1

Industry & Analysis’Spotlight Series

August 8, 2013

2

Oil and Gas Equipment

Julius Svoboda

Office of Energy and Environmental Industries

Speakers

-

Health IT

Matthew Hein

Office of Health and Information Technology

Michelle Ouellette

U.S. Export Assistance CenterBoston USEAC

Danielle Caltabiano

U.S. Export Assistance CenterHouston USEAC

3

ITA EFFORTS TO SUPPORT U.S. OIL & GAS EQUIPMENT

EXPORTS

International Trade AdministrationIndustry & Analysis

Office of Energy and Environmental IndustriesAugust 8, 2013

What is Oil & Gas?

2

Nomenclature

3

Sector Segmentation

4

Investment Opportunities &Market Projections

• Brazil Pre-salt: $236 billion (Rigzone)• Colombia Offshore: $80 billion (Bloomberg)

Government Investment Plans

• Projected Global Trade in 2020: $73 billion• Projected U.S. Exports in 2020: $15 billion

Market Projections (upstream)

• Canada tar sands: $350 billion (Alberta.ca)• Israel offshore gas: $240 billion (Bloomberg)• China Shale Gas: $638 billion (WSJ)• Mozambique offshore: $50 billion (Financial Times)• Ghana offshore: $20 billion (Bloomberg)

Resource Value Estimates

7

Challenges in the Sector

China Brazil Argentina

Nigeria Israel Burma

Strategic Markets with Restrictive Trade Policies

Impediments to U.S. Oil & Gas Equipment Exports

• Local content requirements

• Specific labor requirements

• Poor transparency

• Underdeveloped standards

• Underdeveloped regulations

• Limitations on foreign investment

• Technology transfer requirements

• Joint-venture requirements

• Corruption

8

U.S. Natural Gas Exports

• Natural gas can be transported either by pipeline as a gas or in liquid form on an LNG tanker.

• The U.S. was the world’s largest natural gas producer in 2011.

• As a result of the increase in natural gas production form shale, the U.S. has become a low cost natural gas producer.

• The EIA estimates that the U.S. will produce 39% of its natural gas from shale by 2020.

9

NEI Priority Sector

• The sector has significant growth potential in foreign markets, and U.S. equipment and service companies are uniquely positioned in the global marketplace in all segments of the oil & gas sector.

• Strategic Priorities:– Lead interagency efforts to promote trade in the oil & gas sector and remove

market access barriers

– Strengthen USG coordination with U.S. oil & gas companies

– Create new markets for U.S. oil & gas companies

– Enhance trade promotion efforts to better link buyers and sellers of U.S. equipment and services to existing markets

10

ITA Efforts to Support Exports

Interagency

• Unconventional Gas Technology Engagement Program (State Dept.)

• USTDA Priority Sectors: Traditional Energy & Power

• Levant Basin Task Force

• Interagency Policy Committees

• Trade Promotion Coordinating Committee

Government-to-Government

• U.S.-China Oil & Gas Industry Forum

• U.S.-Brazil Strategic Energy Dialogue

• U.S.-Brazil Commercial Dialogue

• U.S.-India Energy Dialogue

• U.S.-Poland Commercial Dialogue

• Commercial Law Development Program

Government-to-Industry

• Industry Trade Advisory Committee on Energy and Energy Services

• Offshore Technology Conference – Houston

• Louisiana Gulf Coast Oil and Gas Expedition

• Power-Gen• 2012 O&G Trade

Mission to Israel

11

Oil and Gas Equipment Contacts

Adam O’Malley; Director, Office of Energy and Environmental IndustriesAdam.OMalley@trade.gov; 202-482-4850

Man Cho; Energy Team Lead, Office of Energy and Environmental Industries Man.Cho@trade.gov; 202-482-5159

Julius Svoboda; Oil and Gas Industry Specialist, Office of Energy and Environmental IndustriesJulius.Svoboda@trade.gov; 202-482-5430

Danielle Caltabiano; Oil and Gas Trade Specialist, Commercial Service, Houston USEACDanielle.Caltabiano@trade.gov; 202-482-3110

Steve Recobs; Director, Commercial Service, Houston USEACSteve.Recobs@trade.gov; 713-209-3105

Cynthia Torres; Energy Team Lead, Commercial ServiceCynthia.Torres@trade.gov; 760-333-8551

12

13

ITA EFFORTS TO SUPPORT HEALTH IT EXPORTS

International Trade AdministrationIndustry & Analysis

Office of Health and Information TechnologyAugust 8, 2013

Summary of Health IT SectorSector sometimes referred to as e-Health (particularly in Europe)

Health IT represents an intersection of multiple issue areas: Information technology/cloud computing Privacy/security of health information Standards development Medical Device/software “interoperability” Diagnostic safety/accuracy Cross border data flows Workforce/skills development

2

Health IT Subsectors

Electronic Health Records Remote monitoring/telemedicine Software Health Information Networks mHealth/Mobile Health Education

3

Evolution of U.S. Health IT Sector

Electronic health records for all Americans within ten years first announced in 2004 executive order by President Bush

President Obama reaffirmed goal that all Americans should have electronic health records by 2014

2009—HITECH accelerated domestic interest in sector (authorized roughly $23 billion in Meaningful Use incentive payments, created Office of National Coordinator (ONC) within Department of Health & Human Services (HHS))

Other federal agencies have an interest in sector (including NIST, Dept. of Defense, Veterans Administration, other HHS agencies, FCC, White House)

The sector had limited export experience, which provided an opportunity for Commerce to become involved

4

National Export Initiative—ITA Health IT Activities

2010—Formation of ITA cross-office Health IT Team and development of strategic plan, activities and outreach

ITA as industry organizer/convener regarding trade-related issues

Reasons Health IT is an export sector with great opportunity Many countries investing more in healthcare, but looking to

deliver more efficient/effective health solutions Health challenges exist both among young (maternal/child

health) and aging populations (mobility issues) Opportunity to closely and effectively monitor chronic/non-

communicable diseases Opportunity to take advantage of “leapfrog” technologies

(such as ubiquity of mobile phones) Redesign of healthcare system—more remote care

monitoring, emphasis on value and patient-centered care5

Engagement with Industry

• Assisting large (Oracle, Intel) and SME (e.g., Get Real Health, Dimensional Insight) companies

• Linkages with trade associations:– Healthcare Information and

Management Systems Society (HIMSS)

– American Health Information Management Association (AHIMA) (including then-A/S Lamb-Hale speech and industry roundtable in October 2012)

– Continua Health Alliance

6

Industry Interest in Exporting mHealth Technologies?

mHealth subsector has prominent domestic focus at present:

• Tremendous size and market opportunities in U.S. • Familiarity and relative safety in domestic market• Available funding opportunities through legislative

incentives • Lack of familiarity with the rules of the game in foreign

markets

7

NEI Priority Markets

*Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and UAESource: U.S. Census Bureau

European Union Mexico Japan Middle East* China Brazil India

8

Opportunities

• U.S. companies have recently won foreign government tenders for implementing electronic health records systems.

• Reports and surveys identify Health IT as an industry with impressive domestic job prospects.

• U.S. academic institutions and trade associations have developed programs to train the Health IT workforce; many of these programs can be exported worldwide.

• The recently issued EU-U.S. eHealth/Health IT Roadmap provides opportunities to create policy dialogues to discuss issues of mutual interest, which may also have possible applicability to third countries.

• ITA/HIMSS Memorandum of Understanding (signed in February 2013) offered HIMSS members and staff access to products and services across ITA; webinars, posting of U.S. Export Assistance Centers are two areas of collaboration to date.

• The World Bank estimates the global Health IT sector will grow to $250 billion by 2015.

10

Risks and Issues• Countries are developing regulations and standards either in the absence, or

lacking awareness, of international best practices.

• Government Health IT tenders and contracts may be awarded to companies aggressively supported by foreign governments. Transparency process can also be an issue.

• Privacy and Security of health information may be an important barrier, one which may not necessarily be under the purview of the Health Ministry.

• Placing restrictions on cross-border data flows and data storage (both information movement and information location) may also inhibit growth of the Health IT sector.

• Oversight of the Health IT sector overseas is often divided among multiple ministries, possibly creating gaps in policy coordination.

11

Examples of ITA and Interagency Activities Roundtable on Health IT and Exports—Eisenhower Executive

Office Building, June 2013 (U/S Sanchez) World of Health IT, Dublin, May 2013 (DAS for Manufacturing

Chandra Brown) September 2013 Japan government-to-government and

industry events (in conjunction with Japanese government, HHS, NIST, Veterans Administration, and American Chamber of Commerce-Japan)

Potential engagement with EU through Transatlantic Trade and Investment Partnership

Engagement with EU in connection with Center for Connected Health Symposium, including HHS and State (Boston, October 2013)

November 2013 CS Health IT Roadshow in southern China, possible collaboration with U.S. Trade and Development Agency (USTDA)

February 2014 Acting U/S Hyatt speech at HIMSS conference CS executive led Health Technologies Trade Mission to Turkey

(May 2014) May 2014 EU-U.S. eHealth/Health IT Marketplace and Assembly

U/S Sanchez speaking at the Roundtable on Health IT and Exports (June 2013)

DAS Chandra Brown at Norway Booth, World of Health IT, Dublin, Ireland (May 2013)

12

Research and Analysis

Health IT Sharepoint Site: http://itacentral/teams/clsb/hit/Documents/Forms/AllItems.aspx

Health IT Industry Page: : http://export.gov/california/sanfrancisco/industrynewsandevents/healthit/index.asp

Quarterly Industry Updates (through Sharepoint Link) Market and Regional Profiles

13

Health IT Team Contacts

Jane Earley; Health Team Director, Office of Health and Consumer Goods Jane.Earley@trade.gov; 202-482-6241

Matthew Hein; International Trade Specialist, Office of Health and Consumer GoodsMatthew.Hein@trade.gov; 202-482-5014

Jetta DeNend; International Trade Specialist, Commercial Service, San Francisco USEACJetta.DeNend@trade.gov; 415-744-7728

Michelle Ouellette; Senior International Trade Specialist, Commercial Service, Boston USEAC Michelle.Ouellette@trade.gov; 617-565-4302

14