20120626 mobile health gugst

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A presentation of the ecosystem of mobile health in different contexts like Chronic, Rual, and Urban.

Also suggestions to how the mobile operators can position themselves in this buisness

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20120626 mobile health gugst

  1. 1. Slide titlemum 48 pt MOBILE HEALTHCAREde subtitle AN OVERVIEWmum 30 pt GUGST June 26 Jesper Rhode Andersen R&D and Innovation Ericsson Latin America
  2. 2. definitions › Telehealth is a broader definition including preventive and curative Clinical aspects. Curative › Telemedicine is a definition within curative clinical medicine where Telemedicine medical information is transferred via telephone, internet or other networks.Fixed Mobile mHealth Telehealth › Mobile health or mHealth is a term for medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices, PDAs, and other wireless Non-clinical devices. Simplified it can be described Preventive as a subgroup of telehealth.Ericsson Research Healthcare Overview | Commercial in confidence | © Ericsson AB 2010 | 2012-03-27 | Page 4
  3. 3. Modern Healthcare systems - challenges and Pain points + + + + =?Provide good Increase the Help people Demographic Sharp rise in care at an availability of stay healthy shift chronic diseasesaffordable cost care for all Healthcare mega trends mHealth is part of the solution • Distributed healthcare • Higher efficiency in care delivery • Patient centric, personalized healthcare • Enabler for distributed care • Higher demands from patients • Mature technology Mobile Health, mHealth is a term for medical and public health practice supported by mobile connected devices, such as mobile phones, patient monitoring devices, etc Ericsson Research Healthcare Overview | Commercial in confidence | © Ericsson AB 2010 | 2012-03-27 | Page 3
  4. 4. The healthcare market - spending in healthcare › Both mHealth and eHealth are potential high growth market segments › High on the agenda for most governmentseHealth and mHealth market forecast for the EU1 Telehealth spending in North America & Europe through 20122 40 12 35 10 Billions of Euros 30 8 25 Billion US$ 6 4 20 2 15 0 2008 2009 2010 2011 2012 2013 2014 2015 2006 2010 2014 Software Hardware mHealth Service eHealth 1 Roland Berger Consultants, 2009 2 Datamonitor, Telehealth spending in North America & Europe through 2012 Ericsson Research Healthcare Overview | Commercial in confidence | © Ericsson AB 2010 | 2012-03-27 | Page 10
  5. 5. Contents Why Healthcare Vertical Ecosystem & Operators Role Service Evolution Chronic Disease Management Urban Care Rural Care ConclusionOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 3
  6. 6. In Short Inaccessible Shortfall of Rising Disease Healthcare Infrastructure & Burden (Geographically & Trained Medical Financially) Resource Can we introduce process and product innovation? But there is no one size that fits all…Operator opportunities in Healthcare Vertical | Commercial in confidence | Page 5
  7. 7. Market Distribution by need Access to primary care within reach Access to secondary and tertiary care with ease Affordable treatment Rural Awareness and Health Education Access to care and caregiver in least time & with ease Information and Awareness Trust in the caregiver Urban Open for new modes of care but price conscious Continuous monitoring Affordable care Personalized and relevant information Ability to analyze and compare their health status ChronicOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 6
  8. 8. Contents Why Healthcare Vertical Ecosystem & Operators Role Service Evolution Chronic Disease management Urban Care Rural Care ConclusionOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 8
  9. 9. Operators’ ROLE Remote Monitoring and health records Chronic disease managementValue Added Service Provider SMS services for education, awareness, alerts and reminders Apps for wellness, information etc Expose Capabilities and interfaces Integrate Devices & maintain patient records Enabler Provider Enable B2B relationships and provide innovative services Service assurance, Subscriptions, Access control, self service portals etc. Wholesale of connectivity • Directly to enterprises Connectivity Provider • To Medical device manufacturers • Through resellers and brokersOpportunistic approaches and comprehensive vertical strategies can coexist Operator opportunities in Healthcare Vertical | Commercial in confidence | Page 10
  10. 10. Possibly a much larger role Rural GBT Site Health Center at Rural GBT site Ministry of Operator Health & FW New Scale, technology, skills, `, land, facility, on-ground Healthcare large private caregivers, medical resource, primary secondary & tertiary care facility level careOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 11
  11. 11. Contents Why Healthcare Vertical Ecosystem & Operators Role Service Evolution Chronic Disease Management Urban Care Rural Care ConclusionOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 12
  12. 12. Addressable Markets Rural Care Urban Care through assisted Kiosks Chronic Disease ManagementOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 13
  13. 13. CHRONIC DISEASE MANAGEMENTOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 14
  14. 14. Rural Care Urban CareChronic Patients Need Chronic Disease Mgmt -Need to be careful about diet -Need to maintain proper weight 51 million cases Type II Diabetes -Moderate intensity physical activity daily (3:2 Urban : Semi -Blood Glucose and HbA1C level under control Urban + Rural) -Caused mainly due to smokingChronic Obstructive -Patients need to keep their weight and BP balancedPulmonary Disease -Blood oxygen level is to be kept under control (COPD) -Routinely do PEF & Spirometry test 40 million cases -Caused due to genetic and environmental factors Cause of 30% -Blood oxygen level is to be kept under control Deaths Asthma -Routinely do PEF test and analyze progress -Spirometry test is helpful in assessing asthma -Maintain Optimum BMI -Maintain Systolic and Diastolic Blood Pressure levelsArterial Hypertension -Manage their lifestyle -Moderate Intensity Physical activity daily - Insufficient supply of blood flow to other parts of body - Need to be careful about diet, BMI & routine exercise 60 million cases Congestive Heart Cause of 39% - Need to maintain a good heart rate, BP Failure - Condition diagnosed through ECG and blood tests Deaths -Abnormal electrical activity (rhythm disturbance) in theCardiac Arrhythmias heart - Diagnosed and Monitored through ECG - Need to maintain a good heart rate, BP and BMI Routine monitoring of body vitals and lifestyle check can keep chronic disease under controlOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 15
  15. 15. Chronic Disease Management Rural Care Urban Care Typical Service Description Chronic Disease Mgmt Appropriate combination of Connected devices + Disease management Portal/App provided to patient Secondary HospitalConsults if themeasurementsexceeds thresholdlimits Disease Mgmt Watches vitals through CDM measured by patient Apps and SMS reminders Makes sure that the Medical Helpline patient is performing routine measurements Operator opportunities in Healthcare Vertical | Commercial in confidence | Page 16
  16. 16. Rural Care Urban CareChronic Disease Management Chronic Disease Mgmt Partners & their roles Target SegmentHospitals – Provide Doctors for consultation Chronic patients (CVD, COPD, Diabetes)Medical Helpline – Nurses/Doctors to routinely monitor Follow up careDistribution network (Pharmacies/Operator own network) – Post Operative and early discharge Makes equipment available at PoS Preventive careInsurance Company – Create Health products for masses Well-being, screening and data collection programsGovernment (MoH&FW/ DIT) – Run screening programsTechnology Provider – Enables entire technology piece Revenue Drivers ChallengesRecurring revenues through sale of subscriptions to Med practitioners reluctant to use technology unless incentivized Caregivers for patient monitoring Initial adoptionAdditional SIM’s in medical devices Initial reluctance to use technologyFollow up care through SMS based alerts and services AwarenessGovernment programs (Preventive care, screening etc) Lack of preventive care mindsetChronic disease management applicationsMarkup on Connected Medical Devices Operator opportunities in Healthcare Vertical | Commercial in confidence | Page 17
  17. 17. URBAN CAREOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 23
  18. 18. URBAN CARE Rural Care Urban Service Description Care Chronic Disease Management Assisted Health Kiosk Mobile Apps Patient Portal with EHR Quick Health check Kiosk placed at Apps to access health records on mobile  Patient portalsstrategic locations like mall, gym’s, Apps to manage chronic diseases Corporate EHR portals linked topharmacy, corporate, airport etc. Intranet Reminders and wellness appsKiosks do a quick vitals check, print  Social Media/ CommunitiesOK/ Not OK Report + generate EHR Adherence apps Auto EHR update on measuringIf Not OK, then they route to a Education & Awareness apps through connected devicespartner hospital Operator opportunities in Healthcare Vertical | Commercial in confidence | Page 25
  19. 19. Rural Care Urbanpatient Portal Care Chronic Disease Management Online Health Portal for all categories of patients / preventive healthcare Features available on Patient Portal Inbox - Video / Chat e-prescription Wellness Targeted Appointment with View & auto-drug Scheduling Program Community Doctors Reports & purchase PHR Mobile Application Downloadable on Mobile, Offering basic features on the go Appointment booking Reminder Services End-To-Endless /// Community interaction Mobile inboxOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 28
  20. 20. Rural Care Urban URBAN CARE Care Chronic Disease Management Partners & their roles Target SegmentHospitals – Co-brand Kiosks and provide doctors for Preventive Care for health conscious urbans consultation CorporateMedical Helpline – Nurses/Doctors to routinely monitor Chronic patients (CVD, COPD, Diabetes)Insurance Company – Create innovative Health products to Fitness freaks, expectant mothers include tele-health based incentives for masses/corporate Follow up careAdvertisers – Consumer Health brands like Safola, Kellog’s, Quaker oats to incentivise and advertise Post Operative and early dischargeTechnology Provider – Enables entire technology piece Well-being and screening programs Revenue Drivers ChallengesRevenue through Health checks, lead generation for hospitals Trust factor on sanctity of such measurementsAdvertisements of Health Brands like Safola, Kellogs etc Initial adoptionAdditional SIM’s in medical devices Initial reluctance to use technologyFollow up care through SMS based alerts and services AwarenessGovernment programs (Preventive care, screening etc) Lack of preventive care mindsetChronic disease management applicationsOther Wellness ApplicationsDrive data growth, enhanced brand value, reduced churn Operator opportunities in Healthcare Vertical | Commercial in confidence | Page 30
  21. 21. RURAL CAREOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 31
  22. 22. Rural Care Urban CareTypical Use-case Chronic Disease Management 2. Registers the patient and update details Data Analysis 7. Analyzed data used for Medical Helpline targeting further Health Backend1. Calls up to discuss a problem services 3. After triaging, asks the patient to go to the nearest Health Center 6. Medical records automatically updated 4. Visits the nearest Health Center Patient 5. Consults a doctor and perform Rural Health Center Rural Health Center measurementsFollowup Secondary HospitalOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 34
  23. 23. Rural Care Urban CareThe Rural healthcare Puzzle Chronic Disease Management Partners & their roles Target SegmentHospitals – Provide Doctors for consultation Patients needing primary careMedical Helpline – Nurses/Doctors to do first level triage Chronic patients (CVD, COPD, Diabetes)Health Worker/ NGO – Provide human resource to manage Follow up care health center and perform measurements Post Operative and early dischargeInsurance Company – Create Health products for masses Preventive careGovernment (MoH&FW/ DIT) – Play an active role, PPP Well-being, screening and data collection programsTechnology Provider – Enables entire technology piece Revenue Drivers ChallengesRemote Health consultation across villages Initial infrastructure cost is large (support of Government)Additional SIM’s in medical devices Scarcity of Medically trained Resource (On & Off Ground)Connectivity for Video conferencing Available gov. resources unwilling to work unless incentivizedTriage call revenues Non-availability of Internet connectivity (3G/ Fiber etc)Follow up care through SMS alerts, OBD’s and services Who pays (Individual, Government, Insurance)Government programs (Preventive care, screening etc) Linguistic diversity, Insufficient power supplyProductivity enhancement, logistical support etc applications Critical drugs rarely available in rural for Healthcare providers and health workers Med practitioners reluctant to use technology unless incentivized Needs long term commitment and investment through government and private programs Operator opportunities in Healthcare Vertical | Commercial in confidence | Page 35
  24. 24. Contents Why Healthcare Vertical Ecosystem & Operators Role Service Evolution Chronic Disease Management Urban Care Rural Care ConclusionOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 38
  25. 25. From a Device to anInstrument of Empowerment Connected Medical Devices Electronic Health Records Disease Management Patient Diary Wellness Apps Alerts and Reminders Doctors Assistant Payment Channel Social Health Network Appointment Booking … A Mobile phone to a handheld HospitalOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 39
  26. 26. Telecom Service provider Strengths › Existing nationwide area coverage › Trusted Brand people can relate to › Economies of scale › Distribution, Logistics, Billing and Settlement handling ability › High performance › Provisioning, QoS Management and Policy Control › Technology delivery capability › Control over the mobile handheld Impressive technology evolution driving performance and decreasing costsOperator opportunities in Healthcare Vertical | Commercial in confidence | Page 43
  27. 27. Slide titlemum 32 ptkes 2 rowsullet level 1 mum 24 pts level 2-5mum 20 pt =>? STUVWXYZ[]^_`abcdef ¥¦§¨©ª«¬®¯°±²³ÐÑÒÓÔÕÖ×ØÙÚÛÜÝÞ øùúûüýþÿĀāĂăąĆćĊċČ ķĹĺĻļĽľŁłŃńŅņŇňŌŐőŒűŲųŴŵŶŷŸŹźŻżŽžƒȘșˆˇ‰‹›⁄€™−≤≥fiflĖĘĘĚĚĞĞĠĠĢĢĪĪĮĮİĶĶŖŘŘŚŚŞŞŢŢŤŤŪŪŮŮŰ ΞΟΠΡΣΤΥΦΧΨΪΫΆΈΉΊΩΪΫΌΎΏ ЖЗИЙКЛМНОПРСТУФЖЗИЙКЛМНОПРСТУФХЉЊЋЌЎЏѢѢѲѲѴѴҐҐ˜ objects or Neeraj Joshi | Ericsson Internal | EIL-11:004346 Uen, Rev PA3 | 2011-08-12 | Page 69 ooter area
  28. 28. Slide title A mobile brain scannermum 32 ptkes 2 rows Just the beginningullet level 1 mum 24 pts level 2-5mum 20 pt =>? STUVWXYZ[]^_`abcdef ¥¦§¨©ª«¬®¯°±²³ÐÑÒÓÔÕÖ×ØÙÚÛÜÝÞ øùúûüýþÿĀāĂăąĆćĊċČ ķĹĺĻļĽľŁłŃńŅņŇňŌŐőŒűŲųŴŵŶŷŸŹźŻżŽžƒȘșˆˇ‰‹›⁄€™−≤≥fiflĖĘĘĚĚĞĞĠĠĢĢĪĪĮĮİĶĶŖŘŘŚŚŞŞŢŢŤŤŪŪŮŮŰ ΞΟΠΡΣΤΥΦΧΨΪΫΆΈΉΊΩΪΫΌΎΏ ЖЗИЙКЛМНОПРСТУФЖЗИЙКЛМНОПРСТУФХЉЊЋЌЎЏѢѢѲѲѴѴҐҐ˜ objects or Neeraj Joshi | Ericsson Internal | EIL-11:004346 Uen, Rev PA3 | 2011-08-12 | Page 2 ooter area
  29. 29. Operator opportunities in Healthcare Vertical | Commercial in confidence | Page 47

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