Telehealth



 Opportunities in AAL / CH                        Jim O’Donoghue
                                             VP Strategic Business
 Technology is Global ; Services are local           Development
                                                         S3 Group

Copyright © S3 Group
Opportunities in AAL / CH Market
Technology develops globally; Services are delivered locally

      1    S3 Group Background

       2    Market Sizes and Forecasts

       3    Global Products and Technology Vs Local Solutions and Services

       4    Product and Service Development Opportunities




                                                            S3 Confidential   Slide 2
S3 Group Overview




S3 Group : Customers in 21 countries
S3 Telehealth : Customers in 7 countries




                                           S3 Confidential   Slide 3
S3 Telehealthcare Focus
We develop and deploy innovative Telehealthcare systems and
services.




   Business            Clinical         Technology


     Governance, Quality Assurance, Risk Management



 Combining clinical, business and technical
 requirements
                                                      Copyright © S3 Group   Slide 4
Challenges and Opportunities – the Market
 Emergent market ;
     No dominant architecture with generally accepted
      functionality

     Business, revenue and delivery models evolving

     Role of participants (service providers, vendors, insurers,
      clinicians, pharmacists etc.) not established


 Market sizing and market forecasts are inconsistent
  and difficult to compare
     Market sizing : Inconsistent scope definition (eHealth,
      mHealth, Telemedicine, Connected Health, AAL, RPM,
      Telemonitoring, Telecardiology, Telecare, …)

     Market Forecasts : Influencing factors are broad and
      subject to dramatic change (e.g. UK NHS changes, US
      Healthcare Policy changes)


                                                                    S3 Confidential   Slide 5
Diversity of forecasts




                         S3 Confidential   Slide 6
Looking more specifically at RPM

                            EU and US RPM Markets
       400


       350


       300
                                                                                                  Growth
       250                                                                                        Rates
US$m




                                                                                      EU
       200                                                                                 • US : CAGR 22.6%
                                                                                      US
       150
                                                                                           • EU : 12.5%

       100


        50


         0
             2007    2008     2009    2010     2011    2012     2013    2014



       Ref : Frost & Sullivan
       European Remote Patient Monitoring Markets, 2008
       North American Home Health Care and Disease Management Markets for RPM, 2009



                                                                                           S3 Confidential     Slide 7
European RPM Forecasts
             EU RPM Forecasted Market Size
                        (2011)
                     6%


       11%                                     24%


                                                          UK
 5%                                                       Germany
                                                          France             Revenue
                                                          Italy
                                                          Spain
                                                                               Split
                                                          Beneleux
 18%
                                                          Scandanavia   • Equipment Vendors :
                                                    21%
                                                                          40%

                                                                        • Service Providers :
                     15%
                                                                          60%
 Ref : Frost & Sullivan
 European Remote Patient Monitoring Markets, 2008




                                                                            S3 Confidential     Slide 8
All service delivery is local !
 Technology evolution and Product development are global activities

     Fast-paced market driven by technology changes in bigger industries
     Participants used to sourcing best-in-breed suppliers and partners
      worldwide


 Solutions and services are designed, delivered and integrated locally

     Slow changing environment with complex mix of stakeholders
     Strong public sector funding & involvement
     Requires intensive local interaction to shape the service


 In CH / AAL the gap between having a product and deploying an
  integrated service is much larger than for other consumer industries

      Successful service delivery requires global technology
      partnerships and local service delivery partnerships

                                                                   S3 Confidential   Slide 9
Service delivery informs product design

             Global                                                 Local
            Products                                               Services
       Mobile Platform Evolution                             Health and Social Policy
              Moore’s Law                                         Clinical Guidelines
                                         Possible
        Patient UIs / Navigation
                                                                    Funding policy
     Digital TV/Interactivity/Internet
                                                               Current Care delivery
           Social Networking

          Sensor Technology               Practical            State of Healthcare IT

        Enterprise Technologies                            Clinical / Healthcare Priorities



      Product                     Service             Service                Service
      Design                    (Re) Design         Integration              Delivery




                                                                           S3 Confidential    Slide 10
Adapting to Local Service Requirements




        Business          Clinical        Technology


        Governance, Quality Assurance, Risk Management



 Adapting Clinical Processes (care pathways, clinical guidelines,
  clinical practices)
 Adapting Business Processes (referral, escalation, reporting, SLAs,
  customer support, billing)
 Adapting technology (localisation, integration, security, auditing, IT
  support)
                                                            Copyright © S3 Group   Slide 11
Technology Opportunities in AAL/CH
 Lower cost solutions (sensors, hubs) that can scale from low to high
  acuity

 Integrated technologies combining Connected health and Assisted
  Living

 Next Generation patient interfaces leveraging mass market
  developments

 Technologies that support continuum from self care to monitored care

 Technologies that enable integrated multi-vendor solutions and
  integration with the rest of the healthcare delivery system

 Generic platforms that can deliver personalised service bundles



                                                             S3 Confidential   Slide 12
Service Delivery Opportunities in AAL/CH
 A service that delivers high-touch, high-quality, cost-effective CDM/AL
  services to the patients who need it, when they need it and where they need
  it.

 Integration of AAL/CH with “normal” primary care delivery

 Integrated Service delivery
     Health and Social Care, Health and wellness, Health and entertainment, Health
      and convenience, Health and social inclusion. Personalisation.


 Self-pay, retail, B2C delivery models

 UK Market
     Most developed Telecare market in the world / NHS England about to go through
      massive changes with a shift in balance to primary care / New Buying Solutions
      Framework for Assistive Technologies / WSDs reporting in Q4, 2010



                                                                  S3 Confidential      Slide 13
Connected Health Delivery


                                             Service            Clinicians
             GP/EHR
                                             Delivery
             Vendors



  Assisted                      Monitoring
   Living                        Centres
  Vendors
                                                    Community
                   Telehealth
                                                      Care
                    Vendors




….Requires Partnerships to deliver integrated services
                                                                   S3 Confidential   Slide 14
Thank You

                                                     Questions ?

 Contact Information

 Jim O’Donoghue,
 Vice President Strategic Business Development
 Email : Jim.odonoghue@s3group.com




   Please visit http://www.s3group.com for latest news & information.




The information contained in this presentation is copyright Silicon & Software Systems (S3 Group) © 2010.



                                                                                                            S3 Confidential   Slide 15

Jim O'donoghue

  • 1.
    Telehealth Opportunities inAAL / CH Jim O’Donoghue VP Strategic Business Technology is Global ; Services are local Development S3 Group Copyright © S3 Group
  • 2.
    Opportunities in AAL/ CH Market Technology develops globally; Services are delivered locally 1 S3 Group Background 2 Market Sizes and Forecasts 3 Global Products and Technology Vs Local Solutions and Services 4 Product and Service Development Opportunities S3 Confidential Slide 2
  • 3.
    S3 Group Overview S3Group : Customers in 21 countries S3 Telehealth : Customers in 7 countries S3 Confidential Slide 3
  • 4.
    S3 Telehealthcare Focus Wedevelop and deploy innovative Telehealthcare systems and services. Business Clinical Technology Governance, Quality Assurance, Risk Management Combining clinical, business and technical requirements Copyright © S3 Group Slide 4
  • 5.
    Challenges and Opportunities– the Market  Emergent market ;  No dominant architecture with generally accepted functionality  Business, revenue and delivery models evolving  Role of participants (service providers, vendors, insurers, clinicians, pharmacists etc.) not established  Market sizing and market forecasts are inconsistent and difficult to compare  Market sizing : Inconsistent scope definition (eHealth, mHealth, Telemedicine, Connected Health, AAL, RPM, Telemonitoring, Telecardiology, Telecare, …)  Market Forecasts : Influencing factors are broad and subject to dramatic change (e.g. UK NHS changes, US Healthcare Policy changes) S3 Confidential Slide 5
  • 6.
    Diversity of forecasts S3 Confidential Slide 6
  • 7.
    Looking more specificallyat RPM EU and US RPM Markets 400 350 300 Growth 250 Rates US$m EU 200 • US : CAGR 22.6% US 150 • EU : 12.5% 100 50 0 2007 2008 2009 2010 2011 2012 2013 2014 Ref : Frost & Sullivan European Remote Patient Monitoring Markets, 2008 North American Home Health Care and Disease Management Markets for RPM, 2009 S3 Confidential Slide 7
  • 8.
    European RPM Forecasts EU RPM Forecasted Market Size (2011) 6% 11% 24% UK 5% Germany France Revenue Italy Spain Split Beneleux 18% Scandanavia • Equipment Vendors : 21% 40% • Service Providers : 15% 60% Ref : Frost & Sullivan European Remote Patient Monitoring Markets, 2008 S3 Confidential Slide 8
  • 9.
    All service deliveryis local !  Technology evolution and Product development are global activities  Fast-paced market driven by technology changes in bigger industries  Participants used to sourcing best-in-breed suppliers and partners worldwide  Solutions and services are designed, delivered and integrated locally  Slow changing environment with complex mix of stakeholders  Strong public sector funding & involvement  Requires intensive local interaction to shape the service  In CH / AAL the gap between having a product and deploying an integrated service is much larger than for other consumer industries Successful service delivery requires global technology partnerships and local service delivery partnerships S3 Confidential Slide 9
  • 10.
    Service delivery informsproduct design Global Local Products Services Mobile Platform Evolution Health and Social Policy Moore’s Law Clinical Guidelines Possible Patient UIs / Navigation Funding policy Digital TV/Interactivity/Internet Current Care delivery Social Networking Sensor Technology Practical State of Healthcare IT Enterprise Technologies Clinical / Healthcare Priorities Product Service Service Service Design (Re) Design Integration Delivery S3 Confidential Slide 10
  • 11.
    Adapting to LocalService Requirements Business Clinical Technology Governance, Quality Assurance, Risk Management  Adapting Clinical Processes (care pathways, clinical guidelines, clinical practices)  Adapting Business Processes (referral, escalation, reporting, SLAs, customer support, billing)  Adapting technology (localisation, integration, security, auditing, IT support) Copyright © S3 Group Slide 11
  • 12.
    Technology Opportunities inAAL/CH  Lower cost solutions (sensors, hubs) that can scale from low to high acuity  Integrated technologies combining Connected health and Assisted Living  Next Generation patient interfaces leveraging mass market developments  Technologies that support continuum from self care to monitored care  Technologies that enable integrated multi-vendor solutions and integration with the rest of the healthcare delivery system  Generic platforms that can deliver personalised service bundles S3 Confidential Slide 12
  • 13.
    Service Delivery Opportunitiesin AAL/CH  A service that delivers high-touch, high-quality, cost-effective CDM/AL services to the patients who need it, when they need it and where they need it.  Integration of AAL/CH with “normal” primary care delivery  Integrated Service delivery  Health and Social Care, Health and wellness, Health and entertainment, Health and convenience, Health and social inclusion. Personalisation.  Self-pay, retail, B2C delivery models  UK Market  Most developed Telecare market in the world / NHS England about to go through massive changes with a shift in balance to primary care / New Buying Solutions Framework for Assistive Technologies / WSDs reporting in Q4, 2010 S3 Confidential Slide 13
  • 14.
    Connected Health Delivery Service Clinicians GP/EHR Delivery Vendors Assisted Monitoring Living Centres Vendors Community Telehealth Care Vendors ….Requires Partnerships to deliver integrated services S3 Confidential Slide 14
  • 15.
    Thank You Questions ? Contact Information Jim O’Donoghue, Vice President Strategic Business Development Email : Jim.odonoghue@s3group.com Please visit http://www.s3group.com for latest news & information. The information contained in this presentation is copyright Silicon & Software Systems (S3 Group) © 2010. S3 Confidential Slide 15