The Rise of mHealth in AsiaThe Rise of mHealth in Asia--PacificPacific
Trends Impacting Trends Impacting Healthcare Business ModelsHealthcare Business Models
RhenuRhenu BhullerBhuller
Vice President, HealthcareVice President, Healthcare
December 11December 11thth, 2012, 2012
Connected Health
Personalized Medicine
Patient Centric
Integrated, Two Way
Megatrends Impacting the Entire Spectrum of Care
A modern health care system is on the horizon, demanding a paradigm shift
From...
One Size Fits All
Provider Centric
Fragmented, One-way INFORMATION FLOW
FOCUS
APPROACH
...To
Patient Centric
Decentralized, Community-based
Collaborative, Shared Information
Outcomes-based
Preventing Sickness (Wellness)Source: Frost & Sullivan analysis.
Provider Centric
Centralized, Hospital-based
Fragmented, Specialized
Procedure-based
Treating Sickness
LOCATION
FOCUS
TREATMENT
REIMBURSEMENT
OBJECTIVE
Disease/Care Management
Prevention/Wellness
Goal:
Keep People Healthy Longer
Goal:
Keep People Healthy Longer Goal:
Manage
Goal:
Manage
Siz
e o
f Im
pacte
d P
op
ula
tio
nShifting Emphasis From Acute Care to Prevention
Track, Predict, Intervene, Manage
• Early identification and prevention
• New forms of care delivery to improve collaboration among providers, patient knowledge, self-help and health
• Increase coverage for those services which prevent disease and improve health over long term; incentivize better chronic disease management
ManagementManage or
Mitigate Risk
Manage or
Mitigate Risk
Goal:
Diagnose and
Reduce Treatment
Delay
Goal:
Diagnose and
Reduce Treatment
DelayGoal:
Manage
Goal:
Manage Goal:
Informed Decisions
Goal:
Informed Decisions
Goal:
Move to More
Interaction and Self-Mgmt
Goal:
Move to More
Interaction and Self-Mgmt
Healthy/“Worried Well”
“At Risk” Undiagnosed Chronically IllManaged
Chronically IllUnmanaged
Endof Life
Continuum of Care
Siz
e o
f Im
pacte
d P
op
ula
tio
n
Source: Frost & Sullivan analysis.
Settings for Care Provision
D
C
Planned interventionsEmergency careComplex diagnostic treatment& inpatient care
Basic Diagnostic ServicesDay interventionsMinor injuriesNurse-led inpatient careIntensive rehabilitation
DiagnosticTreatment centresSecondary careTertiary care
Resource centresCommunity hospitals
SpecialistSpecialist care centresServing population of 250K, 500Kand 1,000K on central city sites
CommunityCommunity care centresServing populations of 100KIn the heart of the communityC
B
A
Intensive rehabilitationChronic care management
Social carePrimary careOutreach careInformation and advice
Self careMonitoringAutomated treatmentInformation and adviceNHS Direct
SurgeriesDrop in centresHealthy living centres
HomeNursing homePharmacyCyber caféHealth kiosk
In the heart of the community
Health and SocialHealth and social care centresClose to home, serving populationsOf up to 10K
Home
Healthcare Outlook for the Long-Term
Globalization
=
Economic Development
=
Better Health & Longer Lifespan
=
Emerging Economies
Savvy Consumers
Provision Being Re-
Regulations & Certification
Budgetary Restraints
=
=
Increased Need for Healthcare Services
=
Growing Opportunity for Healthcare and Related Industries
Greater Burden of Chronic Disease
Being Re-configured Pain Points
Innovation
More emphasis on diagnosis, monitoring, preventative care =
INCREASED COLLABORATION
Tighter cost constraints, declining reimbursement, more expensive tools =
BETTER FINANCIAL MANAGEMENT
What Does This New Healthcare World Look Like?
Greater info flows to support training, supply chain, patient education
COMMUNICATIONS AND CONTENT
P4P, more public scrutiny, evidence-based medicine =
TRACK AND DOCUMENT OUTCOMES
Connected Health Ecosystem
Remote Monitoring
• Video Diagnostic Consultation
• Remote Doctor/Specialist Services
• Distance Learning/Simulation
• Retail Telehealth
• TeleImaging
• Home and Disease Management Monitoring
• Activity Monitoring
• Diabetes Management
• Wellness Programs
• Remote Cardiac ECG
• PERS
• Medication ManagementIHCIN
mHealth
GeneralHealthcare IT (CIS and
non-CIS)
Telemedicine
• Professional Apps
• Wellness Apps
• Fitness Apps
• Texting Informational Services
• TeleImaging • Medication Management
• Electronic Health Records (EHR)
• Health Information Exchange (HIE)
• Patient Portals
• Hosted Cloud Infrastructure
Source: Frost & Sullivan analysis.
Telehealth Will be Enabled with Various Devices
TV as Access Device
• In place in nearly 100%
of households
• High penetration and
comfort with use by
elderly population
• New capabilities with
motion sensing
Smartphones & Tablets
• Widespread use among
clinicians and consumers
• Easy to deploy and diffuse
new applications and
solutions
• Addition of mobility
increases value of apps
Telehealth Video Monitors
• Act as home hub for plug-in
of various devices, support
two-way communications
• Difficult to deploy and
provision at large scale
• Will be displaced by
consumer devicesSource: Frost & Sullivan.
The Mobile Health Market cuts across from day to day life to acute care
Fitness monitors
Activity monitorsActivity monitors
Future TrendsFuture Trends
Moving Forward . . .
Market
Opportunities
Mobile health continues to extend the reachability of healthcare platforms
Advancements in mobile phone technologies are enabling prospects for improved healthcare delivery
. . . and Will Include The Entire Continuum of Care
We
lln
ess
Workplace Wellness:
Nutritional, Fitness,
Preventive
Hospitality Wellness:
Spa, Fitness
Medical Wellness:
Spa, Nutritional,
Rejuvenation,
Rehabilitation
Assisted Lifestyle Villages &
Townships
Healthy Villages
Retirements Homes
Fitness, Rejuvenation,
and Beauty Centers
Illn
ess
CommunityInstitutionalHealth
Management
Primary Care
Centre
Mobile
Clinics
Home Care
Day CareHealth Centers:
Preventive, Nutritional,
Alternative
Hospitals:
Acute & Chronic Care
Age Sphere: Lifelong Continuum
“from womb to tomb”
Moving Closer to Home...........
Healthy, Independent Living
Chronic Disease
Management
Community Clinic
Doctor’s Office
100%
Assisted Living
Specialty Clinic
HOME CARE
RESIDENTIAL
Qu
ali
ty o
f li
fe
Healthy, Independent Living
Chronic Disease Management
Community Clinic
Doctor ’s Office
Assisted Living
Specialty Clinic
Cost of care per day
$1 $10 $100 $1,000 $10,000
0%
Skilled Nursing Facility
Specialty Clinic
Community Hospital
ICU
RESIDENTIAL CARE
Qu
ali
ty o
f li
fe
Skilled Nursing
Facility
Specialty Clinic
Community
Hospital
ICU
ACUTE CARE
FAMILIES
CONSUMER INFO and
APPSVENDORS
To a Patient Centric Engagement Model
Direct to consumer applications, advice, quality ratings, etc.
Strongest center of influence on behavior changeCollaboration
with payers and providers to drive technology innovation. All devices connect
PROVIDERS
PAYERS
EMPLOYERS
New era of collaboration, communication, engagement
Data and information for shared decision-making, Direct patient engagement
connect remotely
Emphasis on wellness programs and incentives
Source: Frost & Sullivan analysis.
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Rhenu Bhuller
Vice President, Healthcare
Practice, Asia Pacific
Jessie Loh
Manager
Corporate Communications
Frost & Sullivan Asia pacific
65 6890 0942
Donna Jeremiah
Director
Corporate Communications
Frost & Sullivan Asia Pacific
+61 (02) 8247 8927
