Geneva, Switzerland, 25-26 September 2012

Business Perspectives and Public Private Partnerships in m-Health industry:

How Telecom Industry Can Contribute

Nicole Hill,Global HealthCare Sector Director,

EMEA Alcatel-Lucent Nicole.hill@alcatel-lucent.com

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure and Prevention in Europe

Geneva, Switzerland, 25-26 September 2012

2

Agenda

Mhealth Market Readiness The “Perfect Storm” ?How To Ramp Up & Scale

Acknowledge Value Chains Public & Private Stakeholders

Federated Framework / Label : HS2

How Industry Players Like Alcatel-lucent Can Contribute

Geneva, Switzerland, 25-26 September 2012

Yes, There Is A Market Opportunity:

La Lettre de l’Assurance (F): un marché de 250 à 500 Mds € L’industrie de la santé est l’un des secteurs pouvant bénéficier le plus d’un apport numérique, que ce soit au plan du corps médical ou de celui du patient.En donnant accès à de plus en plus d’informations en temps réel, les technologies numériques permettent de produire des indicateurs à partir de capteurs et les systèmes d’informations ont désormais la capacité d’interpréter des données.L’E-santé recouvre aussi bien la télémédecine, le maintien à domicile que les applications jusqu’à la domotique.Il y a aujourd’hui un réel consensus parmi les acteurs de la santé, médecins, hôpitaux, industriels

Global Telemedicine Market

The Perfect Storm ?

5

Tablets Smartphones

Mobile App Users

High SpeedBroadband

Decline in Physician Numbers

Advanced Analytics

Rising Costs

Source UPMC CIO Dan Drawibaugh Source UPMC CIO Dan Drawibaugh

State of the Internet…Mobile Will Be BiggerThan Desktop Internet in less than 5 Years

Can We Make it really happen ?

How to Get There: Segments B2B2C & B2C

Secondary Care StakeholdersHospital has 2 main processes

Clinical/TherapeuticPatient Stay (admin & financial)

In-patient & Out-patient

Other stakeholdersPayers, Health Authorities (national/regional), …Labs, Pharmacies, ER, …

Secondary Care StakeholdersHospital has 2 main processes

Clinical/TherapeuticPatient Stay (admin & financial)

In-patient & Out-patient

Other stakeholdersPayers, Health Authorities (national/regional), …Labs, Pharmacies, ER, …

• Secondary Care Solutions Hospital/Clinics solutions

• Connected Hospitals

• Extending Hospital premices• Virtual clinic• Tele-consultation, tele-expertise,

tele-assistance, RPM for out-patient

• Cloud

• Secondary Care Solutions Hospital/Clinics solutions

• Connected Hospitals

• Extending Hospital premices• Virtual clinic• Tele-consultation, tele-expertise,

tele-assistance, RPM for out-patient

• Cloud

Primary Care StakeholdersMultiple decision makers from various entities

Local authoritiesHelpers: family & professionalsGPs, Pharmacies, labs, primary care, paramedics, specialists, assisted living, … + Employers

Process & care servicesHome careWell-being

Primary Care StakeholdersMultiple decision makers from various entities

Local authoritiesHelpers: family & professionalsGPs, Pharmacies, labs, primary care, paramedics, specialists, assisted living, … + Employers

Process & care servicesHome careWell-being

• Primary Care Solutions• ALU contributes

• Teleconsult, Remote clinics • Social link for elderly• mLearning for HC (“mHealth”)• Cloud

•

• Primary Care Solutions• ALU contributes

• Teleconsult, Remote clinics • Social link for elderly• mLearning for HC (“mHealth”)• Cloud

•

customerB2B2x

ComplexcustomersB2B2x2C

Creating Labels Frameworks to set fertile Ground for Industry

HS2

Haute Sécurite Santé

Climate

Energy

Transportation

Water

HQE

Security

Social Solidarity

Environment

HC/SocialEconomic Development

Alcatel-Lucent…Introducing New Opportunities & Business Models

QualityOutcomes, Experience,

Environment

AccessRight Resources, Right

Time,Right Medium

CostsLower Costs Without

Compromising Patient Safety

Source UPMC www.connectedmed.com

Alcatel-Lucent mHealth Business “Architecture”

TechnicalTechnical

Admin & financialAdmin & financial

Clinical & Careinteractions

Clinical & Careinteractions

• Device Management

• Device Management

• OAM• OAM

• Workflows, Business

logics

• Workflows, Business

logics

• OSS / BSS• OSS / BSS

• EMR / EHR / EPR• EMR / EHR / EPR

• Home GW

• Home GW

• mPhone GW• mPhone GW

• Medical Devices• Medical DevicesHelpers

Family & friendsHelpers

Family & friends

• Patients• Patients

End-to-end Service Delivery

•C

om

s &

Colla

bora

tion

•C

om

s &

Colla

bora

tion

Service Delivery Platform

LogisticsLogistics

Users User Devices

Payers

HLN, LTE & Broadband

Motive

MNCVAYU Mazasoo

DJSI leader in the Communication Technology sector

• Promoting Digital Inclusion with governments & international organizations (WEF, UN, World Bank, OECD etc)

• Our Innovation – High Leverage Network™ enabling our vision “of a connected world”

• R&D Bell Labs research on digital inclusion and social/economic impact of Broadband

• Alcatel-Lucent Foundation and philanthropy focused on education

Digital Inclusion Is A Pillar Of Our Strategy

Alcatel-Lucent has a strong wish to engage in a Social Innovation initiative which fits our Digital

Inclusion strategy

Patient Centered Telemedicine Platform : VAYU

Clinics

Hospitals

Virtual Exam Room – Web based Patient Session

Patient Homes

Vehicles

Vayu-VCC

Platform

Innovative Telemedicine Applications

Single platform supporting many applications

Tele-strokeTele-stroke Virtual roundsVirtual rounds

Remote patient

monitoring

Remote patient

monitoring

Tele-ophthalmolog

y

Tele-ophthalmolog

yRemote clinicRemote clinic

On-site/ employee

clinics

On-site/ employee

clinicsWound care Wound care Tele-

psychiatryTele-

psychiatry Virtual ICUVirtual ICU Tele- dermatology

Tele- dermatology

Mazadoo : Elderly Social Link

•Aidants

•Proches

Serveur ApplicatifMazadoo

Internet

•Fournisseurs de contenus

•Plateforme de service

•TNT

Plateforme de communication

ALU

Our Approach

Start Small And Expand Fast

mHEALTH

Health Workers Patients

mLEARNING applications for Health Workers

mDONATION

mLEARNING platform with

SMS based servicesfor CHWs, Nurses,

Midwives

mBOX: MORE THAN JUST A

mLEARNING PLATFORM

One Single Platform That Has The Flexibility To Easily Evolve Over

Time To Deliver

mLEARNING services

mHEALTH services

mBanking

mTicketing

mCouponing Services

An Easy-To-Use Mlearning Platform…

The classic symptoms of active Tuberculosis (TB) infection are a chronic cough with blood-tinged sputum, fever, night sweats, and weight loss. TB typically attacks the lungs but can also affect other parts of the body.

Create your session on our mLearning platform and write

your lesson

Your students receive it by SMS

instantaneously

The PRAEKELT Foundation in Africa is sending a million SMS per day such as for ex:

“HIV positive and scared to tell your partner? For HIV positive and scared to tell your partner? For help please call the AIDS helpline 1800-123-232”help please call the AIDS helpline 1800-123-232”

The foundation sent 500 billion messages in seven languages in the last 2 years and generated 1.5 million calls to the National AIDS helpline. As a matter of fact the National AIDS helpline crashed when they did the first launch.

Expand To Mhealth Applications And Services

Even simple SMS-based campaigns can make a big difference

Provide automated, real-time behavioral patient coaching Medications management Clinical decision support Communication with care providers

Example: Manage Diabetes EasierTHE CHALLENGE

Diabetes is a major public health problem in Africa. The International Diabetes Federation says that diabetes cases in sub-Saharan Africa will double by 2030,

affecting 24 million people.

In the US, The patients using a demonstration project for an average of 12 months reduced their Emergency Room visits and hospital stays by 58% compared to the 12

months prior to the program.

THE CHALLENGEWith 800 illegal products circulating the global market with a value of close to $200bn,

counterfeit drugs are costing both the pharmaceutical industry billions and the people who take them their health. In some sub-Saharan African countries the proportion of fakes in the market is close to 50%. 700,000 people die

annually from fake malaria and tuberculosis drugs alone.

Check The Veracity Of Medicines

9.4 km

83 km

0.4 km

2.1 km

6.5 km

Consolata Hospital

IHURURU ROAD - 10100 NYERI

9.4 kmTel: 0202666023

ITINERARY

Provide Geo-localized Services

Where is the nearest Hospital around me?

Conclusions and Recommendations

Stakeholders Readiness Growing

Doctors, nurses, Patients, Public Health Authorities

(European)Industry readiness

Provides native scaling engines

Business Models are key

22Geneva, Switzerland, 25-26 September 2012

Engage now