gil 2014 latin america - healthcare track
TRANSCRIPT
1NAFD-MT
GIL 2014: Latin AmericaThe Global Community of Growth, Innovation and Leadership
30 January 2014São Paulo, Brazil
HEALTHCARE
Industry Track
2NAFD-MT
HEALTHCARE INDUSTRY TRACK AGENDA
1. Future of Healthcare: How IT Savvy Power Patients Will Drive a Healthcare Revolution
2. Case: Telefonica / Vivo
3. Panel Discussion : Convergence of Information Technology (IT) in healthcare - impacts and opportunities
Future of Healthcare:How IT Savvy Power Patients Will Drive a
Healthcare Revolution
Dorman Followwill
PartnerFrost & Sullivan
Forces Shaping the Future of Health, Wellness and Wellbeing
4
Molecular & Personalised
Medicine
AccessCost &QualityOf Care
Proficient Use of
Information(eHealth)
Technology People Processes
Access to Care
5
Europe (EU-25)472M population2.8M hospital beds4.6 beds/1000 people3.9 Doctors/1000 people14,819 hospitals
USA300M Population1M hospital beds 3.2 beds/1000 people2.6 Doctors/1000 people5,794 hospitals
China1.3B population3M hospital beds2.2 beds/1000 people1.4 Doctors/1000 people60,396 hospitals
Japan127M population1.8M hospital beds9.9 beds/1000 people2.7 Doctors/1000 people7,785 hospitals
India1.1B population0.8M hospital beds0.7 beds/1000 people0.6 Doctors/1000 people13,896 hospitals
HC Market Overview - LatamHealthcare Market: Infrastructure, Workforce and Investment (World), 2009
Communications Market: Penetration Rates and Number of Lines (World), 2010
Healthcare Market: Infrastructure, Workforce and Investment (World), 2009Communications Market: Penetration Rates and Number of Lines (World), 2010
PHYSICIANS/ 10.000 INHABITANT (2009)
HEALTHCARE EXPENDITURE AS % OF GDP (2009)
MOBILE TELEPHONY LINES PENETRATION (%)
MOBILE BROADBAND LINES (MILLION)
LATIN AMERICA
HOSPITAL BEDS/10.000 INHABITANT (2009)
NURSES / 10.000 INHABITANT (2009)
MOBILE BROADBAND PENETRATION (%)
POPULATION (MILLION) 578 193
24
21 17
17 29
9 8
446 206
103 108
39 21
9 10
Note: All numbers for Latin America in this study include only the top six economies in the region: Argentina, Brazil, Chile, Colombia, Mexico, and Puerto Rico.
Source: Frost & Sullivan, CIA, World Bank, Broadband Trends
23
MOBILE TELEPHONY LINES (MILLION)
9855-72 7
Latin America Healthcare Industry Revenue by Segment
Healthcare Industry: Percent Revenue Breakdown by Segment, Latin America, 2011
Healthcare Industry: Percent Revenue Breakdown by Segment, Latin America, 2015
Note: All figures are rounded. The base year is 2011. Source: Frost & Sullivan analysis.
Healthcare Industry Total Revenues, Latin America, 2011 = 76.67 Billion
In the Latin American Healthcare Industry, Pharma and Biotec appeared as the major participants, accounting for 77.1 percent of 2011 revenues, followed by Medical Devices, representing 18.3 percent of revenues. The other three segments together accounted for 4.6 percent.
Considering countries’ participation, the three main nations in the Latin American healthcare industry are Brazil, Mexico, and Argentina. In 2011, these countries’ shares were 42.4, 23.7, and 12.3 percent of the market, respectively.
Pharma and Biotech77.1%
Medical Devices18.3%
Medical Imaging1.6%
Healthcare IT1.2%
Clinical Diagnostics1.8%
Pharma and Biotech75.4%
Medical Devices20.3%
Medical Imaging1.5%
Healthcare IT1.2%
Clinical Diagnostics1.6%
Healthcare Industry Total Revenues, Latin America, 2015 = 121.31 Billion
9855-72 8
Latin America Market Highlights
Strategic partnerships and Merger and Acquisitions (M&A) initiatives are recurrent in all healthcare market segments as a way to foster companies’ presence and complement services and product portfolios in the region.
Asian companies are increasing penetration in Latin America. These companies are establishing aggressive strategies to penetrate the market, but there is no expectation of short-term investment in regional production.
Brazil has become a hub for the regional industry, representing 42.4 percent of 2011 revenues in LATAM. The main reasons for this are the Brazilian market potential, the positive economic results, and government incentives with long-term financing options and low interest rates.
The rising middle class in the country will strongly contribute for a new demand for elective procedures and executive and personalized levels of care, requesting premium coverage plans for elective procedures in top-tier facilities.
Increased urbanization has gone hand in hand with the growth in chronic diseases and aging population; this new scenario will demand higher healthcare investments in facilities and medicines and will contribute to making remote monitoring an emerging trend.
Source: Finame and Frost & Sullivan analysis.
Cost of Care
9
$3,307
$4,005
$2,618 $2,875$2,541
$2,844 $2,726 $2,758$2,266
$2,968
$2,027
$2,716$2,446
$2,056 $2,097 $1,937 $1,917$1,552
$468 $491
$3,617
$817
$1,784$954
$1,014$780 $1,079 $860
$1,118
$594
$1,265$549
$452$693 $531 $750 $746
$617
$149 $252
0%
5%
10%
15%
20%
25%
30%
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Private Per Capita Spending (2009) Public Per Capita Spending (2009)
Spending as % of GDP (2009) Spending as % of GDP (2050)
0%
5%
10%
15%
20%
25%
30%
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Private Per Capita Spending (2009) Defence Spending as % of GDP (2009)
Compare with Defence spending…
0%
5%
10%
15%
20%
25%
30%
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Private Per Capita Spending (2009) Public Per Capita Spending (2009)
Spending as % of GDP (2009) Spending as % of GDP (2050)
0%
5%
10%
15%
20%
25%
30%
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Private Per Capita Spending (2009) Public Per Capita Spending (2009)
Spending as % of GDP (2009) Spending as % of GDP (2050)
Quality of Care
10
United Kingdom
8% of UK patients believe that they were given the wrong medication in the last 2 years.
Access problems due to cost – 13% Coordination problems – 20% Medication errors – 20%
Canada
Aging hospitals need retrofit services to lower infectious disease risk
Access problems due to cost – 25% Coordination problems – 25% Medication errors – 29%
U.S.
Pneumonia and blood-borne infections - killed 48,000 patients and cost $8.1 billion in 2006
Access problems due to cost – 54% Coordination problems – 34% Medication errors – 34%
Australia
Access problems due to cost – 36% Coordination problems – 23% Medication errors – 29%
New Zealand
Access problems due to cost – 31% Coordination problems – 21% Medication errors – 25%
Netherlands
Access problems due to cost – 7% Coordination problems – 14% Medication errors – 17%
India
66% of the 4.2B annual injections are non-sterile or unsafe
WHO estimates that at any one point in time, 1.4M patients suffer from hospital-borne infections
Don’t visit public hospitals – literally could kill you if you are from the West
Balance Between Young and Old is Shifting
11
Emphasis of Care Shifting from Treatment to Early Detection
12
Healthcare Spending by Type of Activity
2007 2012 20250%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
5 7 1215 17
21
70 66 51
10 12 16
Prevention Diagnosis Treatment MonitoringSource: Frost & Sullivan analysis
More Emphasis on Diagnosis, Monitoring, and Prevention
Future of Health, Wellness and Wellbeing
13
Disease Management
Clinical Diagnostics & Therapeutics
Preventive Services
Physical ExamsCoaching Communication/Information Services
Consumer Products Medical Health Spas Complementary and Alternative Medicines
Integrated Health Solutions
Healthcare today
Today’s world
Healthy Vulnerable Affected Sick
Education
Future system
Wellness Healthcare
Wellness Healthcare
Future healthcare
Source: Frost & Sullivan
Future of Health, Wellness and Wellbeing
14
One Size Fits All Approach Personalized Medicine
From...
Fragmented, One-way Patient InfoFlow
Integrated, Two-way
Provider Centric Focus Patient Centric
Centralized – Hospital Monitor De-Centralized – Shift to Community
Invasive Treatment Less Invasive, Image-based
Procedure-based Reimbursement Episode-based, Outcome-based
Treating Sickness Objective Preventing Sickness – “Wellness”
...To
A modern healthcare system is on the horizon, demanding a paradigm shift
Web of Care
Smart eHomes
Mobile EHR
Health Robots
Implantable eCare
Wearable BioSensors
NanoCare
Decision Support
Regenerative MedicineRegenerative Medicine
Pre-emptive MedicinePre-emptive Medicine
Digital MedicineDigital Medicine
NanoMedicineNanoMedicine
EcoMedicineEcoMedicine
Self CareSelf Care
Diet &
Nutrition
Humour &
Joy
Lifestyle & Stress Reduction
Mind Body & Spirit
Exercise&
Fitness
My Health & Wellbeing Databases
Doctors& Medical
Team
Coaches&
Advocates
OnlineSupport
Communities
Friends&
Family
eHealthAdvisorNetwork
Source: Douglas Goldstein and Peter Groen, Medical Informatics20/20, published by Jones and Bartlett
Future of Health, Wellness and Wellbeing: Patient Centric Connected Health
16
Wearable Devices Media/Entertainment Wellness Devices Smart LivingConnected Accessories - PC Watches
Bluetooth Shirts
Android Powered Ovens
Smart Washing Machines
Holographic TVs
3D Immersive Theatre
Sports Accessories – Digital Helmets
Mobile Health - Hand Bands
Augmented Reality Contact Lens
Smart Thermostats (Nest)
Flexible Media Devices Wireless embedded medical sensors
Future of Health, Wellness and Wellbeing: Power Patients Deploying Smart Consumer Devices
Is the Future of Mobility James Bond.................
17
Remote Patient Monitoring
Hospital-based Systems
Consumer Health
Telehealth
Connected Health
Future of Health, Wellness and Wellbeing: Patient Centric Connected Health
Con
18
CustomerFocus
Professional
Consumer
Industry FocusInformation
CommunicationTechnologies
Healthcare
Traditional Healthcare and Telemedicine
Consumer/Non-healthcareApproaching Telehealth
Core Telehealth
Telehealth Industry: Telehealth Markets (North America), 2012
HIE
Cloud Infrastructure
Activity Monitoring
Patient Portals
Fitness Apps
Retail Telehealth
Wellness Programs
Texting Services Medication Management
Tele-ImagingDistance
Learning/Simulation
EHR
Professional AppsHome and DM
Monitoring
Remote Cardiac Services
PERS
Video Consultation
Wellness Apps
Diabetes Management
Remote Specialist Services
Top five markets are in brown text boxes. Source: Frost & Sullivan analysis.
Future of Health, Wellness and Wellbeing: Patient Centric Connected Health – Telehealth Matrix
Telehealth Matrix - M-Health Applications (Latam)
CustomerFocus
Professional
Consumer
Industry Focus
Healthcare
Traditional Healthcare and Telemedicine
Core M-Health
Latin American M-Health Services Market: Telehealth Matrix , 2011
InformationCommunication
Technologies
Consumer/NonhealthcareApproaching Telehealth
Source: Frost & Sullivan analysis.
EMR/EHRHIE
Tele-pharmacy
Remote-VideoConsultation
Simulation/Training
Continuing Medical Education
Mobile Info Gatheringand Transmission
Patient Portals
Wellness Systems
Health Coaching
Personal Emergency Response
Activity Monitoring
Wellness Apps
Tele-Imaging
ECG Monitoring
Sleep Apnea
Fitness Apps PHR
Diabetes Monitoring
Mobile Telemedicine
MedicationDispensingSocial-Network
Health Apps
Health Games
Drug Reference
Health Education
9838 20
Industry Challenges
Highly dependent on Wi-Fi networks
Industry Challenges Challenge Impact
Creating strong partnerships to support M-Health evolution
Creating Latin American reality solutions
Ensuring data security and ethical behaviour
Developing user-friendly solutions and technology awareness
Strong WeakKey:
Developing unified system to interconnect the entire Healthcare sector
M-Health Market: Industry Challenges Ranked in Order of Impact (Latin America), 2011-2017
Source: Frost & Sullivan
Is the Future of Mobili James Bond................$ 1,092 Billion
By 2015
Total Global Pharmaceutical Market Value
Worldwide Cost Constraints
Number one trend noted by industry
KOLs
Reorgs and Consolidation
Many Big Pharmas are reorganising and looking for growth through M&A
Patent CliffPatent cliff reached in late 2011 when Lipitor came off
patent – more pain to come
Building Partnership Ecosystems
R&D partnerships with Academia, Biotech and
CROs
Job 1: Innovation!Pharma looking to
innovate across the value chain
Future of Health, Wellness and Wellbeing: Key Pharma Trends to 2015
Is the Future of Mobility James Bond................$ 70 Billion
By 2015
Total OTC Pharmaceutical Market Value
OTC Sales Continue to Rise
Despite global financial crisis
Companies Assessing Ways
to Exploit Potential
Self medication evolving with
increasing complexity
Switch from Prescription to
OTCUnder consideration in U.S for common
drugs
Emerging Market Growth
South East Asia, LatinAmerica (LA) and Central & Eastern
Europe (CEE)
Big Pharma Reentering OTC?
New investments, future intent and high profile
consumer health leaders
Future of Health, Wellness and Wellbeing:Key OTC Pharma Trends to 2015
Future of Health, Wellness and Wellbeing: Food and Beverage Angles and Opportunities
23
Food Safety
and Security
Globalization and Changing Economy
Health and Wellness
Sustainability
Consumer
Seeds and Traits
43
Agricultural Production (Includes
Animal Feeds)3,917
Agricultural Logistics
646Food and Beverage
Logistics168
Retail Grocery (Food at Home)
7,664
Retail Food Service (Food Away from Home)
3,544
Food Processing
4,841
Software for Agriculture
2Software for
Logistics3
Software for Processing
8
Software for Retail
18
Food Packaging261
Processing Equipment
223Food Additives
and Supplements300
Key Takeaway: The cumulative value of all revenue derived from the global food and beverage value chain was more than $20.00 trillion in 2011, representing nearly 30.0 percent of the global
economy.
Food and Beverage Market: Generalized Value Chain, Global, 2011
Source: Frost & Sullivan analysis.
Note: All values expressed in the above chart are US $ Billion.
Future of Health, Wellness and Wellbeing: Food and Beverage Angles and Opportunities
24
• With respect to the F&B industry, the key global trends expected to have a direct effect on industry growth and performance can be grouped into four main categories: globalization and changing economies, the growing need for health and wellness solutions, a growing sensitivity to food safety, and sustainability issues.
• By 2020, Frost & Sullivan expects that companies with a truly global market and product strategy, that fully exploit the growing demand for health and wellness solutions, and that adopt an all-encompassing sustainability strategy will lead the F&B industry.
Food and Beverage Market: Relative Impact of the Top Trends, Global, 2012
1 52 3 4 76
Low High
Low HighFood Safety and Security
Globalization and Changing Economics
Low HighSustainability
Low HighHealth and Wellness
Source: Frost & Sullivan analysis.
Gre
en,
Sa
fe,
and
Hea
lth
y
Green, Safe, and Healthy—A congruence of trends that expands the potential product/market opportunity space.
Contact Information
Dorman FollowwillPartner, Director Europe & Practice Director, Healthcare
(+44) 1865 398620
25
26NAFD-MT
HEALTHCARE INDUSTRY TRACK AGENDA
1. Future of Healthcare: How IT Savvy Power Patients Will Drive a Healthcare Revolution
2. Case: Telefonica / Vivo
3. Panel Discussion : Convergence of Information Technology (IT) in healthcare - impacts and opportunities
O mundo mudou_
_O mundo sempre continuará mudando
_Mas as pessoas continuam as mesmas!
as mesmas vivendo em um mundo digital_
Nesse mundo o acesso é digital_
Usuários de Internet
2012
94,2
265,7
Fonte: IBGE, Teleco, Anatel e empresa
Celulares
Milhões
62,3
150,6
2008
Telefônica VIVOA maior operadora do Brasil tem uma infraestrutura completa por acreditar que conectados vivemos melhor
Telefônica DigitalA Telefônica Digital tem a missão
de ajudar a VIVO a conectar as pessoas com soluções e serviços
PARA
PESSOAS_
PARA
EMPRESAS_
PARA
PARA
EMPRESAS_
PESSOAS_
Para Empresas_Advertising
Segurança
e-Health
M2M
Big Data
e-Health__Manter a saúde é caro para pessoas,
empresas e governos
O nosso objetivo é facilitar o acesso e diminuir custos _
_e para oferecer a melhor experiencia do mundo digital_
TRANSFORMAÇÃO
SOLUÇÕES
VALORES
_criamos uma unidade de negócios – e-Health
• Qualidade• Equidade• Acessibilidade
• Individualizadas• Diferenciadas• Integradas
• Incremento da eficiência operacional• Redução de custos• Proteção do Investimento
_ um parceiro TIC para as empresas de saúde no Brasil
Integrações de voz, video, texto, email e aplicações corporativasRedes unificadas de última geração
Mobilidade dos processos
Capacitação para atuação
no mercadoParceiros
Serviços, seguros tecnologicament
e avançados
Mudando as coisas,entre nós e nossos clientes
Produtos__Vivo Gestão de
Demandas
_Vivo Gestão de Imagens Médicas
_Vivo Gestão da Saúde da Família
_Vivo Gestão de Saúde Populacional
Vivo Gestão de Demandas_
Serviço multicanal para a gestão centralizada e eficiente da demanda assistencial
Para uma nova geração de cidadãos mais exigentes que pensam em rede e se relacionam de forma cada vez mais colaborativa
Gestão de Imagens Médicas_
Adoção de tecnologia vem aumentando os custos no
processo
Seja pela facilidade de alcance, seja pela diminuição dos custos
Vivo Gestão de Imagens Médicas_
Adoção de tecnologias vem aumentando os custos
na área da saúde
Seja pela facilidade na informatização, seja pela
diminuição dos custos
Conteúdos educativos para formação profissional
Fichas de coletas das informações pelos agentes comunitários de saúde
Agendamento Web
Recordatório SMS
Geolocalização
Vivo Gestão Saúde da Família_
Vivo Gestão de Saúde Populacional_
Conselho Saúde
Info Saúde
Emergências
• Cliente • ProtocolosÉ a prática de resolver uma dúvida do cidadão e/ou avaliar seu estado de saúde derivando para o recurso assistencial adequado
sob medidaAlém disso, por conhecer os clientes, conseguimos diminuir os riscos e criar produtos
Nosso serviço baseia-se no entendimento das necessidades dos nossos clientes
As pessoas não mudaram, mas o jeito delas interagirem mudou
Criamos, desenvolvemos e oferecemos produtos, serviços e aplicativos para a Telefônica Vivo tornar a vida das pessoas mais prática, fácil e divertida
Se até agora conectamos pessoas e empresas por meio de uma infraestrutura
A partir de agora, precisamos conectá-los com produtos, serviços e aplicativos digitais
_Para um mundo digital,
Telefônica digital
Obrigada!
Heloísa Costa
48NAFD-MT
HEALTHCARE INDUSTRY TRACK AGENDA
1. Future of Healthcare: How IT Savvy Power Patients Will Drive a Healthcare Revolution
2. Case: Telefonica / Vivo
3. Panel Discussion : Convergence of Information Technology (IT) in healthcare - impacts and opportunities
49NAFD-MT
PANEL - Convergence of Information Technology (IT) in Healthcare - impacts and opportunities - SPEAKERS
Alain MourotSales Director, Latin AmericaWolters Kluwer
Heloisa CostaHealth Business Unit HeadTelefonica | Vivo
Roberto Ribeiro da CruzCEOPixeon Medical Systems
Renato ArrudaDiabetes Marketing ManagerSanofi
50NAFD-MT
Thank you!