Rainer Herzog Healthcare Consulting ITU Expert Group Meeting on M-Health Rainer Herzog Healthcare...

Rainer Herzog Healthcare Consulting

ITU Expert Group Meeting on M-Health

Rainer Herzog Healthcare ConsultingGeneva, September 25-26, 2012

Success Stories and Country Case Studies


Sustainable M-Health – much more than technology


M-health is the most rapidly expanding market for ICT

solutions

Source: Roland Berger Consultants, 2009

E-/m-health market forecast for the EU

(billions of Euros)

+105%

+38%


Stakeholders

Health informatics system integrators

Healthcare staff

Other staffPhysicians

Biotech

Equipment manufacturers and vendors

Pharmacies

Regulators

Governments

Regulators

Employers

Insurance companiesGovernments

Patients or “customers”

Payers

Ambulatory care

Home care

Caregivers

Telecom Vendors + Operators

Patients

Healthcare delivery

Suppliers

Address the right stakeholders in the value chain


The winning combination for sustainable m-health implementation

IC Technology Organizational Development

Business Development

& Strategy

Policy & Regulatory

Sustainable Implementation


Quantification of variables

Impact „conservative“

Impact „realistic“ Impact „ optimistic“

I. Savings in total healthcare spending

5% 15% 20%

II. Savings in total number of medical interventions

5% 10% 20%

III. Reduction in average cost of a medical intervention

15% 20% 30%

IV. Degree of health resource utilization

10% increase 20% increase 30% increase

V, Savings in cost of adverse drug / tretament events

2% of hospital admissions



Identify the right business variables and estimate the m-health impact


Ericsson Mobile Health – EMH version 3.0 overview

ECG 3/6/12 lead

Communication Device

PEFSpO2

Blood pressure ECG 1 lead + event recorder

Operator

EMH Back-end system

EMH Clients

Digital Weight Scale

Source: Ericsson


Health kiosks in occupational health

Healthcare solution in SaaS

Health Service Provider (TPA)

Individual Enterprises

Provide solution in SaaS modelProvide medical services to Enterprises (3500 companies, 5 million lives)

”Health Room” for employeesROLE

ASSE

TS

NEE

DED

•Application in cloud

•Operations resources

•Mediassist education

•Medical staff

•Health Service Packages

•Training/Education

•Patient Unit

•Health Room facilities

•Trained personnel

Booking

Remote Monitoring

Video Conferencing

Patient Records

Source: Ericsson

Solution Provider


Remote monitoring after myocardial infarction – key processes

Contact Center (Support and Procedures)

City Hospital

Patient

Payer / Insurer

Day-to-day monitoring and consulting according to schedule.

First-line patient support.

Initiation of emergency processes according to protocol

rules. Data analysis.

Discharge, inclusion and training of patients. Decision on

monitoring schedule.

Regular review and follow-up of patients‘ condition. Collection and input of medical data. All

according to protocol.

Training. Second-line technical support 8/5

CET. Operation, hosting, maintenance.

Provision of EMH equipment. Exchange of equipment

(warranty terms).

Training of hospital staff. Referral of patients to hospital staff in case of needed medical intervention according to protocol rules.

Overall project management.

Connectivity (SIM cards) for EMH

equipment. Additional network services

(t.b.d.)

Input to pilot protocol, especially health-economic endpoints.

Participation in data analysis. Preparation of every-day-use-

case.

Source: Ericsson

Mobile Network Operator

Solution Provider


Content:1. SMS Quiz text 2. SMS answer, e.g ”D”3. SMS response (link-SMS) - Provide jpg-pictures

You are about to order your beverage for lunch -Which of the following would be your healthiest choice? A. Soft drinkB. Mixed fruit drinkC. Energy drinkD. Water

Functionality:-SMS-request

-SMS-subscribe-SMS answer handling

- User database- SMS-Quiz database

Health campaigns for behavioral & lifestyle changes

Messaging Platform

(hosted service)

Source: Ericsson

1. SMS Quiz to registered users

2. SMS Answer

3. SMS Reward


• Patient Messenger Service

Patient / User

• Content• Content Analysis

SMS / MMS

Reply

Rewards

Mobile Operator

Service Provider

Content Provider

• Sponsoring of Preventive Health

Campaign

Healthcare Payer (e.g. Insurance)

• Health Clubs• Dietary Centers• Health Food

• Sports Equipment

Other Sponsors

• Prevention• Motivational

Wellness

Health campaigns for behavioral & lifestyle changes

Source: Ericsson


• Listlessness

• Missing social environment

• Drug side effects

• Slow onset of therpay success

• Direct patient contact and motivation

• Interaction and patient dialogue

• Continuous patient monitoring

• Continuous patient feed back

Barriers for therapy success

Factors for therapy success

Missing Compliance

Terminaton of Therapy

Patient compliance in Schizophrenia and Bipolar Disease


Messaging solution to improve patient compliance

• The solution is based on SMS messaging• Patients using a particular drug will receive SMS messages up to 4 times daily at

predefined times: SMS drug reminder („Please remember to take your drug“) SMS drug check („Have you taken your drug?“) with a Yes/No answer

requested SMS well-being check („How are you feeling today?“) with a multiple choice

answer requested SMS motivational / fun message („Well done“)

• Patients who do not answer will be flagged and brought to the attention of the doctor for special follow-up

• A web-based user-interface is avaiable where doctors can easily follow up and monitor patients as well as include new ones

• A web-based user-interface for system managers is available


Patient compliance – pilot trial summary

• 71% of compliant responses (to >10,000 messages)

• The technology was well accepted and performed perfectly

• More than 50% of the physicians felt that the system enhanced patient compliance

• 43% of Physicians used the system more frequently than required by the protocol – even from home

• Most would recommend the system to patients


Vision – an integrated m-health service platform

Patie

nt d

omai

nSe

rvic

e Pl

atfor

m P

rovi

der

Serv

ice

Prov

ider

Dom

ain

Medical Devices / Equipments

Data Collection,

Normalization, Translation

Storage

Device Mgmt

SIM Mgmt

M2M PLATFORM

Analytics

Policy

Provisioning

Subscription

Mgmt

Id Mgmt

Security

Payers

HealthcareProviders

Nurses &Health Coaches

Comm

unication services

Communication Service Delivery platform

Basic

CommunicationCharging / Billing

Business Process

IntegrationConferencing

Presence Scheduling

Application Platform

Portals AnalyticsPatient

Mgmt

Claims Mgnt Rules Apps

RulesService

Orchestration

M-Health Service Platform


Preconditions for a successful m-health implementation

• Properly address the value chain: – Who are the main stakeholders driving implementation – Who enjoys the benefits – Who holds the funds– Who has the power to facilitate implementation

• Establish a sound business model for all value chain members• Come up with end-to-end solution and service offerings:

– Processes and wokflows – Change management needs– System integration architecture– Legal and policy framework

• Generate sound validation data and involve clinicians in defining validation goals and endpoints


Contact

Rainer HerzogHealthcare ConsultingMail: [email protected]: +49 178 534 0067

mailto:[email protected]

Rainer Herzog Healthcare Consulting ITU Expert Group Meeting on M-Health Rainer Herzog Healthcare...

Documents

Transcript of Rainer Herzog Healthcare Consulting ITU Expert Group Meeting on M-Health Rainer Herzog Healthcare...