Project iHeal now ProHealth was started on building a vision in making healthcare proactive. Currently targeted to serve patients facing chronic disease like Asthma and COPD that encompasses 8 million population in India. Around 20 million Indians are susceptible for pulmonary (respiratory functions) chronic diseases and lack of personal health care, that worsens the conditions leading to mismanagement.
OxyTrac: A Low Cost Spirometer + OxiMeter integrated with Mobile Application is a solution we are building, that would measure and manage the essential vitals for the Asthma/COPD patients.
ProHealth TeleMedicine: Building a telemedicine solution to connect Urban Doctors and Hospital infrastructure to the rural health centers.
http://oxytrac.launchrock.com/
http://angel.co/prohealth-inc
Project Accolades:
* NASSCOM 10000 startups Fellow.
* Winner of Impact-a-preneur Quest 2014.
(Business plan competition in association with Villgro Chennai and TiE)
* Startup Program winners at events organized by Weekend Venture, Startup weekend, TiE camp
(Pune/Mumbai Startup Meet, Bangalore Startup Launchpad, TiE Mumbai IQ Bootcamp)
* Entrepreneur Scholar at Global Sankalp Summit - 2015
Connect for Projects in Healthcare Technology, Medical Devices design and development, TeleMedicine solutions, Market research in healthcare and HMIS solutions.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010Cientis Technologies
Speaker: Peter Basch, MD, FACP, Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health. He is a Senior Fellow with the Center for American Progress, practices general internal medicine in Washington, DC. Dr. Basch is an early adopter of electronic health records and e-prescribing.
Dr. Basch explained the Stage 1 Meaningful Use Criteria including the 15 Core Measures you must meet plus how to select the 5 Menu Measures that are most appropriate to your practice.
Insurance reimbursement in the oncology marketsmithjgrace
New payment models, especially for those providing oncology medical billing services, have been designed to improve the value and effectiveness of medical care. For this, the Centre of Medicare and Medicaid Innovation devised a new model called the 'Oncology Care Model.' "Under the Oncology Care Model (OCM), physician practices have entered into payment arrangements that include financial and performance accountability for episodes of care surrounding chemotherapy administration to cancer patients.
Intro to informatics pharmacist by Linus LayLinus Lay
Presented by Linus Lay, Pharm.D. Candidate from the University of Rhode Island Class of 2022.
This presentation was in-service to RxInsider, a B2B multimedia publishing and technology company for the "business of pharmacy." Pharmacy Informatics is a rising field in the specialties of pharmacy. This presentation provides a brief background on the responsibilities of an informatics pharmacist, short history of the specialty curriculum, and the current education for the field of informatics for student pharmacists.
View MyCred Portfolio: https://mycred.com/p/2929377185
View Youtube Video: https://youtu.be/WTi2ldztl2I
This Atrium Health study and pilot program revealed healthcare savings potential resulting from a tailored approach to medication adherence and specialty drug programs.
From http://LearnHealthTech.com. What is e-prescribing. Details the workflow and technology aspects of electronic prescribing in Healthcare clinics. Covers, refills, refill requests, eligibility checking, and Surescripts, who is the leading provider of e-prescribing technology.
AMCCBS Virtual2021 Conference Takeaways Part 1Carevive
Takeaways from Carevive's March 2nd presentation featuring Ethan Basch, Madelyn Trupkin Herzfeld, Bruno Lempernesse, and Nadia Still DNP, RN.
Learn more about Carevive's breakthrough cancer care platform:
https://bit.ly/3bJ5H1z
One can expect a smart, mobile-powered solutions for improved patient care, efficient record maintenance, high level of data security, enhanced interpersonal communication and a resourceful healthcare training and innovation.
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010Cientis Technologies
Speaker: Peter Basch, MD, FACP, Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health. He is a Senior Fellow with the Center for American Progress, practices general internal medicine in Washington, DC. Dr. Basch is an early adopter of electronic health records and e-prescribing.
Dr. Basch explained the Stage 1 Meaningful Use Criteria including the 15 Core Measures you must meet plus how to select the 5 Menu Measures that are most appropriate to your practice.
Insurance reimbursement in the oncology marketsmithjgrace
New payment models, especially for those providing oncology medical billing services, have been designed to improve the value and effectiveness of medical care. For this, the Centre of Medicare and Medicaid Innovation devised a new model called the 'Oncology Care Model.' "Under the Oncology Care Model (OCM), physician practices have entered into payment arrangements that include financial and performance accountability for episodes of care surrounding chemotherapy administration to cancer patients.
Intro to informatics pharmacist by Linus LayLinus Lay
Presented by Linus Lay, Pharm.D. Candidate from the University of Rhode Island Class of 2022.
This presentation was in-service to RxInsider, a B2B multimedia publishing and technology company for the "business of pharmacy." Pharmacy Informatics is a rising field in the specialties of pharmacy. This presentation provides a brief background on the responsibilities of an informatics pharmacist, short history of the specialty curriculum, and the current education for the field of informatics for student pharmacists.
View MyCred Portfolio: https://mycred.com/p/2929377185
View Youtube Video: https://youtu.be/WTi2ldztl2I
This Atrium Health study and pilot program revealed healthcare savings potential resulting from a tailored approach to medication adherence and specialty drug programs.
From http://LearnHealthTech.com. What is e-prescribing. Details the workflow and technology aspects of electronic prescribing in Healthcare clinics. Covers, refills, refill requests, eligibility checking, and Surescripts, who is the leading provider of e-prescribing technology.
AMCCBS Virtual2021 Conference Takeaways Part 1Carevive
Takeaways from Carevive's March 2nd presentation featuring Ethan Basch, Madelyn Trupkin Herzfeld, Bruno Lempernesse, and Nadia Still DNP, RN.
Learn more about Carevive's breakthrough cancer care platform:
https://bit.ly/3bJ5H1z
One can expect a smart, mobile-powered solutions for improved patient care, efficient record maintenance, high level of data security, enhanced interpersonal communication and a resourceful healthcare training and innovation.
"Healthcare Services at Merck & Co". Presentation by Guy Eiferman, President of Healthcare Services and Solutions, Merck & Co., made at the mHealth Israel Investors Summit, June 29, 2015, in Jerusalem
Artificial Intelligence & Deep Learning - Presentation by Avner Halperin, Co-Founder & CEO of EarlySense at the NOAH Conference Tel Aviv 2018, Haoman 17 on the 14th of March 2018.
UHealth in Korea for Health and Wellness by Jongtae Park3GDR
OECD Expert Consultation 2016
헬스케어실증단지사업현황및발전계획
UHealth in Korea for Health and Wellness
Oct. 5, 2016
Jongtae Park
Kyungpook National University
Daily Healthcare Demonstration Complex Construction Agency jtpark@ee.knu.ac.kr
Maxine Powers, National Improvement Advisor at Department of Health, addresses Why QIPP and why now?, Programme design, National Work stream plans for safety and the role and contribution of AHPs. COT Annual Conference 2010 (22-25 June 2010)
Disruptors in the Medical Imaging IndustryBill Kelly
An overview of the Disruptors in the Medical Imaging Market. This free webinar will also give you more insight on the various factors that influence the market. We touch on results from a survey of a survey of 147 radiologists highlight the importance of reimbursement changes –both “appropriateness” measures and value-based medicine – as the most significant factors that will impact the imaging market.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
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This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
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The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
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
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
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
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>
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>
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>
Talk on number…
Explain the challenges in form of examples
Causes and why Spot measurement was an insightful point from the research
<number>
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>
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>
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>
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>
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>
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>
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>
How much does it reduce the cost burden? etc.
<number>
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>
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.
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We break even by the end of 1 year, and start to earn the profitable revenue by sell of our 2600th device.
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