eHealth is Going Mainstream: Why, How & When? - Ville Koiste at the Nordic Digital Business Summit 2014

eHealth Is Going Mainstream: Why, How and When?
Ville Koiste, Sitra. 4.9.2014
ville.koiste@sitra.fi
@villekoiste

“eHealthis about improving the flow of information, through electronic means, to support the delivery of health services and the management of health systems” World Health Organization
Sitra • Ville Koiste • 04.09.2014 • 2

eHealth
Remote consultation
Communication with professionals
Health information management
Online booking
Lifestyle coaching & decision support
Sensors & monitoring tools
Virtual health checks & surveys

eHealth is going mainstream: Why?

•Overall health spending accounts for approx. 9 % of GDP in OECD countries (e.g. Finland 9,1 & USA 16,9 %)
•Global health spending growth will be 5-6 % / p.a. between 2014-2017
•Healthcare systems are facing challenges such as
•aging population
•chronic diseases
•uneven quality
•imbalanced accessto care etc.
Healthcare costs are rising –cost-effective solutions are needed
”Silver tsunami”
Source: http://www2.deloitte.com/content/dam/Deloitte/dk/Documents/ life-sciences-health-care/Global-health-care-2014.pdf

•staffed by board certified nurse practitioners
•a personalized diagnosis, a treatment plan and a prescription if you need it -all in about 30 minutes and all online
•If symptoms or medical history suggest that online care is not appropriate, patient is redirected to doctor's office, test lab, physical exam etc.
Source: http://www.businesswire.com/news/home/20140617005116/en/virtuwell-surpasses-100000-cases-treated#.U6LBG_mSx1Y
Case ’Virtuwell’ -24/7 online clinic that treats everyday medical conditions (USA)
So far Virtuwellhas had 100,000 completed visits:
•an average savings of $88 per visit
•one Virtuwellvisit can save up to 2,5 hours as indicated by Virtuwellcustomers
•98 % of customers recommend the service

McGinnis, et al., Health Affairs; 21(2), 2002
Health Care
Environmental& social factors
Genetics
Behaviour & lifestyle
Many factors combine together to affect our health

Big data in healthcare: Data traffic jams or improved value and preventive care?
Health data
Research data
Genomics
Wearables & behavioral data

Citizens are ready for eHealth

In 2013, Sitra conducted an interview survey that included 1085 Finnish citizens:
•70 % think eHealth services are beneficial for them
•74 % want more eHealth services
More than 2,400 Canadians participated in PwC’s research: “What does the future of health care delivery look like?
•79% of Canadians indicate that they are comfortable with virtual monitoring for chronic conditions
•54% of Canadians indicate that virtual visits, home monitoring, and virtual wards are good care delivery options
Source: https://coachorg.com/en/communities/resources/ATA_Fall_Forum_Presentations/ATA_Toronto_Falk_Sept_10_2013_Final.pdf
Attitudes among Finnish and Canadian citizens

The Accenture online survey of 1,110 U.S. patients (06/2012):
•90 % want to self-manage their healthcare leveraging technology, such as accessing medical information, refilling prescriptions and booking appointments online
•90 % prefer web-based access to health information and education to help manage conditions
Similarly, Cisco study (2013) that includes 1,547 responses across ten countries,
reveals that 74 % of consumers are open to virtual doctor visit
Sources: http://www.accenture.com/SiteCollectionDocuments/PDF/Accenture-Is-Healthcare-Self-Service-Online-Enough-to-Satisfy- Patients.pdf; http://newsroom.cisco.com/release/1148539/Cisco-Study-Reveals-74-Percent-of-Consumers-Open-to-Virtual- Doctor-Visit
Most patients want to self-manage healthcare online

Why eHealth?
Faster access to care
Saving money & time,
e.g. less travel
Health monitoring is easy
Sources: PwC 09/2013 & Sitra 03/2013
Communication with professionals

80 % of US physicians believe virtual assistants will drastically change healthcareby 2018
(Nuance Communications survey 02/2013)
80 % of Spanish health professionals would be willing to use telemedicine if it were available to them
(Telefonica 2013)
59 % of Canadian physicians believe that the use of mHealth tools and virtual care is inevitable, but adoption will take time
(PwC’s survey 09/2013)
And the professionals…?

eHealth is going mainstream: How?

As eHealthempowers citizens to monitor their health, make more informed decisions, interact with the healthcare system, receive more personalized services…
Pic source: Oliver Wyman; The Volume-to-Value Revolution, 2012

“Citizens become active healthcare consumers, rather than passive participants” Six Trends in an Era of Consumer-Driven Healthcare. Becker's Hospital Review

eHealthis transforming healthcare and potentially saving lives, especially in low- income countries

New business models, new institutions?

Source: http://www.pwc.com/us/en/health-industries/healthcare-new- entrants/assets/pwc-hri-new-entrants-chart-pack.pdf 19 Sitra • Ville Koiste • 04.09.2014 •
Health sector is attracting new playersPwC 04/2014: Who will be the industry’s Amazon.com?

Sources: The Verge 15.10.2013; WSJ 28.5.2014; Forbes 22.8.2014

Source: http://www.fastcompany.com/3031385/most-innovative-companies/inside- apple-the-mayo-clinics-new-partnership 21 Sitra • Ville Koiste • 04.09.2014 •
Partnershipsacross industries

Source: Rock Health 2014. http://www.slideshare.net/RockHealth/digital-36395071
Digital health startups are getting more funding than ever

NY Times 16.11.2013:
”One area getting increased attention, both from private and state investors in Finland, is health care”
The Next Web 19.11.2013:
“A wider push for health at Slush 2013: 120 health and wellness startups… Come Slush 2014 we think health will be the headline act”
Photo: Tuomo Lampinen
SLUSH 2013
Health & life sciences was the largest industry category with 127 startups

Virtual clinic
• Data integration and mining
• Decision support
Research and reference
database
• Cohorts
• Biobanks
• Research articles
Electronic health records
• Patient information –
”sickness data”
Citizen’s interface,
e.g. webpage/mobile
application
eService portal &
online booking
tool
Virtual health (e.g. palveluvaaka.fi)
check
Mobile & walk-in
service channels,
remote consultations
Pic. sources: Intel Free Press, flickr.com/photos/neven/, Healthspot.com
Personal health records
• Health & wellness data
• Genetic data
Health
information &
personal risk
assesment

eHealth is going mainstream: When?

•Telefónica, one of the largest telecom companies in the world, has over 2 million eHealthservice customers in Latin America in the B2C segment
•The number of eVisitswill climb to 100 million this year -potentially saving over $5 billion, according to Deloitte’s research (2014): e.g. Kaiser Permanente’s ’HouseCalls’ virtual service had 15 million eVisits in 2013
•The share of large employers, with more than 5,000 workers, who offer telemedicine services increased to 17 % in 2013, from 12 % the year before (Survey of nearly 3,000 large employers by the global consulting firm Mercer)
•Finnish Student Health Service provides health services for around 135 000 university students in Finland –currently tests video consultations via MeeDoc, a Finnish real-time video app
Facts, figures and case examples

“Devices will bolster care in ways previously unthinkable”
The Economist

sitra.fi
Facebook.com/SitraFund
@SitraFund
Building a successful Finland for tomorrow

eHealth is Going Mainstream: Why, How & When? - Ville Koiste at the Nordic Digital Business Summit 2014

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eHealth is Going Mainstream: Why, How & When? - Ville Koiste at the Nordic Digital Business Summit 2014