Digital HealthAn Insiders Look @ Biz Opportunities

Massive Creative DisruptionThere are too many lives lost to completely preventable problems

Panel ParticipantsDr. Ruchi Dass

@drruchibhatt

Ravi Kumar@rkumar

Mark Friess@markfriess

Nandu Madhava@nandumadhava

A Practical Vision for Primary Care | James Mathews | @jmathews

What new Key Resources and Key Activities will provide a

competitive advantage when personalized medicine and wellness/prevention becomes the industry’s key focus?

What are the attributes of a competitive

Value Proposition for my practice under the new landscape?

What roles will Patients , Patient Relationships and Health 2.0 play when personalized medicine is anindustry mainstay?

What partnerships will maximize the effectiveness of my practice’s new business model?

How will the Cost Structure of our medical practice change under this new landscape?

How will revenues be generated when the focus is on personalized medicine and wellness/prevention?

ReinventingPrimaryCare

Through which channels

will our Patients want to

reached? Which one’s will be best? Which ones are most cost efficient? How will we integrate them into the practice business flow?

Global. Mobile. Social. Health.

Primary Care 2.0 is born

Integrating Nike+ & Daily Feats into Primary Care

Integrating Primary Care to Real World Activities

Advances in Individual or Personalized Medicine

Panel ParticipantsDr. Ruchi Dass

@drruchibhatt

Ravi Kumar@rkumar

Mark Friess@markfriess

Nandu Madhava@nandumadhava

Presented by: Dr. Ruchi Dass

Founder & CEO, HealthCursor

Digital Health- A Reality check

Background

The Indian Healthcare Divide

• India has 17% of the world's population• Poorest healthcare infrastructure among growing

economies• Healthcare accounts for only ~5% of GDP

• Healthcare Delivery Market in India ~ US$ 60 billion in 2010

• Healthcare market expected to grow at CAGR of 15%• Accessible, reliable and affordable healthcare continues

to be a challenge• Significant supply deficit• Growing middle class with rising income levels , health

awareness

1.3 0.7 1.5

1.90.9

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)

-

100

200

300

400

500

2010 2015 2020 2025

60 120

240

480

In USD billion

15% CAGR

Indian Healthcare Market Growth

Source: Public Research

Source: Public Sources, Technopak Analysis

Common Problems & Challenges

15

Population Growth

Resource Constraints

Ageing Population

Risi

ng H

ealth

care

Sp

end

Rising Lifestyle &

Chronic Diseases

Increase Lif

e

Expectancy

Growing

Affordab

ility &

Awaren

ess

Low

er M

orta

lity

Rate

PatientCentric

Integrated Care

Connected Healthcare

Standards &Interoperability

Mobile Density in India

Digital Health Market Dynamics in India

Tele-Health market in India is expected to grow at a minimum of 15% CAGR for the next decade

The main drivers for the growth are going to be as follows:

Skewed Availability of Healthcare Personnel• 75-80% of the population lives in rural area• Most of the doctors and specialists are

concentrated in Urban areas Small per capita Healthcare Budget

• Healthcare spending of USD 40 per capita• Low spending• Need to maximize value derived• 80% of the expenditure is from out of pocket• Extreme sensitivity to healthcare spending

Disease Profile of the Population• High incidence of communicable and infectious

diseases, many of them self limiting or easily treatable with minimal clinical expertise

• Growing prevalence of lifestyle diseases Increasing Penetration of Mobile

Communication• Indian Telecom industry fastest growing in the

world.• Semi-urban and rural areas driving the growth.• More than 700 million mobile connections in India (2010), with

penetration expected to cross 80% by 2014Call a Doctor/ Second Opinion

Patient Education and Health Tips

Home Health and Remote Monitoring

Tele-Diagnosis and e-Prescription Tele-Counseling

Readiness?

McKinsey & Deloitte Digital Health Analysis- India

Ongoing Initiatives

Major Milestones

Current Scenario

Digital Health ecosystem in INDIA

Operators Solution Providers

Healthcare Providers

Government /Regulators

... p

rovi

de a

cces

s to

...

... are regulated and funded by ...

... Regulate...

... provide data and specialists ...

… provide platform to and partner with …

.. fund and regulate ...

Implemented remote monitoring solution

Medical data management

Remote monitoring solution

Digitization of health records

..several others….

Sharing of medical images

Major Players

Players ExamplesDefinition

Regulators Medical regulatory authorities such as FDA, HIPAA etc

HealthcareProviders Individuals or institution s providing health care services

Fitness Providers General fitness providers and diet clinics

Application Developers Independent medical / mobile Software developers

Data Management Medical information providers

Health Device Manufactures

Manufacturers of sensors that interface with application on mobile phones

Medical Organizations Medical education & research institutions, publishers, pharmaceutical companies and pharmacies

Network Providers Wireless data network providers

MobileManufacturers Smartphone and feature phone manufacturers

Barriers

Drivers of Digital Health as Enablers and Barriers

Enabler Barrier

Evidence of Efficacy mHealth showing impact in quality and cost

Inconclusive proof of efficacy in specific situations

Consumer Adoption Increased participation in healthcare beyond hospital care

setting

Consumer resistance

Cost to Deploy/Cost to Use

Falling deployment costs Technical difficulty and delivery risk

Regulatory Climate Improved regulatory climate for mHealth and improved support for interoperability

Regulatory concerns over security, privacy and lack of

clarity over specific standards

Clinical Adoption Increased awareness and acceptance among healthcare

professionals

Continued resistance to change from healthcare professionals

Technology Innovation? Usability Innovation?

Source: PSFK

For Care or for Continuum of care?

Source: PSFK

Digital Health for Surveillance

Source: PSFK

Thank you

Panel ParticipantsDr. Ruchi Dass

@drruchibhatt

Ravi Kumar@rkumar

Mark Friess@markfriess

Nandu Madhava@nandumadhava

Trends in Healthcarean Investment Analyst view

Global Healthcare

Industry

Economic Stimulus packages

Aging baby boomers and

Increase in Chronic Illnesses

Medical Tourism in Asia

Artificial Intelligence in Healthcare

Transition from Patents to

Generic Pharmaseuticals

Electronic Health Records

Consolidation Across

Healthcare Verticals

Panel ParticipantsDr. Ruchi Dass

@drruchibhatt

Ravi Kumar@rkumar

Mark Friess@markfriess

Nandu Madhava@nandumadhava

mDhil is the largest mobile & online health service for Indians. We connect users to accurate health

information, physicians, and products across India.

mDhil – Partner Ecosystem

Original video that is scripted,

produced, and edited by mDhil to

be viewable on both PCs and

mobile handsets

Original Health Videos

01/01/2

011

01/02/2

011

01/03/2

011

01/04/2

011

01/05/2

011

01/06/2

011

01/07/2

011

01/08/2

011

01/09/2

011

01/10/2

011

01/11/2

011

01/12/2

011

01/01/2

012

01/02/2

012

01/03/2

012

01/04/2

012

01/05/2

012

01/06/2

012

01/07/2

012

01/08/2

012

01/09/2

0120

2000

4000

6000

8000

10000

12000

14000

mDhil Daily ViewsEvery 1 minute in

India, 7 people watch an

mDhil health video

Affordable mobile data services meansmDhil reaches users across India…

Region City Visits Region City Visits

Karnataka Bangalore 113,192 Punjab Amritsar 2,845

Delhi New Delhi 104,948 Andhra Pradesh Vijayawada 2,761

Maharashtra Mumbai 59,193 Haryana Ambala 2,681

Maharashtra Pune 42,539 Gujarat Surat 2,553

Tamil Nadu Chennai 39,750 Maharashtra Kandivli 2,411

Andhra Pradesh Hyderabad 37,782 Maharashtra Nagpur 2,290

West Bengal Calcutta 23,917 Bihar Jamshedpur 1,946

Punjab Chandigarh 11,354 Assam Guwahati 1,879

Gujarat Ahmedabad 10,557 Tamil Nadu Thanjavur 1,862

Maharashtra Mahape 10,419 Tamil Nadu Vellore 1,851

Uttar Pradesh Noida 9,042 Kerala Kozhikode 1,798

Kerala Cochin 6,933 Gujarat Valsad 1,730

Tamil Nadu Coimbatore 6,786 Uttar Pradesh Ghaziabad 1,643

Punjab Ludhiana 6,402 Karnataka Mysore 1,638

Haryana Gurgaon 6,157 Madhya Pradesh Durg 1,516

Uttar Pradesh Lucknow 4,479 Uttar Pradesh Dehra Dun 1,475

Rajasthan Jaipur 4,094 Tamil Nadu Erode 1,459

Orissa Bhubaneswar 4,053 Pondicherry Pondicherry 1,450

Madhya Pradesh Indore 3,982 Gujarat Rajkot 1,418

Karnataka Belgaum 3,383 Maharashtra Aurangabad 1,351

Madhya Pradesh Bhopal 3,302 Rajasthan Udaipur 1,328

Kerala Trivandrum 3,279 Tamil Nadu Madurai 1,291

Gujarat Vadodara 3,202 (not set) (not set) 1,257

Karnataka Mangalore 3,013 Bihar Patna 1,104

Andhra Pradesh Vishakhapatnam 2,947 Tamil Nadu Sivakasi 1,020

Panel ParticipantsDr. Ruchi Dass

@drruchibhatt

Ravi Kumar@rkumar

Mark Friess@markfriess

Nandu Madhava@nandumadhava