феш Orange healthcare m_health drivers and opportunities moscow 02242013

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Orange Healthcare Orange Healthcare Orange Healthcare Orange Healthcare –––– the 24th of April, 2013the 24th of April, 2013the 24th of April, 2013the 24th of April, 2013

mHealthmHealthmHealthmHealth drivers, opportunities and trends: drivers, opportunities and trends: drivers, opportunities and trends: drivers, opportunities and trends:

the Orange Healthcare experiencethe Orange Healthcare experiencethe Orange Healthcare experiencethe Orange Healthcare experience

Alexandre Faesch

The Orange group = our main assets are our strong customer base and ability to cover all communication fields

3 Orange Business Services Russia

The Orange Group - key figures

45.5 billion euros in

2012 revenues

5.8 billion euros in capital

expenditure

170,000employees worldwide

4 Strictly confidential - Internal company use only

Who we are in Russia?

� Orange Business Services is the only international telecommunication and integration

services provider in Russia with its own infrastructure

� serving 5 000 + 15 000 business customers and operators all over the country with full

set of fixed voice and data licenses and services

� present in Russia since 1958 through SITA

� operating under the Orange Business Services trademark since 2006

16 000 kmbackbone and access network

CIS rep offices :Ukraine, Kazakhstan, Belarus

15 sales offices in major cities

1100 employees

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part 1 mHealth drivers

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the context for mhealth…

Worldwide, between

2010 and 2050, people

aged 60 and more :

+100+100+100+100 %%%%1111

People aged 80 and

more : +100+100+100+100 %%%%1111

Spending for seniors to Spending for seniors to Spending for seniors to Spending for seniors to

double or more by 2050, double or more by 2050, double or more by 2050, double or more by 2050,

says OECDsays OECDsays OECDsays OECD

In India, by 2015, 59% of

the total deaths would

be due to NCDs

In 2010 , in Africa (excl. North In 2010 , in Africa (excl. North In 2010 , in Africa (excl. North In 2010 , in Africa (excl. North

Africa) child mortality was Africa) child mortality was Africa) child mortality was Africa) child mortality was

1.2%.1.2%.1.2%.1.2%.3333

4 diseases are responsible for 4 diseases are responsible for 4 diseases are responsible for 4 diseases are responsible for

50% of these deaths.50% of these deaths.50% of these deaths.50% of these deaths. 3333

~30%~30%~30%~30% of drugs

of any given

medicine can be

counterfeit

wordwilde2

1 : accord the WHO, 2011

2 : according the WHO. (Source: The Times-UK, February, 2009)

3: Millenium report

4 : Informa WCIS (March 2011) – Telegeography 2013

5: World Health Statistics 2010 - WHO

1- m-health drivers

Europe & Europe & Europe & Europe &

North AmericaNorth AmericaNorth AmericaNorth America

Federation of Federation of Federation of Federation of

RussiaRussiaRussiaRussiaAccessAccessAccessAccess

Mobile Mobile Mobile Mobile

PenetrationPenetrationPenetrationPenetration4444

Healthcare costs Healthcare costs Healthcare costs Healthcare costs

(% GDP)(% GDP)(% GDP)(% GDP)5555

118%

184%

11%

5.6%

EfficiencyEfficiencyEfficiencyEfficiency

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how can mHealth help?

Improve maternal

health

----30%30%30%30%

Maternal deaths per 100,000 live births

----68%68%68%68%

Combat HIV/AIDS, Malaria

and other diseasesTuberlocis prevalence per 100,000

* * ****

Source from BCG The socio-Economic Impact of Mobile Health, April 2012

*: As of latest WHO data from 2009 to be comparable across countries.

**: Bangladesh Maternal Mortality and Health Care Survey states 322 in 2011 and 194 in 2013. Assuming full -scale roll-out of selected services from 2012

Source: WHO; Government of Bangladesh; United Nations; BCG analysis

1- m-health drivers

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part 2 success stories from Orange Healthcare

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Orange Healthcare - 2012Orange Healthcare – 2012 Orange HealthcareOrange HealthcareOrange HealthcareOrange Healthcare

hosting and sharing of medical

imagingremote monitoring of cardiac

arrhythmia

drug authentication

in 2013, Orange offers solutions in 3 areas

services for healthcare services for healthcare services for healthcare services for healthcare

professionalsprofessionalsprofessionalsprofessionals

remote healthcare remote healthcare remote healthcare remote healthcare

monitoring servicesmonitoring servicesmonitoring servicesmonitoring services

preventive servicespreventive servicespreventive servicespreventive services

professionals to professionals to professionals to professionals to

professionalsprofessionalsprofessionalsprofessionals

professionals to professionals to professionals to professionals to

patientspatientspatientspatientspatient patient patient patient

2- Orange success stories

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OrangeOrangeOrangeOrange

Value ChainValue ChainValue ChainValue Chain

Health Health Health Health

ApplicationsApplicationsApplicationsApplications Healthcare ecosystemHealthcare ecosystemHealthcare ecosystemHealthcare ecosystem

Health

“Computing”

(hosting)

PartnersPartnersPartnersPartnersPartners Partners Partners Partners

PatientsPatientsPatientsPatients

MedicalMedicalMedicalMedical

DevicesDevicesDevicesDevices

Consulting, IntegrationConsulting, IntegrationConsulting, IntegrationConsulting, Integration

M2M,

International

backbones &

Last mile

Global

Integration,

Helpdesk,

services to end

users

Specific

developments

(Security,

portals)

Our value chain is tightly linked with key partners:

medical device manufacturers, health apps editors...


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mHealthmHealthmHealthmHealth provides worldwide opportunitiesprovides worldwide opportunitiesprovides worldwide opportunitiesprovides worldwide opportunities

HealthlineHealthlineHealthlineHealthline in BhutanBhutanBhutanBhutan

to contact health pros

SMS for pharmacies SMS for pharmacies SMS for pharmacies SMS for pharmacies

on dutyon dutyon dutyon duty in Ivory CoastIvory CoastIvory CoastIvory Coast

Remote monitoringRemote monitoringRemote monitoringRemote monitoring of

cardiac patients in

Europe &Europe &Europe &Europe & USAUSAUSAUSA

SMS appointment SMS appointment SMS appointment SMS appointment

reminderreminderreminderreminder with the NHS

in UKUKUKUK

Drug authentication Drug authentication Drug authentication Drug authentication

via SMSvia SMSvia SMSvia SMS in KenyaKenyaKenyaKenya

Health Pro PackHealth Pro PackHealth Pro PackHealth Pro Pack

incl. mobile apps

in FranceFranceFranceFrance

GlycemiaGlycemiaGlycemiaGlycemia monitoringmonitoringmonitoringmonitoring

on iPhone in SpainSpainSpainSpain

TeledermatologyTeledermatologyTeledermatologyTeledermatology in EgyptEgyptEgyptEgypt

and BotswanaBotswanaBotswanaBotswana


Medical complianceMedical complianceMedical complianceMedical compliance

in FranceFranceFranceFrance

Health data collection on mobileHealth data collection on mobileHealth data collection on mobileHealth data collection on mobile

child and maternity care child and maternity care child and maternity care child and maternity care

in Mali and SenegalMali and SenegalMali and SenegalMali and Senegal

Epidemiological Epidemiological Epidemiological Epidemiological

surveillance and training surveillance and training surveillance and training surveillance and training

inininin SenegalSenegalSenegalSenegal

interactive SMS quiz interactive SMS quiz interactive SMS quiz interactive SMS quiz

for prevention & awareness for prevention & awareness for prevention & awareness for prevention & awareness

in CameroonCameroonCameroonCameroon

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case 1:

Sanofi and Orange

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Sanofi and Orange use innovation to facilitate the

management of patients’ diabetes


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DiabeTIC: communication between HCP & patients

Mobile Computer

patients with BGStar or iBGStar

patients with other BGMs

Storage and analysis

HCPPATIENT

DNE

Available to all patients (not only i/BGStar patients)


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part 3 … examining the

issues of mhealth

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1st challenge: business model

B2G or B2B2C or

B2C?

how can consumers be educated about and persuaded to use such a drug counterfeit service?

how can pharmacist be incentivized

to positively promote such a service?who will fund services?

can pharmas government, NGO finance services? why?

does a government need to constrain the installation of a

service ?

Is the system open to abuse – such as counterfeiters providing bogus SMS

checking numbers themselves?

what other kinds of similar services

could be developed?

3- challenges and opportunities

how to swap from a pilot to generalize solution?

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2nd challenge: dilution of responsibility, value chain

complexity

Mobile Computer

patients with BGStar or iBGStar

patients with other BGMs

Storage and analysis

HCPPATIENT

DNE

connectivity


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3rd challenge: regulation


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4th challenge: data overflow for health professionals

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What are the next steps?What are the next steps?What are the next steps?What are the next steps?

4- prospectives

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Orange is launching new services: leveraging SIM cards,

and identity association technology, Orange is overcoming

security challenges for health data mobility

health hosting

compliant with health standards

SIM-based identification solution to

address mobility

security

INTEGRATION

helpdesk

4- prospectives

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Thank youThank youThank youThank you

Economy & Finance

феш Orange healthcare m_health drivers and opportunities moscow 02242013