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ITU Expert Group Meeting on M- H ealth

ITU Expert Group Meeting on M- H ealth. Success Stories and Country Case Studies . Rainer Herzog Healthcare Consulting Geneva , September 25-26, 2012. Sustainable M- Health – much more than technology. M - health is the most rapidly expanding market for ICT solutions.

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ITU Expert Group Meeting on M- H ealth

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  1. ITU Expert Group Meeting on M-Health Success Stories and Country Case Studies Rainer Herzog Healthcare Consulting Geneva, September 25-26, 2012

  2. Sustainable M-Health – muchmorethantechnology

  3. M-healthisthemostrapidlyexpandingmarketfor ICT solutions E-/m-healthmarketforecastforthe EU +105% +38% (billions of Euros) Source: Roland Berger Consultants, 2009

  4. Biotech Addresstherightstakeholdersin thevaluechain Insurance companies Governments Patients or “customers” TelecomVendors + Operators Employers Governments Pharmacies Payers Stakeholders Suppliers Regulators Caregivers Regulators Equipment manufacturers and vendors Health informatics system integrators Physicians Healthcare staff Other staff Ambulatory care Home care Healthcare delivery Patients

  5. The winningcombinationforsustainable m-healthimplementation Sustainable Implementation

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

  7. Ericsson Mobile Health –EMH version 3.0 overview EMH Back-end system PEF SpO2 Communication Device EMH Clients ECG 3/6/12 lead Operator Blood pressure ECG 1 lead + event recorder Digital Weight Scale Source: Ericsson

  8. Health kiosks in occupational health Health Service Provider (TPA) Individual Enterprises Solution Provider Healthcare solution in SaaS Booking Remote Monitoring Video Conferencing Patient Records Provide medical services to Enterprises (3500 companies, 5 million lives) Provide solution in SaaS model ”Health Room” for employees ROLE ASSETS NEEDED • Application in cloud • Operations resources • Mediassist education • Medical staff • Health Service Packages • Training/Education • Patient Unit • Health Room facilities • Trained personnel Source: Ericsson

  9. Contact Center (Support and Procedures) City Hospital Payer / Insurer Patient Remote monitoringafter myocardialinfarction – keyprocesses Connectivity (SIM cards) for EMH equipment. Additional network services (t.b.d.) Training. Second-line technical support 8/5 CET. Operation, hosting, maintenance. Mobile Network Operator Provision of EMH equipment. Exchange of equipment (warranty terms). Overall project management. Solution Provider Day-to-day monitoring and consulting according to schedule. First-line patient support. Discharge, inclusion and training of patients. Decision on monitoring schedule. Initiation of emergency processes according to protocol rules. Data analysis. Regular review and follow-up of patients‘ condition. Collection and input of medical data. All according to protocol. Training of hospital staff. Referral of patients to hospital staff in case of needed medical intervention according to protocol rules. Input to pilot protocol, especially health-economic endpoints. Participation in data analysis. Preparation of every-day-use-case. Source: Ericsson

  10. Health campaigns for behavioral & lifestyle changes You are about to order your beverage for lunch -Which of the following would be your healthiest choice?  A. Soft drink B. Mixed fruit drink C. Energy drink D. Water 1. SMS Quiz to registered users MessagingPlatform (hosted service) 2. SMS Answer Content:1. SMS Quiz text 2. SMS answer, e.g”D”3. SMS response (link-SMS) - Provide jpg-pictures 3. SMS Reward Functionality:-SMS-request-SMS-subscribe-SMS answer handling- Userdatabase- SMS-Quizdatabase Source: Ericsson

  11. Health campaigns for behavioral & lifestyle changes Service Provider Healthcare Payer (e.g. Insurance) • Patient Messenger Service • Sponsoring of Preventive Health Campaign Mobile Operator Patient / User SMS / MMS • Prevention • Motivational Wellness Reply Other Sponsors Content Provider Rewards • Health Clubs • Dietary Centers • Health Food • Sports Equipment • Content • Content Analysis Source: Ericsson

  12. Patient compliance in Schizophrenia and Bipolar Disease Barriers for therapy success Factors for therapy success • Direct patient contact and motivation • Interaction and patient dialogue • Continuous patient monitoring • Continuous patient feed back Missing Compliance • Listlessness • Missing social environment • Drug side effects • Slow onset of therpay success Terminaton of Therapy

  13. Messaging solutiontoimprovepatientcompliance • 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

  14. Patient compliance – pilottrialsummary • 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

  15. Vision – an integrated m-health service platform Application Platform Payers Portals Analytics Patient Mgmt Healthcare Providers Communication services Service Provider Domain Nurses & Health Coaches Claims Mgnt Rules Apps M-Health Service Platform M2M PLATFORM Communication Service Delivery platform Data Collection, Normalization, Translation Storage Basic Communication Charging / Billing Business Process Integration Conferencing Security Subscription Mgmt Policy SIM Mgmt Service Platform Provider Service Orchestration Rules Presence Scheduling Id Mgmt Provisioning Analytics Device Mgmt Medical Devices / Equipments Patient domain

  16. Preconditions for a successful m-health implementation • Properlyaddressthevaluechain: • Who arethemainstakeholdersdrivingimplementation • Who enjoysthebenefits • Who holdsthefunds • Who hasthe power tofacilitateimplementation • Establish a soundbusinessmodelfor all valuechainmembers • Comeupwithend-to-end solutionandserviceofferings: • Processesandwokflows • Change managementneeds • System integrationarchitecture • Legal andpolicyframework • Generatesoundvalidationdataandinvolveclinicians in definingvalidationgoalsandendpoints

  17. Contact Rainer Herzog Healthcare Consulting Mail: RainerHerzog1@web.de Mobile: +49 178 534 0067

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