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Thomas Alva Edison

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.”. Prevention Strategies:

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Thomas Alva Edison

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  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.”

  2. Prevention Strategies: • The impact of transformation in healthcare industries, global economic conditions and an empowered consumer Luke Rajkumar Head-Healthcare Practice Luke.rajkumar@lntinfotech.com 20th September, 2012

  3. Healthcare as it used to be Changes impacting Healthcare • Private Insurers - Pooled Risk Models only • Government /Public Payer– Obligation to citizens • Guardians of health • Health services proprietors • Breakthroughs in Medical Services leading to reduced stay in hospitals • Easier access to healthcare • Moving from conventional models to lifestyle management cos. • Health & Medical intervention • Hyperpersonalization Medical Services ? ! CAST IN STONE?? ? ! ! ? SHROUDED IN SECRECY? ? ! Devices Manufacturers Insurance / Government /Public Payer WHAT’S BREAKING THE MYTH? WHERE DO I GO ??? • Catering to the provider • Expertise needed to operate and decipher information • Portable, Smarter and Cheaper devices • Personal • Outsourced Manufacturers • Clinical trials • Computational and knowledge management on genomics • Drug design, disease diagnosis and control • Disease driven approach • Working in conjunction with providers Pharmaceuticals

  4. Empowered Consumer – further disrupting the healthcare landscape MUSHROOMING CHOICES MUSHROOMING CHOICES • Home Patient Care • Personalized Medicine • E-Health • Health Records Medical Services FUNDING SYSTEMS INNOVATE TO APPLY THESE BREAKTHROUGHS FUNDING SYSTEMS INNOVATE TO APPLY THESE BREAKTHROUGHS BREAKTHROUGHS IN MEDICAL, PHARMACEUTICAL, DEVICE SECTORS BREAKTHROUGHS IN MEDICAL, PHARMACEUTICAL, DEVICE SECTORS • 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 RESEARCH & DEVELOPMENT RESEARCH & DEVELOPMENT Convergence GLOBAL ECONOMIES GLOBAL ECONOMIES PLUNGING INTO ECONOMIC CRISIS PLUNGING INTO ECONOMIC CRISIS • Epidemic spreading and control • Health Education • Providing health in remote areas • Decision support within healthcare • Genetic Testing • Clinical Trial Services • Availability of medication COMMUNICATION REVOLUTION COMMUNICATION REVOLUTION CONSUMER CONSUMER GROWING, BOOMING ECONOMIES GROWING, BOOMING ECONOMIES Devices Manufacturers Insurance / Government /Public Payer Convergence Convergence GOING GLOBAL TO SURVIVE, TO THRIVE GOING GLOBAL TO SURVIVE, TO THRIVE PC DEVICES PC DEVICES MOBILE MOBILE TELECOM TELECOM INTERNET INTERNET Convergence • Electro medical Devices • Retail Clinics • Genomics • Bioinformatics • Diagnostic/Therapeutic Systems • Scientific & AnalyticalInstruments • Epidemic spreading and control • Health Education • Providing health in remote areas • Decision support within healthcare • Genetic Testing • Clinical Trial Services • Availability of medication Pharmaceuticals

  5. Impact of Industry Changes • Emergent Business Models • Risk and Reward Model • No Commitment No Cost • Smart Devices Integration • Health IT Advancements • Wellness • Fraudulent pathways • Carpet Baggers • Wellness & Lifestyle management • IT/BPS Services • Cloud based solutions and services • Devices become Applications • 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

  6. The Paradigm Shift – focus on profits move from sickness to wellness Sickness Wellness Recover or Revisit Measure Outcomes Treatment Monitor / Track Symptom based Diagnosis Preventive Measures / Wellness Programs Health Screening / Genetic Predisposition Illness Sickness Vs Wellness

  7. Preventive HealthCare – What is It? Enhanced Risk Assessment Effecting Behavioral Change • Assess individual risk before onset • Demographic Risk Strategies • Continuous risk assessment • Device enabled tracking • Promulgating Wellness advocacy • Persistent engagement, multi Channel approach • All stakeholders must meaningfully converse with the consumer HealthCare Domain Improving Infrastructure Prophylactic Measures • Hygiene and Sanitary improvements across Geographies • Leverage and enhancing Telephony infrastructure • Intra country cooperation • Increased usage of immunization • Regional prevention strategies • Financial and other motivational incentives

  8. Measuring ROW on Individual level Complete Health Profiling Scores Critical Wellness tools Scores Health Risk Indicators High Risk Low or No Risk Moderate to High Continue doing things that are keeping you healthy • Take a complete health check • Take Wellness Programs • Take a complete health check • Consult your Doctor immediately Setting, Tracking & Monitoring • Taking help from Wellness Champion • Taking help from Experts Improved Health Condition

  9. Measuring ROW on Government/Group Initiatives Critical Wellness tools Scores Complete Health Profiling Scores Underwriter’s Client Profile Member Rewards Wellness Programs • Reduction in Premium • Free Gifts • Improved Productivity at work (Corporate clients) Result Setting, Tracking & Monitoring Improved Health Condition Intrinsic Return on Wellness Tangible Return on Wellness • Risk inputs to Actuaries and Underwriters • Claims Cost Reduction • Reduced average Hospital Stay per person • Customer Stickiness • Brand Building and Repositioning

  10. Essential elements for Action • Support a paradigm shift towards integrated, preventive health care. Consumers take control of their health, health information and health risks • Promote financing systems and policies that support prevention in health care • Equip patients with needed information, motivation, and skills in prevention and self-management • 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. • Well developed Remote Care, Wellness Program and Customer Centric HealthCare Model using integration of Patient, Provider, payer and Medical Devices. • Meaningful use of EMR/PHR. Payers Vendors/Suppliers Sickness Treats, Prevents Manages Patients Private Sector & Government Pharmaceuticals

  11. Collaborating Entities Medical Device Manufacturer Providers Pharmacy Wellness Coaches Lab Services Physician Payer Consumer Home

  12. Care Models Preventive Skilled Nursing Physical & Occupational Therapy Primary Training & Education Meals on wheels Chronic Disease Self Management Nutritional Support Care @ everywhere Pharmacy Labs Acute Care/ Post Acute Care Scenario 1 – Preventive ( 18<Age<35 ) • Receives alert to record the reading • Records the reading on own Scenario 2 – Acute ( 35< Age < 65) • Understands Guidelines • Does needful on his own Scenario 3 – Chronic ( 65<Age) • Nurse assists to perform Care Process

  13. Technology - Enhancing Care Interface E - Prescription eHealth Applications Lab Order Teleconsulting Wireless Devices Alerts on the eHealth Applications Wellness Program allocation Alerts on wireless devices Sensor Domain • 3rd Party Personal Medical Device • Examples : • Peak Flow Meter • Glucose Monitor • Heart Monitor Online Chat SMS / Alerts Online Wellness Program Video Conferencing Call on Phone Training & Education Acute Bluetooth Internet Cloud Nutritional Support Chronic Preventive USB Self Driven Patient Provider Training & Education Medical Assistance

  14. Healthcare – All About Consumer Engagement Program Information Online chat Online Assistance IT, Integration, Decision Support Progress Comparison Health Status Alerts / SMS • Consumer ‘ s data collected • Medical / Pharmacy Claims • Self Reported Data • Physician Provided Data Lab Results Warn Counseling Seamless Data Collection Consumer Centric Home Health Kiosk / Self Service Personal Services Online Coaching Health Tracker Validation algorithms Track Onsite Delivery Decision Support & Transparency Tools Self Service Awareness Guidance Identify / Plan Data Analytics Engine Population Stratification Predictive Modeling Cost Trends Consult Motivate Screening & Appraisal PWP - Profiling HRA Clinical Data Claims Analysis Incentives / Punishments

  15. Preventive Healthcare and Wellness – Way Forward • Big shift towards patient centric Healthcare • 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”. Healthy Life Next Exit

  16. Thank You Our Business Knowledge, Your Winning Edge. SMSC/11/04/069

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