The document discusses Telefonica's perspective on the digital revolution in healthcare. It notes that customer behavior is changing and becoming more digital and mobile. Telefonica is building capabilities to capture opportunities in this new digital environment, including in areas like digital health services, population health management, and digital hospitals. Telefonica aims to develop solutions in remote patient management, healthcare processes automation, and empowering consumers with self-care programs. However, there are still barriers to transforming healthcare like regulations, proving real impact, aligning a complex ecosystem, and budget constraints.

1. The Digital Revolution in
Health –
Telefonica perspective
MWC 2015

2. Have you noticed?
We are living the deepest
technological revolution in history…

3. DISCOVER, DISRUPT, DELIVER
Customer behaviour is changing – it is more mobile, more digital …
Global internet users are growing
Devices are more wireless Digital adoption is higher
Traffic is more mobile
2.75 Bn users 2013 Mar
Source: KPCB – Internet Trends 2014

4. DISCOVER, DISRUPT, DELIVER
We cannot make it anymore without our mobile devices…
All I need is my smartphone…
60%
40%
52%
21%
44%
I can buy a coffee with my
mobile in 9,000 Starbucks
shops

5. DISCOVER, DISRUPT, DELIVER
… and the “wearable revolution” is coming…
(*) Muestra filtrada,
poseedores de Smartphone

6. DISCOVER, DISRUPT, DELIVER
The impact of the digital revolution in the telco sector is huge
TO
DIGITAL TELCO
FROM
TRADITIONAL TELCO
SERVICES
CUSTOMER
EXPERIENCE
NETWORKS
Voice
Accesses
Standard offers
Data
Bundles of digital solutions
Personalization - convergent
offer
Call Centers
Stores
Digital channels
Multichannel experience
Copper, 2G/3G
Fixed, mobile networks
Fiber, 4G LTE, Cloud-RAN,
LTE-Advanced …
Convergent infrastructures
US$ 8 Bn CapEx to
cover
300 Mill pops by 2014
6-7 Mill HP FTTH
in 2015 (50% coverage)
Disruptive convergent
offer
Fixed telephony, fixed
broadband, TV, mobile
minutes and mobile data
Offers tiered by
downlink
speed of data

7. DISCOVER, DISRUPT, DELIVER
In this context, Telefonica is building strong capabilities…
…in order to capture the opportunities of the Digital Revolution:
TELEFONICA
DIGITAL SERVICES ECOSYSTEM
Financial
Services
M2M
eHealth
Security
Video
Cloud

8. Digital Revolution sits at the core of
Healthcare industry transformation

9. DISCOVER, DISRUPT, DELIVER
Context of the Health sector: the challenge of sustainability
Global trends :
Demographic, social and economic changes that generate a
continuous and rapid growth of health spending:
Increased longevity
High prevalence of chronic diseases (+30% of the population;
70% - 80% of total health expenditure)
Need to increase coverage of primary and hospital care in
certain regions (case of Latin America)
Budget constraints that coexist with a growing health demand and
informed patients which are involved in their health care
There is a need to review existing public and private-care models to make
them sustainable

10. DISCOVER, DISRUPT, DELIVER
The transformation of traditional Healthcare models
We are moving towards a health model in which:
EVERYTHING IS CONNECTED
NEW CARE MODELS FOR MONITORING AND REMOTE PATIENT CARE ARE BEING DEPLOYED
IT IS THE CITIZENS THEMSELVES WHO ARE DEMANDING AND WILLING
TO PAY "OUT OF POCKET” NEW HEALTH SERVICES
THE DOCTOR - PATIENT RELATIONSHIP IS ALSO EVOLVING AND IS
INCORPORATING NEW DIGITAL TECHNOLOGIES
ONLINE CONSULTATION IS A REALITY AND IS TRANSFORMING THE
TRADITIONAL MODEL OF RELATIONSHIP BASED ON FACE TO FACE VISIT
M-HEALTH, AS A GROWING TECHNOLOGICAL INNOVATION IN THE FORM OF SENSORS AND
APPLICATIONS, ALLOWS ACCESS TO MEDICAL CARE AT ANYTIME, ANYWHERE

11. DISCOVER, DISRUPT, DELIVER
Telefonica in the Healthcare sector
Telefonica is developing solutions to be present in three of the major areas of transformation
of Healthcare industry:
Remote Patient Management and
telemedicine services to optimize
health care provision adapting it to
every patient needs / level of risk
Health
promotion
and
self-care
Suite of ICT services to improve
efficiency of healthcare providers,
empowering professionals and
better managing patient demand by
offering new digital channels
Digital
Hospital
Population Health
Management
Healthcare
Processes
Automation
New delivery
models
Consumer Digital
Health Services
1
2
3 Empowering consumers with Self-
care Programs and well-being
Services enabling prevention,
greater self-control and peace of
mind

12. DISCOVER, DISRUPT, DELIVER
Digital Hospital
IT & Cloud Infrastructure
Datacenter Services and
managed cloud
Workstation and
productivity
Employee Communications
Health workstation
Fixed Mobile
Customized for each
profile (HW+SW)
Comms Infrastructure
Managed connectivity
Process
Digitalization
Electronic Health Record
Security
Information Security
Professional environment
Information points and
dynamic marketing
Patient environment
Secure and efficient
infrastructure
Physical and perimeter security
Energy efficiency
Energetic control
Diagnostics station
Imaging diagnosis station
Telemedicine
Customized based on
clinical use
Hospital and departamental
information systems
ERP (HR, financial, ...)
Business Intelligence
Room Entertainment and TV
Multichannel Tools
(appointment, tele-triage,
patient portal, ...)
Improving quality of care and efficiency through innovative ICT services, and empowering
professionals with the right information at the right place and at the right time

13. DISCOVER, DISRUPT, DELIVER
Population Health Management
Reduction of
hospital admissions
& ER
Education
for behavioural
change
Prevention and self-
care
Level of Risk
Population
Distribution
1 - 2%
20-25%
75%
Medium
High
Low - Healthy
Web Portal
Biomedical
devices
Clinical
HHRR
Validated protocols
for multi-pathology
patients
+
+
“Apps”
Providing each patient the right solution, tailored for his risk profile and condition
Multichannel
Patient CRM

14. DISCOVER, DISRUPT, DELIVER
Consumer Digital Health Services

15. DISCOVER, DISRUPT, DELIVER
Telefonica´s key differentiators in e-Health
Large projects at the global level Evidence on the generated impact
Strategic agreements with eHealth "best-in
class" partners
Global Product Capabilities & Innovation
TELEFONICA
EHEALTH
*Proyecto iCOR: SOURCE: iCor Project with Parc de Salut Mar, Spain.
http://clinicaltrials.gov/ct2/show/NCT01495078?term=iCor&rank=1
(*)
B2B Digital Hospital
& Health IT
B2B Population
Health Management
B2C Consumer
Digital Health
Services

16. DISCOVER, DISRUPT, DELIVER
Transforming Healthcare is a journey, there are barriers we still find….
Healthcare Regulation: Current legislation of most LATAM countries and the EU itself does not
allow remote medical consultation and diagnostics (i.e.videoconference)
Evidence of real impact: Need to prove real health and cost-effective results with large scale
experiences in terms of number of patients and multiple conditions
Complex Ecosystem: Change is only possible if stakeholders are efficiently aligned (managers,
clinicians, patients)
Budget constraints: Clients need to find the investment “for changing”
Lack of interoperability: There is a variety of technologies for Medical Records and
telemonitoring systems implementations which are unable to interconnect due to not
compatible standards
Healthcare Regulation: Current legislation of most LATAM countries and the EU itself does not
allow remote medical consultation and diagnostics (i.e.videoconference)
Evidence of real impact: Need to prove real health and cost-effective results with large scale
experiences in terms of number of patients and multiple conditions
Complex Ecosystem: Change is only possible if stakeholders are efficiently aligned (managers,
clinicians, patients)
Budget constraints: Clients need to find the investment “for changing”

17. DISCOVER, DISRUPT, DELIVER
OUR E-HEALTH PROPOSAL
…We are changing people’s lives…
… but Telefónica is ready to make it
DIGITAL ERA
…It´s a magical moment…
BUILDING CAPABILITIES IN NEW DIGITAL SERVICES
…With more than 300M clients trusting in us…