Convergence to mHealth
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Transcript of Convergence to mHealth
Convergence to mHealth
Pankaj Vaish President, HealthFore
(Healthcare IT Division of Religare Technologies)
Why mHealth?
Use Cases
Convergence
Convergence – Voice, Video & Data
Convergence Provides • opportunity to operate more
efficiently
• increased ROI on technology
• rapid market expansion and new markets
• consumers new ways of communication and do business together at lower costs than before
• convenience of having many devices all in one, saving on both size and ownership costs
Convergence – Impacting Our Lives
Pictures
Music
Video
Social Networks
Convergence - Technology and Platform
Convergence
Interoperability in Healthcare
5
The Paradigm Shift
Why mHealth?
Use Cases
Convergence
Ageing Population and Rising Chronic
Diseases
Out of pocket expenditure is more than 80% Rising demand for medical services and timely
medical intervention
Need for measures to provide health specialists’ access anytime anywhere and not
only at the point of care
7
The Growing Healthcare Divide
Integrated Care Resource
Constraints Patient
Empowerment
Source: McKinsey & Company CII Seventh India Health Summit Dec 2010
1.3 0.7 1.5
1.9
0.9
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)
Source: Public Research
• Mobile phones is one of the most disruptive change of the millennium – it has changes how, how much, why and to whom we communicate
• Mobile devices are personal technology that enable consumers to establish personal preferences for sharing and communicating
• Connectivity is driving the world
• Mobile devices bring the rural geographies into the mainstream to deliver health and wellness
• While Economic indicators of a country have a directly co-relation to their healthcare system, it is not the case with mobile penetration
The Mobile Revolution
Users Global India
Mobile 5.3 bn 900 mn
Internet 2.1 bn 100 mn
Mobile Internet 0.5 bn
Facebook 0.6 bn 20 mn
Mobile Density in India
Tele-Health market in India is expected to grow at a minimum of 15% CAGR for the next decade
Why mHealth?
Use Cases
Convergence
mHealth Services: Use Cases
10
Tele-Triage
Tele-Clinics
Tele-Medicine
Chronic Disease Management
Disease Surveillance & Disaster Management
Call a Doctor/ Second Opinion
Patient Education and Health Tips
Home Health and Remote Monitoring
Tele-Diagnosis and e-Prescription
Tele-Counseling
Scope of Services:
• Emergency referrals for critical, life threatening illnesses or non-life threatening cases that require urgent medical care
• Ambulance services
• Consultation services with physician
• Referral services to nearest hospital
• Regular/ routine cases
• Consultation with “Advice Nurses”
• Prescription of OTC drugs
• Pathology/Radiology/Pharmacy referrals
Tele-Triage (Typical OP consultation services to subscribers)
11
Service Highlights
Customers for Tele-Triage services:
• Individual Subscribers
• State Health Authorities
• Corporates/Employers
• NGOs
Benefits
• Improved quality of care, access, reimbursement, and cost reduction.
• Tele-triage is an access tool for patients that can increase patient satisfaction, as well as their compliance with telephone advice.
• Vital tool for Health Authorities to control demand in view of the limited healthcare resources and manage costs as well as care
Call Ambulance 0.2 %
ED Visit 47 %
Urgent GP Visit 6 %
Dr. Appointment 26 %
Non GP 18 %
Self Care 2 %
Caller Intent Call Result
Call Ambulance 2 %
ED Visit 10 %
Urgent GP Visit 17 %
Dr. Appointment 32 %
Non GP 2 %
Self Care 37 %
Symptom Assessment
• Population based strategy as well as approach to personal health
• Personalized suggestions, health tips, symptoms management through IVR calls, SMS, mobile internet
• Interaction of multiple parties (e.g. physicians, nurses, medical device manufacturers, mHealth players, telecom service providers) to provide best possible extended patient care
Chronic Disease Management
Service Highlights
Applications:
• Mobile Apps and SMS based patient management
• Remote Monitoring
• Mobile Clinics
Benefits
• Reduced disease burden: individual/community
• Improved quality of life: prevention/limitation of effects of chronic disease
• Reduced costs
• Improved patient satisfaction, compliance.
• Convergence in technology and interoperability amongst various healthcare stake holders is changing the way care gets delivered
• mHealth/ tele-health is helping bridge the healthcare divide that exists in the developing/ underdeveloped countries
• mHealth solutions and success stories exist but there is a clear need to find the right business models to scale up these solutions
In Conclusion …
Thank You
• Provide innovative, integral platform of information and communication to aid in prevention/mitigation of disasters and disease outbreaks
• Information and communication technology based platform to send reports to appropriate agencies in the event of disease outbreaks and disaster, both natural and man-made.
• Use of devices such as:
– Mobile Phones
– Fixed phones
– Paging Devices
– Computers connected to internet
• System saves the data, produces dashboards and summary reports in real-time to make decisions and send alerts.
• Ideal platform for PPP
Disease Surveillance & Disaster Management
Service Highlights
Benefits
• Availability of greater and better information in a short time
• Compilation of information and feedback.
• Significant reduction in response time to major disasters/disease outbreaks.
• Involve citizens and social organizations in disaster response.
• Care at a distance through Technician managed Kiosks at strategic locations:
• Hospital Waiting Areas
• Premium Residences
• Airports
• Kiosks are booths that have connectivity and software/hardware that have Audio-Visual capability
• It is almost like a “self-check-in” counter setup where a technician can assist patient record their vitals, talk to a doctor etc.
Tele-Clinics (Clinical care at a distance through e-clinics or centers)
16 U/I: User Interface
Service Highlights
Benefits
• Improved quality of care, access and cost reduction.
• Appointment scheduling
• Real time patient status: separate U/I* for Doctors as well as patients.
• Increased customer satisfaction.
• Value added services such as FAQs, Mind maps
• Healthfore – Solution Design and Implementation, Program Management, Business Models
• Healthcare Provider – Medical Experts, Technician, Nursing and Paramedics
• Telecom Service Provider – Connectivity, Telecom Support and Uptime.
• Application and Devices – Remote Monitoring devices, Integrated Application.
Telemedicine can be broken into three main categories:
Remote monitoring: primarily used for managing chronic diseases or specific conditions, such as heart disease, diabetes mellitus, or asthma.
Store-and-forward telemedicine: involves acquiring medical data (like medical images, biosignals etc.) and then transmitting this data to a doctor or medical specialist for assessment offline.
Common specialties that are conducive to asynchronous telemedicine:
• Radiology
• Pathology
• Dermatology
Interactive Telemedicine services: Real-time interactions between patient and provider (or between 2 or more providers), to include phone conversations, online communication and home visits.
Important application: Tele-ICU
Tele-Medicine (Tele-Radiology, Tele-Pathology, Tele-dermatology, etc.)
Service Highlights
Benefits
• Access to improved, quality health care especially for rural patients.
• Saves time, travel and other expenses for the patients.
• Second opinions: accuracy of diagnosis, reduction in medical errors
• Platform for Continuing Medical Education