m-health & Digital Innovation In Pharma Industry

1. m-health & Digital Innovation In Pharma Industry Prepared by: Shuchita Jain Roll No. 12 SIESCOMS Shuchita Jain, SIESCOMS

2. Content • Introduction to mHealth & eHealth • Healthcare challenges & IT driven Solution • Challenges & growth in IT healthcare • Benefits of e-Health system • Tools of e-Innovations in Healthcare • Early initiatives in digitalization of healthcare • Case Study 1: Mobile Phones & Financial Incentives to Increase TB Case Detection (Pakistan) • Case study 2: SMS to Reach Remote Health Workers (Kenya) • Case 3 : Remote consultation between Sweden & Spain • Future Potential for e-healthcare • References Shuchita Jain, SIESCOMS

3. Introduction • eHealth means use of Information and Communication Technologies tools and services for providing healthcare. • eHealth includes but not limited to: • Electronic data management • Remote access technologies • mHealth • Web-based interaction platforms • E-detailing & sale force development & training. • Electronic patient information system • Electronic monitoring & diagnostics systems • Drivers of changes in the digital healthcare: • Increasing patient awareness & easy access to information. • Increased presence of internet & mobile technology in all spheres • Raising demand for value- added healthcare Shuchita Jain, SIESCOMS

4. Healthcare challenges & IT driven Solution Healthcare is challenged by 3 major interlocking crisis that poses the greatest burden to the healthcare system. Increasing cost of Healthcare Raising demand for quality & personalized healthcare Changing Demographic profile Technology driven innovation can provide solutions that can help accelerate the pharmaceutical firms to adapt to the changing dynamics of the pharmaceutical industry & customer expectations. Shuchita Jain, SIESCOMS

5. Challenges & growth in the mHealthcare • Technical Hurdles • Security, privacy and integrity • Architecture and quality of service • Interoperability and standardization of multiple protocol • Total cost of ownership (TCO) • Return of investment & Sustainability of project • Development costs & infrastructure cost • The role of governments • Legal & Regulatory Challenges • Conflicting laws of different countries • No uniform& clear policies for data transfer & sharing • Lack of “human” skill & expertise Shuchita Jain, SIESCOMS

6. Benefits of eHealth • Cost saving • Optimized patient monitoring • Better care-giving • Lower cost of medication. • Better management of diseased person. • Less cost burden • Better Healthcare & lifestyle monitoring • Easy diagnosis. • Patient Education • Easy access to healthcare information & knowledge sharing Health Insurers Patients BENEFITS • Cost reduction • Precise prognosis • Better patient data & treatment management • Targeted treatment • Error reduction • Cost management • Efficient healthcare system • Better penetration & reach of healthcare facilities Healthcare professionals Governments Shuchita Jain, SIESCOMS

7. Tools of e-Innovations in Healthcare • Blogs • DiabetesMine, HeathMatters, WebMD,asianhealthcareblog, and so on • MicroBlogs • Livestrong, stupidCancer • Social Networks • PatientslikeMe, Dailystrength, Icyou,Twitter,DoseofDrugs/Facebook • Online community, Forums & RSS feed • Pharma owned websites • E-Prescription, Telemedicine & remote medical assitance • Personal Health records & e-data management for ADR, allergies tracing & health monitoring. • Mobile apps • Calorie & Diet Tracker, Everyday Health, I’m expecting, FirstAID & CPR,Heathrecorder etc Shuchita Jain, SIESCOMS

8. Early initiatives in digitalization of healthcare • Glaxo-Smith-Kline’s alliConnect is the official corporate blog for alli, the only FDA-approved OTC weight loss product. • Also, allicircles at http:// community.myalli.com/ is a support community. • AstraZenecaUS has created My Asthma Story, a website accompanied by a YouTube channel around its product Symbicort, to drive its audiences bi-directionally. On this channel, viewers hear stories from ordinary people coping with the challenges of asthma. • Bristol-Myers Squibb launched the Advanced Breast Cancer Community, an information source and online community for advanced (metastatic) breast cancer patients, caregivers, family and friends. • Sanofi-Aventis launched Sanofiaventis.tv, an interactive video news site as part of its global effort to increase understanding of the pharmaceutical company's operations Shuchita Jain, SIESCOMS

9. Other Initiatives…. J&J: Children with diabetes & Mom-bassador,ortho-McNeil-jensen- ADHD caregiving Bayer :Didget is a new social network and blood glucose monitoring tool foryoung people living with diabetes in the United Kingdom. Bayer also sponsors MSGateway, a patient community for patients with MS. It has 12,000-plus members, 200,000+ posts and has led to increased global sales of Betaferon. Shuchita Jain, SIESCOMS

10. Case 1: Mobile Phones & Financial Incentives to Increase TB Case Detection • Region: Asia-Pacific • Country: Pakistan • Partners:  Stop TB Partnership TB REACH Initiative; Indus Hospital Karachi; • Issues:  • Increase in incidences of TB but it remained undetected & thus it became difficult for physicians to treat the patients. • Innovative digital solution: • The Indus Hospital in Karachi started a new programme in January 2011 that uses mobile phone technology and financial incentives to track down people with TB. • Family doctors and community health workers report cases using their mobile phones and receive a text message which tells them how many cases they have helped to detect. • This data is used to calculate the incentives earned by each person which is then transferred via mobile banking facilities. Shuchita Jain, SIESCOMS

11. Case 2: SMS to Reach Remote Health Workers • Region: Africa & Middle East • Country: Kenya • Partners: Capacity Kenya; • Issues:  • Capacity Kenya had to manage and communicate with over 700 health workers hired under a rapid hiring plan and deployed to remote villages. • Communication needs such as submission of timesheets, payroll-related queries etc had to be done at faster speed, lesser cost & reliable data collection. • Innovative digital Solution: • Based on a needs assessments a bulk text messaging system has been piloted, helping to streamline and speed up communication. Improvements include regular, more cost effective communication with staff via SMS, resulting in higher compliance rates in timesheet submission and improved response rates from staff. Shuchita Jain, SIESCOMS

12. Case 3 : Remote consultation between Sweden & Spain • Region: Europe • Country: Sweden & Spain • Partners: Sollefteå and Borås • Issues:  • Sollefteå& BoråsHospital Sweden suffered from the shortage of qualified radiologist which led to longer treatment time & longer wait time for patient & overall high economic cost • Innovative digital solution: • Sollefteå & Borås Hospital Sweden established a cross border collaboarative project with Telemedicine Clinic (TMC) in Barcelona, spain for analysis, advice and opinions. This reduced the waiting time, improved acciracy of reports & faster information by experts. Shuchita Jain, SIESCOMS

13. Future potential for e-healthcare Shuchita Jain, SIESCOMS

14. Reference • http://trendsoutheast.org/2011/all-issues/issue-12/biodigital-jazz-in-digital-healthcare/ • http://www.informationweek.com/news/healthcare/leadership/230500225 • http://www.informationweek.com/news/galleries/healthcare/patient/227700175?pgno=4 • http://www.parksassociates.com/blog/article/digitalhealthindustry-pr2011 • http://www.fastcompany.com/mic/2010/industry/most-innovative-healthcare-companies • http://www.informationweek.com/news/healthcare/mobile-wireless/231601670 • http://www.economist.com/node/13437990 • http://healthpopuli.com/wp-content/uploads/2011/06/Barriers-to-mHealth-Implementation-Globally.jpg • http://www.ehealth-indicators.eu/ICT_ehealth_use/images/GPs_perception_of_eHealth_impacts_1.jpg • http://geovoices.files.wordpress.com/2008/08/ehealth_graphic3.jpg • http://www.mhealthinfo.org/project/mobile-phones-financial-incentives-increase-tb-case-detection Shuchita Jain, SIESCOMS

15. Thank You Shuchita Jain, SIESCOMS