Convergence of voice, video, and data through mobile technologies is enabling new mHealth solutions. These include tele-triage and tele-clinics to improve healthcare access, as well as chronic disease management and disease surveillance using remote patient monitoring. As technology platforms become more interoperable, mHealth has the potential to help address India's growing healthcare needs through lower costs and increased convenience compared to traditional in-person care models.

1. Convergence to mHealth
Pankaj Vaish Convergence
President, HealthFore
Why mHealth?
(Healthcare IT Division of Religare Technologies) Use Cases

2. Convergence – Voice, Video & Data
Convergence Provides
• opportunity to operate more
efficiently
• increased ROI on technology
• rapid market expansion and
new markets
• consumers new ways of
communication and do
business together at lower
costs than before
• convenience of having many
devices all in one, saving on
both size and ownership costs

3. Convergence – Impacting Our Lives
Pictures
Music
Video
Social Networks

4. Convergence - Technology and Platform
Convergence

5. Interoperability in Healthcare
The Paradigm Shift
5

6. Convergence
Why mHealth?
Use Cases

7. The Growing Healthcare Divide
Ageing Population
Resource Patient
and Rising Chronic Integrated Care
Constraints Empowerment
Diseases
Indian Healthcare Capacity Shortfall (in mn)
8
6
3.6 3.7
4
1.9 1.8
2 1.9
0.9 1.5
1.3 0.7
0
Bed Doctors Nurses
Existing Required (2010) Required (2020)
Source: Public Research Source: McKinsey & Company CII Seventh India Health Summit Dec 2010
Need for measures to provide health
Rising demand for medical services and timely
Out of pocket expenditure is more than 80% specialists’ access anytime anywhere and not
medical intervention
only at the point of care
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8. The Mobile Revolution
• Mobile phones is one of the most disruptive change of
the millennium – it has changes how, how much, why
and to whom we communicate Mobile Density in India
• Mobile devices are personal technology that enable
consumers to establish personal preferences for sharing
and communicating
• Connectivity is driving the world
Users Global India
Mobile 5.3 bn 900 mn
Internet 2.1 bn 100 mn
Mobile Internet 0.5 bn
Facebook 0.6 bn 20 mn
• Mobile devices bring the rural geographies into the
mainstream to deliver health and wellness
• While Economic indicators of a country have a directly
co-relation to their healthcare system, it is not the case
with mobile penetration
Tele-Health market in India is expected to grow at a minimum of 15% CAGR for the next decade

9. Convergence
Why mHealth?
Use Cases

10. mHealth Services: Use Cases
Tele-Triage
Tele-Clinics
Tele-Medicine
Chronic Disease Management
Disease Surveillance & Disaster Management
Call a Doctor/ Patient Education Home Health and Tele-Diagnosis and e-
Tele-Counseling
Second Opinion and Health Tips Remote Monitoring Prescription
10

11. Tele-Triage
(Typical OP consultation services to subscribers)
Service Highlights Benefits
Scope of Services: • Improved quality of care, access, reimbursement,
• Emergency referrals for critical, life and cost reduction.
threatening illnesses or non-life • Tele-triage is an access tool for patients that can
increase patient satisfaction, as well as their
threatening cases that require urgent
compliance with telephone advice.
medical care
• Vital tool for Health Authorities to control demand
• Ambulance services in view of the limited healthcare resources and
• Consultation services with physician manage costs as well as care
• Referral services to nearest hospital
• Regular/ routine cases
Caller Intent Call Result
• Consultation with “Advice Nurses”
Call Ambulance 0.2 % Call Ambulance 2%
• Prescription of OTC drugs
ED Visit 47 % ED Visit 10 %
• Pathology/Radiology/Pharmacy referrals Symptom
Urgent GP Visit 6% Urgent GP Visit 17 %
Assessment
Customers for Tele-Triage services: Dr. Appointment 26 % Dr. Appointment 32 %
• Individual Subscribers Non GP 18 % Non GP 2%
Self Care 37 %
• State Health Authorities Self Care 2%
• Corporates/Employers
• NGOs
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12. Chronic Disease Management
Service Highlights
• Population based strategy as well as
approach to personal health
• Personalized suggestions, health tips,
symptoms management through IVR
calls, SMS, mobile internet
• Interaction of multiple parties (e.g.
physicians, nurses, medical device
manufacturers, mHealth players, telecom
service providers) to provide best
possible extended patient care Benefits
• Reduced disease burden: individual/community
Applications: • Improved quality of life: prevention/limitation of
• Mobile Apps and SMS based patient effects of chronic disease
management • Reduced costs
• Remote Monitoring • Improved patient satisfaction, compliance.
• Mobile Clinics

13. In Conclusion …
• Convergence in technology and
interoperability amongst
various healthcare stake
holders is changing the way
care gets delivered
• mHealth/ tele-health is helping
bridge the healthcare divide
that exists in the developing/
underdeveloped countries
• mHealth solutions and success
stories exist but there is a clear
need to find the right business
models to scale up these
solutions

14. Thank You

15. Disease Surveillance & Disaster Management
Service Highlights
• Provide innovative, integral platform of
information and communication to aid in
prevention/mitigation of disasters and
disease outbreaks
• Information and communication technology
based platform to send reports to
appropriate agencies in the event of disease
outbreaks and disaster, both natural and
man-made.
• Use of devices such as:
Benefits
– Mobile Phones
– Fixed phones • Availability of greater and better information in
a short time
– Paging Devices
• Compilation of information and feedback.
– Computers connected to internet
• Significant reduction in response time to major
• System saves the data, produces
disasters/disease outbreaks.
dashboards and summary reports in real-
time to make decisions and send alerts. • Involve citizens and social organizations in
disaster response.
• Ideal platform for PPP

16. Tele-Clinics
(Clinical care at a distance through e-clinics or centers)
Service Highlights
• Care at a distance through Technician managed
Kiosks at strategic locations:
• Hospital Waiting Areas
• Premium Residences
• Airports
• Kiosks are booths that have connectivity and
software/hardware that have Audio-Visual capability
• It is almost like a “self-check-in” counter setup
where a technician can assist patient record their
vitals, talk to a doctor etc.
Benefits • Healthfore – Solution Design and Implementation,
• Improved quality of care, access and cost reduction. Program Management, Business Models
• Healthcare Provider – Medical Experts, Technician,
• Appointment scheduling
Nursing and Paramedics
• Real time patient status: separate U/I* for Doctors as • Telecom Service Provider – Connectivity, Telecom
well as patients. Support and Uptime.
• Increased customer satisfaction. • Application and Devices – Remote Monitoring
• Value added services such as FAQs, Mind maps devices, Integrated Application.
U/I: User Interface
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17. Tele-Medicine
(Tele-Radiology, Tele-Pathology, Tele-dermatology, etc.)
Service Highlights
Telemedicine can be broken into three main categories:
 Remote monitoring: primarily used for managing
chronic diseases or specific conditions, such as heart
disease, diabetes mellitus, or asthma.
 Store-and-forward telemedicine: involves acquiring
medical data (like medical images, biosignals etc.) and
then transmitting this data to a doctor or medical
specialist for assessment offline.
 Common specialties that are conducive to
asynchronous telemedicine: Benefits
• Radiology
• Access to improved, quality health
• Pathology care especially for rural patients.
• Dermatology • Saves time, travel and other expenses
 Interactive Telemedicine services: Real-time for the patients.
interactions between patient and provider (or • Second opinions: accuracy of
between 2 or more providers), to include phone diagnosis, reduction in medical errors
conversations, online communication and home visits.
• Platform for Continuing Medical
 Important application: Tele-ICU Education