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L.E.K. Consulting
2019 APAC Hospital Priority Study Overview
March 2020
These materials are intended to supplement a discussion with L.E.K. Consulting. These perspectives will, therefore, only be meaningful to those in attendance. The contents of the materials are
confidential and subject to obligations of non-disclosure.
2 CONFIDENTIAL
Disclaimer
 This presentation and any accompanying commentary (together the "L.E.K. Presentation") has been prepared by L.E.K. Consulting Limited (“L.E.K.
Consulting”) for APACMed and the companies that are connected to APACMed (the “Recipient”) for the sole purpose of discussion of 2019 APAC hospital
priority study result and shall not be used for any other purpose.
 The Recipient agrees to be bound by the terms and conditions set out below.
 In receiving and accessing the L.E.K. Presentation, the Recipient acknowledges that:
- the information contained in the L.E.K. Presentation has been compiled from information and material supplied by third party sources and publicly
available information which may (in part) be inaccurate or incomplete;
- the information is provided “as is” and L.E.K. Consulting makes no representation, warranty or guarantee, whether express or implied, as to the
quality, accuracy, reliability, currency or completeness of the information provided in the L.E.K. Presentation or that reasonable care has been taken
in compiling or preparing it; and
- the analysis contained in the L.E.K. Presentation is subject to various assumptions, further qualifications and limitations, and is subject to significant
uncertainties and contingencies, some of which, if not all, are outside the control of L.E.K. Consulting.
 L.E.K. Consulting is not responsible or liable in any way for any loss or damage incurred by any person or entity relying on the information herein, and the
Recipient unconditionally and irrevocably releases L.E.K. Consulting and its affiliates and their representatives from liability for loss or damage of any kind
whatsoever arising from, the L.E.K. Presentation including without limitation judgments, opinions, hypotheses, views, forecasts or any other outputs therein
and any interpretation, opinion or conclusion that the Recipient may form as a result of examining the L.E.K. Presentation. The L.E.K. Presentation may not
be relied upon by the Recipient, and any use of, or reliance on that material is entirely at their own risk. L.E.K. Consulting shall have no liability for any loss
or damage arising out of any such use.
 The L.E.K. Presentation is strictly confidential and for the sole benefit of the Recipient. No person other than the Recipient (who has agreed to be bound by
the terms herein) may access the L.E.K. Presentation or any part thereof. The Recipient undertakes to keep the L.E.K. Presentation confidential and shall
not publish, upload to a publicly accessible platform or otherwise disclose the L.E.K. Presentation or any part thereof to any other person without the prior
written permission of a Director of L.E.K. Consulting.
3 CONFIDENTIAL
Introduction and context for the 2019 APAC Hospital Priority Study
 A tool for understanding hospital
strategies and priorities in the fast
changing APAC healthcare market
 A compendium of macroeconomic trends
providing context for MedTechs’ business
development
 A trigger for strategic thinking and action
for MedTechs across key markets in
APAC
 An online-based survey of ~400 APAC
hospital decision-makers across 8 markets
 Interviewees included senior executives
(e.g. VPs, CEOs, COOs, CMOs, CFOs and
Procurement Directors)
 The questions focused on which areas are
viewed as strategic and investment
priorities, in the context of evolving
healthcare landscape over the medium term
 This presentation includes extracts from the
research and provides perspectives on
implications for MedTech suppliers to these
customers
Facts and information … … leading to actionable insights
4 CONFIDENTIAL
L.E.K., in collaboration with APACMed, conducted a survey with ~400 hospital
executives across both public and private hospitals in key APAC markets
49%
22%
16%
7%
51%
24%
14%
9%
29%
11%
19%
24%
16%
8%
30%
8%
13%
16%
30%
3%
Type of
hospital
Country Respondent
mix
Hospital size
China
India
Indonesia
Thailand
Japan
Australia
S. Korea
Singapore
Private
hospitals
Public
hospitals
101-250 beds
251-500 beds
501-999 beds
1000+ beds
C-suite
Head of
Procurement
Head of
Operations
Head of
Nursing
Head of
Medical
Other
department
heads
Developing
Countries
Developed
countries
L.E.K. 2019 Asia Pacific hospital survey respondent mix
Percent of respondents (N = 368)
Source: L.E.K. 2019 APAC Hospital Priority Survey
5 CONFIDENTIAL
Overall, the outlook for medical devices is positive across APAC as hospitals
are expecting to increase spending on devices / equipment, except Japan
Change in hospital expenditure on medical devices / equipment*
(2019)
Percent of respondents expecting at least moderate increase in capex spending^
Note: *Question: How have your hospital’s capital expenditure on medical devices / equipment changed over the last 3 years (CAGR)? ^Responses with “I do not know /
prefer not to disclose” have been excluded.
Expenditure levels provided in the questionnaire: Significant decrease (>5%), Moderate decrease (2.5 to 4.9%), Slight decrease (0 to 2.5%), No change, Slight
increase (0 to 2.5%), Moderate increase (2.5 to 4.9%), Significant increase (>5%)
Source: L.E.K. 2019 APAC Hospital Priority Survey
0
20
40
60
80
100
63%
ID
21%
59%
JP
AU
28% 25%
SG
10%
TH
100%
CN
57%
52%
25%
78%
IN
36%
80%
KR
48%
68%
73%
Last 3 years
Next 3 years
Respondents expect to increasing spending on medical devices and equipment to support the
growing demand for healthcare services
Expected
decrease
(N=70)
(N=30) (N=110) (N=30)
(N=61)
(N=32)
(N=10) (N=25)
Expected
trend in the
next 3 years
6 CONFIDENTIAL
The following three themes have emerged based on hospital strategic priorities
– see example findings in the next few pages
Cost management and
optimizing hospital
operations
Greater collaboration
opportunities with
MedTech
Improving access to
healthcare
Hospitals across APAC are
focused on either reducing costs
or streamlining the operations
Hospitals are looking to
MedTech companies to provide
services and solutions beyond
the mere provision of products
Alternative sites of care are also
created to re-channel patients
and increase access to
healthcare
1 2 3
7 CONFIDENTIAL
Procurement and hospital management are gaining influence across all markets
except in Japan
Level of influence on purchasing decisions*
(2019)
Weighted average score
Note: *Question: To what degree is the influence of hospital administrators, clinical department heads, and clinical staff (non-department heads) changing with
regards to purchasing decisions for medical products and services in your hospital? (1= Losing influence, 4 = No change, and 7= Gaining influence)
**Responses with "I do not know" have been excluded. Other developed markets include S. Korea, Australia and Singapore and other developing markets
include India, Indonesia and Thailand
Source: L.E.K. 2019 APAC Hospital Priority Survey
 Hospital management are gaining
influence in the developing markets,
while procurement department are
gaining influence in the developed
markets
 MedTech companies need to identify
key stakeholders for the purchasing
process and engage them as part of
the promotional strategy
Weighted average scores
Clinical
department head
Hospital
management
Procurement
department
5.0 5.5
4.5
4.0
Other developed markets (N=67)
Other developing market (N=121)
Japan (N=70)
China (N=110)
1
8 CONFIDENTIAL
Hospitals in the developed APAC countries are looking for solutions to improve
operational efficiency, while developing countries are prioritizing new innovation
Ranking of top criteria for procuring from a medical equipment supplier*
(2019)
Criteria for procurement from supplier
Improve clinical decisions and patient outcome by increasing accuracy
of diagnoses
6
Provide latest innovations to improve delivery of care
7
4
Help optimise revenue cycle management
9
5
1 Help improve diagnoses cost, accuracy and turnaround time
2
Provide tools and solutions to optimize resources and increase
efficiency of processes
10
3
Provide the best medical equipment and products
8
Developed
(N=137)
7
6
4
9
5
1
2
10
3
8
Developing
(N=231)
2
3
1
10
8
4
6
9
7
5
Note: *Question: Please rank the top 3 most important criteria for procuring from a medical equipment supplier.
Source: L.E.K. 2019 APAC Hospital Priority Survey
Help improve efficiency of medical staff
Help meet required standards, regulations and guidelines
Provide tools and solutions that will reduce total cost of operations
Help improve quality of care and patient satisfaction
2
9 CONFIDENTIAL
Hospitals are looking to set up alternative sites of care such as specialist
outpatient centers and ambulatory surgery centers to provide better access
0
10
20
30
40
Satellite
emergency
centre /
department
Freestanding
outpatient
primary care
clinic
Rural
health clinic
Freestanding
specialist
outpatient
center
Ambulatory
surgery
centre
Diagnostic
imaging
centre
Skilled
nursing
facility
(SNF)
Alternative sites of care hospitals are pursuing in the next 3 years*
(2019)
Percent of respondents who ranked the respective site as top 3
Developed markets (N=137)
Developing markets (N=231)
Overall
 Providing greater access to
healthcare services
- Hospitals are setting up
alternative sites to ease hospital
over-crowding
- Diagnostic imaging centres and
specialist outpatient centres are
expected to be the most
common in China and Japan
respectively
 Demand for medical devices and
equipment will no longer be restricted
to traditional hospital settings
Note: *Question: Please select top 3 alternative sites of care that your hospital is looking to pursue over the next 3 years; others include onsite / worksite clinics, assisted living facility,
rehab facility, home health services; Developed markets include Japan, S. Korea, Australia and Singapore and Developing markets include China, India, Indonesia and Thailand
Source: Global Times, Ministry of Public Health Thailand, L.E.K. 2019 APAC Hospital Priority Survey
3
10 CONFIDENTIAL
Who are the MedTech companies perceived to deliver the best solutions for
hospitals in APAC?
Top 8 MedTech companies in APAC
perceived to deliver hospital solutions
(2019)
Average share of respondents
who ranked the respective MNC as top 3
Note: Other developed countries include South Korea, Australia and Singapore and other developing countries include Indonesia, Thailand and India; *Question:
Among the following multinational MedTech vendors, please indicate which company in your view delivers the best solutions that most effectively address your
organization's needs
Source: L.E.K. 2019 APAC Hospital Priority Survey
Japan
Other
developed
32%
29%
26%
25%
24%
23%
23%
17%
Company 7
Company 4
Company 3
Company 1
Company 6
Company 2
Company 5
Company 8
China
Other
developing
2
1
3
4
5
1
2
3
4
5
1
5
2
3
4
2
1
5
3
4
Country ranking
11 CONFIDENTIAL
Contact details
Singapore
São Paulo
Sydney
Melbourne
San Francisco
Los Angeles
Boston
New York
Chicago
Tokyo
Seoul
Shanghai
Beijing
Mumbai
London
Paris
Wroclaw
Munich
Houston
Fabio La Mola
+65 9616 4788
f.lamola@lek.com
Stephen Sunderland
+86 21 6122 3990
s.sunderland@lek.com
Patrick Branch
+81 3 4550 2677
p.branch@lek.com

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2019-APAC-Hospital-Priority-Study-Overview-abridged.pdf

  • 1. L.E.K. Consulting 2019 APAC Hospital Priority Study Overview March 2020 These materials are intended to supplement a discussion with L.E.K. Consulting. These perspectives will, therefore, only be meaningful to those in attendance. The contents of the materials are confidential and subject to obligations of non-disclosure.
  • 2. 2 CONFIDENTIAL Disclaimer  This presentation and any accompanying commentary (together the "L.E.K. Presentation") has been prepared by L.E.K. Consulting Limited (“L.E.K. Consulting”) for APACMed and the companies that are connected to APACMed (the “Recipient”) for the sole purpose of discussion of 2019 APAC hospital priority study result and shall not be used for any other purpose.  The Recipient agrees to be bound by the terms and conditions set out below.  In receiving and accessing the L.E.K. Presentation, the Recipient acknowledges that: - the information contained in the L.E.K. Presentation has been compiled from information and material supplied by third party sources and publicly available information which may (in part) be inaccurate or incomplete; - the information is provided “as is” and L.E.K. Consulting makes no representation, warranty or guarantee, whether express or implied, as to the quality, accuracy, reliability, currency or completeness of the information provided in the L.E.K. Presentation or that reasonable care has been taken in compiling or preparing it; and - the analysis contained in the L.E.K. Presentation is subject to various assumptions, further qualifications and limitations, and is subject to significant uncertainties and contingencies, some of which, if not all, are outside the control of L.E.K. Consulting.  L.E.K. Consulting is not responsible or liable in any way for any loss or damage incurred by any person or entity relying on the information herein, and the Recipient unconditionally and irrevocably releases L.E.K. Consulting and its affiliates and their representatives from liability for loss or damage of any kind whatsoever arising from, the L.E.K. Presentation including without limitation judgments, opinions, hypotheses, views, forecasts or any other outputs therein and any interpretation, opinion or conclusion that the Recipient may form as a result of examining the L.E.K. Presentation. The L.E.K. Presentation may not be relied upon by the Recipient, and any use of, or reliance on that material is entirely at their own risk. L.E.K. Consulting shall have no liability for any loss or damage arising out of any such use.  The L.E.K. Presentation is strictly confidential and for the sole benefit of the Recipient. No person other than the Recipient (who has agreed to be bound by the terms herein) may access the L.E.K. Presentation or any part thereof. The Recipient undertakes to keep the L.E.K. Presentation confidential and shall not publish, upload to a publicly accessible platform or otherwise disclose the L.E.K. Presentation or any part thereof to any other person without the prior written permission of a Director of L.E.K. Consulting.
  • 3. 3 CONFIDENTIAL Introduction and context for the 2019 APAC Hospital Priority Study  A tool for understanding hospital strategies and priorities in the fast changing APAC healthcare market  A compendium of macroeconomic trends providing context for MedTechs’ business development  A trigger for strategic thinking and action for MedTechs across key markets in APAC  An online-based survey of ~400 APAC hospital decision-makers across 8 markets  Interviewees included senior executives (e.g. VPs, CEOs, COOs, CMOs, CFOs and Procurement Directors)  The questions focused on which areas are viewed as strategic and investment priorities, in the context of evolving healthcare landscape over the medium term  This presentation includes extracts from the research and provides perspectives on implications for MedTech suppliers to these customers Facts and information … … leading to actionable insights
  • 4. 4 CONFIDENTIAL L.E.K., in collaboration with APACMed, conducted a survey with ~400 hospital executives across both public and private hospitals in key APAC markets 49% 22% 16% 7% 51% 24% 14% 9% 29% 11% 19% 24% 16% 8% 30% 8% 13% 16% 30% 3% Type of hospital Country Respondent mix Hospital size China India Indonesia Thailand Japan Australia S. Korea Singapore Private hospitals Public hospitals 101-250 beds 251-500 beds 501-999 beds 1000+ beds C-suite Head of Procurement Head of Operations Head of Nursing Head of Medical Other department heads Developing Countries Developed countries L.E.K. 2019 Asia Pacific hospital survey respondent mix Percent of respondents (N = 368) Source: L.E.K. 2019 APAC Hospital Priority Survey
  • 5. 5 CONFIDENTIAL Overall, the outlook for medical devices is positive across APAC as hospitals are expecting to increase spending on devices / equipment, except Japan Change in hospital expenditure on medical devices / equipment* (2019) Percent of respondents expecting at least moderate increase in capex spending^ Note: *Question: How have your hospital’s capital expenditure on medical devices / equipment changed over the last 3 years (CAGR)? ^Responses with “I do not know / prefer not to disclose” have been excluded. Expenditure levels provided in the questionnaire: Significant decrease (>5%), Moderate decrease (2.5 to 4.9%), Slight decrease (0 to 2.5%), No change, Slight increase (0 to 2.5%), Moderate increase (2.5 to 4.9%), Significant increase (>5%) Source: L.E.K. 2019 APAC Hospital Priority Survey 0 20 40 60 80 100 63% ID 21% 59% JP AU 28% 25% SG 10% TH 100% CN 57% 52% 25% 78% IN 36% 80% KR 48% 68% 73% Last 3 years Next 3 years Respondents expect to increasing spending on medical devices and equipment to support the growing demand for healthcare services Expected decrease (N=70) (N=30) (N=110) (N=30) (N=61) (N=32) (N=10) (N=25) Expected trend in the next 3 years
  • 6. 6 CONFIDENTIAL The following three themes have emerged based on hospital strategic priorities – see example findings in the next few pages Cost management and optimizing hospital operations Greater collaboration opportunities with MedTech Improving access to healthcare Hospitals across APAC are focused on either reducing costs or streamlining the operations Hospitals are looking to MedTech companies to provide services and solutions beyond the mere provision of products Alternative sites of care are also created to re-channel patients and increase access to healthcare 1 2 3
  • 7. 7 CONFIDENTIAL Procurement and hospital management are gaining influence across all markets except in Japan Level of influence on purchasing decisions* (2019) Weighted average score Note: *Question: To what degree is the influence of hospital administrators, clinical department heads, and clinical staff (non-department heads) changing with regards to purchasing decisions for medical products and services in your hospital? (1= Losing influence, 4 = No change, and 7= Gaining influence) **Responses with "I do not know" have been excluded. Other developed markets include S. Korea, Australia and Singapore and other developing markets include India, Indonesia and Thailand Source: L.E.K. 2019 APAC Hospital Priority Survey  Hospital management are gaining influence in the developing markets, while procurement department are gaining influence in the developed markets  MedTech companies need to identify key stakeholders for the purchasing process and engage them as part of the promotional strategy Weighted average scores Clinical department head Hospital management Procurement department 5.0 5.5 4.5 4.0 Other developed markets (N=67) Other developing market (N=121) Japan (N=70) China (N=110) 1
  • 8. 8 CONFIDENTIAL Hospitals in the developed APAC countries are looking for solutions to improve operational efficiency, while developing countries are prioritizing new innovation Ranking of top criteria for procuring from a medical equipment supplier* (2019) Criteria for procurement from supplier Improve clinical decisions and patient outcome by increasing accuracy of diagnoses 6 Provide latest innovations to improve delivery of care 7 4 Help optimise revenue cycle management 9 5 1 Help improve diagnoses cost, accuracy and turnaround time 2 Provide tools and solutions to optimize resources and increase efficiency of processes 10 3 Provide the best medical equipment and products 8 Developed (N=137) 7 6 4 9 5 1 2 10 3 8 Developing (N=231) 2 3 1 10 8 4 6 9 7 5 Note: *Question: Please rank the top 3 most important criteria for procuring from a medical equipment supplier. Source: L.E.K. 2019 APAC Hospital Priority Survey Help improve efficiency of medical staff Help meet required standards, regulations and guidelines Provide tools and solutions that will reduce total cost of operations Help improve quality of care and patient satisfaction 2
  • 9. 9 CONFIDENTIAL Hospitals are looking to set up alternative sites of care such as specialist outpatient centers and ambulatory surgery centers to provide better access 0 10 20 30 40 Satellite emergency centre / department Freestanding outpatient primary care clinic Rural health clinic Freestanding specialist outpatient center Ambulatory surgery centre Diagnostic imaging centre Skilled nursing facility (SNF) Alternative sites of care hospitals are pursuing in the next 3 years* (2019) Percent of respondents who ranked the respective site as top 3 Developed markets (N=137) Developing markets (N=231) Overall  Providing greater access to healthcare services - Hospitals are setting up alternative sites to ease hospital over-crowding - Diagnostic imaging centres and specialist outpatient centres are expected to be the most common in China and Japan respectively  Demand for medical devices and equipment will no longer be restricted to traditional hospital settings Note: *Question: Please select top 3 alternative sites of care that your hospital is looking to pursue over the next 3 years; others include onsite / worksite clinics, assisted living facility, rehab facility, home health services; Developed markets include Japan, S. Korea, Australia and Singapore and Developing markets include China, India, Indonesia and Thailand Source: Global Times, Ministry of Public Health Thailand, L.E.K. 2019 APAC Hospital Priority Survey 3
  • 10. 10 CONFIDENTIAL Who are the MedTech companies perceived to deliver the best solutions for hospitals in APAC? Top 8 MedTech companies in APAC perceived to deliver hospital solutions (2019) Average share of respondents who ranked the respective MNC as top 3 Note: Other developed countries include South Korea, Australia and Singapore and other developing countries include Indonesia, Thailand and India; *Question: Among the following multinational MedTech vendors, please indicate which company in your view delivers the best solutions that most effectively address your organization's needs Source: L.E.K. 2019 APAC Hospital Priority Survey Japan Other developed 32% 29% 26% 25% 24% 23% 23% 17% Company 7 Company 4 Company 3 Company 1 Company 6 Company 2 Company 5 Company 8 China Other developing 2 1 3 4 5 1 2 3 4 5 1 5 2 3 4 2 1 5 3 4 Country ranking
  • 11. 11 CONFIDENTIAL Contact details Singapore São Paulo Sydney Melbourne San Francisco Los Angeles Boston New York Chicago Tokyo Seoul Shanghai Beijing Mumbai London Paris Wroclaw Munich Houston Fabio La Mola +65 9616 4788 f.lamola@lek.com Stephen Sunderland +86 21 6122 3990 s.sunderland@lek.com Patrick Branch +81 3 4550 2677 p.branch@lek.com