The document discusses how mobile health (mHealth) technologies can support new models of healthcare and help address rising costs. It describes how mHealth can enable more efficient care delivery both within and beyond hospital campuses. It also outlines how disruptive technologies have historically shifted care access points from local providers to remote options. The chronic disease "quadrant" illustrates how multiple conditions often occur together. The document argues for mitigating consequences through education and economic incentives, and calls for business model innovation in healthcare payment systems to incentivize preventative and remote care over fee-for-service models.

1. mHealth
Supporting
New Models of Care
A low risk approach to advanced mobile solutions
for the New Zealand Police

2. Vodafone’s mHealth Vision
• Staff process efficiency within
the hospital campus, with
Vodafone’s secure network
providing
high-speed, reliable
connectivity.
• Delivering care beyond the
hospital campus, helping
consumers to access care
when they needed it, and
wherever they are.

3. Technology-led Disruption
Inexpensive $ Expensive $$$$
1912 Costs People Technology
Care Local GP & General Hospital
Access People took their problem to the solution
2012 Costs mHealth Technology Technology
People
Care Home & Local GP & Travel to
Remote Care General Hospital Specialist Care
Access The solution is taken People continue take their problem
to the problem to the solution
Disruption Mobile technology Accessible travel disrupts
disrupts general practice general hospitals

4. Christensen’s Chronic Quadrangle
Myopia Chronic Back Pain
... More ...
... More ...
... More ...
... More ...
CHF
Coronary
artery disease
Chronic Hep B
Type II Diabetes
Hypertension Obesity
... More ... Addictions
The Chronic Quadrant

5. Christensen’s Chronic Quadrangle
Myopia Chronic Back Pain
... More ...
... More ...
... More ...
... More ...
CHF
Coronary
artery disease
Chronic Hep B
Type II Diabetes
Hypertension Obesity
... More ... Addictions
The Chronic Quadrant

6. Mitigating Consequences: Education
Campaign
s promise
a better
life
Mandated
warnings of
Apps for self disastrous
(and peer) consequen
motivation, ces
crowd sourcing

7. Mitigating Consequences: Economic
Incentives
Health
Savings
Account
Planning for the
future
Behaviour change
today
($6,991)

8. Systemic Reform is Now Urgent
• Public spending on
healthcare rising 2%
faster than GDP
• Industry leaders and
policy makers have
been aware of this
for ages
• The public are mostly unaware, and hold
to the notion that ubiquitous all-of-life care
will be there for them when it’s needed.

9. Business Model Innovation is Needed
Fee for Service Fee for Outcome Fee for Membership
Less -- More ++ More ++
Paraphrasing 16th Payers to adopt, Payers to adopt,
century economist where intuitive where community
Jean-Baptiste: medicine has been and peer support are
replaced by proven to effect
“When caregivers technology-enabled, behavioural change
make more money by repeatable that limits the impact,
providing more care, processes. or prevents onset of
supply creates more chronic disease.
demand”
Role for mobile
Payers need to arrest technology to
this runaway train! support this
innovation

10. Business Model Innovation is Needed
Fee for Service Fee for Outcome Fee for Membership
Less -- More ++ More ++
Paraphrasing 16th Payers to adopt, Payers to adopt,
century economist where intuitive where community
Jean-Baptiste: medicine has been and peer support are
replaced by proven to effect
“When caregivers technology-enabled, behavioural change
make more money by repeatable that limits the impact,
providing more care, processes. or prevents onset of
supply creates more chronic disease.
demand”
Role for mobile
Payers need to arrest technology to
this runaway train! support this
innovation

11. Business Model Innovation is Needed
Fee for Service Fee for Outcome Fee for Membership
Less -- More ++ More ++
Paraphrasing 16th Payers to adopt, Payers to adopt,
century economist where intuitive where community
Jean-Baptiste: medicine has been and peer support are
replaced by proven to effect
“When caregivers technology-enabled, behavioural change
make more money by repeatable that limits the impact,
providing more care, processes. or prevents onset of
supply creates more chronic disease.
demand”
Role for mobile
Payers need to arrest technology to
this runaway train! support this
innovation

12. Business Model Innovation is Needed
Fee for Service Fee for Outcome Fee for Membership
Less -- More ++ More ++
Paraphrasing 16th Payers to adopt, Payers to adopt,
century economist where intuitive where community
Jean-Baptiste: medicine has been and peer support are
replaced by proven to effect
“When caregivers technology-enabled, behavioural change
make more money by repeatable that limits the impact,
providing more care, processes. or prevents onset of
supply creates more chronic disease.
demand”
Role for mobile
Payers need to arrest technology to
this runaway train! support this
innovation