Digitalization in Healthcare - DNHK · Evolution • Second health market - self payers, private...
Transcript of Digitalization in Healthcare - DNHK · Evolution • Second health market - self payers, private...
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Digitalization in Healthcare
Dr. Balazs Szathmary, Innovation Health Partners
Dutch-German Health ConferenceWednesday, September 5th, 2018Sint Antonius Ziekenhuis, Utrecht
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My background
Education• Computer science, Biology and Health Economics (Germany /UK)
Work experience• IT specialist (Marienkrankenhaus, Bergisch Gladbach)• Product manager for HIS software (Aescudata, now CGM)• Consultant (Impact Management Consulting)• Project Leader (The Boston Consulting Group)• Leader EMEA Healthcare Industry Business Unit (Oracle)• Global Vice President Healthcare Solutions (Ascom)• Partner (Innovation Health Partners)• COO (Better@Home Service GmbH)
Memberships
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Introducing IHP
Project development:Strong partners and sustainable concepts
Project management: Results-oriented implementation
Research: Connecting theory to practice
Events: Interesting topics and contacts
Strategy:Successful market entry support
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Our network
Ministries / public health Public insurance Private insurance Associations
Providers IT & eHealth companies ConsultingPharma & MedTech
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We work with many eHealth players
CARDIOGO
GET READY
Source: IHP
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Digitization does not wait and is very fast
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Digitization drives disruptive innovation
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So where is digitization in healthcare?
Digitization in healthcare is lagging behind most other industries
eHealth Card/Infrastructure
Disease & CaseManagement
Telemedicine
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IT spendings per industry
IT spendings per industry in % of turnover
Source: Gartner Benchmark Analysis, 2015
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… and in hospitals
Hospital IT budget as % of operating expenses
5,0%3,8%
2,9%1,7%
0%
1%
2%
3%
4%
5%
6%
US NL DK D
Souerce: HIMSS Europe Database, 2015
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Nordics, Spain and NL in front
Souerce: Resesarch2Guidance
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IT spendings seem to correlate with HC quality
Source: Europe Health Consumer Index, 2016
Criteria1. Patient rights and information 2. Accessibility 3. Outcomes 4. Range and reach of services 5. Prevention 6. Pharmaceuticals
European Health Consumer Index (EHCI), 2017
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eHealth bears lot of opportunities
Increased quality and efficiency of HC services Avoidance of duplicate examinations Faster access and improved interpretability of information More sound decisions Optimized processes
Greater transparency of performance, thus timely and better control options Better (location-independent) access to health services Involvement of patients in decision-making (empowerment) Improved education and training
"Through the consistent use of eHealth solutions in the German healthcare sector, EUR 39 billion (12% of the statutory health insurance costs) can be
saved." PWC study, 2014
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Why does the eHealth rocket not take off?
• HC system/market• Complex federal structure• Divergent interests per sector• Not enough financial pressure• Lack of political will
• IT challenges• Many different (old) IT systems• Missing standards and interoperability
• Legal aspects• Data protection requirements• Unclear international guidelines
• Economical aspects• No reimbursement from the 1st HC market• Lack of business models• Difficult investment climate
• Patients/public• Negative publicity• Divergent patient interests • Deficient patient autonomy• Lack of openness for technology and innovation
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Complexity of the German & Dutch HC systems
Source: Verena Vogt, TU Berlin: Struktur des deutschen Gesundheitswesens; Promising Primary Care Practice Models: A Case study from The Netherlands
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Innovations start to reach even Germany..
of German patients would change their physician to get
access to their medical record electronically
79%
of Germans use the Internet to research for health related
information
43%
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2012 2020
Size and estimated growth of the German mHealth
+333%Mrd. €
Source: Young Lions Gesundheitsparlament, Accenture, A.T. Kearney
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Selected eHealth companies in Germany
Source: healthbytes.de
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Selected eHealth companies in the Netherlands
Source: Dr. Hempel Digital Health Network - 25 Innovative digital health, eHealth, mHealth startups in Netherlands
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• First health market - public health insurance
companies
• Strongly regulated by law, particularly the financial
structures
• Controlled by existing institutions and organisations
• National industry, products and services
• Focus on enhancing the efficiency of established
processes
• Connection between businesses
• Systematic, classical approach
• Clear rules, methods and structures
• Evidence-based, organic development
Evolution
• Second health market - self payers, private health
insurance companies
• Free health market economy
• International industry, innovative products and
services
• Driven by patients interests and insured people
• Digitization for development of new processes and
methods
• B2B, B2C, C2C, social networks
• Cooperation in network structures
• Flexible and open structures
• Disruptive and innovative breakthroughs
Revolution
Evolution or revolution?
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Suggestions not to miss the eHealth train
• PayersStart with small pilots quicklyAddress your innovative, eHealth savvy insured populationRequest economical and clinical evidenceDon’t try to integrate solutions into your core processes
• ProvidersConsider eHealth as strategic advantage rather than a cost factorCooperate with startups – they often offer their solutions for free/at very
low cost during test/reference phase
• eHealth companies Look out in the market for innovative partnersOffer risk-sharing modelsConsider internationalization early (though a tough challenge)
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Thank you very much for your attention!
Should you be interested in our services, please feel free to contact us
Dr. Balazs SzathmaryInnovation Health Partners GmbHUnter den Linden 8010117 Berlin
Mobile: +49-177-5943 102Office: +49-30-23 57 85 81Fax: +49-30-23 57 85 82balazs.szathmary@innovationhealthpartners.dewww.innovationhealthpartners.de
Self-determined living in a home that takes care of you
We address the mega-trendsDemographic change Digitalization / Smart HomeLiving alone at old age
Lack of skilled employeesUrbanization
Elderly living at home alone..Forgetting about the stove
Leaving the water running
Leaving the window open
Leaving the door open
Falling down
Not taking the needed medication
Check-up vital signs
Getting lost on the way home
There is an ever increasing need for concepts, which allow elderly people to live safe and self-determined at their homes as long as possible.
Why was nobody successful so far?Smart Home Provider AAL/ Emergency Provider
Overwhelming & fragmented market
Lack of end-to-end support
Lack of sustainable business models
The Better@Home platform
User
Service bundling
Partners, distribution channels,
financiers
Software
Services
Sensors
Platform Hybrid financing
• Central platform
• One stop shop
• Contracting all partners
• Hybrid financing
• Securing technology
• Data analysis
• Marketing & Sales
• Development of new services
Better@Home company functions
Our stakeholders
Real-estate
Assisted living, nursing home
Medical insurances
Welfare services
Emergency-call centers
Enterprises
Public services
Insurance
People and their relatives
Hospitals, doctors etc.
Stakeholder
Benefits for customers and partners(1/2)• Inventory revaluation• Reduction of empty apartments• Energy efficient building monitoring
• Saving of co-payment costs for nursing homes if citizen is unable to pay• Reduction of empty apartments in the city (relevant of apartments owned by
local authority)
Real Estate
• Extend emergency call portfolio• Supporting implementation of Bundesteilhabegesetz (integration of citizens
with disability into everyday life)
• Marketing• Staff can concentrate on value added care vs. routine • Expanded services
Nursing homes, assisted living
• Marketing• Improved care for insured persons• Cost savings (costs for home care less expensive vs. nursing homes)
Health Insurance
Local authority / Welfare service
Social welface
Hospitals and doctors• Efficient and location independent consultation • Option to care for lack of medical specialists• Improved patient relationship
Benefits for customers and partners(2/2)
Municipal utilities• Customer loyalty• Extension of service portfolio• Possible combination with Smart Metering
Enterprises• Improved work-life (here: home care) balance of employees• Productivity loss reduction• Improved employee commitment
Insurances • Savings – less damage events• Possibility to create new combined insurance packages • Marketing
Users and relatives• Improved patient safety• Less stress for relatives• Costs savings (delayed nursing homes admission)
Coordination, contracting, interfaces, data management
We cover the whole value chain
Technical and Concierge
Services
Emergency calls
Operator(HW, SW)
Installation + Maintenance
Consulting+Marketing +
Sales
Service Partners
PLATFORM
Individual configuration40 sensors can be used for your home Individual escalation for every situation
Home station communicates w/- sensors via and- data center via
Typical installation includes 6-10 sensors for a monthly fee of 65-100 EUR
Easy installation and maintenance
Easy installation Acustic signals
Turn off alarm by touch Mobile notifications
Bitte messen Sie Ihren Blutdruck.
Receiving pictures
Huge Display
Escalation options
• Passive or active emergeny notifications
• Does not have to be an emergeny – you can also book concierge services
• Software routes call to correct recipient
• 24/7 call center receives call and decides on appropriate service
• Either emergency services or concierge services can be booked
• SLAs are defined for every process
• Notification via call/mail/text
Hybrid financing modelsExample
75,00 € / Month
25%
25%
50%
Real-EstateHealth Insurance User/Relatives
The first offeringSummary
Our USPs Addressing mega trends (demographic change, urbanization,
digitization, lack of employees) and a large/quickly growing market First wall-to-wall offering (HW & services)/one-stop shop with experienced
partners Leveraging multiple go-to-market approaches (B2B, B2B2C, B2C),
financing models and sales channels Valuable platform with upsell potential for additional services (health, e-
commerce, etc.) No competitors so far
PROPHEALTHTECH