The convergence of #MedTech – monitoring, diagnostics, remediation

Earlier this year, I participated in MedTech’s Got Talent, a competition for medical technology and biotech startups, organised by STC. Now, HCF in partnership with Slingshot have announced a similar accelerator program, called Catalyst. Launched at a recent meetup event hosted by Startup Victoria*, Catalyst is the latest industry initiative to lend support to the growing #MedTech sector. It’s fair to say that the sector is not without its challenges (regulatory compliance and IP protection being foremost), but there is substantial investor interest given the potential for growth and widespread application of the resulting technologies. I also see that there is increasing convergence in respect to some of the digital products being brought to the market – through the use of wearables, mobile apps and analytics to deliver monitoring, diagnostic and remedial solutions.

Screen Shot 2015-11-22 at 8.10.47 PMAt the Catalyst launch, three #MedTech founders discussed their startup experiences and offered some insights to budding applicants. Jarrel Seah (Eyenemia), Phil Goebel (Quanticare) and Leonore Ryan (Cardihab – Cardiac Rehab Solutions) covered the product development process, being part of an accelerator program, and the specific challenges of medical technology.

There was  broad agreement that Australia (and Victoria in particular) has a strong and successful history of #MedTech development and innovation. There was also a sense that the future funding of telehealth services will be key to the sector’s development, especially the shift from “fee for service/solution” to “fee for value” models.

Aside from the regulatory and IP challenges, two of the biggest hurdles for #MedTech are the customer complexity, and procurement models, which can be summarised as follows:

Who Pays? Is it the clinician, patient or carer? Who, in effect, is the customer?

How Do They Pay? Each State has its own procurement and hospital funding models, plus there is the interplay of private health insurance and providers.

During the product development process, the founders stressed the need to manage expectations for an MVP, the use of customer discovery interviews, and the importance of making clinicians part of the solution. There is also a problem with data gaps (e.g., hospital re-admissions), and the requirement to establish patient trust: while the software, data and apps can support more meaningful consultation, there still has to be some human component to foster behaviour change. There was also a comment about marketing for tomorrow’s market, not the current state.

Having each been through some form of accelerator program, there was common agreement on the benefits:

  • Access to networks of mentors and strategic advisers
  • Help with navigating the regulatory landscape
  • Options for one-off funding to help convert trials to customers
  • Ability to focus on the project, along with peer stimulation, and a sense of urgency

Each of the three startups mentioned here deploy some combination of smart phone technology, sensors and analytics – just as Dr.Brand does, which featured at the recent Future Assembly. The notion was reinforced most recently at Swinburne University’s Design Factory Gala NIght which showcased, among others, innovative #MedTech student projects that utilise a mix of digital display/visualisation, wearable devices, mobile apps and analytics to address three key cognitive-related issues: patient falls in hospitals, dementia, and Asperger syndrome.

Previously, I have described health as one of the three pillars of the digital economy. Furthermore, the future of #MedTech (as distinct to biotech) is going to be built on the combined deployment and integration of smart sensors, personal devices, artificial intelligence and machine learning to monitor, diagnose and remediate behaviour – not necessarily to cure the patient, but to overcome physiological challenges and age-related conditions.

 

*Apologies – normally I acknowledge the Startup Victoria event sponsors – but since the team have been doing such a great job in securing new supporters, there are so many to mention!

Next week: There’s an awful lot of coffee in Japan (but not much espresso….)

#MedTech’s Got Talent 2015

Earlier this month, the Department of Industry announced the first successful grant applicants under the Accelerating Commercialisation element of the Entrepreneurs’ Infrastructure Programme. Not surprisingly, there were a significant number of biotech projects in the list. The news came shortly after the second round of MedTech’s Got Talent (MTGT), a startup competition organised by STC and sponsored by the Victorian Government among others. The Grand Final was held at a gala event in Melbourne’s Crown Complex, and it suggests that despite some tentative beginnings, the local biotech sector is in great shape.

Screen Shot 2015-06-11 at 5.05.17 pmBased on my participation at the recent FinTech hackathon weekend, I was invited to join a team to compete at MTGT – which was both a privilege, and a huge challenge that took me out of my comfort zone, as the medical technology sector is not one I have any direct experience of (although of course I consider it to be one of the key sectors in the digital economy).

Our team, led by the exuberant Dominic Pham was presenting a new heart rate monitoring solution that combines wearables, mobile apps and cloud-based analytics. Sadly, despite a great effort by the whole team, we did not make it to the Top 5 – but it was a great experience nonetheless.

The competing teams could be classified into 3 broad categories:

  • Diagnostic & Predictive Tools
  • Rehabilitation & Spatial Monitoring
  • Drug delivery systems (Remote & Non-Invasive solutions)

Projects ranged from the highly ambitious (an artificial placenta) to the incredibly humble (an STI diagnostic kit aimed at developing countries). Some were using cutting edge technology (such as a new form of hearing device), others were applying new mobile and cloud-based technology to existing problems (such as digital pathology).

The 5 finalists (who now go on to an intense accelerator and investor presentation program) were:

It’s fair to say that a lot of the projects are still at the pre-clinical trial stage, and as far as I am aware, none have yet been granted TGA status, and most are yet to secure final patent grants – which reflects part of the challenge in bringing new products to market.

However, the impetus behind, and interest in, the biotech sector in general and MTGT in particular (the event brought together government, academia, clinicians, industry and investors) should mean we will be hearing a lot more about these startups in the months to come.

Finally, if anyone is interested, our own project was CardiacGuard, and is likely to launch later this year, as the underlying technology has already been developed, and some early-stage trials have been conducted in Hong Kong.

ACKNOWLEDGMENTS

My thanks to Dominic and the rest of the CardiacGuard team (Tim Liu, Celine LaTouche and Rayen Magpantay) for giving me the opportunity to experience MTGT, and to all the organisers, mentors, sponsors and supporters who made the event happen.

Next week: Getting Stuck

Update: Health, AusPost, eTaskr and Slow School

Over recent months, I have blogged about health and the digital economy, the challenges facing AusPost, the progress of eTaskr and the birth of Slow School of Business. Here are some updates on each of these topics:

IMG_0211Apple launches developer platform for health apps

On top of launching “Health” with iOS8, Apple has released a software tool called ResearchKit designed to help researchers and developers build and test new health apps.

I think that while we hear a lot about the Internet of Things (#IoT), health is one area where the connection of the physical and the digital will really deliver tangible benefits (not just a fridge with a screen…).

Australia Post plans to raise the cost of sending letters

In the wake of declining letter volumes (and poorer financial performance), AusPost is considering jacking up the price of letter postage, and introducing a 2-speed letter service.

While this is not a surprising move, it does seem shortsighted. Given the increase in parcel volumes, especially from e-commerce and small online purchases, I reckon AusPost would be better off with more refined domestic parcel rates. For example, using exactly the same dimensions and weight, I can either send an item as a “large letter” for $2.10 (which is perhaps too cheap?), or as a “small parcel” for $7.45 (which is incredibly expensive for an item that might cost no more than $25). Maybe different band rates of 50g, from 100g up to 500g (the current weight limit for a small parcel/large letter) or even 1kg  might be a better option, coupled with improved payment and lodgment automation? Just saying…

etaskr secures seed funding

Described as a “private label elance”, etaskr is a graduate of the AngelCube accelerator program, and was a finalist at last year’s Big Pitch organised by Oxygen Ventures.

Following their appearance at the Big Pitch, etaskr have recently closed $1.3m in seed funding from Oxygen Ventures. As mentioned in an earlier blog, etaskr is starting to see traction among corporate clients, including overseas markets, but the nature of the B2B sales cycle has meant that investors, incubators and accelerators are traditionally wary of such startups. Hopefully, this latest development will start to change market perception.

Slow School founder in the news

Finally, Carolyn Tate, the founder of Slow School of Business has been busy launching a new program of short courses (including Three of the Best) a new website and a new book. Oh, and she’s also become a B Corp. (Declaration of interest: I am a participant in, and adviser to, Slow School.)

Previously featured in Slow Living (required reading for the Slow Movement), Carolyn has taken a simple idea based on collaborative and peer-to-peer learning, and created a potentially disruptive platform for professional development and corporate training. Slow School is also tapping into the growing trend for people to work as independent contractors, freelancers and consultants (rather than permanent employees), and the dynamics of the digital economy where participants are also looking to make deep, personal connections rather than just online “friends”.

The new normal?

Post GFC, we’ve been told to expect a low/slow/no growth environment – that this is the “new normal”. I would add to that digital disruption, non-traditional commercial models and emergent ecosystems as being the other key influences on how we do business in this new environment. From what I have skim-read of the latest Intergenerational Report, the language is still couched in traditional terms of “jobs”, “productivity” and “industries”. Yes, there is mention of innovation, demographics, technology and flexible workplaces (i.e., deferring retirement?), but nothing that inspires me to think our political leaders understand what is really going on within the startup economy and the broader digital movement.

Next week: How to survive a Startup Weekend

The Great #Data Overload Part 2: Is #Digital Making Us Dumber?

The pursuit of digital (and by implication, many data-related activities) is making us dumber. Whether it’s constant multi-tasking, the need for instant gratification, the compulsion to always be “on”, or the ease of access to content and connections, there’s actually a law of diminishing returns in trying to capture and engage with all this “stuff”.

Screen Shot 2015-02-02 at 10.24.54 am

Image © 2014 Universal Pictures

Consequently, our decision-making is increasingly governed by a hair-trigger mechanism – a single-click here, a right-swipe there, a “Like”/”Share” here, there, everywhere – which makes the outcome far less important than the instantaneous and self-validating process (“I Tweet therefore I am”). The quality of our interactions and relationships risks being reduced to a single lowest common denominator of the “fear of missing out” (#FoMo).

Current business practises focus on lean, agile and flexible – meaning that we have to get used to operating in a rapidly moving environment. However, agility is not helped by either procrastination or rash calls.

Faced with these demands on our attention, how can we come to a truly informed opinion or considered conclusion? The trick is knowing whether or not you are required to respond (not everything is relevant, vital or critical that it needs your constant or immediate participation – sometimes silence is golden). If you must make a call, then know when you have enough (hopefully, the “right”) data to make a rational and reasonable decision.

How do we build a capacity for calm, considered and constructive engagement with the digital world?

Part of the challenge is changing our (recently acquired) habits and behaviours. Speaking to friends and colleagues, there is a growing realization that reaching for your smart phone just before going to sleep (or as soon as you wake up), or constantly checking for status updates, is a noxious habit. Apart from the impact it has on our brain activity, it is also reinforcing our belief that this is normal, that we are somehow subservient to these devices, and that interacting with the digital environment takes priority over everything else. I know, I’m as guilty as the next person (watching the tennis on TV while checking the cricket scores on my iPhone…), but I am also trying to be more critical of my own digital consumption:

  • Not responding immediately to every e-mail – this is about time management skills as much as anything else; the faster you respond, the more you raise expectations that you will always answer straightway
  • Unsubscribing to mailing lists – in recent weeks, I have been unsubscribing to various newsletters because I was simply no longer interested in them or because they were no longer useful; if something’s important enough, I’ll no doubt find out about it from another source
  • Being selective about social media – I’ve written about this before in the context of authenticity and personal branding; in short, I find it essential to use different social media tools for different purposes (and to use each tool differently). That way, I manage to keep some separation between various parts of my professional and personal lives – at the very least, it acts as a helpful filter between the public and private
  • Choosing on-line connections carefully – this is another topic I have covered in a previous blog; not all our interactions are equal, and other than some basic relationship filters, most social network platforms don’t allow us to distinguish between friends, colleagues, acquaintances, and someone we met at a conference.* So, I generally decline unsolicited “friend” requests if I have not actually met or interacted with the person previously, or if I cannot find relevant mutual connections, or if I do not see what value I can add by being connected to this person.
  • Limiting notifications and status updates – similar to managing in-bound e-mail, I tend to switch off/ignore real-time notifications and updates. Instead, I prefer to check-in no more than once or twice a day, rather than always being logged in.

Finally, I’m hoping to develop a status setting for my smart phone that responds to all incoming notifications with messages such as: “Neither on nor off, merely resting”, “taking a mental pause”, “out to lunch”, or “making time for reflection before I respond”.**

Next week: Differentiating in a digital world

Notes:

* I recently heard about Humin, which is sort of moving in this direction, but it’s really a personalised CRM tool for your smart phone

** Apple’s “Do Not Disturb” function only supports “on/off” with respect to phone calls, and with a limited scope to filter contacts