Telehealth and mHealth Programs in India and South Asia

Dr Karthik Anantharaman

Chief Marketing Officer

BPL Medical Technologies (P) Ltd

1

•Source: Indian Council for Research on International Economic Relations

Increase in the working class of population (30-59 years) with more sedentary jobs and higher spendingcapacity, will increase the incidence for lifestyle diseases such as Cardiovascular diseases and chronic disease

51%

22%

24%

42%

5%

11%

11%14%

9% 12%

1990 2020

Deaths

Communicable CVD Cancer Other NCDs Injuries

•9.4 million deaths •11.4 million deaths

Increase in Chronic / Lifestyle Diseases

Increasing Demand

Healthcare Consumerism

Insurance Coverage

Increasing Awareness

Quality Consciousness Better Evaluation of Clinical &Non Clinical decisions

Enhance Accountability of servicesby providers

Quality improvement & Standardization

Better Technology Adaptation By Healthcare Players

Preventive focus on Health

Rising Income New Healthcare Service Delivery Model

Source: Frost & Sullivan

Fully integrated healthcare delivery

Pre 2005

Emphasis on administrative systems and automation

2015

Adoption of clinical systems

Patient self management

Emphasis on Home healthcare services

2020

Adoption of clinical systems

Efficient Medication management

Management of chronic diseases, mental health

Availability of patient information for mapping disease patterns to be used in research and development of drugs and treatment techniques/technologies

Patients able to self – manage disease

Remote consultations and monitoring

Self testing, early treatment and management of medication

Greater application of bioinformatics in healthcare related research

Emphasis on Home healthcare services to improve hospital efficiencies and save patient costs

Private hospital groups and public hospitals integrated todeliver patient-centric healthcare services with betteroutreach

Patient expectations of safety

Safe data sharing and safe care

Patient data security

Patient centric healthcare delivery

Patient portals, mobile technologies of patientmonitoring and management

2015

2020

Opportunities in theIndian HIT Market

Active use of biometrics as healthcare becomes morepatient centric

Optimal efficiency in healthcare delivery using IT asnumber of patients and costs rise

Need for cost and quality transparencies will drive the useof IT in healthcare services

Integrated patient records

Improved Medical Tourism

Healthcare IT Market

Source: Frost & Sullivan

mHealth Trends

5

Today <2 years 2-5 years 5-10 years

6

mHealth Survey

7

8

9

End User Segments for mHealth products

Cardiovascular Diabetes Post Op Management

Geriatric Lifestyle Emergency

Public Health Preventive Health Screening

Pre-requisites for a successful mHealth company

mHealthCompany

TPA

Telco

Doctor/Hospitals

Established

Distribution

Network

Services.

Scalable Network

Established

Manufacturing

Facility

Regulatory

Compliance

1

2 3

5

4

End User

12

Key Drivers & Barriers for mHealth

Key Drivers

Price & Value

attractiveness

from Consumer

Technology

Evolution & Mobile

penetration.

Rise in Incidence of

life style diseases.

Awareness & incomes

Adoption of Patient

self management &

Home health servicesRise in Insurance

Coverage.Out-of-

Pocket Payment

practice

Acceptance /

engagement by

Medical fraternity

Competition on

Devices &

alternate models

Key Barriers

Revenue model

from Clinician’s

perspective

Product Development & Launch Roadmap

Gain

Credibility w/clinicians

Clinical Validation,

Pilot solution with Hospitals,

Pan India –Customer

feedback & Technology Dev, rev2

Market Release

Launch, Marcom, Sales,

Service of Device/Consumable & Back end Services. Phase 2 Dev for Clinical

Trial

Scale-up for Volumes

Hospital Chain & Direct to Consumer alliances.

Overseas GTM

Product Readiness

Market Survey, Pilot

Production,

Distribution & back-end service

readiness

14

Being Healthy Beginswith a Perfect Partner

A self-use, hand-held and lightweight mobile healthcare device and Cloud solutionRecords 12 lead ECG without patient cables & gel

Easy to analyse the patient’s ECG and provides advisory quickly through a SmartPhone APPSecured personal health record maintained on Cloud

Every Measurement Counts

Heart Rate

Activity Check

ECG

Monitors physical activity with a Pedometer with 3-axis sensor

ECG Measurement Process

ECG Recordings fromBPL LifePhone PlusTM

Disclaimer: ECG Quality dependent on subjective variability

Clinical Evaluation - MethodologyN

um

ber

of

Pati

ents

17

2

Normal 57

ST Elevation MIAnterior Wall 20Inferior Wall 25Lateral 25

Unstable Angina 10

TachycardiaAtrial fibrillation 5Ventricular Ectoposis 5Sinus Tachy 5

Bradycardia 5

LBBB 5, RBBB 5

LVH 5, RVH 5, LAE/RAE 5

Others - juvenile T inversion, early repolarizations

Both Blind and Revealed evaluation

done.

Comparison of Lifephone Plus done

with 12 Lead A4 Diagnostic Hospital grade ECG machine

Recordings done by patients’ self usage

under supervision of the Cardiologists

Clinical Evaluation - Results

Intuitive DeviceEasy Workflow

Small, smart and fast, the user-friendlyBPL LifePhone PlusTM allows for strongpatient-specialist rapport

The consumeracquires ECG, and

activity. The data is transferredfrom the device to thesmartphone through

BluetoothConsumer Specialist

Consumer transfersthe acquired data to

the specialist througha cloud server. The specialist

receivesthe data on a specialist

application

The specialist analyses the user data and sends advisory through a smartphone specialist app to the

consumer. The consumer receivesadvisory on his smartphone

consumer app. He also gets amessage alert

On MoveOn Track

Activity Monitoring

The 3-axis sensor of the deviceprovides a digital accelerometerbased activity sensing support

Activity Monitoring BPL LifePhone PlusTM helps the user to measure and record activities such as the distance walked, the number of steps covered, etc.

Calories Burnt By monitoring different body activities instantly, BPL LifePhone PlusTM indicates the amount of calories expended. Number for calories expended gets monitored irrespective of whether the user is moving or sedentary

Dr. S S RameshCardiologist, Vivus Heart Center.

BPL Medical Technologies’ innovative products for mobile health check-up wherein the remote monitoring of patient is possible, enable the physician or cardiologist to see their ECG and prescribe adequate treatment. With this kind of mobile healthcare techniques introduced by BPL, the technology can be taken to the doorsteps of common man, thereby, benefitting a lot more people than ever imagined before.

Dr. Raviraj V Acharya ,Professor & Head of Unit VII,Kasturba MedicalCollege & Hospital

BPL LifePhone PlusTM is a novel health monitoring solution and will change the way cardiology or normal healthcare is practiced. The solution is the first of its kind in the industry, which ensures the recording of 12-lead ECG with minimum possible procedures. It not only makes personal healthcare monitoring possible for patients, but also enables us to deliver speedy advisory to patients approaching us round the clock.

Expert Opinion

26

Target Customer Segments

• General Practitioners

• Clinics & Polyclinics

• Nursing Home & Hospitals

• Pharma, Corporate, Govt

• Direct to Consumer

• Exports

Doctor/ Clinician at the heart of product positioning

12 Lead ECG for Ambulance & Airline use

US-FDA (510K) & CE Approved

US-FDA (510K) & CE Approved

US-FDA (510K) & CE Approved

US-FDA (510K) & CE Approved

US-FDA (510K) & CE Approved

US-FDA (510K) & CE Approved

38

Thank You