Beyond the Internet of Things (Already!)

Can Moore’s law – that computing capacity expands exponentially – be extrapolated to the Internet of Things (IoT)¹? This is one of the questions that went through my mind at the MedEdge Summit (#MedEdge)  – a half day with the tag line ‘disruptive innovations in healthcare’.

It was a really good meeting. For me, a memorable meeting makes you think. I met interesting people, from diverse backgrounds in healthcare-related industries. I learned new things. Healthcare is a good example of an area at both the forefront and tail end of technology innovation. Perhaps that’s why the themes of change and connectivity resonated for me.

Here are some of the observations and predictions I had after attending the Summit. I’ll end with some thoughts about Moore’s Law.

For medical care, this initiative is going beyond the Internet of Things, to the Internet of Healthcare. The Internet of Healthcare includes people – updates from and to all the medical professionals – combined with data from other sources. The pilot project was presented at the Summit by collaborators from Mackenzie Richmond Hill Hospital, Thoughtwire and Blackberry. Blackberry has some interesting inputs, especially in security, a significant challenge in the IoT, and even more so in healthcare.

This is the forefront of technology, beyond the internet of things to the internet of all objects, devices, information, and people involved in caring for patients. And yet, at the MedTech Summit, there were reminders of the challenges in the business of healthcare and particularly to commercialization or adoption of novel products. I learned about OHIC (Ontario Health Innovation Council), an initiative of the Ontario Government with a mission to accelerate the adoption of new technologies into our healthcare system. I particularly liked the diagram, a motif in this OHIC report , with a hustling Innovation Broker in the centre of a mesh of the myriad stakeholders in healthcare.² This is a connectivity of a different type. Different forms of communication are required for the connection between patients, their families, medical practitioners, healthcare organizations, businesses, regulatory bodies, academic institutions and investors. This abundance of stakeholders makes commercialization particularly challenging in the healthcare sector, compared to others, like manufacturing, consumer goods or consumer software (apps).

I suspect we’ll see a rise in innovations in home and consumer-based healthcare but the business environment for this sort of product can be challenging. Physicians can prescribe outside medical care, such as oxygen therapy, physiotherapy or massage. Suppliers of these sorts of services or goods can’t actively recruit customers, since the physician decides who needs the product. They can’t set the price, since reimbursement, from either the government or insurer, controls pricing. Product innovations and features are limited by regulatory bodies. New offerings in this area will need creative business plans to flourish.

How fast will we see change in healthcare? The revolution in the IoT is the exchange and compilation of information from, and about, many things. Not all the things communicate like computers. People, animals and other complex phenomena like the weather use hard to model processes to make complex and random moves or subjective decisions. Objects like furniture and cars, especially those manufactured in the past, have no ability to communicate electronically and while newer versions can do so, the world is still full of old ones.

Connecting people and inanimate things into the Internet of Things is no easy task and will take more than just advanced computing power. It will require completely new ways to make connections and this will take time. My prediction for the Internet of Things is that it will bring policy and policy reform in many iterations and this will slow its growth. Thus, the creation or formation of the IoT is going to depend on a whole lot of other factors than the processing speed of a semi-conductor. Moore’s law is going to need a few amendments that take people into consideration before it can be applied to the IoT, because people, after all, is what healthcare is about.


¹ The Internet of Things is a concept that encompasses connecting all objects, – books, pill bottles, pets, cars and everything else -, on the world wide web or through other electron communication systems. The internet of everything doesn’t exist right now and probably will never, but just might. However, currently there are internets of a subsets of things, for example the connection of everything in your house.

² It reminded me of why I have ‘spider’ in the name of my business. Here’s the blog post.

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