Health Innovation:
Reinvent our lives and our futures

Professor of Health Policy and Management, Keio University
Professor of Healthcare Quality Assessment, The University of Tokyo
Director of Global Health Systems and Innovation, National Center for Global Health and Medicine

Hiroaki MIYATAHyper-aging, falling birth rate, slow economic growth,

In Japan, senior citizens age over 65 years- has holdalmost all household assets(15 trillion USD of 16 trillion
USD).
Health care bubble has
come…
However, healthcaredemands will falling soon

A turning point in a history

Nov2010

ICT revolution/ Turning Point of Civilization
To develop high value and sustainable social security
system, we have to establish well-being platform using
ICT, which including

To empower Japanese culture of craftsmanship“shokunin bunka”

Strategic approach to enhance Japanese style ofmanufacturing “monozukuri”

To promote mutual aid and social ties both in thecommunity and occupational setting

collabor
ation

initiative

innovationLIFE as VALUE
Not only disease management, but also wellbeing empowerment

Empower everyone

Community support

Value-based care

Pursue an active way ofliving and which lead tohealthy life.

Possible to receive
appropriate support basedon scientific basis under afamiliar environment

To provide the world’s besttreatment/diagnosis andcare by having good
cooperation amongorganizations

Inequity or illness does
not always mean aburden on life

Rapidly cooperate to thebest organization when adifficult judgment andadvanced response isrequired

To provide customized
treatment and care toindividuals by combining
global evidence and local
real world data

(DIFG D ) GEF))

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H DCor illness

does not always
mean= FCH DCa burden on life

F= FDBDH C=
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CH DC( F D G IA F)G G

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C D A

HB CH

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F C A IC of
H DC
FCH DC
lead to healthy= life.

= , F HF
GDF FGC = B CH( CF G C ADD
GG A IC H DCH FDG A FDG G- AH/ C=G)G G GF Prevention
ABC F,FDIE)
H G- E FH CG DC) GA E B- E FIF B()Treatment
C A

H

FH CDiagnosis
C F(DBBIC HIEEDFHC

Possible to receive
appropriate support
based on scientificbasis under a familiar
environment

when a difficult
judgment and advanced
response is required)

HA )GG G( F( F

FD G IA F
To provide
the world’s)G G= F
CH DC DDBEA H DCG

A (D=C H
To rapidly cooperate to.BE FB CH(.
the best organization

HHome careAIF) A GG

best treatment/diagnosis
and care by having good
cooperation amongorganizations) B CH

To provide customized
treatment and care toindividuals by
F AH combining global C A Hevidence and local realworld data

FG()

DC (DBBICCOPD early detection/appropriate treatment
Pop-up表⽰項⽬• COPDスクリーニング票スコア結果• スパイロ検査結果（該当時）• COPD診断等に関する説明(1) Health Check（screening）(2) Primary care (diagnosis)①問診票①問診票確認②各種検査③問診②問診/検査③診断/処⽅LHR ID（CARD）

COPDスクリーニング
票による⼀次検査

通常の健康診断の実施

COPD疑い対象者に対する⼆次健診の推奨(3) Primary care (prevention of seriouscondition)①問診票確認②問診/検査③診断/処⽅

増悪有無・進⾏
度合の確認

治療⽅針
維持・変更

LHR ID（CARD）

COPD疑い対象者の特定⼆次検査の実施診断/治療

問診票による症状の確認

PeOPLe基盤

登録

問診票/検査値情報

診断/治療/処⽅/⼊院情報

LHRからの同期項⽬• 問診票結果（COPDスクリーニング票スコア含む）• 臨検検査値

ＬＨRシステム・患者ID，保険証（記号・番号）（⽒名，⽣年⽉⽇，性別・・・）
・問診
・健診／検診，検体検査（・画像）

Strictly Confidential
複写禁⽌診断/治療/処⽅/⼊院情報

レセプト
国⺠健康
保険死亡情報等

住基
後期⾼齢者
医療協会
けんぽ

琉球⼤学病院
中核病院

レセプトからの同期項⽬• 傷病名情報（医科レセ）• 院内処⽅情報（医科レセ）• 院外処⽅情報（調剤レセ）• ⼊院情報（⼊院レセ）

組合管掌
健康保険

共済組合

住⺠基本
台帳

Transportation Service + IoT → Wellbeing Platform
Delivery drivers not only change a battery of home
medicine dispenser, but also look after (and some time
provide support for) each users by IoT data and central
system assistances.
Based on big data analysis each drivers can know what
is appropriate communication for each customers toconfirm potential side effects, status of prescription,other risk symptoms… and so on.
When such kinds of face to face communication
network meets IoT and big data analysis, it could betransformed intowellbeing platform with high value service.

Society 5.0: Next Universal Health Coverage

PastPresent

Next generation

Younger population

Older population

Leaving no one behind(Vulnerable and marginalizedpopulations)

Communicable disease

Non communicable disease

Including pre-diagnosis phaseand healthy life

Community-based

Person-centered(Anytime, anywhere throughglobal alliance)

Hospital-enclosed

Era of Data-Driven Society

From OIL to DATASOCIAL CREDIT SYSTEM in CHINA

General Data Protection Regulation (2018.5-)