Digital Health Market Outlook in Japan

https://www.cloudsecurityalliance.jp/Copyright © 2017 Cloud Security Alliance Japan Chapter
Eiji Sasahara, Ph.D., MBA
Cloud Security Alliance Japan Chapter
Healthcare IT Subcommittee, The American Chamber of Commerce in Japan
Digital Health Market Outlook in Japan
March 22, 2018

https://www.cloudsecurityalliance.jp/Copyright © 2017 Cloud Security Alliance Japan Chapter 2
-Promoting Civic Technology Initiatives for Healthcare, and
Developing Global Health Initiative at Int'l Strategic Specific
Zones for Health in Kansai and Tokyo.
-Focus on raising awareness and promoting initiatives for
utilizing ICT in pharmaceutical and medical industries.
-Have experience in clinical research regarding team-based
care for outpatient chemotherapy utilizing health IT, jointly
with the St. Luke's International Hospital, Tokyo.
-Hold a BA from Keio University, an MBA from Boston
University Graduate School of Management and a Ph.D. in
Medical and Pharmaceutical Sciences from Chiba University
Graduate School of Medical and Pharmaceutical Sciences..

Australia and New Zealand Regional Coordinating Body
(Auckland, Melbourne, Sydney)
Japan
Chapter

20112010 2013 2015
2017

8 Sections, 41 Chapters, Approximately 200 Policy Recommendations
Section 1: Prevention, Early Detection and
Treatment
Section 2: Noncommunicable Diseases
Section 3: Communicable Diseases
Section 4: Mental Health
Section 5: Women’s Health
Section 6: Health IT – Home Care
Section 7: Importance of Enhanced Safety and
Infection Control
Section 8: Special Focus Needed on Healthcare
Worker Safety

Chapter 30:
Boost Regional Medical and Long-Term Care
Collaboration Through Greater Use of Healthcare IT
Chapter 31:
Utilizing Telemedicine to Deliver More Efficient and
Effective Healthcare in Japan
Chapter 32:
Improving the Quality of Medical Care, Promoting
Team-based Medicine and Supporting Risk Management
in Ophthalmological Surgery
Chapter 33:
Improving Home Healthcare

1. Trends of Digital Health Policies in Japan
2. Utilization of Digital Health Tech in Japan
3. Digital Health Innovation in Japan
4.Q&A

1. Trends of Digital Health Policies in Japan

1.ブロックチェーンとは？
Source: MHLW, “Long-Term Care Insurance System of Japan” (November 2016)

Source: IT Strategic Headquarters, “Declaration to Be the World’s Most Advanced IT Nation
Basic Plan for the Advancement of Public and Private Sector Data Utilization “ (May, 2017)

2. Utilization of Digital Health Tech in Japan

Source: “ACCJ–EBC Health Policy White Paper 2017 “ (September, 2017)
Interoperability

Benefits from Telemedicine
Enhanced Efficiency
Improvement in Patient Satisfaction and Quality of Life (QoL)
Greater Access to Healthcare
Contributions to Clinical Safety and Reduction of Medical Errors
Challenges in Japan
Ambiguity of Article 20 of the Medical Practictioners’ Act
Uncertainty as to Who Can Implement Telemedicine
Limitations of the Current Reimbursement System
Limited Utilization of Electronic Health Records (EHR) Especially in
Small and Medium-sized Clinics and Hospitals
Limits on Data Centers and Cloud Computing Services Related to
Healthcare Including Big Data

Impact of East Japan Earthquake and Tsunami (2011)
<Case of Ishinomaki Municipal Hospital>
In February 2011, Ishinomaki Municipal Hospital started to share data
of electronic medical records (EMR) with Yamagata City Hospital
SAISEIKAN for backup purposes.
In March 2011, the East Japan Earthquake and Tsunami happened.
EMR data recovery works were
conducted in Yamagata side.
On April 7, Ishinomaki Municipal
Hospital was able to open
temporary clinic facilities in a
safer area and to resume daily
operations for outpatients.

<Case of You Home Clinic Ishinomaki>
Led by Dr. You Muto
Community-based home care delivery initiative to aging residents in
damaged areas of Ishinomaki.
Initiative members include You Home Clinic, Kameda General
Hospital, Hokkaido Center for Family Medicine, Nippon Foundation
and Fujitsu.
Developing cloud-based home
medical care systems, care team
collaboration tools, telemedicine,
etc.
Planning to add life support
services to prevent aging residents
from isolation.

FY2018 Revision of Medical Service and Long-term
Care Fees by MHLW (Effective in April 2018)
Amendment to Reimbursement System to Promote Telemedicine
Online Medical Fee
Online Medical Management Fee
Online Home Healthcare Management Fee, etc.
Development of Guidelines for Online Medicines
by MHLW (Effective in April 2018)
Roles in
Safety &
Security
Online Medicine
Systems & Services Doctor’s
Device
Medical Information
Systems
Patient’s
Device
Safety Management for
Medical Information Systems
Healthcare
Provider
Network
Security
Server
Security
Network
Security

Varieties of Long-term Care Insurance Services
Source: MHLW, “Long-Term Care Insurance System of Japan” (November 2016)
Cloud
Computing

3. Digital Health Innovation in Japan
3-1. Example: Promotion Policies on Digital Health
Innovation by METI
3-2. Needs to Commercialization Support for Non-
Japanese Digital Health Startups

The Japan Healthcare Business Contest 2018 by METI

Prospective
Customer
Development
First Sales
Call
Lead
Generation
Support
Continuous
Follow-up
Closing
MarCom
Strategy
Design
Content
Development
/Localization
Branding,
Event, SP
Marketing Communications Support
Sales Support
Foreign
Embassies
in Japan
Foreign
Chambers of
Commerce in
Japan
Foreign
Industry
Associations
(e.g. PhRMA)
Int’l Trade
Promotion
Offices
(e.g. JETRO)
Maket Entry Support
Facility Management in Accordance with Corporate Growth Lifecycle
Startup Phase
-Market Entry Strategy
-Representative Office
-Recruiting Representatives
-Agent Contract
-Licensing
-Regulatory Affairs
-Tax/Accounting, Legal, etc.
Growth Phase
-Branch Office/Operation Sites
-Recruiting Key Personnel, Sales
Staff, and Backyard Staff
-Direct/Indirect Sales and
Distribution Channels
-Vocational Training and Talent
Management, etc.
Expansion Phase
-Nationwide Sales and
Distribution Channels
-Quality Assurance and Service
Improvement Activities
-Strategic Alliance/M&A
-New Business Development, etc.
Entry Points
from Overseas
Concepts from Kansai-Driven Global Health Initiative

Centralized or Distributed ?

Digital Health Market Outlook in Japan

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