video visits and telehealth failure and secrets of success€¦ · video visits and telehealth...
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VideoVisitsandTelehealthFailureandSecretsofSuccess
Dr.MiltonChen,CEO,[email protected]
1. Mybackground2. Casestudies:SpaceStaFon,WalmartandIraq3. Howtomakemoney(thesecrettoadopFon)
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VSeeChronicCareandPostAcuteCareBundle
TheOnlyVideoChat+TelehealthChosenbytheAstronauts
OnInternaFonalSpaceStaFonsinceSummer2014
Walmartcasestudy• Dophysicianextender/clinictoclinicfirstvs.directtoconsumer
◦ MAonPC/Macw/afewtelemedicinedevices+Jabra410speaker◦ Provideronanydevice◦ NearfreeHIPAAvideochatso\ware
• Walmarttelemedicineclinic◦ ExisFngPC+bloodpressurecuff◦ $3Kall-in-onegeneralexamcam+$600digitalstethoscope◦ ~10visits/dayforonestore,over3months1personsaidnotcomfortablew/video◦ CVSfoundthat33%paFentsprefervideooverin-person!
• Don’tbeaHealthSpot,otherthanactualmedicalequipment–canspendnearzero$
Lowcosttelesurgery-$70webcam-$100jabraspeakerphone-$100dazzlevideoadaptor-laptop+4G
VSeeteaminIraqKurdistanrefugeecamps
ProviderengagementismoreimportantthanPaFentengagement
• PaFentsloveit,Payersloveit,Providernotsomuch◦ Goodphysiciansaretoobusy,nostrongincenFvesforthemtoadopt◦ TelemedineislikeEMRatMDAnderson◦ PaFenttaggingtoarmthesupportteamkeyadopFonenabler
• ThePaFentWillSeeYouNow◦ NOT!
Howtomakemoneyw/telehealth• TelaDoc,MDLive,AmericanWell,DoctorOnDemand-AMAbombshellvs.virtualspecialists
• FitBit-WillitfollowthefateofGoPro
• Kioskseverywhere-HealthSpotdied,butemployersonsiteclinics,pharmacies,…
• Chroniccaremanagement-Postsurgery,whybother(paFentmindset)andcomplexity
• Elderlycare–GrandPad(willtalkingdownsucceed?),HowtogetadopFon(falldetector)
• Appbyitselfwillfail-250Khealthcareapps
• Wellnessandstress-Peopledriven
• Techvs.providers
Crossingthepilot–massmarketchasmItreallyisthetech/userexperience(license,reimbursement,datasilo…are…)
◦ Hundredsofmessengers->WhatsApp(sendingchatvs.amazingrobustexperience)◦ NoteasyenoughforthepaFents• WebRTCisnotenough• DeviceconnecFvityissFllveryhard
◦ NotproducFvefortheproviders• Clicktocallvs.triagedashboard• Seeadocvs.Efficientflowoverthemedicalteam
Whenwillwecrossthechasm?◦ Whatwasnewthatallowedustocrossit?◦ Tech(d)Money(u):ACO,lifeFmevalue,newtests,sleep…
$
ageDon’tcare
Techis~5%DemenFa,…
