mhealth summit presentation 2014: reinventing the dynamics of the healthcare system

Connected Mobile Health Platform to Serve More Patients

Better, Faster, and at Lower Costs

Ting Shih, CEO & Founder

[email protected]

http://clickmedix.com

mailto:[email protected]

© ClickMedix, LLC 2013 http://clickmedix.com 2

Predictable Trend: Predictable Trend: More and Sicker Patients, But Less DoctorsMore and Sicker Patients, But Less Doctors

Predictable Trend: Predictable Trend: More and Sicker Patients, But Less DoctorsMore and Sicker Patients, But Less Doctors

130M

people can’t see a doctor

92M

63M

14M

Source: AAMC Center for Workforce studies, June Analysis 2011, http://www.census.gov/prod/2/pop/p25/p25-1131.pdf

http://clickmedix.com/


Physician Shortage WorldwidePhysician Shortage WorldwidePhysician Shortage WorldwidePhysician Shortage Worldwide

Source: http://cdn3.chartsbin.com/chartimages/l_gcu_7ed00ae715e9568d6ffbdb3a4d3d648d



Homes

Clinics/Hospitals

Enable Doctors to Serve 4-10X More PatientsEnable Doctors to Serve 4-10X More PatientsEnable Doctors to Serve 4-10X More PatientsEnable Doctors to Serve 4-10X More Patients



1 Oral Surgeon for 1.8M people1 Oral Surgeon for 1.8M people1 Oral Surgeon for 1.8M people1 Oral Surgeon for 1.8M people


Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleClickMedix Connected Mobile Health PlatformClickMedix Connected Mobile Health Platform

Collect Information Needed for Diagnosis Collect Information Needed for Diagnosis Based on Specialist ProtocolsBased on Specialist Protocols

Collect Information Needed for Diagnosis Collect Information Needed for Diagnosis Based on Specialist ProtocolsBased on Specialist Protocols

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleCurate Market-Fitting Diagnostics DevicesCurate Market-Fitting Diagnostics Devices

Tele-Pulmonology: Digital stethoscope to record audio sounds and send to remote doctor for diagnosis

Tele-ENT: Otoscope

Tele-Diabetes retinopathy: Fundus scope

Tle-Derm: Dermatoscope

Tele-Home Care: Pulsewave MAX for Heart rate, blood pressure, ECG, body temperature, oxygen saturation, breathing rate, heart rate variability, heart arrhythmia, pulse transit time, and mechanical pulse wave.

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleTele-Cardiology: 12-Lead iEKGTele-Cardiology: 12-Lead iEKG

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleTele-Gastrointestinal Post-Op CareTele-Gastrointestinal Post-Op Care

• First audio spectral analysis device for prediction of disease

• Records and analyzes audio spectrum of bowel sound

• Assesses patient POI risk within 12 hours post-operation

• LED display provides simple risk assessment and early warning with trend analysis

• Results easily transmitted to smartphone or patient’s EMR via wireless protocol

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleTele-Radiology for Physician CollaborationTele-Radiology for Physician Collaboration


mHealth Homecare KitmHealth Homecare KitmHealth Homecare KitmHealth Homecare Kit



Chronic Diseases (diabetes,

heart disease, Alzheimer’s)

Specialties (oncology, derm,ENT)

Infectious Diseases

(HIV/AIDS, TB)

Working Solutions from Lesser-Resourced Working Solutions from Lesser-Resourced CountriesCountries

Working Solutions from Lesser-Resourced Working Solutions from Lesser-Resourced CountriesCountries



Clients/Partners

Services PopulationReach

Geriatric care, maternal/pediatric care, dermatology, oncology

520,000

Diabetes, hypertension, heart disease, obesity, dermatology, pre/post surgery, cervical cancer Screening

100,000

Cardiology, TB surveillance, HIV+ stagingEducation: mHealth for doctors, nurses, health workers

90,000

ENT, geriatric care, obesity, preventative care

10,000

Hospitals / Clinics

Governments

Research Institutions and medical schools

61

3

10

Deployments and Scale: 700,000+ Patient Deployments and Scale: 700,000+ Patient ReachReach

Deployments and Scale: 700,000+ Patient Deployments and Scale: 700,000+ Patient ReachReach

Multi-national corporations

4


Medical

Government

MobileNetworks

Technology

Corporate

Mexican Social Security Institute


Impact of mHealthImpact of mHealthImpact of mHealthImpact of mHealth

Source:1.http://www.pwc.com/mx/es/industrias/archivo/2013-06-socio-economic-impact-of-mhealth-brazil-and-mexico.pdf2.http://www.ispor.org/consortiums/LatinAmerica/documents/ViH/TheCostofType2DiabetesMellitus.pdf

Physician Time Savings: mHealth can save ~50% of this time

Adverse drug events: mHealth can save 15% of this cost

Chronic diseases: Remote monitoring & treatment through mHealth can reduce chronic disease costs by 35%.

Result: By 2017, out of pocket expenses could decrease by $102/user for mHealth users

Result: By 2017, out of pocket expenses could decrease by $102/user for mHealth users

Result: $22.6M in ADE cost savingsResult: $22.6M in ADE cost savings

Result: each physician can increase patient load by 2-10X

Result: each physician can increase patient load by 2-10X



46% of Deaths in the US Are Due to Chronic 46% of Deaths in the US Are Due to Chronic and/or Co-morbid Conditionsand/or Co-morbid Conditions

46% of Deaths in the US Are Due to Chronic 46% of Deaths in the US Are Due to Chronic and/or Co-morbid Conditionsand/or Co-morbid Conditions

Preventable and Manageable Through Home-Based Interventions and Services

Disease Deaths %

Coronary Heart Disease 445,864 21.42

Alzheimers/Dementia 172,765 8.3

Stroke 146,664 7.05

Diabetes Mellitus 75,280 3.62

Hypertension 62,156 2.99

Kidney Disease 50,889 2.45


Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title style

Prevent / Prevent / AssessAssess ScreenScreen DiagnoseDiagnose TreatTreat Follow-upFollow-up

Life style changes (lose weight, stop smoking, reduce

drinking)

Intervention Steps and Current ChallengesIntervention Steps and Current Challenges

Late stage discoveryCo-morbid

diseases

Lack timely screening

causes late stage detection

Lack of PCPs/ specialists to

diagnose

Difficult lifestyle

changes and treatment adherence


Prevent Prevent /Assess/Assess ScreenScreen DiagnoseDiagnose TreatTreat Follow-upFollow-up

Existing Solutions Do Not Enable Continuous Existing Solutions Do Not Enable Continuous HealthcareHealthcare

Clinics, hospitals and specialists

MedicAlert, FusionCareTelaDoc,

Best Doctors,

DirectDerm

Text4Baby, Fitbit,

MyBasis

Clinics


Prevent Prevent /Assess/Assess ScreenScreen DiagnoseDiagnose TreatTreat Follow-upFollow-up

Connected Mobile Health Enables Continuous Connected Mobile Health Enables Continuous Healthcare DeliveryHealthcare Delivery

Clinics, hospitals and specialists

MedicAlert, FusionCareTelaDoc,

Best Doctors,

DirectDerm

Text4Baby, Fitbit,

MyBasis

ClinicsClickMedix Connects Solution Segments


Patient education video about diabetes

Prevent: Patient EducationPrevent: Patient Education Prevent: Patient EducationPrevent: Patient EducationPrevent / Prevent /

AssessAssess


Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title style Mobile Apps for AssessmentsMobile Apps for AssessmentsPrevent / Prevent / AssessAssess


Capture Symptoms Information Capture Symptoms Information (via nurse, caregiver, patient themselves) (via nurse, caregiver, patient themselves) Capture Symptoms Information Capture Symptoms Information (via nurse, caregiver, patient themselves) (via nurse, caregiver, patient themselves)ScreenScreen



Remote ConsultationRemote ConsultationRemote ConsultationRemote ConsultationDiagnoseDiagnose



Review HistoryReview HistoryReview HistoryReview History

Review patient history and prior data on web or phone

TreatTreat



Contact patients to improve Contact patients to improve adherenceadherence

Contact patients to improve Contact patients to improve adherenceadherence

Follow-UpFollow-Up



Recommend Home MonitoringRecommend Home Monitoring Recommend Home MonitoringRecommend Home MonitoringFollow-UpFollow-Up



Follow-Up ConsultationFollow-Up ConsultationFollow-Up ConsultationFollow-Up Consultation

Patient takes a picture and fills out symptoms update from his phone and requests for a telemedicine consultation

Follow-UpFollow-Up



• High volume and high-throughput solution

• Repeatable solution for scaling to large communities

• New businesses and services for mHealth-powered senior care

Case Studies (with Revenue Models)Case Studies (with Revenue Models)Case Studies (with Revenue Models)Case Studies (with Revenue Models)



~27M Incidences of Ear Infection in India: ~27M Incidences of Ear Infection in India: 1 Health Worker Screens 2,000 Patients/Year1 Health Worker Screens 2,000 Patients/Year

~27M Incidences of Ear Infection in India: ~27M Incidences of Ear Infection in India: 1 Health Worker Screens 2,000 Patients/Year1 Health Worker Screens 2,000 Patients/Year

Source: http://www.rightdiagnosis.com/m/middle_ear_infection/stats-country.htm#extrapwarning



2180 Patients Saved from Hearing Loss2180 Patients Saved from Hearing Loss2180 Patients Saved from Hearing Loss2180 Patients Saved from Hearing Loss



Most Patients Complains of Diminished Hearing or Most Patients Complains of Diminished Hearing or ItchingItching

Most Patients Complains of Diminished Hearing or Most Patients Complains of Diminished Hearing or ItchingItching



Perforation of the Middle-ear Causing Diminished Perforation of the Middle-ear Causing Diminished Hearing, and Deaf If UntreatedHearing, and Deaf If Untreated

Perforation of the Middle-ear Causing Diminished Perforation of the Middle-ear Causing Diminished Hearing, and Deaf If UntreatedHearing, and Deaf If Untreated


Chronic Disease Management Screening and Tele-consultation for 22,000 clinics 35M patients


China: Creating Home-Health Care Business China: Creating Home-Health Care Business Unit for Premier Hospital in ChinaUnit for Premier Hospital in China

China: Creating Home-Health Care Business China: Creating Home-Health Care Business Unit for Premier Hospital in ChinaUnit for Premier Hospital in China



Home-Visit Doctor and Nurse TeamsHome-Visit Doctor and Nurse TeamsHome-Visit Doctor and Nurse TeamsHome-Visit Doctor and Nurse Teams



Home-Care Assessments and Tele-Consultation Home-Care Assessments and Tele-Consultation with Specialistswith Specialists

Home-Care Assessments and Tele-Consultation Home-Care Assessments and Tele-Consultation with Specialistswith Specialists



Packaged Pricing ModelPackaged Pricing ModelPackaged Pricing ModelPackaged Pricing Model



US: Care Giver & Patient Centered Post-US: Care Giver & Patient Centered Post-Discharge ServiceDischarge Service

US: Care Giver & Patient Centered Post-US: Care Giver & Patient Centered Post-Discharge ServiceDischarge Service


Home Care Home Care

• Risk screening• Triage • Service options• Care planning• Tele-consultation• Resources

Medication ManagementMedication

Management

SupportSupportPatientPatient

Hospital CareHospital Care

Follow-Up

Screen for Risks

Re-Assess

Follow-Up

Screen for Risks

Re-Assess

SymptomsDisease stateTreatment plan

Determines optimal care path

of services

Image source: Artificial Fiction Brain by Wikipedia user Gengiskanhg (Creative Commons Licensed)

Home HealthHome Health

Alzheimer’s Management & Senior Home CareAlzheimer’s Management & Senior Home CareAlzheimer’s Management & Senior Home CareAlzheimer’s Management & Senior Home Care

Caregiver Training

Caregiver Training

Other (food adult day

care)

Other (food adult day

care)

TransportationTransportation

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleBuilding Better Healthcare through Building Better Healthcare through Connected Mobile Health and PartnershipsConnected Mobile Health and Partnerships

Building Better Healthcare through Building Better Healthcare through Connected Mobile Health and PartnershipsConnected Mobile Health and Partnerships

http://clickmedix.com | Ting Shih, CEO & Founder | [email protected]

mhealth summit presentation 2014: reinventing the dynamics of the healthcare system

Health & Medicine

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mhealth userssource

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