mHealth Summit Presentation 2014: Reinventing the Dynamics of the Healthcare System


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Today’s “boomers” are driving change in the healthcare system. This [mHealth Summit 2014] session discusses how wearable, point-of-care, patient self-management and other emerging technologies will supplement the increasing demand on healthcare services and the decreasing number of providers. It will explore an array of related and other promising emerging trends and opportunities which aid seniors entering a hyper-connected world.

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  • ClickMedix has been able to replicate this model with numerous partners, which gives us a reach of over 600,000 patients.
  • mHealth Summit Presentation 2014: Reinventing the Dynamics of the Healthcare System

    1. 1. Connected Mobile Health Platform to Serve More Patients Better, Faster, and at Lower Costs Ting Shih, CEO & Founder
    2. 2. Predictable Trend: More and Sicker Patients, But Less Doctors 130M 92 M people can’t see a doctor 63M 14 M Source: AAMC Center for Workforce studies, June Analysis 2011, © ClickMedix, LLC 2013 2
    3. 3. Physician Shortage Worldwide Source: © ClickMedix, LLC 2013 3
    4. 4. Enable Doctors to Serve 4-10X More Patients Homes Clinics/Hospitals © ClickMedix, LLC 2013 4
    5. 5. 1 Oral Surgeon for 1.8M people © ClickMedix, LLC 2013 5
    6. 6. ClickMedix Connected Mobile Health Platform Click to edit Master title style Click to edit Master title style
    7. 7. Collect Information Needed for Diagnosis Based on Specialist Protocols
    8. 8. Click to edit Master title style Curate Market-Fitting Diagnostics Devices Click to edit Master title style Tele-Pulmonology: Digital stethoscope to record audio sounds and send to remote doctor for diagnosis Tele-ENT: Otoscope Tele-Diabetes retinopathy: Fundus scope Tele-Home Care: Pulsewave MAX for Heart rate, blood pressure, ECG, body temperature, oxygen saturation, breathing rate, heart rate variability, heart arrhythmia, pulse transit time, and mechanical pulse wave. Tle-Derm: Dermatoscope
    9. 9. Click to edit Master title style Tele-Cardiology: 12-Lead iEKG Click to edit Master title style
    10. 10. Click to edit Master title style Click to edit Master title style Tele-Gastrointestinal Post-Op Care • First audio spectral analysis device for prediction of disease • Records and analyzes audio spectrum of bowel sound • Assesses patient POI risk within 12 hours post-operation • LED display provides simple risk assessment and early warning with trend analysis • Results easily transmitted to smartphone or patient’s EMR via wireless protocol
    11. 11. Tele-Radiology edit Physician Collaboration Click to for Master title style Click to edit Master title style
    12. 12. mHealth Homecare Kit © ClickMedix, LLC 2013 12
    13. 13. Working Solutions from Lesser-Resourced Countries Chronic Diseases (diabetes, heart disease, Alzheimer’s) © ClickMedix, LLC 2013 Infectious Diseases (HIV/AIDS, TB) Specialties (oncology, derm,ENT) 13
    14. 14. Deployments and Scale: 700,000+ Patient Reach Clients/ Partners Hospitals / Clinics 61 Governments 3 Research Institutions and medical schools 10 Multi-national corporations 4 © ClickMedix, LLC 2013 Services Population Reach Geriatric care, maternal/pediatric care, dermatology, oncology 520,000 Diabetes, hypertension, heart disease, obesity, dermatology, pre/post surgery, cervical cancer Screening 100,000 Cardiology, TB surveillance, HIV+ staging Education: mHealth for doctors, nurses, health workers 90,000 ENT, geriatric care, obesity, preventative care 10,000 14
    15. 15. Medical Government Mobile Networks Technology Corporate Mexican Social Security Institute
    16. 16. Impact of mHealth Physician Time Savings: mHealth can save ~50% of this time Result: each physician Result: each physician can increase patient can increase patient load by 2-10X load by 2-10X Adverse drug events: mHealth can save 15% of this cost Result: $22.6M in ADE Result: $22.6M in ADE cost savings cost savings Chronic diseases: Remote monitoring & treatment through mHealth can reduce chronic disease costs by 35%. Result: By 2017, out of Result: By 2017, out of pocket expenses could pocket expenses could decrease by $102/user decrease by $102/user for mHealth users for mHealth users Source: 1. 2. © ClickMedix, LLC 2013 16
    17. 17. 46% of Deaths in the US Are Due to Chronic and/or Co-morbid Conditions Preventable and Manageable Through Home-Based Interventions and Services Disease Deaths % Coronary Heart Disease 445,864 21.42 Alzheimers/Dementia 172,765 8.3 Stroke 146,664 7.05 Diabetes Mellitus 75,280 3.62 Hypertension 62,156 2.99 Kidney Disease 50,889 2.45 © ClickMedix, LLC 2013 17
    18. 18. Click Steps Master title style Intervention to edit and Current Challenges Click to edit Master title style Prevent / Assess Life style changes (lose weight, stop smoking, reduce drinking) Screen Lack timely screening causes late stage detection Diagnose Treat Follow-up Lack of PCPs/ specialists to diagnose Late stage discovery Co-morbid diseases Difficult lifestyle changes and treatment adherence
    19. 19. ExistingClick to edit Master title style Solutions Do Not Enable Continuous Click to edit Master title style Healthcare Prevent /Assess Text4Baby, Fitbit, MyBasis Screen Diagnose Treat Follow-up Clinics TelaDoc, Best Doctors, DirectDerm Clinics, hospitals and specialists MedicAlert, FusionCare
    20. 20. Connected Mobile Health Enables Continuous Click to edit Master title style Click to edit Master title style Healthcare Delivery Prevent /Assess Text4Baby, Fitbit, MyBasis Screen Diagnose Treat Follow-up Clinics ClickMedix Connects Clinics, hospitals and TelaDoc, specialists Solution Segments Best Doctors, DirectDerm MedicAlert, FusionCare
    21. 21. Prevent / Assess Prevent: Patient Education Patient education video about diabetes © ClickMedix, LLC 2013 21
    22. 22. Prevent / Assess Mobile Apps for Assessments Click to edit Master title style Click to edit Master title style
    23. 23. Prevent / Assess Mobile Apps for Assessments Click to edit Master title style Click to edit Master title style
    24. 24. Screen © ClickMedix, LLC 2013 Capture Symptoms Information (via nurse, caregiver, patient themselves) 24
    25. 25. Diagnose © ClickMedix, LLC 2013 Remote Consultation 25
    26. 26. Treat Review History Review patient history and prior data on web or phone © ClickMedix, LLC 2013 26
    27. 27. Follow-Up © ClickMedix, LLC 2013 Contact patients to improve adherence 27
    28. 28. Follow-Up © ClickMedix, LLC 2013 Recommend Home Monitoring 28
    29. 29. Follow-Up Follow-Up Consultation Patient takes a picture and fills out symptoms update from his phone and requests for a telemedicine consultation © ClickMedix, LLC 2013 29
    30. 30. © ClickMedix, LLC 2013 30
    31. 31. © ClickMedix, LLC 2013 31
    32. 32. Case Studies (with Revenue Models) • High volume and high-throughput solution • Repeatable solution for scaling to large communities • New businesses and services for mHealth-powered senior care © ClickMedix, LLC 2013 32
    33. 33. ~27M Incidences of Ear Infection in India: 1 Health Worker Screens 2,000 Patients/Year : © ClickMedix, LLC 2013 33
    34. 34. 2180 Patients Saved from Hearing Loss © ClickMedix, LLC 2013 34
    35. 35. Most Patients Complains of Diminished Hearing or Itching © ClickMedix, LLC 2013 35
    36. 36. Perforation of the Middle-ear Causing Diminished Hearing, and Deaf If Untreated © ClickMedix, LLC 2013 36
    37. 37. Chronic Disease Management Screening and Tele-consultation for 22,000 clinics 35M patients
    38. 38. China: Creating Home-Health Care Business Unit for Premier Hospital in China © ClickMedix, LLC 2013 38
    39. 39. Home-Visit Doctor and Nurse Teams © ClickMedix, LLC 2013 39
    40. 40. Home-Care Assessments and Tele-Consultation with Specialists © ClickMedix, LLC 2013 40
    41. 41. Packaged Pricing Model © ClickMedix, LLC 2013 41
    42. 42. US: Care Giver & Patient Centered PostDischarge Service © ClickMedix, LLC 2013 42
    43. 43. Alzheimer’s Management & Senior Home Care Determines optimal care path of services Home Care Home Care Medication Medication Management Management Home Health Home Health Support Support Patient Patient Symptoms Disease state Treatment plan • • • • • • Caregiver Caregiver Training Training Risk screening Triage Service options Care planning Tele-consultation Resources Image source: Artificial Fiction Brain by Wikipedia user Gengiskanhg (Creative Commons Licensed) Transportation Transportation Other (food Other (food adult day adult day care) care) Hospital Care Hospital Care FollowFollowUp Up Screen Screen for Risks for Risks ReReAssess Assess
    44. 44. Building Better Healthcare through Building Better Healthcare through Click Mobile Health and Partnerships Click to edit Masterand Partnerships to edit Health title style Connected Mobile Master title style Connected | Ting Shih, CEO & Founder |