© GSM Association 2012
Michael Morgan-Curran
Diabetes Programme Director
© GSM Association 2013
Connected Life…..
……….world where everything intelligently connects
• 25 billion connected devices by 2020
• Mobile Health solutions could save $400 billion from healthcare bills in developed countries in 2017
• Mobile Health solutions could save 1 million lives in sub-Saharan Africa over the next 5 years
Source: GSMA/PwC
© GSM Association 2013
mHealth benefits
Supports cost-effective delivery of better healthcare for everyone
patients,providers
payers,vendors,nations
and the world
Source: GSMA
© GSM Association 2013
Number of people with type 2 diabetes is increasing in every country
The greatest number of people with diabetes are between 40 to 59 years of age
187 million people (50%) with diabetes are undiagnosed
80% of people with diabetes live in low- and middle- income countries
www.idf.org
Why is Diabetes a global burden
© GSM Association 2013
1 person is diagnosed with diabetes every 3 seconds 1 person dies of the complications of diabetes every 7
seconds
1 person loses a limb because of the complications of diabetes every 24 seconds
4.8 million deaths in 2012 - half under 60
Why is Diabetes a global burden
www.idf.org
© GSM Association 2013
552 million individuals will suffer from diabetes by 2030 up by 150%
www.idf.org
© GSM Association 2013
12% of total healthcare expenditures attributable to diabetes Expenditure will rise by 34% The cost of prescribing medication for complications of diabetes is around 3
to 4 times the cost of prescribing diabetes medication
Managing diabetes is expensive (on top of healthcare costs)
2011 20300
100200300400500600700800
US$ 595 billion
US$ 465 billion
High income countries: US$ 387 billion
Upper mid-income countries: US$ 64 billion
Low- and middle-income: US$ 10 billion
Low-income countries:US$ 1 billion
Global Diabetes healthcare-related spending
www.idf.org & Zhang survey 2011
© GSM Association 2013
Financial opportunity across the patient pathway in mDiabetes
MNOs are expected to account for 50% of the US$23 billion mHealth market, with monitoring the most attractive
Chronic Disease Management/Remote MonitoringPayments Integration
Cloud Based Health Records/Imaging/Applications
Tele-health
Managed Services
Enterprise Collaboration
Enterprise Hosting and Storage
Consumer Health Hotline
Personalised Health Tips
Health Messaging
Tele-care
Enterprise ICT
Consumer Voice and
Data
GlobalBusiness
Integration
Wellness Prevention Diagnosis Treatment Monitoring
$ 8.8 bn$ 0.9 bn$ 1.0 bn$ 0.8 bnmHealth source of revenue for MNOs, 2017
Source: GSMA and PwC
© GSM Association 2013
Source: Intel
Monitor standard vital signs
Monitor and manage standard
vital signs
PhysicianCaregiver
Data-rich Health management
systems
One-way communication Real-time two-way communication
Connection to friends and caregivers
Connection to healthcare advice
Independence
Safety and friendly environment
Friendly check-in mechanisms
Information sharing
Qua
lity
of c
are
and
soci
al c
onne
ctio
nRemote Patient Monitoring
Electronic Records
© GSM Association 2013
Impact of mHealth 958
North America Latin America Europe Africa Middle East W Asia SE Asia0
50
100
150
200
250
300
350
2011 May June July AugustSeptember October November January
Source: GSMA
© GSM Association 2013
mDiabetes is represented
North America Latin America Europe Africa Middle East W Asia SE Asia0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
HIV/AIDS Tuberculosis Malaria Psychiatric conditions
Diabetes Cardiovascular diseases (hypertension, ischaemic heart disease) Asthma and COAD/COPD
Source: GSMA
© GSM Association 2013
Solution Features
•US FDA approved
•Fully scalable solution backed by
•Secure network infrastructure
•Compliant with HIPAA Privacy and Security Rules
AT&T & WellDoc’s ‘DiabetesManager’
Integrated patient coaching and nurse case management system to improve diabetes care
Source: WellDoc & AT&T
Solution Benefits
• Real-time, clinically-based feedback and coaching
• Instruction or intervention
•Promotes self-care
•On-going engagement and drives down costs
© GSM Association 2013
Source: Progress in Cardiovascular Diseases 53 (2010) G⃰ Stratton IM, Adler AI, Neil HA, et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS
35): prospective observational study.
With demonstrated success
Cluster-randomised controlled trial 163 patients in 26 primary care practices
Results• A1c levels reduced by 1.9%
Benefits• 37% decrease in loosing - limbs/blindness• 14% decrease all-cause mortality
Results•58% reduction in hospital stays•100% increase in self management
© GSM Association 2013
Alignment & eng’ment
Technical & Organisational
support
An effective Solution Industry
Leading Solutions
Key success factors
Operators & Healthcare Alliance
HCPs & Patient engagement
Source: GSMA
© GSM Association 2013
What challenge lies ahead
Source: GSMA