telehealth user adoption: blackholes & bullseyes - douglas shinsato, anthill ventures - tfss...
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Telehealth User Adoption:
Blackholes and BullseyesDouglas Shinsato
Anthill Ventures, Pte. Ltd.December 4, 2016
Telehealth Adoption
Feb 1925 Cover of Science and Invention
Doug Adams
Doug Adams10th Anniversary MIT Media Labs
• "For years, people would come up and ask me, ‘What is the effect of the coming of computers going to have on my business?’”
Doug Adams10th Anniversary MIT Media Labs
• "The answer is, it's the wrong question.
Why Telehealth?
• Medical Science—Only as Good as Properly Applied to Patients Who Need It
Why Telehealth?
• Medical Science—Only as Good as Properly Applied to Patients Who Need It
• Telehealth—21st Century Information and Telecommunications Technologies
Why Telehealth?
• Medical Science—Only as Good as Properly Applied to Patients Who Need It
• Telehealth—21st Century Information and Telecommunications Technologies
• ICT Can Redistribute Health Care Knowledge and Expertise Where and When Needed
Healthcare Expenditures and GDP
• UK 10%• Germany 10%• Japan 10%• USA 17%
Sources of Failure and
Lessons Learned
Lesson #1
Define the User
Islands of Healthcare-- Who Is the User?
Lesson #2
Success and PrideCome Before the
Fall
Kodak
DEC
Lesson #3
Many Are Called, Few Are Chosen
Correct Direction, Wrong Turn
• Good vs. Bad Ideas
Correct Direction, Wrong Turn
• Good vs. Bad Ideas• Wrong Path to Success• Wrong Resource Allocation• Wrong Management Team
Lesson #4
Correct Destination, Really Wrong Turn
Lying, Cheating and Putting Lives at Risk—Do Not Work
Lesson #5
Timing is Everything …Everything
Timing is Everything
• Bad--Too Much Investment, Too Early• Bad--Too Little Investment, Too Late• Good--Just Enough at Just the Right Time
Lesson #6 Transform the Business Model
Why Telehealth?
• Physician Shortage
Why Telehealth?
• Physician Shortage• Distribution of
Expertise
Why Telehealth?
• Physician Shortage• Distribution of
Expertise• Aging Population
Why Telehealth?
• Physician Shortage• Distribution of
Expertise• Aging Population• Cost Savings
Why Telehealth?
• Physician Shortage• Distribution of
Expertise• Aging Population• Cost Savings• Patients Like It
Transform Business Model
Telehealth Objectives
Transform Business ModelChange Patient Behavior
Telehealth Objectives
Transform Business ModelChange Patient BehaviorFocus on Health vs. Illness
Telehealth Objectives
Transform Business ModelChange Patient BehaviorFocus on Health vs. IllnessLower Cost of Chronic Disease
Telehealth Objectives
Transform Business ModelChange Patient BehaviorFocus on Health vs. IllnessLower Cost of Chronic DiseaseImprove Patient Satisfaction
Telehealth Objectives
Focus Is on Patient Care
• Mobile Health (mHealth)• Patient Education• Remote Patient Monitoring• Outsource Specialty Services
Telehealth and Patient Care
Lessons from India
• 1.3 Billion People
Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages
Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages• 30% Live in Cities and Towns
Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages• 30% Live in Cities and Towns• 90% of Secondary and Tertiary Care Facilities
in Cities and Towns
Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages• 90% of Secondary and Tertiary Care Facilities
in Cities and Towns• Inadequate Medical Facilities in Villages
Lessons from India
• 1.3 Billion People• 70% of Population Live in Villages• 90% of Secondary and Tertiary Care Facilities
in Cities and Towns• Inadequate Medical Facilities in Villages• Acute Shortage of Specialist Doctors in Towns
and Villages—75% of Specialists Live in 6 Cities
Lessons from IndiaPath to Success
• Currently 980+ Million Unique Identity Numbers Issued
Lessons from IndiaBlackhole or Bullseye?
• Currently 980+ Million Unique Identity Numbers Issued
• Telehealth Startups Launched B2C– To Patients– To Retailers
Lessons from IndiaBlackhole or Bullseye?
• Currently 980+ Million Unique Identity Numbers Issued
• Telehealth Startups Launched B2C– To Patients– To Retailers
• Telehealth Startups Launched B2B– To Hospitals– To Medical Doctors– To Insurance Companies
Artificial IntelligenceAccelerator or Blockage?
• Significant Reduction of Time to Diagnose
• Access to Global Expert Database
• Reduce Volume of Counterfeit Drugs
Marvin Minsky
• Healthcare Industry is Late Adopter
Barriers and Challenges
• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
Barriers and Challenges
• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
• Legal and Privacy Issues
Barriers and Challenges
• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
• Legal and Privacy Issues• Inertia of “Stable System”
Barriers and Challenges
• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
• Legal and Privacy Issues• Inertia of “Stable System” • Device Interoperability
Barriers and Challenges
• Healthcare Industry is Late Adopter
• Insurance/Reimbursement System
• Legal and Privacy Issues• Inertia of “Stable System” • Device Interoperability• Generational Attitude
Barriers and Challenges
Doug OsheroffNobel Physics Laureate 1996
Doug OsheroffNobel Laureate Physics 1996
• Use the Best Technologies Available
Doug OsheroffNobel Laureate Physics 1996
• Use the Best Technologies Available• Don’t Reinvent—Borrow What You Can
Doug OsheroffNobel Laureate Physics 1996
• Use the Best Technologies Available• Don’t Reinvent—Borrow What You Can• Failure Might Be an Invitation to Try
Something New
Doug OsheroffNobel Laureate Physics 1996
• Use the Best Technologies Available• Don’t Reinvent—Borrow What You Can• Failure Might Be an Invitation to Try
Something New• Be Aware of Subtle Unexplained Behavior
Blackholes and Bullseyes
• What Lessons Are the Most Important?
Blackholes and Bullseyes
• What Lessons Are the Most Important?
• All of Them—The Key Being That Timing is Everything
Blackholes and Bullseyes
• What Lessons Are the Most Important?
• All of Them—The Key Being That Timing is Everything
• And the Time is NOW!
Telehealth: The Future of Starts Today