SD-WAN 360

Episode 6: Digital Healthcare Past and Future: Meet the Expert Frank Nydam

February 13, 2019 Season 1 Episode 6
SD-WAN 360
Episode 6: Digital Healthcare Past and Future: Meet the Expert Frank Nydam
Chapters
00:00:01
Introduction to SD-WAN 360 Podcast
00:00:28
Meet the Expert Frank Nydam
00:02:12
What shift has been seen over past 5 yrs in the HealthCare sector?
00:04:49
What is the VMware Role in this Healthcare sector growth?
00:07:54
How Long you have been part of HIMSS?
00:09:14
What is interesting this year at HIMSS?
SD-WAN 360
Episode 6: Digital Healthcare Past and Future: Meet the Expert Frank Nydam
Feb 13, 2019 Season 1 Episode 6
Rohan Naggi
Meet the Industry Healthcare Expert Frank Nydam
Show Notes Transcript Chapter Markers

A time well spent with Healthcare expert Frank Nydam, discussing what has happened in last five years and what lies ahead in the next five years. We also talk about how technologies like SD-WAN, IoT, and AI have changed the healthcare landscape.

This episode was recorded live from Healthcare event (HIMSS 2019) from Orlando Florida with Frank Nydam (VP of VMware HealthCare team) and Naman Sharma.

HIMSS is Healthcare Information & Management System Society

Note that this episode was recorded live from Himss Event and there are some background noise. We are working towards to provide you with better voice quality. Thanks



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Speaker 1:
0:05
Welcome to the podcast. I'm your host, Nancy [inaudible] is your destination for all things is given. The technology that is transforming is Demetri 60 podcasts will help you keep abreast of the latest from the industries and learn from industry exposure
Speaker 2:
0:29
as special guest frank nine him and then I'm doing this thing with Naaman, showman, introduce them shortly. The spas tank is our very special. My first time, my first time doing a suspicion point with a special guest, frank cleaner. So first time is always suspicion. My first time really using and as he ran blueprint book on top of it frankly, item passes spotlight section, which talks about his head's good journey in VM ware. How the his getting the see has shifted over the, with this, let me introduce the Mallinson. Frank Knight. Frank.
Speaker 3:
1:18
Hmm,
Speaker 4:
1:24
yeah. Hi [inaudible]. Good thing is you're doing life from him. So again, Brian, thank you so much for doing it. Is five trainee in the evening and we'll be excited for this podcast. Let's get started.
Speaker 2:
1:36
Yes, come in from this technology background. I'm coming from as De van, so I was first thinking one on one. I'm going to do at him show because it's, everything is like on prem are these devices, iot devices like Mri machines and all that. They are not connected to our traditional IP network. But I was wrong. I was ami today by seeing products and solutions that I'm hearing how they are connected using let's say VM ware is Devad technology or any of the VM ware solution here. So with that in mind, how have you seen for the past five years in the healthcare industry?
Speaker 3:
2:20
Uh, healthcare's always been called a technology laggard. They always had great medical devices, great imaging systems. But when it came to clinical information systems, a lot of the systems came out in the basement vectors, a great old podcast with a gentleman who called it out of the base and how it got out of the basement, off the mainframe and move into the patient. Um, so in the, in the last five and 10 years, obviously we have the Arra high tech. In 2008 there was American recovery reinvestment act and that I the, the idea behind that was obviously more patient than a cost increase. Patient care and quality, but with trying to do is get the hospital system to lives, right? They haven't digitizers system five, six years ago, everything was still on paper charts and the end of the events, the whole nine yards. So in the last five years we've gone from, well even a little bit for that maybe 10, 15% I the US and electronic medical record and the latest statistics of CMA say that 97%.
Speaker 3:
3:18
So we've made that first shift towards uh, data collection, uh, now in the next five years is all about what do we do with that data? Let's get more data into it. Let's share with the patient, but share with the physician, researchers, Pharma, because the security, you remember everything was on paper. So the idea behind this whole digitization, we can lower cost that way. Just like the banking industry. And remember Paul Moritz, our old CEO coming out and saying, look at how the banking industry transform it. A went to digital and allow them to do ATM is allow them to do mobile. We're just sort of getting there with health care. Then you can pull up your electronic medical record, your immunizations on your phone. So again, we've gone from let's just get off paper to electronic medical record and that, how can we use this data to really drive costs down and increase the quality of patient care. And I think what's really interesting about SD when here is getting data as you'd say, getting care to where it's needed. Not inside the four walls of the hospital.
Speaker 2:
4:17
So it's like all this kind of came, all these are the motel patients, doctors, even if I'm not open to the doctor, I can pending adopted from an email that did you do connection his dad, but the doctor apartment that can, yeah, I mean that's what I'm, I'm, I'm amazed by seeing how we can it get how via utilizing these tests. Can't panic shins at him CS. So like I mentioned minus Far San Dia, but I'm amazed. What have you seen, what's the [inaudible] role at camps? What, what's the key take away from this? A hems? You know, our
Speaker 3:
4:56
first journey of health care has been helping hospitals and helping our ISP partners digitize. It was a real shock to the healthcare system, how large and complicated these electronic medical records can be. And in the early days, uh, there was a lot of skepticism about running something so critical on VM ware or a hypervisor. And we did a lot of early work into this is what a hypervisor is. Here's the value proposition. So today if a, according to HIMSS analytics, uh, Beth, 92% of theU s provider population runs out of the vsphere platform. We've got a lot of way in a short amount of time. And what gets me excited is, you know, the next five years, the technologies like Sd, where, where when we didn't even realize we had that problem where we're, there might've been a little skepticism. I don't get Estee wearing, I don't understand that this is going to work, but I know I need to get paid care out to the ambulance or, and even get to inside of the patient's home.
Speaker 3:
5:55
Cause the most expensive place for healthcare is inside four walls. So we can get that outside when you use technologies like this. Uh, but we have a lot of education. Do I think got people here when we're here to network and like, oh, I don't understand that. If we can take what we did for the last 10 years, like the VCR to guys to win, uh, I, I tell you that the world would look like in different places. Yeah. I think frank, I also see that and do the huge company convention existing for light doesn't having from new players in the market. If you look at all the containers into the healthcare space, we have cvs to be an apple and a B have those remote clinics in their existing providers also have a huge amount of stress to compete in that space because these companies are coming in the changing landscape, the changing the way, the inequity, the patients and the services they provide that and these technologies are important for them to stay competitive.
Speaker 3:
6:51
Otherwise, you know, they're going to lose. Like, like in the retail side, we see ecommerce taking over the wall and brick and mortar and certainly basically, you know, extract losing ground. Yes. Yeah. I remember five, six years ago. Did you ever see billboards about hospitals? Right now they're trying to get you in there and we try to provide a better consumer like experience and I, I go back to banking. When's the last time you've been to a back to see what teller you don't even think about that. Health care will get that way. I can go to the minute clinic, I can, I can see my doctor on the ward and what's going on. Yeah, my results like an auto, my results, I can get the results online, you know, lab test and all that. Yeah. I think the whole reach, because this is going to be discussed last time also that we are seeing a lot of patients as millennials who are born with a mindset that everything should be in the end up in the form of an APP.
Speaker 3:
7:39
It should be easy. And same goes for doctors who are coming out of the school. They are telling me that mindset and if you do not have those technologies, they don't want to stay. Do you wanna move on to a different, remember these, these docs grew up with a phone in your hand, exactly your next box stuff, right? So yeah, you have to, you have to keep them together. Now in the state of him, how long you have been like, is this a number of [inaudible]? So this is coming since 2005. Um, where first came in 2006. Uh, we had a small card table, uh, with uh, with a borrow tablecloth and my business cards out there, I will say near the restrooms. So we had good traffic.
Speaker 3:
8:18
You know, we've come a long way in a short amount of time, uh, due to our value proposition. Great, great people in the industry. Uh, and it was is you ask anybody that's from coming to hims for a while. It's, it's great to take a walk around and see what's going on. It's great to go downstairs and around the edges as soon as you came up a couple companies. Uh, but it's a great place for friends and family to get back together to say, Hey, what did you say? I mean, there must have been five conversations I had to the, hey, what have you seen around before?
Speaker 2:
8:44
So, and camps, just going to see providers. It's about consumers. Beijing, everybody can't get any children's. I think every everybody's, and I'm here. That's why that hints is so important. Even the landscape has changed, not just for the providers, even for the patient, the user experience, that APP expedience, which provided is under pressure to provide. Everything is getting after getting cleaned up.
Speaker 3:
9:13
Absolutely not. Anything interesting you saw on the, on the floor. This is the first day about anything. Anything in closing. I usually leave two hours during the week to go take my walk around. But I did see a lot of interesting things today about artificial intelligence, machine learning, and I'm just, there was a buzz word for a long time. Now you're actually seeing it in practicality. So I really, interesting demo on a doctor being a little walk up to a, an assistant up and authenticate to the system using their voice transcribed, using their voice, having a full conversation with this day. I do that without ever touching the teeth. Wow. Uh, and that's, that's a big contention now with the older generation of doctors not wanting to contribute or get more involved in a two week job. That was really good.
Speaker 2:
10:01
I mean, it's so much energy in the room. Positive and healthy. I need to lost frank. What's the DMV or vision and this food has give truecare?
Speaker 3:
10:11
Well, you, uh, we had a simple, simple but very hard concept early on. If we could reduce the cost of these very complex systems coming in the hospitals, that was our, that was our basic value problem a long time or reduce the cost. Now if we could use technologies like Vdi and workspace one, you see, and now as the, the event, we can push it around the side and we can push care outside of the four walls of the hospital. Because like, like I said, it's the most expensive place for healthcare to be delivered. You want to be there when you're really sick, but certain things can be taken care of outside of the hospital and that care anywhere is really important between our mobile technologies and connecting you all of these ambulatory clinics, retail, Pharma, I what a better position for us. The wonderful.
Speaker 3:
11:05
So you know, we felt that will constantly can be dog. What about technology's changing? We all to see Hawaii doesn't pay us coming together and you know it used to be that you know who set up the entities but now because of the market dynamics and the customers, patients ask me for him and his team didn't come together to provide value based care. What are your thoughts on that? We got on the key behind that is owning the delivery and the payment of that. So if we could bring those two components together, if you're paying for the health care, you're going to be much more mindful of know what type of healthcare provider. It would be much more talkative. So we've, there are a lot of hospitals that are all also the writers out there. But again, owning both sides of the spectrum. It gives you a lot more of a control over the cost of care.
Speaker 3:
11:52
So that's typically the case. Now I think the next step there is population health. That's the key is not taking care of the person taking care of a population, using the analytics to say why is everybody in this zip code? You know, getting the few less proactively reach out to these folks. Have you gotten your flu shot? Have you been in to see the doctor? Because that metastasize after weeks and you have a fluid, it's really expensive to come off and you can tell you ahead of time. That's the pair of provider. Understand what role VM that can play in that integration. But helping them come together and be a much more fuels angiogram. If the other interesting thing is the how mergers and acquisitions I've taken off over the years, I think Elizabeth statistics is about 5,800 providers maybe five years ago. I mean I think there was 46% college, 46% at that back, 87 a major consolidations between the hospitals and the providers last year.
Speaker 3:
12:50
And what we do is be able to bring these infrastructures together because for many years, not going to have to run side by side, but it, it's cost prohibitive due dates are right. Uh, and finally I would say another interesting piece is being able to provide those clinical applications in a Vdi session out to those other uh, physicians places or and again an Sdu and underneath that one very body went shit. This is the last question. I have one glass and I don't want to keep us guessing hardening it by getting featured in this empty 1964. No, I'm just kidding. But that's okay. I'm on that. Have you in this as the van she had 16 and one last thing is in this as demand neck looking blueprint for we have a spot sanction from you and who will have kind of jotting down the eulogy. I mean what's the VMV at who? I would like to go ahead and sign. I would be honored. Just goodness. I was supposed to go [inaudible] I'm beat on that again. It's signed from you with a sufficient Finn.
Speaker 3:
14:03
I have better handwriting than a document. Thank you. Frank. [inaudible]. Frank called them in coming to this as say 60 bar factual. No. Yeah, we need your welfare and liked it. We had Bob much thank you for doing things like this. This all too often to new technologies come out and they don't apply it to that industry. And you know, I saw there was a retail section of your as well, but we really appreciate you guys taking the time to talk about healthcare care, health care specific needs, because it is different. At the end of the day, there's a curse. Let me know what you guys are doing from an organic point of view of this is real. Thank you, frank. Thank you. Thank you. Thank you. Thank you.
Introduction to SD-WAN 360 Podcast
Meet the Expert Frank Nydam
What shift has been seen over past 5 yrs in the HealthCare sector?
What is the VMware Role in this Healthcare sector growth?
How Long you have been part of HIMSS?
What is interesting this year at HIMSS?
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