Thoughts on Healthcare for BIBA

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    An entrepreneur-friendly community has many components. Sources of product ideas, high tech or no tech. Knowledgeable service providers. Experienced businesspersons and exited entrepreneurs are needed for mentoring and coaching start-up entrepreneurs. An Entrepreneurship center to provide educational and networking opportunities and to help with the development of business plans. A pool of talented people with both technical and management skills. And, as these critical ingredients are established, it is also necessary to foster a variety of funding sources for entrepreneurs. Angel investors are a critical source of seed/startup and early stage venture capital.

    Solution – send medical teams into the villages Each Mobile medics unit will have one senior doctor, 1 junior doctor a nurse and a driver. The van will be equipped with basic medicine and medical supplies. The village Chief and midwife will help organize and enroll villagers Midwife has an emergency cell phone – in the majority of villages there is currently no way for a large percentage of people to receive transportation in cases of emergencies Our van will show up in each village once every 2 weeks and we will give patients a smart card to track patient data Supporting vans pick up patients from neighboring villages and transport them to the stationed mobile unit. This will insure high capacity utilization of our doctors and increase volume Two support vehicles will also be used to ferry patients in from nearby villages to the center where the doctors and nurses are working Finally these vehicles will also serve as emergency ambulances in times of crisis and patients will be brought to a tertiary hospital. This will be a 7x24 service. Comment on 5 min per patient – sounds like a little, but t points (i) in India most of the people will have similar ailment – easy to treat (ii) one way short answers - pilots show 4 min - max time spent is 8 min; allows us to have significant throughput

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    Thoughts on Healthcare for BIBA - Presentation Transcript

    1. Anupendra Sharma 2009 BIBA Kickoff Event Some thoughts about Healthcare September 9, 2009
    2. Irish Networking is alive and well
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    5. Agenda The Healthcare industry Innovation Venture Capital MALSI Global Health The Leadership Program How BIBA can get involved
    6. Healthcare: 14MM jobs and growing A 2.3 trillion dollar industry
    7. A few numbers In 2007, the U.S. spent $2.26 trillion on health care or $7,439 per person. That is India and China’s GDP combined. Or something like that. Healthcare is 17% of our GDP. Its only going up. Everywhere.
    8. Why ? We want to look good and live forever
    9. Defining Sectors Life Sciences: Biotech & Pharma Medtech: Medical Technologies & Diagnostics Healthcare: Providers: Docs/Nurses, Hospital-related, Insurance Companies etc. Wellness: Consumer, off the shelf, self-pay Other: Software, Healthcare IT & Services
    10. The Global Healthcare Markets Slide removed
    11. The Big 4 of Healthcare U.S. Population Affected Responsible For 2/3rds of All deaths in The USA
    12. The Big 4 of Healthcare (BN) U.S. Population Affected Responsible For 2/3rds of All deaths in The USA
    13. Healthcare What appears obvious does not always work. (biology versus physics) (Follow the money) Life and Death decisions complicate discussions of economics and logic Government is the biggest customer but is running out of money Many millions use the ER to get basic healthcare We have no idea what we are being charged for anything
    14. Innovation
    15. Computed Tomography (Allan McCormack, Tufts MA, Nobel Prize)
    16. Checking a coiled Aneurysm (J&J, MA & Ireland)
    17. PET-CT Image Showing Cancer (Medical Invention of the Year, Time 2000)
    18. Alzheimers: Watch Gregory Petsko of Brandeis on TED.
    19.  
    20. CTCs: Detection or Treatment Cleveland Clinic Innovation of the Year 2009
    21. Life impacting drugs Avastin (cancer; $2.9B) & Lucentis (wet macular degeneration, $0.8B) Anti-angiogenesis (Judah Folkman, Children’s)
    22. Proton Therapy: For pediatric cancers And more (MGH)
    23. Pfizer’s blue pill: Made in Ireland
    24. RunKeeper: Fitness on the iPhone [iPhone: Invention of the Year 2008]
    25. Invisible braces (on the right)
    26. InSound’s Hearing Aid
    27. Sequencing the Genome [Time Invention of the Year 2008]
    28. Telemedicine: To TPA or not to TPA
    29. Global Health: George Whitesides – Jose Gomez
    30. Venture Capital
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    34. A Generic Late 90’s Biotech Model Slide removed
    35. VCs: Capital Shrinking and Moving Later Source: VentureSource, Leerink Swann ($ in millions) -8.7% 14.1% -1.7% -21.5% CAGR $18.3 $17.5 $10.4 Average size 351 436 577 Number of Investments
    36. VC: Risk Adjusted Returns VCs moving later stage Price Risk Financing phase Prototype Scale IPO Market Entry Secondary Offering Late stage Seed Expansion Early stage Idea Patent Incorp. IPO 3 - 7 Years Angels, Friends & Family Venture Capital Public Markets
    37. MALSI
    38. “ If I stand in the middle of Mass Ave Bridge, and walk 1 mile in either direction, I have everything I need to start a billion dollar life sciences company” We are motivated to leverage what is truly unique about MA
    39. MALSI Mission To ensure MA is the best place in the world to start, nurture and grow a life sciences company
    40. Four elements Needed to “Pull” a Company together
        • Scientific Founder (IP/idea)
        • Business Founder (Commercial/Credibility)
        • Investor (Angel/Venture Capital)
        • Superconnector (Brings People, Connects to Money & Helps Hone the Biz Plan)
      Its rare that the scientific founder comes with access to all three (exceptions: Bob Langer, George Whitesides etc)
    41. PARTNERS IN ASSOCIATION WITH
    42. MALSI Planning Committee Abigail Barrow , MATTO Anupendra Sharma , Siemens Venture Capital Imran Nasrullah , Mass Biotech Council Amy Fredrick , MassMedic Julia Goldberg , MA Tech Transfer Center Lauren Laidlaw , Mass Biotech Council Pushwaz Virk , Harvard Medical School Pearl Freier , Cambridge BioPartners Mark Namchuk , Vertex Pharmaceuticals Aaron Sandoski , Norwich Ventures Melissa Walsh , MA Life Sciences Center Richard Anders , Mass Medical Angels Haleh Armian , CIMIT Glen Comiso , MA Life Sciences Collaborative Jeff Behrens , Alnylam Kevin O'Sullivan , MA Biotech Incubator
    43.  
    44. Service Providers Hard and Soft Skills
      • Bus Plans
      • Education
      • Networking
      Funding Sources VCs Angels
      • Grants
      • Banks
      • SBIRs
      Superconnectors Mentors Coaches Role models Founder’s GPS”
      • Sources of
      • Technology
      • Innovations
      • Product Ideas
      Colleges & Universities Companies Labs Talented Mgmt/People This portal becomes the “Founder’s GPS” Source: Angel Capital Association and Kauffman Foundation
      • Roadmap/”GPS” for startup (entrepreneur’s don’t need more information; they need clear direction)
      • Database of all startups
      • Centralized calendar of state-wide events
      • Sounding board for ideas
      • Access to consultants, physicians in state (for advisory boards)
      • Peer to peer system to find people
      • State-wide resources
      • Access to Education programs
      • Internships and jobs
      • CXO-level database (to hire top people)
      • Bios of VCs, angels; standardized form for success
      • Networking events
      Provides a wide range of services (in a phased manner)
    46. Global Health: Mobile Medics
    47. Professor Amartya Sen, 1998 Nobel Prize in Economics [Comments in 2005 after a healthcare study] “ The neglect here is massive , particularly because this has led to both the substandard delivery of public health and the development of an immensely exploitative private enterprise in healthcare that survives on the deficiencies — and sometimes absence — of public health attention.” “ We found an incredible proportion of quacks in Jharkhand, particularly, but a significant proportion even in West Bengal, who provide almost no serious medical attention and instead give saline injections for malaria , which is not really known anywhere in the world as a cure.” “ The picture seems fairly widespread — is that when patients go to many of the primary health centres, they find no one there . ”
    48. Mobile Medics – How we wanted it to work Van goes to Hub #1 Van moves to Hub #2 Village Chief & Midwife Will help organize patients and enroll members 1 doctor (increasing to 2) 1 nurse 1 driver Doctors & Nurse spend time in village (~5 minutes / patient) Van drives to neighboring villages and gathers patients and brings to Hubs Medical team will visit village every 2 weeks Biometrics will be used to identify patients
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    60. TiE Leadership Program: Power of Youth
    61.  
    62. A 9-month Immersion For 24 of the very best Startupleadership.com
    63. At least 10% are Irish-American in the first 42 Parker Treacy (Duke) : Started First Help Financial to assist immigrants with autoloans. Now starting another company to make homeless people entrepreneurs Pat Noonan (Harvard/Stanford) : Commonwealth Ventures VC (now going to Stanford Business School) Jesse Lane (Harvard) : Summit Partners VC in Healthcare Michael Sheeley (UConn/Tufts/Bentley) : Runkeeper
    64. Where do we want to go ? Dublin 2010
    65. In Closing
    66. Some Requests to BIBA
      • Inspire Irish and Irish American youth to become hackers and researchers (at least for 4 years)
      • Teach basic entrepreneurship to everyone between 15 & 45
      • Create BIBA Angels
      • Take the The Leadership Program to Dublin
      • Import the barrels directly
    67. Contact Information Anupendra Sharma [email_address]
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