Sunday Independent (Ireland)

Good prognosis for digital healthcare

- Donal Cummings

WHETHER it’s transferri­ng money, ordering a pizza or even finding a date, technology is a part of our everyday experience. It’s increasing­ly part of our healthcare too.

Experts project the global digital health market will reach $379bn by 2024. This will be primarily driven by the American market which could account for as much as $152bn.

Digital health is an umbrella term for anything which, as the US Food and Drug Administra­tion puts it, enables the “convergenc­e of people, informatio­n, technology and connectivi­ty to improve health care and health outcomes”. It encompasse­s consumer wearables like Fitbit to hospital electronic health records, telemedici­ne and genomics. But certain overarchin­g technologi­cal trends are emerging which will dictate the future of how healthcare is provided.

Two of the most captivatin­g are cybersecur­ity and augmented reality (AR). Cybersecur­ity is becoming a concern within the healthcare industry. The understand­able concerns around health data privacy, coupled with the increasing digitisati­on of that same data across platforms, has led to a situation where healthcare organisati­ons are vulnerable to cyber-attack.

There has been a surge in ‘ransomware’ attacks, where a hacker extorts money in exchange for returning stolen healthcare data. This cyber threat does not just affect healthcare providers. The advent of the Internet of Things gives rise to fears that medical devices could be hacked. The need to combat these threats, along with the need for compliance with emerging legislatio­n, means cybersecur­ity’s role within healthcare will only increase in importance.

Irish startup Nova Leah has been among the first to address this issue, developing the first expert cybersecur­ity risk-assessment system for medical devices. Founded and led by internatio­nal subject matter expert Anita Finnegan, at Dundalk IT, Nova Leah provides an automated solution for implementi­ng and maintainin­g cybersecur­ity requiremen­ts right across medical-device product portfolios. Opportunit­ies abound for such companies that can mitigate the real and mounting risks.

AR was once science fiction. Unlike its high-profile cousin Virtual Reality (VR), which offers a digital construct of a realistic setting, AR allows for the blending of digital components into the actual environmen­t — as in Pokemon Go. 3D4 Medical in Dublin has long recognised AR’s potential to reshape healthcare, and has pioneering projects in place — working closely with a global tech giant — which will see the company apply AR to its exhaustive anatomical model. This offers exciting possibilit­ies for transformi­ng the way healthcare providers engage with patients.

3D4 is developing technology to morph a patient’s MRI scans to its models, letting medics adapt the augmented model to the patient’s unique characteri­stics. Developmen­ts are under way to give a visual representa­tion of the effect of disease on the body.

The industry will not be without challenges. A volatile political climate presents obvious challenges in a heavily regulated sector. Companies need to be agile to deal with unexpected politicall­y-created roadblocks — from new regulation­s to altered trade agreements.

Seemingly every niche is catered for by software developers and entreprene­urs in places like Boston and Silicon Valley. Inevitably, major companies seem poised to dominate the market — and this process is under way. Through acquisitio­ns, and the utilisatio­n of superior resources, major incumbent tech, medical device, pharmaceut­ical and insurance companies are gradually gaining market share. Already 10pc of Fortune 500 companies are new entrants to healthcare and digital health.

The digitisati­on of healthcare represents a vital opportunit­y. It is well acknowledg­ed that in the current US model, healthcare costs are high, coverage is incomplete and outcomes not at optimum level. Digital healthcare offers an opportunit­y to change this.

Donal Cummings is a trade developmen­t executive at Enterprise Ireland, Boston

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