SlideShare a Scribd company logo
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

http://clickmedix.com

2
Physician Shortage Worldwide

Source: http://cdn3.chartsbin.com/chartimages/l_gcu_7ed00ae715e9568d6ffbdb3a4d3d648d
© ClickMedix, LLC 2013

http://clickmedix.com

3
Enable Doctors to Serve 4-10X More Patients
Homes
Clinics/Hospitals

© ClickMedix, LLC 2013

http://clickmedix.com

4
1 Oral Surgeon for 1.8M people

© ClickMedix, LLC 2013

http://clickmedix.com

5
ClickMedix Connected Mobile Health Platform
Click to edit Master title style
Click to edit Master title style
Collect Information Needed for Diagnosis
Based on Specialist Protocols
Click to edit Master title style
Curate Market-Fitting Diagnostics Devices
Click to edit Master title style
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
Click to edit Master title style
Tele-Cardiology: 12-Lead iEKG
Click to edit Master title style
Click to edit Master title style
Click to edit Master title style
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
Click to edit Master title style
mHealth Homecare Kit

© ClickMedix, LLC 2013

http://clickmedix.com

12
Working Solutions from Lesser-Resourced
Countries

Chronic Diseases
(diabetes, heart
disease,
Alzheimer’s)
© ClickMedix, LLC 2013

Infectious
Diseases
(HIV/AIDS, TB)
http://clickmedix.com

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
© ClickMedix, LLC 2013

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

http://clickmedix.com

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

© ClickMedix, LLC 2013

http://clickmedix.com

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

© ClickMedix, LLC 2013

http://clickmedix.com

17
Click Steps Master title style
Intervention to edit and Current Challenges
Click to edit Master title style
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
Click to edit Master title style
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
Click to edit Master title style
Click to edit Master title style
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

© ClickMedix, LLC 2013

http://clickmedix.com

21
Prevent /
Assess

Mobile Apps for Assessments
Click to edit Master title style
Click to edit Master title style
Prevent /
Assess

Mobile Apps for Assessments
Click to edit Master title style
Click to edit Master title style
Screen

© ClickMedix, LLC 2013

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

http://clickmedix.com

24
Diagnose

© ClickMedix, LLC 2013

Remote Consultation

http://clickmedix.com

25
Treat

Review History

Review patient history and prior data on web or phone

© ClickMedix, LLC 2013

http://clickmedix.com

26
Follow-Up

© ClickMedix, LLC 2013

Contact patients to improve
adherence

http://clickmedix.com

27
Follow-Up

© ClickMedix, LLC 2013

Recommend Home Monitoring

http://clickmedix.com

28
Follow-Up

Follow-Up Consultation

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

© ClickMedix, LLC 2013

http://clickmedix.com

29
© ClickMedix, LLC 2013

http://clickmedix.com

30
© ClickMedix, LLC 2013

http://clickmedix.com

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
© ClickMedix, LLC 2013

http://clickmedix.com

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
© ClickMedix, LLC 2013
http://clickmedix.com

33
2180 Patients Saved from Hearing Loss

© ClickMedix, LLC 2013

http://clickmedix.com

34
Most Patients Complains of Diminished Hearing or
Itching

© ClickMedix, LLC 2013

http://clickmedix.com

35
Perforation of the Middle-ear Causing Diminished
Hearing, and Deaf If Untreated

© ClickMedix, LLC 2013

http://clickmedix.com

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

© ClickMedix, LLC 2013

http://clickmedix.com

38
Home-Visit Doctor and Nurse Teams

© ClickMedix, LLC 2013

http://clickmedix.com

39
Home-Care Assessments and Tele-Consultation
with Specialists

© ClickMedix, LLC 2013

http://clickmedix.com

40
Packaged Pricing Model

© ClickMedix, LLC 2013

http://clickmedix.com

41
US: Care Giver & Patient Centered PostDischarge Service

© ClickMedix, LLC 2013

http://clickmedix.com

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

  • 1. Connected Mobile Health Platform to Serve More Patients Better, Faster, and at Lower Costs Ting Shih, CEO & Founder ting@clickmedix.com http://clickmedix.com
  • 2. 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 http://clickmedix.com 2
  • 3. Physician Shortage Worldwide Source: http://cdn3.chartsbin.com/chartimages/l_gcu_7ed00ae715e9568d6ffbdb3a4d3d648d © ClickMedix, LLC 2013 http://clickmedix.com 3
  • 4. Enable Doctors to Serve 4-10X More Patients Homes Clinics/Hospitals © ClickMedix, LLC 2013 http://clickmedix.com 4
  • 5. 1 Oral Surgeon for 1.8M people © ClickMedix, LLC 2013 http://clickmedix.com 5
  • 6. ClickMedix Connected Mobile Health Platform Click to edit Master title style Click to edit Master title style
  • 7. Collect Information Needed for Diagnosis Based on Specialist Protocols
  • 8. Click to edit Master title style Curate Market-Fitting Diagnostics Devices Click to edit Master title style 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
  • 9. Click to edit Master title style Tele-Cardiology: 12-Lead iEKG Click to edit Master title style
  • 10. Click to edit Master title style Click to edit Master title style 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
  • 11. Tele-Radiology edit Physician Collaboration Click to for Master title style Click to edit Master title style
  • 12. mHealth Homecare Kit © ClickMedix, LLC 2013 http://clickmedix.com 12
  • 13. Working Solutions from Lesser-Resourced Countries Chronic Diseases (diabetes, heart disease, Alzheimer’s) © ClickMedix, LLC 2013 Infectious Diseases (HIV/AIDS, TB) http://clickmedix.com Specialties (oncology, derm,ENT) 13
  • 14. Deployments and Scale: 700,000+ Patient Reach Clients/ Partners Hospitals / Clinics 61 Governments 3 Research Institutions and medical schools 10 Multi-national corporations 4 © ClickMedix, LLC 2013 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 http://clickmedix.com 14
  • 16. 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 © ClickMedix, LLC 2013 http://clickmedix.com 16
  • 17. 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 © ClickMedix, LLC 2013 http://clickmedix.com 17
  • 18. Click Steps Master title style Intervention to edit and Current Challenges Click to edit Master title style 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
  • 19. ExistingClick to edit Master title style Solutions Do Not Enable Continuous Click to edit Master title style Healthcare Prevent /Assess Text4Baby, Fitbit, MyBasis Screen Diagnose Treat Follow-up Clinics TelaDoc, Best Doctors, DirectDerm Clinics, hospitals and specialists MedicAlert, FusionCare
  • 20. Connected Mobile Health Enables Continuous Click to edit Master title style Click to edit Master title style 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
  • 21. Prevent / Assess Prevent: Patient Education Patient education video about diabetes © ClickMedix, LLC 2013 http://clickmedix.com 21
  • 22. Prevent / Assess Mobile Apps for Assessments Click to edit Master title style Click to edit Master title style
  • 23. Prevent / Assess Mobile Apps for Assessments Click to edit Master title style Click to edit Master title style
  • 24. Screen © ClickMedix, LLC 2013 Capture Symptoms Information (via nurse, caregiver, patient themselves) http://clickmedix.com 24
  • 25. Diagnose © ClickMedix, LLC 2013 Remote Consultation http://clickmedix.com 25
  • 26. Treat Review History Review patient history and prior data on web or phone © ClickMedix, LLC 2013 http://clickmedix.com 26
  • 27. Follow-Up © ClickMedix, LLC 2013 Contact patients to improve adherence http://clickmedix.com 27
  • 28. Follow-Up © ClickMedix, LLC 2013 Recommend Home Monitoring http://clickmedix.com 28
  • 29. Follow-Up Follow-Up Consultation Patient takes a picture and fills out symptoms update from his phone and requests for a telemedicine consultation © ClickMedix, LLC 2013 http://clickmedix.com 29
  • 30. © ClickMedix, LLC 2013 http://clickmedix.com 30
  • 31. © ClickMedix, LLC 2013 http://clickmedix.com 31
  • 32. 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 © ClickMedix, LLC 2013 http://clickmedix.com 32
  • 33. ~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 © ClickMedix, LLC 2013 http://clickmedix.com 33
  • 34. 2180 Patients Saved from Hearing Loss © ClickMedix, LLC 2013 http://clickmedix.com 34
  • 35. Most Patients Complains of Diminished Hearing or Itching © ClickMedix, LLC 2013 http://clickmedix.com 35
  • 36. Perforation of the Middle-ear Causing Diminished Hearing, and Deaf If Untreated © ClickMedix, LLC 2013 http://clickmedix.com 36
  • 37. Chronic Disease Management Screening and Tele-consultation for 22,000 clinics 35M patients
  • 38. China: Creating Home-Health Care Business Unit for Premier Hospital in China © ClickMedix, LLC 2013 http://clickmedix.com 38
  • 39. Home-Visit Doctor and Nurse Teams © ClickMedix, LLC 2013 http://clickmedix.com 39
  • 40. Home-Care Assessments and Tele-Consultation with Specialists © ClickMedix, LLC 2013 http://clickmedix.com 40
  • 41. Packaged Pricing Model © ClickMedix, LLC 2013 http://clickmedix.com 41
  • 42. US: Care Giver & Patient Centered PostDischarge Service © ClickMedix, LLC 2013 http://clickmedix.com 42
  • 43. 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
  • 44. 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

Editor's Notes

  1. ClickMedix has been able to replicate this model with numerous partners, which gives us a reach of over 600,000 patients.