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TELUS in Health Giovanni Pizzoferrato Technology Strategy
Broadcast Services
Internet Fax
Internet Services
Wireless LAN
WAN Solutions
iDen
CDMA
HSPA+
LTE
ADSL2
FTTH
Audio Conferencing
Business Email Service
Instant Connect Service
Video Conferencing Services
Microsoft Exchange
Microsoft Sharepoint
Office Communicator Server
Telepresence
Webcasting
Wireless WAN
Business Calling Cards
Canada Direct
Direct Inward Dialing (DID)
Integrated Voice Solution
IP-One Evolution
IP Premise
ISDN-PRI Service
Long Distance
PBX Systems
Toll Free
Call Centre Anywhere
OptikTV Optik Internet
Health Solutions
Remote Access Dial Up Services
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Facebook has overtaken Google as the most visited site - Hitwise
Facebook users spend on an average of 55 minutes per day on the site - Facebook
YouTube exceeded 4 billion video views everyday; over 100% increase in 24 months -
YouTube
More video is uploaded to YouTube in 60 days than the 3 major US networks created in
60 years
Twitter has over 500 million registered users - Twitter
25 billion tweets sent in 2010; now pacing at 1 billion tweets per week - Twitter
LinkedIn has over 130 million registered users - LinkedIn
1. Social Media is democratizing the world’s information
1.3 billion 1.2 billion 900 million 300 million
Social Media is the new
marketing platform
•80% of consumers trust peer recommendations
•14% of consumers trust advertisements and only
18% of traditional TV ad campaigns result in a positive
ROI
- ShepardComm.com
By 2015, companies will generate 50% of web sales
via their social presence and mobile applications - Gartner
79% of the Fortune Global 500 companies are using
at least one of the major social media platforms - Burson-Marsteller
People care more about what their peers think
about products and services:
Social
Customer
Social
Networks
Customer
Relationship
Managemen
t
Social
CRM
Social Media is bigger on
mobile
There are more than 500 million active users
currently accessing Facebook through their mobile
devices, and they are twice as active on Facebook
than non-mobile users - Facebook
YouTube mobile gets over 600 million views a day,
and traffic from mobile devices tripled in 2011 - YouTube
Social Networking Represents 60% of US Mobile
Usage - Ground Truth
Average time spent everyday
via Mobile via PC
Facebook 45.2 min 32.4 min 112% increase
YoY
Twitter 19.6 min 7.2 min 347% increase
YoY
2. Mobilization
From Dot-Com Boom to Mobile Apps Mania
Has more going for it than what dot-com boom had:
10.9 billion apps were downloaded in 2010 and is estimated to grow to 76.9 billion app downloads by 2014
Very rapid user growth
Rapid acceptance of two device platforms – Smartphones + Tablets
Rapid growth of payment systems for app & in-app monetization
Highly engaged consumers assisted by social tools
Large number of innovative developers
Dec-9
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N u m b e r o f
W eb s i t es
A p p s i n
A p p S t o r e
Projected to be 10x
bigger than dot-
com boom.
- Morgan Stanley
Fueled by proliferation of smartphones
10%
15%
20%
25%
30%
2011 2010 2009 2008 2007
Global Smartphone sales since 2007
26.6%
18.6
%
14.2
%
11.4
%
Smartphone
s
Feature
Phones
Global Smartphones vs. Feature Phones
subscription, Q4’11
953
m
6.1b
Glo
ba
l Su
bscri
ptio
ns (b
)
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Global smartphone sales to end users soared to 149 million
units in the fourth quarter of 2011, a 47.3% increase from
the fourth quarter of 2010.
End users bought 1.8 billion mobile devices globally in
2011; 26.6% (472 million) of those sales were
smartphones.
Despite tremendous ramp so far, smartphone user
adoption has huge upside.
Source: Gartner & Internet Trends, KPCB 2012
2. Mobilization
Splinternet: The fragmented mobile internet
Splinternet
App Distribution Models
Platform App Stores
OEM App Stores
3rd Party App Stores
Ice Cream
Honeycomb 7.0
Gingerbread 6.0 5.x Apollo
Froyo 5.0 4.x Tango
Eclair 4.7 3.x Mango
Donut 4.6 2.x NoDo
Cupcake 4.5 1.x WP7
Platform Versions
Mobile Platforms
Application Types
Native Hybrid
+
Web
Device Capabilities
Sensors
Screen Resolution
Audio/Video
Codecs
Limited Connectivity Always ON, anywhere
Primary device is fixed Primary device is mobile
IT has control User wants agility and freedom
Management and security inside
firewall Boundary-less security and manageability
3. Consumerization
Moving from... To...
95% of Information workers use self-purchased technology for work - Gartner
Apple Q3’2011:
•iPhone. Up from 88% last quarter.
•86% of the Fortune 500 is deploying or testing iPad. Up from 75% last quarter.
•57% of Global 500 companies testing or deploying iPhone is fueled by employee demand.
- Gartner
“The growing practice of introducing new technologies into consumer markets prior to industrial markets will be the most
significant trend affecting information technology (IT) during the next 10 years, according to Gartner, Inc. As a result, the
majority of new technologies enterprises adopt for their information systems between 2007 and 2012 will have roots in
consumer applications.”
4. Hyper-Connectivity
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80% Connected Subs at 2 AM!
means superfast internet, everywhere and always On
Office
Home
Vision of anywhere, anytime, any device
information, communications and entertainment is
becoming a reality.
Application and service demands are driving
efforts to increase bandwidth directly to the
subscriber premises.
H S PA LT E A D S L 2 F T T H
Hyper-Connectivity needs will
drive maximizing the use of
existing copper by using xDSL
& Vectoring technologies.
…eventually resulting in
transition from Copper to FTTH
for:
• Best speeds
• Best quality
• Best service
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da Yankee
Group
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Tra
ffic
Rela
tive t
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009
Industry consensus forecast doubling of
traffic
Source: FCC Mobile Broadband Report 2010
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Supersize me!
“Hyper-Connectivity Networks”
Its not the ‘bandwidth tsunami’ but the ‘signal storm’ that
makes every hour on the network, the Busy Hour!
Four
Major
Causes
Always On-Line Everywhere 1
No Data Transmission
Frequent UE State Transition 2
Frequent “Heartbeat”
Feature Phone Idle
Smartphone Heartbeats
Signal
ing
Data
3
IM
Web Surfing
Social Media
Message
Voice
Entertainment
Using Various Applications
Anytime
4
In Canada, while the data traffic has seen tremendous growth of over 100% YoY for the past three
years, the signaling traffic has grown by a staggering 2700%.
Innovation of “Connect, Communicate,
Collaborate” requires a new “outside-in”
approach
TELUS in Health
Targeted ICT can enable resolution of key health issues
Sustainability of the healthcare system is in question
Chronic Disease
Management prevalence increasing
Medication errors and compliance
causing important
quality issues
Long wait times, poor
access to care and lack of
continuity of care
Lack of focus on prevention
and patient self-
management
Need for improvement in performance to
address cost challenge
To support a profound healthcare transformation agenda, investment in
health IT needs to focus first and foremost on providing solutions that will address
these key issues in a sustainable way.
TELUS empowers healthcare improvement by....
Organizing information
Moving information securely
Connecting to share information
Making information meaningful
At TELUS, we turn information
into better health outcomes
Thereby touching the lives of everyone, one by one.
14
Organizing information
Providers, patients and payers
require applications that will help them manage
great amounts of data.
TELUS provides advanced applications for
managing health information while optimizing
clinical workflows
The result: information at your fingertips
Advanced
application
Clinical
workflow
expertise
Health Regions
Electronic Health Records
Hospitals
Clinical Information System
First Line Care
Electronic Medical Records
Home Care
Remote Patient Monitoring
Self Care
Personal Health Record
Pharmacies
Pharmacy management Systems
Insurers and Employers
Claims management
15
Moving information securely
Today, information resides within the
different organizations
To manage health efficiently,
information can no longer reside in
silos – it must be connected, shared
and secure.
TELUS invests in Care Continuum Solutions to
connect applications for secure information
sharing
The result: systems that talk to one another
Telecom
solutions
Secure
Integration
platforms
16
Telecom
Platforms to connect systems and applications
Hospitals
Clinical Information System
Self Care
Personal health record
Pharmacy
Pharmacy management Systems
Insurers and Employer
Claims management
Home Care
Remote Patient Monitoring
Clinical Collaboration Services
Telehealth
Health Regions
Electronic Health Records
First Line Care
Electronic Medical Records
Care Transitions
Medication Management
Care Coordination
Connecting to share information
Healthcare collaboration
requires reach.
Reach enables more rapid
acceptance
and adoption of health
IT solutions.
TELUS connects physicians, pharmacists and
allied healthcare providers
The TELUS brand reaches all Canadians
The result: people who talk to one another
Reach to
all health
providers
Reach to
patients and
consumers
Patients and
Consumers
Physicians
Pharmacists
Allied care
providers
Hospitals
Home care
organizations
Nurses
18
Strength in Numbers: Reaching physicians
EMR solutions help doctors track, monitor and manage their patient’s clinical information
quickly and accurately.
Number of physicians using our
Electronic Medical Record solution 1,600
Typical day for EMR usage:
see patients 26,845
19
Strength in Numbers: Reaching hospitals
OACIS unifies software platforms within health institutions, helping physicians and
caregivers to optimize their workflows.
26,000 Clinicians using OACIS
solutions in acute care
Establishments using OACIS solutions in
acute care 57
20
Strength in Numbers: Reaching pharmacists
Pharmacy management solutions help pharmacists provide better care and medication
management to their patients.
Pharmacies using TELUS
Pharmacy Management solutions 2,700
Patients registered with
TELUS Pharma Space 90,000
21
Strength in Numbers: Reaching consumers
Consumer and patient-centric tools to manage your health and that of your loved ones
550,000 TELUS TV customers
Wireless subscribers 7.4 M Covered by TELUS Health
Benefit Management solution 10 M
10,000 Telehomecare users
22
TELUS in health solutions span the care continuum
Remote Patient Monitoring
Chronic Disease Management
TELUS health space
TELUS personal health record
Consumer applications
Electronic Medical Records
Drug Information System
eReferrals
Result Distribution
Medication Reconciliation
TELUS iScheduler®
Care Coordination
Telehealth
Acute Care First Line Care Home Care and Self Care
OACIS Clinical Information System
Business Analytics relating to public health
Medication Reconciliation
Integrated Bedside Terminal
Human Resource Outsourcing
Mobility (Mobilizing health applications, Providing secure IP Anywhere and Mobile VPN)
Telecom Collaboration Services (Videoconferencing, Security and risk management, ID Management)
Infrastructure (Managed Infrastructure, Customer Premise Solutions, Solutions for voice and data)
Pharmacy management Systems
Point-of-sales
Consumer portals and applications
Mobile applications (prescription renewal, online shopping)
Business Analytics relating to drug prescriptions
Pharmacy and Pharmas
Drug, dental and extended healthcare claims and benefit adjudication
Management of providers for insurers and employers
Business Analytics relating to benefit programs costs
Human Resource Outsourcing
Insurers and Employers
Transformation Services (Strategy, Systems Implementation, Medication management, Clinician Engagement, Analytics)
Mobile Solutions for Healthcare
Maximizing Health and Telecom Assets Healthcare Delivery Organization Mobility Solutions
WIFI Option: Managed by TELUS
LTE (femto) cells and/or standard WIFI
BYOD is becoming the norm in
healthcare as MDs have their own
devices (85% IOS)
Proliferation and consumerization
of healthcare applications is putting
pressure on IT departments
Patient are increasingly demanding
access anywhere
Early market for MDM- <5% take-
up in healthcare across Canada
DRIVERS SOLUTION
Mobile Device Management
Option: Managed by TELUS
Public WIFI (Patients) Private WIFI (Staff)
Mobile Application Management
Option: Managed by TELUS
Hospital/Region App Store
Public App Store Private App Store
OACIS
HR/Pay
EMR PHR
Ed
RPM
Nurse
Home Clinic Facility
TELUS Public Wireless Network
Forms
Others Others M
obili
ty P
ackagin
g o
f S
erv
ices
Bundle
s,
Pro
cure
ment
3rd
Party
apps
OPTIK
TV
VOD
Co
nsu
ltin
g a
nd
Pro
fessio
na
l S
erv
ice
s
Mobilizing TELUS Health Applications
TELUS Health
Space
Personal
Health Record
Medical
Devices
eClaims
Mo
bile
Ap
ps
Ab
str
acti
on
Lay
er
Back-E
nd
Serv
ice
Marketing
Mobility BI
Identity
Mgmt
Mobile
Payment
Billing
TELUS
Mobile apps
Assets
nScreen
API’s
iOS Android, RIM, WM
Device level integration (camera¸, messaging, etc)
TELUS 3rd Party
EMR
OACIS
Clinique
OACIS 1ere
ligne
and
RPM
TELUS
Pharmacy
Space
OACIS
Consistent
UI
Across
TELUS apps
Remote Patient Monitoring (RPM) +
Mobility
Market Size/Trends
RPM
Multiple Devices
Personalized Care Plan
Patient Health Information
Multidisciplinary Care Team
Communication Link
Patient Station
• Intelligent Branch Logic Questioning with Interactive
Education Material (Protocol)
• Choice of Browser (web) or Client (Win or Linux)
Based Application. PLUS: iPhone, iPad and Blackberry
apps
• Vital Sign / Biometric Device Connectivity
• Multilingual Educational Platform
Clinical Station
• Rules-Based (branch logic) Monitoring Care Plans using
Evidence-based Protocols (Diabetes, COPD, CHF, Medication
Observance)
• Remote Patient Monitoring and Profile Viewing
• Adhoc Reporting Capabilities and Data Analysis
KEY FEATURES
• Personalized, evidence-based care plans
• Multiple modes of communications
• Comprehensive organizational hierarchy structure
Internet and
POTS line Connectivity
Care Coordination
Care Team Management
Secure messaging
Alerts and notifications
Workload Management
Portlet-based Web Portal
Accessible via tablet
computers and smartphones
Reporting and Analysis
Care plan - personalized
by patient
Patient Dashboard
Current to Future RPM Application Access
RPM Native APP
on Current Tablet
Platforms
RPM is accessed 2 methods 1) Thick
Client JAVA client on PC or 2) Through a
PC browser
Consumer Tablets
are more
conducive to home
care therefore…
RPM Application Access
Public Open Access
Open Hotspots, Home
Tablet Profile
Management MDM
RPM App Native
on Tablet
App
Login
Back-end APP
infrastructure
Pharmacy + Mobility
TELUS Pharmacy
Provide tools to pharmacies
that Canadians Want
Web Services
Pharmacy Management System integration
Pharmacy Website
Communication with healthcare
professionals
Access to personal health data:
pharmacological profile
Online prescription renewal
Ability to book appointments with
healthcare professionals online
TELUS Pharma Space
Web S
erv
ices Web Services
Web S
erv
ices
Pharmacy web portal
(Pharmacy Patient Account) Mobile
App
Administration Web Portal
Business intelligence
Caregiver / facility
TELUS Pharma Space Mobile
Simplified Refills
One-click prescription
refill from anywhere
Drug Information
Access information
anytime
Medication History
Medication history at your
fingertips
Mobility simplifies medication management
Enhancing the Pharmacy Business
Promotions
Real-time product
promotions
Geolocation
Geolocation of points of sales
Supporting Pharmacy chains promotion activities
Making information meaningful
Understanding health
information requires knowledge
and training
Making health information
meaningful requires business
intelligence
TELUS data and business intelligence tools
provide the analytics; our industry experts
provide the insights
The result: Big data that tells a story
Access
to data
BI
Capabilitites
and
transformation
services
37
So why is TELUS the right Health IT partner?
TELUS is more than a telecom company
The combination of our solutions, services and knowledge can effectively
Turn Information into better health outcomes
Telecom
infrastructure
Secure
integration
platforms
Value-add
application
Reach within
the care
communities
Health-
specific
expertise
Reach to
consumers and
reputation
Access
to data
BI
Capabilitites
and
transformation
services + + + + + + +
Information for Life =
38
Thank you!
