GIL 2014 Latin America - Healthcare Track


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GIL 2014 Latin America - Healthcare Track

  1. 1. HEALTHCARE Industry Track GIL 2014: Latin America The Global Community of Growth, Innovation and Leadership 30 January 2014 São Paulo, Brazil NAFD-MT 1
  2. 2. HEALTHCARE INDUSTRY TRACK AGENDA 1. Future of Healthcare: How IT Savvy Power Patients Will Drive a Healthcare Revolution 2. Case: Telefonica / Vivo 3. Panel Discussion : Convergence of Information Technology (IT) in healthcare - impacts and opportunities NAFD-MT 2
  3. 3. Future of Healthcare: How IT Savvy Power Patients Will Drive a Healthcare Revolution Dorman Followwill Partner Frost & Sullivan
  4. 4. Forces Shaping the Future of Health, Wellness and Wellbeing Molecular & Personalised Medicine Technology Proficient Use of Information (eHealth) People Access Cost & Quality Of Care Processes 4
  5. 5. Access to Care Europe (EU-25)  472M population  2.8M hospital beds  4.6 beds/1000 people  3.9 Doctors/1000 people  14,819 hospitals USA  300M Population  1M hospital beds  3.2 beds/1000 people  2.6 Doctors/1000 people  5,794 hospitals China  1.3B population  3M hospital beds  2.2 beds/1000 people  1.4 Doctors/1000 people  60,396 hospitals Japan  127M population  1.8M hospital beds  9.9 beds/1000 people  2.7 Doctors/1000 people  7,785 hospitals India  1.1B population  0.8M hospital beds  0.7 beds/1000 people  0.6 Doctors/1000 people  13,896 hospitals 5
  6. 6. HC Market Overview - Latam Healthcare Market: Infrastructure, Workforce and Investment (World), 2009 Communications Market: Penetration Rates and Number of Lines (World), 2010 LATIN AMERICA 578 193 HOSPITAL BEDS/10.000 INHABITANT (2009) 23 24 PHYSICIANS/ 10.000 INHABITANT (2009) 21 17 NURSES / 10.000 INHABITANT (2009) 17 29 9 8 MOBILE TELEPHONY LINES (MILLION) 446 206 MOBILE TELEPHONY LINES PENETRATION (%) 103 108 39 21 9 10 POPULATION (MILLION) HEALTHCARE EXPENDITURE AS % OF GDP (2009) MOBILE BROADBAND LINES (MILLION) MOBILE BROADBAND PENETRATION (%) Note: All numbers for Latin America in this study include only the top six economies in the region: Argentina, Brazil, Chile, Colombia, Mexico, and Puerto Rico. Source: Frost & Sullivan, CIA, World Bank, Broadband Trends
  7. 7. Latin America Healthcare Industry Revenue by Segment Healthcare Industry: Percent Revenue Breakdown by Segment, Latin America, 2011 Healthcare IT 1.2% Medical Imaging 1.6% Healthcare Industry: Percent Revenue Breakdown by Segment, Latin America, 2015 Healthcare IT 1.2% Medical Imaging 1.5% Clinical Diagnostics 1.8% Clinical Diagnostics 1.6% Medical Devices 20.3% Medical Devices 18.3% Pharma and Biotech 77.1% Healthcare Industry Total Revenues, Latin America, 2011 = 76.67 Billion Pharma and Biotech 75.4% Healthcare Industry Total Revenues, Latin America, 2015 = 121.31 Billion In the Latin American Healthcare Industry, Pharma and Biotec appeared as the major participants, accounting for 77.1 percent of 2011 revenues, followed by Medical Devices, representing 18.3 percent of revenues. The other three segments together accounted for 4.6 percent. Considering countries’ participation, the three main nations in the Latin American healthcare industry are Brazil, Mexico, and Argentina. In 2011, these countries’ shares were 42.4, 23.7, and 12.3 percent of the market, respectively. Note: All figures are rounded. The base year is 2011. Source: Frost & Sullivan analysis. 9855-72 7
  8. 8. Latin America Market Highlights Strategic partnerships and Merger and Acquisitions (M&A) initiatives are recurrent in all healthcare market segments as a way to foster companies’ presence and complement services and product portfolios in the region. Asian companies are increasing penetration in Latin America. These companies are establishing aggressive strategies to penetrate the market, but there is no expectation of short-term investment in regional production. Brazil has become a hub for the regional industry, representing 42.4 percent of 2011 revenues in LATAM. The main reasons for this are the Brazilian market potential, the positive economic results, and government incentives with long-term financing options and low interest rates. The rising middle class in the country will strongly contribute for a new demand for elective procedures and executive and personalized levels of care, requesting premium coverage plans for elective procedures in top-tier facilities. Increased urbanization has gone hand in hand with the growth in chronic diseases and aging population; this new scenario will demand higher healthcare investments in facilities and medicines and will contribute to making remote monitoring an emerging trend. Source: Finame and Frost & Sullivan analysis. 9855-72 8
  9. 9. Cost of Care Private Per Capita Spending (2009) Private Per Capita Spending (2009) Spending as % of GDP (2009) Public Per Capita Spending (2009) Per Capita Spending (2009) Defence Spending as % of GDP (2009) Spending as % of GDP (2050) as % of GDP (2050) $7,000 30% 30% $6,000 25% 25% $5,000 $3,617 Compare with Defence spending… $817 $4,000 $1,784 $954 $3,000 $1,014 $780 $1,079 15% 15% $594 $860 $549 $1,118 $452 $1,265 $693 $2,000 $750 $746 10% 10% $617 $2,618 $0 $531 $4,005 $3,307 $1,000 20% 20% $2,875 $2,541 $2,968 $2,844 $2,726 $2,758 $2,266 $2,716 $2,027 $2,446 $2,056 $2,097 $1,937 $1,917 5% 5% $1,552 $149 $468 $252 $491 9 0% 0%
  10. 10. Quality of Care Canada  Aging hospitals need retrofit services to lower infectious disease risk  Access problems due to cost – 25%  Coordination problems – 25%  Medication errors – 29% United Kingdom  8% of UK patients believe that they were given the wrong medication in the last 2 years.  Access problems due to cost – 13%  Coordination problems – 20%  Medication errors – 20% India Netherlands U.S.  Pneumonia and blood-borne infections killed 48,000 patients and cost $8.1 billion in 2006  Access problems due to cost – 54%  Coordination problems – 34%  Medication errors – 34%  66% of the 4.2B annual injections are nonsterile or unsafe  WHO estimates that at any one point in time, 1.4M patients suffer from hospitalborne infections  Don’t visit public hospitals – literally could kill you if you are from the West  Access problems due to cost – 7%  Coordination problems – 14%  Medication errors – 17% Australia  Access problems due to cost – 36%  Coordination problems – 23%  Medication errors – 29% New Zealand  Access problems due to cost – 31%  Coordination problems – 21%  Medication errors – 25% 10
  11. 11. Balance Between Young and Old is Shifting 11
  12. 12. Emphasis of Care Shifting from Treatment to Early Detection More Emphasis on Diagnosis, Monitoring, and Prevention Healthcare Spending by Type of Activity 100% 90% 10 12 16 70 66 51 80% 70% 60% 50% 40% 30% 21 20% 10% 0% 15 5 17 7 12 2007 2012 2025 Prevention Diagnosis Treatment Monitoring Source: Frost & Sullivan analysis 12
  13. 13. Future of Health, Wellness and Wellbeing Today’s world Wellness Coaching Healthcare Communication/ Information Services Preventive Services Education Physical Exams Disease Clinical Diagnostics Management & Therapeutics Healthcare today Healthy Future system Vulnerable Affected Future healthcare Wellness Consumer Products Sick Healthcare Medical Health Spas Complementary and Alternative Medicines Integrated Health Solutions Source: Frost & Sullivan 13
  14. 14. Future of Health, Wellness and Wellbeing A modern healthcare system is on the horizon, demanding a paradigm shift ...To From... One Size Fits All Approach Personalized Medicine Fragmented, One-way Patient Info Flow Integrated, Two-way Provider Centric Focus Patient Centric Centralized – Hospital Monitor De-Centralized – Shift to Community Invasive Treatment Less Invasive, Image-based Procedure-based Reimbursement Episode-based, Outcome-based Treating Sickness Objective Preventing Sickness – “Wellness” 14
  15. 15. Future of Health, Wellness and Wellbeing: Patient Centric Connected Health EcoMedicine Doctors & Medical Team NanoMedicine Web of Care Pre-emptive Medicine Coaches & Advocates Regenerative Medicine Friends & Family eHealth Advisor Network NanoCare Online Support Communities Digital Medicine Mobile EHR Implantable eCare My Health & Wellbeing Databases Self Care Diet & Nutrition Humour & Joy Lifestyle & Stress Reduction Smart eHomes Mind Body & Spirit Exercise & Fitness Wearable BioSensors Health Robots Source: Douglas GoldsteinDecision Support and Peter Groen, Medical Informatics20/20, published by Jones and Bartlett
  16. 16. Future of Health, Wellness and Wellbeing: Power Patients Deploying Smart Consumer Devices Wearable Devices Media/Entertainment Wellness Devices Smart Living Connected Accessories - PC Watches Holographic TVs Sports Accessories – Digital Helmets Smart Thermostats (Nest) Bluetooth Shirts 3D Immersive Theatre Mobile Health - Hand Bands Smart Washing Machines Augmented Reality Contact Lens Flexible Media Devices Wireless embedded medical sensors Android Powered Ovens 16
  17. 17. Future of Health, of Mobility Is thePatient Centric Connected HealthJames Future Wellness and Wellbeing: Bond................. Connected Health Remote Patient Monitoring Hospital-based Systems Consumer Health Telehealth 17
  18. 18. Future of Health, Wellness and Wellbeing: Patient Centric Connected Health – Telehealth Matrix Con Telehealth Industry: Telehealth Markets (North America), 2012 Professional EHR Core Telehealth Traditional Healthcare and Telemedicine HIE Distance Learning/Simulation TeleImaging Cloud Infrastructure Remote Specialist Services Remote Cardiac Services Video Consultation Professional Apps Home and DM Monitoring Customer Focus PERS Patient Portals Texting Services Medication Management Wellness Apps Consumer/Non-healthcare Approaching Telehealth Consumer Retail Telehealth Activity Monitoring Wellness Programs Fitness Apps Information Communication Technologies Diabetes Management Industry Focus Healthcare Top five markets are in brown text boxes. Source: Frost & Sullivan analysis. 18
  19. 19. Telehealth Matrix - M-Health Applications (Latam) Latin American M-Health Services Market: Telehealth Matrix , 2011 HIE Core M-Health Professional EMR/EHR Continuing Medical Education Traditional Healthcare and Telemedicine Tele-pharmacy Simulation/ Training Remote-Video Consultation Tele-Imaging Sleep Apnea Mobile Telemedicine Drug Reference ECG Monitoring Diabetes Monitoring Customer Focus Health Education Social-Network Health Apps Mobile Info Gathering and Transmission Patient Portals Health Games Fitness Apps Consumer/Nonhealthcare Approaching Telehealth Consumer Activity Monitoring PHR Personal Emergency Response Wellness Systems Health Coaching Wellness Apps Information Communication Technologies Medication Dispensing Healthcare Industry Focus Source: Frost & Sullivan analysis.
  20. 20. Industry Challenges M-Health Market: Industry Challenges Ranked in Order of Impact (Latin America), 2011-2017 Industry Challenges Challenge Impact Highly dependent on Wi-Fi networks Creating strong partnerships to support M-Health evolution Developing unified system to interconnect the entire Healthcare sector Creating Latin American reality solutions Ensuring data security and ethical behaviour Developing user-friendly solutions and technology awareness Key: Strong Weak Source: Frost & Sullivan 9838 20
  21. 21. of Health, Wellness Is Future Key Pharmaof Mobili James the Future Trends and Wellbeing: to 2015 Bond................ Total Global Pharmaceutical Market Value Worldwide Cost Constraints Patent Cliff Patent cliff reached in late 2011 when Lipitor came off patent – more pain to come $ 1,092 Billion By 2015 Number one trend noted by industry KOLs Reorgs and Consolidation Many Big Pharmas are reorganising and looking for growth through M&A Job 1: Innovation! Pharma looking to innovate across the value chain Building Partnership Ecosystems R&D partnerships with Academia, Biotech and CROs
  22. 22. Future of Health, of Is theKey OTC PharmaMobility James Future Wellness and Wellbeing: Trends to 2015 Bond................ Total OTC Pharmaceutical Market Value OTC Sales Continue to Rise Switch from Prescription to OTC Under consideration in U.S for common drugs $ 70 Billion By 2015 Despite global financial crisis Companies Assessing Ways to Exploit Potential Self medication evolving with increasing complexity Big Pharma Reentering OTC? Emerging Market Growth New investments, future intent and high profile consumer health leaders South East Asia, Latin America (LA) and Central & Eastern Europe (CEE)
  23. 23. Future of Health, Wellness and Wellbeing: Food and Beverage Angles and Opportunities Key Takeaway: The cumulative value of all revenue derived from the global food and beverage value chain was more than $20.00 trillion in 2011, representing nearly 30.0 percent of the global economy. Food and Beverage Market: Generalized Value Chain, Global, 2011 Sustainability Seeds and Traits 43 Agricultural Production (Includes Animal Feeds) 3,917 Processing Equipment 223 Food Packaging 261 Food Additives Agricultural and Supplements Logistics 300 646 Food Processing 4,841 Food and Beverage Logistics 168 Health and Wellness Note: All values expressed in the above chart are US $ Billion. Retail Grocery (Food at Home) 7,664 Consumer Software for Agriculture 2 Software for Processing 8 Software for Logistics 3 Software for Retail 18 Globalization and Changing Economy Food Safety and Security Retail Food Service (Food Away from Home) 3,544 Source: Frost & Sullivan analysis. 23
  24. 24. Future of Health, Wellness and Wellbeing: Food and Beverage Angles and Opportunities Food and Beverage Market: Relative Impact of the Top Trends , Global, 2012 1 2 3 4 5 6 7 Green, Safe, and Healthy Globalization and Changing Economics Low High Health and Wellness Low High Food Safety and Security Low High Sustainability Low High Green, Safe, and Healthy—A congruence of trends that expands the potential product/market opportunity space. • With respect to the F&B industry, the key global trends expected to have a direct effect on industry growth and performance can be grouped into four main categories: globalization and changing economies, the growing need for health and wellness solutions, a growing sensitivity to food safety, and sustainability issues. • By 2020, Frost & Sullivan expects that companies with a truly global market and product strategy, that fully exploit the growing demand for health and wellness solutions, and that adopt an all-encompassing sustainability strategy will lead the F&B industry. Source: Frost & Sullivan analysis. 24
  25. 25. Contact Information Dorman Followwill Partner, Director Europe & Practice Director, Healthcare (+44) 1865 398620 25
  26. 26. HEALTHCARE INDUSTRY TRACK AGENDA 1. Future of Healthcare: How IT Savvy Power Patients Will Drive a Healthcare Revolution 2. Case: Telefonica / Vivo 3. Panel Discussion : Convergence of Information Technology (IT) in healthcare - impacts and opportunities NAFD-MT 26
  27. 27. O mundo mudou_
  28. 28. _O mundo sempre continuará mudando
  29. 29. _Mas as pessoas continuam as mesmas! as mesmas vivendo em um mundo digital_
  30. 30. Nesse mundo o acesso é digital_ Milhões 265,7 150,6 94,2 62,3 2008 2012 Celulares Usuários de Internet Fonte: IBGE, Teleco, Anatel e empresa
  31. 31. Telefônica VIVO A maior operadora do Brasil tem uma infraestrutura completa por acreditar que conectados vivemos melhor Telefônica Digital A Telefônica Digital tem a missão de ajudar a VIVO a conectar as pessoas com soluções e serviços
  34. 34. Para Empresas_ Advertising Big Data e-Health Segurança M2M
  35. 35. _Manter a saúde é caro para pessoas, empresas e governos e-Health_ O nosso objetivo é facilitar o acesso e diminuir custos _
  36. 36. _e para oferecer a melhor experiencia umamundo digital_ _criamos do unidade de negócios – e-Health TRANSFORMAÇ ÃO • Qualidade • Equidade • Acessibilidade SOLUÇÕES • Individualizadas • Diferenciadas • Integradas VALORES • Incremento da eficiência operacional • Redução de custos • Proteção do Investimento
  37. 37. _ um parceiro TIC para as empresas de saúde no Brasil Integrações de voz, video, texto, e mail e aplicações corporativas Redes unificadas de última geração Parceiros Serviços, seguros tecnologicamente avançados Mobilidade dos processos Capacitação para atuação no mercado Mudando as coisas, entre nós e nossos clientes
  38. 38. Produtos_ _Vivo Gestão de Demandas _Vivo Gestão de Imagens Médicas _Vivo Gestão da Saúde da Família _Vivo Gestão de Saúde Populacional
  39. 39. Vivo Gestão de Demandas_ Serviço multicanal para a gestão centralizada e eficiente da demanda assistencial Para uma nova geração de cidadãos mais exigentes que pensam em rede e se
  40. 40. Adoção de tecnologia vem aumentando os custos no processo Seja pela facilidade de alcance, seja pela diminuição dos custos Gestão de Imagens Médicas_
  41. 41. Vivo Gestão Saúde da Família_ Conteúdos educativos para formação profissional Adoção de tecnologias Fichas devem aumentando os custos coletas das informações pelos agentes comunitários na saúde da saúde de área Agendamento Web Seja pela facilidade na Recordatório SMS informatização, seja pela diminuição dos custos Geolocalização Vivo Gestão de Imagens Médicas_
  42. 42. Vivo Gestão de Saúde Populacional_ Info Saúde Conselho Saúde Emergências É a prática de resolver uma dúvida do cidadão e/ou • •avaliar seu estado de saúde derivando para o recurso Cliente assistencial adequado Protocolo s
  43. 43. Nosso serviço baseia-se no entendimento das necessidades dos nossos clientes Além disso, por conhecer os clientes, conseguimos diminuir os riscos e criar sob medida produtos
  44. 44. As pessoas não mudaram, mas o jeito delas interagirem mudou Criamos, desenvolvemos e oferecemos produtos, serviços e aplicativos para a Telefônica Vivo tornar a vida das pessoas mais prática, fácil e divertida
  45. 45. Se até agora conectamos pessoas e empresas por meio de uma infraestrutura A partir de agora, precisamos conectá-los com produtos, serviços e aplicativos digitais
  46. 46. _Para um mundo digital, Telefônica digital Obrigada! Heloísa Costa
  47. 47. HEALTHCARE INDUSTRY TRACK AGENDA 1. Future of Healthcare: How IT Savvy Power Patients Will Drive a Healthcare Revolution 2. Case: Telefonica / Vivo 3. Panel Discussion : Convergence of Information Technology (IT) in healthcare - impacts and opportunities NAFD-MT 48
  48. 48. PANEL - Convergence of Information Technology (IT) in Healthcare impacts and opportunities - SPEAKERS Alain Mourot Sales Director, Latin America Wolters Kluwer Heloisa Costa Health Business Unit Head Telefonica | Vivo Roberto Ribeiro da Cruz CEO Pixeon Medical Systems Renato Arruda Diabetes Marketing Manager Sanofi NAFD-MT 49
  49. 49. Thank you! NAFD-MT 50