USA TODAY International Edition

Medical facility of the future

Health care start- up Forward opens state- of- the- art facility in San Francisco

- Jon Swartz @ jswartz

Gleaming like a modernist and high- tech Apple Store, health care start- up Forward has designed a doctor’s office/ pharmacy of the future.

Tuesday, Forward opened the doors of what it hopes is the first of many state- of- the- art medical facilities in the USA. The 3,500square- foot office, based downtown, combines six examinatio­n rooms equipped with interactiv­e displays and two body scanners that collect data via wearable sensors.

“Health care is not a repair shop but an ongoing relationsh­ip,” says Forward CEO Adrian Aoun, a former Alphabet executive who co- founded Forward with Ilya Abyzov, an Uber executive who helped launched uberX; Erik Frey, who led artificial intelligen­ce initiative­s at Google; and Rob Sebastian, who led product strategy for several GoogleX moonshot projects.

“We want proactive preventive health care that is data- driven, but do it at lower prices,” says Aoun, who was motivated to tackle health after a younger relative of his suffered a heart attack in 2015 — then was hit with a $ 100,000 medical bill.

“Engineers have failed” the medical community, leaving a dearth of available data, especially during an emergency, says Aoun, a trained engineer. Doctors face a barrage of life- or- death decisions with a “fragmentat­ion of informatio­n that makes them fly blind,” he says.

The $ 149- per- month service doesn’t bill insurance, so there are no co- pays or unexpected bills. A few hundred patients are signed up with Forward, about 15% of whom hail from underserve­d communitie­s and joined for free.

Forward’s flagship medical facility looks like Apple’s gadget emporiums, very much Aoun’s intention. A display case shows off a wearable blood pressure cuff, a digital glucometer and a portable EKG monitor.

Behind the display, a body scanner with sensors measures a patient’s height, weight and heart rate. Those results are fed into Forward’s AI system and the Forward mobile app. This is the member’s first stop.

The results take a few minutes, followed by a visit to the exam room that is dominated by a large screen. On it, the patient’s medical data are displayed. A doctor points out relevant informatio­n, based on the body scan and a subsequent blood test and DNA analysis.

The DNA test is simple: Patients supply a saliva sample, which is sent to a sequencing partner to be processed. Upon re- ceiving the results, a doctor goes over any discovered mutations with the patient and uses the informatio­n to personaliz­e cancer screening, if necessary.

Aaliya Yaqub, who helped design the display, says it is crucial in helping the physician’s diagnoses and treatment plans — while allowing the member to see it.

Ian Prager, 39, an investment banker from San Francisco who has tested Forward since midDecembe­r, says the screen transforme­d his experience in a doctor’s office like nothing else. “I am super- engaged, exchanging informatio­n with a doctor face to face,” Prager says. “They aren’t scribbling notes on a pen and paper.”

The 40- person start- up, also based here, is financiall­y backed by an all- star group of tech veterans: Alphabet Executive Chairman Eric Schmidt, Salesforce CEO Marc Benioff, Box CEO Aaron Levie, Palantir Technologi­es co- founder Joe Lonsdale, Khosla Ventures and venture capital legend John Doerr.

Forward’s physicians, who come from Stanford Hospitals, Sutter Health and Kaiser Permanente, received medical training in internal or family medicine.

Forward is part of a movement among tech and health care profession­als to create an analytics model that examines a person’s genetic predisposi­tion, so their long- term health is addressed. “Physicians are extraordin­arily talented at diagnosing and treating symptoms,” says Clayton Lewis, CEO of Arivale, a scientific wellness start- up. “We and others want to help them assess one’s health trends years in advance.”

“We want proactive preventive health care that is datadriven, but do it at lower prices.” CEO Adrian Aoun

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FORWARD FOR USA TODAY
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FORWARD FOR USA TODAY
 ?? WEINBERG- CLARK PHOTOGRAPH­Y ?? Adrian Aoun is co- founder of Forward.
WEINBERG- CLARK PHOTOGRAPH­Y Adrian Aoun is co- founder of Forward.

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