Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies

Ting Shih

CEO & Founder, ClickMedix LLC

http://clickmedix.com

Leapfrog Public Healthcare through Market-Driven Social Business

Approach and Mobile Technologies


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

Part 1: Problem Discovery and Solution Framework

• Introduction and experience sharing

• Presentation on solution development and validation framework using technologies

Part 2: Round Table Discussion and Action Planning

• Launch your social business idea

Agenda

http://clickmedix.com/


Problem:describe

the problem and root causes

Goal:describe what you want to achieve

Strategy:describe

your approach

to achieve

your goal

Solution:

Describe your

solution

Validate:pilot to show your

solution works

Sell: package solution

and sell to customers

Action:measure,

show results

and drive actions

Framework for Solution Development



ClickMedix Story



Inaccessible doctors

• No doctors nearby• Long and

inconvenient travel• Long wait in line to

see doctor

High costs

•For providers: manage clinic operations for

rural areas•For patients: travel costs, loss of wages,

consultation payments, etc.

Lack ofSpecialists

•Not enough specialists to serve patients

•Specialists are often unavailable to rural

population

Problem: Global Health Challenges


Root Cause: Growing Physician Shortage

35M more Americans + 50M more seniors

Source: http://chartsbin.com/view/gcu

World Health Organization 2010, World Health Statistics 2010, ISBN 978 92 4 156398

7,

World Health Organization, Geneva 27, Switzerland, viewed 16th September, 2010

Physician Shortage Worldwide

http://chartsbin.com/view/gcu


• Specific

provide affordable, accessible healthcare

• Measureable

Cost of healthcare, time to access healthcare

• Achievable

Use existing technologies, e.g. mobile smartphones, and doctors

• Results-Oriented

1 million beneficiaries

• Time-Bound

by 2015

Example: Help 1 million underserved patients obtain quality healthcare using mobile smartphones and computers to extend the reach of doctors and thereby serving more patients by 2015.

Goal



Strategy: Leverage Increased Adoption of Mobile Phones for Healthcare

Source: http://www.alliedhealthworld.com/visuals/smartphone-healthcare.html



Strategy: Extend the reach of doctors

Clinics

Hospitals

Experts: Universities, specialists,

tertiary Hospitals

rural

rural

rural

urban

rural

Semi-rural

rural

urban

semi-ruralrural

semi-rural


Screen&Triage

Diagnose Treat FollowUp

Solution

Engage, Educate, and Monitor


Validate: Empowering Health Workers



1 Oral Surgeon for 1.8M people



Validate: Win-Win for All Stakeholders

• Early detection of potentially dire disease

• Minimized time (< 3 days) to access medical experts for targeted

disease care

• Save on consultation and transportation fees by minimizing clinic

visits

Benefits

• Increased revenue from patient retention and telemedicine

consultations

• Attract more patients by offering primary + specialty care

• Reduced paper work and administrative costs

• Increased medical capacity to treat patients and capture revenue

previously on backlog

• Improved collaboration among medical experts and referring

primary physicians and rural nurses

• Real-time data for expedited healthcare interventions

• Enhanced health education materials from global base of health

demographics

• Reduced costs from data collection and analysis


Expand into other usages

Curate Market-Fitting Diagnostics Devices

Tele-Pulmonology: ultrasound Tele-ENT: Otoscope

Teleradiology: CT, MRI, X-Ray

Tele-Radiology for Physician Collaboration

Tele-Cardiology: 12-Lead iEKG

mHealth Kit (distribution through pharmacies, clinics, etc.)

Products Features

Click-Specialists

Tele-Dermatology

Tele-Radiology

Tele-Cardiology

Tele-ENT (ear, nose, throat)

Tele-Orthopedics Pre/Post

Surgery

HIPAA-compliant system with all

features accessible on

mobile phones or web

browsers

• Remote diagnosis with store-

and-forward

• Real-time video consultation

• Triage protocols

• Customizable patient forms

• Patient portal, education &

adherence monitoring

• Electronic health record

system

• ePrescription

• Multi-media (image, video,

slideshow) training materials

• Self-assessment quizzes

• Remote consultation with

instructors

• Continuous updates of

training materials

• Online

examinations/certifications

Click-Health

(Hospitals & Health

Programs)

Tele-Diabetes

Tele-Primary Care

Tele-Geriatric Care

Tele-Maternal & Pediatric Care

Commercialize: Ready-to-Use eHealth and eTrainingPrograms within 5 Days

Medical

Governmen

t

Mobile

Networks

Technology

Corporate

Mexican Social

Security Institute

Action: Show Results


15

Countries

700,000+

Patient

Reach

2

Years

1/2

90+ SitesGovernments

Hospitals /

Clinics

Medical Schools

NGOs

Corporate



Action: Illustrate



Health Worker Using ClickMedix to Capture Patient Symptoms Information


15,447 Patients Screened

Total 15,447

Most Patients Complains of Diminished Hearing or Itching


Images of CSOM (perforation of the middle-ear causing diminished hearing, and deaf if untreated)



HIV/AIDS Patient Case: Before Intervention



HIV/AIDS Patient Case: After Intervention


Nurse Enters Intake Assessment

Nurse Enters Intake

Assessment

!

56% severe

periodontitis

66% concentric left

ventricular remodeling

or hypertrophy

N=135 pilot patients

New discoveries

47%

Baseline

3-month follow-up

3-Month follow-up

•n = 30

•Δ mean A1C = -1.37

(p<0.001)

56% Severe periodontitis

New Discoveries

68% Structural heart

disease => later-on heart

failure

Cohort• January through October 2013• n = 135; Median age 56 (19-82)• Type 2 diabetes 91% Mean A1C 8% ± 1.6• Median BMI 33.1 (range, 108.1-20.9)• Influenza vaccine within past year 50%,

Pneumococcal vaccine in past 29%, HBV vaccine 11%

Home Care

• Risk screening

• Triage

• Service options

• Care planning

• Tele-consultation

• Resources

Medication

Management

SupportPatient

Hospital Care

Follow-

Up

Screen

for Risks

Re-

AssessSymptoms

Disease state

Treatment plan

Determines

optimal care path

of services

Image source: Artificial Fiction Brain by Wikipedia user

Gengiskanhg (Creative Commons Licensed)

Home Health

Senior Home Care

Caregiver

Training

Other (food

adult day

care)

Transportation

@clickmedix


Ting Shih

@tingatclick

[email protected]

mailto:[email protected]

Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies

Healthcare

Transcript of Leapfrog Public Healthcare through Market-Driven Social Business Approach and Mobile Technologies