mHealth Summit Presentation 2014: Reinventing the Dynamics of the Healthcare System

Connected Mobile Health Platform
to Serve More Patients
Better, Faster, and at Lower Costs
Ting Shih, CEO & Founder
ting@clickmedix.com
http://clickmedix.com

Predictable Trend:
More and Sicker Patients, But Less Doctors

130M

92
M

people
can’t see
a doctor

63M
14
M

Source: AAMC Center for Workforce studies, June Analysis 2011, http://www.census.gov/prod/2/pop/p25/p25-1131.pdf
© ClickMedix, LLC 2013


2

Physician Shortage Worldwide

Source: http://cdn3.chartsbin.com/chartimages/l_gcu_7ed00ae715e9568d6ffbdb3a4d3d648d


3

Enable Doctors to Serve 4-10X More Patients
Homes
Clinics/Hospitals



4

1 Oral Surgeon for 1.8M people



5

ClickMedix Connected Mobile Health Platform
Click to edit Master title style

Collect Information Needed for Diagnosis
Based on Specialist Protocols

Curate Market-Fitting Diagnostics Devices
Tele-Pulmonology: Digital stethoscope to record
audio sounds and send to remote doctor for
diagnosis

Tele-ENT: Otoscope

Tele-Diabetes retinopathy: Fundus scope
Tele-Home Care: Pulsewave MAX for Heart rate,
blood pressure, ECG, body temperature, oxygen
saturation, breathing rate, heart rate variability,
heart arrhythmia, pulse transit time, and
mechanical pulse wave.
Tle-Derm: Dermatoscope

Tele-Cardiology: 12-Lead iEKG

Tele-Gastrointestinal Post-Op Care
•

First audio spectral
analysis device for
prediction of disease

•

Records and analyzes
audio spectrum of
bowel sound

•

Assesses patient POI
risk within 12 hours
post-operation

•

LED display provides
simple risk
assessment and early
warning with trend
analysis

•

Results easily
transmitted to
smartphone or
patient’s EMR via
wireless protocol

Tele-Radiology edit Physician Collaboration
Click to for Master title style

mHealth Homecare Kit



12

Working Solutions from Lesser-Resourced
Countries

Chronic Diseases
(diabetes, heart
disease,
Alzheimer’s)

Infectious
Diseases
(HIV/AIDS, TB)

Specialties
(oncology,
derm,ENT)
13

Deployments and Scale: 700,000+ Patient
Reach
Clients/
Partners
Hospitals / Clinics

61
Governments

3
Research Institutions
and medical schools

10
Multi-national
corporations

4

Services

Population
Reach

Geriatric care, maternal/pediatric care,
dermatology, oncology

520,000

Diabetes, hypertension, heart disease,
obesity, dermatology, pre/post surgery,
cervical cancer Screening

100,000

Cardiology, TB surveillance, HIV+ staging
Education: mHealth for doctors, nurses,
health workers

90,000

ENT, geriatric care, obesity, preventative
care

10,000


14

Medical

Government

Mobile
Networks

Technology

Corporate

Mexican Social
Security
Institute

Impact of mHealth
Physician Time Savings: mHealth
can save ~50% of this time

Result: each physician
Result: each physician
can increase patient
can increase patient
load by 2-10X
load by 2-10X

Adverse drug events: mHealth can
save 15% of this cost

Result: $22.6M in ADE
Result: $22.6M in ADE
cost savings
cost savings

Chronic diseases: Remote monitoring
& treatment through mHealth can
reduce chronic disease costs by 35%.

Result: By 2017, out of
Result: By 2017, out of
pocket expenses could
pocket expenses could
decrease by $102/user
decrease by $102/user
for mHealth users
for mHealth users

Source:
1.http://www.pwc.com/mx/es/industrias/archivo/2013-06-socio-economic-impact-of-mhealth-brazil-and-mexico.pdf
2.http://www.ispor.org/consortiums/LatinAmerica/documents/ViH/TheCostofType2DiabetesMellitus.pdf



16

46% of Deaths in the US Are Due to Chronic
and/or Co-morbid Conditions
Preventable and Manageable Through
Home-Based Interventions and Services
Disease

Deaths

%

Coronary Heart Disease

445,864

21.42

Alzheimers/Dementia

172,765

8.3

Stroke

146,664

7.05

Diabetes Mellitus

75,280

3.62

Hypertension

62,156

2.99

Kidney Disease

50,889

2.45



17

Click Steps Master title style
Intervention to edit and Current Challenges
Prevent /
Assess

Life style changes
(lose weight, stop
smoking, reduce
drinking)

Screen

Lack timely
screening
causes late
stage detection

Diagnose

Treat

Follow-up

Lack of PCPs/
specialists to
diagnose

Late stage
discovery
Co-morbid
diseases

Difficult
lifestyle
changes and
treatment
adherence

ExistingClick to edit Master title style
Solutions Do Not Enable Continuous
Healthcare
Prevent
/Assess

Text4Baby,
Fitbit,
MyBasis

Screen

Diagnose

Treat

Follow-up

Clinics
TelaDoc,
Best
Doctors,
DirectDerm

Clinics, hospitals and
specialists

MedicAlert,
FusionCare

Connected Mobile Health Enables Continuous
Healthcare Delivery
Prevent
/Assess

Text4Baby,
Fitbit,
MyBasis

Screen

Diagnose

Treat

Follow-up

Clinics

ClickMedix Connects
Clinics, hospitals and
TelaDoc,
specialists
Solution Segments
Best

Doctors,
DirectDerm

MedicAlert,
FusionCare

Prevent /
Assess

Prevent: Patient Education
Patient education video about diabetes



21

Prevent /
Assess

Mobile Apps for Assessments

Screen


Capture Symptoms Information
(via nurse, caregiver, patient themselves)


24

Diagnose


Remote Consultation


25

Treat

Review History

Review patient history and prior data on web or phone



26

Follow-Up


Contact patients to improve
adherence


27

Follow-Up


Recommend Home Monitoring


28

Follow-Up

Follow-Up Consultation

Patient takes a picture and fills out symptoms update from his
phone and requests for a telemedicine consultation



29



30



31

Case Studies (with Revenue Models)

• High volume and high-throughput
solution
• Repeatable solution for scaling to
large communities
• New businesses and services for
mHealth-powered senior care


32

~27M Incidences of Ear Infection in India:
1 Health Worker Screens 2,000 Patients/Year

: http://www.rightdiagnosis.com/m/middle_ear_infection/stats-country.htm#extrapwarning

33

2180 Patients Saved from Hearing Loss



34

Most Patients Complains of Diminished Hearing or
Itching



35

Perforation of the Middle-ear Causing Diminished
Hearing, and Deaf If Untreated



36

Chronic Disease Management
Screening and Tele-consultation for
22,000 clinics
35M patients

China: Creating Home-Health Care Business
Unit for Premier Hospital in China



38

Home-Visit Doctor and Nurse Teams



39

Home-Care Assessments and Tele-Consultation
with Specialists



40

Packaged Pricing Model



41

US: Care Giver & Patient Centered PostDischarge Service



42

Alzheimer’s Management & Senior Home Care
Determines
optimal care path
of services

Home Care
Home Care
Medication
Medication
Management
Management
Home Health
Home Health
Support
Support

Patient
Patient

Symptoms
Disease state
Treatment plan

•
•
•
•
•
•

Caregiver
Caregiver
Training
Training

Risk screening
Triage
Service options
Care planning
Tele-consultation
Resources

Image source: Artificial Fiction Brain by Wikipedia user
Gengiskanhg (Creative Commons Licensed)

Transportation
Transportation
Other (food
Other (food
adult day
adult day
care)
care)

Hospital Care
Hospital Care

FollowFollowUp
Up
Screen
Screen
for Risks
for Risks
ReReAssess
Assess

Building Better Healthcare through
Building Better Healthcare through
Click Mobile Health and Partnerships
Click to edit Masterand Partnerships
to edit Health title style
Connected Mobile Master title style
Connected

http://clickmedix.com | Ting Shih, CEO & Founder | ting@clickmedix.com

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