Chinese taipei ct005 1366637182
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Transcript of Chinese taipei ct005 1366637182
Copyright 2013 ITRI 工業技術研究院
Health Cloud: Challenges and Business Opportunities
Jenn-Hwan Tarng & Chi-Hung Lin* General Director, Service Systems Technology Center,
Industrial Technology Research Institute (ITRI)
*Commissioner, Department of Health, Taipei City Government
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Outline
2
Aging Population
Health ICT Global Market
Example of View From Government
Ubiquitous Health Services and
Solution
Challenges and Policy
Proposed Topics to be discussed
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Aging Population
Source: Public Health of Taipei City: 2010 Annual Report
The
per
cen
tage
of
aged
65
an
d a
bo
ve
po
pu
lati
on
(%)
year
3
Source: United Nations (2011) Asia Europe Latin America
and the carib
bean
Northern
America oceania
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Healthcare: A Global Socio-Economic Challenge
Population aging: a global demographic phenomena
— US: 19.6% (2030); EU: 40% (2050); Japan: 36% (2050)
— Healthcare cost per person aged 65+ years is 3-5 X greater than that
for person aged < 65 years
— US: 17% of GDP (2008); 20% of GDP (2015)
Excessive costs of administering the health system are one of
major factors for high healthcare costs*
– Unnecessary diagnosis/treatments, inefficient healthcare
management system, and expensive doctors’ practices
Insufficient number of medical doctors and nurses.
An automated health caring system is needed at hospital,
communities, home and mobile space.
* Source: Annuals of Internal Medicine 2005 & U.S. Census Bureau. An Aging World:
2001 4
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Treatments
(Institute Care)
Sub Acute
(Intermediate Care) Prevention Wellness
Healthcare Service Evolution
5
Personalized Healthcare Home/ Mobile
Community
Treatment-centric
Prevention-oriented home-based
personalized healthcare
5
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
ICT Market in Healthcare Market Scale in USA and China
Three Market Demands
• Preventive care field
• Medical field
• Home care field
2.2 million people adapted Tele-
homecare Monitoring service in
US and Europe (2011) .
(myocardial infarction,
Obstructive Sleep Apnea
Syndrome, diabetes, Chronic
Obstructive Pulmonary Disease)
In 2011 healthcare ICT is about
2% of the total Healthcare output
in US (2.4 trillion USD).
(only 1% in 2009)
US Healthcare ICT grow at a
CAGR 24% between 2011-
2014(InformationWeek,2011)
US ICT market in Healthcare
USD billion
2009 2011
Future
Market
estimation
CAGR
preventive
care field
Health
management 8
about
40
(Information
Week ,2011)
17
(2014) 16%
Medical
field
EMR、EHR 1.35 1.43
(2016) 6%
HIS 15.69 21.46
(2012)
Home care
field
Home care,
Disease
Management
0.58 1.1
(2014) 15%
China ICT market in Healthcare
USD billion 2009 Future Market
estimation
CAG
R
preventive
care field
Health
management 0.5
1.2
(2014) 20%
Medical
field
EMR、EHR
0.334 0.856
(2016) 15%
HIS
Home
care field
Home care,
Disease
Management
0.26 1.1(2014) 33%
6 Source of the materials : Frost & Sullivan(2008, 2009, 2010); ITRI IEK(2010)
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Health Cloud Market Market Scale in Global
Billion USD
Year
Health Cloud Market in Global
Source: IBM/Bizcloud
• In 2011, cloud had only four
percent share of e-healthcare
market. Cloud market share will
grow to 20.5 percent a year
by 2017
• Cloud computing market in the
health care sector is expected to
grow to $5.4 billion by 2017,
according to research firm
Markets and Markets.
• The healthcare cloud computing
market is a fragmented in nature
and no provider occupies more
than five percent share. (2012)
7
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Ageing/Aged
society
Increased life span Low birth rate
View From Government Formation of an aged society
Child development Development in
the prime of life Active aging
8 Source: Department of Health, Taipei City Government
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
To promote quality of healthy life
To prevent disease
To decrease co-morbidity and
premature death
Health
Care
Social Welfare and Safety Net
To reduce health inequality
To increase healthy life expectancy
To narrow health disparities due to life cycle
To narrow health disparities due to
socioeconomic background
To narrow health disparities due to
physical& mental status
Health Promotion and Disease Prevention
Health for All
Public
Health
9 Source: Department of Health, Taipei City Government
View From Government
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Ubiquitous Health Services for All
Ubiquitous Health Services: Users can access services when needed at
anytime, from anywhere with any devices Mobile Phone, Pad, Health ATM,
Wareable Health MaaS/ coaching devices: iShoes, Google Glasses, i-bracelet
band
Service providers can provide needed healthcare resources and services
when needed E-Hospital, Community Healthcare ICT, Home Healthcare ICT, M-Healthcare
Cloud Computing is an emerging enabling solution to address cost-
effective, personal, and on-demand service requirements of ubiquitous
health for all
Health Cloud Definition
A cloud computing solution used by health care providers for
health information management: storing, maintaining and
backing up; and information mining / feedback, etc.
10
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
End-to-End Tele-healthcare Solution Architecture (ITRI)
and Cloud Service Models
Community
Customer/Patient caregiver physician
Value-added services
11
Cloud Service Models :
MaaS
CaaS
SaaS
PaaS
IaaS
Call Center Services
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Health Preventive Care Cloud
Medicare Cloud
Healthcare Cloud
Personal Health Data Cloud
EMR
PMR PHR
PCR
Hospital service
efficiency
improvement
Health data value-
added services
Care services
propagation
Personal knowledge/
habits improvement
Patient Instructions
At Risk
Preventive care
chronic diseases
sub-acute diseases
acute diseases
Home care
Community care
Institutional
care
Long-term
care
Health Cloud Planning in Taiwan
Source: Ministry of Health, Taiwan (ROC)
12
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Taipei Health Card / National Health Insurance IC Card Triggering Health Cloud Services
Source: Department of Health, Taipei City Government
13
Social
preventive care
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Challenges of Health Cloud Adoption • Medical liability
Monitoring data accuracy, false alarm, signal integrity
• Privacy-preserve security protection of patient record
• Information exchange among different organization and customers
• Practical clinical use?
• System interoperability/scalability
Standard, Specification, Certification & Validation
User compliance and interface
• Integration of com. gateway and sensors
• Who’s going to pay
The payment system for preventive medical care in general is not in place yet in Taiwan
14
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
1. The issue of privacy protection • The role played by the governmental domain • The use of pseudo-ID (as privacy shield) • The core value of doctor-patient relationship
2. Technology for humanity • Cloud computing • Wireless sensing • Ultra wideband (UWB) sensing • Computer/human interface technologies
3. The hub-based network approaches • Delivery, delivery, delivery • Focus on service availability/accessibility in the
community • The hub’s cluster effect for industry development
Taipei Policy Design of Health Cloud
Source: Department of Health, Taipei City Government 15
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
Proposed Topics to be discussed
• The adoption of information and communication technologies with regard to tele-care or tele-medicine.
• The development and function of the professional tele-care human resource.
• The value-chain and the business model of the cloud-based application service.
• The performance criteria of the cloud-based application platform.
• Multidisciplinary complex system: domain knowledge, Information flow, service process, and cash flow.
16
Copyright 2013 ITRI 工業技術研究院
建議字型:中文微軟正黑體,英文Arial
17
Thanks for your attention !