Megatrends Impacting the Entire Spectrum of Care A modern health care system is on the horizon, demanding a paradigm shift From... ...ToOne Size Fits All APPROACH Personalized MedicineFragmented, One-way INFORMATION FLOW Integrated, Two WayProvider Centric FOCUS Patient CentricCentralized, Hospital-based LOCATION Decentralized, Community-basedFragmented, Specialized TREATMENT Collaborative, Shared InformationProcedure-based REIMBURSEMENT Outcomes-basedTreating Sickness OBJECTIVE Preventing Sickness (Wellness) Source: Frost & Sullivan analysis.
Shifting Emphasis From Acute Care to Prevention Track, Predict, Intervene, Manage Prevention/Wellness • Early identification and prevention • New forms of care delivery to improve collaboration among providers, patient knowledge, self-help and health • Increase coverage for those services which prevent Goal:Size of Impacted Population disease and improve health over long term; Keep People incentivize better chronic disease management Healthy Longer Goal: Disease/Care Manage Management or Mitigate Goal: Risk Diagnose and Reduce Goal: Treatment Move to Goal: Delay More Manage Goal: Interactio n and Informed Self- Decisions Mgmt Healthy/ “At Risk” Undiagnosed Chronically Ill Chronically Ill End “Worried Well” Managed Unmanaged of Life Continuum of Care Source: Frost & Sullivan analysis.
Settings for Care Provision Diagnostic Planned interventions SpecialistD Treatment centres Emergency care Specialist care centres Secondary care Complex diagnostic treatment Serving population of 250K, 500K Tertiary care & inpatient care and 1,000K on central city sites Resource centres Basic Diagnostic Services CommunityC Community hospitals Day interventions Community care centres Minor injuries Serving populations of 100K Nurse-led inpatient care In the heart of the community Intensive rehabilitation Chronic care management Surgeries Social care Health and SocialB Drop in centres Primary care Health and social care centres Healthy living centres Outreach care Close to home, serving populations Information and advice Of up to 10K Home Self care HomeA Nursing home Monitoring Pharmacy Automated treatment Cyber café Information and advice Health kiosk NHS Direct
Healthcare Outlook for the Long-Term Savvy Consumers Regulations & Certification GlobalizationBudgetary Restraints = Emerging Economies Economic Development = Provision Better Health & Longer Lifespan Being Re- = configured Pain Points Greater Burden of Chronic Disease = Increased Need for Healthcare Services = Growing Opportunity for Healthcare and Related Industries Innovation
What Does This New Healthcare World Look Like?More emphasis on diagnosis, monitoring, Tighter cost constraints, declining preventative care = reimbursement, more expensive tools = INCREASED COLLABORATION BETTER FINANCIAL MANAGEMENT P4P, more public scrutiny, evidence- Greater info flows to support training, based medicine = supply chain, patient educationTRACK AND DOCUMENT OUTCOMES COMMUNICATIONS AND CONTENT
Connected Health Ecosystem• Video Diagnostic • Home and Disease Consultation Management Monitoring• Remote Doctor/Specialist • Activity Monitoring Services Remote Monitoring • Diabetes Management• Distance • Wellness Programs Learning/Simulation • Remote Cardiac ECG• Retail Telehealth • PERS• TeleImaging IHCIN • Medication Management Telemedicine mHealth• Electronic Health • Professional Records (EHR) Apps• Health Information • Wellness Apps Exchange (HIE) General • Fitness Apps• Patient Portals Healthcare IT (CIS and • Texting• Hosted Cloud non-CIS) Informational Infrastructure Services Source: Frost & Sullivan analysis.
Telehealth Will be Enabled with Various DevicesTelehealth Video Monitors TV as Access Device Smartphones & Tablets• Act as home hub for plug-in • In place in nearly 100% • Widespread use among of various devices, support of households clinicians and consumers two-way communications • High penetration and • Easy to deploy and diffuse• Difficult to deploy and comfort with use by new applications and provision at large scale elderly population solutions• Will be displaced by • New capabilities with • Addition of mobility consumer devices motion sensing increases value of apps Source: Frost & Sullivan.
The Mobile Health Market cuts across from day to daylife to acute care Fitness monitors Activity monitors
Mobile health continues to extend the reachability ofhealthcare platforms
Advancements in mobile phone technologies are enablingprospects for improved healthcare delivery
. . . and Will Include The Entire Continuum of Care Workplace Wellness: Fitness, Rejuvenation, Healthy Villages Nutritional, Fitness, and Beauty Centers Preventive Wellness Medical Wellness: Retirements Homes Spa, Nutritional, Rejuvenation, Rehabilitation Hospitality Wellness: Spa, Fitness Assisted Lifestyle Villages & Townships Health Institutional Management Community Primary Care Health Centers: Centre Day Care Preventive, Nutritional, Alternative Illness Home Care Hospitals: Acute & Chronic Care Mobile Clinics Age Sphere: Lifelong Continuum “from womb to tomb”
Moving Closer to Home...........100% Healthy, IndependentLiving Healthy, Independent Living Community Clinic Community Clinic HOME Chronic Disease Chronic Disease CARE Management Management Doctor ’s Office Doctor’s Office Quality of life Assisted Living Assisted Living RESIDENTIAL Specialty Clinic Specialty Clinic CARE Skilled Nursing Skilled Nursing Facility Facility Community ACUTE Community Hospital Hospital CARE ICU ICU 0% $1 $10 $100 $1,000 $10,000 Cost of care per day
To a Patient Centric Engagement Model Strongest center of influenceCollaboration FAMILIES on behavior changewith payersand providers Direct toto drive CONSUMER consumertechnology VENDORS INFO and applications,innovation. APPS advice, qualityAll devices ratings, etc.connectremotely New era of Emphasis on collaboration, EMPLOYERS PROVIDERS wellness communication, programs and engagement incentives Data and information for PAYERS shared decision-making, Direct patient engagement Source: Frost & Sullivan analysis.
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