between normal and cancerous biopsies of brain tumors, Watson will then be used to review medical literature and clinical records to help clinicians consider a variety treatments options tailored to an individual’s specific type and personalized instance of the cancer.

And IBM aren’t stopping there. They announced last month that they were opening up Watson as a platform so developers can create apps that can utilise Watson’s cognitive computing engine to solve all kinds of difficult problems. And earlier this month IBM announced that several “powered by Watson” apps have been developed, including one to help dermatologists better diagnose skin cancer.

And IBM also announced the acquisition of Cognea. Cognea offers virtual assistants that relate to people using a wide variety of personalities—from suit-and-tie formal to kid-next-door friendly – think Siri, or better yet Cortana for Watson!

Then, newer in-memory database technologies such as SAP’s HANA, are being used to crunch through datasets so large they were previously to big to query. For example, SAP announced today a partnership with the Stanford School of Medicine to “achieve a better understanding of global human genome variation and its implications in disease, particularly cardiovascular disease”. From the release SAP goes on to say:

Researchers have already leveraged SAP HANA to corroborate the results of a study that discovered that the genetic risk of Type II Diabetes varies between populations. The study looked at 12 genetic variants previously associated with Type II Diabetes across 49 individuals. With SAP HANA, researchers in Dr. Butte’s lab were able to simultaneously query all 125 genetic variants previously associated with Type II Diabetes across 629 individuals. Using traditional methods, this analysis on this amount of data would have taken an unreasonable amount of time.

So, the changes which technology are bringing to the healthcare industry now are nothing short of revolutionary. And with the likes of SAP’s HANA, and IBM’s Watson, set up as platforms for 3rd party developers, the stage is set for far more innovation in the coming months and years. Exciting times for healthcare practitioners, patients and patients to-be.

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Technology for Good – episode seventeen with Chris Kernaghan

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Welcome to episode seventeen of the Technology for Good hangout. In this week’s episode we had SAP Cloud Architect Chris Kernaghan as a guest on the show. Chris is an old friend, and a fellow Irishman, so we had a great craic (a great time) discussing the stories, which were quite diverse this week, but primarily from the Internet of Things, and Connectivity spaces.

Here are the stories that we discussed in this week’s show:

Climate

Renewables

Sustainability

Connectivity

Internet of Things

Cloud

Transportation

Mobile

Wearables

Misc

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Technology for Good – episode sixteen with Xerox’ Catherine Reeves

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Welcome to episode sixteen of the Technology for Good hangout. In this week’s episode we had Catherine Reeves from Xerox as a guest on the show. We had a lot of very interesting stories to talk about this week, especially in the energy and transportation spaces. It was great to get Catherine’s contributions given that Xerox has such a large footprint now in the transportation sector.

Here’s the stories that we discussed in this week’s show:

Climate

Energy

Transportation

Internet of Things

Wearables

Misc

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Technology for Good – episode fourteen with Twitter’s Andy Piper

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Welcome to episode fourteen of the Technology for Good hangout. In this week’s episode we had the awesome Andy Piper from Twitter as a guest on the show. We had a lot of very interesting stories ta talk about this week, especially in the Apps and Wearables spaces, and as a result the hangout ran long, but it was all great stuff! Next week, I’ll try to keep the show shorter, but I have a great guest lined up, so I can’t make any promises 🙂

Here’s the stories that we discussed in this week’s show:

Climate

Cloud

Apps

Wearables

Data Centers

Misc

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Technology for Good – episode thirteen with Diginomica’s Jon Reed

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Welcome to episode thirteen of the Technology for Good hangout. In this week’s show we had the awesome Jon Reed from Diginomica as a guest on the show. Given that Earth Day fell this week, there were plenty of stories around environmental footprints as well as the more usual Internet of Things and Wearables topics.

Here’s the stories that we discussed in the show:

Climate

Footprint

Renewables

Connectivity

Security

 

Social

Wearables

Connected Car

Environment

Internet of Things (IoT)

Software

Misc.