Global Healthcare Outlook and International Medical Cooperation

- Changhua Christian Healthcare Experience

CEO of Oversea Medical Mission Center

Changhua Christian Hospital

Nina KAO H. L.

Global health care spending is projected to 10.059 trillion by 2022 and continues to increase at an annual rate of 5.4% in 2018-2022, a considerable rise from 2.9% in 2013–2017.

The spending growth because of - Aging - Increasing population- Developing market expansion- Advances in medical treatments ( technology, medications ) - Rising labor costs will drive spending growth

Emerging Issues Faced by

Global Healthcare Stakeholders

Source: Deloitte, 2019 Global Healthcare Outlook

- Life expectancy is estimated to increase by more than a full year between 2018 and 2022—from 73.5 to 74.4 years

- The number of people aged over 65 to more than 668 million, or11.6% of the total population.

- Much of the gain in life expectancy globally is due to falling infantmortality rates.

Emerging Issues Faced by

Global Healthcare Stakeholders

Source: Deloitte, 2018 Global Healthcare Outlook

Rapid urbanization, sedentary lifestyles, changing diets, and rising obesity levels increase in chronic diseases:

cancer, heart disease, stroke and diabetes

Someone develops dementia every three seconds. In 2017, an estimated 50 million people worldwide live with dementia - a number that is predicted to double every 20 years.

Evolution of Smart Healthcare

Source: Deloitte, 2019 Global Healthcare Outlook

Creating financial

sustainability in an

uncertain health economy

Adapting to changing

consumer needs,

demands, and expectations

Recruiting, developing,

and retaining top talent

Investing in digital

innovation and

transformation

Maintaining regulatory

compliance and cyber

security

Using new care delivery

models to improve access

and affordability

Top Global Healthcare Sector Issues

Source: Deloitte, 2019 Global Healthcare Outlook

6

What Exactly Does Smart Healthcare Look Like ?

Appropriate treatments are delivered at the appropriate time, in the appropriate

place, for the appropriate patient

Clinicians use technology to more accurately diagnose and treat illness and

deliver care

All care delivery stakeholders across the ecosystem effectively and efficiently

communicate and use information

Patient data is in one, easily accessible place

The correct individuals do the correct work (e.g., nurses handle patient

care, not administrative tasks)

Patients are informed and actively involved in their treatment plan

New, cost-effective delivery models bring health care to places and people

that don’t have it

Efficiency improves; waste declines

Source: Deloitte, 2019 Global Healthcare Outlook

HealthCare System Performance of Taiwan

7Source: HSBC Expat Explorer survey, 2014

CCH Healthcare System

1st Green HospitalIntelligent Management

HelicopterApron

(double propeller)

Main Hospital

CCH Logistics Center

Integrated Resource

Mutual Supporting

Strategic Alliance

Horizontal Alliances

Diversification

Intelligent Management

CCH Logistics Center(Taiwan’s first logistics center set up by the hospital,

combines with 10 hospitals and campus)

Suppliers (before)

A

B

C

D

m.

CCH

CHC

LKCH

LTCH

YLCH

ELCH

NTCH

YCH

A

B

C

D

m.

CCH

CHC

LKCH

LTCH

YLCH

ELCH

NTC

YCH

Suppliers(now)

CH

YMH

CH

YMH

Logistics

Center

彰基與HTC合作推出的「蘭醫師」是全台灣首創橫跨10間醫院的人工智慧AI+區塊鏈醫療照護對話機器人，功能從AI科別導診、看診前問題筆記、到診後個人衛教，結合醫療區塊鏈資訊安全，一鍵啟動10間醫院全面照護。 (Line search for @cch.org.tw to down load 「蘭醫師」APP. On line registration, health education, consultation, Q&A etc.)

CCH/HTC 「蘭醫師」APP

Medical & Innovative 3D Printing Center (2019/05/13)

Green, Clean and Smart Hospital

Changhua County

Yuanlin County

U.S. Green Building

Council LEED Gold

Level Certification on

Dec, 2015

13

Green BuildingEnergy management system

U.S. Green Building Council LEED Gold Level Certification 2015Taiwan Honor Green Building Certification 2017

2018 Healthcare Quality Improvement Campaign

YCH 榮獲智慧醫療類智慧醫院全機構標章

Inclusive Partnership and Cooperation with Southbound Countries

Needs for Cooperative Country

• Thai 4.0 Policy-Economic prosperity, Social well-being, Raising human values, Environment protection

• Promote the Eastern Economic Corridor • e-Health strategy • Become the Medical Hub in Asia

THAILAND 4.0Smart Industry + Smart Healthcare+ Smart City + Smart People

Agriculture Light industryLow wages

Heavy industryadvancedmachinery

Creativity + innovationSmart Thailand

THAILAND EEC

Resources We Have• CCH is the biggest healthcare system in central Taiwan with

10 branches.

• Built the first green and smart hospital (YCH) in Taiwan

• Professional knowledge and technology in smart healthcare

• Established relationship with Thailand since 2010

• SHARE is the core values (Spirit care, Health promotion, Strategic Alliance, Resources mobilization, Knowledge Education)

1st Green HospitalIntelligent Management

Main Hospital

HelicopterApron

(double propeller)

Seminar on Medical Industry Opportunity

Professional Training

Study Tour

Distinguished Guests Visiting

2018 Taiwan Health Plus Expo.

2019 Smart City Summit & Expo.International Smart Healthcare Forum

International Conference in Taiwan

• Bridge Taiwan Smart Healthcare Industries btw Taiwan and Thailand

- MOU with hospitals and sites visiting to Thailand

Rangsit University and hospital

Siriraj Hospital

Bangkok Christian Hospital

2018 Taiwan-Thailand Smart Healthcare Conference

Smart Healthcare in New Era-Innovation and Challenge (Aug. 28th )

2019 Medical Devices ASEAN The Innovation and Application Smart

Healthcare in Taiwan Forum

Taiwan EXPO 2018 in Thailand

Taiwan EXPO 2019 in India

Smart Healthcare Demo-sites

Demo-site setting up ceremony

Smart vital sign station and digital diagnosis system

12/20@BCH & 12/22@OBH

Health Promotion Awareness for Taiwanese Entrepreneurs

- Over 150,000 Taiwanese businessmen in Thailand

-Health promotion awareness workshop

-Comprehensive health examination

-Tel-medicine in chronic disease control

-Call center for 24 hours service

Seminar for Chinese Medicine Healthcare for Women

(2019/06/01)

Join International Conference

• Mobile Clinic in Remote Area of Northern Thailand

-Minority people healthcare promotion

-Fulfil corporate social responsibility

• Cooperation with NGOs

-Vietnam: * Child Malnutrition Improvement and Safe Water Project in Rural Area of Center Vietnam

* Shing Mark Hospital

-Nepal: BP GAUN Reconstruction & Healthcare Project after earthquake

-Myanmar: * Health promotion and safe water project

* Healthcare for disabled and PT/OT training project

-India: • Medical service and sanitation promotion

What We Do beyond Thailand

BP GAUN Reconstruction

(Cooperate with Taiwan AID EPF, MOFA)

CDC

Construction

& Medical Station

Reconstruction

(First phase)

BP Gaun

Eco Tourism

Village Plan

(Second phase)

Self Made ECO Brick

& Rescue Team Training

(Third phase)

BP GAUN Reconstruction Project in Nepal-After the Earthquake in April, 2015-

2016-2017 2017-2018 2018-2019

37

Healthcare Management Company in Shanghai

CCH cooperated with Hong-Sin healthcare

group in Shanghai to establish a healthcare

management company in 2012

Healthcare Business in China