This document discusses using mobile health (m-health) applications to improve healthcare access and quality in remote and underserved communities in Vietnam. It proposes developing a pilot m-health program that would use connected smartphones and sensors to remotely monitor patients, provide medical education to healthcare workers, and enable teleconsultations with specialists. The goal is to address challenges like lack of trained providers and resources through low-cost technologies. Initial focus areas could include maternal/child health, emergency care, and managing chronic conditions. Key steps outlined include developing proof-of-concept applications, defining pilot objectives and scope, integrating the necessary technologies, and creating sustainable business models and partnerships to expand the program.

1. Good Health to Remote / Poor Community
Lacking Medical Experts
“to the underserved & remote communities”
Discussion Paper ONTOMED

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3. Intro to Mobile Health Market (MHC)
• M-health, is the practice of medicine & public health, using
connected 3G smart mobile devices
• A 26 billion dollar industry by 2017
• Now 4 million free and 300K paid downloads / day
• Research: by 2017 : 50% of devices hold 1+ MHC apps
• Physicians; 80% now use 3G Smart Phones/Devices:
– 93% believe it can improve patient health
– 93% value MHC apps connected to Emergency Health
– 40% believe MHC will reduce number of medical visits
– 25% already use one or more MHC application
• #1 MHC application is : Emergency Care / Medical Help
Sources: Multiple

4. MHC Challenges to Developing Nations
• Public Dr pay is poor – Dr’s complement by private practice =>
leading to inferior emergency & HC care skills
• Dr don’t attend continuous education : too expensive, no time
• Smart 3G MHC: A possible paradigm quality care shift :
– Various remote diagnostics: picture, sensors etc
– MHC 3G local patient (analytical) health monitoring
– Automated remote expert escalation severity alarms for corrective
medical action supported by analytics
– Video conference with experts for resolution
– Video training curriculums & expert DB Knowledge base
Automated data collection of patient archive & statistical analytics is
made possible at low cost =>Improved HC Quality

5. Business Model Issues (Vietnam)
• VN 95% 3G coverage @ 3 to 5 USD/Month
• Define a combo 360° solution package TBD:
– Active patient monitoring & automated escalation to experts
(with supporting critical data/knowledge)
– Continuous education (e-Convention/e-Training)
• How to fund Pilot & Roll-Out:
– Agreement with 3G operators
– Volume discount with 3G HW & sensor makers
• Medical profession: 2 year subscription service + device
• Pharmaceutical industry (advertising)
• Funding : Grand Challenges Canada, Gates Foundation,
VinaCapital etc
• Additional “help” from NGO, UN, UNESCO, RMIT TBD

6. Why ONTONIX / ONTOMED ?
Patented, model free, scientifically validated analytical technology
from ONTONIX, used by ONTOMED subsidiary in medical domain.
See: www.ontomeds.com
•ONTOMED Services & Products in short:
– Real-Time Early-Warnings
– Measuring therapy effectiveness (ROI Impact)
– Advanced EEG & ECG Processing
– Small technical “foot print” for local device processing of data
stream from data capture sensors.
Local technological JV’s / integration exploiting medical healthcare
analytics capability from ONTONIX / ONTOMED
Incubate a smart MHC device & service industry in VN

7. Why NMA ?
Nghiem Minh Association (NMA) is a Non-Governmental Organization
which focused on Education & Healthcare for Community to bring the
happiness to unfortunate people & poor patients in Viet Nam.
NMA is a member of The Sponsoring of Association for Poor Patients
in Ho Chi Minh City (SAPP – HCMC) with license No.: 56/QD – HBT
NMA Projects/ Programs in short:
– Consultant & Recruitment Programs
– Training Programs
– Medical Tourism Programs
– After Medical Monitoring Programs & Results
– Community Healthcare Programs
Connecting aspiration & belief

8. Some Potential MHC Objectives
1. Focus areas:
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Mother/Child “good health” medical process
Emergency / intensive care monitoring
Therapeutic cost / efficiency analysis
Animal health / Pandemic crisis decision help
Blood pressure/ Diabetes/ Diagnostics
Environmental issues (food, water, air, sea…)
2. Remote MHC Expert Assistance:
– Assist local medical personnel with expert/ advice using
facts (not emotions)
– Tele-medicine knowledge based cooperative decision
making using analytics

9. Good Health for poor Countryside Community
MHC Complexity Reduction / Therapeutic Rationalization
• Key Issues:
– Best care at least cost
– Assist un-skilled HC personnel over 3G Device
– Discover critical patient issues early
– Prioritize expert help using objective & quantified data
– HC HR Capacity building / Best HC Budget allocation
– Low cost MHC replication & control economic governance
• Automated data collection for control, command & demand / supply will
become possible
• Synthetic therapeutic picture, state of urgency / criticality

10. Good Health to Poor Community
• Healthcare context in Vietnam
– Now Healthcare Chaos => improve quality, HR governance
& operations, controlling
– HR Issues => Poor training / knowledge, wrong treatment /
medical errors
– Financial management => poor allocation of budgets / funds
misuse => Good governance objective
– Lack of quality medical data / statistics => better HC planning
& measurable service levels
• Target Improve HC quality & efficiency
– Best patient benefit
– Optional MHC home based patient monitoring
– 3G medical e- earning education / platform
– Improved diagnostics & automated data collection

11. Business Model Alternatives (or Mix)
“Sell Side”
Smart Devices, 3G/Internet, Sensors:
• Telecoms, Medical University, Central Hospital
• Education coaching / expert tele-consultation
• Patient assistance (monitoring) alarm
• Laos & Cambodia
“Buy Side” :
• Annual 3G MHC subscriptions (doctors, laboratories,
pharmaceuticals, medical centers, medical supplies)
– Standard
– Extended

12. Commercial Challenges
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No paying uptake from Dr and Nurses
No support from VN Ministry of Health
Resistance from Expert Community
Wrong Business & Revenue Model
3G Networtk cost in Laos & Cambodia curently too expensive
Other TBD

13. Pilot Project Steps
Steps:
1. Proof of concept MHC over 3G Smart devices
1. Pilot objectives / functional restrictions
1. Emergency, Monitoring, Mother/ Child ...
2. Execute IT integration
3. Define geographical scope
Lessons learnt analysis, scope / objectives review
2. Define a Beta Production MHC Platform
1. Stream line and optimise usage
2. Expand scope & functionality (add e-learning etc)
3. Create PR plan Vietnamese & English
3. Build Alpha production version MHC Service

14. Staffing & Budgets‘ TBD
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Stakeholders / Investors
Board of Directors
Operational staff Back-Office
Operational Staff Front Office
Web Marketing & PR team

15. Other issues TBD
• For questions please contact:
Alexander Kopriwa
Vice President Global Development
Email: alexander@ontonix.com
Tel. : +33 (6) 12 99 95 88 (Europe Mobile)
Kevin Loc Tran, MBA
Vice President/ CEO
Email: kevinloctran@nmavn.org
Tel. : +84 909 113 325