'Total Exposure Health' Next Big Thing, Say Hartman, Phillips

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Total Exposure Health Next Big Thing in Healthcare IT, Say Richard Hartman, Kirk Phillips

Total Exposure Health Next Big Thing in Healthcare IT, Say Richard
Hartman, Kirk Phillips
BY LISA SINGH ON DECEMBER 3, 2015

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If youre in the healthcare space, theres a term you may be hearing

more of soon: Total Exposure Health. A precursor to President
Obamas Precision Medicine Initiative, Total Exposure Health stands
at the intersection of healthcare and technology, using a clinical

DECEMBER 4, 2015

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Federal Market

smart system, and accompanying advances in science, medicine,

technology and IT, to better collect, analyze and understand all

DECEMBER 4, 2015

exposures (workplace, environmental and lifestyle) that individuals

Amida Technology Solutions

face.

Releases Seventh Version of its

Kirk Phillips, principal architect

Kirk Phillips and Richard Hartman created Total Exposure Health

behind Total Exposure Health

to more eectively achieve the Presidents Precision Medicine

Initiative. This is done by incorporating the exposure, which
inuences individual health risks, to drive both protective and clinical

interventions. Recently, both spoke with WashingtonExec about Total Exposure Health, and why its a

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Data Reconciliation Engine, DRE

2.0.

DECEMBER 3, 2015

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ENSCO Inc. Names Dr. Jay Scott

Goldstein Chief Strategy and
Technology Officer

buzzword whose time has come.

WashingtonExec: What makes Total Exposure Health a bold new healthcare initiative?

DECEMBER 3, 2015

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MacBs Secure Computing and

Communications Team Presents at

Kirk Phillips: Science today is taking us to a place where we no longer have to look at animal data applied

DMSMS 2015 Conference

to humans; we can now look at individuals exposure response using genomics and molecular biology.
Weve never been able to bring to a clinician this kind of information that will tell them exactly for the full

DECEMBER 3, 2015

day or lifetime of a patient what types of exposures they had and what types of expressions their bodies

Sevatec Inc. Awarded Two Prime

might be having to that exposure. This new reality allows for a true preventative health approach.

Contracts by DHS ICE

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Richard Hartman: Its a really exciting time in our history, with the advances in the science,
technology and information space and especially in medicine. Total Exposure Health bridges all
those innovations into one common solution that is, how the Internet of Things creates healthier
lives.

WashingtonExec: What makes the time right for Total Exposure Health?
Kirk Phillips: We, as a society, are now choosing to track where we are and what we are doing to a much
greater extent. Individuals are using wearables because they want to track their own health.
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'Total Exposure Health' Next Big Thing, Say Hartman, Phillips

12/6/15, 1:39 PM

At the same time that wearable and their phone is matching where they are, whether they are indoors or
outdoors and where they are in their environment.
We have incredible computer systems that have large databases of data on exposure. In no other time have
we had everything coming together where we have the ability to tag environmental exposures to an
individual based on where they are, combined with individualized exposures based on a sampling that can
be done in real time.
WashingtonExec: What takeaways does Total Exposure Health hold for others wanting to carve out
their niche in the healthcare IT space?
Richard Hartman: For entrepreneurs and businesses, there are
several opportunities. For example, genomics companies can start to
work on identifying how chemicals aect our genes through
exposomics. Currently, the CDC and the DoD are interested in the
TEH data to improve epidemiology and global operations, and
mission eectiveness. Payers as well as big pharma are interested in
this information as well to determine which new medicines and
prevention plans to develop so both individual and institutional
health care costs can be reduced. Theres also sensor development,
Dr. Richard Hartman

apps, etc., to monitor and control exposures, and academia to better

understand the eects of exposures on the human genome.

Key will be integration into the electronic health record and developing the expert systems to take the
billions of data sets to then present in a useful and actionable way to the healthcare provider. This will
encourage participatory medicine and get away from the medical visit that is short and in some cases
focused simply on data entry.
Kirk Phillips: Data also has to be brought into a usable format, so I see that as a great IT opportunity where
a slick system can be created that grabs data from the EPA, from industries reporting, the National Ambient
Air Quality Standards, from local trac conditions, etc., all in a way where peoples apps and their mobile
devices know where they were and brings in all of that health exposure piece.
WashingtonExec: How can Total Exposure Health impact healthcare on the physician level?
Richard Hartman: Were nding a lot of physicians right now are not happy with the way they are providing
healthcare, especially with electronic health records, because they feel like they are more administrators
getting data input than they are physicians connecting with their patients. From a clinical perspective there
can be a million data points and it really requires the proper smart systems to display the information to
providers in a useful way that will encourage another type of healthcare that is out there called
participatory medicine where both the provider and the patient are really engaged.
WashingtonExec: What concerns does the focus on Big Data raise with the successful
implementation of Total Exposure Health?
Richard Hartman: Big Data requires both trailblazing individuals and institutional commitment. The private
sector is leading the pack, for example, IBM is betting their company on it. Whats unique about TEH is how
the Internet of Things promotes better lives, that is, TEH promotes the promise of Big Data, which is sensing
(collecting exposures with sensors), seeing (using informatics to make sense of the data) and acting (using
expert systems so clinicians can make better interventions).
Kirk Phillips: IT is essential to TEH and ideally IT can bring a one-stop shop where providers, patient, payers
and big pharms have one set of Big Data. The biggest challenge is a common EHR. Along with that typical
string of issues to include: Integration and interoperability, privacy; security and the use of structured and
unstructured data, especially with the proliferation of sensors and devices and the explosive growth in

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'Total Exposure Health' Next Big Thing, Say Hartman, Phillips

12/6/15, 1:39 PM

structured and unstructured data, causing information and contextual overload.

WashingtonExec: Where can we expect TEH to move to over the next six months to a year?

Kirk Phillips: In the next six months I see Total Exposure Health getting funding support out of
DoD and probably in a little over six months there will be some requests for proposals to address
some of these issues, areas where we need work.
There will be a signicant body of work in terms of gathering all known science and research known
today that will be nally able to identify exactly where the gaps are. That will also drive the need for
external work. I think there will also be a formalized documentation that really explains in
government how we will be initiating precision medicine with TEH as the primary component for
the exposure piece of an individuals health, then with all of the other aspects completing the work.

Richard Hartman: Total Exposure Health will shape the future delivery of healthcare!

19
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