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HO Market Analysis C. Santoro, F. Ancona

HO Market Analysis C. Santoro, F. Ancona. Agenda. PricewaterhouseCoopers Advisory (PwC), Healthcare Industry;. PwC tasks in Health Optimum;. Market evaluation framework: tele - counseling: Estimation potential for HO demand in Italy; Estimation potential for HO demand in Denmark;

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HO Market Analysis C. Santoro, F. Ancona

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  1. HO Market AnalysisC. Santoro, F. Ancona

  2. Agenda • PricewaterhouseCoopers Advisory (PwC), Healthcare Industry; • PwC tasks in Health Optimum; • Market evaluation framework: tele - counseling: • Estimation potential for HO demand in Italy; • Estimation potential for HO demand in Denmark; • Estimation potential for HO demand in Spain; • Market evaluation framework: tele - laboratory: • Estimation potential for HO demand in Italy; • Conclusions

  3. PricewaterhouseCoopers Advisory (PwC),Healthcare Industry • PricewaterhouseCoopers (PwC) is among the largest international organizations that works in the area of professional services of strategic consulting. The company has 125.000 professionals and is present in 142 countries. • In Italy our organization has 16 offices and offers the experience of over 2300 professionals. • Our firm, the Healthcare Industry, operates with a team of 40 experts with different skills: • technology solutions; • strategic change; • performance improvement; • In the healthcare sector PwC offers services to different levels of clients: • national (Ministry of Health – National Healthcare Institute) • regional (Healthcare Authorities); • local (local healthcare authorities, private and public hospital firms).

  4. PwC tasks in Health Optimum • ECONOMIC IMPACT EVALUATION • design a methodology measure the economic impact of the telemedicine services; • DISSEMINATION PLAN • Elaborate a dissemination strategy for the dissemination of the project’s results. • MARKET EVALUATION • assess the size of HO market country by country; • identify specific characteristics of the individual national markets, existing competitors and decision makers.

  5. Market evaluation framework The two main objectives for this tasks were to: • estimate the potential demand of the HO services in Denmark, Italy and Spain; • analyse the main factors that could impact telemedicine development, in particular the role of public authorities. In order to carry out the HO market evaluation, PwC developed a specific framework.

  6. Market evaluation framework Analysis of the National Healthcare Systems configurations Estimate potential demand of Telelaboratory Estimate potential demand of Neuro-Telecounselling Identify other qualitative HO market characteristics Produce a synthesis report of HO market evaluation

  7. Market evaluation framework Estimation model for HO potential Hypothesis and assumptions Gather data and information Overall demand estimation Data identification Data validation Starting from the assumptions defined, identify the necessary data and information to conduct a quantitative evaluation of the potential market for the 2 project areas Collecting all necessary information to supply the estimation model defined Carefully evaluate the reliability of the previously collected data Based upon the estimation model defined - as well as the information gathered and validated – calculate the potential demand for the HO services in the 3 target countries Clearly define hypothesis and explicit assumptions in order to estimate the potential market for Telecounseling and Telelaboratory

  8. Market evaluation framework: Tele - counseling The potential demand for the telecounselling service was quantified through the estimation of: • N. of reproductions (Hub); • N. of possible connections for each reproduction (Spoke). In a short-term hypothesis, the num. of HO possible reproductions was calculated through the mapping of the hub hospitals in Italy, Denmark and Spain, along with their potential networks. In a medium-long term hypothesis a new configuration of the potential market following the rationalisation of the providers will be considered (in particular with referral to the high speciality hub hospitals).

  9. Estimation potential for HO demand in Italy The potential estimate for the HO Neurotelecounselling service in the Italian market was conducted by mapping all the structures in all the Italian Regions that can: Provide neurosurgery services Make use of the neurosurgery service The basic assumption of the mapping activity is the connection of a hub hospital with the spoke structures within the same province.

  10. Estimation potential for HO demand in Italy The results of the estimation carried out by PwC are the following: 686 hospitals identified of which 569 with an ER, considered spoke and 88 hub hospitals. This data represents the potential market of the services offered by HO in Italy for the Teleneurocounselling area.

  11. Estimation potential for HO demand in Denmark The same methodology was employed in Denmark. The potential new users were identified. The table below summarizes the data related to the number of hub hospitals and spokes for every region in Denmark. For each hub several telemedicine workstations can be applied. In cardiology for the County of Funen, at least 3 telemedicine workstations can be used: 2 transportable ones at Odense University Hospital and 1 at the Svendborg Hospital. These could be used full time by a health professional at other (spoke) hospitals in the region during the week. In the Business Plan the cost and savings are calculated for the County of Funen.

  12. Estimation potential for HO demand in Spain The Spanish business case is based on tele-counselling for oncology, haematology, nephrology (dialysis) and radiology in the existing pilot sites. The growth in tele-counselling cases is shown in the table below Spain: Number of tele-counselling consultations/year

  13. Market evaluation framework: telelaboratory Telelaboratory framework In order to estimate the potential market for the telelaboratory, we identified all possible laboratory networks and the number of POCT that can be used in Homecare Assistance (ADI) and in Homes for the Elderly (RSA). The number of POCT in elderly homes is going to be equivalent to the total num. of structures identified 1.928. RSA The minimum number of POCT to be used in ADI corresponds to the number of Socio Sanitary Districts, meaning 807. ADI

  14. Estimation potential for HO demand in Italy Elderly Homes (RSA) From the data gathered, the situation is the following

  15. Estimation potential for HO demand in Italy: Telelaboratory Homecare Assistance (ADI)

  16. Conclusions Computer and telecommunication industries have had a profound effect on the way medicine is practised and healthcare delivered. Although telemedicine is not a universal solution for all of our healthcare delivery problems, it can help minimise time and distance, which are extremely significant barriers to the delivery of healthcare, especially in non-metropolitan areas. As with all new initiatives involving change, both health professionals, patients and policy advisors will be less resistant to the concept of a telemedicine services if it can be demonstrated that technology can improve the quality of care and meet clinical needs and contain costs.

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