Rafael Chavez

Video: transformando el

cuidado de la salud

BDM Business Video - rchavez@cisco.com

Jun/2012

“65% of companies are deploying at

least one enterprise social software tool.”

“20% of professional PCs will be

managed under a hosted virtual

desktop model by 2013.”

“By 2015, 200 million workers

globally will take advantage of

company‐supplied desktop

videoconferencing solutions”

“90% of enterprises have begun or

plan “Bring Your Own Device”

initiatives.”

“Apple is now the top PC vendor

if you consider iPad a PC.”

“Sales of smartphones and

tablets are now greater than

all PCs, including notebooks.”

“One third of corporations

say they are using video at

least once per week.”

Source: Cisco Visual Networking Index (VNI) Global IP Traffic Forecast, 2010–2015

IP Traffic Scale

IP Traffic Metric How much is that?

1 Kilobyte (KB) 1,000 bytes

10 KBs: A page out of an encyclopedia

100 KBs: A low-resolution photograph

1 Megabyte (MB) 1,000,000 bytes

1 MB: A 3.5 inch diskette

500 MBs: A CD-ROM disk

1 Gigabyte (GB) 1,000,000,000 bytes

1 GB: A broadcast-quality movie (standard definition)

5 GBs: Audio collection of all the works of Beethoven

1 Terabyte (TB) 1,000,000,000,000 bytes

1 TB: About 240,000 audio tracks (songs) 10 TBs: Printed collection of the U. S. Library of Congress

1 Petabyte (PB) 1,000,000,000,000,000 bytes

1 PB: 13.3 years of HD broadcast TV video

200 PBs: All printed material ever produced by mankind

1 Exabyte (EB) 1,000,000,000,000,000,000 bytes

5 EBs: All words ever spoken by human beings

1 Zettabyte (ZB) 1,000,000,000,000,000,000,000 bytes

1 ZB: All of the world’s digitally stored data through 2010

1 Yottabyte (YB) 1,000,000,000,000,000,000,000,000 bytes

20 YBs: A holographic snapshot of the earth’s surface

Entering the Zettabyte Era

•By 2015, global IP traffic will reach an annual run rate of 966 exabytes per year

966 Exabytes is equal to: • 8X more than all IP traffic generated in 2008 (121 EB) • 28 million DVDs per hour

• What is a zettabye?

• One sextillion bytes

• Approximately 10 to the 21st power (1,000,000,000,000,000,000,000) bytes

•Source: Cisco Visual Networking Index (VNI) Global IP Traffic Forecast, 2010–2015

Global IP Traffic Drivers, 2010–2015

Source: Cisco Visual Networking Index (VNI) Global IP Traffic Forecast, 2010–2015

More Devices

More Internet Users

Faster Broadband Speeds

More Rich Media Content

Key Growth Factors

Nearly 15B Connections 4-Fold Speed Increase

3 Billion Internet Users 1M Video Minutes per Second

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

2010 2011 2012 2013 2014 2015

Peta

byte

s /

Mo

nth

VoIP

Online Gaming

Web/Data

File Sharing

Internet Video

Global Consumer Internet Traffic / Applications Internet Video dominates consumer Internet traffic

Online Gaming and VoIP forecast to be 0.79% of all consumer Internet traffic in 2015

15%

24%

61%

Source: Cisco Visual Networking Index (VNI) Global IP Traffic Forecast, 2010–2015

34% CAGR 2010–2015

Internet Video

In Latin America, Internet video traffic will be 66% of all consumer Internet traffic in 2015, up from 46% in 2010.

In Mexico, Internet video traffic will be 59% of all consumer Internet traffic in 2015, up from 41% in 2010.

Source: Cisco Visual Networking Index (VNI) Global IP Traffic Forecast, 2010–2015

Mobile, Social,

Visual, Virtual

Welcome To The Post-PC World… And The New Collaboration Experience

Mobil

Video

Virtual

Social

Multiple Transitions Driving Collaboration…

from phone to virtual workspace

Mobile

Mobile from phone to virtual workspace

Cisco Jabber

PC & MAC Android & iOS

Tablets

Smartphones

WebEx on Android

Mobile from phone to virtual workspace

from personal productivity to organizational productivity

Social

Social from personal productivity to organizational

productivity

SocialMiner

Virtual

from virtualized applications to virtualized experiences

Virtual from virtualized applications to virtualized

experiences

Standalone Integrated Mobile

Video

from connecting devices to connecting people

Video from connecting devices to connecting

people

Video on Every

Endpoint

Video Delivers the Most Natural Communication Experience

Words convey meaning, a picture says a thousand words, and video does it all

Cumbre Virtual Latino America

Network Infrastructure

Mobile Carts

Purpose-built

consultation

systems

delivering

flexibility and

mobility in a

clinical setting

Remote Consultations

Field Response Home Health Administrative

Physicians see

patients from

remote office or

home setting for

scheduled or ad

hoc consults

Portable, rugged,

and compact

telepresence for

emergency

response

and field

scenarios

In-home

telepresence

delivering face-

to-face consults

for chronically ill

patients

Full Cisco

Telepresence

portfolio!

Call Control and

Firewall Traversal

Conferencing

Management

Interoperability /

Gateway

Streaming and

Recording

Vertical solutions for healthcare

Aging population Physician shortages Rural population

Greater demand

for services

Increasingly strained

supply of services

Large % of population

lacks access to

qualified providers Sources: Frost & Sullivan, Association of American Medical Colleges, WHO

Healthcare trends

The Opportunity In Healthcare Three key imperatives

Only going to get more difficult…

• Aging population

• Prevalence of chronic disease

Currently falling short

• Physician shortages

• Healthcare reform bringing 35M new people into the system

• Quality lagging rest of world

- Quality scores rising by only 2% per year across 169 clinical measures

- U.S. ranks 6th of 7 industrialized nations on quality of care

• Improve quality of care

- Better clinical outcomes

- Fewer medical errors

- Higher patient satisfaction

2

• Broaden access to care

- Health insurance

- Distance

• Access is uneven and insufficient

- In U.S. 35M uninsured + more underinsured

- Globally 75% of healthcare providers practice in urban centers, 60% live in rural areas

1

• Skyrocketing healthcare costs

- Healthcare spend grew from 7% of GDP in 1970 to 18% in 2010

- Health insurance premiums up 119% between 1999 and 2008, compared with wage growth of only 34%

• Reduce cost of care

- Improve operational efficiency

- Reduce administrative costs

- Provide appropriate level of care

3

Global market for telemedicine technology

is growing rapidly

Source: BCC Research

Primary applications for video in healthcare

Home Healthcare Monitor and provide support

for patients in home or

remote areas.

Consultation at a Distance Provide clinical services across

distances using advanced

telecommunications technology

Administrative Reduce the cost of

managing a large

area facility and/or

hospital

Video Interpretation

Language translation services

Continuing Medical Education Education on medical

procedures, policies, and other

Operational Coordination Improve collaboration capabilities for

grand rounds, case reviews, tumor

boards, clinical application decisions, etc.

© 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 26

Consultation at a Distance

Cisco’s TelePresence Solutions

Provide Consultation at a Distance

Examples

• Specialist referrals

• Collaborative virtual care teams

• Emergency care

• Pre and post operative visits

• Mental health

• Ambulatory / EMS care

• Military care

© 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 27

Continuing Medical Education (CME)

Certifications and continuing education remain challenging within the Healthcare

Community. The need is to keep practitioners and nurses in their

communities while keeping them trained and certified.

Cisco’s TelePresence Solutions

Provide for Continuing Medical Education

© 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 28

Continuing Medical Education (CME)

Examples

• Efficiently train dispersed groups without travel requirements

• Present new information in a single session

• Provide timely educational updates with shorter lead times

• Better satisfy CME requirements

Benefits

• Keep doctors and nurses in their local facilities ready for emergencies

• Reduce costs by training more people in a single session

• Gain access to remote expertise as guest teachers, lecturers

• Eliminate travel demands and keep certifications up to date

“There is no way we can afford the inefficiency of having our

practitioners and managers travel three or four hours for training sessions”

© 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 29

Administrative Gains

Healthcare facilities around the globe have issues managing the business in a profitable fashion. The cost of providing healthcare continues to rise with little to

no capability of reducing costs.

Cisco’s TelePresence Solutions

Reduce costs and provide for Administrative Gains!

© 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 30

Administrative Gains

Examples

• Virtual Grand Rounds

• Recruit top doctors and specialists regardless of their physical location

• Centralized nursing help to respond more quickly to patient needs

• Remote attendance at scheduled management and staff meetings

• Ad-hoc face-to-face collaboration throughout one or many facilities

• External communication with payers, suppliers, pharma reps, etc.

Benefits

• Release beds earlier through more efficient patient management

• Fewer patient transfers

• Accelerated decision-making

• Leverage competencies and expertise throughout the system

• Reduce travel costs

• Increase work/life balance and staff flexibility

• Green initiatives

© 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 31

Video Interpretation

No longer does language need to be a barrier for top quality treatment… The

doctor, nurse, patient and specialty practitioner no longer need to speak the same language – including the deaf - in

order to effectively communicate.

Cisco’s TelePresence Solutions

Solve the language barrier problem!

© 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 32

Home Healthcare

Providing daily health monitoring services to enable patients to have easier access to physicians without

having to go to the hospital

Cisco’s TelePresence Solutions

will scale to the home to transform treatment and follow-up care

Operational

ROI

Productivity

ROI

Strategic

ROI

Cost Avoidance Process Optimization Business Transformation

Telemedicine offers three strong sources of ROI for

healthcare providers

• More effective use of operational assets

• Lower Comm. Costs • Reduce Travel Expenses • Lower Real Estate Expenses

• Increase time spent on care • Reduce time on documentation & non-value added activities • Reduce patient wait times • Reduce communications errors

• Expand care to new locations • Expand delivery of services to underserved locations • Create new operational models of care delivery

Thank you.