© gsm association 2011 mhealth opportunity in the middle east anna campbell, project manager...
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© GSM Association 2011
mHealth opportunity in the Middle East
Anna Campbell, Project Manager mHealth Programme GSMA
© GSM Association 2012
What is mHealth?
Source: GSMA PwC February 2012
Solutions across the Patient Pathway
Healthcare Systems Strengthening
Prevention Diagnosis Treatment Monitoring
Emergency Response
Healthcare Practitioner Support
Healthcare Surveillance
Healthcare Administration
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Why Is There a Need for mHealth?
Reduce Pressure on ResourcesMore self management and self care results in less visits to the doctor, enables better prevention and delivers other efficiency improvements
Increase Patient ReachTelecare and Telemedicine are enabling healthcare to be reached by entire populations, even those living in remote areas
More Effective & Efficient Chronic Disease ManagementPrevention & wellness solutions, including remote monitoring & self managements for at risk groups will reduce the growing financial burden and improve disease outcomes
Improving Elderly IndependenceEnabling the elderly to live at home and independently for longer
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mHealth is Here – 800 deployments worldwide
Source: GSMA mHealth Tracker, August 2012
NorthAmerica
168
LatinAmerica
76
Europe119
Africa257
AsiaPacific180*
*Including Middle East
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Under The global mobile health market has started taking shape-> Latin AmericaWith over 250 deployments In Middle East and Africa
South Africa: 49Kenya: 38
UAE: 5Saudi Arabia: 5
Qatar: 4Egypt: 5
Morocco: 3
Source: GSMA m Health Tracker, August 2012
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mHealth services in Middle East and Africa
Wellness
Prevention
Diagnosis
Monitoring
MNO Description
Medical advice and diagnose by examining photographs of the patient; the diagnoses can be improved further by collecting patient medical history and symptom descriptions.
A complete suite of services enabling birth attendants and midwives to ensure safer pregnancies/deliverie by enabling them to quickly and accurately identify, communicate and act on obstetric emergencies. For example an Ultrasound based remote monitoring service to manage the pregnancy evolution.
MTN’s CareConnect is designed to offer a professional nurse-assisted service for any day-to-day health-related enquiries from the general public. It aims to make basic healthcare guidance available to all South Africans.
The service provides daily SMS and MMS on a diverse selection of important health issues, chronic diseases and prevention. The service also provides several free interactive services to its subscribers for example, an instant Glucose Level Analysis and BMI calculation.
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Global mHealth business opportunity
2013 2014 2015 2016 2017
4.56.9
10.2
15.4
23
Forecast global mHealth revenue (US$ Billion)
Monitor-ing; 65%
Treatment; 10%
Diagnosis; 15%
Healthcare Practitioner support; 5%
Wellness; 3% Other
Source: PWC 2012
Monitoring represents 65% of global revenue opportunity
The rising number of chronic disease patients in the Middle East is expected to drive the take
up of mHealth in the region
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Mobile Operator Business Opportunity
Mobile Operators; 11.4740091776096; 50%
Device Vendors; 6.55008018155089;
28%
Content/ Application Players;
2.62315486902375; 11%
Healthcare Providers; 2.35004580339546;
10%
Mobile Operators are the key beneficiaries of the expected growth
Source: PWC 2012
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Key Challenges preventing mass market mHealth deployment
Harmonised Regulation - Healthcare & Telecoms have distinct policies and regulation. Clarity is needed on how these combine when applies to mobile health
Achieving Scalability - can only be done with better systems integration, interoperability and simple “plug and play” solutions
Lack of evidence - need for more evidence to convince healthcare stakeholders of economic and healthcare outcomes to be achieved
Reimbursement - there is a need for clear business models that include how mHealth solutions are reimbursed and paid for
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Collaboration is the key to success
GSMA WORKS TO BRING ALLTHE ECOSYSTEM STAKEHOLDERS TOGETHER
mHealth SolutionProducts
Healthcare
Providers
PatientsHealthcare
Industry
Mobile Operators/ Vendors
Providers End User groups
Payers
Push Pull
Regulators
Transnational/National Health
approvers
GovernmentsInsurance companies
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What ‘value add’ does an Operator bring?
Operators have 25 years experience delivering customer centric solutions over a mobile connection, with core capabilities that enhance a device user’s experience:
Established billing relationships and processes High level of security Secure solutions Remote device management Customer support Hosting of data centres Large established distribution channels
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A huge range of different service
Chronic Disease Management/Remote Monitoring
Payments Integration
Cloud Based Health Records/Imaging/Applications
Tele-health
Managed Services
Enterprise Collaboration
Enterprise Hosting and Storage
Consumer Health Hotline
Personalised Health Tips
Health Messaging
Tele-care
GlobalBusiness
Integration
EnterpriseICT
ConsumerVoice and
Data
Wellness Prevention Diagnosis Treatment Monitoring
Leveraging mobile current capabilities
Security, reliability, authentication
Data storage and processing
Billing and revenue mechanisms
Customer care
Device management
Distribution network
End to end service management
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GSMA mHealth Programme Objectives
Showcase mobile health solutions and catalyse cross-industry awareness and knowledge
Demonstrate outcomes and impacts on individuals, healthcare systems and society
Foster new relationships and partnering with the healthcare sector and mobile industry
Stimulate scalable, replicable solutions to drive towards interoperability
Promote supportive policy and regulatory principles for growth and innovation
Mission: reduce cost to serve, extend reach and improve quality of care
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Focus on Operator Value Added Services
Reimbursement
Use
Evidence
Certification
TechnologyIdentify market demand
The Operator Roadmap to successful mHealth deployments
Operators are at different
stages in their development
Operators will require different types of support depending where
they are in the development cycle
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GSMA Diabetes Programme
Diabetes is a major disease that is growing, with huge impact on resources:
360 million people worldwide have diabetes, 8.5% of the world’s population
Diabetes cases will rise 90% in the next 20 years according to WHO
Diabetes prevalence in the Middle East is among the highest in the world
The GSMA has started a diabetes programme to accelerate mHealth solutions in the diabetes area:
Creation of mHealth interest groups in Asia & the Middle East to develop collaboration communities
Development of industry tools to support the industry to develop successful solutions
Showcase the mobile industry’s ability to provide best in class mobile health solutions
A major disease that is growing, with huge impact on resources
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PAN African mHealth Initiative
Creating innovative ways for Operators across Africa to collaborate and partner with governments, civil society and private healthcare providers to significantly impact universal access to health services
IDENTIFY OPPORTUNITY
PRIORITISE operators:1. Open to collaborate2. Likely to scale3. Viable regulation4. Sizable market
DIAGNOSE
1. Identify barriers to universal access
2. Recommendations3. Action planning
PARTNER
1. Identify credible health partner(s)
2. Define mHealth service3. Validate with global and
national stakeholders
SUPPORT IMPLEMENTATION
1. GSMA expertise to embed best practices with operators
2. Build internal capacity3. C-level advocacy
SHARE LEARNING
1. Track results2. Leverage &
share learning’s with industry
The GSMA is helping to ensure harmonisation of operator Health solutions with local and international regulators, Governments, technical groups and health authorities
The GSMA is working with both health and donor industries to identify opportunities to leverage operator collaborations to achieve universal health access
© GSM Association 2012
GSMA presence at upcoming events
Medtech Forum, Brussels 10-12 October
Medica, Dusseldorf 14-17 November
mHealth Summit, Washington 3-5 December
Mobile World Congress, Barcelona 25-28 February 2013
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GSMA mHealth Support Tools
GSMA Device Listing www.gsma.com/documents/Mobile-Health-Device-Listing-January-2011/21537
Industry Portal, including latest news, publications and industry insights
www.mobilehealthlive.org
GSMA mHealth Tracker,http://www.mobilehealthlive.org/mhealth-tracker/
Evidence Knowledge Bank, http://www.gsma.com/connectedliving-mhealth-evidence-knowledge-bank/
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Thank You!
www.gsma.com/connectedliving/mhealth/
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BACK UP SLIDES
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Trial programmes
Member of a Pan EU telehealth
programme to generate clinical
evidence for mHealth in 9
countries
Supporting MNOs in the region to
develop mHeath services inc. EHR platforms, Remote monitoring service, Health info services
Accelerating the mHealth market by supporting members to initiate clinically relevant trials and share knowledge.
In the Middle East - Creation of a
regional Diabetes campaign, launch
Health hotline services
Pan Africa Programme working
with MNO across Africa to collaborate
and partner in Maternal and Child
and HIV/AIDS management
Working with ATT to sharing learning
from their mHealth programme
© GSM Association 2012
Promoting Mobile Assets : The Power of the SIM
Dialog – Sri Lanka
Development of a healthcare record that can be accessed via USSD containing basic healthcare information like blood type, allergies, medication
Continua Health Alliance
Creation of SIM based application that will the transform a medical device reading into a Continua Health Alliance certified message. Enabling the standardisation and interoperability of healthcare devices without the need to redesign the medical sensor.
MoH in Catalonia
Development of an identity and authentication solution that will enable patients direct access into their personal healthcare record without need secure PC access
Orange – France
Implementation of France Healthcare Smartcard used in the healthcare system for authentication and healthcare payment on to the SIM card
Iden
tity
and
Aut
hent
icat
ion m
Health A
pp
Individual Health Records
© GSM Association 2012
What is Connected Living?
Connected Living
M2M
Internet of Things
Embedded
Mobile