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A Medical Device Technology CompanyHealthStart 2015
Asthma-COPD: Changing Landscape
2004 2030
Global DALY: Disability Adjusted Life Ye
The Danger of COPD
 Chronic, Progressive and irreversible damage
to airways and lung tissues.
Normal Bronchial Tube Inflamed Bronchial Tube
On the verge of breaking out…
Mortality
1.1M
1.8M
 Prevalence
 ~ 30M : India
 ~ 230M : World
 Challenges
 Misdiagnosis
 Mismanagement
 Exacerbations & Emergency Visits
 Causes
 Inappropriate Methodology
 Inadequate Historical Data
 Urban Landscape (Patients)
 No Pre-warning of worsening condition.
 Dosage being suboptimal leading to mismanagement.
 Very High Cost of Spirometry tests & Doctor visits.
 Rural Landscape
 Absence of Spirometry with Rural Doctors.
 Disease goes undetected till major damage is done.
 Inaccessibility to the hospitals.
 Dosage management is untracked.

COPD – Unfolding India’s Story
Towards a solution
 Learning's from Patients & Doctor Ecosystem
 HOD Pulmonologist Dr. Mohan (SME)
 40 Patients Interviews
 Shadowing Test examination
 Our Objectives
 Health in hand – Know your condition
 Cost effective – Indian Masses (1Million chronic patients)
 Like a continuous and dedicated ECG for lungs
 Leverage on modern Telemedicine technology
 No recurring expenses
 Save 80% of Appointment/Scheduling time

Validation and Clinical
Trials
Primary Target Customers
 Chronic Patients who are proactive about their
healthcare needs.
 Customer who are at verge of getting Chronic Asthma
 COPD-Asthma Patients who have severe conditions
and require a regular diagnostic checkup are our
early adopters.
 Customer with a need of quick access to doctors
Details of Product
 Full pulmonary function tests (PFT)
 Lung function (respiration, lungs capacity, peak flow)
 Oxygen Concentration in blood
 Early warning indicator
 PFT history – optimal dosage
 1st step towards Predictive
Analysis
Solution
 Benefits – Urban/Rural Settings
 Pre-warning of worsening condition
 Optimal dosage (Doctors sees histogram)
 No recurring test cost, savings in visits
 Rural doctors can afford spirometer
 Regular check-up for progressive recovery
 Rural doctor can track dosage management

Optimizing COPD Management
Before After
No Early warning
Spot Measurement
24 visits a year
Cost per visit
- How it Works!
Mobile App
View
Historical
ReadingSaving
Readings
Secured
Cloud Storage
Patient Doctor
Prescribes
Medication
Patients
- Addressing Challenges
Doctors
PFT Device
Portable
Mobile App
Easy-to-Use
Vital Signs
Monitors+
Recommended
Historical
PFT Reading
PHR Data
- Prescription Data
- Insights for Doctors/Patients
- Real Time Notification
OxyTrac App App UI Gamifying App Data Sync to
PHR
Unit Economics
1500
3600
300
300
450
3500
5000
 Component cost + Manufacturing cost
 Application Development/Hosting
 Distribution chain as function of Nodes
 Pharmacy commissions & Doctors Buy in
 Regulatory Approval
 Profitability cut - 25%
 Profit as compounded function at Nodes
 Scaling up of Sales force & Regulations
Pricing (INR) Assumptions
COGS
Selling Price
Distributor
Pharmacy
Doctors
MRP (Rural)
MRP (Urban)
Parameters
Buyer Benefits: Convenience-Cost-Comfort
 Portable, at home hassle-free vital reading & diagnostic
 Lessens the cost burden from routine pathology lab visits
 Accessibility patient health data to doctors/hospitals
 25k to 6k as the cost declining for the 1st year, post which only the higher
order diagnostic only require the prescribed visit to pathology lab.
 Device maintenance & servicing costs are involved in longer run.
Reaching Out to Millions
30 million
Pune
Bangalore
Mumbai
Market Penetration - Entry & GrowthMarket
Penetration
total
Target
Customers
Cumulative
Units Sold.
Prospected
Revenue
each year (in
$)
Yr 2014 0.00% 500,000 0 0
Yr 2015 0.10% 1,000,000 2,645 352,000
Yr 2016 0.50% 1,500,000 15,200 1,670,000
Yr 2017 1.00% 3,000,000 40,000 2,630,000
Yr 2018 1.50% 6,000,000 60,350 3,373,000
Recommendation
Modeling the Next Business
Resources
Capabilities
Supply
Chain
Value
Proposition
Distribution
Channel
Customer
Segment
Costs Revenue
Partners
Customer
Relationshi
p
+
+
Patient Record
Cost Effective
Reducing ER
Visits
Portable & Easy to Use
Growing Market
Year 1 Year 2 Year 3 Year 4 Year 5
-0.5
0
0.5
1
1.5
2
2.5
3
3.5
4
0
0.35
1.67
2.63
3.37
-0.15
0.12
0.81
1.31
1.7
Reven
ue
All numbers are in
Million Dollars
Our Competitor
Competit
or
Function Affordabilit
y
Portable Usability
SP-10
Full PFT
No SPO2
Low Medium High
P-50
Full PFT
No SPO2
Low
Low Low
Micro 5
Only
Peak Flow
Medium High Low
Doctor-Path
Lab
Full PFT
& SPO2
Low Low Medium
Road map
Validation &
Trials
NH Bangalore
FM Pune
Intellectual
Property
Patent Pending
Low cost
Spirometry
Market validation
Research
Product-Market Fit
Distribution
Channels
Pharma Partner
Doctor - MRI
Vision: Making Healthcare Proactive
Sensor enabled device
Connectivity
Prediction of Attacks
Analytics
Effortless Device Technology
Experience
Thank You
Drag picture to placeholder or click icon to
add
Mehul Vaidya
Instrumentation &
Technology
Forbes Marshall
Hardware Engineer
Technology Mentor
Project iHeal
Rohit Rawat
Software
Architecture
CISCO
Software Engineer
Solution Architect
Making Healthcare Proactive
Sandeep Supal
Design &
Technology
Intuit – MSIDC
Designer
Product Evangelist

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Project iHeal

  • 1. A Medical Device Technology CompanyHealthStart 2015
  • 2. Asthma-COPD: Changing Landscape 2004 2030 Global DALY: Disability Adjusted Life Ye
  • 3. The Danger of COPD  Chronic, Progressive and irreversible damage to airways and lung tissues. Normal Bronchial Tube Inflamed Bronchial Tube
  • 4. On the verge of breaking out… Mortality 1.1M 1.8M  Prevalence  ~ 30M : India  ~ 230M : World  Challenges  Misdiagnosis  Mismanagement  Exacerbations & Emergency Visits  Causes  Inappropriate Methodology  Inadequate Historical Data
  • 5.  Urban Landscape (Patients)  No Pre-warning of worsening condition.  Dosage being suboptimal leading to mismanagement.  Very High Cost of Spirometry tests & Doctor visits.  Rural Landscape  Absence of Spirometry with Rural Doctors.  Disease goes undetected till major damage is done.  Inaccessibility to the hospitals.  Dosage management is untracked.  COPD – Unfolding India’s Story
  • 6. Towards a solution  Learning's from Patients & Doctor Ecosystem  HOD Pulmonologist Dr. Mohan (SME)  40 Patients Interviews  Shadowing Test examination  Our Objectives  Health in hand – Know your condition  Cost effective – Indian Masses (1Million chronic patients)  Like a continuous and dedicated ECG for lungs  Leverage on modern Telemedicine technology  No recurring expenses  Save 80% of Appointment/Scheduling time  Validation and Clinical Trials
  • 7. Primary Target Customers  Chronic Patients who are proactive about their healthcare needs.  Customer who are at verge of getting Chronic Asthma  COPD-Asthma Patients who have severe conditions and require a regular diagnostic checkup are our early adopters.  Customer with a need of quick access to doctors
  • 8. Details of Product  Full pulmonary function tests (PFT)  Lung function (respiration, lungs capacity, peak flow)  Oxygen Concentration in blood  Early warning indicator  PFT history – optimal dosage  1st step towards Predictive Analysis
  • 9. Solution  Benefits – Urban/Rural Settings  Pre-warning of worsening condition  Optimal dosage (Doctors sees histogram)  No recurring test cost, savings in visits  Rural doctors can afford spirometer  Regular check-up for progressive recovery  Rural doctor can track dosage management 
  • 10. Optimizing COPD Management Before After No Early warning Spot Measurement 24 visits a year Cost per visit
  • 11. - How it Works! Mobile App View Historical ReadingSaving Readings Secured Cloud Storage Patient Doctor
  • 12. Prescribes Medication Patients - Addressing Challenges Doctors PFT Device Portable Mobile App Easy-to-Use Vital Signs Monitors+ Recommended Historical PFT Reading PHR Data - Prescription Data - Insights for Doctors/Patients - Real Time Notification
  • 13. OxyTrac App App UI Gamifying App Data Sync to PHR
  • 14. Unit Economics 1500 3600 300 300 450 3500 5000  Component cost + Manufacturing cost  Application Development/Hosting  Distribution chain as function of Nodes  Pharmacy commissions & Doctors Buy in  Regulatory Approval  Profitability cut - 25%  Profit as compounded function at Nodes  Scaling up of Sales force & Regulations Pricing (INR) Assumptions COGS Selling Price Distributor Pharmacy Doctors MRP (Rural) MRP (Urban) Parameters
  • 15. Buyer Benefits: Convenience-Cost-Comfort  Portable, at home hassle-free vital reading & diagnostic  Lessens the cost burden from routine pathology lab visits  Accessibility patient health data to doctors/hospitals  25k to 6k as the cost declining for the 1st year, post which only the higher order diagnostic only require the prescribed visit to pathology lab.  Device maintenance & servicing costs are involved in longer run.
  • 16. Reaching Out to Millions 30 million Pune Bangalore Mumbai Market Penetration - Entry & GrowthMarket Penetration total Target Customers Cumulative Units Sold. Prospected Revenue each year (in $) Yr 2014 0.00% 500,000 0 0 Yr 2015 0.10% 1,000,000 2,645 352,000 Yr 2016 0.50% 1,500,000 15,200 1,670,000 Yr 2017 1.00% 3,000,000 40,000 2,630,000 Yr 2018 1.50% 6,000,000 60,350 3,373,000
  • 17. Recommendation Modeling the Next Business Resources Capabilities Supply Chain Value Proposition Distribution Channel Customer Segment Costs Revenue Partners Customer Relationshi p + + Patient Record Cost Effective Reducing ER Visits Portable & Easy to Use
  • 18. Growing Market Year 1 Year 2 Year 3 Year 4 Year 5 -0.5 0 0.5 1 1.5 2 2.5 3 3.5 4 0 0.35 1.67 2.63 3.37 -0.15 0.12 0.81 1.31 1.7 Reven ue All numbers are in Million Dollars
  • 19. Our Competitor Competit or Function Affordabilit y Portable Usability SP-10 Full PFT No SPO2 Low Medium High P-50 Full PFT No SPO2 Low Low Low Micro 5 Only Peak Flow Medium High Low Doctor-Path Lab Full PFT & SPO2 Low Low Medium
  • 20. Road map Validation & Trials NH Bangalore FM Pune Intellectual Property Patent Pending Low cost Spirometry Market validation Research Product-Market Fit Distribution Channels Pharma Partner Doctor - MRI
  • 21. Vision: Making Healthcare Proactive Sensor enabled device Connectivity Prediction of Attacks Analytics Effortless Device Technology Experience
  • 22. Thank You Drag picture to placeholder or click icon to add Mehul Vaidya Instrumentation & Technology Forbes Marshall Hardware Engineer Technology Mentor Project iHeal Rohit Rawat Software Architecture CISCO Software Engineer Solution Architect Making Healthcare Proactive Sandeep Supal Design & Technology Intuit – MSIDC Designer Product Evangelist

Editor's Notes

  1. We are a Medical Device Technology Company building upon a vision in Making Healthcare Proactive Our first idea is of Project iHeal started by us 10 months back through the Stanford Ignite program in Bangalore. There are 300 million people of all ages worldwide have prevalence of chronic disease like Asthma-COPD, Diabetes and has increased following changes to a modern fast-lane lifestyle. India being the diabetic capital of the world has an equal number of Asthma-COPD averse population suffering the chronic burden. Globally, 250 000 people die of every year deaths are related to lack of proper treatment. Chronic diseases hinder economic growth and reduce the development potential of countries, in particular the poorest ones. In the majority of countries, diagnostic tests (e.g. PFT, spirometry) that are required for the diagnosis and assessment of the severity of chronic respiratory diseases are not readily available, resulting in mis-assessment and under-diagnosis of chronic respiratory diseases. Lung function testing- PFT is available in specialist practices and, in some countries, in primary care. <number>
  2. COPD Trend to Top 5 -> Good; Keep as is and explain this trend as a problem area you wanted to target. -- & COPD -  It is a disease characterized by recurrent attacks of breathlessness. In an attack, the lining of the passages swell causing the airways to narrow and reducing the flow of air in and out of the lungs -WHO. -- Importance of Breathing -- Intensity of Respiratory Malfunction - Survival Mode - Lack of sense of smell - Lack of Sleep - Hit on day-to-day functions - Hit on their personal and professional lives -- & COPD – Characteristics - Number of people worldwide : 300 million - Number of People India : 35 million - W.H.O Projected heavy-burden diseases (top 15) today - W.H.O projected 3rd leading cause of death rate by 2030. ----- * Display of stats and infographic and speaking up on the COMMON definition (COPD+ ) and concern of the problem. --COPD + What is deviation in lung function  Size of   Who report 2013 Size of impact Size in 2030 Priority disease  Characteristics of this disease? Kind of problems in developed countries are different? Use more graphs  <number>
  3. It is a disease characterized by recurrent attacks of breathlessness. In an attack, the lining of the passages swell causing the airways to narrow and reducing the flow of air in and out of the lungs – WHO. <number>
  4. Talk on number… Explain the challenges in form of examples Causes and why Spot measurement was an insightful point from the research <number>
  5. Why asthma ? There is a Sub-optimal management of Asthma (a chronic disease) No solution available for home measurement & management Doctors rely on spot measurement Risk of Over, Under dosage Access to cost-effective Healthcare Following Doctors’ prescription How much does treatment cost? Lost productivity? Lost wages from going to Dr? etc. What would make the customer invest in this device? What tools are used to manage Asthma at home today? What measurements do Doctors diagnose for Asthma patients? Issues with Over and Under dosage and likelihood of severity in patients Cost of Healthcare for a typical Asthma patient in India (Med-High Risk) What problems do Asthma patients face in following a doctors prescription? -- What is deviation in lung function  Size of asthma  Who report 2013 Size of impact Size in 2030 Priority disease  Characteristics of this disease? Kind of problems in developed countries are different? Who defined protocol compliance in terms of medical device company? Who also mentioned about 4A Use more graphs  By introducing this product what will change? <number>
  6. Reaching target set of 1 million chronic patients in India. and the 50million to be chronic patients.Save patients Time through effective and dedicated health systems that monitor the vital entities. <number>
  7. What is the innovative factor of OxyTrack Design and Technology? What is the USP for OxyTrack product? What is the USP for OxyTrack Information system? Helps patients (track) condition, Medication Alerts, Doctor visit. Helps doctors (measure) Historical readings (to make accurate and informed decisions) Improves CDSS -- We designed a product that does a,b,c  Ip pendiping patent  Show them that we're the masters <number>
  8. process chart ; key features or benefits Who defined protocol compliance in terms of medical device company? Who also mentioned about 4A Mapping of 4As By introducing this product what will change? Current process vs proposed process How it works ? Map to 4As Condition severe.. For chronic and COPD <number>
  9. Slide of interface and interaction… - PFT Device for home usage that integrates with Mobile App Mobile App a for logging and trending of PFT readings. Periodic check and indication of severity of . Historical PFT readings made available to doctor on the web. What are the Function Tests that a patient will do with our device at home? Cost Analysis with Proof of finance Product Design & Mobile App How do we define the predictive analysis from our Data? How we report them to doctors and patients? These 3 slides 10-12, talk a lot about the system, but they don't tell me how it makes things much better for the patient. Overlay solution slide with problem space (process ) Map 4As This product and 4As ,and mobile application  Bring oxytrack NOW  Explain features  <number>
  10. Slide of interface and interaction… - PFT Device for home usage that integrates with Mobile App Mobile App a for logging and trending of PFT readings. Periodic check and indication of severity of . Historical PFT readings made available to doctor on the web. What are the Function Tests that a patient will do with our device at home? Cost Analysis with Proof of finance Product Design & Mobile App How do we define the predictive analysis from our Data? How we report them to doctors and patients? These 3 slides 10-12, talk a lot about the system, but they don't tell me how it makes things much better for the patient. Overlay solution slide with problem space (process ) Map 4As This product and 4As ,and mobile application  Bring oxytrack NOW  Explain features  <number>
  11. Selling Price : 2,500/- Cost Structures : Total Cost : Component costs (1500) + Manufacturing Costs / unit (Bhanu) Cost of Components 800-900 PCB + 200-300 / tube + 100 / enclosure + 100 / tube Cost of Manufacturing < 250 Units / month. Number of people needed to manufacture (as a function f volume) 1 person good enough. ~ 10 devices / day / person(soldering/calibration/testing of PCB) 10K INR / per month / per person Machinery needed to manufacture ( as a function of volume) Multi-Meter (10k) / Master Meter (10k) / PC (30k)  (Phase 1 ) Oscilloscope - 25k??? (Phase 2 ) > 250-1000 4 people, same infra (meters, pc ) > 1000 - 10,000 40 people 4 Meters ; 4 PC Machinery needs to increase by 10,000 -> 20% HIGHER compared to manufacturing do we need machinery for first 100, 1000 or 10k devices? Application Development Development Android / Website : 40-60k (for first release and iterations for 3 months) Second Year : iOS Development : 40K Hosting & Application Engine : 10k / month. Second year onwards - 20k / month <number>
  12. How much does it reduce the cost burden? etc. <number>
  13. At year 1: Initial Penetration: 0.5%, Organic expansion adjoining suburbs Higher penetration Total Urban + adj. suburbs building the nodal points. How are you reaching to first primary customer? -- Get to 10 to 15 PC to get to be the ,market leader Flow from global to India to entry point  Just the market size , not the road map here . Road map later  Y1 – 500,000 0.5% Penetration Y1 - 2500 Units (1.5Cr - $0.25m) Y2 – 1m 2.0% Penetration Y2 - 10000 Units (6.0Cr - $1m) Y3 – 1.5m 3% Existing penetration + 0.5% of suburbs - 20000 Units (12Cr -$2m) Y4 - 3m Doubling the market - 40000 Units (24Cr -$4m) Y5 - 6m Units in the year 5 - 100000 Units (60Cr -$10m) Remarks Kickstarting the Healthcare venture Achieving Break-even at start Expanding to adjoining places Doubling the Market Maximizing ROI Making Healthcare Proactive -- Channel Phases Sales force Web Marketing Pharmacy stores Wholesalers -- Go to Market & Market Development Strategies: Primary: Doctors as recommenders for patients usage Pharmacists for direct selling to patients Hospital Administration for access/approval to doctors Secondary: Targeted Advertisements (health magazines / brochures at hospitals / information hand-outs) for pharmacies and patients. Membership & Participation in Healthcare Events & Conferences Corporate sponsored CSR Activities In-App Advertisements for Measurement Setup. Awareness – Selling through Doctors and Hospital administration. How do we raise awareness about our company’s products and services? 2. Evaluation – Recommendation from a Doctor helps evaluate the patient to go for the device. How do we help customers evaluate our organization’s Value Proposition? 3. Purchase – Over the counter purchase at Pharmacy stores. How do we allow customers to purchase specific products and services? 4. Delivery – Cost effective, affordable, easy to use, portable, Availed at a medical store near u. How do we deliver a Value Proposition to customers? How to make ur product reach to 8 lakh chemist stores in india? 5. After sales How do we provide post-purchase customer support? Support via web and call center. <number>
  14. Our Solution is-` Cost Effective - Bring in affordability of vital measurements PHR – Improves the accessibility & availability of these records, thus reducing time for consultation and number of visits. Simplicity Usability - A simple easy to use solution that is used in home-based setting with a mobile app. Analytics – Provides analytics to the user that helps to manage Recommendation- To patients for doctor visits, acts as support for medicine and counselling. Resource Capabilities: Engineering Team with competencies in design, electronics and instrumentation. Medical rep, Marketing and sales teams validating the customer requirements and leveraging networks for prospective sales. Supply Chain: Collaborative team efforts to get the doctors endorsements for the product and the oxytrac service. Distribution Channels: Doctors recommending the OxyTrac for management of . Selling directly to the Patients through the Pharmacies. Automated service with lower cost on post-purchase, Support via web and call center. Bottom Line: Doctors recommending the OxyTrac for management of . Selling directly to the Patients through the Pharmacies. 20 million target customer 0.8 million pharmacy stores - BPM 5500 Pulmonologist - BPM 100 Hospitals -BPM 10 people team Cost assumption most imp parameters Resources.. -- Value Proposition:   What value do we deliver to the customer? Simplify the day to day activities needed to manage chronic illnesses esp diabetes and hypertension improve the affordability of vitals measurement and storage (Cost Effective) improve accessibility & availability to personal health records Affordability, Availability, Accessibility , Appropriateness of Technology   Which one of our customer’s problems are we helping to solve? High Anxiety related to recovery stage and speed. Scheduling and Appointment (Automating the healthcare data workflow) Patients managing chronic illnesses often find the process of frequent vitals management cumbersome. measurement, capturing , tracking and reporting to doctors Patients (with chronic illnesses ) visit the hospital more often than needed   What bundles of products and services are we offering to each Customer Segment? A vital stats measurement device alongside an android mobile application to manage schedules and measurement records Which customer needs are we satisfying? (Affordability & Accessibility) Cost Effective Self-Care Solution at-home to Manage schedules and measurement records Seek recommendations when hospital visits are needed by notification on mobile application.     Characteristics <Park> Newness Reliable Performance Customization (Personalization) “Getting the Job Done” Design Brand/Status Price Cost Reduction Risk Reduction (risk of re-lapse) Accessibility (to health care system) Convenience/Usability     Customer Segments:   For whom are we creating value? Patients who need post-discharge medication support for reasonably long duration (6 month >) Patients who need chronic illness management : Diabetes, Hypertension, Migraine Hospitals that need to monitor patients vitals during post-procedure recovery. Pathology Labs that need quicker and simpler basic vital measurement setup. Pathology labs that need cost effective storage of patient health records.   Customer Stereotypes… (Segments) – Diabetes-Hypertensions-etc.. Health Conscious Health Negligent Patients Young working Professionals (Patients) Old Aged Patients Hospital Administration Post episodical Patients Patients looking for Health Insurance and long term loans Fitness Clubs/Centre     Who are our most important customers? Direct : Patients who need at-home recovery aid (measurements & tracking ) Hospital Administration for Post Procedure monitoring   Indirect Doctors who need to evaluate the product and provide their endorsements and recommendations (as part of marketing or prescriptions to patients)   Partners- Insurance-Banks-Pharmaceutical Industry Insurance Companies - Dipolmatic, Promotions, Corporate insurance Pharmacy - Vendor, Interpersonal network,   Mass Market Segmented Customer Relations:   What type of relationship does each of our Customer Segments expect us to establish and maintain with them?   Patients Personalized assistance / guidance to recovery measurement schedules, storage and recommendations from hospitals Hospitals / Doctors Hospitals / Doctors expect faster turnaround times in case of queries or quality issues , on top of 24x7 phone / email based customer support Partnerships and People Network connection with Doctors & Hospital Administration Partnerships with Hospitals’ CSR initiatives Exchange of new business opportunities Ongoing Diplomatic Communication Channels All Customer Segments : Quality and Warranty agreements at the time of purchase and keeping up with the agreements during usage. Dedicated 24x7 support hotline (phone/email/social media) customized for their profile : for any usage related queries or maintenance related queries Pathology Labs - Assisted   Which ones have we established? None     How are they integrated with the rest of our business model? Systems Diagram.. We need to complete this! Customer Education and Quality Assurance teams support the Customer Relationship Management team from the backend Marketing and Sales teams work closely with Customer Relationships Management teams to gain insights into preferences and problem areas.   How costly are they? Very High Hospital & Doctors Hospital administrations give significant weightage to doctor’s opinions on making purchase / partnership decisions on medical equipment or mobile applications in this space. Doctors need more active engagement by Sales / Marketing /CRM post purchase. High Pharmacies, Pathology Labs Low Chronic Patients   examples Personal assistance Dedicated Personal Assistance Self-Service Automated Services Communities Co-creation     Distribution Channels:   Through which Channels do our Customer Segments want to be reached? Retail Pharmacy supply chain (Primary) Doctor prescription and Recommendation Website - Sales person (Asha - Arvind) Insurance Policies Fitness Centers (Secondary)   How are we reaching them now? No reach at this point in time   How are our Channels integrated? (Need to iterate) Systems Diagram.. We need to complete this! Cascading Channels:   Doctors prescribe the I-Heal Kit to Patients with consensus from Hospital Administration Patients buy the I-Heal Kit with Doctor's prescription , from Pharmacists OR I-Heal websites In conditions where insurance covers the purchase , Hospital Administration buys the kit and delivers to patients or Patients buy the kit directly from website/ pharmacy and claim the expenses.         Which ones work best? Doctor prescribing and Insurance paying for the Kits (Difficult) Device and iHeal Service as a combo…!   Which ones are most cost-efficient? Cheaper distribution network where patients buy the device directly from the pharmacy.   How are we integrating them with customer routines? Patients need to add measurement into their daily routines as part of doctor's prescriptions I-Heal Kit takes care of reminding the patient, capturing the measurements , notifying patients if they need to see doctors and provide historical trend reports accessible to doctors & patients. .   channel phases 1. Awareness - How do we raise awareness about our company’s products and services? Ads- Marketing Promotion 2. Evaluation - How do we help customers evaluate our organization’s Value Proposition? Rating, Surveys, Interviews, 3. Purchase - How do we allow customers to purchase specific products and services? Registration of Service, OTC purchase 4. Delivery - How do we deliver a Value Proposition to customers? Product & Service Innovation, Low cost opportunity, 5. After sales - How do we provide post-purchase customer support? Support System, Web Reference, Training Videos,       Key Partners:   Who are our Key Partners? Insurance Companies Hospitals Administration   Who are our key suppliers? Production Materials Supplier Cloud Storage Service Providers Application Servers on Cloud   Which Key Resources are we acquiring from partners? Ecosystem Knowledge – SLA, Access to Doctors, Endorsements Which Key Activities do partners perform? Healthcare Management Insurance Policy formulation – dissemination Raw Material, Components from Suppliers.   motivations for partnerships Optimization and economy Reduction of risk and uncertainty Acquisition of particular resources and activities                                                                 Key Activities:   What Key Activities do our Value Propositions require?   Product Innovation R & D Customer segmentation, Product pricing, Procurement, Customer interviews Prototyping and blue-print development Manufacturing Build Engineering Team Build Customer Relationship Team Platform Development (Measurement Schedules, data capture , trending, PHR) Mobile application development Web application development Integration & validation Quality control Support Platform Integration Sales and distribution Eco-System Development Establishing relationships with hospital administration & doctors Establishing relationship with pharmacies   Our Distribution Channels? Education and demos Pricing strategy & Revenue sharing models Ongoing feedback and payment channels   Customer Relationships? Develop brand awareness First time user guides and support channels Ongoing queries support Ongoing quality & maintenance request handling Feedback channels Revenue streams? VC Funds (All types) Product Revenue (Hospital- pharmacies-direct-insurance) Ad-Revenue sharing (from android application usage generated)          CSR (Sponsorship - Business Dev) categories Production Problem Solving Platform/Network                                                                                 Key Resources:   What Key Resources do our Value Propositions require? Hardware Components Hardware Integration/ Manufacturing/Test Setup Product Development Team Hardware & Software Services Development Team Sales & Marketing Team Cloud Services Our Distribution Channels? Access to Doctors & Hospital Administration Access to Pharmacists Sales & Marketing Force (Indirectly supporting I-Heal sales & marketing)   Customer Relationships? Software to manage Queries & Complaints Call Center Representatives Revenue Streams? Relationships with Doctors, Hospital Administration & Pharmacists iHeal Website Access to CSR Departments in Corporates & NGOs     types of resources Physical Intellectual (brand patents, copyrights, data) Human Financial                         Cost Structures:   What are the most important costs inherent in our business model? Manufacturing Costs + Component Costs Market Research R&D / Engineering Costs Human Capital Costs Sales & Marketing Costs Customer Support Warranty Costs Which Key Resources are most expensive? Components Manufacturing Equipment / Machinery Engineering Teams Sales & Marketing Which Key Activities are most expensive? R&D / Engineering Manufacturing Sales & Marketing Customer Support   is your business more Cost Driven (leanest cost structure, low price value proposition, maximum automation, extensive outsourcing) Value Driven (focused on value creation, premium value proposition)   sample characteristics Fixed Costs (salaries, rents, utilities) Variable costs Economies of scale vs Economies of scope                   Revenue Stream:   For what value are our customers really willing to pay? Cost Effective / Economical Offering Convenience of at-home measurement Simplification of measurement & tracking of vitals Elimination of ambiguity on the need to visit doctors ( saves time & cost of travel ) Access to their healthcare records anytime & anywhere   For what do they currently pay? Device for measuring vital data at-home Follow up Consultation with doctors. ( travel & consultation fee )   How are they currently paying? Recurring for consultation One-time for device Mode of Payment : (1) Cash (2) Credit/Debit Cards   How would they prefer to pay? Recurring for consultation One-time for device Mode of Payment : (1) Cash (2) Credit/Debit Cards   How much does each Revenue Stream contribute to overall revenues? (Approximates percentage value) a) Product Revenue (40%) b) Services Revenue (10-20%) c) Ad Revenue (5-10%) d) Revenue from CSR/Sponsorship (10-20%)   fixed pricing List Price Product feature dependent Customer segment dependent Volume dependent   fixed pricing List Price Product feature dependent Customer segment dependent Volume dependent   dynamic pricing Negotiation (bargaining) Yield Management Real-time-Market           Value-Creation Model   Values it promotes quality care in healthcare with resources being efficiently utilized   Product Value Simplest Form Accuracy in Data     Services Value   In our Business Model what do u see as value that is customer more likely to pay for where (s)he worth more for the cost it takes us to produce the offering?   In our Business Model what can be prevented in the production of an offering that is worth less to the market than its production cost?   Value delivery agents: Customers are willing to accept and use Offerings value because of their awareness of your company (nurtured by the marketing message), belief that your offering will solve a business problem (reinforced by the sales approach) expectation of improved operations (made credible by the customer service practices)         · Who are your customers and what is the product/service offering?· How does the offering create differentiated value for them?· What is the value chain? What parts are you in?· What are your go-to market and market development strategies?           Profit Model   Profit = Offering Sales Price - Cost of (Value Creation + Value Delivery) Factors affecting Profits: Competitor Pricing Low cost solution to end consumer Long term market strategy (Customer Loyalty Programs - Branding)   Cost of Value Creation = Assets + Fixed Cost of Production Cost of Value Delivery = Variable Cost + Fixed Minimum Budget   Modeling cost elements such as materials, losses, multi-products, learning, depreciation etc.   Fixed Cost post manufacturing overheads: Administration, Sales-Marketing, engineering - F1 Fixed Cost of manufacturing - F2 Fixed Cost F = F1+F2   Profit = Selling Price* Quantity Sold - (Fixed Costs + variable cost per unit * Production quantity + Cost of Goods sold)   List of Elements with : Fixed Cost Variable Cost Depreciation                                           · What are your sources of revenue?· What is your cost structure?· What is the unit economics?· What are the key drivers of profitability?           Logic of the Business (Building Proof of Concept)   In health care, most technological enablers have failed to bring about lower costs, higher quality, and greater accessibility. The primary institutions of health care delivery, the hospitals and healthcare companies are jumbled mixtures of multiple business models struggling to delivery value out of chaos, incorporating indecipherable systems of cost accounting, excessive overhead, pervasive cross-subsidization, and an unacceptable amount of variability and medical error. User networks (facilitated and non-facilitated) will help shift much of the care of chronic diseases out of the intuitive-based practice of hospitals and physician practices, whose business models are poorly equipped to meet the needs of these people. User-network businesses will improve the quality and reduce the cost of care for many behavior-dependent chronic diseases.   Lies in the Process Definition/Process Excellence of Value Creation and Value Delivery.     Lies in developing better Facilitated Networks with mainly Doctors and Hospitals Admin (meditated-network businesses)   One way is Community Development.. thru local seminars/meetups/bootcamps etc Other one is through CSR-ngo based activities.   Velocity of business   What they do: Facilitates the exchange of information and care advice among its customers.   <number>
  15. We break even by the end of 1 year, and start to earn the profitable revenue by sell of our 2600th device. <number>
  16. SP-10 P-50 Micro 5 Doctor-Path Lab OxyTrac <number>
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  18. Sensor enabled inhalers. - (AsthmaPolis) Prediction of Attacks.- Effortless PFT Devices for comatose patients <number>
  19. Future products.. What is the ask…? And how to make it more compelling with slide on for next 20min <number>