Transition to the NEW –
How digitization and mobile
drive patient-centricity
Dr. Jan Ising
Managing Director
Mobile Health Forum
August 31, 2016
Copyright © 2016 Accenture. All rights reserved. 2
From a supporting voice
command system to an
overarching, learning
personal assistant
Industries are transforming faster than ever – there is no question “if” players
need to find their place in the new paradigm, only “how soon”
“How did you go bankrupt?"
“Two ways. Gradually, then suddenly.”― Ernest Hemingway, The Sun Also Rises
Apple – Siri IBM – Watson Google – Self-Driving Car
From a chess-
winning computer
to a faultlessly "self -
thinking" collaborator
From a connected,
entertaining car to a
system of shared
autonomous vehicles
Copyright © 2016 Accenture. All rights reserved. 3
Industry development has always been linked to innovation in technology –
like the latter, its progress is accelerating exponentially
1800 1900
4
2016
Mechanical
loom
1784
Production
line
1870
1st Computer
1941
1st PC
1977
Programmable
controller
1969
Electrically-powered mass production based on the division of labor2
Water- and steam powered mechanical manufacturing facilities1
3
1st Smart-
phone
2007
1st Tablet
2010
FUTURE
STEPS OF INDUSTRIAL
REVOLUTION
Buying online2000
Sp
ee
d o
f te
ch
no
log
ica
l e
vo
lutio
n
(Mo
ore
’s L
aw
)
WWW
Cyber Physical Systems
Use of IT to achieve further automation of manufacturing
WWW
1989
Industrial evolution and technological progress
Copyright © 2016 Accenture. All rights reserved. 4
High-paced innovation reduces entry barriers and renders companies’ business
models vulnerable to disruption – ongoing “Creative Destruction”
today…
…50%of annual company revenues
come from products launched
within the past 3 years
Average lifespan (years)
of S&P 500 companies
75%of S&P 500 companies
from 2012 will disappear
by 2027
61
2518
1958 1980 2012
Disruption of established business
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Accenture’s Top 500 study for Germany reveals that Pharma & Healthcare’s
degree of digitization is below average despite its historic robust performance
Accenture’s Top 500 study 2014: Industry clusters (n=187)
Notes: Financial Performance Score: Unweighted average of revenue growth (CAGR 2008-12) and profitability (RoS/ RoE scores 2008-12), range 100 (highest), 0 (lowest)
Digital Index Score: Unweighted average of digital strategy, digital servicing and digital enablement scores, score range 1 (highest), 4 (lowest)
Copyright © 2016 Accenture. All rights reserved. 6
At the same time, new competitors enter the market with massive Venture Capital
funding
Selected innovation investments in Healthcare
Leading Examples
• Novel approach for laboratory diagnostic
test using blood
• Faster, cheaper and painless procedure
providing patients with online results
• Funding $ 400 m
• Valuation: 4,9 bn
• Body-worn patch monitoring patients their
body‘s physiologic response and behavior
• Allows tracking of patients adherence to
medication
• Funding. $ 354 m
• Valuation: $ 1,1 bn
• Wearable devices to measure personal
fitness metrics, i.e. number of steps
walked
• Market Capitalization: $ 8,87 bn
• Web-based platform to store and maintain
health and fitness information i.e. Medical
Images
• Device i.e. Microsoft Health band
connection possible
• By Microsoft Corporation
Personalized
Medicine
Others
Wearbles
$ 410 m
$ 220 m
Incentives &
Social
$ 405 m
$ 310 m
$ 380 m
$ 305 m
Remote
Monitoring
Self Care
$ 2.870 m
Virtual Care &
Coordination
x7
Innovative Digital Health Funding Major Themes in Digital Health Funding
$ 0,7 bn
$ 4,9 bn
2009 2014
Source: Accenture HC2020 (Status August 2015)
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As a conclusion, competitive dynamics lead to giant market opportunities and
transforming healthcare as an industry
Adoption is being driven by six key trends
CONNECTED DEVICES
The connected devices market will
grow from 2.5 billion devices in
2009 to 30 billion by 2020
NETWORK CONNECTIVITY
Worldwide household Wi-Fi
connectivity will grow to from
25% of all households to 42% of
households by 2016
DATA & ANALYTICS
15.9 exabytes of mobile traffic
data alone will be generated per
month by 2018
THE CLOUD
Cloud applications will account for
90% of total mobile data traffic by
2019 compare with 81% at the end
of 2014
USER INTERFACES
Rise of natural user interfaces
(NUIs) where physical interfaces
are replaced by parts of our
bodies are emerging
SENSORS
The market value for sensors that
translate physical information into
data will grow at a 36% CAGR from
2012 to 2020
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What next generation engagement and adherence looks like
Internet of Thing and new forms of data are enabling personalized patient support strategies
Social
How can peer groups and
information sharing support an
adherence strategy?
Notifications
How can effective notifications be
designed to be unseen?
Interventions
What is the right point to trigger an
intervention? Which type of intervention
stands the best chance of succeeding? What
is the best intervention escalation process?
The Device
How does the device experience
interact with and best support an
adherence strategy?
Support Network
How can a patient’s support network
including family, HCP’s and pharmacists
help drive better adherence?
Device
Social
Rewards &
Gamification
Notifications
Support
Network
Interventions
Rewards & Gamification
How can the experience be made
engaging, intrinsically motivating
and delightful?
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Connected Health drives innovation throughout the entire value chain
Areas of focus
Intelligent Health
Enterprise
Improved experience and
operational efficiency in
any healthcare setting
Connected Patient
Experience
Deliver a guided and highly
interactive experience for
patients and families as they
navigate the clinical setting and
consume its resources
Research &
Development
Connected medical and
smart devices driving
research and development
Connected Clinical Trials
Improve the efficiency of
recruiting, screening and
managing participants in a clinical
trial by leveraging connected
medical devices, wearables and
mobile smart devices to remotely
manage patient education,
consent, engagement and
adherence
Wellness &
Prevention
Coaching, engagement and
behavior change for
populations and consumers
Connected Wellness
Monitoring of population activity,
coaching and driving healthy
behavior change via competition
and rewards utilizing the resulting
data for market segmentation,
customer insights and product
targeting
Remote Patient
Monitoring
Extending care beyond the
clinical setting and
engaging patients
Aging in Place
Enabling better standards of care
for the elderly by remotely
monitoring activity in the
residential setting to maintain
independence and drive down
costs
Connected Patient
Services
Value-add services ‘beyond-the-
pill’ leveraging connected medical
devices, wearables and mobile
smart devices to improve patient
outcomes, create new and
unconventional revenue streams
and lower cost of care
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Pharma has an opportunity to achieve the unfulfilled goal of disease management
through Connected Patient Services that build on patient engagement models
Evolution of the pharma-patient engagement model
Traditional Patient
Engagement Model
Multi-Program Patient
Services Model
Connected Patient
Services
Direct to patient / consumer marketing
Patient access and assistance programs
Services and programs beyond
the pill
Coaching based engagement
models
Connected and always-on real time
devices
Behavioral and analytics-based
engagement
Copyright © 2016 Accenture. All rights reserved. 11
2Companies are
going big with
investments in
digital engagement
technologies
and supporting
analytics.
3Much of this
investment (but not all)
is aligned to what
patients’ value.
1Patient services are
delivering value today
with a significant increase
in focus and investment
expected over the
next two years.
Accenture research shows that patient services are a key driver of future success
Accenture Patient Service survey key findings
Source: Accenture Patient Services Research (2015)
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Much of this investment (but not all) is aligned with what patients value
Accenture Patient Service survey key finding #3
50% of the services expected to grow the most are highly valued by patients.
However, there are some cases where patient value exceeds expected expansion
in service offering:
Source: Accenture Patient Services Research (2015)
Copyright © 2016 Accenture. All rights reserved. 13
Wellness & Prevention
Major Chinese banks
offer customers fitness
tracking, payments-
enabled smartwatches
Chinese banks will offer G&D’s
forthcoming banking watch will
use near-field communications
(NFC) tech to enable contactless
payments, but it will also offer
heart rate and activity tracking
thanks to Z-Smart’s partnership
with Valencell, a wearable
biometric sensor company
Research and Development
Fitbit partners with
institute for breast
cancer research
Research will be conducted by
the Dana-Farber Cancer Institute
using Fitbit Charge HR trackers
freely given out to 3,200 women
with early stage breast cancer.
The study will attempt to figure
out if exercise helps prevent
breast cancer from recurring.
Remote Patient Monitoring
Biotronik launches
portable, cellular
transmitter for
implantable heart
devicesBerlin-based medical device
company Biotronik, launched
portable cellular connectivity to
its pacemakers, implantable
cardiac defibrillators (ICDs), and
insertible cardiac monitors
(ICMs). Data is transmitted to the
patient's care provider via
Biotronik's home monitoring
framework.
Wellness and Prevention
Pokémon Go might be
the fastest-growing
unintentional health app
It’s a fast-growing fitness app that
wasn’t intended to be one.
Crippling servers, blowing up
social media and getting kids and
Millennials moving, Pokémon Go
has been an instant hit since it
launched
What Mobile Health really stands for – driving innovation towards patient centricity
Copyright © 2016 Accenture. All rights reserved. 14
Accenture Strategy on “Transition to the NEW –
How digitization and mobile drive patient-centricity”
Managing DirectorLead Life Science Strategy
Dr. Jan Ising
Mobile Health Forum speaker on August 31, 2016