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so let's just go through this and I will preface the whole thing by saying I've tried to encapsulate 10 ish years of pregnant experience in health care into like four slides which is you know just kind of crazy as I was going through and doing it but since today is today's is a shorter format than what we typically have given you know everyone's remote I figure it'll be a good idea just kind of like do the high level like twenty thousand foot view and by all means you know please ask questions and even after this session today I'm open to like you know we reach out me on Facebook and I'd be happy to like set up a conversation and start talking about it cool so let's just dive right into it so what is different about healthcare technologies and and when I when my purpose of this slide is mostly to say as compared to the rest of tech right so any when I talk about the rest of technology you know it's both both like mostly consumer applications you know or social media applications or even you know things like devices and and all that stuff so what's really different about healthcare technology specifically and the number one thing that comes to mind is just the level of regulations patient privacy compliance and and legal obligations that you have historically over all my experiences and health tech as a product manager I have usually had about thirty percent to do sometimes even forty percent of my roadmap just dedicated to regulatory and compliance and privacy so you know if you're not yet a product manager or you are one 30% 40% of your roadmap is a lot and you know in the healthcare technology space this is stable stick so you got to do this just to even like compete the second thing that's very different about healthcare technology is now if you look at regular tech you know you have your twill use of the world you have you know square you have stripe you have all these companies that have done a great job of just like openly allowing consumer applications to dip into a and pull data and send it here you know and do all that good stuff whereas in health care technology it's the opposite so it's very difficult to acquire healthcare data and a lot of it is siloed so for example I live here in San Francisco UCSF down the street uses the same system as let's say Sutter Health which is up in Pacific Heights but those two systems won't talk to each other just because they're they belong to like different health systems and then there's all these data privacy issues and so everything remains siloed and no one really wants to give access to that data so that's it's it's a it's a big restriction of building products and healthcare technology then the third thing which is a lot more interesting which was actually a revelation for me being at which was at its core not a health care technology company was that your business model and how you make money in healthcare does not dependent he does not depend on how many millions of daily or monthly active users you have and the simple reason for that is when you have especially here in the United States when you have a health care system that's completely driven by insurance and you have the bear model where payers actually reimburse a health care provider for their services your when health tech comes into the picture you don't actually really you don't drive to build a product that lets say you know your ten five-year plan is I need 100 million monthly active users right so that's not a thing in healthcare technology which also means it takes away a lot of that consumer emphasis at first pass when you think about it top of the funnel so when you would need to talk about any application you you're talking about number of users who actually get access to it how many people are gonna even see it how many people are even going to hear if it so for example the steak product school right some of you must have just google searched hey I want to learn about correct management you saw an ad products cool right or you had a friend who did something on product or posted on Facebook you saw it on social media and now you're you're looking at it so that's the top of the funnel in the rest of the world where isn't the health care system in health care technology there is no such thing like if I want to Google if I search for hey show me my health records from dr. Smith I will get nothing and so the top of your funnel of how how as a user you even access any health care technology product it begins at the point of care so you have to you have to go to a hospital to an ambulatory clinic to when you get your blood work done and so on and so forth to actually even access the product so it's a very restricted much smaller top of the funnel than your typical consumer application and then finally one of the biggest aspects about healthcare technology is there's always multiple elements when it comes to who your stakeholders are so when you're building a product and healthcare technology you're not just building it for the patient you're also building it for their partners or their families you're building it for their providers like if you if you have to play in the health technology space you have to have that provider component because if you go to the first bullet point which is about regulations and compliance no one will let you credibly play in the healthcare technology space unless you have a plug in into health systems and providers because when it comes to patient safety patient information no one really wants to trust it unless you're affiliated with some sort of provider or health system so that's a very unique set of and I want to describe the slide as like these are not just the unique elements about healthcare technology but if if you're a product manager or someone getting into product management and who looks at your typical consumer app or a social media app these are all constraints which would if if they existed in the social media world we would not have a Facebook or we would not have a Twitter or snapchat because simply because some of these bullet to completely kill that business model so that's the uniqueness about health care technology and I'm gonna pause here for a few seconds to see if there's any questions and if not I'll continue on and we can do questions in the end good I guess I have a question then you talk about health tech products can you give us some examples so you know yeah yeah sure so and again I this is a very broad you know opening slide as well as presentation so healthcare technology there's so many products that span right from you could be talking about you know in the instrumentation space whether it's how you're innovating when it comes to imaging technologies or when it comes to surgical technologies so that is one form of healthcare technology products another form and towards the end of this I actually have a slide on some emerging areas which is a lot more interesting and consumer driven but then now you have a lot of apps which are trying to help in in healthcare technology like you have ants like mindful headspace which are all dying which are just talking about you know mental health and how you handle those conditions so that's again an example of a consumer side of healthcare technology then you also have one of the classic and the biggest businesses and healthcare technology is actually around patient data so if you you know go to the hospital and or you go to a doctor and you you know you get your annual checkup or something you want to see your test results and you want to see you know what your blood pressure was what your other vitals were so there I I think at least thousand plus different applications which are some form or the other of patient engagement where you can log in and actually see all your health care information so there's there's a massive amount of applications in just that space alone so these are some areas of healthcare technology products that very broadly I'm referring to cool so oh and sorry I had people depend on their one of the things that's very different from healthcare technology versus consumer technology is your you spend a lot more time building products along edge cases which is essentially not your core user path than you do in other industries so for example I was at your majority user path is hey I get the app I want to add groceries to my cart and I want to check out right so there's a majority of the focus now as a company and is on that consumer experience now there are some edge cases where okay you know I live in an area where I can't immediately get the deliveries and I have to figure out how I'm gonna build a product to get that person or delivery that's an edge case you don't really you know that's not the first order of business when it comes to PMS at insa garden what they want to solve for whereas in healthcare technology educators cases are basically your that's the meat of your product because when you talk about patients no two patients are alike even if you're building an app or a product for a specific you know type of patient even amongst them you have multiple branches and so you kind of have to now start taking into account but typically in classic product management you always look at hey what is the my majority user flow and what's the ones which are edge cases and you kind of feel like let's deep prioritize the edge cases want again and we'll do it in a later release you can't really do that in healthcare you kind of have to handle all the cases even in your version one of a product so it's actually a very heavy sort of mindset in in terms of product management and in addition to all those things there's a there's this other level of an over the years I'm still learning you know I by no means and be all of all this knowledge here but data formats so in classical healthcare you have so many data formats of how things how information is exchanged so if you go to a particular Hospital for ever giving a very example you go to a hospital as soon as you go there and they say hey Gaurav Kumar is checked in there's a certain message that sent through the back-end systems of health care to say guru Kumar's checked in now if you go to another hospital system that's a completely different data format so the number one you know big challenge that's in healthcare especially here in the in the United States is that no two health systems no two software systems speak the same language and hence if you have to build a product that let's say for example I want to build a product that says I want to get all my patient records from all the doctors have ever gone to here in the United States right you have to like literally build an integration with every single one of those doctor systems that's the only way to do it there is no uniform data sharing and and all those formats are different so that's another aspect of healthcare technology which is very unique whereas if you think about you know the non healthcare space you have API is where you can freely like for example you can just log into product school for example using your Google logins or your LinkedIn or your Facebook and you have all these api's and and Roth and all of that that can help you just do things very quickly in healthcare you do not have that the other thing that you come across is versioning so even within the same system so there's a very large healthcare an electronic medical record system called epic and so epic is pretty much one of the market leaders here in the United States the other one is Soner now if you if you're if hospital a is on epic version 9 I'm just throwing out a number there and Hospital B is on epic version 10 those two versions will most likely not talk to each other they might have made some changes and don't quote me on specifically this particular vendor but one of the challenges Watchers what you're going to see is systems were built very specific to a certain set of standards and no one went back to do like backwards compatibility so that did not happen at all in healthcare so there's that versioning challenge the other thing that I've seen a lot in healthcare technology is especially in non consumer applications so if you're if you are let's say a doctor or a nurse or even a patient who's in your typical you know let's say UCSF or Sutter Health large health systems here in the Bay Area right you will be using a system where the user experience is not built with the user in mind a lot of these systems are very old and archaic they're built on database structures that were designed in the 70s or the 80s and you just built products on top of that so again you know a lot of the when I say the buttons on the screen reduce engineering complexity not the users complexity what I mean is the system is designed just so that an engineering problem was solved not necessarily from the perspective of what a user needs to accomplish and then finally time to market with all

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