digital health
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Digital HealthAn Insiders Look @ Biz Opportunities
Massive Creative DisruptionThere are too many lives lost to completely preventable problems
Panel ParticipantsDr. Ruchi Dass
@drruchibhatt
Ravi Kumar@rkumar
Mark Friess@markfriess
Nandu Madhava@nandumadhava
A Practical Vision for Primary Care | James Mathews | @jmathews
What new Key Resources and Key Activities will provide a
competitive advantage when personalized medicine and wellness/prevention becomes the industry’s key focus?
What are the attributes of a competitive
Value Proposition for my practice under the new landscape?
What roles will Patients , Patient Relationships and Health 2.0 play when personalized medicine is anindustry mainstay?
What partnerships will maximize the effectiveness of my practice’s new business model?
How will the Cost Structure of our medical practice change under this new landscape?
How will revenues be generated when the focus is on personalized medicine and wellness/prevention?
ReinventingPrimaryCare
Through which channels
will our Patients want to
reached? Which one’s will be best? Which ones are most cost efficient? How will we integrate them into the practice business flow?
Global. Mobile. Social. Health.
Primary Care 2.0 is born
Integrating Nike+ & Daily Feats into Primary Care
Integrating Primary Care to Real World Activities
Advances in Individual or Personalized Medicine
Panel ParticipantsDr. Ruchi Dass
@drruchibhatt
Ravi Kumar@rkumar
Mark Friess@markfriess
Nandu Madhava@nandumadhava
Presented by: Dr. Ruchi Dass
Founder & CEO, HealthCursor
Digital Health- A Reality check
Background
The Indian Healthcare Divide
• India has 17% of the world's population• Poorest healthcare infrastructure among growing
economies• Healthcare accounts for only ~5% of GDP
• Healthcare Delivery Market in India ~ US$ 60 billion in 2010
• Healthcare market expected to grow at CAGR of 15%• Accessible, reliable and affordable healthcare continues
to be a challenge• Significant supply deficit• Growing middle class with rising income levels , health
awareness
1.3 0.7 1.5
1.90.9
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)
-
100
200
300
400
500
2010 2015 2020 2025
60 120
240
480
In USD billion
15% CAGR
Indian Healthcare Market Growth
Source: Public Research
Source: Public Sources, Technopak Analysis
Common Problems & Challenges
15
Population Growth
Resource Constraints
Ageing Population
Risi
ng H
ealth
care
Sp
end
Rising Lifestyle &
Chronic Diseases
Increase Lif
e
Expectancy
Growing
Affordab
ility &
Awaren
ess
Low
er M
orta
lity
Rate
PatientCentric
Integrated Care
Connected Healthcare
Standards &Interoperability
Mobile Density in India
Digital Health Market Dynamics in India
Tele-Health market in India is expected to grow at a minimum of 15% CAGR for the next decade
The main drivers for the growth are going to be as follows:
Skewed Availability of Healthcare Personnel• 75-80% of the population lives in rural area• Most of the doctors and specialists are
concentrated in Urban areas Small per capita Healthcare Budget
• Healthcare spending of USD 40 per capita• Low spending• Need to maximize value derived• 80% of the expenditure is from out of pocket• Extreme sensitivity to healthcare spending
Disease Profile of the Population• High incidence of communicable and infectious
diseases, many of them self limiting or easily treatable with minimal clinical expertise
• Growing prevalence of lifestyle diseases Increasing Penetration of Mobile
Communication• Indian Telecom industry fastest growing in the
world.• Semi-urban and rural areas driving the growth.• More than 700 million mobile connections in India (2010), with
penetration expected to cross 80% by 2014Call a Doctor/ Second Opinion
Patient Education and Health Tips
Home Health and Remote Monitoring
Tele-Diagnosis and e-Prescription Tele-Counseling
Readiness?
McKinsey & Deloitte Digital Health Analysis- India
Ongoing Initiatives
Major Milestones
Current Scenario
Digital Health ecosystem in INDIA
Operators Solution Providers
Healthcare Providers
Government /Regulators
... p
rovi
de a
cces
s to
...
... are regulated and funded by ...
... Regulate...
... provide data and specialists ...
… provide platform to and partner with …
.. fund and regulate ...
Implemented remote monitoring solution
Medical data management
Remote monitoring solution
Digitization of health records
..several others….
Sharing of medical images
Major Players
Players ExamplesDefinition
Regulators Medical regulatory authorities such as FDA, HIPAA etc
HealthcareProviders Individuals or institution s providing health care services
Fitness Providers General fitness providers and diet clinics
Application Developers Independent medical / mobile Software developers
Data Management Medical information providers
Health Device Manufactures
Manufacturers of sensors that interface with application on mobile phones
Medical Organizations Medical education & research institutions, publishers, pharmaceutical companies and pharmacies
Network Providers Wireless data network providers
MobileManufacturers Smartphone and feature phone manufacturers
Barriers
Drivers of Digital Health as Enablers and Barriers
Enabler Barrier
Evidence of Efficacy mHealth showing impact in quality and cost
Inconclusive proof of efficacy in specific situations
Consumer Adoption Increased participation in healthcare beyond hospital care
setting
Consumer resistance
Cost to Deploy/Cost to Use
Falling deployment costs Technical difficulty and delivery risk
Regulatory Climate Improved regulatory climate for mHealth and improved support for interoperability
Regulatory concerns over security, privacy and lack of
clarity over specific standards
Clinical Adoption Increased awareness and acceptance among healthcare
professionals
Continued resistance to change from healthcare professionals
Technology Innovation? Usability Innovation?
Source: PSFK
For Care or for Continuum of care?
Source: PSFK
Digital Health for Surveillance
Source: PSFK
Thank you
Panel ParticipantsDr. Ruchi Dass
@drruchibhatt
Ravi Kumar@rkumar
Mark Friess@markfriess
Nandu Madhava@nandumadhava
Trends in Healthcarean Investment Analyst view
Global Healthcare
Industry
Economic Stimulus packages
Aging baby boomers and
Increase in Chronic Illnesses
Medical Tourism in Asia
Artificial Intelligence in Healthcare
Transition from Patents to
Generic Pharmaseuticals
Electronic Health Records
Consolidation Across
Healthcare Verticals
Panel ParticipantsDr. Ruchi Dass
@drruchibhatt
Ravi Kumar@rkumar
Mark Friess@markfriess
Nandu Madhava@nandumadhava
mDhil is the largest mobile & online health service for Indians. We connect users to accurate health
information, physicians, and products across India.
mDhil – Partner Ecosystem
Original video that is scripted,
produced, and edited by mDhil to
be viewable on both PCs and
mobile handsets
Original Health Videos
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2000
4000
6000
8000
10000
12000
14000
mDhil Daily ViewsEvery 1 minute in
India, 7 people watch an
mDhil health video
Affordable mobile data services meansmDhil reaches users across India…
Region City Visits Region City Visits
Karnataka Bangalore 113,192 Punjab Amritsar 2,845
Delhi New Delhi 104,948 Andhra Pradesh Vijayawada 2,761
Maharashtra Mumbai 59,193 Haryana Ambala 2,681
Maharashtra Pune 42,539 Gujarat Surat 2,553
Tamil Nadu Chennai 39,750 Maharashtra Kandivli 2,411
Andhra Pradesh Hyderabad 37,782 Maharashtra Nagpur 2,290
West Bengal Calcutta 23,917 Bihar Jamshedpur 1,946
Punjab Chandigarh 11,354 Assam Guwahati 1,879
Gujarat Ahmedabad 10,557 Tamil Nadu Thanjavur 1,862
Maharashtra Mahape 10,419 Tamil Nadu Vellore 1,851
Uttar Pradesh Noida 9,042 Kerala Kozhikode 1,798
Kerala Cochin 6,933 Gujarat Valsad 1,730
Tamil Nadu Coimbatore 6,786 Uttar Pradesh Ghaziabad 1,643
Punjab Ludhiana 6,402 Karnataka Mysore 1,638
Haryana Gurgaon 6,157 Madhya Pradesh Durg 1,516
Uttar Pradesh Lucknow 4,479 Uttar Pradesh Dehra Dun 1,475
Rajasthan Jaipur 4,094 Tamil Nadu Erode 1,459
Orissa Bhubaneswar 4,053 Pondicherry Pondicherry 1,450
Madhya Pradesh Indore 3,982 Gujarat Rajkot 1,418
Karnataka Belgaum 3,383 Maharashtra Aurangabad 1,351
Madhya Pradesh Bhopal 3,302 Rajasthan Udaipur 1,328
Kerala Trivandrum 3,279 Tamil Nadu Madurai 1,291
Gujarat Vadodara 3,202 (not set) (not set) 1,257
Karnataka Mangalore 3,013 Bihar Patna 1,104
Andhra Pradesh Vishakhapatnam 2,947 Tamil Nadu Sivakasi 1,020
Panel ParticipantsDr. Ruchi Dass
@drruchibhatt
Ravi Kumar@rkumar
Mark Friess@markfriess
Nandu Madhava@nandumadhava