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