The European, Chinese, and United States healthcare markets are a study of contrasts, each of which face a unique set of challenges and issues for their combined 2.4 billion citizens. Despite their differences, there are a number of opportunities for organizations to learn and profit through intercontinental collaboration on their paths to a more connected healthcare ecosystem. Panelists representing the three regions will provide an overview of their country’s unique healthcare landscape and offer a vision for a future of collaboration and progress. • Brian O'Connor - Chair, European Connected Health Alliance • Millard Chiang - Chairman, China Connected Health Alliance; Chair, Pegasus Holdings Group • Julien Venne - Strategic Advisor & European Project Team Leader, European Connected Health Alliance • David Whitlinger - Executive Director, New York eHealth Collaborative New York eHealth Collaborative Digital Health Conference November 18, 2014

1. Connected Health
Around the world in 60 minutes

2. Connected Health around the world
CHINA

3. CHINA
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Population
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In 2013, China’s Population reached 1,360.72 million and natural growth rate was 4.92‰

4. CHINA

5. CHINA

6. CHINA

7. CHINA
ECHAllianceprovidesauniquepartnershipoforganization,companiesandgovernmentsbodiestotransformhealthcaredeliveryandcreateeconomicbenefits.
Inbringtogethercommercial,academicandhealthcarestakeholders,ECHAlliancefacilitatesfocusedleadershipforthedevelopmentofconnectedhealthmarketsacrossEuropeandbeyond.ConnectedhealthisanumbrellatermwhichincludeseHealth,mHealth,telecare,pHealth,digitalhealthandothertermswhichpromotetheuseoftechnologyinhealthcare.
TheECHAllianceboardofdirectorsismadeupofastronginternationalteam,withmemberscomingfrombothindustryandacademia.BoardmembersconsistofbothfoundationmembersandanumberofECHAlliancepartners.BrianO’ConnorisChairoftheEuropeanConnectedHealthAllianceorganization.
CCH Alliance
Founder & Chair
BrianO'Connor
ECH Alliance
Chair
PeterChau
CCH Alliance
Founder &CEO
MillardChiang

8. CHINA
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PartnershipwithECHA,CCHAaimstobuildalegendaryplatformtoprovidevaluableservicestoallexistingmembersinChina.
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CCHfocusesonChineseandInternationalhealthindustry, academicexchanges,scientificresearch,industrialtraininganddevelopment,industrializingmedicalachievements,healthindustrydata.

9. CHINA
Cooperation Resources Introduction
ECHAllianceisourbestpartners,theywillprovideustheirprofessionalknowledgeandefficientmethodintheEuropeanmarket.Inaddition,wewillprovideprofessionalpersonandmanagementexperience,tohelpachievethemedicalandhealthsystem.
ECHAlliance
Wehavecooperationwiththeworldfamoustop500companiessuchasPPG,ITW.Wehavetheverygoodpracticaloperationexperienceinoverseas.TheseexperiencescanbewellappliedinChinanative.
World‘s top 500 companies
Government resources/政府资源
WehavecommunicationwithChinaMinistryofpublicsecurity,ChinaMinistryofhealthcooperation,whichcanhelptheintegrationtheresourcesofgovernment,hospitals,enterprises.Withstrongresourcesformedicalinformationsystem.

10. Connected Health around the world
EUROPE

11. EUROPE
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EU Population (2014) = 507,4 millions
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EUROPEAN UNION (EU) = 28 countries
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Health system resources & activities
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3,4 physicians per 1000 population
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8 nurses per 1000 population
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35% GPs / 65% specialists
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6,3 consultations per person per a year
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5,3 hospital beds per 1000 population (decreasing)
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7 days average length of stay at hospital

12. EUROPE
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Health system organisation at a glance
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28 countries in Europe with national rules
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Different models but in all countries a principle : “Universal cover”
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Strong position of public sector in Health systems (73% of Health expenditures)
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Not a EU centralized decision: national budgets, national Health policy and own priorities
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European Commission: only trends and policy for Research and Innovation
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Mix of Private/Public GPs, Specialists
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GPs as main gate: Many countries give incentives to patients in order to start he care pathway with the GP

13. EUROPE
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Demographic/Epidemiologicfacts & figures
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Life expectancy
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Women 86,1
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Men 82,7
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Chronic diseases
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Leading cause of mortality and morbidity in Europe
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Around 80% of global health expenditures (966 billions $USD)
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Ageing population
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Around 20% of European citizens have +60 years old
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30% in 2030

14. EUROPE
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Financial facts & figures
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Health Expenditures
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2266 $USD per capita
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9 % of EU GDP (1150 billions $USD)
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Funders/payers
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For Health: national funds (mainly tax-based), regional health trusts, hospitals, private insurances
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For Ageing: local authorities are purchasers supported by national funds (tax-based), private insurances
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For wellness: costumers, some local authorities (tax-based)
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Private insurances (26% of the expenditures)
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Complementary insurance: cover the cost-sharing with public coverage
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Supplementary: additional services
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Duplicate: access faster or larger choice of providers

15. EUROPE
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Health Expenditures % GDP

16. EUROPE
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Health Expenditures by function

17. EUROPE -Germany
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Key figures
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Population = 81,8 M
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Health expenditures = 376,2 billions $USD (11,3% GDP / 4 599 $USD/capita)
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Health System key characteristics
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Basis concept: universal access
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Sharing of decision-making powers between the sixteen Länder(states), the federal government and statutory civil society organizations
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TheministriesineachLand(state)areresponsibleforpassingtheirownlaws,supervisingsubordinateauthorities,andfinancinginvestmentinthehospitalsector
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Statutory health insurance (SHI) (public)
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Private insurances : primary and complementary (choice of citizens –10%)
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Connected Health in Germany
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2000: concept of Integrated Care possibility to sign contracts directly with health insurances on Home care
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2004: laws for Interoperability between states and PHR with electronic cards (Gematik)
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2009: Risk stratification of patients –new way of funds sharing

18. EUROPE -France
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Key figures
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Population = 65,3 M
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Health expenditures = 275,2 billions $USD(11,6% GDP / 4 215 $USD/capita)
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Health System key characteristics
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Centralization of decision: ministry of Health, National Health Authority (HAS)
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Strong National Public Insurance (100% for chronic diseases expenditures)
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Private insurances : only complementary (96% of frenchpopulation)
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Private GPs
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Connected Health in France
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2009: creation of regional Health agency
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2009: national framework of Interoperability –national EHR
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2010: law about Telemedicine, definition of medical acts but no pricing
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2013: new National Health strategy –centered on patients and GPs
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2014: 1stpricing program for Telemedicine
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2015: connected health program (new EHR, chronic diseases services, imaging systems…) / 80M€invested by the government
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2015: Ageing population support program / 200+ M€invested

19. EUROPE -UK
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Key figures
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Population = 63,2 M
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Health expenditures = 229 608 millions $USD (9,4% GDP / 3 633 $USD/capita)
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Health System key characteristics
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National Health Service: 100% public system, managed by the central state
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Universal public service -Free for the citizens
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Organization
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Primary Care Trust (PCT): manage a local area (GPs, nurses, social care and patients)
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Strategic Health Authorities (SHA): assess PCTs and manage funds
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Foundation trusts: hospitals with a large autonomy, free to contract with different providers
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Specificities in Scotland (NHS24) and in Northern Ireland
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Connected Health in UK
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Since 2005: eHealth program with NHS Connecting for Health, 20,7 M$USD; with different projects: PACS, VPN for Hospitals, Booking for professionals, PHR (Care Records Services)
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2015: new NHS’ program / PHR on web platform and mobile apps

20. EUROPE
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EU Trends
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Fragmentation of the market
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28 countries with Regional approaches
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Proof of concept (clinical trials / each country)
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Business models & procurement issues (public procurement)
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Lack of interoperability and legal harmonization within the EU
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Mainly public health and social care systems in Europe
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Policies & Innovation funding programs for Connected Health
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Paradigms transition: from curative to preventive, personalised health
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Private sector is a complement or a substitution or a duplicate system

21. EUROPE
Community Interest Company
Not for profit, Connected Health Alliance CIC (registered in Northern Ireland)
Our Mission
“Bringing Together the future of Health, social care & Wellness”
Our Mantra
“Health & Social care is an investment for people wellbeing and for growth & jobs creation”
Membership Organisation
220+ members in over 20 countries, 10000+ community
Connected Health Ecosystems
International network of Ecosystems

22. EUROPE
Connect the innovators
Companies
large, SMEs, start-ups / multi sectors
Academics
Education and Research organisations, multi sectors
Citizens/Patients/
Families
Funders/purchasers
(public and private)
Health & social care providers
Public/private, primary care, hospitals/housing, social carers
Policy makers
Health/Social Dept., Industry/Economy Dpt., Research Dpt.
Design the solutions
with users & customers
Funding
Public Innovation funds
European, National, regional/local
Private investors
Large companies funds, banks, business angels, VCs, private equity, foundations…
Create your own ecosystem to innovate
Large membership
Matchmaking & Networking Events
Digital Innovation Platform
ECHAlliance is a Connector
&

23. EUROPE
ECHAllianceistheHealth&WellnessOfficialPartnerofGSMAfortheMobileWorldCongress(Barcelona,3-4March2015).
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Tuesday 3 March supported by Mobile World Capital Barcelona will be dedicated to interactive sessions and workshops. It will be held in the Mobile WorldCentre, at thecentre of Barcelona.
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Wednesday 4 March will include a high level programme including international leaders in the health and wellness sector. It will be held in the heart of the Mobile World Congress at FiraGran Via, Hall 8.0 Theatre District.
www.ECHAlliance-HW2015-MWC.com
After the success of the Health & Wellness @ Mobile World Congress 2014we know 2015 is going to be even bigger and better. With numerous avenues for exposure to over 85,000 attendees, between world key industries, researchers and political attendees, the organisation of B2B Matchmaking sessions and a high-level conferences program, becoming a sponsor at “2ndHealth & Wellness @ Mobile World Congress 2015” is the most valuable addition to any marketing plan.
Key figures 2014 event:
Global MWC attendees: 85 000+
Health & wellness attendees: 250+
C-Level, VP, Board, Directors: 57%
CEOs: 4,300
Mobile Operators: 13%
Global participation: 200 countries
3 minute YouTube video ECHAlliance @ MWC 2014 http://www.youtube.com/watch?v=82Ci7- riUGw&feature=share&list=PLUIbFLTWQC0UzqiB58HG3M_PQT4grjfuY&index=4

24. Connected Health
Around the world in 60 minutes
Brian O’Connor, Chair, brian@echalliance.com
Julien Venne, Strategic Advisor, julien@echalliance.com
Millard Chiang, Chair, mcc88888@hotmail.com
Dave Whitlinger, CEO, dwhitlinger@nyehealth.org

25. European Connected Health Alliance
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Delivering leadership for the development of Connected and mhealthmarkets and practice across Europe and beyond
www.echalliance.com
info@echalliance.com