Good Health to Remote / Poor CommunityLacking Medical Experts

“to the underserved & remote communities”

Discussion Paper ONTOMED

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Intro to Mobile Health Market (MHC)

• M-health, is the practice of medicine & public health, usingconnected 3G smart mobile devices

• A 26 billion dollar industry by 2017

• Now 4 million free and 300K paid downloads / day

• Research: by 2017 : 50% of devices hold 1+ MHC apps

• Physicians; 80% now use 3G Smart Phones/Devices:

– 93% believe it can improve patient health

– 93% value MHC apps connected to Emergency Health

– 40% believe MHC will reduce number of medical visits

– 25% already use one or more MHC application

• #1 MHC application is : Emergency Care / Medical Help

Sources: Multiple

MHC Challenges to Developing Nations

• Public Dr pay is poor – Dr’s complement by private practice =>leading to inferior emergency & HC care skills

• Dr don’t attend continuous education : too expensive, no time

• Smart 3G MHC: A possible paradigm quality care shift :

– Various remote diagnostics: picture, sensors etc

– MHC 3G local patient (analytical) health monitoring

– Automated remote expert escalation severity alarms for correctivemedical action supported by analytics

– Video conference with experts for resolution

– Video training curriculums & expert DB Knowledge base

Automated data collection of patient archive & statistical analytics ismade possible at low cost =>Improved HC Quality

Business Model Issues (Vietnam)

• VN 95% 3G coverage @ 3 to 5 USD/Month

• Define a combo 360° solution package TBD:

– Active patient monitoring & automated escalation to experts(with supporting critical data/knowledge)

– Continuous education (e-Convention/e-Training)

• How to fund Pilot & Roll-Out:

– Agreement with 3G operators

– Volume discount with 3G HW & sensor makers

• Medical profession: 2 year subscription service + device

• Pharmaceutical industry (advertising)

• Funding : Grand Challenges Canada, Gates Foundation,VinaCapital etc

• Additional “help” from NGO, UN, UNESCO, RMIT TBD

Why ONTONIX / ONTOMED ?

Patented, model free, scientifically validated analytical technologyfrom ONTONIX, used by ONTOMED subsidiary in medical domain.See: www.ontomeds.com

•ONTOMED Services & Products in short:

– Real-Time Early-Warnings

– Measuring therapy effectiveness (ROI Impact)

– Advanced EEG & ECG Processing

– Small technical “foot print” for local device processing of datastream from data capture sensors.

Local technological JV’s / integration exploiting medical healthcareanalytics capability from ONTONIX / ONTOMED

Incubate a smart MHC device & service industry in VN

Why NMA ?

Nghiem Minh Association (NMA) is a Non-Governmental Organizationwhich focused on Education & Healthcare for Community to bring thehappiness to unfortunate people & poor patients in Viet Nam.

NMA is a member of The Sponsoring of Association for Poor Patientsin Ho Chi Minh City (SAPP – HCMC) with license No.: 56/QD – HBT

NMA Projects/ Programs in short:

– Consultant & Recruitment Programs

– Training Programs

– Medical Tourism Programs

– After Medical Monitoring Programs & Results

– Community Healthcare Programs

Connecting aspiration & belief

Some Potential MHC Objectives

1. Focus areas:– Mother/Child “good health” medical process

– Emergency / intensive care monitoring

– Therapeutic cost / efficiency analysis

– Animal health / Pandemic crisis decision help

– Blood pressure/ Diabetes/ Diagnostics

– Environmental issues (food, water, air, sea…)

2. Remote MHC Expert Assistance:– Assist local medical personnel with expert/ advice using

facts (not emotions)

– Tele-medicine knowledge based cooperative decisionmaking using analytics

Good Health for poor Countryside Community

MHC Complexity Reduction / Therapeutic Rationalization• Key Issues:

– Best care at least cost

– Assist un-skilled HC personnel over 3G Device

– Discover critical patient issues early

– Prioritize expert help using objective & quantified data

– HC HR Capacity building / Best HC Budget allocation

– Low cost MHC replication & control economic governance

• Automated data collection for control, command & demand / supply willbecome possible

• Synthetic therapeutic picture, state of urgency / criticality

• Healthcare context in Vietnam

– Now Healthcare Chaos => improve quality, HR governance& operations, controlling

– HR Issues => Poor training / knowledge, wrong treatment /medical errors

– Financial management => poor allocation of budgets / fundsmisuse => Good governance objective

– Lack of quality medical data / statistics => better HC planning& measurable service levels

• Target Improve HC quality & efficiency

– Best patient benefit

– Optional MHC home based patient monitoring

– 3G medical e- earning education / platform

– Improved diagnostics & automated data collection

Good Health to Poor Community

Business Model Alternatives (or Mix)

“Sell Side”

Smart Devices, 3G/Internet, Sensors:

• Telecoms, Medical University, Central Hospital

• Education coaching / expert tele-consultation

• Patient assistance (monitoring) alarm

• Laos & Cambodia

“Buy Side” :

• Annual 3G MHC subscriptions (doctors, laboratories,pharmaceuticals, medical centers, medical supplies)

– Standard

– Extended

Commercial Challenges

• No paying uptake from Dr and Nurses

• No support from VN Ministry of Health

• Resistance from Expert Community

• Wrong Business & Revenue Model

• 3G Networtk cost in Laos & Cambodia curently too expensive

• Other TBD

Pilot Project Steps

Steps:

1. Proof of concept MHC over 3G Smart devices

1. Pilot objectives / functional restrictions

1. Emergency, Monitoring, Mother/ Child ...

2. Execute IT integration

3. Define geographical scope

Lessons learnt analysis, scope / objectives review

2. Define a Beta Production MHC Platform

1. Stream line and optimise usage

2. Expand scope & functionality (add e-learning etc)

3. Create PR plan Vietnamese & English

3. Build Alpha production version MHC Service

Staffing & Budgets‘ TBD

• Stakeholders / Investors

• Board of Directors

• Operational staff Back-Office

• Operational Staff Front Office

• Web Marketing & PR team

Other issues TBD

• For questions please contact:

Alexander KopriwaVice President Global DevelopmentEmail: alexander@ontonix.comTel. : +33 (6) 12 99 95 88 (Europe Mobile)

Kevin Loc Tran, MBAVice President/ CEOEmail: kevinloctran@nmavn.orgTel. : +84 909 113 325