Convergence to mHealth Pankaj Vaish Convergence President, HealthFore Why mHealth?(Healthcare IT Division of Religare Technologies) Use Cases
Convergence – Voice, Video & Data Convergence Provides • opportunity to operate more efficiently • increased ROI on technology • rapid market expansion and new markets • consumers new ways of communication and do business together at lower costs than before • convenience of having many devices all in one, saving on both size and ownership costs
Convergence – Impacting Our Lives Pictures Music Video Social Networks
Convergence - Technology and Platform Convergence
Interoperability in Healthcare The Paradigm Shift 5
The Growing Healthcare Divide Ageing Population Resource Patient and Rising Chronic Integrated Care Constraints Empowerment Diseases Indian Healthcare Capacity Shortfall (in mn) 8 6 3.6 3.7 4 1.9 1.8 2 1.9 0.9 1.5 1.3 0.7 0 Bed Doctors Nurses Existing Required (2010) Required (2020) Source: Public Research Source: McKinsey & Company CII Seventh India Health Summit Dec 2010 Need for measures to provide health Rising demand for medical services and timely Out of pocket expenditure is more than 80% specialists’ access anytime anywhere and not medical intervention only at the point of care 7
The Mobile Revolution • Mobile phones is one of the most disruptive change of the millennium – it has changes how, how much, why and to whom we communicate Mobile Density in India • Mobile devices are personal technology that enable consumers to establish personal preferences for sharing and communicating • Connectivity is driving the world Users Global India Mobile 5.3 bn 900 mn Internet 2.1 bn 100 mn Mobile Internet 0.5 bn Facebook 0.6 bn 20 mn • Mobile devices bring the rural geographies into the mainstream to deliver health and wellness • While Economic indicators of a country have a directly co-relation to their healthcare system, it is not the case with mobile penetration Tele-Health market in India is expected to grow at a minimum of 15% CAGR for the next decade
mHealth Services: Use Cases Tele-Triage Tele-Clinics Tele-Medicine Chronic Disease Management Disease Surveillance & Disaster Management Call a Doctor/ Patient Education Home Health and Tele-Diagnosis and e- Tele-Counseling Second Opinion and Health Tips Remote Monitoring Prescription 10
Tele-Triage (Typical OP consultation services to subscribers) Service Highlights Benefits Scope of Services: • Improved quality of care, access, reimbursement, • Emergency referrals for critical, life and cost reduction. threatening illnesses or non-life • Tele-triage is an access tool for patients that can increase patient satisfaction, as well as their threatening cases that require urgent compliance with telephone advice. medical care • Vital tool for Health Authorities to control demand • Ambulance services in view of the limited healthcare resources and • Consultation services with physician manage costs as well as care • Referral services to nearest hospital • Regular/ routine cases Caller Intent Call Result • Consultation with “Advice Nurses” Call Ambulance 0.2 % Call Ambulance 2% • Prescription of OTC drugs ED Visit 47 % ED Visit 10 % • Pathology/Radiology/Pharmacy referrals Symptom Urgent GP Visit 6% Urgent GP Visit 17 % Assessment Customers for Tele-Triage services: Dr. Appointment 26 % Dr. Appointment 32 % • Individual Subscribers Non GP 18 % Non GP 2% Self Care 37 % • State Health Authorities Self Care 2% • Corporates/Employers • NGOs 11
Chronic Disease Management Service Highlights• Population based strategy as well as approach to personal health• Personalized suggestions, health tips, symptoms management through IVR calls, SMS, mobile internet• Interaction of multiple parties (e.g. physicians, nurses, medical device manufacturers, mHealth players, telecom service providers) to provide best possible extended patient care Benefits • Reduced disease burden: individual/communityApplications: • Improved quality of life: prevention/limitation of• Mobile Apps and SMS based patient effects of chronic disease management • Reduced costs• Remote Monitoring • Improved patient satisfaction, compliance.• Mobile Clinics
In Conclusion …• Convergence in technology and interoperability amongst various healthcare stake holders is changing the way care gets delivered• mHealth/ tele-health is helping bridge the healthcare divide that exists in the developing/ underdeveloped countries• mHealth solutions and success stories exist but there is a clear need to find the right business models to scale up these solutions
Disease Surveillance & Disaster Management Service Highlights• Provide innovative, integral platform of information and communication to aid in prevention/mitigation of disasters and disease outbreaks• Information and communication technology based platform to send reports to appropriate agencies in the event of disease outbreaks and disaster, both natural and man-made.• Use of devices such as: Benefits – Mobile Phones – Fixed phones • Availability of greater and better information in a short time – Paging Devices • Compilation of information and feedback. – Computers connected to internet • Significant reduction in response time to major• System saves the data, produces disasters/disease outbreaks. dashboards and summary reports in real- time to make decisions and send alerts. • Involve citizens and social organizations in disaster response.• Ideal platform for PPP
Tele-Clinics(Clinical care at a distance through e-clinics or centers) Service Highlights • Care at a distance through Technician managed Kiosks at strategic locations: • Hospital Waiting Areas • Premium Residences • Airports • Kiosks are booths that have connectivity and software/hardware that have Audio-Visual capability • It is almost like a “self-check-in” counter setup where a technician can assist patient record their vitals, talk to a doctor etc. Benefits • Healthfore – Solution Design and Implementation,• Improved quality of care, access and cost reduction. Program Management, Business Models • Healthcare Provider – Medical Experts, Technician,• Appointment scheduling Nursing and Paramedics• Real time patient status: separate U/I* for Doctors as • Telecom Service Provider – Connectivity, Telecom well as patients. Support and Uptime.• Increased customer satisfaction. • Application and Devices – Remote Monitoring• Value added services such as FAQs, Mind maps devices, Integrated Application. U/I: User Interface 16
Tele-Medicine(Tele-Radiology, Tele-Pathology, Tele-dermatology, etc.) Service Highlights Telemedicine can be broken into three main categories: Remote monitoring: primarily used for managing chronic diseases or specific conditions, such as heart disease, diabetes mellitus, or asthma. Store-and-forward telemedicine: involves acquiring medical data (like medical images, biosignals etc.) and then transmitting this data to a doctor or medical specialist for assessment offline. Common specialties that are conducive to asynchronous telemedicine: Benefits • Radiology • Access to improved, quality health • Pathology care especially for rural patients. • Dermatology • Saves time, travel and other expenses Interactive Telemedicine services: Real-time for the patients. interactions between patient and provider (or • Second opinions: accuracy of between 2 or more providers), to include phone diagnosis, reduction in medical errors conversations, online communication and home visits. • Platform for Continuing Medical Important application: Tele-ICU Education
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