Transcript Slide 1

Thomas Alva Edison
“The doctor of the future will give no medicine, but will interest his patients
in the care of the human body, in diet, and in the cause
and prevention of disease.”
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Prevention Strategies:
The impact of transformation in healthcare industries, global economic
conditions and an empowered consumer
Luke Rajkumar
Head-Healthcare Practice
[email protected]
20th September, 2012
Confidential | Copyright © Larsen & Toubro Infotech Ltd.
Healthcare
as it used
to be
Changes
impacting
Healthcare
 Breakthroughs
in
 Guardians
of
health Medical Services
leading to reduced
 Health services
stay in hospitals
proprietors
 Easier access to
healthcare
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!?
!?
 from
Private
Insurers Moving
conventional
Pooled
Risk Models
models to
lifestyle
only cos.
management
Health &Government
Medical
/Public
Payer–
intervention
Obligation to
Hyperpersonalization
citizens
CAST IN
STONE??
!?
SHROUDED
IN
SECRECY?
!?
WHAT’S BREAKING
THE
MYTH?
WHERE
DO I GO ???
 Catering to the
Portable, Smarter
provider
and Cheaper
 Expertise needed
devices
to operate
 and
Personal
decipher  Outsourced
information Manufacturers
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 Clinical trials
 Computational
and
 Disease
driven
knowledgeapproach
management on
genomics
 Working in
 Drug design,
disease with
conjunction
diagnosis and
control
providers
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Empowered Consumer – further disrupting the
healthcare landscape
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Home Patient Care
Personalized Medicine
E-Health
Health Records
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eHealth initiatives
Social medicine
Health global accessibility
Ethical aspects in eHealth
Healthcare plans and patient benefits
Synchronization of federal regulations
Community health services
Self build devices
Epidemic spreading and control
Health Education
Providing health in remote areas
Decision support within healthcare
Genetic Testing
Clinical Trial Services
Availability of medication
CONSUMER
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Electro medical Devices
Retail Clinics
Genomics
Bioinformatics
Diagnostic/Therapeutic Systems
Scientific & Analytical Instruments
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Epidemic spreading and control
Health Education
Providing health in remote areas
Decision support within healthcare
Genetic Testing
Clinical Trial Services
Availability of medication
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Impact of Industry Changes
Emergent Business Models
 Risk and Reward Model
 No Commitment No Cost
 Smart Devices Integration
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Carpet Baggers
Wellness & Lifestyle
management
IT/BPS Services
Cloud based solutions
and services
Devices become
Applications
Health IT Advancements
 Wellness
 Fraudulent pathways
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Emerging Business
Opportunities
Medical Tourism
Home Care
TeleHealth
Device As A Service
New Ways of Risk Assessment
& Management
EHR/EMR
Medical Devices
Consumer Engagement
Pandemic management
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5
The Paradigm Shift – focus on profits move from
sickness to wellness
Sickness
Wellness
Sickness Vs Wellness
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Preventive HealthCare – What is It?
Effecting Behavioral Change
Enhanced Risk Assessment
 Assess individual risk before onset
 Promulgating Wellness advocacy
 Demographic Risk Strategies
 Persistent engagement, multi Channel
approach
 Continuous risk assessment
 All stakeholders must meaningfully
converse with the consumer
 Device enabled tracking
HealthCare
Domain
Improving Infrastructure
 Hygiene and Sanitary improvements
across Geographies
 Leverage and enhancing Telephony
infrastructure
 Intra country cooperation
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Prophylactic Measures
 Increased usage of immunization
 Regional prevention strategies
 Financial and other motivational
incentives
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Measuring ROW on Individual level
Complete Health Profiling Scores
Critical Wellness tools Scores
Health Risk Indicators
Low or No Risk
Continue doing things that are
keeping you healthy
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Moderate to High
High Risk
Take a complete health check
Take Wellness Programs
 Take a complete health check
 Consult your Doctor immediately
Setting, Tracking &
Monitoring
Improved Health
Condition
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Taking help from Wellness
Champion
Taking help from Experts
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Measuring ROW on Government/Group Initiatives
Critical Wellness tools Scores
Complete Health Profiling Scores
Underwriter’s Client Profile
Wellness Programs
Setting, Tracking &
Monitoring
Result
Intrinsic
Return on Wellness
 Customer Stickiness
 Brand Building and Repositioning
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Improved Health
Condition
Member
Rewards
 Reduction in
Premium
 Free Gifts
 Improved
Productivity at work
(Corporate clients)
Tangible
Return on Wellness
 Risk inputs to Actuaries and Underwriters
 Claims Cost Reduction
 Reduced average Hospital Stay per person
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Essential elements for Action
 Support a paradigm shift towards
integrated, preventive health care.
Consumers take control of their health,
health information and health risks
 Well developed Remote Care, Wellness
Program and Customer Centric HealthCare
Model using integration of Patient,
Provider, payer and Medical Devices.
 Promote financing systems and policies
that support prevention in health care
 Meaningful use of EMR/PHR.
 Equip patients with needed information,
motivation, and skills in prevention and
self-management
Payers
 Make prevention an element of every
health care interaction
 Develop of advanced Health IT
infrastructure which can facilitate easy
accurate and secure sharing of
information among various Healthcare
Ecosystem Entities.
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Vendors/Suppliers
Sickness
Treats, Prevents
Manages
Patients
Private Sector &
Government
Pharmaceuticals
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Collaborating Entities
Medical Device Manufacturer
Providers
P
h
a
r
m
a
c
y
Wellness Coaches
Lab Services
Physician
Consumer Home
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Payer
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Care Models
Skilled Nursing
Preventive
Physical & Occupational Therapy
Training & Education
Primary
Meals on wheels
Chronic Disease
Self Management
Nutritional Support
Pharmacy
Care @ everywhere
Labs
Acute Care/ Post
Acute Care
Scenario 1 – Preventive ( 18<Age<35 )
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Receives alert to record the reading
Records the reading on own
Scenario 2 – Acute ( 35< Age < 65)
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Understands Guidelines
Does needful on his own
Scenario 3 – Chronic ( 65<Age)
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Nurse assists to perform Care Process
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Technology - Enhancing Care
E - Prescription
Lab Order
Teleconsulting
Alerts on the
eHealth Applications
Online Chat
Training & Education
Nutritional Support
Wireless Devices
Wellness Program
allocation
Alerts on wireless
devices
Online Wellness
Program
eHealth Applications
Video Conferencing
SMS / Alerts
Call on Phone
Sensor Domain
3rd Party
Personal
Medical Device
Acute
Chronic
Preventive
Examples :
 Peak Flow
Meter
 Glucose
Monitor
 Heart
Monitor
Patient
Self Driven
Provider
Training & Education
I
n
t
e
r
f
a
c
e
Bluetooth
Internet
Cloud
USB
Medical Assistance
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Healthcare – All About Consumer Engagement
Counseling
Consumer ‘ s data collected
 Medical / Pharmacy Claims
 Self Reported Data
 Physician Provided Data Lab Results
Home Health
Kiosk / Self Service
Personal Services
Online Coaching
Self Service
Awareness
Program Information
Online chat
Online Assistance
IT, Integration, Decision
Support
Progress Comparison
Health Status
Alerts / SMS
Health
Tracker
Validation
algorithms
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Why should I do?
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Help me Understand
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What are my options ?
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What does this mean ?
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Help me decide what to do?
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Help me what should I do ?
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Help me how to do ?
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How am I doing ?
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Am I doing it right ?
Data Analytics Engine
Population Stratification
Predictive Modeling
Cost Trends
Incentives
/ Punishments
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Decision Support &
Transparency Tools
Guidance
PWP - Profiling
HRA
Clinical Data
Claims Analysis
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Consumer Brand
Consumer Trust
Consumer Satisfaction
Personal Services
 Intimacy
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Preventive Healthcare and Wellness – Way Forward
 Big shift towards patient centric Healthcare
Healthy Life
Next Exit
 Primary reason to invest in preventive Healthcare is to promote Health
 Preventative Interventions should be used whenever they produce more health for the
resource invested.
 Preventive services should be assessed carefully for effectiveness and cost
effectiveness.
 Preventative medicine, Wellness and Electronic Records would make for cheaper and
easy accessible system.
 Proliferation of advanced Medical technology cause runaway health costs
 The tipping point for personalized medical devices has arrived, for three reasons
― “Telemedicine” is taking off,
― Cheap portable home medical devices
― Sensors and Smart phones allow “body Computing”.
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Thank You
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