Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International...

32
Telemedicine in Switzerland Dr. Andy Fischer, CEO 12.05.2016 1

Transcript of Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International...

Page 1: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Telemedicine in SwitzerlandDr. Andy Fischer, CEO

12.05.20161

Page 2: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Challenges in the Healthcare System

12.05.20162

Page 3: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Patient needs

12/05/20163

Mobile access to medical care (e.g. via smart phone) Expert, comprehensive care around the clock Rapid diagnoses and efficient solutions Increased need for “at-home treatment” Guidance through complex healthcare system

Page 4: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Demographic structural changes

“Baby Boomers” reach retirement age Generation gap increases (finance, resources) Increased demand (population, morbidity, life) Decreasing resources (finance, human resources) Increased demand for mobility (generation “Smartphone”)

12.05.20164

Page 5: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Unrestrained cost increases in Swiss healthcare

8-9% increases in costs Mainly out-patient and hospital service costs Increase in premiums of 3-5%, especially for alternative insurance models One in ten Swiss is dependent on the healthcare sector

12.05.20165

Page 6: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Highly fragmented and complex healthcare service

7 examinations/year at 4 different service providers Onward referral rate of up to 80% for basic healthcare providers Repeated examinations lead to costs of ~CHF 5 billion Proven link between the number of involved service providers and development of costs

(for the same diseases)

12.05.20166

Page 7: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Highlighted care problems in basic healthcare sector

Increasing feminization Training bottle-necks Decreasing immigration of high potentials

12.05.20167

SHORTAGE OFDOCTORS

Page 8: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Implementation of eHealth architecture

Federal funding of eHealth architecture (politically and financially) Large companies invest in national collaboration infrastructure (Swisscom, Post) Electronic collaboration systems are increasingly available as a key tool for integrated out-

patient healthcare services

12.05.20168

Page 9: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Summary: development of the healthcare market Switzerland

12.05.20169

The demographic changes are leading to a massive increase in “sick people” and thusto an increased demand for medical services

The “relative” lack of resources makes security of care a competitive advantage The financing problem forces the healthcare players to increase efficiency New technologies increasingly allow collaboration and automation

Conclusion: The growth of integrated healthcare models which are attractive also forsicker patients (patient satisfaction), demonstrate effective management (costeffectiveness) and guarantee security of care (national coverage).

Page 10: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Transformation of Business Modelsin Medicine

12.05.201610

Page 11: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Yesterday: decentralized, locality dependent 1:1 healthcare

12.05.201611

Page 12: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Today: centralized, locality independent 1:1 healthcare

12.05.201612

Page 13: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Tomorrow: decentralized, automated 1:n healthcare

12.05.201613

Page 14: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Medgate – Company Profile

12.05.201614

Page 15: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Target: integrated healthcare Switzerland

Medgate is the leading provider of integrated healthcare services in Switzerland

12.05.201615

Page 16: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Medgate Telemedicine Center (MTC) Telemedical consultations 24/7

Medgate Health Centers (MHC) Medical centers for out-patient care

Medgate Partner Network (MPN) Foundation for the promotion of networking of independent

service providers

Medgate International (MIN) Franchising of telemedical services

Business units

12/05/201616

Page 17: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Medgate today

Operational infrastructure in Switzerland Telemedicine Centers in Basel and Zurich Health Centers in Zurich and Solothurn Partner Network with 1,200 Specialists

Operational infrastructure internationally Telemedicine Centers in Abu Dhabi

(UAE), Sydney (Australia) and Manila(Philippines Q1/2016)

300 employees Physicians, Telemedical Assistants, ICT

Specialists, Administration

up to 4,500 Teleconsultations a day

up to 2.5 million patient records

12.05.201617

Page 18: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

International engagement

ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international dissemination of knowledge and experience in Telemedicine

and eHealth and provides access to recognized experts in the field worldwide Promotion and support of Telemedicine/eHealth activities worldwide Supporting developing countries in the field of Telemedicine and eHealth Non-governmental and not-for-profit society with close ties to WHO and ITU

12.05.201618

Page 19: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Medgate Telemedicine Center

12.05.201619

Page 20: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Medgate Telemedicine Center (MTC)

12/05/201620

Broad spectrum of medical specialties

Every third person in Switzerland hasaccess to teleconsultations from Medgate

Over 4,300 patient contacts a day at peaktimes

Extensive knowledge and experience from5 million teleconsultations since 2000

Operating from Basel, Zurich, and 50 homeoffices

Page 21: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Telemedical services

Teleconsultations: Communication channels: telephone, internet, video Telediagnostics: diagnosis of images (digital photos),

telemonitoring (BP, sugar level, etc.) Teletherapy: prescription of drugs, sick leave certificates

Access for patients: Telemedical consultations 24/7, from anywhere Languages: German, French, English, Italian, (Spanish)

21

Page 22: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Mechanics of the Telemedicine Center

12.05.201622

Page 23: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Online management with the 360°Healthmanager

12.05.201623

Page 24: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Diagnostics with telebiometric systems

12.05.201624

Page 25: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Business models

Free-access model: Free offering of teleconsultations No obligations for the patients

Customers: insurance companies, government, private companies, individuals Revenue model: Access fee (per member per year) Teleconsultation fee (per teleconsultation)

Gatekeeping model: Insurance model with premium rebate Mandatory teleconsultations for all medical problems Patient has to follow the recommendations of the Medgate physician

Customers: insurance companies Revenue model: Access fee (per member per year) Managed care fee (per member per year) Teleconsultation fee (per teleconsultation)

25 12.05.2016

Page 26: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Results

12.05.201626

Page 27: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Teleconsultations(CAGR 38.5%)

27

Page 28: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Medgate patient structure, percent by age

12.05.201628

>105

100

90

80

70

60

50

40

30

20

10

0

Männer Frauen

Area = age distribution ofthe Swiss population 2011(Federal Office for Statistics)

3% 2% 1% 0% 1% 2% 3%

Page 29: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Distribution of calls by day (per product)

12.05.201629

0%

5%

10%

15%

20%

25%

30%

Mo Tu We Th Fr Sa Su

Demand Management Compliance System Integrated Telemedical Care (ITC)

Page 30: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Distribution of calls by hour (per product)

12.05.201630

0%

2%

4%

6%

8%

10%

12%

14%

16%

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

Demand Management Compliance System Integrated Telemedical Care (ITC)

Page 31: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Main “Key Performance Indicators” at a glance(Medgate 2015)

31 12.05.2016

KPI Measurement 2015 (min-max)Number of consultations p.a. approx. 75,000

Teleconsultations approx. 750,000

Physical consultations MHC approx. 25,000360° Healthmanager Downloads 23,261

Telecare rate 42-49%

MPN specialist referrals 20-36%

netCare pharmacy triage 6,350

Unexpected outcome rate < 10/100,000

Malpractice rate < 0.02/100,000

Productivity Consultations per hour 4.3 MTC/3.8 MHCCost effectiveness Reduction of health costs 10-17%

Patient satisfaction Net promoter score (NPS) 42%

Page 32: Telemedicine in Switzerland · 12/5/2016  · International engagement ISfTeH: International Society for Telemedicine and eHealth President: Andy Fischer Facilitates the international

Thank you for your attention!

12.05.201632