Introduce yourselfThank them for the opportunity to present an overview of Cisco.Today, I’ll briefly discuss who we are, what we do, and why it’s important.
The World is changing, we’re going through massive rebalancing in economic growth, socially – talent re-shuffling, and environmentally – natural resources.THE world will consume 40% more energy in 2030 than it does today, according to BP's Energy Outlook – The Economist, Jan 2012http://www.economist.com/blogs/graphicdetail/2012/01/daily-chart-14
Population Growth Rate (annual %) for Select Hypergrowth Countries: Nigeria: 2.5%Saudi Arabia: 2.3%Egypt: 1.7%India: 1.4%Population Growth Rate (annual %) for Select Shrinking Countries: Germany: -0.1%Russia: 0.0%Source: World Development Indicators, World Bank, 2013.
WIM to present and Transition to Ishwar. Leave slide up for Ishwar’s section. ASR 901 VIDEO READY FOR PLAY WHEN ISHWAR DICTATES
BACK TO WIM to present and transition to AGLAIAPicture:wangshangnuoWhat you’ll begin to see is that technology is consumed as a service.They will be able to choose from a menu of services – whether that’s renewing their driver’s license by mail, mapping a route to work.And this is all built on one common infrastructure.And the governments love this. It decreases traffic, reduces bureaucracy, the queues at government facilities are shorter…emissions are reduced.
AGLAIA KONG OR VICTOR TO SLIDES
AGLAIA KONG OR VICTOR TO SLIDES
AGLAIA KONG OR VICTOR TO SLIDES
AGLAIA KONG OR VICTOR TO SLIDES
BACK TO WIM to present and transition to KATHY: A flood devastated a village in rural india.We teamed up to commit resources (human and monetary) and technology.Over 3 years time, we built a healthcare center (interesting as it looks like a shack in the middle of the woods), so people could have access to healthcare remotely.We built 4 networked skills and classes take place. 3 times a week students receive classroom training.Now obviously a teacher in class Is better but no teachers want to live in a village in india…so this is a great option.We also rebuilt houses – a village – in –a box approach.Now this has become a business that we call Inclusive Growth – it’s replicable, it’s really getting traction because it’s meeting society’s needs.
History of Cisco HealthPresence. 10 minute presentation of innovation in emerging markets.
HealthPresence uses high definition video and collaboration technologies supported through the medical-grade network to allow for patients, doctors and nurses to engage in a virtual medical visit. To enhance the experience, medical devices such as an electronic stethoscope, otoscope, examination camera and vital sign collection devices can be integrated to stream the data, audio and video from the patient location to the doctor’s location. Essentially, a virtual visit delivering an experience as if the people were in the same room. In the industry, many refer to this as TeleHealth or TeleMedicine. We call it Care-at-a-Distance. This all started with the introduction of Language Interpretation services which became expert on demand. As the video technology capabilities expanded, our IBSG team had the idea to use video for physician, nurses and other care team member collaboration. First deployment at the NHS where we did research to determine the willingness of the doctors, nurses and patients to adopt. Findings were that many patients found video consultation to be as good and in some cases better than an in person visit. In the initial delivery, we included this furniture along with the video, software and collaboration technologies.
However, different clinical use cases required different technologyAs you may have heard from our CEO, John Chambers, services and software are our new strategyCHP 2.5 is the first software-only version of Cisco HealthPresence.Previous releases (v. 1.0, 2.0, and 2.1) were bundled hardware and software solutions, equipped with CHP software as well as ancillary components such as videoconferencing codecs, LCD monitors, and furniture, etc.By unbundling the solution and offering CHP software as a standalone item, Cisco lets customers build telehealth networks using the hardware that best suits their needs. Cisco HealthPresence 2.5 1 is a comprehensive software solution facilitating collaboration among licensed healthcare professionals by providing connectivity to high-definition video, audio, and third party medical devices. It acts as a conduit for transmitting unmodified medical information end-to-end, helps enable easy to access, quality care for patients across remote distances. Cisco Health Presence 2.5 includes several features that increase flexibility and make it easier and more cost-effective for customers to implement a telehealth solution, such as: Standards-based connectivity to Third party medical devices (vital signs monitors, digital stethoscopes, exam cameras, etc.)Lets you quickly and transparently connect driverless USB video class (with UVC), S-Video, and composite devices. Standards-based videoconferencingGives you the flexibility to use any endpoint that supports standard video protocols (SIP/H.323). (Basically all Cisco video endpoints including our VX Cart, Jabber, etc.)“Bring your own hardware”Lets you use the best hardware for your endpoint, including PC and datacenter server. Flexible deploymentFor the lowest implementation cost, allows you to complete the installation yourself using your own IT staff or a certified partner. To help ensure a compliant deployment, Cisco's Remote Validation Service includes final validation conducted by a Cisco expert.
In Asia Pacific, Frost and Sullivan were so impressed with the way that Cisco focused on delivering quality telehealth experiences that they awarded us the Real-Time Telemedicine Company of the Year. In this photo, you can see our VX Clinical Assistant which is bringing in another clinician to engage with the patient and local physician.2013 Frost & Sullivan Asia Pacific Real-Time Telemedicine Company of the YearThis award is presented to Cisco for the groundbreaking products included in its Healthcareportfolio, which are enabling large-scale telemedicine projects across a number of Asia Pacificcountries. The company offers a wide range of products: which form the Health Portfolio. Thisincludes video ranging from large high definition screens to desktops and mobiles as well as aplethora of connection technologies, such as mobile carts, Java, WebEx, which when combined withsoftware, can be leveraged both as a platform as well as a solution.The company’s focus is on providing a single scalable solution to hospitals and physicians that catersto all their networking needs as well as is compatible with other devices and software. CiscoHealthPresence offers a variety of interoperable video endpoints including HD, advanced audio andmedical devices all integrated with workflow functions, and has been widely accepted across severaltelemedicine projects in Asia-Pacific.Cisco has a flexible product strategy based on the core needs of its markets.For developing countries, the company focuses on interoperable solutions that have an overallimpact of reducing IT investment, and also expanding into the distance learning space.On the other hand, the company is engaging healthcare providers to understand how they cantransform healthcare delivery in developed countries like Australia. With a strong business strategyand a robust product portfolio Cisco has fast emerged as a leader in telemedicine technologies inAsia Pacific.Natasha GulatiIndustry Analyst
After a 2009 flood in Southern India destroyed homes, school and crops, Cisco adopted five of the hardest hit villages rebuilding homes and schools and connecting residents to healthcare and education in distant cities through network, collaboration and Cisco HealthPresence technology. Project Samudaya whichis also called the Inclusive Growth Project started with the district of Raichur and later it scaled to 7 Districts and 20 Primary Health Centers in two states in India which are Karnataka and Madhya Pradesh. Here the Doctors were in the 7 District hospitals as well as in Private Clinics in Bangalore as the picture shows and the patients were in the 20 Primary Health Centers (PHCs) spread across 7 Districts in 2 States. In Raichur, where the floods came and was the first district, the efforts of the Govt. along with Cisco HealthPresence helped in bringing down both Infant and Mother mortality rates for the first time in 25 years though we are not putting this info on the slide.Focus on the hardest challenge – Access to healthcare at the Primary Health Center (PHC) level in a village Scope - 20 Primary Health Centers connected to 7 District hospitals, Stretch target was 1000 consultations in a yearResults – Cisco HealthPresence has exceeded even the stretch target and delivered 27,000 specialty consults in a year Next Step – Rollout with 25,000 PHCs in India along with partners
Sometimes, it is best to hear from a customer’s perspective how technology can change the way they do business. In this case, Dr. Maheshwari talks about how Cisco HealthPresence has changed the way she engages with patients in rural communities in India.Kathy to tell story of the diabetic patient who had never seen a doctor for his diabetes. The Challenge India, with its uneven distribution of essential services and outdated infrastructure, has many pockets where development is a distant dream. Rural India accounts for more than 60 per cent of the total population, and the urban-rural disconnect is felt most in healthcare. Citizens in rural areas typically face hardship in accessing intensive or consultative healthcare beyond what is available at local government health centres or through efforts by NGOs. A quick comparison of the healthcare spend in India as a percentage of the gross domestic product (GDP) shows that, at 4.10 per cent, the figure is less than half that of the global average (9.7 per cent). Healthcare resources also remain among the lowest by global standards, and, in a study, KPMG has estimated that India has approximately 12 hospital beds and just 6 doctors for every 10,000 citizens, well below the global average. A situation like this calls for a technology-based intervention that, while using the network, breaks down the urban-rural divide and brings quality healthcare virtually to health centres and citizens across the country. The Trigger In 2009, Raichur, a district in the southern Indian state of Karnataka, saw flooding that resulted in over 135,000 families being rendered homeless. While the Government began re-housing and rehabilitating those who lost homes or livelihood, a number of companies and people came forward with funds, and donation of time and expertise. Cisco Systems India worked with the Government to build houses for residents of the area, and also built a new health centre in a public-private partnership. The Cisco healthcare-focused visual collaboration system, Cisco HealthPresence, was installed here, for residents to access consultation from doctors who were in other locations. Solution Highlights ● Deployment: March 2011 ● Volume: 20-25 patients per day, Total number of patient consultations = 3000+ ● Time per patient: 7-10 minutes ● Catchment area: Patients come from 13 villages nearby ● Clinical consultation examples: Skin diseases, hypertension, cardiac lesions, diabetes, ADD ● Specialist consultants: Gynecologist, Paediatric Cardiologist, Internal medicine, General surgeon, Child and adolescent psychiatrist, Pediatrician, Orthopedist, Dermatologist and ENT ● Operation: 1 full-time medical coordinator to schedule sessions and specialist consultation, as well as monitor technology reviews and upgrades
Let’s move to another geography. In the country of Jordan, Cisco has enabled patients in rural communities to see specialty dermatology and cardiology doctors when they are hours away. The initiative was developed to bring the private and public healthcare system together to extend reach of specialist clinical services to patients in rural communities.
In Jordan, quality healthcare is often inaccessible to remote, rural populations andunderserved individuals and communities. Meanwhile, specialists at urban hospitalsdozens or even hundreds of kilometers away have the expertise and skills that areimproving health and quality of life for many patients. Connecting these urbanphysicians with distant patients via technology can extend the reach of providers,increase access to healthcare, reduce costs, and empower patients across Jordan.Kathy to tell the story of the little boy that had a skin condition.Human NetworkUsing Cisco HealthPresence technology, specialists in cardiology, nephrology, anddermatology at Prince Hamzah Hospital in Amman consult with patients andphysicians at rural Al-Mafraq Governmental Hospital (MGH) in northeast Jordan. TheHealthPresence solution at MGH is staed by a licensed healthcare professional andthe technology delivers a true-to-life consultation experience between the patientand the remote specialist in Amman. Cisco strategically collaborated with theGovernment of Jordan, including the Ministry of Health and the Ministry of ICT, toformulate the Jordan Healthcare Initiative and establish the rst remote clinic. TheJordan Healthcare Initiative is part of the vision of His Majesty King Abdullah II totransform Jordan's healthcare delivery system.Technology NetworkThe telehealth clinic uses communication, collaboration, and video technologies toprovide “care-at-a-distance” for remote and underserved communities. CiscoHealthPresence allows patients to interact with doctors, who can be hundreds ofkilometers away, within a clinical setting. It creates a dynamic environment for patientcare and delivers a video enabled, face-to-face experience between the patient andthe provider. Cisco HealthPresence uses the network as the platform and intelligentrouting to provide real-time information exchange by connecting medical devices —including thermometers, blood pressure cus, multipurpose scopes, stethoscopes,and handheld cameras.ImpactxThe Jordan Healthcare Initiative is already transforming healthcare delivery. Patientsreport that specialty consultations are having a positive impact on their lives. Theprogram also enables the quick and efficient exchange of medical information andknowledge. Future deployments of HealthPresence technology will expand the reachof the telehealth clinic to accommodate a larger population, a broader range oftreatments, and additional healthcare organizations. The Jordan Healthcare Initiative isthe first program to implement Cisco's HealthPresence in the Middle East and Africaregion. It will help healthcare providers in Jordan improve and expand their servicesand will create new opportunities for healthcare delivery and economic development.
GE & Duke best examples. At Cisco we have defined collaboration to include Social, Mobile, Visual (Video) and Virtual. While each one of these pillars is critical and is moving into the enterprise, what is most exciting is the convergence of the four and rate of speed. From a consumer standpoint it is already happening. An iPhone is the perfect example: mobile, social, virtual (apps) and video all converging with greater capabilities and apps being added daily which enriches the overall experience. Cisco is developing its solutions portfolio so that we have products and solutions offerings in each pillar. For example:Social – Quad, Jabber, WebExMobile – Any Connect in combination with ISE and a MDM (mobile device management) hosted solution offered in our advanced services (coming in next few months)Visual – Video to include all TelePresence, Show and Share, WebEx video, Jabber video (convergence is already happening in our products: social plus video)Virtual: “virtual” occurs at three layers – virtual desktop, (VXI/VDI), virtual content (currently under evaluation) and virtual apps. I am most excited about the virtual apps as Cisco IT is bringing in those transactional systems into the overall experience either within Quad or on mobile devices. Examples include My PTO, My Expenses, My Approvals (one place to have all the items an employee has to approve in one location travel, headcount, expenses, Purchase orders etc.). Making these transactional systems (“app light”) aligns to our goals in ACT which is simplification and an improved employee experience. Enterprises are being asked and in some cases expected to deliver all of these capabilities. In my experience it really doesn’t matter which “pillar” where customers begin, but they must do so with an eye towards architectural convergence. If they start with social they must think of the implications of video and mobile. If mobile, we must think about virtual apps and social. The architectural convergence is the unique differentiator that only Cisco can offer and is a direct example of our 5th priority as a company which is the business architecture and technical architectures converging.
Experiencing The Biggest Economic and Social Shifts in History Aging Shrinking Hypergrowth Elderly (65+ yrs.) 2050 % Decline 2050 % Growth Estimate million from 2000 million from 2000 2000 2050 EstimateWorld 6.8% 16.2% Portugal 10.0 (2%) World 9,149.9 50%USA 12.4% 21.6% Lebanon 4.6 25% Europe 691.0 (5%)China 6.8% 23.3% Brazil 222.8 28%Sweden 17.2% 24.1% S. Korea 44.0 (5%) India 1,613.8 55% World 6.8% 16.2% Nigeria 289.0Canada 12.6% 25.5% Slovakia 4.9 (9%) Bangladesh 222.4 58% 132% China 6.8% 23.3% Europe Hungary 691.0 8.9 (5%) (13%) Egypt Arabia 129.5 85%Netherlands 13.6% 25.6% Saudi 43.6 110%Switzerland USA 15.4% 12.4% 26.0% 21.6% Germany Germany 70.5 70.5 (14%) (14%) Jordan 9.8 129.5 105% Egypt 85%Europe 14.8% 27.4% Poland 32.0 (17%) Saudi 43.6 110% Netherlands 13.6% 25.6% Russia 116.0 (21%) India Arabia 1,613.8 55%Poland 12.2% 29.9% Japan 101.6 (20%) JapanSingapore 17.2% 7.2% 37.8% 32.6% Pakistan World 335.1 9,149.9 126% 50% Russia 116.0 (21%) Nigeria 289.0 132%Germany 16.4% 32.5% Romania 17.2 (22%) Iraq 63.9 160%Italy 18.4% 33.3%S. Korea 7.3% 34.2% Ukraine 35.0 (28%) Ethiopia 173.8 165%Japan 17.2% 37.8% Bulgaria 5.3 (33%) Congo 147.5 190% Afghanistan 73.9 260% Qatar 2.6 343% Source: World Population Prospects: The 2010 Revision, United Nations Population Division
What Are the Challenges We Need to Address? Emerging Countries The Main ChallengesDeveloped World700M people will be urbanized. Stimulus packages for100 new cities with 1M+ people New Value Talent Mismatch / Energy Mgmt /100+ cities Access to revitalization of Creation / Supply & Demand Urbanization Healthcare & Productivity EducationChina: Shortage of 23M college educated Developed economies: Shortage of 18M Improvementsworkers. 58M surplus low skill workers in college educated workers in 2020. Surplus ofemerging markets. 35M workers without college education50%+ of new building construction Only 3% of buildings in theglobally is happening in Asia developed world qualified for LEEDIndia: Shortage of 1M nurses, 600K doctors US: 2M+ home-care workers needed bytoday. 3B people will be connected worldwide 2020. Shortage of 200K nurses, 130K doctors Secure and Environmentally Friendly Source: World Urbanization Prospects: The 2009 Revision, UN Population Division; McKinsey Global Institute, The Economist; FICCI
Banyan Building: Built for SustainabilityCisco Bangalore: Campus As A CityAbove LEED Standards: Annual Payback of: • 25% above for lighting energy • OpEx savings of ~15% • 27% above for water consumption • Employee productivity of +5% • 31% above for cooling energy • Energy efficiency of +30% • Enhanced air quality by 30% Collaboration Areas Cafeteria Child Care Centre
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