20120626 mobile health gugst

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AN OVERVIEW GUGST June 26 Jesper Rhode Andersen R&D and Innovation Ericsson Latin America

MOBILE HEALTHCARE

Ericsson Research Healthcare Overview | Commercial in confidence | © Ericsson AB 2010 | 2012-03-27 | Page 4

definitions

› Telehealth is a broader definition including preventive and curative aspects.

› Telemedicine is a definition within curative clinical medicine where medical information is transferred via telephone, internet or other networks.

› Mobile health or mHealth is a term for medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices, PDAs, and other wireless devices. Simplified it can be described as a subgroup of telehealth.

Fixed Mobile

Clinical Curative

Non-clinicalPreventive

Telemedicine

mHealthTelehealth

Ericsson Research Healthcare Overview | Commercial in confidence | © Ericsson AB 2010 | 2012-03-27 |

Modern Healthcare systems

- challenges and Pain points

Provide good care at an

affordable cost

Increase the availability of

care for all

+ +Help people stay healthy

+ +Demographic

shiftSharp rise in

chronic diseases

= ?

mHealth is part of the solution

• Higher efficiency in care delivery• Enabler for distributed care• Mature technology

Healthcare mega trends

• Distributed healthcare• Patient centric, personalized healthcare• Higher demands from patients

Mobile Health, mHealth is a term for medical and public health practice supported by mobile connected devices, such as mobile phones, patient monitoring devices, etc

Ericsson Research Healthcare Overview | Commercial in confidence | © Ericsson AB 2010 | 2012-03-27 | Page 10

The healthcare market- spending in healthcare

1 Roland Berger Consultants, 20092 Datamonitor, Telehealth spending in North America & Europe through 2012

Bill

ion

US$

24

6

8

10

12

Software

Service

Hardware

0 2008 2009 2010 2011 2012 2013 2014 2015

Telehealth spending in North America & Europe through 20122

mHealth

Bill

ions

of E

uros

15

20

25

30

35

40

2006 2010 2014

eHealth and mHealth market forecast for the EU1

eHealth

› Both mHealth and eHealth are potential high growth market segments› High on the agenda for most governments

Operator opportunities in Healthcare Vertical | Commercial in confidence | Page 3

Contents

Why Healthcare Vertical

Ecosystem & Operators Role

Service Evolution

Chronic Disease Management

Urban Care

Rural Care

Conclusion


In Short

Inaccessible Healthcare

(Geographically & Financially)

Shortfall of Infrastructure & Trained Medical

Resource

Rising Disease Burden

Can we introduce process and product innovation?But there is no one size that fits all…


Market Distribution by need

Access to primary care within reach

Access to secondary and tertiary care with ease

Affordable treatment

Awareness and Health EducationRural

Chronic

Continuous monitoring

Affordable care

Personalized and relevant information

Ability to analyze and compare their health status

Access to care and caregiver in least time & with ease

Information and Awareness

Trust in the caregiver

Open for new modes of care but price consciousUrban

Operator opportunities in Healthcare Vertical | Commercial in confidence |

Contents



Service Evolution

Chronic Disease management

Urban Care

Rural Care

Conclusion


Operators’ ROLE

Connectivity Provider

Enabler Provider

Value Added Service Provider

Wholesale of connectivity• Directly to enterprises• To Medical device manufacturers• Through resellers and brokers

Remote Monitoring and health recordsChronic disease managementSMS services for education, awareness, alerts

and remindersApps for wellness, information etc

Opportunistic approaches and comprehensive vertical strategies can coexist

Expose Capabilities and interfaces

Integrate Devices & maintain patient records

Enable B2B relationships and provide innovative services

Service assurance, Subscriptions, Access control, self service portals etc.


Possibly a much larger role

Rural GBT Site Health Center at Rural GBT site

Operator Ministry of Health & FW

Scale, technology, skills, large private caregivers, secondary & tertiary care

`, land, facility, on-ground medical resource, primary level care

New Healthcare

facility


Contents



Service Evolution


Urban Care

Rural Care

Conclusion


Addressable Markets

Rural Care


Urban Care through assisted Kiosks


CHRONIC DISEASE

MANAGEMENT


Chronic Patients Need

Type II Diabetes

-Need to be careful about diet -Need to maintain proper weight -Moderate intensity physical activity daily -Blood Glucose and HbA1C level under control

Chronic Obstructive Pulmonary Disease

(COPD)

-Caused mainly due to smoking -Patients need to keep their weight and BP balanced -Blood oxygen level is to be kept under control -Routinely do PEF & Spirometry test

Asthma-Caused due to genetic and environmental factors -Blood oxygen level is to be kept under control -Routinely do PEF test and analyze progress -Spirometry test is helpful in assessing asthma

Arterial Hypertension-Maintain Optimum BMI -Maintain Systolic and Diastolic Blood Pressure levels -Manage their lifestyle -Moderate Intensity Physical activity daily

Congestive Heart Failure

Cardiac Arrhythmias-Abnormal electrical activity (rhythm disturbance) in the heart - Diagnosed and Monitored through ECG - Need to maintain a good heart rate, BP and BMI

- Insufficient supply of blood flow to other parts of body - Need to be careful about diet, BMI & routine exercise - Need to maintain a good heart rate, BP - Condition diagnosed through ECG and blood tests

51 million cases (3:2 Urban : Semi

Urban + Rural)

40 million cases

Cause of 30% Deaths

60 million cases Cause of 39%

Deaths

Urban Care

Chronic Disease Mgmt

Rural Care

Routine monitoring of body vitals and lifestyle check can keep chronic disease under control


Secondary Hospital

Consults if the measurements exceeds threshold limits

Secondary Hospital

Chronic Disease ManagementTypical Service Description

Appropriate combination of Connected devices + Disease management

Portal/App provided to patient

Medical Helpline

Watches vitals measured by patient

Makes sure that the patient is performing routine measurements

Disease Mgmt through CDM Apps and SMS reminders

Urban Care


Rural Care


Chronic Disease ManagementPartners & their roles Target Segment

Revenue Drivers Challenges

Hospitals – Provide Doctors for consultation

Medical Helpline – Nurses/Doctors to routinely monitor

Distribution network (Pharmacies/Operator own network) –Makes equipment available at PoS

Insurance Company – Create Health products for masses

Government (MoH&FW/ DIT) – Run screening programs

Technology Provider – Enables entire technology piece

Chronic patients (CVD, COPD, Diabetes)

Follow up care

Post Operative and early discharge

Preventive care

Well-being, screening and data collection programs

Recurring revenues through sale of subscriptions to Caregivers for patient monitoring

Additional SIM’s in medical devices

Follow up care through SMS based alerts and services

Government programs (Preventive care, screening etc)

Chronic disease management applications

Markup on Connected Medical Devices

Med practitioners reluctant to use technology unless incentivized

Initial adoption

Initial reluctance to use technology

Awareness

Lack of preventive care mindset

Urban Care


Rural Care


URBAN CARE


URBAN CAREService Description

Assisted Health Kiosk Mobile Apps Patient Portal with EHR

Quick Health check Kiosk placed at strategic locations like mall, gym’s, pharmacy, corporate, airport etc.

Kiosks do a quick vitals check, print OK/ Not OK Report + generate EHR

If Not OK, then they route to a partner hospital

Apps to access health records on mobile

Apps to manage chronic diseases

Reminders and wellness apps

Adherence apps

Education & Awareness apps

Patient portals

Corporate EHR portals linked to Intranet

Social Media/ Communities

Auto EHR update on measuring through connected devices


Urban Care

Rural Care


patient Portal Online Health Portal for all categories of patients /

preventive healthcare

Mobile ApplicationDownloadable on Mobile, Offering basic features on the go

Targeted

Community

Inbox -

View Reports &

PHR

Appointment Scheduling

Video / Chat with

Doctors

Appointment booking Reminder ServicesEnd-To-Endless ///

Community interaction Mobile inbox

Features available on Patient Portal

Wellness

Program

e-prescription

& auto-drug purchase


Urban Care

Rural Care


URBAN CAREPartners & their roles Target Segment


Hospitals – Co-brand Kiosks and provide doctors for consultation

Medical Helpline – Nurses/Doctors to routinely monitor

Insurance Company – Create innovative Health products to include tele-health based incentives for masses/corporate

Advertisers – Consumer Health brands like Safola, Kellog’s, Quaker oats to incentivise and advertise


Preventive Care for health conscious urbans

Corporate


Fitness freaks, expectant mothers

Follow up care


Well-being and screening programs

Revenue through Health checks, lead generation for hospitals

Advertisements of Health Brands like Safola, Kellogs etc


Follow up care through SMS based alerts and services


Chronic disease management applications

Other Wellness Applications

Drive data growth, enhanced brand value, reduced churn

Trust factor on sanctity of such measurements

Initial adoption

Initial reluctance to use technology

Awareness

Lack of preventive care mindset


Urban Care

Rural Care


RURAL CARE


Typical Use-case

1. Calls up to discuss a problem

3. After triaging, asks the patient to go to the nearest Health Center

Medical Helpline

Patient

Secondary Hospital

Health BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth BackendHealth Backend

Rural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health CenterRural Health Center

2. Registers the patient and update details

4. Visits the nearest Health Center

5. Consults a doctor and perform measurements

6. Medical records automatically updated

Follow up

Data Analysis

7. Analyzed data used for targeting further services

Urban Care


Rural Care


The Rural healthcare PuzzlePartners & their roles Target Segment


Hospitals – Provide Doctors for consultation

Medical Helpline – Nurses/Doctors to do first level triage

Health Worker/ NGO – Provide human resource to manage health center and perform measurements

Insurance Company – Create Health products for masses

Government (MoH&FW/ DIT) – Play an active role, PPP


Patients needing primary care


Follow up care


Preventive care

Well-being, screening and data collection programs

Remote Health consultation across villages


Connectivity for Video conferencing

Triage call revenues

Follow up care through SMS alerts, OBD’s and services


Productivity enhancement, logistical support etc applications for Healthcare providers and health workers

Initial infrastructure cost is large (support of Government)

Scarcity of Medically trained Resource (On & Off Ground)

Available gov. resources unwilling to work unless incentivized

Non-availability of Internet connectivity (3G/ Fiber etc)

Who pays (Individual, Government, Insurance)

Linguistic diversity, Insufficient power supply

Critical drugs rarely available in rural

Med practitioners reluctant to use technology unless incentivized

Needs long term commitment and investment through government and private programs

Urban Care


Rural Care


Contents



Service Evolution


Urban Care

Rural Care

Conclusion


From a Device to an Instrument of Empowerment

A Mobile phone to a handheld Hospital

Connected Medical Devices

Electronic Health Records

Disease Management

Patient Diary

Wellness Apps

Alerts and Reminders

Doctors Assistant

Payment Channel

Social Health Network

Appointment Booking …


Telecom Service provider Strengths

› Existing nationwide area coverage

› Trusted Brand people can relate to

› Economies of scale

› Distribution, Logistics, Billing and Settlement handling ability

› High performance

› Provisioning, QoS Management and Policy Control

› Technology delivery capability

› Control over the mobile handheld

Impressive technology evolution driving performance and decreasing costs


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Do not add objects or text in the footer area Neeraj Joshi | Ericsson Internal | EIL-11:004346 Uen, Rev PA3 | 2011-08-12 | Page 69


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Text and bullet level 1 minimum 24 pt

Bullets level 2-5 minimum 20 pt

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A mobile brain scanner Just the beginning

20120626 mobile health gugst

Technology

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