Convergence to mHealth

Pankaj Vaish President, HealthFore

(Healthcare IT Division of Religare Technologies)

Why mHealth?

Use Cases

Convergence

Convergence – Voice, Video & Data

Convergence Provides • opportunity to operate more

efficiently

• increased ROI on technology

• rapid market expansion and new markets

• consumers new ways of communication and do business together at lower costs than before

• convenience of having many devices all in one, saving on both size and ownership costs

Convergence – Impacting Our Lives

Pictures

Music

Video

Social Networks

Convergence - Technology and Platform

Convergence

Interoperability in Healthcare

5

The Paradigm Shift

Why mHealth?

Use Cases

Convergence

Ageing Population and Rising Chronic

Diseases

Out of pocket expenditure is more than 80% Rising demand for medical services and timely

medical intervention

Need for measures to provide health specialists’ access anytime anywhere and not

only at the point of care

7

The Growing Healthcare Divide

Integrated Care Resource

Constraints Patient

Empowerment

Source: McKinsey & Company CII Seventh India Health Summit Dec 2010

1.3 0.7 1.5

1.9

0.9

1.8

3.6

1.9

3.7

0

2

4

6

8

Bed Doctors Nurses

Existing Required (2010) Required (2020)

Indian Healthcare Capacity Shortfall (in mn)

Source: Public Research

• Mobile phones is one of the most disruptive change of the millennium – it has changes how, how much, why and to whom we communicate

• Mobile devices are personal technology that enable consumers to establish personal preferences for sharing and communicating

• Connectivity is driving the world

• Mobile devices bring the rural geographies into the mainstream to deliver health and wellness

• While Economic indicators of a country have a directly co-relation to their healthcare system, it is not the case with mobile penetration

The Mobile Revolution

Users Global India

Mobile 5.3 bn 900 mn

Internet 2.1 bn 100 mn

Mobile Internet 0.5 bn

Facebook 0.6 bn 20 mn

Mobile Density in India

Tele-Health market in India is expected to grow at a minimum of 15% CAGR for the next decade

Why mHealth?

Use Cases

Convergence

mHealth Services: Use Cases

10

Tele-Triage

Tele-Clinics

Tele-Medicine

Chronic Disease Management

Disease Surveillance & Disaster Management

Call a Doctor/ Second Opinion

Patient Education and Health Tips

Home Health and Remote Monitoring

Tele-Diagnosis and e-Prescription

Tele-Counseling

Scope of Services:

• Emergency referrals for critical, life threatening illnesses or non-life threatening cases that require urgent medical care

• Ambulance services

• Consultation services with physician

• Referral services to nearest hospital

• Regular/ routine cases

• Consultation with “Advice Nurses”

• Prescription of OTC drugs

• Pathology/Radiology/Pharmacy referrals

Tele-Triage (Typical OP consultation services to subscribers)

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Service Highlights

Customers for Tele-Triage services:

• Individual Subscribers

• State Health Authorities

• Corporates/Employers

• NGOs

Benefits

• Improved quality of care, access, reimbursement, and cost reduction.

• Tele-triage is an access tool for patients that can increase patient satisfaction, as well as their compliance with telephone advice.

• Vital tool for Health Authorities to control demand in view of the limited healthcare resources and manage costs as well as care

Call Ambulance 0.2 %

ED Visit 47 %

Urgent GP Visit 6 %

Dr. Appointment 26 %

Non GP 18 %

Self Care 2 %

Caller Intent Call Result

Call Ambulance 2 %

ED Visit 10 %

Urgent GP Visit 17 %

Dr. Appointment 32 %

Non GP 2 %

Self Care 37 %

Symptom Assessment

• Population based strategy as well as approach to personal health

• Personalized suggestions, health tips, symptoms management through IVR calls, SMS, mobile internet

• Interaction of multiple parties (e.g. physicians, nurses, medical device manufacturers, mHealth players, telecom service providers) to provide best possible extended patient care

Chronic Disease Management

Service Highlights

Applications:

• Mobile Apps and SMS based patient management

• Remote Monitoring

• Mobile Clinics

Benefits

• Reduced disease burden: individual/community

• Improved quality of life: prevention/limitation of effects of chronic disease

• Reduced costs

• Improved patient satisfaction, compliance.

• Convergence in technology and interoperability amongst various healthcare stake holders is changing the way care gets delivered

• mHealth/ tele-health is helping bridge the healthcare divide that exists in the developing/ underdeveloped countries

• mHealth solutions and success stories exist but there is a clear need to find the right business models to scale up these solutions

In Conclusion …

Thank You

• Provide innovative, integral platform of information and communication to aid in prevention/mitigation of disasters and disease outbreaks

• Information and communication technology based platform to send reports to appropriate agencies in the event of disease outbreaks and disaster, both natural and man-made.

• Use of devices such as:

– Mobile Phones

– Fixed phones

– Paging Devices

– Computers connected to internet

• System saves the data, produces dashboards and summary reports in real-time to make decisions and send alerts.

• Ideal platform for PPP

Disease Surveillance & Disaster Management

Service Highlights

Benefits

• Availability of greater and better information in a short time

• Compilation of information and feedback.

• Significant reduction in response time to major disasters/disease outbreaks.

• Involve citizens and social organizations in disaster response.

• Care at a distance through Technician managed Kiosks at strategic locations:

• Hospital Waiting Areas

• Premium Residences

• Airports

• Kiosks are booths that have connectivity and software/hardware that have Audio-Visual capability

• It is almost like a “self-check-in” counter setup where a technician can assist patient record their vitals, talk to a doctor etc.

Tele-Clinics (Clinical care at a distance through e-clinics or centers)

16 U/I: User Interface

Service Highlights

Benefits

• Improved quality of care, access and cost reduction.

• Appointment scheduling

• Real time patient status: separate U/I* for Doctors as well as patients.

• Increased customer satisfaction.

• Value added services such as FAQs, Mind maps

• Healthfore – Solution Design and Implementation, Program Management, Business Models

• Healthcare Provider – Medical Experts, Technician, Nursing and Paramedics

• Telecom Service Provider – Connectivity, Telecom Support and Uptime.

• Application and Devices – Remote Monitoring devices, Integrated Application.

Telemedicine can be broken into three main categories:

Remote monitoring: primarily used for managing chronic diseases or specific conditions, such as heart disease, diabetes mellitus, or asthma.

Store-and-forward telemedicine: involves acquiring medical data (like medical images, biosignals etc.) and then transmitting this data to a doctor or medical specialist for assessment offline.

Common specialties that are conducive to asynchronous telemedicine:

• Radiology

• Pathology

• Dermatology

Interactive Telemedicine services: Real-time interactions between patient and provider (or between 2 or more providers), to include phone conversations, online communication and home visits.

Important application: Tele-ICU

Tele-Medicine (Tele-Radiology, Tele-Pathology, Tele-dermatology, etc.)

Service Highlights

Benefits

• Access to improved, quality health care especially for rural patients.

• Saves time, travel and other expenses for the patients.

• Second opinions: accuracy of diagnosis, reduction in medical errors

• Platform for Continuing Medical Education