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Page 1: Roadmap for Telemedicine & mHealth

Roadmap for Deployment and Scale Up of Digital Health

Initiatives

Rajendra Pratap Gupta Co-Chair

Innovation Working Group -Asia

Singapore, 17th September, 2014 !

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© Rajendra Pratap Gupta . Email: [email protected]

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Mission & Vision

!  Created in 2010 by the UN Secretary General to harness the power of innovations, to accelerate progress towards achieving the health MDGs in support of the Global Strategy for Women’s and Children’s Health.

!  A global hub for innovation

!  Catalyst for initiating and enabling the scale up of cost-effective innovations

!  Innovations across technological, social, financial, policy and business domains.

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!  The IWG is maintained as a broad network of interested partners with a small secretariat, working through partner organizations.

!  Partners represent government, non-government, profit and non-profit private-sector and development agencies

!  Co Chairs – Government of Norway & Johnson & Johnson

!  Thematic work streams led by participating stakeholders

Organization Structure – IWG Global

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© Rajendra Pratap Gupta . Email: [email protected]

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© Rajendra Pratap Gupta . Email: [email protected]

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© Rajendra Pratap Gupta . Email: [email protected]

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!  Launched on May 28, 2013 in Kuala Lumpur. !  Organized as a work-stream of the Global IWG.

!  Co Chairs: 1. Mark Kelly, Senior Operations Director, South Asia, World Vision International

!  2. Rajendra Pratap Gupta, International Health Policy Expert & President, Disease Management Association of India.

!  Facilitated by a coordinator, and supported by the Global IWG secretariat in PMNCH, WHO, Geneva.

!  Network of members/partners

Innova&on'Working'Group'Asia'(aIWG)

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!  Telemedicine & mHealth

!  Nutrition

!  Demand Creation

!  South South Collaboration

Current Focus – Thematic Areas

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!  Asia has largest numbers of women and children impacted by MDGs 4 & 5.

!  Leveraging existing innovations, i.e. Nutrition .

!  Universal health coverage in terms of both, conceptual development and implementation, is showing remarkable advancement in the region.

!  The technological development in Asia, within mobile technology and ICT, will add value to the IWG work-stream on e/mHealth.

!  Growing economies in the region

!  Strong development of Corporate Social Responsibility.

Opportunities….

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!  Provide neutral meeting place for multi-stakeholders pursuing shared value in the space of maternal & child health.

!  Initiate thematic work-streams based on priorities identified for the region

!  Facilitate shared experiences of stakeholders

!  Stimulate on going and vibrant regional consultation between stakeholders

Value to our Partners….

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!  Share Experience

!  Share Expertise

!  Share Resources

!  Stimulate Discussion on important issues

!  Support the Cause !

Membership…

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Human Resource Shortages

Improving Access

Financial Constraints

Evolving healthcare

needs linked to

demographics

Digital Health – The Modern Day Need

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Rising & Changing Demographics

!  Population of developing countries is projected to rise from 5.9 billion in 2013 to 8.2 billion in 2050.

!  Geriatric population on the rise !  Increase in chronic disease

!  By 2035, the world will be short of 12.9 million healthcare workers

!  Urban – Rural Divide

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!  Lack of essential infrastructure !  Lack of basic necessities such as

education facilities & housing, discourages professionals to work in these areas

!  Lack of education & awareness and poor living conditions among majority of the population

!  Poor accessibility which makes rural population to travel to urban areas for their healthcare needs; thereby increasing costs and minimizing access to care

!  Presence of advanced health infrastructure

!  Better living conditions and lifestyle results in concentration of healthcare workers

!  Barring the urban poor, increased awareness and access help this population manage their health better

!  Better access to quality care

Technology is the only Bridge

Urban – Rural Divide

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Why hasn’t IT scaled?

!  Governments / Bureaucrats DON’T understand the game entirely… Shy of asking and taking risk ! Technological Vs Organizational Maturity

!  Lack of clinical evidence !  Absence of standards for interoperability !  Expensive satellite communication links

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Why hasn’t IT scaled?...

!  Funding concerns - ROI Vs VOI !  Shortage of infrastructure !  Patient Confidentiality concerns !  Provider capacity/skills to adopt technology

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Telemedicine & mHealth Roadmap

!  Develop an ecosystem conducive to telemedicine implementation

!  Create an environment leading to its increased acceptance

!  Provide for scientific leads to design sustainable and scalable telemedicine programs

!  Encourage research and capacity building in emerging health technologies

!  Review and inputs by a renowned panel of 17 Global Experts in Digital Health

!  Provides a step-wise approach to development of strategy and implementation

!  The recommendations in the report are non specific to any country and is a general tool with wide applicability

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Step 1 – Identify National Health Priorities

Step 2 – Mapping of Resources (Human, Technical,

Financial, Organizational)

Step 3 – Evaluation of existing technologies and

strategy development Step 4 – Implementation

Core Components

Fundamentals of the Roadmap

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Major steps in implementation

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Implementation checklist

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The Indian telemedicine roadmap example

!  Mother & Child Health !  Rural Healthcare !  Chronic Diseases !  Geriatric Care !  Mental Healthcare !  Trauma & Emergency Care !  Training of healthcare workers

The report provides detailed examples of developing and applying the roadmap with a collection of Indian case studies under

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Notes&on&latest&in&medical&device&interoperability&

Various&applica5ons&of&telemedicine&and&m7health&

among&others…..&

Additional information

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“There is a lot of talk about technology and BIG DATA; but as these are new domains, there is no precedent to learn from, and we realized that the road map

for adoption is missing, which can be a big issue for the implementer! Global organizations with resources & credibility need to fill this gap by providing the right

information to the stakeholders, and IWG-A’s road map is one such step” 

- Rajendra Pratap Gupta  

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Rajendra Pratap Gupta

Co-Chairman http://www.who.int/pmnch/activities/secretariats/innovationgroup/

innovationwg_atwork/en/index3.html

www.facebook.com/rajendragupta www.twitter.com/rajendragupta

© Rajendra Pratap Gupta . Email: [email protected]

Thank you.


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