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eHealth - a must have, not a nice to have for our society
1. - A must have, not a nice to have for our society
Points of difference
Product differentiation
beyond connectivity
Market strength - Consumer
Market strength – Corporate /
Government
Service provisioning capability
Leading OBs
2015 Revenue target*
€Bn 0.3-0.6
*According to guidance criteria
MR. JOSE PERDOMO
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2. Telefónica Digital’s eHealth
The case of Remote Patient Management
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(Chronics – RPM)
2 Delivering peace of mind for your loved ones
(Mobile Telecare)
3 LATAM – The emerging big prize
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3. 1
Remote patient management
– an essential transformation in healthcare
Unsustainable healthcare … … but a new way is possible
Spend outpacing GDP growth by about Proven “reported” reduction rates
2 p.p./year driven by aging population with
chronic conditions Mortality rate 45%
Emergency admissions 20%
Chronic conditions represent:
• 70-80% of costs, 2/3 of spending A&E visits 15%
growth, 30-40% of population Elective admissions 14%
• 50% of hospitalisations – high annual
rate of readmissions of 45-55% (high Bed days 14%
risk patients), and 700-1000 €/ day with Tariff costs 8%
an average length of stay of ~ 7.5 days.
We can help to address optimization in at least 25% of healthcare budgets
SOURCES: OECD Policy implications of New Economy 2000-2050; World Development Indicators database, World SOURCE: The Whole System Demonstrator project run by the UK
Bank, 1 July 2011; Kaiser Permanente Pyramid Model of Care; World Economic Forum 2007: “Working Towards Department of Health provided evidence involving 6,000 patients, started
Wellness. Accelerating the Prevention of Chronic Disease«; IESE Business School; Deloitte Consulting. in September 2010.
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4. 1
Remote Healthcare
– a fundamental need for the sector
Remote healthcare for three million patients
http://www.3millionlives.co.uk/
"We’ve trialled it, it’s been a huge success – it works”
"The aim – to improve three million lives over the next
five years”
"It’s going to put us miles ahead
of other countries”
“ … in partnership with the industry”
A 1 billion euro market
Source: http://www.telegraph.co.uk
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5. 1
Our proposition - an e2e service, truly patient
centered
Multi-device and secured
Biometrics & Clinical Management We are uniquely positioned to deliver
mass e2e consumer services (B2B2C)
Multichannel Communications
Multichannel Comms. and an ability to build change…
Content Management & BI
… based on a “per connected patient”
Logistics/ Operations/ I+M business model
Technical Support
Chronic Pop. Expected
Medical Staff Distribution ARPU
Patients
1-2%* High 100-200 €/ month
5% Medium 30-50 €/ month
25% Low <1 €/ month
Level of Risk
Integrated, inter - Home and mobile,
* Approx. 30-50% of total cost of care
connecting professionals simple user experience SOURCE: Kaiser Permanente Pyramid model of care
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6. 1
We will deliver the first service in Europe (then in
LATAM)
Spain UK
Valencia Health Agency NHS Lothian
1.7 M chronic patients* 300k chronic patients; 15-30k mid/high
Building 75-85k are high risk* risk*
presence First 12,000 patients in 2012 Trial for 300 COPD3 and CHF
and 16 care programs designed Potentially growing to 10k in 2013
evidence North Somerset
Hospital del Mar (Barcelona) Trial service with 100 COPD
(trials)
200 CHF1 patients 1,000 connections potentially
Results aligned with UK WSD2 by end of 2013
Building NHS: Airedale, Rotherham, Camden and
Basque Country, Galicia, Catalonia,
Islington
the pipeline Castilla La Mancha, Andalucía, Madrid
Lloyds Healthcare Services
1 CHF:Congestive Heart Failure
2 WSD: Whole System Demonstrator
3 COPD: Chronic Obstructive Pulmonary Disease
* Estimated based on population and industry economics (see sources in page 3)
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7. 2
A substantial market opportunity for the mobile telecare
service
• Home/elderly care homes
5% covered by system* • 2.5 million users already in SP & UK
25% of Europe with fixed telecare services (20 €/
population fragile, looking month ARPU)*
for independent or
assisted living*
B2B2C via local
authorities / private
institutions
Target customers:
• Elderly 20% not covered*
• Middle risk chronic B2C
patients Launch first
• Med-high dependency in September in UK
• Disabled
*Source: Antares Consulting S.A.
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8. 2
Mobile Telecare - Help @ Hand already launched in
the UK (for B2B)…
Users • First client – Leeds County Council
• 19 Health Organisations in “Try and Buy”
Devices • Pipeline of 75 clients (public and private)
Emergency
Platform services
Call Centre 24x7
• Alarm response
• Proactivity
Service features
Price per user: Mobile
• Panic button, fall detection
120-299 £ set-up, Carers
• Reminders Web & Mobile
including device
• Location & “safe zones”
20 £/month • Device management
service fee
• User-friendly web
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9. 2
… and launching in September for B2C - positioned as
mobile personal alarm support
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10. 3
LATAM - a market with a unique potential
Large out-of-pocket market (€32 Bn in Brazil*)
Greenfield in many areas – e.g. Telecare services
Large and growing private-payer insurance sector
(25% of pops, >€1,100/person growing at 20% YoY)*
A public sector which can do things completely
differently
*Source: Mensor Consultoría y Estrategia
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11. 3
We are now moving forward to capture the LATAM
opportunity (e.g. Brazil)
Delivering unique direct to Leveraging know-how and tech
1 2
consumer services from EU into LATAM
2 services launched in Q1
360k users in just three months
(€4 M recurring annual revenue) 6 million capitas
Incremental 5-10% ARPU approx. 20 million capitas
9/10 for satisfaction and recommendation Delivering automatic appointment
management
Exploring remote patient management
3 Building unique capabilities - Chronic Disease Management
30,000 remotely managed patients
Double digit growth
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12. eHealth – the global picture
Services
Remote Patient
Management RPM for Chronic patients
Telecare “Help@Hand”
Health CRM/ Emergencies
Health IT
Digital Imaging
Mobile productivity
“Digital” Hospital
eHealth B2C
Telecare
Telehealth
Available/ leading OB
Being deployed
Planned
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13. We can truly change people’s lives – their energy will
make things happen
Indicators*
" I won’t give it back… It changes
Recommendation 100%
the whole concept of my life… ”
Satisfaction 95% “It's a great peace of mind…
When I check the device, all the
Prefer telehealth 81% vital signs and so… and everything
is perfect…”
“I feel much more confident
knowing that someone is keeping
an eye on my health every day. I
think it’s great.”
* SOURCE: iCor Project with Parc de Salut Mar, Spain.
http://clinicaltrials.gov/ct2/show/NCT01495078?term=iCor&rank=1
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14. In summary…
A clear demand, a clear need, with growing evidence and
institutional support, …
… a new category – “truly changing people´s lives”
Uniquely positioned, building credibility and market
presence, ahead of competition
Ready to materialize for when the market takes off – still
some uncertainty in terms of timing of the “tipping point”
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15. Get in touch
Explore our Hub: http://www.telefonica.com/digitalhub
Track us on Twitter: http://www.twitter.com/tefdigital
Watch our latest videos: http://www.youtube.com/telefonicadigital
Look us up on LinkedIn: http://www.linkedin.com/company/telef-nica-digital
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