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Taking America’s Pulse on Mobile Healthcare
    Consumers and Physicians Rate a Range of Concepts
              Presented By: Joseph B Porus ‐ VP Harris Interactive
                            Milt Ellis ‐ VP Harris Interactive
1                                                                    © Harris Interactive
Taking the Vital Signs of Mobile Healthcare

•   Partnership between CTIA and Harris Interactive to study the acceptance of mobile 
    healthcare among the general US population and physicians.

Answer key questions:

•   How familiar are consumers and doctors with mobile healthcare?

•   Are they interested in mobile healthcare, and if so why?

•                                    p y               g g
    How interested are consumers and physicians in emerging mobile healthcare 
    concepts?

•   Gauge overall attitudes towards mobile healthcare and how it can improve quality of 
    healthcare.  What are the barriers?
    healthcare. What are the barriers?

•   Will mobile healthcare's value proposition work for consumers and doctors?



                                                                                           2
Presentation Roadmap
• Methodology – How the market research was conducted

• Mobile Healthcare ‐ Is the market ready?
  Mobile Healthcare  Is the market ready?
    – Attitudes toward traditional medicine
    – Mobile Healthcare awareness, familiarity
    – Gauging potential and interest

• Attitudes Toward Mobile Healthcare ‐ Consumers and Doctors Tell All 
    –   Where is the real value?
    –   Who will Mobile Healthcare Help Most?
                                      p
    –   Are there concerns?
    –   Will consumers switch mobile carriers and even healthcare providers to get 
        Mobile Healthcare services?

• Testing Nine Mobile Healthcare Concepts
    – Which ones have the greatest potential

• Summary and Q&A

                                                                                      3
Research was conducted amongst Consumers and Physicians

                 3,229 General US Population Respondents 
                 • General sampling of US population – N=2,899
                 • Chronically Ill Patients – N=330
                     • Cardio  – N=261
                     • Diabetic  – N=189   


                      244 Physician Respondents 
                      • General Practitioners – N=115
                      • Specialists – N=129
                          • Cardiac Specialists N=66
                             Cardiac Specialists –
                          • Diabetic Specialists – N=63


  The survey included questions from the Patient Activation MeasureTM
• Th          i l d d        ti   f    th P ti t A ti ti M
  (PAMTM) from Insignia Health. The tool is used to assess respondents’ self‐
  management abilities along a continuum of increasing activation.
  Significance testing is performed at a 95% confidence level, denoted with a*
• Si ifi       t ti i        f     d t 95%      fid     l l d      t d ith

                                                                                 4
Mobile Healthcare – healthcare solutions provided via the use of 
     mobile technology

          • smart phones 
                  p
          • wireless tablet computers
          • wearable wireless bio‐sensors, 
            and/or wireless chronic disease 
            monitoring devices

          Allows physician to monitor, 
          diagnose conditions, and/or 
          di           diti      d/
          administer medications remotely

          Consumers responded as patients 
          Consumers responded as patients
          and/or caregivers; Physicians 
          responded for fit in their practice



© Harris Interactive                                                     5
The Mobile Healthcare Landscape
             • How much does the market know about mobile 
               healthcare?
             • Is there real interest? 
             • Is the market ready?




© Harris Interactive                                         6
About 1/3 of adults and more than half of physicians have heard 
     of Mobile Healthcare 

          General US Population vs. Chronically Ill                                   General Practitioners vs. Specialists




                           % Yes                                                                       % Yes

                       Q800 Have you heard of Mobile Healthcare or a similar concept before today?  
                       (All respondents: base n=3473) 
© Harris Interactive                                                                                                          7
But the details are still a mystery 
     Only a small fraction of adults and doctors are very familiar with the specifics


     General US Population vs. Chronically Ill
                  p                      y                                              General Practitioners vs. Specialists
                                                                                                                   p

               Top 2 Box                                                                   Top 2 Box
         General Pop  6%                                                              General Prac     9%
         Chronically Ill 3%
                   y                                                                  Specialists
                                                                                       p               13%


                                                                      *




                              Q805 What level of familiarity do you have of Mobile Healthcare? 
                              (Respondents aware of mobile healthcare: base n=1225) 
© Harris Interactive                                                                                                                                       8
                                                                                                             *Denotes a statistically significant  difference
Consumers and Physicians are intrigued by mobile healthcare
     Almost 80% of specialists want to learn more
          General US Population vs. Chronically Ill                                      General Practitioners vs. Specialists


                       Top 3 Box                                                                  Top 3 Box
                  General Pop       39%                                                      General Prac       59%
                  Chronically Ill   41%                                                      Specialists        79%

                                                                                                                                      *
                                                                                                            *




                               Q910 Based on this description of Mobile Healthcare, how interested are you in learning more about 
                               it?   (All respondents: base n=3473) 
© Harris Interactive                                                                                                                                                9
                                                                                                                      *Denotes a statistically significant  difference
Compelling mobile healthcare applications may influence consumer 
     choice of mobile provider or device




                       Q860 Based on what you now know about Mobile Healthcare, which of the following statements apply 
                       to you? 
                       (All General US Population : base n=3229) 
© Harris Interactive                                                                                                       10
What people like and dislike about the concept of Mobile 
     Healthcare
                           General Population
                What They Like …
                What They Like …                                              What They Dislike …
                                                                              What They Dislike …
                + Convenient/Easy                                             ‐ Big Brother/Privacy Invasion
                + Constant Monitoring                                         ‐ Cost
                + Fewer Doctor’s Visits                                       ‐ Having to Wear Device/Patch
                + M bilit
                  Mobility                                                    ‐ A /R li bilit f I f
                                                                                Accuracy/Reliability of Info
                + Saves time                                                  ‐ Impersonal/No Face to Face
                                                            Physicians
                What They Like …                                               What They Dislike …
                + Constant Monitoring                                          ‐ Cost/Reimbursement
                + Track Patients Between Visits
                  Track Patients Between Visits                                ‐ Impersonal/No Face to Face
                                                                                 Impersonal/No Face to Face
                + Easy to Use/Access                                           ‐ Accuracy/Reliability of Info
                + Reminds Patients                                             ‐ Creates More Work
                + Get Patients Involved                                        ‐ Fewer Patient Visits
                        Q817/Q819 Based on your current understanding what do you like 
                        most/least about the concept of Mobile Healthcare? 
© Harris Interactive                                                                                            11
Diverse pockets of the population show potential

                        Groups Most Interested In Mobile Healthcare 
                                                 (Top 2 Box: Extremely/Very Interested)




                       Q910 Based on this description of Mobile Healthcare, how interested are you in learning more about 
                       it?   (All respondents: base n=3473) 
© Harris Interactive                                                                                                         12
Patient Activation Measure defines four basic segments of 
     ‘activation’ or self‐management competency




         10‐15% of the             20‐25% of the            35‐40% of the    25‐30% of the 
         population*               population*              population*      population*

         * Medicaid and Medicare populations skew lower in activation
         *   d d d        d          l        k l


13
Patient Activation is strongly associated with interest in mobile 
     healthcare    Averag Response by Level
                        ge       e




                                              Indicate how interested you would be in finding out more about the service (Mobile Exams & 
                                                                       y                    g                              (
                                              Consultations) for your patients/yourself/someone else (e.g. relative or loved one) (1‐10 scale)

                                              General Population, n=2,912
© Harris Interactive                                                                                                                             14
Attitudes Toward Mobile Healthcare
             • Where do consumers see the real value in Mobile 
               Healthcare?
             • Who will mobile healthcare help most?
             • What is the physician's viewpoint on value?




© Harris Interactive                                              15
Consumers see mobile healthcare offering security and 
 convenience
                       Top Attributes                                      Absolutely/Very  “Implied Benefits”
                                                                             Necessary
Allow for more home based care                                                         68%                  Control and options

Make the patient feel like they are always being watched                               57%                  Greater security

Offer a measure of safety for patients or their friends/family
Offer a measure of safety for patients or their friends/family                         57%                  Safety and connectivity
                                                                                                            Safety and connectivity

Give patients peace of mind                                                            54%                  Filling gaps in traditional care

Enable patients to manage their own care                                               54%                  Control and Independence

Make medical care easier to obtain
Make medical care easier to obtain                                                     51%                  Convenience

Give patients more freedom and choices                                                 51%                  More options

Help the environment by limiting travel for doctor visits                              45%                  Greener planet, greener wallet

Improve the overall health and quality of life for everyone
Improve the overall health and quality of life for everyone                            39%                  Less Burden on family
                                                                                                                                y

Improve my overall health and quality of life                                          37%                  Healthcare my way

Reduce the cost of healthcare and insurance premiums                                   33%                  Efficiency means savings

  p         p                   pp
Improve the personal relationship patients have with their doctor(s)                   25%                  Better communication

                       Q935 Please indicate your level of agreement with each of the following statements
                       (Non‐Chronically Ill General US Population: base n=2899) 
                                                                                                                                               16
Mobile healthcare is seen as increasing access to care, at home 
     and while traveling
                                                                                                                           Top 2 Box
                                                 General US Population                                                  Excellent/Good




                       Q825 Based on your current understanding, how well do you think mobile medical services would 
                       rate on providing each of the following benefits.
                       *Data collected from a study run in September 2009. (n=2334) 
© Harris Interactive                                                                                                                     17
Consumers see Mobile Health helping people like themselves
                                    p gp p

                                                                                                                             Respondents 
                                                                                                                               see value 
                                                                                                                               clustered 
                                                                                                                             around Main 
                                                                                                                                 Street 




                       Q850 Which , if any, of the following types or groups of people do you feel will be most helped by 
                       Mobile Healthcare?
                       (All General US Population: base n=3229) 
© Harris Interactive                                                                                                                   18
Physicians see mobile healthcare as a way to increase efficiency 
   while benefiting patients
                       Top Attributes                                        Absolutely/Very                      Implied Benefits
                                                                               Necessaryy
                                                                            General            Specialists
                                                                          Practitioners
Allow for more home based care                                                  78%                86%         Less burden on facilities
Reduce the number of office visits necessary for some patients                  72%                73%         Reduce workload
Offer a measure of safety for patients or their friends/family                  64%                73%         A safety net for me
Give patients peace of mind                                                     63%                68%         Reduce needless calls/visits
Give patients more freedom and choices
     p                                                                          56%                55%         Choice is good for all
                                                                                                                         g
Enable patients to manage their own care                                        56%                68%         Mobile tools create power
                                                                                                               Being part of real medical 
Improve the overall health and quality of life for my patients                  50%                65%
                                                                                                               advancement
Make medical care easier to obtain
Make medical care easier to obtain                                              43%                54%         Doctor/patient partnering
                                                                                                               Doctor/patient partnering
Improve the overall health and quality of life for everyone                     42%                46%         More patient quality time
Improve the personal relationship patients have with their doctor(s)            40%                46%         Create new trust levels
Help the environment by limiting travel for doctor visits                       33%                44%         Less office hours
Reduce the cost of healthcare and insurance premiums                            23%                27%         A win/win for all
                         Q935 Please indicate your level of agreement with each of the following statements.
                         (All General Practitioner: base n=115 – All Specialists: base n=129) 
                                                                                                                                              19
Physicians anticipate a net decrease in patient visits due to 
     mobile healthcare technology adoption
                         General Practitioners                                                                        Specialists

                 Average Expected                                                                  Average Expected 
               Patient Visit Increase:                                                           Patient Visit Increase:  
                       10%                                                                                12%
                 Average Expected 
                       g     p                                                                    Average Expected 
                                                                                                  Average Expected
               Patient Visit Decrease:                                                          Patient Visit Decrease:  
                       20%                                                                                15%




                              Q920 With Mobile Healthcare, do you think the total number of patients visiting your office each week will decrease, stay the 
                              same, or increase? 
                              Q922 By what percent would you expect Mobile Healthcare to decrease/increase the number of patients you see each week?
© Harris Interactive          (All Physicians: base n=244)                                                                                                     20
Doctors support continued Mobile Healthcare investment
     8 in 10 doctors and nearly 9 in 10 Specialists support investments to drive 
     Mobile Healthcare
                       General Practitioners                                                      Specialists
                                                                                                   p




                          Q950 Do you support the continued investment in developing Mobile Healthcare
                          (All Physicians: base n=244) 
© Harris Interactive                                                                                            21
Doctors, and especially specialists, see broad value for patients 
                                                                  Top 2 Box:  
     and healthcare infrastructure                           Absolutely Essential/
                                                                                                                               Very Necessary




                                                                                                                              *




                       Q940 Please indicate how necessary you feel Mobile Healthcare is in improving the quality of care for 
                       each of the following individuals. (All Physician: base n=244) 
© Harris Interactive                                                                                                                                         22
                                                                                                                *Denotes a statistically significant  difference
Mobile Healthcare Concepts
             M bil H lth       C     t
              ‐ Examine nine Mobile Healthcare concepts in detail
              ‐ Which ones should be in your business plan?




© Harris Interactive                                                23
Mobile Healthcare Concepts Tested
A wide array from relatively simple to complex
•   Mobile Medical Reminder ‐ A short message (text 
    messages/SMS) sent to a patient’s mobile device 
    with reminders.  These reminders could be for an 
    upcoming doctor’s appointment, taking 
    medication, immunization updates, refill 
    prescriptions, etc.

•   Mobile Monitoring ‐ A small patch worn on the 
    skin capable of wirelessly linking to a patient’s 
    mobile device. The patch could monitor heart 
    rate, EKG, respiration, and blood pressure.  This 
    information would allow the patient to manage 
    their therapies as well as wirelessly transmit 
    information to doctors or a monitoring station to 
    keep them up to date.




                                                         24
Mobile Healthcare Concepts Tested 
A wide array from relatively simple to complex
•   Mobile Monitoring of Elderly ‐ A small patch worn on the skin 
    capable of wirelessly linking to a patient’s mobile device. The 
    mobile device would precisely track the location of the wearer 
    and would be able to tell if the person was standing, sitting, 
    lying down, or fell down.  This could be used to monitor elderly 
    patients, those with dementia or Alzheimer’s and related 
    illnesses. Alerts would be sent to doctors or caregivers if the 
    illnesses. Alerts would be sent to doctors or caregivers if the
    patient left a designated area or experienced a fall or other 
    medical emergency. Monitoring of some vital signs could also 
    be incorporated.

•    Mobile Medicine/Administration ‐ Via a patch on the skin 
    linked to a mobile device a patient could manage their therapy 
    as well as transmit information to a physician (such as blood 
    pressure, heart rate, respiration, etc.).  If levels indicated that a 
    change in medication was necessary an alert would be sent to 
    change in medication was necessary an alert would be sent to
    the patient or care giver. Medication could also be 
    administered remotely by a doctor. The medication would be 
    activated by a mobile signal and absorbed into the patient’s skin 
    (smart bandage/patch).  This service could help diabetics 
    monitor insulin, cardiac patients monitor blood levels and avert 
    heart attacks, or monitor children with critical medication 
    needs.
                                                                             25
Mobile Healthcare Concepts Tested
A wide array from relatively simple to complex
•   Mobile Skin Screening ‐ If an individual discovered a 
    potential skin irregularity, they could use the camera in 
    their medical device to take a photo and send it to a 
    doctor/specialist who would provide professional 
    screening and possible follow up action.  

•   Infant Monitoring Mobile sensor that could include 
    I f t M it i ‐ M bil                th t    ld i l d
    video, sound, and motion detection to monitor infants 
    and give direct information to parents or caregivers. 
    Similar to short range baby monitors today but use the 
    mobile network.  Advanced sensors could also monitor 
    respiration rates and heart rate to help with sleeping 
    disorders.

•   Mobile Exams and Consultations ‐ A video link with the 
    mobile device could provide a virtual doctor’s visit with 
    a physician or a specialist, enabling evaluation of specific 
    conditions. Additional sensors to transmit blood 
    chemistry, EKG and respiration could also be evaluated 
    in real time. These virtual doctor visits could supplement 
    in real time. These virtual doctor visits could supplement
    regular checkups or monitor specific conditions.

                                                                    26
Mobile Healthcare Concepts Tested
A wide array from relatively simple to complex
•    Mobile Care in Remote Areas – Many locations 
    have sparse medical resources. Even going on 
    vacation to remote locations and foreign countries 
    raises concerns. This service would provide a 
    degree of mobile monitoring and access to 
    familiar healthcare personnel and facilities. This 
    service could also be purchased for short amounts 
    service could also be purchased for short amounts
    of time based on length of stay or special 
    circumstances.

•   Mobile Wellness Care ‐ A mobile device can 
    become a personal trainer and coach, monitoring 
    exercise routines and designing custom workouts 
    to meet fitness levels and goals. The device would 
    track diet and nutrition and also incorporate social 
    networking sites. The mobile device could 
    networking sites The mobile device could
    download progress reports to doctors, physical 
    therapists or health clubs.




                                                            27
Mobile exams, monitoring, and wellness care are the most 
     appealing concepts Relative Appeal of Concepts
          li         t
                                                          Index Scores 
                                          US Gen Pop           US Gen Pop          Chronically Ill      General                  Physician 
                                           (Self Use)
                                           (Self Use)          (Someone                               Practitioners              Specialists
                                                                  Else)
   Mobile Exams and Consultations             144 #1              138 #1               168 #1                  116                    128
   Mobile Wellness Care                        137                 121                  130                    123                    125
   Mobile Monitoring                           113                 116                  127                    143                   186 #1
   Mobile Monitoring of Elderly                112                 134                  123                   151 #1                  107
   Mobile Medical Reminder                     100                 101                   91                    120                    131
   Mobile Medicine/Administration
                                                88                  90                   98                     92                    127
   Mobile Care in Remote Areas                  87                  82                   73                     94                     68
   Mobile Skin Screening                        68                  58                   61                     34                     15
   Infant Monitoring                            52                  60                   30                     27                     13

                                              Key
                               > 99          Strong Performers
                              75 – 99         Good Performers
                               < 75          Secondary Concept
                       Q1002‐Q1010 Concepts displayed throughout these questions
© Harris Interactive                                                                                                                                 28
                                                                                                     #1
                                                                                                          Denotes concept was ranked highest in that group
Doctors and Consumer in their own words

                Specialist –Mobile Wellness Care ‐In my field,  diabetes,  obesity, and exercise are 
                major concerns that need to be addressed continually not just during office visits! 
                Many patients are well‐intentioned but poorly compliant; this would an additional 
                Many patients are well intentioned but poorly compliant; this would an additional
                degree of motivation.
                General Practitioner – Monitor Elderly‐Because they can't easily or impossible to 
                come to my office!!!!!!! 
                     t       ffi !!!!!!!
                Consumer Self – Mobile Monitoring ‐I like the fact that I could be monitored 24/7 
                and feel like if something went wrong they could catch it in time 
                Consumer Self– Chronically Ill – Mobile Monitoring ‐Big brother has his fingers on 
                my pulse and wants to tell me what do.
                Consumer – Chronically Ill‐ Southern Arizona  ….particularly the rural area .. is 
                Consumer – Chronically Ill Southern Arizona particularly the rural area is
                desperately underserved for health care. It takes 3 months to get an appt with my 
                primary care doctor  six months or more with a specialist. Often I forego medical 
                care rather than go to urgent care or the ER but if I could consult with a doctor for 
                mobile exam or consultation  that would be an immense help. …

© Harris Interactive                                                                                     29
Conclusions and Implications
1.   Mobile Healthcare’s future looks bright based on this study
     ‐ Consumers and Doctors show  high interest 
     ‐ Plenty of potential “hot” segments to explore
       Plenty of potential  hot segments to explore
     ‐ Most Mobile Healthcare concepts tested  score highly
     ‐ Consumers see solid benefits that directly impact their lifestyles while
       physicians see value for their patients and their practice

2.   Macro market conditions are favorable for Mobile Healthcare to flourish
     ‐ an aging population with increasing needs that Mobile healthcare can fill
     ‐ lifestyles that demand more choices, freedoms and options for care
     ‐ medical / insurance infrastructure that needs efficiencies and new options

3.   Mobile Healthcare means opportunity
     ‐ today’s findings should help you ask better questions
     ‐ winning solutions will be based on solid market insights


                                                                                    30
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                                     y                  p
         Let us slice the data for you and discuss implications
Contact our thought leaders to discuss the results in more detail. 
Joe Porus
Vice President, Technology Research
(201) 677‐9866
jporus@harrisinteractive.com
jporus@harrisinteractive com

Milt Ellis
Vice President, Technology Research
(949) 305‐9964
(949) 305 9964
mellis@harrisinteractive.com
                                                                      31

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Harris interactive ctia mobile health presentation

  • 1. Taking America’s Pulse on Mobile Healthcare Consumers and Physicians Rate a Range of Concepts Presented By: Joseph B Porus ‐ VP Harris Interactive Milt Ellis ‐ VP Harris Interactive 1 © Harris Interactive
  • 2. Taking the Vital Signs of Mobile Healthcare • Partnership between CTIA and Harris Interactive to study the acceptance of mobile  healthcare among the general US population and physicians. Answer key questions: • How familiar are consumers and doctors with mobile healthcare? • Are they interested in mobile healthcare, and if so why? • p y g g How interested are consumers and physicians in emerging mobile healthcare  concepts? • Gauge overall attitudes towards mobile healthcare and how it can improve quality of  healthcare.  What are the barriers? healthcare. What are the barriers? • Will mobile healthcare's value proposition work for consumers and doctors? 2
  • 3. Presentation Roadmap • Methodology – How the market research was conducted • Mobile Healthcare ‐ Is the market ready? Mobile Healthcare  Is the market ready? – Attitudes toward traditional medicine – Mobile Healthcare awareness, familiarity – Gauging potential and interest • Attitudes Toward Mobile Healthcare ‐ Consumers and Doctors Tell All  – Where is the real value? – Who will Mobile Healthcare Help Most? p – Are there concerns? – Will consumers switch mobile carriers and even healthcare providers to get  Mobile Healthcare services? • Testing Nine Mobile Healthcare Concepts – Which ones have the greatest potential • Summary and Q&A 3
  • 4. Research was conducted amongst Consumers and Physicians 3,229 General US Population Respondents  • General sampling of US population – N=2,899 • Chronically Ill Patients – N=330 • Cardio  – N=261 • Diabetic  – N=189    244 Physician Respondents  • General Practitioners – N=115 • Specialists – N=129 • Cardiac Specialists N=66 Cardiac Specialists – • Diabetic Specialists – N=63 The survey included questions from the Patient Activation MeasureTM • Th i l d d ti f th P ti t A ti ti M (PAMTM) from Insignia Health. The tool is used to assess respondents’ self‐ management abilities along a continuum of increasing activation. Significance testing is performed at a 95% confidence level, denoted with a* • Si ifi t ti i f d t 95% fid l l d t d ith 4
  • 5. Mobile Healthcare – healthcare solutions provided via the use of  mobile technology • smart phones  p • wireless tablet computers • wearable wireless bio‐sensors,  and/or wireless chronic disease  monitoring devices Allows physician to monitor,  diagnose conditions, and/or  di diti d/ administer medications remotely Consumers responded as patients  Consumers responded as patients and/or caregivers; Physicians  responded for fit in their practice © Harris Interactive 5
  • 6. The Mobile Healthcare Landscape • How much does the market know about mobile  healthcare? • Is there real interest?  • Is the market ready? © Harris Interactive 6
  • 7. About 1/3 of adults and more than half of physicians have heard  of Mobile Healthcare  General US Population vs. Chronically Ill General Practitioners vs. Specialists % Yes % Yes Q800 Have you heard of Mobile Healthcare or a similar concept before today?   (All respondents: base n=3473)  © Harris Interactive 7
  • 8. But the details are still a mystery  Only a small fraction of adults and doctors are very familiar with the specifics General US Population vs. Chronically Ill p y General Practitioners vs. Specialists p Top 2 Box Top 2 Box General Pop  6% General Prac 9% Chronically Ill 3% y Specialists p 13% * Q805 What level of familiarity do you have of Mobile Healthcare?  (Respondents aware of mobile healthcare: base n=1225)  © Harris Interactive 8 *Denotes a statistically significant  difference
  • 9. Consumers and Physicians are intrigued by mobile healthcare Almost 80% of specialists want to learn more General US Population vs. Chronically Ill General Practitioners vs. Specialists Top 3 Box Top 3 Box General Pop  39% General Prac 59% Chronically Ill 41% Specialists 79% * * Q910 Based on this description of Mobile Healthcare, how interested are you in learning more about  it?   (All respondents: base n=3473)  © Harris Interactive 9 *Denotes a statistically significant  difference
  • 10. Compelling mobile healthcare applications may influence consumer  choice of mobile provider or device Q860 Based on what you now know about Mobile Healthcare, which of the following statements apply  to you?  (All General US Population : base n=3229)  © Harris Interactive 10
  • 11. What people like and dislike about the concept of Mobile  Healthcare General Population What They Like … What They Like … What They Dislike … What They Dislike … + Convenient/Easy ‐ Big Brother/Privacy Invasion + Constant Monitoring ‐ Cost + Fewer Doctor’s Visits ‐ Having to Wear Device/Patch + M bilit Mobility ‐ A /R li bilit f I f Accuracy/Reliability of Info + Saves time ‐ Impersonal/No Face to Face Physicians What They Like … What They Dislike … + Constant Monitoring ‐ Cost/Reimbursement + Track Patients Between Visits Track Patients Between Visits ‐ Impersonal/No Face to Face Impersonal/No Face to Face + Easy to Use/Access ‐ Accuracy/Reliability of Info + Reminds Patients ‐ Creates More Work + Get Patients Involved ‐ Fewer Patient Visits Q817/Q819 Based on your current understanding what do you like  most/least about the concept of Mobile Healthcare?  © Harris Interactive 11
  • 12. Diverse pockets of the population show potential Groups Most Interested In Mobile Healthcare  (Top 2 Box: Extremely/Very Interested) Q910 Based on this description of Mobile Healthcare, how interested are you in learning more about  it?   (All respondents: base n=3473)  © Harris Interactive 12
  • 13. Patient Activation Measure defines four basic segments of  ‘activation’ or self‐management competency 10‐15% of the  20‐25% of the  35‐40% of the  25‐30% of the  population* population* population* population* * Medicaid and Medicare populations skew lower in activation * d d d d l k l 13
  • 14. Patient Activation is strongly associated with interest in mobile  healthcare Averag Response by Level ge e Indicate how interested you would be in finding out more about the service (Mobile Exams &  y g ( Consultations) for your patients/yourself/someone else (e.g. relative or loved one) (1‐10 scale) General Population, n=2,912 © Harris Interactive 14
  • 15. Attitudes Toward Mobile Healthcare • Where do consumers see the real value in Mobile  Healthcare? • Who will mobile healthcare help most? • What is the physician's viewpoint on value? © Harris Interactive 15
  • 16. Consumers see mobile healthcare offering security and  convenience Top Attributes Absolutely/Very  “Implied Benefits” Necessary Allow for more home based care 68% Control and options Make the patient feel like they are always being watched 57% Greater security Offer a measure of safety for patients or their friends/family Offer a measure of safety for patients or their friends/family 57% Safety and connectivity Safety and connectivity Give patients peace of mind 54% Filling gaps in traditional care Enable patients to manage their own care 54% Control and Independence Make medical care easier to obtain Make medical care easier to obtain 51% Convenience Give patients more freedom and choices 51% More options Help the environment by limiting travel for doctor visits 45% Greener planet, greener wallet Improve the overall health and quality of life for everyone Improve the overall health and quality of life for everyone 39% Less Burden on family y Improve my overall health and quality of life 37% Healthcare my way Reduce the cost of healthcare and insurance premiums 33% Efficiency means savings p p pp Improve the personal relationship patients have with their doctor(s) 25% Better communication Q935 Please indicate your level of agreement with each of the following statements (Non‐Chronically Ill General US Population: base n=2899)  16
  • 17. Mobile healthcare is seen as increasing access to care, at home  and while traveling Top 2 Box General US Population Excellent/Good Q825 Based on your current understanding, how well do you think mobile medical services would  rate on providing each of the following benefits. *Data collected from a study run in September 2009. (n=2334)  © Harris Interactive 17
  • 18. Consumers see Mobile Health helping people like themselves p gp p Respondents  see value  clustered  around Main  Street  Q850 Which , if any, of the following types or groups of people do you feel will be most helped by  Mobile Healthcare? (All General US Population: base n=3229)  © Harris Interactive 18
  • 19. Physicians see mobile healthcare as a way to increase efficiency  while benefiting patients Top Attributes Absolutely/Very  Implied Benefits Necessaryy General  Specialists Practitioners Allow for more home based care 78% 86% Less burden on facilities Reduce the number of office visits necessary for some patients 72% 73% Reduce workload Offer a measure of safety for patients or their friends/family 64% 73% A safety net for me Give patients peace of mind 63% 68% Reduce needless calls/visits Give patients more freedom and choices p 56% 55% Choice is good for all g Enable patients to manage their own care 56% 68% Mobile tools create power Being part of real medical  Improve the overall health and quality of life for my patients 50% 65% advancement Make medical care easier to obtain Make medical care easier to obtain 43% 54% Doctor/patient partnering Doctor/patient partnering Improve the overall health and quality of life for everyone 42% 46% More patient quality time Improve the personal relationship patients have with their doctor(s) 40% 46% Create new trust levels Help the environment by limiting travel for doctor visits 33% 44% Less office hours Reduce the cost of healthcare and insurance premiums 23% 27% A win/win for all Q935 Please indicate your level of agreement with each of the following statements. (All General Practitioner: base n=115 – All Specialists: base n=129)  19
  • 20. Physicians anticipate a net decrease in patient visits due to  mobile healthcare technology adoption General Practitioners Specialists Average Expected  Average Expected  Patient Visit Increase:   Patient Visit Increase:   10% 12% Average Expected  g p Average Expected  Average Expected Patient Visit Decrease:   Patient Visit Decrease:   20% 15% Q920 With Mobile Healthcare, do you think the total number of patients visiting your office each week will decrease, stay the  same, or increase?  Q922 By what percent would you expect Mobile Healthcare to decrease/increase the number of patients you see each week? © Harris Interactive (All Physicians: base n=244)  20
  • 21. Doctors support continued Mobile Healthcare investment 8 in 10 doctors and nearly 9 in 10 Specialists support investments to drive  Mobile Healthcare General Practitioners Specialists p Q950 Do you support the continued investment in developing Mobile Healthcare (All Physicians: base n=244)  © Harris Interactive 21
  • 22. Doctors, and especially specialists, see broad value for patients  Top 2 Box:   and healthcare infrastructure Absolutely Essential/ Very Necessary * Q940 Please indicate how necessary you feel Mobile Healthcare is in improving the quality of care for  each of the following individuals. (All Physician: base n=244)  © Harris Interactive 22 *Denotes a statistically significant  difference
  • 23. Mobile Healthcare Concepts M bil H lth C t ‐ Examine nine Mobile Healthcare concepts in detail ‐ Which ones should be in your business plan? © Harris Interactive 23
  • 24. Mobile Healthcare Concepts Tested A wide array from relatively simple to complex • Mobile Medical Reminder ‐ A short message (text  messages/SMS) sent to a patient’s mobile device  with reminders.  These reminders could be for an  upcoming doctor’s appointment, taking  medication, immunization updates, refill  prescriptions, etc. • Mobile Monitoring ‐ A small patch worn on the  skin capable of wirelessly linking to a patient’s  mobile device. The patch could monitor heart  rate, EKG, respiration, and blood pressure.  This  information would allow the patient to manage  their therapies as well as wirelessly transmit  information to doctors or a monitoring station to  keep them up to date. 24
  • 25. Mobile Healthcare Concepts Tested  A wide array from relatively simple to complex • Mobile Monitoring of Elderly ‐ A small patch worn on the skin  capable of wirelessly linking to a patient’s mobile device. The  mobile device would precisely track the location of the wearer  and would be able to tell if the person was standing, sitting,  lying down, or fell down.  This could be used to monitor elderly  patients, those with dementia or Alzheimer’s and related  illnesses. Alerts would be sent to doctors or caregivers if the  illnesses. Alerts would be sent to doctors or caregivers if the patient left a designated area or experienced a fall or other  medical emergency. Monitoring of some vital signs could also  be incorporated. • Mobile Medicine/Administration ‐ Via a patch on the skin  linked to a mobile device a patient could manage their therapy  as well as transmit information to a physician (such as blood  pressure, heart rate, respiration, etc.).  If levels indicated that a  change in medication was necessary an alert would be sent to  change in medication was necessary an alert would be sent to the patient or care giver. Medication could also be  administered remotely by a doctor. The medication would be  activated by a mobile signal and absorbed into the patient’s skin  (smart bandage/patch).  This service could help diabetics  monitor insulin, cardiac patients monitor blood levels and avert  heart attacks, or monitor children with critical medication  needs. 25
  • 26. Mobile Healthcare Concepts Tested A wide array from relatively simple to complex • Mobile Skin Screening ‐ If an individual discovered a  potential skin irregularity, they could use the camera in  their medical device to take a photo and send it to a  doctor/specialist who would provide professional  screening and possible follow up action.   • Infant Monitoring Mobile sensor that could include  I f t M it i ‐ M bil th t ld i l d video, sound, and motion detection to monitor infants  and give direct information to parents or caregivers.  Similar to short range baby monitors today but use the  mobile network.  Advanced sensors could also monitor  respiration rates and heart rate to help with sleeping  disorders. • Mobile Exams and Consultations ‐ A video link with the  mobile device could provide a virtual doctor’s visit with  a physician or a specialist, enabling evaluation of specific  conditions. Additional sensors to transmit blood  chemistry, EKG and respiration could also be evaluated  in real time. These virtual doctor visits could supplement  in real time. These virtual doctor visits could supplement regular checkups or monitor specific conditions. 26
  • 27. Mobile Healthcare Concepts Tested A wide array from relatively simple to complex • Mobile Care in Remote Areas – Many locations  have sparse medical resources. Even going on  vacation to remote locations and foreign countries  raises concerns. This service would provide a  degree of mobile monitoring and access to  familiar healthcare personnel and facilities. This  service could also be purchased for short amounts  service could also be purchased for short amounts of time based on length of stay or special  circumstances. • Mobile Wellness Care ‐ A mobile device can  become a personal trainer and coach, monitoring  exercise routines and designing custom workouts  to meet fitness levels and goals. The device would  track diet and nutrition and also incorporate social  networking sites. The mobile device could  networking sites The mobile device could download progress reports to doctors, physical  therapists or health clubs. 27
  • 28. Mobile exams, monitoring, and wellness care are the most  appealing concepts Relative Appeal of Concepts li t Index Scores  US Gen Pop  US Gen Pop  Chronically Ill General  Physician  (Self Use) (Self Use) (Someone Practitioners Specialists Else) Mobile Exams and Consultations 144 #1 138 #1 168 #1 116 128 Mobile Wellness Care 137 121 130 123 125 Mobile Monitoring 113 116 127 143 186 #1 Mobile Monitoring of Elderly 112 134 123 151 #1 107 Mobile Medical Reminder 100 101 91 120 131 Mobile Medicine/Administration 88 90 98 92 127 Mobile Care in Remote Areas 87 82 73 94 68 Mobile Skin Screening 68 58 61 34 15 Infant Monitoring 52 60 30 27 13 Key > 99 Strong Performers 75 – 99 Good Performers < 75 Secondary Concept Q1002‐Q1010 Concepts displayed throughout these questions © Harris Interactive 28 #1 Denotes concept was ranked highest in that group
  • 29. Doctors and Consumer in their own words Specialist –Mobile Wellness Care ‐In my field,  diabetes,  obesity, and exercise are  major concerns that need to be addressed continually not just during office visits!  Many patients are well‐intentioned but poorly compliant; this would an additional  Many patients are well intentioned but poorly compliant; this would an additional degree of motivation. General Practitioner – Monitor Elderly‐Because they can't easily or impossible to  come to my office!!!!!!!  t ffi !!!!!!! Consumer Self – Mobile Monitoring ‐I like the fact that I could be monitored 24/7  and feel like if something went wrong they could catch it in time  Consumer Self– Chronically Ill – Mobile Monitoring ‐Big brother has his fingers on  my pulse and wants to tell me what do. Consumer – Chronically Ill‐ Southern Arizona  ….particularly the rural area .. is  Consumer – Chronically Ill Southern Arizona particularly the rural area is desperately underserved for health care. It takes 3 months to get an appt with my  primary care doctor  six months or more with a specialist. Often I forego medical  care rather than go to urgent care or the ER but if I could consult with a doctor for  mobile exam or consultation  that would be an immense help. … © Harris Interactive 29
  • 30. Conclusions and Implications 1. Mobile Healthcare’s future looks bright based on this study ‐ Consumers and Doctors show  high interest  ‐ Plenty of potential “hot” segments to explore Plenty of potential  hot segments to explore ‐ Most Mobile Healthcare concepts tested  score highly ‐ Consumers see solid benefits that directly impact their lifestyles while physicians see value for their patients and their practice 2. Macro market conditions are favorable for Mobile Healthcare to flourish ‐ an aging population with increasing needs that Mobile healthcare can fill ‐ lifestyles that demand more choices, freedoms and options for care ‐ medical / insurance infrastructure that needs efficiencies and new options 3. Mobile Healthcare means opportunity ‐ today’s findings should help you ask better questions ‐ winning solutions will be based on solid market insights 30
  • 31. Thanks for Attending! Q&A  Copies of our report are FREE Please see us or visit our website (harrisinteractive.com) Need more details on how your business is impacted? y p Let us slice the data for you and discuss implications Contact our thought leaders to discuss the results in more detail.  Joe Porus Vice President, Technology Research (201) 677‐9866 jporus@harrisinteractive.com jporus@harrisinteractive com Milt Ellis Vice President, Technology Research (949) 305‐9964 (949) 305 9964 mellis@harrisinteractive.com 31