Industry & Analysis’ Spotlight Series

1. Industry & Analysis’Spotlight Series August 8, 2013

2. Speakers Oil and Gas Equipment Julius Svoboda Office of Energy and Environmental Industries Danielle Caltabiano U.S. Export Assistance Center Houston USEAC Health IT Matthew Hein Office of Health and Information Technology Michelle Ouellette U.S. Export Assistance Center Boston USEAC -

3. ITA Efforts to Support U.S. Oil & Gas Equipment Exports International Trade Administration Industry & Analysis Office of Energy and Environmental Industries August 8, 2013

4. What is Oil & Gas?

5. Nomenclature

6. Sector Segmentation

7. Investment Opportunities &Market Projections

8. Challenges in the Sector Impediments to U.S. Oil & Gas Equipment Exports Strategic Markets with Restrictive Trade Policies

9. U.S. Natural Gas Exports • As a result of the increase in natural gas production form shale, the U.S. has become a low cost natural gas producer. • The EIA estimates that the U.S. will produce 39% of its natural gas from shale by 2020. • Natural gas can be transported either by pipeline as a gas or in liquid form on an LNG tanker. • The U.S. was the world’s largest natural gas producer in 2011.

10. NEI Priority Sector • The sector has significant growth potential in foreign markets, and U.S. equipment and service companies are uniquely positioned in the global marketplace in all segments of the oil & gas sector. • Strategic Priorities: • Lead interagency efforts to promote trade in the oil & gas sector and remove market access barriers • Strengthen USG coordination with U.S. oil & gas companies • Create new markets for U.S. oil & gas companies • Enhance trade promotion efforts to better link buyers and sellers of U.S. equipment and services to existing markets

11. ITA Efforts to Support Exports

12. Adam O’Malley; Director, Office of Energy and Environmental Industries Adam.OMalley@trade.gov; 202-482-4850 Oil and Gas Equipment Contacts Man Cho; Energy Team Lead, Office of Energy and Environmental Industries Man.Cho@trade.gov; 202-482-5159 Julius Svoboda; Oil and Gas Industry Specialist, Office of Energy and Environmental Industries Julius.Svoboda@trade.gov; 202-482-5430 Cynthia Torres; Energy Team Lead, Commercial Service Cynthia.Torres@trade.gov; 760-333-8551 Steve Recobs; Director, Commercial Service, Houston USEAC Steve.Recobs@trade.gov; 713-209-3105 Danielle Caltabiano; Oil and Gas Trade Specialist, Commercial Service, Houston USEAC Danielle.Caltabiano@trade.gov; 202-482-3110

13. ITA Efforts to Support Health IT Exports International Trade Administration Industry & Analysis Office of Health and Information Technology August 8, 2013

14. Summary of Health IT Sector Sector sometimes referred to as e-Health (particularly in Europe) Health IT represents an intersection of multiple issue areas: • Information technology/cloud computing • Privacy/security of health information • Standards development • Medical Device/software “interoperability” • Diagnostic safety/accuracy • Cross border data flows • Workforce/skills development

15. Health IT Subsectors • Electronic Health Records • Remote monitoring/telemedicine • Software • Health Information Networks • mHealth/Mobile Health • Education

16. Evolution of U.S. Health IT Sector • Electronic health records for all Americans within ten years first announced in 2004 executive order by President Bush • President Obama reaffirmed goal that all Americans should have electronic health records by 2014 • 2009—HITECH accelerated domestic interest in sector (authorized roughly $23 billion in Meaningful Use incentive payments, created Office of National Coordinator (ONC) within Department of Health & Human Services (HHS)) • Other federal agencies have an interest in sector (including NIST, Dept. of Defense, Veterans Administration, other HHS agencies, FCC, White House) • The sector had limited export experience, which provided an opportunity for Commerce to become involved

17. National Export Initiative—ITA Health IT Activities • 2010—Formation of ITA cross-office Health IT Team and development of strategic plan, activities and outreach • ITA as industry organizer/convener regarding trade-related issues • Reasons Health IT is an export sector with great opportunity • Many countries investing more in healthcare, but looking to deliver more efficient/effective health solutions • Health challenges exist both among young (maternal/child health) and aging populations (mobility issues) • Opportunity to closely and effectively monitor chronic/non-communicable diseases • Opportunity to take advantage of “leapfrog” technologies (such as ubiquity of mobile phones) • Redesign of healthcare system—more remote care monitoring, emphasis on value and patient-centered care

18. Engagement with Industry • Assisting large (Oracle, Intel) and SME (e.g., Get Real Health, Dimensional Insight) companies • Linkages with trade associations: • Healthcare Information and Management Systems Society (HIMSS) • American Health Information Management Association (AHIMA) (including then-A/S Lamb-Hale speech and industry roundtable in October 2012) • Continua Health Alliance

19. Industry Interest in Exporting mHealth Technologies? mHealth subsector has prominent domestic focus at present: Tremendous size and market opportunities in U.S. Familiarity and relative safety in domestic market Available funding opportunities through legislative incentives Lack of familiarity with the rules of the game in foreign markets

20. NEI Priority Markets • European Union • Mexico • Japan • Middle East* • China • Brazil • India • *Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and UAE • Source: U.S. Census Bureau

21. Opportunities • U.S. companies have recently won foreign government tenders for implementing electronic health records systems. • Reports and surveys identify Health IT as an industry with impressive domestic job prospects. • U.S. academic institutions and trade associations have developed programs to train the Health IT workforce; many of these programs can be exported worldwide. • The recently issued EU-U.S. eHealth/Health IT Roadmap provides opportunities to create policy dialogues to discuss issues of mutual interest, which may also have possible applicability to third countries. • ITA/HIMSS Memorandum of Understanding (signed in February 2013) offered HIMSS members and staff access to products and services across ITA; webinars, posting of U.S. Export Assistance Centers are two areas of collaboration to date. • The World Bank estimates the global Health IT sector will grow to $250 billion by 2015.

22. Risks and Issues • Countries are developing regulations and standards either in the absence, or lacking awareness, of international best practices. • Government Health IT tenders and contracts may be awarded to companies aggressively supported by foreign governments. Transparency process can also be an issue. • Privacy and Security of health information may be an important barrier, one which may not necessarily be under the purview of the Health Ministry. • Placing restrictions on cross-border data flows and data storage (both information movement and information location) may also inhibit growth of the Health IT sector. • Oversight of the Health IT sector overseas is often divided among multiple ministries, possibly creating gaps in policy coordination.

23. Examples of ITA and Interagency Activities • Roundtable on Health IT and Exports—Eisenhower Executive Office Building, June 2013 (U/S Sanchez) • World of Health IT, Dublin, May 2013 (DAS for Manufacturing Chandra Brown) • September 2013 Japan government-to-government and industry events (in conjunction with Japanese government, HHS, NIST, Veterans Administration, and American Chamber of Commerce-Japan) • Potential engagement with EU through Transatlantic Trade and Investment Partnership • Engagement with EU in connection with Center for Connected Health Symposium, including HHS and State (Boston, October 2013) • November 2013 CS Health IT Roadshow in southern China, possible collaboration with U.S. Trade and Development Agency (USTDA) • February 2014 Acting U/S Hyatt speech at HIMSS conference • CS executive led Health Technologies Trade Mission to Turkey (May 2014) • May 2014 EU-U.S. eHealth/Health IT Marketplace and Assembly U/S Sanchez speaking at the Roundtable on Health IT and Exports (June 2013) DAS Chandra Brown at Norway Booth, World of Health IT, Dublin, Ireland (May 2013)

24. Research and Analysis Market and Regional Profiles

25. Jane Earley; Health Team Director, Office of Health and Consumer Goods Jane.Earley@trade.gov; 202-482-6241 Health IT Team Contacts Matthew Hein; International Trade Specialist, Office of Health and Consumer Goods Matthew.Hein@trade.gov; 202-482-5014 Jetta DeNend; International Trade Specialist, Commercial Service, San Francisco USEAC Jetta.DeNend@trade.gov; 415-744-7728 Michelle Ouellette; Senior International Trade Specialist, Commercial Service, Boston USEAC Michelle.Ouellette@trade.gov; 617-565-4302