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IoT in the health and social care ecosystemsAndrés Laya

Wednesday 21th November, 2016

2016-11-11 2FRIDAY DISCUSSION SEMINAR

What my work is all about

How can communication actors benefit

if they enter the H&WB sector?

Aspects beyond communication topics:

In other to say: communication can do this and that,

First we need to understand the context.

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Motivation

IoT is contributing to a reconfiguration of the ICT industry

Interest from telecom to be service enablers, beyond connectivity

Interaction with non-ICT industries calls to extend research:

from Can we develop new tech? How costly would it be?

to Can we solve a real problem? Can we get revenues from it?

Differentiate lack of adequate technology

from inconvenient market settings

Health & Wellbeing with IoT

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• Real-time symptoms report

• Report for medicine intake

• Remote patient monitoring

• Ambient Assisted Living Apps

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Keeping the ICT Perspective

Health and social care in Sweden

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Challenges for IoT in healthcare (1/4)

The healthcare market structure and governance

2016-11-11 7FRIDAY DISCUSSION SEMINAR

SF1: The decentralized healthcare structure in Sweden slows the adoption of solutions based

on connected devices

Challenges for IoT in healthcare (2/4)

Public sector barriers for healthcare

2016-11-11 8FRIDAY DISCUSSION SEMINAR

SF2: Innovation based on connected devices entails risks that public sector organizations are

not design to manage

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Challenges for IoT in healthcare (3/4)

Unclear incentives and reimbursement models

2016-11-11 9FRIDAY DISCUSSION SEMINAR

SF3: Digital technologies payback periods are unaligned with public budgeting cycles

Challenges for IoT in healthcare (4/4)

Interoperability and coordination

2016-11-11 10FRIDAY DISCUSSION SEMINAR

SF4: Lack of standards adoption and guidelines specification result in lock-in-effects and high

maintenance costs

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Next, some examples

Remote patient monitoring

Facility management

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• Digital key using mobile phones.

• Access authorization and time registration.

• Homecare authorities can prove service delivery.

• Relatives can monitor who enters the home.

• Big values:

– Reducing complexity in keys management

– Providing accurate reporting times

www.bluegiga.com/solution?g=Consumer&n=Phoniro

#1 Homecare - Access Control and Time Reporting

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Showstoppers

MNO in charge of the application management phased out the service, claiming:• Small market• Lack of suitable phones• Complex product for the sales force• Long sales cycles in the public sector

13Source: Jan I Markendahl “Mobile Network Operators and Cooperation :A Tele-Economic Study of Infrastructure sharing and Mobile Payment Services”. 2011 KTH PhD dissertation.

Change:Service was not cancelled, delivered without active participation of MNOs, the municipality took care of the connectivity provisioning.

#2 Remote patient monitoring - in Västerås

Persons that need assistance several times per daySome visits can be replaced by video conversation

Check medication intakeRemindersFirst contact in case of alarms

Big values:300 home care customers2 M€ annual cost savingImmediate response

- A Laya and J. Markendahl “The M2M Promise, What Could Make it Happen? A Techno-economic Analysis.” The Second IEEE WoWMoMWorkshop on IoT-SoS

Picture from: “eHomecare: How Technology is Revolutionizing Homecare in Sweden” By Sofia Widén 2015

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InitialSetbacks

Less than 30% of people above 70 had Internet

For the ISPs, this idea was:

– A small, price sensitive market

– A lot of customer care

Customers mistrusted the ISP installation

New Thinking

Customers do not pay for broadband

Installation done by homecare staff

The town IT service department:

– Buys broadband connectivity capacity

– Acts as service provider

J. Markendahl and A. Laya “Business Model Challenges For Internet Of Things” 2013 IMP Conference. Picture from: “Att införa e-hemtjänst” Hjälpmedelsinstitutet 2012

#3 Chest-belt with motion analysis

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#4 Wristband with biofeedback on stress

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Service Set-ups

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19Verizon online shop: http://www.verizonwireless.com/accessories/sports-and-fitness/

• ICT players are usually on the background•• WMM Approach: have relationships with users’

organizations, making devices part of their core business

Early discussion on opportunities for ICT actor• MNOs could leverage retail operation and explore

collaborations to provide integrated services• Verizon n the US is one step in this direction, using

retail channels to sell sport and fitness accessories

Business models in ecosystems

Business model explain ways to exploit business opportunities

Firm perspective Network perspective

Stand-alone strategies don’t work when your success depends on the collective health of the organizations that influence the creation and delivery of value Iansiti & Levien 2004

- Zott, C., & Amit, R. (2010). Business model design: An activity system perspective. Long Range Planning- Leminen, S., Rajahonka, M., & Westerlund, M. (2015). Ecosystem business models for the Internet of Thing- Palo, T., & Tähtinen, J. (2013). Networked business model development for emerging technology-based services. Industrial Marketing Management

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Development patterns

Three development patterns to deal with challenges:

1. Innovation starting in the public sector

2. Focus on corporate and private care

3. Reach healthcare through wellbeing

2016-11-11 21FRIDAY DISCUSSION SEMINAR

Further reads

HBR - How Smart, Connected Products Are Transforming Competition.Porter and Heppelmann.https://hbr.org/2014/11/how-smart-connected-products-are-transforming-competition

Ericsson – Service Enablementhttp://archive.ericsson.net/service/internet/picov/get?DocNo=28701-EN/LZT1380878

Forbes - The Massive M2M Business OpportunitySanjay Poonen.http://www.forbes.com/sites/sap/2013/02/18/the-massive-m2m-business-opportunity-part-1/

Machine-to-Machine in Smart Grids & Smart Cities. Technologies, Standards, and ApplicationsMischa Dohler, David Boswarthick, Jesús Alonso-Zárate.http://cttc.es/resources/doc/121203-m2m-tutorial-alonso-boswarthick-dohler-globecom2012-4961955251780189470.pdf

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Thank you!