EDGE-INSIGHTS VIDEO LIBRARY

Welcome... This is where we keep all of the EDGE-INSIGHT video's (26 in total) so you can watch whatever / whenever.  

BACKGROUND
If there is one thing that we've learned working with start-ups in health, it's that they see the forces of disruption through completely different lens.  We believe that this fresh perspective can help other health innovators succeed, whether that involves developing new health apps & services or running a major health organization. We've done our best to distill the key learnings into individual insights and to present them in a way that stays true to the edge-perspective.  Individually, each insight is fairly straightforward, but collectively they provide a fresh and compelling take on the coming wave of innovation in health. 

WEEKLY INSPIRATION
Too much to absorb all at once? Why not get a new EDGE-INSIGHT every week?
As little as 5 minutes a week is all it takes to get a fresh perspective on the forces driving innovation in health.


Health, Wellness & Betterment
(H.W.B.)

1 of 26

After months of deep immersion into the forces of disruption through the lens of edge innovators, we became convinced that the traditional view of ‘healthcare’ makes it very difficult to envision the full scope of impact from digitization.

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains 'Health, Wellness & Betterment' and why it became Insight #1 in our series of insights for health innovators.


INDIVIDUAL HEALTH JOBS
2 of 26

All H.W.B. activities are made up of a collection of discrete tasks, and after months of deep discussions with start-ups and entrepreneurs in health, we have come to believe that individual apps / services will emerge to solve individual H.W.B.* jobs.

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains where the notion of 'Individual Health Jobs’ comes from, and why it’s such an important concept for health innovators.

*See Insight 1 for background on H.W.B.


PLATFORM IMPACT ON H.W.B.
3 of 26

We have come to believe that H.W.B.* has so much inherent friction, that it’s inevitable for digital platforms to emerge. In addition to typical platform functions, they will be expected to make it easy for health app’s and services to access multiple ‘data silos’ and to remain compliant with all of the rules around privacy, security, encryption etc.

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks some of the thinking behind why we believe that platforms are inevitable in H.H.B., and shares his perspective on why this is such an important concept for health innovators.

*See Insight 1 for background on H.W.B. 
*See Insight 15 for background on Data Silos


3-KEY ROLES FOR A PLATFORM
4 of 26

As we covered in Insight#3, we believe digital platforms are an inevitable part of the H.W.B.* landscape.  In our view, these platforms will be expected to fulfill three key roles: 
1. Connect apps / services with people with health jobs to do
2. Remove technology friction
3. Simplify access to data which is fragmented into silos across the H.W.B. space.

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks some of the thinking behind the three key roles, and shares his perspective on why it’s important for health innovators to have this on their radar.

*See Insight 1 for background on Health, Wellness & Betterment


PLATFORMS NEED DATA
5 of 26

As a result of our exposure to the foundational thinking of so many start-ups and edge-innovators in health, we have come to believe that the ability to federate data will be one of the most critical competencies for digital platforms in the H.W.B. space. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks the notion of data-federation, explains why we believe it’s important for H.W.B. platforms, and shares his perspective on why this is an important insight for health innovators to have on their radar.

*See Insight 1 for background on Health, Wellness & Betterment


PLATFORMS NEED SOCIAL
6 of 26

After months of deep discussions with start-ups and edge-innovators in health, we have come to believe that Social interactions have a such a profound impact on people’s health and wellness that all H.W.B.* Platforms** will need some level of social / community to thrive. Further, we believe that social has some unique attributes in the health world.  

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks our thinking on the unique aspects and role of social in health, and shares his perspective on why this matters for health innovators.

*See Insight 1 for background on Health, Wellness & Betterment
**See Insight 3 for background on platforms


PLATFORMS NEED BEHAVIORAL CHANGE
7 of 26

Without behavioral change technology, H.W.B.* apps and services will fail, and with them, H.W.B platforms**.  After months of deep discussions with start-ups and edge-innovators in health, we have come to believe H.W.B.* platforms** will need to adopt behavioral change technology in order to reduce the risk of under-performing apps and services. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains what we mean by ‘Behavioral Change Tech, and shares his perspective on why this is such a critical insight for anyone developing innovative app’s and services for H.W.B.*.

*See Insight 1 for background on Health, Wellness & Betterment
**See Insight 3 for background on platforms


SENSORS IN H.W.B.
8 of 26

As consumer adoption of wearables and stationary sensors grows (IoT / Ambient Computing etc.) 
there will be rapid growth in demand to combine data in new ways. We believe that this will play a material role in in shifting healthcare away from a system-centric view toward a consumer-centric view.

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains why we believe that consumer facing sensors / devices inevitably make the consumer the only one with the power to allow data access from an ever-widening group of sources, and shares his perspective on why this matters to anyone developing innovative new app’s and services for H.W.B.*.

*See Insight 1 for background on Health, Wellness & Betterment


DATA SYNERGIES
9 of 26

As personalized H.W.B.* grows, the need to mix data from multiple sources** will be increasingly important, not just to develop solutions, but also to continually optimize efficacy based on outcome feedback. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks our thinking around data synergies, and shares his perspective on why this is such a critical insight for health innovators developing innovative new app’s and services for H.W.B.*.

*See Insight 1 for background on Health, Wellness & Betterment
**See Insight 8 for background on the many sources of data coming to H.W.B.


PERSONALIZED MEDICINE
10 of 26

The adoption of value-based care will heighten industry focus on efficacy. After months of deep discussions with start-ups and edge-innovators in health, we have come to believe that this will accelerate the emergence of evidence in favor of personalized care. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains personalized health, and shares his perspective on why the shift away from ‘average-based care’ could have such a profound impact on new innovations in the H.W.B.* space.

*See Insight 1 for background on Health, Wellness & Betterment
**See Insight 8 for background on the many sources of data coming to H.W.B.


STANDARD of CARE
11 of 26

Over the next three years, we expect some private payers (self-insured companies and HMO’s) to expand adoption of pharmacogenomics beyond initial trials.  We have come to believe that this will begin to make pharmacogenomics ‘Standard of Care’, triggering a step change in adoption across the healthcare system. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains ‘standard of care’, and shares his perspective on why increased payer adoption of pharmacogenomics has the potential to trigger a step-change in healthcare (and why this is a key insight for health innovators).


OMIC CLIMB
12 of 26

Over the next three years, we expect to be in a cycle where new insights lead to confusion, and entrenched interests resist adoption.  This is a key time for OMICs organizations, because those with most credibility and influence (team / science / ROI) will thrive, while those without will languish.

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains the broad concept of OMIC’s and why we may go through a period of ‘noise & confusion’ as solutions emerge, and shares his perception of why this could have significant implications for all H.W.B.* innovators.

*See Insight 1 for background on Health, Wellness & Betterment


LEARNING ALGORITHMS
13 of 26

Data is growing so fast (OMIC’s* / Sensors** etc.) that analysis is already beyond human capability.
Add the job of monitoring outcomes and adjusting to optimize and it’s easy to see a role for computers. But Learning Algorithms (AI) go much further, not just cross-referencing data tables, but actively looking for patterns and insights that elude humans. In this way, learning algorithms have the potential to deliver remarkable improvements to both efficacy and ROI, one health job at a time. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks some of our thinking related to learning algorithms in H.W.B.***, and shares his perception of why it’s critical for all H.W.B. innovators to regularly stress-test their core assumptions and foundational thinking around this critical force.

*See Insight 12 for background on OMIC’s
**See Insight 8 for background on the many sources of data coming to H.W.B.
***See Insight 1 for background on Health, Wellness & Betterment


FEEDBACK LOOPS
14 of 26

The more access Learning Algorithms* have, to medical literature raw health data, the more value they can add, but learning algorithms require training to improve, and that requires feedback so they can assess efficacy and optimize diagnosis and treatment over time. By extension, the more sensor data** the better, even when those sensors are only providing context (as opposed to providing medical grade health data). 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains why we believe that the adoption of an ever expanding  set of inputs / data is inevitable in health, and shares his perception of why this has critical implications both to health systems and to health innovators.

*See Insight 13 for background on learning algorithms
**See Insight 8 for background on the many sources of data coming to H.W.B.


SILO’d DATA
15 of 26

Learning Algorithms require access to massive amounts of data to improve, but healthcare data remains fractured between a multitude of regional, national and global data silo’s, while Wellness, Betterment and IoT data is trapped in corporate silos.  

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks our thinking around data-silo’s in H.W.B., and shares his perception of why it’s critical for health innovators to have an informed position, and adjust their core assumptions quickly as developments impact their access across H.W.B. data silo’s.


HEALTH DATA IS SOVEREIGN
16 of 26

The term sovereign data is particularly relevant in the digital health world. In fact, it’s quite possible that some countries may already view genomic data as a matter of national security (imagine the military implications of weaponizing against a country’s dominant DNA). 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), shares his perception of why the concept of sovereign data is so important to health innovators.


A.I. SANDBOXES
17 of 26

After months of foundational discussions about the forces of disruption with health start-ups and innovators, we have come to believe that the promise of learning algorithms*, to measurably improve efficacy and ROI, is too compelling to ignore and that 'data lakes', with clear rules and governance around data use, will emerge around specific tasks (ie: health jobs).

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks edge-thinking on this issue and shares his perspective on why it’s important for everyone developing innovative new H.W.B.* app’s and services to pay close attention to where/how learning algorithms are extracting value from H.W.B.** data.


*See Insight 13 for background on learning algorithms
**See Insight 1 for background on Health, Wellness & Betterment


DATA LAND-GRAB
18 of 26

After months of foundational discussions about the forces of disruption with health start-ups and innovators, we have come to believe that a data federation solution will emerge to address the data silo* issue within the next 3 years, and that if/when a dominant leader emerges, they have an opportunity to rapidly build a near monopoly position.

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains the concept of data federation for H.W.B.* data, and why the emergence of a federation solution is inevitable, and shares his perspective on why this is such a compelling opportunity for the leaders (and a critical force to watch if you are developing an innovative new H.W.B.** app / services).

*See Insight 15 for background on data silo’s
**See Insight 1 for background on Health, Wellness & Betterment


ALGO COMPLIANCE
19 of 26

Learning algorithms* are fluid by design, searching for patterns in data, and optimizing themselves over time. This raises significant challenges in health, where data compliance rules are so complex, and liability can be enormous.  
After numerous discussions with start-ups and innovators across the health space, we have come to believe that algorithm audits (by other algorithms) may become routine elements of HWB platforms.

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks our thinking around black-box algorithms in health, and shares his perspective on why this is an important insight for anyone developing innovative new health apps / services.

*See Insight 13 for background on learning algorithms


REPUTATION
20 of 26

In a digital health world, both traditional reputation and digital reputation will be critical to gaining access to data. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks our thinking around digital vs. traditional reputation, and shares his perspective on why this is a critical insight for anyone developing innovative new H.W.B.* apps / services.

*See Insight 1 for background on Health, Wellness & Betterment


CREDIBILITY vs. ACCESS
21 of 26

After months of deep discussions with start-ups and innovators across the H.W.B.* space, we have come to believe that we will see an all out data race* over the next 3 to 5 years, and that the early winners will have significant advantage over those who come later.   

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains why it’s so critical to gain access to data as fast as possible, and shares his perspective on why this is a critical insight for anyone developing innovative new H.W.B.* apps / services.

*See Insight 18 for background on the Data Landgrab


DIGITAL DISCOVERY
22 of 26

As health jobs get digitized, there will be an explosion of competitive offerings, and with it, a huge increase in online noise as everyone clamors for attention. From our discussions with start-ups and innovators across the H.W.B.* space, we were struck by the heavy focus on credibility and quality, and the absence of focus on visibility.  The reality is that credibility is irrelevant for those app’s & services that can’t be found.   

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks our thinking on around the need to rise above the noise and be discovered (in search, social and on digital health platforms,) and shares his perspective on why that will become a critical competency for any company developing innovative new H.W.B.* app’s & services.

*See Insight 1 for background on Health, Wellness & Betterment


ATTRIBUTION
23 of 26

After months discussing the forces of disruption with H.W.B.* start-ups and innovators, we have come to believe that the ability to assign and track the contribution made to new insights, services and products (ie: attribution) will become a core element in the reputation** algorithms for all applications / services / platforms that access multiple data-sets***. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), explains Attribution, and shares his perspective on why this is an important insight for anyone developing innovative new H.W.B.* app’s / services. 

*See Insight 1 for background on Health, Wellness & Betterment
**See Insight 20 for background on Reputation
***See Insight 15 for background on data silo’s


MEASURABILITY (Efficacy & ROI)
24 of 26

After numerous cohort discussions, we have come to believe that the next phase of evolution in the H.W.B.* space (3 to 5 years) is first and foremost about measuring impact on efficacy and ROI. This is a necessary step that virtually every digital HBW app and service will need to progress through before they can hope for broad adoption. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks our thinking about a measurability stage in H.W.B., and shares his perspective on why this is a critical insight for anyone developing innovative new H.W.B.* app’s / services. 

*See Insight 1 for background on Health, Wellness & Betterment

 


VALUE-BASED CARE
25 of 26

The movement toward value-based care (remuneration linked to efficacy) has gained significant momentum, particularly in the USA.  While we expect adoption to expand on pace in the near term, we have come to believe there is a high probability that adoption could take a step change within the next 3 years. 

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks our thinking around value-based care and why it’s important for health innovators to have this force on their radar, and to adjust their foundational thinking if they see evidence of a shift.


REINSURANCE MEETS REIMBURSEMENT
26 of 26

As evidence of improved efficacy rises, we see the potential for traditional reinsurance companies to exert pressure (for or against) individual algorithms, apps & services, which could in turn impact remuneration.  This will be linked to measurability* (efficacy & ROI) and has the potential to cause a step-change for individual app’s / services that demonstrate material gains early.

In this episode, Dr. Byrne (Chief Innovation Officer for TELUS Health), unpacks our thinking around the implications of reinsurance adoption (or rejection) and shares his perspective on why health innovators should have this force on their radar.

*See Insight 24 for background on Measurability


ABOUT FIRSTEP

FIRSTEP works with health organizations searching for fresh insights that spark new opportunities for growth.  Our job is to help them see the forces of disruption through the lens of start-ups and innovators in the space.  It's a genuinely fresh perspective and a remarkably effective way to discover new opportunities for investment & innovation.

Want to learn more about how FIRSTEP could help your organization develop a fresh perspective and spark new opportunities for growth? watch our QUICK INTRO VIDEO ... or let's just have a chat - (john@firstep.ca)