Zakir Hussain, CEO and founder of Velo Mobile Health, gave a presentation on transforming global healthcare systems through mobile health applications. He discussed how mHealth apps are being adopted in both developed countries like Canada as well as developing nations, but noted there are differences in adoption drivers between these contexts. Hussain also outlined the opportunities for scalable, patient-centric mHealth solutions that can help integrate mobile technologies into healthcare delivery globally.

1. Transforming Global Healthcare Systems
May 16th, Apps For Health
Mohawk College
Presentation by
Zakir Hussain
CEO
May 16 2013

2. • BA, majored in economics & government at Hamilton
College, Clinton, NY
• member of public policy committee to reform healthcare in the
USA
• MBA from Bentley University, Waltham, MA
• Pioneer in videoconferencing from PictureTel which helped
launch the telemedicine sector in the US
• Director of Marketing for CDI Education Corporation
• CEO & Founder of VeloSolutions a leading wholesale telecom
company in VOIP – since 2000
• SVP & Founder of Pharmavida, SA
• CEO & Founder of Velo Mobile Health since 2012
About Me

3. Welcome to Velo Mobile Health
3
What We Do
• We envision, build, and market health care applications that reside on mobile
devices and the Internet. Our products make it easy for health care
stakeholders and patients to communicate with each other and share and
collaborate on medical data.
• Our company builds and markets products globally and is the process of
launching our Vdoctor platform throughout Canada and Central America and
later other parts of the developing world.
• We participate in the emerging field of mhealth bringing systemic change to
the practise of medicine and the information systems which support it.

4. • Doctors everywhere are accessing the internet, doing research
and learning about new treatments, procedures, and
techniques faster and quicker.
• Information on advantages and benefits of Important trends
and concepts such as the adoption of EMRs, EHRs are spread
and also being adopted.
• All doctors want to upgrade their skills and promote better
health – not just doctors in Canada
• A recent survey by the University of Rafael Landivar in Guatemala
revealed for example:
• 83% of Doctors had a smart phone
• 88% of Doctors felt it was important to invest in technology!
Its’ a Flat Connected World

5. Major Differences in Adoption Drivers
• .
Canada Developing World
Govt incentives for EMRs, EHRs,
and other electronic systems
which drive adoption averaging
25K plus
Low to no government incentives
except those provided by NGOs or
external donor nations
Wide spread avaliablity of Internet Lack of internet access
Higher adoption of smart phones
typically averaging 30-50%
Low adoption of smart phones –
less than 20%
Easy access to heath care facilities
– universal care
Low or difficult to access health
care facilities
Regulators such as ehealth Ontario
forcing adoption
High cost of EMRs prevents
adoption
Highly educated medical force and
public
Doctors and populations are not
technologically savvy
Little to no mobile carrier
involvement
Mobile carriers are often driving
programs in partnership with
NGOs

6. • Its focused on apps primarily
• There are thousands of Apps everything from counting
calories, to diet plans, pulse meter, you name it, we got an app
available via the android or iTunes store.
• There are so many apps that we have to seriously consider
regulating them like the FDA is planning to do in the USA
• Legacy system providers of EHRs, EMRs are responding to a
mobile society by investing heavily to mobile-enable their
platforms to make themselves accessible via apps
• Doctors are conservative and resistant to change and adoption
of new technologies and are not very patient centric.
• This behavior is fostered by the government reimbursement
system
mhealth in Canada

7. • As per the New York Times, the jury is out on mhealth in the
developing world*
• There are many mhealth initiatives in the developing world
funded by Ngos in cooperation with mobile operators
• Most are program specific solutions
• They work at pilot levels
• Applications are not robust or designed to scale
• Applications are not patient centric
• Most successful applications are localized and customized to the
societal conditions.
• Most people don’t have smart phones, so mobile app strategy
does not achieve scale or scope
*The Benefits of Mobile Health, on Hold , By TINA ROSENBERG, March 13, 2013 http://opinionator.blogs.nytimes.com/2013/03/13/the-
benefits-of-mobile-health-on-hold/?smid=tw-share
Does mhealth work?

8. • 247 million people have downloaded a mobile health app
• There are apps for almost every health need
• Almost every mobile operator in the world has identified
mhealth as one of their top 3 strategic business opportunities.
• Remote monitoring – wearable sensor technologies
• Remote diagonistics
• Robust, localized and scalable applications are needed
• Apps need to be integrated into the overall health
management process- systemic approach
• Its a big big world filled with opportunity and better health
The Global mHealth Opportunity

9. zak@velomobilehealth.com
19-1151 Denison Street
Markham, Ontario, L3R 4B3, Canada
Office: 416.497.3885
Fax: 416-352-6190
www.velomobilehealth.com
Toronto, Canada
Guatemala City, Guatemala
Dhaka, Bangladesh