Ting Shih
CEO & Founder, ClickMedix LLC
http://clickmedix.com
Leapfrog Public Healthcare through
Market-Driven Social Busi...
© ClickMedix, LLC 2013 http://clickmedix.com 2
Part 1: Problem Discovery and Solution Framework
• Introduction and experie...
© ClickMedix, LLC 2013 http://clickmedix.com 3
Problem:
describe
the
problem
and root
causes
Goal:
describe
what you
want ...
© ClickMedix, LLC 2013 http://clickmedix.com 4
ClickMedix Story
© ClickMedix, LLC 2013 http://clickmedix.com 5
Inaccessible
doctors
• No doctors nearby
• Long and
inconvenient travel
• L...
Root Cause: Growing Physician Shortage
35M more Americans + 50M more seniors
Source: http://chartsbin.com/view/gcu
World Health Organization 2010, World Health Statistics 2010, ISBN 978 92 4 156398
7...
© ClickMedix, LLC 2013 http://clickmedix.com 8
• Specific
provide affordable, accessible healthcare
• Measureable
Cost of ...
© ClickMedix, LLC 2013 http://clickmedix.com 9
Strategy: Leverage Increased Adoption of
Mobile Phones for Healthcare
Sourc...
© ClickMedix, LLC 2013 http://clickmedix.com 10
Strategy: Extend the reach of doctors
Clinics
Hospitals
Experts:
Universit...
Screen
&
Triage
Diagnose Treat Follow
Up
Solution
Engage, Educate,
and Monitor
© ClickMedix, LLC 2013 http://clickmedix.com 12
Validate: Empowering Health Workers
© ClickMedix, LLC 2013 http://clickmedix.com 13
1 Oral Surgeon for 1.8M people
© ClickMedix, LLC 2013 http://clickmedix.com 14
Validate: Win-Win for All Stakeholders
• Early detection of potentially di...
Expand into other usages
Curate Market-Fitting Diagnostics Devices
Tele-Pulmonology: ultrasound Tele-ENT: Otoscope
Teleradiology: CT, MRI, X-Ray
Tele-Radiology for Physician Collaboration
Tele-Cardiology: 12-Lead iEKG
mHealth Kit
(distribution through pharmacies, clinics, etc.)
Products Features
Click-Specialists
Tele-Dermatology
Tele-Radiology
Tele-Cardiology
Tele-ENT (ear, nose, throat)
Tele-Orth...
Medical
Governmen
t
Mobile
Networks
Technology
Corporate
Mexican Social
Security Institute
Action: Show Results
© ClickMedix, LLC 2013 http://clickmedix.com 22
15
Countries
700,000+
Patient
Reach
2
Years
1/2
90+ Sites
Governments
Hosp...
© ClickMedix, LLC 2013 http://clickmedix.com 23
Action: Illustrate
© ClickMedix, LLC 2013 http://clickmedix.com 24
Health Worker Using ClickMedix to Capture Patient
Symptoms Information
15,447 Patients Screened
Total
15,447
Most Patients Complains of Diminished
Hearing or Itching
© ClickMedix, LLC 2013 http://clickmedix.com 27
Images of CSOM (perforation of the middle-ear
causing diminished hearing, ...
© ClickMedix, LLC 2013 http://clickmedix.com 28
HIV/AIDS Patient Case: Before Intervention
© ClickMedix, LLC 2013 http://clickmedix.com 29
HIV/AIDS Patient Case: After Intervention
Nurse Enters Intake Assessment
Nurse Enters Intake
Assessment
56% severe
periodontitis
66% concentric left
ventricular remodeling
or hypertrophy
N=135 pilot patients
New discoveries
47%
Baseline
3-month follow-up
3-Month follow-up
•n = 30
•Δ mean A1C = -1.37
(p<0.001)
56% Severe periodontitis
New Discoveries
68% Structural heart
dise...
Home Care
• Risk screening
• Triage
• Service options
• Care planning
• Tele-consultation
• Resources
Medication
Managemen...
@clickmedix
http://clickmedix.com
Ting Shih
@tingatclick
ting@clickmedix.com
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies
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Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies

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Framework for establishing effective social business for public health professionals with ClickMedix story as a case study.

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Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies

  1. 1. Ting Shih CEO & Founder, ClickMedix LLC http://clickmedix.com Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies http://clickmedix.com
  2. 2. © ClickMedix, LLC 2013 http://clickmedix.com 2 Part 1: Problem Discovery and Solution Framework • Introduction and experience sharing • Presentation on solution development and validation framework using technologies Part 2: Round Table Discussion and Action Planning • Launch your social business idea Agenda
  3. 3. © ClickMedix, LLC 2013 http://clickmedix.com 3 Problem: describe the problem and root causes Goal: describe what you want to achieve Strategy: describe your approach to achieve your goal Solution: Describe your solution Validate: pilot to show your solution works Sell: package solution and sell to customers Action: measure, show results and drive actions Framework for Solution Development
  4. 4. © ClickMedix, LLC 2013 http://clickmedix.com 4 ClickMedix Story
  5. 5. © ClickMedix, LLC 2013 http://clickmedix.com 5 Inaccessible doctors • No doctors nearby • Long and inconvenient travel • Long wait in line to see doctor High costs •For providers: manage clinic operations for rural areas •For patients: travel costs, loss of wages, consultation payments, etc. Lack of Specialists •Not enough specialists to serve patients •Specialists are often unavailable to rural population Problem: Global Health Challenges
  6. 6. Root Cause: Growing Physician Shortage 35M more Americans + 50M more seniors
  7. 7. Source: http://chartsbin.com/view/gcu World Health Organization 2010, World Health Statistics 2010, ISBN 978 92 4 156398 7, World Health Organization, Geneva 27, Switzerland, viewed 16th September, 2010 Physician Shortage Worldwide
  8. 8. © ClickMedix, LLC 2013 http://clickmedix.com 8 • Specific provide affordable, accessible healthcare • Measureable Cost of healthcare, time to access healthcare • Achievable Use existing technologies, e.g. mobile smartphones, and doctors • Results-Oriented 1 million beneficiaries • Time-Bound by 2015 Example: Help 1 million underserved patients obtain quality healthcare using mobile smartphones and computers to extend the reach of doctors and thereby serving more patients by 2015. Goal
  9. 9. © ClickMedix, LLC 2013 http://clickmedix.com 9 Strategy: Leverage Increased Adoption of Mobile Phones for Healthcare Source: http://www.alliedhealthworld.com/visuals/smartphone-healthcare.html
  10. 10. © ClickMedix, LLC 2013 http://clickmedix.com 10 Strategy: Extend the reach of doctors Clinics Hospitals Experts: Universities, specialists, tertiary Hospitals rural rural rural urban rural Semi-rural rural urban semi- ruralrural semi-rural
  11. 11. Screen & Triage Diagnose Treat Follow Up Solution Engage, Educate, and Monitor
  12. 12. © ClickMedix, LLC 2013 http://clickmedix.com 12 Validate: Empowering Health Workers
  13. 13. © ClickMedix, LLC 2013 http://clickmedix.com 13 1 Oral Surgeon for 1.8M people
  14. 14. © ClickMedix, LLC 2013 http://clickmedix.com 14 Validate: Win-Win for All Stakeholders • Early detection of potentially dire disease • Minimized time (< 3 days) to access medical experts for targeted disease care • Save on consultation and transportation fees by minimizing clinic visits Benefits • Increased revenue from patient retention and telemedicine consultations • Attract more patients by offering primary + specialty care • Reduced paper work and administrative costs • Increased medical capacity to treat patients and capture revenue previously on backlog • Improved collaboration among medical experts and referring primary physicians and rural nurses • Real-time data for expedited healthcare interventions • Enhanced health education materials from global base of health demographics • Reduced costs from data collection and analysis
  15. 15. Expand into other usages
  16. 16. Curate Market-Fitting Diagnostics Devices Tele-Pulmonology: ultrasound Tele-ENT: Otoscope Teleradiology: CT, MRI, X-Ray
  17. 17. Tele-Radiology for Physician Collaboration
  18. 18. Tele-Cardiology: 12-Lead iEKG
  19. 19. mHealth Kit (distribution through pharmacies, clinics, etc.)
  20. 20. Products Features Click-Specialists Tele-Dermatology Tele-Radiology Tele-Cardiology Tele-ENT (ear, nose, throat) Tele-Orthopedics Pre/Post Surgery HIPAA-compliant system with all features accessible on mobile phones or web browsers • Remote diagnosis with store- and-forward • Real-time video consultation • Triage protocols • Customizable patient forms • Patient portal, education & adherence monitoring • Electronic health record system • ePrescription • Multi-media (image, video, slideshow) training materials • Self-assessment quizzes • Remote consultation with instructors • Continuous updates of training materials • Online examinations/certifications Click-Health (Hospitals & Health Programs) Tele-Diabetes Tele-Primary Care Tele-Geriatric Care Tele-Maternal & Pediatric Care Commercialize: Ready-to-Use eHealth and eTraining Programs within 5 Days
  21. 21. Medical Governmen t Mobile Networks Technology Corporate Mexican Social Security Institute Action: Show Results
  22. 22. © ClickMedix, LLC 2013 http://clickmedix.com 22 15 Countries 700,000+ Patient Reach 2 Years 1/2 90+ Sites Governments Hospitals / Clinics Medical Schools NGOs Corporate
  23. 23. © ClickMedix, LLC 2013 http://clickmedix.com 23 Action: Illustrate
  24. 24. © ClickMedix, LLC 2013 http://clickmedix.com 24 Health Worker Using ClickMedix to Capture Patient Symptoms Information
  25. 25. 15,447 Patients Screened Total 15,447
  26. 26. Most Patients Complains of Diminished Hearing or Itching
  27. 27. © ClickMedix, LLC 2013 http://clickmedix.com 27 Images of CSOM (perforation of the middle-ear causing diminished hearing, and deaf if untreated)
  28. 28. © ClickMedix, LLC 2013 http://clickmedix.com 28 HIV/AIDS Patient Case: Before Intervention
  29. 29. © ClickMedix, LLC 2013 http://clickmedix.com 29 HIV/AIDS Patient Case: After Intervention
  30. 30. Nurse Enters Intake Assessment
  31. 31. Nurse Enters Intake Assessment
  32. 32. 56% severe periodontitis 66% concentric left ventricular remodeling or hypertrophy N=135 pilot patients New discoveries 47%
  33. 33. Baseline
  34. 34. 3-month follow-up
  35. 35. 3-Month follow-up •n = 30 •Δ mean A1C = -1.37 (p<0.001) 56% Severe periodontitis New Discoveries 68% Structural heart disease => later-on heart failure Cohort • January through October 2013 • n = 135; Median age 56 (19-82) • Type 2 diabetes 91% Mean A1C 8% ± 1.6 • Median BMI 33.1 (range, 108.1-20.9) • Influenza vaccine within past year 50%, Pneumococcal vaccine in past 29%, HBV vaccine 11%
  36. 36. Home Care • Risk screening • Triage • Service options • Care planning • Tele-consultation • Resources Medication Management SupportPatient Hospital Care Follow- Up Screen for Risks Re- Assess Symptoms Disease state Treatment plan Determines optimal care path of services Image source: Artificial Fiction Brain by Wikipedia user Gengiskanhg (Creative Commons Licensed) Home Health Senior Home Care Caregiver Training Other (food adult day care) Transportation
  37. 37. @clickmedix http://clickmedix.com Ting Shih @tingatclick ting@clickmedix.com

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