Post on 18-Oct-2014
description
Latest Trends in
Health ICT
Syed Tirmizi, MD
Which Health IT Application Do You Think Has Had the Greatest Effect on Boosting Patient Care?
Redefining Health Care Application of the best models to the production of healthcare
services. Interoperability for the harmonization of healthcare
information systems. Healthcare information systems. IT-based tracking of clinical work flow/patient flow and
equipment in hospitals. Utilization of mobile phones for the promotion of health. Prevention of chronic illnesses by means of information
technology. Increasing the citizens’ motivation for self-care.
Clinical Decision SupportRationale - 1 CDS demonstrated to be effective in a number of settings
over the past 30-40 years Impact
best practices error reduction pay for performance cost effectiveness chronic disease management prevention biosurveillance etc.
Yet slow dissemination and adoption
Clinical Decision Support Rationale - 2 A number of barriers can be cited
including technical, organizational, cultural, and financial As a result, much reinvention of the wheel Will only get worse
More info available Informed consumer
Health care knowledge, provider performance data More complexity
genomics, competing technologies/workup strategies, targeted therapies
cost and time pressures, pay for performance
History of collaboration efforts AHCPR, other consensus panels
Yet difficulty operationalizing, too generic EBM, Cochrane Collaboration
Knowledge but not executable Guidelines.gov
Not curated, most not executable Arden Syntax
Widely used, but highly proprietary Requires host-specific customization of all rules CPMC (California Pacific Medical Center) site lists ~240 rules, but not updated since
1997 GELLO
New expression language, but implementations just emerging, no content libraries IMKI (Institute for Medical Knowledge Implementation)
Effort to form consortium of vendors, professional societies, and academic medical centers
Failed due to lack of willingness to contribute content
The CK-Collab approach Stimulate sharing by
Identifying high impact need(s) Developing high quality knowledge resources Demonstrate a workable model for collaboration
Lead by example
Show effectiveness
A Roadmap for National Action on Clinical Decision Support
AMIA White paper, June 13, 2006
Prepared by:Jerome A. Osheroff, MD, Jonathan M. Teich, MD,
Blackford F. Middleton, MD, Elaine B. Steen, MA,
Adam Wright,
Don E. Detmer, MD, MA
A Multi-Stakeholder Effort CDS / informatics
pioneers Providers:
academic / community centers
Patient / consumer advocates
HIT / CDS vendors Payers Consulting firms
Healthcare quality & safety experts
Legal / policy experts
Standards organizations
Government ONC, AHRQ, NIH,
VA, CMS, FDA, NLM, IOM, CCHIT
The Goal
“to ensure that optimal, usable and effective clinical decision support is widely available to providers, patients, and individuals where and when they need it to make health care
decisions.”
Enhanced Health and Healthcare Through Enhanced Health and Healthcare Through CDSCDS
BestKnowledgeAvailable
WhenNeeded
HighAdoption &
EffectiveUse
ContinuousImprovement
of Knowledge
& CDS Methods
Pillars of CDS
Critical Tasks
Identify NextSteps
AddressLegal,
Regulatory& Financial
issues
GeneralizeLessonsLearned
ImplementDemonstration
Projects
ShowFeasibility,Scalability,
Value
PromoteDisseminationand Adoption
StakeholderDiscussions
RoadmapExecutionSteeringGroup
Technical Requirements & Architecture
Goal: Identify specific technical requirements and processesSome issues to consider Kinds of tools and resources needed to facilitate group collaborative content
management Open vs. proprietary tools, environments Portal development Knowledge representation Standards What to do when no suitable standards exist Support for editing, review and update Ontologies, indexing support
Can CK-Collab tools and knowledge management be adapted for individual organizational use?
Instrumentation and data capture (metrics) for evaluation What will be required to facilitate institution adoption and adaptation of
content, receive and install updates, identify issues and measure usage?
Content Resources & ApproachGoal: Identify specific content resources, approach to management, with focus on
diabetes Some issues to consider What knowledge is included and how do we decide (priorities)?
e.g., Order sets group interaction tables, dose modifications for age, renal insufficiency alerts reminders guidelines, pay for performance metrics, quality benchmarks
Editing and review process How indexed and organized?
Use of ontologies and controlled vocabularies How is it updated, how often, what triggers it? How deep is the knowledge in the various organizations and where will CK-Collab
get it, if not available from members. How would participants use it in their organizations?
Content matched to capabilities of systems How and when do we want to move to additional foci other than diabetes? Data capture (metrics) for evaluation
“Clinical Reminders” Performance Measures
1. Clinical Reminders Real time decision support Targeted to specific patient cohort Targeted to specific clinic/clinicians
2. Reminder Dialogs Standard documentation Capture of data (MDS, Health Factors, encounter data, etc)
3. Reminder Reports Performance improvement/scheduled feedback Identification of best practices Targeting low scorers for educational intervention Patient recall if missed intervention
What the Clinician Sees…
ATHENA Hypertension Advisory:BP- Prescription Graphs
ATHENA HTN Advisory
BP targets
Primaryrecommendation
Drugrecommendation
Clinical Clinical requirementsrequirements
Diabetes Patient Dialog for processing multiple reminders:
• Diabetic Foot Care Education• Diabetic Foot Exam• Diabetic Eye Exam• Recommended Labs• Other Health Activities
Acquisition of health data beyond care delivered exclusively through VHA
Standardized Data Elements
Links Reminder
With Actions
With Documentation
The Challenge & The Opportunity
Source: World Health Organization; McKinsey
• Worldwide today:• 1 billion adults overweight• 860 million chronic disease patients• 600 million elders age 60 or older
• 75-85% of healthcare spending is on chronic disease management
• 200K hospitals, 18M hospital beds
Health & WellnessOne billion adults overweight world wide
Healthyfamily
Glucosemeter
Pedometer
Blood-pressure
Cuff
MedicationTracking
DigitalHome
In the future…• Extension of healthcare
system into the home• Initial triage of conditions
• Vital signs• Images• Email / chat / video
• Appointment scheduling
Health & Wellness• Weight loss• Fitness• “Worried Well” vital sign
monitoring:• Weight• Blood pressure• Glucose• Cholesterol• Activity level
• Personal Health Records
Internet
Weight lossWeight lossand fitnessand fitnesscoachingcoaching
HealthcareHealthcareProfessionalsProfessionals
PersonalPersonalHealthHealthRecordRecord
WeightScale
Fitnessequipment
DigitalHome
Disease Management860 million chronic disease patients world wide
Pedometer
Blood-pressure
Cuff
MedicationTracking
PersonalHealthSystem
Disease Management• Vital sign monitoring (RPM)• Medication reminders and
compliance• Utilize home network to
locate devices in logical places:
• Scale in bathroom• Pill minder in kitchen• BP cuff in living room
• Trend analysis and alerts• Email, chat, video • Appointment scheduling
CellPhone
PulseOx
Weight
PC• Chronic disease
• Post trauma
• Pre-op
Internet
FamilyFamilycarecare
giversgivers
DiseaseDiseasemanagementmanagement
serviceservice
PersonalPersonalHealthHealthRecordRecord
Implant
HealthcareHealthcareproviderprovider
Fitnessequipment
DigitalHome
PersonalHealthSystem
CellPhone
PC
Internet
FamilyFamilycarecare
giversgivers
ElderlyElderlymonitoringmonitoring
serviceservice
DietDiet&&
wellnesswellnessservicesservices
DiseaseDiseasemanagementmanagement
service, service, healthcarehealthcareproviderprovider
Elderly Monitoring600 million elderly individuals world wide
Aging Independently• An adult child helping their
elderly parents age gracefully in their own home.
• Basic life monitoring as appropriate (ADL):
• Bed pressure (sleep)• Bathroom sensor• Gas / water sensor• Emergency sensor
• Vital sign monitoring (RPM)• Medication reminders and
compliance• Trend analysis and alerts• Email, chat, video • Appointment scheduling
• Independent living
• Chronic disease
HomeAutomation& Control
Pedometer
Blood-pressure
Cuff
MedicationTracking
PulseOx
Weight
Implant
Fitnessequipment
The Continuum of Care
AmateurAmateurAthleteAthlete
Diet/FitnessDiet/FitnessFocusedFocused
WorriedWorriedWellWell
Elderly LivingElderly LivingIndependentlyIndependently
ChronicChronic Patient Patient
AcuteAcuteRecoveryRecovery
InfantInfant
CONTINUUM of LIFE
CONTINUUM of CARE GIVERS
Doctor/NP/NurseDoctor/NP/NurseHomeHome
NursingNursingProfessionalProfessional
The FamilyThe Family
FitnessFitnessWellnessWellness
CoachCoachNew ParentsNew Parents
The Continua Health Alliance will enable a personal health eco-system that empowers individuals & families to better manage their own health and wellness across the
continuum of life and care methods.
Personal Health Eco-system
CONNECTIVITY
Ethernet
SENSORSAGGREGATIONCOMPUTATION
SERVICES
Diet orFitnessServiceMICS / MEDS
DiseaseManagement
Service
PersonalHealth
RecordService
ImplantMonitoring
Service
HealthcareProviderService
PC
PersonalHealthSystem
CellPhone
Set Top Box
Aggregator
N E
T W
O R
K (P
OT
S, C
ellular, B
B)
GlucoseMeter
Pedometer
Blood-pressure
MedicationTracking
Fitnessequipment
WeightScale
PulseOximeter
Spirometer
Bed / ChairSensors
ImplantMonitors
BabyMonitors
PERS
ConsumerElectronics
Homesensing &
control
Guidelines Certification Logo
HomeAutomation& Control
• GUIDELINES:Continua member companies will select connectivity standards and publish Guidelines for strict interoperability.
• CERTIFICATION & LOGO:Continua will establish a certification program with a consumer recognizable logo signifying the promise of interoperability with other certified products.
An Aging Services Context
• Multiple wireless strategies can be affordably deployed today and are leveraged by a variety of devices to enable activity-appropriate use at the point of care across all care settings.– Empowered Workers– Empowered Consumers (patients)– Empowered Environments
Uses: The Empowered Worker
• Supporting Effective Relationships at the point of service– Balancing relationships and tasks
• Personalized documentation• Decision support = relationship support• Goal: open shared use of any technology
• Case Study– Strategic use of device types for supporting
relationships• kiosk, handheld, laptop, voice device
Uses: The Empowered Consumer
• Supporting rich engagement of consumers with their life and context– The legacy consumer environment
• TV and Phone
– Emerging possibilities• Convergence of tv, phone and computer• Social Networking• Convergence of gaming and therapy
– The Personal Health Record as a shared repository of resident story, goals and choices.
Uses: Empowered Environments
• Automating routine monitoring and documentation to promote safety and quality of life.
• The Legacy Environment– Proprietary single-point monitoring– Multiple systems
• Nurse call, wandering, fire safety, access and identity• Location & asset monitoring, energy management• Voice, radio, paging
– Each system has similar components• Sensors, distribution (wired/wireless), data collection point• Analysis engine to generate alerts, communications & dashboards
• Opportunities & Possibilities– Integrated, Standardized, Interoperable system(s) – Automated monitoring provides increased opportunity for
relationship-centered service
Technology: Devices
• Traditional PC & Laptop
• Phone & Communication Devices
• Handhelds
• Kiosks
• Tablets and other Form Factors
• Appliances– Cameras, gaming, etc.
• Tags
Scenario: Teleputer
• The empowered worker uses a teleputer to converge communications, documentation, notification, and decision support.
Scenario: Location
• Empowered Environments log activities, generate alerts, and supports independence.
Scenario: Social Gaming
• Empowered consumers embrace interactive multi-media devices that integrate social communities, cognitive stimulation and entertainment.
(Tribune photo by David Trotman-Wilkins) Feb 9, 2007
Continua Health Alliance Objectives
• GUIDELINES: Developing design guidelines to build interoperable sensors, home networks, health compute platforms, and health & wellness services.
• CERTIFICATION & LOGO: Establishing a product certification program with a consumer recognizable logo signifying the promise of interoperability with other certified products.
• FDA & EU REGULATIONS: Collaborating with government regulatory agencies to provide methods for safely and effectively managing diverse vendor solutions.
• REIMBURSEMENT: Working with leaders in the healthcare industries to develop new ways of addressing the costs of providing personal health systems.
Chronic Disease Management
OverviewDM Megatrends
1) The DM Opportunity is Huge!
2) The DM is Complex
3) 2008 Could Be a Breakout Year for Remote Patient Monitoring (RPM)
4) What’s Missing in the Market? Large Scale Platforms/Projects. A) Health Plans
B) Medicare DM Demos
C) Medical Home model
D) PHRs/Google Health
E) Mobile Platforms, e.g., Lifecomm
F) Hospital at Home
5) “Behavior Change” is Becoming the Holy Grail
6) Next Generation Technologies: “You Ain’t Seen Nothing Yet”
7) Will the DM Community Be Leaders or Laggards in the Race to Interoperability?
1) The DM Opportunity is Huge!
$34 B Market for Healthcare Unbound Technologies
$0
$10
$20
$30
$40
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
ADL/elder Chronic Acute
Total
Acute
Chronic
ADL/elder $0.35
$US(billions)
$0.37 $0.47 $0.59 $0.73 $0.98 $1.2 $1.6 $2.0 $2.4 $3.0 $3.7
$0.10 $0.13 $0.22 $0.38 $0.65 $1.2 $3.8 $12.1 $23.1 $26.3 $25.7 $26.7
$0.00 $0.00 $0.00 $0.00 $0.01 $0.02 $0.65 $2.0 $3.6 $3.5 $3.0 $3.2
$0.45 $0.50 $0.69 $0.97 $1.4 $2.1 $5.7 $15.7 $28.7 $32.3 $31.7 $33.6
(Numbers have been rounded)
2) The DM is Complex
Two Seemingly Contradictory Statements
Diseases/conditions
x
Value propositions
x
Technologies
x
User environments
=
Thousands of Potential Applications
So Why Is Uptake of Technology in DM Taking Time? Do the Math.
© www.bhtinfo.com
Technology ConvergenceCONSUMER TECH
INFRASTRUCTURE
Internet
Smart houses
Personal communications devices -- PDAs, cell phones, etc.
Broadband -- cable, DSL, satellite
Digital cameras, video
Wireless -- 802.11, Bluetooth, RFID, etc.
Voice recognition
etc.
eHEALTH APPLICATIONS Electronic Health Records (EHRs)
Personal Health Records (PHRs)
Remote patient monitoring
Fitness/wellness/prevention
Self care support
Physician/patient secure messaging
Home telehealth/telecare
Decision support systems
e-Prescribing
e-Disease Management
e-Clinical Trials
Predictive modeling
Computerized Physician Order Entry
Quality evaluation web sites
Patient reminder systems
etc.
© www.bhtinfo.com
Focal Points for ConvergenceHome Networks, Smart Phones, EHRs, PHRs
PHR/EHRSmart
Phone
HomeNetwork
CONSUMER eHEALTH
Role of IT in Disease Management
Patient Facing
DM Provider Facing
Patient-provider communication tools (IVR, email)
MonitorEngage Intervene
Educate, Coordinate, TreatIdentify, Validate, Stratify, Enroll
Call center
Personal Health Record
Predictive modeling
Remote monitoring (biometric, tele-monitoring)
Personal assessment tools
Educational tools (websites, audio library)
Electronic Medical Record
Decision support tools (CDSS)
Outcomes, Feedback, Follow-up
Clinical integration tools
Disease registry
3) 2008 Could Be a Breakout Year for Remote Patient Monitoring
(RPM)
2008 Could Be A Breakthrough Year For RPM
• Continua begins to address major challenges– Interoperability of devices
– Pricing (indirectly)
• But other challenges remain– IT/integration
– Reimbursement/business model
– Licensure/regulatory issues
...but Consider the Systemic Barriers
• Reimbursement
• HIPAA: Privacy/confidentiality issues
• Physician workflow
• Technology maturity– Infrastructure
– Bandwidth
– Interoperability/Standards
– Friendly user interfaces
4A) The Cats are Herding:Medical Home Model Gaining Momentum
The Medical Home Incorporates Disease/Care Management Tech & Apps
• Proposed payment framework for the Medical Home model includes $$ for:– coordination of care
– health information technology
– secure e-mail and telephone consultation;
– remote monitoring of clinical data using technology.
4B) PHRs & Google Health
• 2 models of PHRs– Stand alone
– Tethered: typically to a health plan, provider, employer
• Each has challenges
• The “populating the PHR with data” problem
• 200 PHRs on the market
• Generations of PHRs– 1st generation: PHR as “APPLICATION” -- an online repository of
personal health information (PHI)
– Next generation – PHR as PLATFORM
Source: Markle Foundaton A Common Framework for Networked Personal Health Information, 2006. See also: RWJF Project HealthDesign A New Vision for Personal Health Records, May 2007
Google Health– A Next Generation PHR(detective work and tea leaf reading)
• The Current Market Structure for Personal Health Information (PHI). Your PHI is– Scattered everywhere
– Not in standardized formats suitable for a global information economy
• GH’s Anticipated Technology Model – Patient centric
– A personal health URL
– Automated data mechanisms to gather and store PHI
– Interoperable technical standards: XML and the Continuity of Care Record (CCR) standard
– A user interface
– Appropriate security and confidentiality measures
– Value added functionality (over time)
• Three Potential Leverage Points– A GH platform could simultaneously create AND dominate next
generation PHRs.
– Google Health promises to overcome the “populating the PHR” challenge
• Automated data feeds
• The Continuity of Care Record standard as the MP3 of PHI
– Potential for rapid, dramatic network effects
4C) Mobile Platforms, e.g., Qualcomm’s sponsorship of LifeComm
The Disconnect
Chronic Disease/Condition Management is migrating– From a clinical based model
– Toward a behavior change model
How can you optimize behavior change without 24x7x365 connectivity to the patient?
• Portland Veterans Administration Hospital
Gives Acutely Ill Homecare Option
To Free Up Valuable Beds
Care Is Brought to Patient;
An Alternative for Elderly
Current DM/Tech & Apps Are A Collective Platform to Support HAH
• EHRs
• Telemedicine
• Niche apps
• Remote Patient Monitoring
• Disease Management
• Personal Health Records
• Mobile telehealth
• Health 2.0
• Etc
Hospital At Home
5) “Behavior Change” is Becoming the Holy Grail
63
The Holy Grail: Changing behavior to prevent disease
Behavioral Risk Factors
ChronicCHF
Clinical Risk Factors
Our Future1994-98 1998-2002 Current
Interactive Data Systems
• All of the above plus more real time two way remote interaction between pts., disease managers, and MDs (e.g. interactive TV, implantable devices, PDAs, cell phones, other wireless technologies)
Copyright © LifeMasters Supported SelfCare Inc. 2004 All Rights Reserved.
Behavior Change: Carrots vs. Sticks?
6) Next Generation Technologies: “You Ain’t Seen Nothing Yet”
The Next Generation of DM TechnologyWhen the Technology is Just “There”
“Ubiquitous Health”
“Sense and Simplicity”
“Pervasive Computing”
7) Will the DM Community Be Leaders or Laggards in the Race
to Interoperability?
Fields of Medicine
• Curative Medicine• Preventive Medicine• Palliative Medicine• NBIC Therapeutic Medicine• NBIC Enhancement Medicine
NBIC-Medicine definition
• medical intervention at the molecular scale for curing disease or repairing damaged tissues, such as bone, muscle, or nerve. [i]
• the study of biotechnology, pharmacy and biosensors at the cellular level.[ii]
• the application of nanoscale principles to biomedical technology,
• the comprehensive monitoring, control, construction, repair, defense, and improvement of all human biological systems, working from the molecular level, using engineered nanodevices and nanostructures;
• the science and technology of diagnosing, treating, and preventing disease and traumatic injury, of relieving pain, and of preserving and improving human health, using molecular tools and molecular knowledge of the human body; [iii]
• the employment of molecular machine systems to address medical problems, using molecular knowledge to maintain and improve human health at the molecular scale.” [iii]
NBIC medicine
US NANOTECHNOLOGY HEALTH CARE PRODUCTS DEMAND(million dollars)
% Annual Growth
Item 2004 2009 2014
Nanotech Health Care Product Demand
906 6500 27700
Pharmaceuticals 406 3000 16600
Diagnostics 465 1100 2200
Medical Supplies & Devices
35 2400 8900
[i] US NANOTECHNOLOGY HEALTH CARE PRODUCT DEMAND TO REACH $6.5 BILLION IN 2009 <http://www.the-infoshop.com/press/fd29054_en.shtml>
NBIC-Medicine/NBIC-enhancement
Bionic Implants:
• “Couples' nervous system linked by implants in limbs. 06.07.2004 http://www.nzherald.co.nz/index.cfm?ObjectID=3576668
When Kevin Warwick lifted his finger, his wife Irena felt as if a bolt of lightning ran down her palm and into her own finger. In what they billed as the first direct link between nervous systems, the couple had electrodes surgically implanted in their arms and linked by radio signals to a computer. Blindfolded for the experiment, they could feel when their spouse's finger moved
• Bionic Ear: Cochlear Implants – Applications And Developments Utillising Nanotechnology http://www.azonano.com/details.asp?ArticleID=976
• Bionic Eyes for the Blind
http://www.seeingwithsound.com/retinal.htm; Bionic Eyes – Ceramic Microdetectors That May Cure Blindness http://www.azom.com/details.asp?ArticleID=1544; Bionic eye offers new window on the world, Sunday 10.10.2004, CET 04:53 http://www.swissinfo.org/sen/Swissinfo.html?siteSect=511&sid=4415302
NBIC-Medicine/NBIC-enhancement
Illustration by Illustration by DaniloDanilo DucakDucak
BY MIKE FILLONBY MIKE FILLON
THE NEW BIONIC MANTHE NEW BIONIC MAN
http://popularmechanics.com/science/medicine/1999/2/new_bionic_man/print.phtml
NBIC-Medicine/NBIC-enhancement
• Chips Coming to a Brain Near You - (Wired News – October 22, 2004)
In this era of high-tech memory management, next in line to get that memory upgrade isn't your computer, it's you.
• Theodore W. Berger, director of the Center for Neural Engineering at the University of Southern California, is creating a silicon chip implant that mimics the hippocampus, an area of the brain known for creating memories. If successful, the artificial brain prosthesis could replace its biological counterpart, enabling people who suffer from memory disorders to regain
the ability to store new memories. And it's no longer a question of "if" but "when." …
NBIC-Medicine/NBIC-enhancement
http://www.amputeehttp://www.amputee--coalition.org/communicator/vol2no3pg4.htmlcoalition.org/communicator/vol2no3pg4.html
The process termed "osseoperception" refers to the adjustment of the mind to an osseointegrated prosthesis. The implication is that bone-integrated prosthetic fixtures "communicate" with the mind, via numerous neural pathways, to promote near-normal function of the prosthetic limb and improved psychological acceptance. Beethoven, who held a pencil between his teeth and touched the pencil to the piano keys to help him "hear" the music, illustrates a primitive form of this concept. Similarly, patients can perceive their environment through their osseointegrated prosthetic device. A self-reported incident even describes a patient sensing, through his artificial leg, what type of subfloor was beneath a carpet.
Nanomaterial Applications
• Many already on the market:– Cosmetics, sunscreen, sporting goods, stain-resistant clothing, electronics, sensors, anti-
microbial agents, paints, food supplements, …
• Coming Soon:– Pharmaceuticals – drug delivery– Tumor targeting cancer treatments– Artificial Bone composites– Catalytic materials (I.E. chemical spill clean-up), Industrial films, Building
materials/Insulation, many more
• Foreseeable Future:– Fuel Cells, Solar Cells, Batteries, nano-scale devices and machinery
Source: Nanotechnology Information Center, americanelements.com/nanotech.htm
Nanomaterial Economy Cont.
• A Sample of Industries Projected to Experience Economic Disruption (in Billions): – Healthcare: $1,700
– Electronics: $550
– Telecom: $550
– Plastics: $460
– US Chemical: $450
– Apparel: $182
– Pharmaceutical: $180
Source: Nanotechnow.com
Annual DoD Investment in Nanotechnology; 2006 estimated. (DoD
"Defense Nanotechnology Research and Development Programs", May 8, 2006)
NCI Nanotechnology Alliance: http://nano.cancer.gov/
Nanoparticle Probes
Antibody-labeled quantum dots traveled through the bloodstream to tumors in mice. The antibody then binds with proteins found on the surface of the tumor.
Mechanical Engineering and Medicine Produces Nano-Robotics
• Concept of Endoscopic Microcapsule
• Swallowable imaging ‘pill’ and new endoscopic instruments
Cancer Detection
• By injecting quantum dots into tumors, investigators have been able to image sentinel lymph nodes. These results could lead to a simple, non-invasive method for detecting metastasis.
• The investigators found that they readily observed the quantum dots moving out of tumors and into the lymph system.
Goals
• U.S. Health Care ICT market analysis for Finnish companies
• Network Finnish companies with marketing opportunities in the U.S
• Work with Finnish companies to maximize these opportunities
Opportunities sought
• R&D initiatives with Universities
• Demonstration projects
• Partnerships
• Licensing agreements
• Develop U.S.-based distribution options
• Sales
ICT company profile
• Established SME
• ICT solution is market ready
• ICT meets U.S. requirements
• Demonstrated interest in the U.S. market with ability to deliver with ongoing local support
• Technology has potential to succeed in the U.S. marketplace
Expected Outcomes
• The specific goal is to put companies in the position to either:– SEIZE A U.S. BUSINESS DEVELOPMENT OPPORTUNITY
OR
– EXECUTE A MARKET ENTRY INITIATIVE• Detailed U.S. Market Analysis
• Detailed market entry strategy
• U.S. specific business plan
• Consultants can assist companies with:– – Detailed Market Analysis– – Business Plans– – Funding Proposals– – Financing/Venture Capital– – Recruitment– – Partnerships– – Licensing & Regulatory requirements– – Product Development– – Marketing & Business Development
• Goal is for Finnish companies to establish a sustainable presence in the competitive U.S.
Consultant Services
Questions?
Syed Tirmizi
worldmed@gmail.com
FINLAND
Exhibitor Name
Biohit Oyj
Diagnostica Oy
Entre Marketing Ltd.
Fysioline Oy
Karstulan Metalli Oy
Medix Biochemica
Merivaara Corp.
Niva Medical Co.
Oriola Oy
Oy Medix Biochemica Ab
Pensi Rescue Oy
Planmeca - Planmed
Schering Oy
Sisu Medical Oy
Soredex
Wihuri Oy Wipak