Ting Shih
CEO & Founder, ClickMedix LLC
http://clickmedix.com
Leapfrog Public Healthcare through Market-Driven Social Business
Approach and Mobile Technologies
http://clickmedix.com
© 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
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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
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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
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• 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
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Strategy: Leverage Increased Adoption of Mobile Phones for Healthcare
Source: http://www.alliedhealthworld.com/visuals/smartphone-healthcare.html
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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
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Validate: Empowering Health Workers
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1 Oral Surgeon for 1.8M people
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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
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15
Countries
700,000+
Patient
Reach
2
Years
1/2
90+ SitesGovernments
Hospitals /
Clinics
Medical Schools
NGOs
Corporate
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Health Worker Using ClickMedix to Capture Patient Symptoms Information
15,447 Patients Screened
Total 15,447
Most Patients Complains of Diminished Hearing or Itching
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Images of CSOM (perforation of the middle-ear causing diminished hearing, and deaf if untreated)
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HIV/AIDS Patient Case: Before Intervention
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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
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