Global Telemedicine Trends

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A look at global telemedicine trends including the drivers behind increasing adoption of electronic communications including technology and population requirements. The presentation also gives a view …

A look at global telemedicine trends including the drivers behind increasing adoption of electronic communications including technology and population requirements. The presentation also gives a view on market growth and segmentation in this sector.

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  • 1. Global Trends inTelemedicineDr. Mark J. Burby MB BChirDirector, Cisco Healthcare, Asia Pacific19 October, 2011© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 1
  • 2. • Telemedicine housekeeping• Telemedicine modalities• Applications of telemedicine• Market overview around the world• Challenges facing the technology© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 2
  • 3. • Voice• Fax• Email / Messaging• PACS• EHR• Video• Medical device telemetry American Telemedicine Association• Web conferencing• SMS© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 3
  • 4. Claims Agent Allow radiologists and physicians to collaborate in real-time through unified communications Payer and image sharing Specialist Reduce costs, and Physician’s collaborate more Hospital A Office effectively, and provide better access to care Provide better and more cost- through telemedicine effective care through collaboration Enable video communication for caregivers to provide language interpretation services, education, poison control help and psychiatric services remotely Patient’s Home Hospital B© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 4
  • 5. Speed (Mb) 50 Tele-health Remote Video Consultation 10 Tele-health Digital Image Transfer (PACS) Remote SECURITY Patient Monitoring Disease State VIDEO Electronic Health VOICE Records (EHR) DATA 1 Fast Faster Real-Time © 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 5
  • 6. Source: Gartner (July 2011)Publication Date: 28 July 2011/ID Number: G00214814 Page 15 of 58© 2011 Gartner, Inc. and/or its Affiliates. All Rights Reserved.© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 6
  • 7. Figure 2. Priority Matrix for Telemedicine, 2011 Source: Gartner (July 2011)© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 7
  • 8. • US$900m in 2007(Datamonitor)• 2012-2013 Projections The Wall Street Journal projects telemedicine to be a $6 billion industry by 2012. DataMonitor projects telemedicine to be an $8 billion industry for 2012. TechNavio Insights projects telemedicine to be a $17.8 billion industry by 2012. Schooley Mitchell Consultants projects telemedicine to be a $4.4 billion industry by 2013 (home based).• Over 200 telemedicine networks in US connecting over 2,000 medical institutions.© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 8
  • 9. • Telesurgery/Robots • Teleconsulting In Touch Health (medical AMD Global Telemedicine robots) Polycom Intuitive Surgical (surgical Cisco/Tandberg robots) da Vinci• Telemonitioring - • Teleradiology – PACS Home Based Products Systems Honeywell Siemens Bosch GE Intel Kodak AT&T© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 9
  • 10. Telesurgery 2% Telemonitoring Teleconsulting 13% 18% Teleradiology 67%Source: TechNavio Insights© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 10
  • 11. • Delivery of medical care to any patient located in a remote location.• Shortage of physicians, telemedicine provides ability to care for more patients at a distance.• Improvement of the quality and access to care to remote and medically under-served areas.• Financial considerations – possible savings in transportation cost savings for patient and physician. Telemedicine has the opportunity be more disruptive by challenging conventional workflow and care delivery models© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 11
  • 12. • Pre-configured telemedicine solutions including integrated cart solutions and integrated telemedicine case solutions. Telemedicine Carts Health Pod/Stations Portable Cases© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 13
  • 13. This fully integratedtelemedicine cart allowscare providers to:• Capture images, video, vital signs and data• Capture information from external imaging devices• Forward patient cases and attached images and information to other professionals or specialists at remote locations for review and consultation© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 14
  • 14. Portable Cases © 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 16
  • 15. Main Hospitals to Rural Hospitals including eICU’s and ER’s to monitor or triage patients Main or Rural Hospitals to Clinic(s) Schools- Elementary to College level, Mobile Vans Travel – Commercial and Private Ships & Airlines Military and Prisons based programs.© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 17
  • 16. • Teleneurology • Teledermatology• Teleopthalmology • Telecardiology• Telepsychiatry • Telesurgery• Telepediatrics • Teletrauma/TeleEmergency• Teleobstetrics • Telespeech• Teleultrasound • Telementoring• Telemammograph • Teleeducation• Teleradiology • Telehospice• Telerehabiliation • Teleforensics© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 18
  • 17. Expert Gateway – translation services Healthcare Interpreter Network© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 19
  • 18.  ―81% of nurses report they would save 30 to 60 minutes with instant access to experts.‖ —Forrester Research, 2006© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 20
  • 19. R-Bay Architecture, courtesy C Wanscher / J Rasmussen, MedCom Denmark© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 21
  • 20. Future of telemedicine tecThe future of Telemedicine 1. Teltechnologies are influenced 2. Tecby telecommunication andtechnology advancements© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 22
  • 21. The da Vinci consists of 3 main parts: A. Surgeon’s console B. Video tower C. 3 robotic arms© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 23
  • 22. CALIFORNIA DEPARTMENT OF CORRECTIONS• California Department of Corrections has a 170,000 population of adult prisoners in 33 institutions.• Most prisons are located in rural areas where specialists are in short supply.• State documents say the first telemedicine project involved psychiatric counseling for inmates at Pelican Bay in Crescent City in the late 1990s.• The director of clinical operations for California Prison Health Care Services says telehealth saved taxpayers $13 million that otherwise would have been spent in guarding and transporting inmates long distances to see specialists, or about $800 per encounter just last year.© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 24
  • 23. the MCG, Georgia, USA (Remote Education of Acute IscInternet-based REACHsystem for Telestroke at theMedical College of Georgia,USA REACH System Model Dr. Hes via video© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 25
  • 24. e reduce number of patients that are MedEvacedg timely and expert medical care to the entireisland?enland began the process of implementing a Greenland significantlyunter Management of reduced the number System unnecessary transportsstem greatly reduced the through telemedicine system implemented inssary transports and gave 2008nland unprecedentedealthcare. © 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 26
  • 25. Telemedicine Applications Military In military settings, telemedicine is A nurse assists a Vet and illness and aid inexam equipment wh the treatmen combat-wounded soldiers. to offer her via videoUS Military and VA usetelemedicine to deliver careto soldiers in the field and adisparate veteranpopulation© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 27
  • 26. Telemedicine Applications Mobile HealthInfrastructure improvementsand developments in videocodec bring the possibilitiesof telemedicine with theconvenience of mobility Mobile health is aimed at expanding access to h mobile clinic can travel to patients.© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 28
  • 27. • Better compliancy• Post-acute discharge monitoring• Reduction in post-operative complications• Improved self-care management of chronic disease© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 29
  • 28. • Reimbursement• Cross-state/region licensure• Care management programs• Physician training and acceptance• Patient privacy rules• Bandwidth / infrastructure• Interfacing to applications© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 30
  • 29. • Small scale studies have shown clear cost savings…large scale studies are beginning to come through• Correct implementation appears to be the most important step in achieving success (rather than technology)• Characteristic demand for variety and customisation makes it difficult to acquire consistent cost savings data• Cost savings data is a typical step toward development of a satisfactory reimbursement model• Local and state government agencies often pick up the slack where federal agencies fall shortSource: Frost & Sullivan© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 31
  • 30. 60.00% Lack of Security 50.00% Slow connections 40.00% Lack of interoperability 30.00% Interference between 20.00% devices Inability to achieve 10.00% workflow integration Difficult to use 0.00% 2002 2003 2004 2005 2006Source: Medical Records Institute’s Ninth Annual Survey of Trends and Usage 2007© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 32
  • 31. Health plans and Healthcare Providers Government Payers Change enablers Employers Technology & MDCs© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 33
  • 32. • Telemedicine is being applied today across the world in a wide variety of modalities and specialities• More work needs to be done to demonstrate cost effectiveness and develop effective reimbursement models• Barriers are being lowered as technology, infrastructure improves• Some telemedicine applications will become mainstream soon, others will take time to develop – chance for differentiation• Need for large scale studies to demonstrate benefits• Reduction in capital and operational costs are starting and will continue to greatly improve RoI etc.© 2011 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 34
  • 33. Thank you.