1 Copyright(C) 2014 You Home Clinic All Rights Reserved Tetsuyu Medical Institute Corporation Shinsuke Muto, MD, MBA, Ph.D. June 16, 2014 Creation of New

1 Copyright(C) 2014 You Home Clinic 　 All Rights Reserved

Tetsuyu Medical Institute Corporation

　 Shinsuke Muto, MD, MBA, Ph.D.

June 16, 2014

Creation of New Social System in Super-aging Society


Aging of Asia


The demise of the “population bonus” period in Asian countries

Source: Prepared by the Bank of Tokyo-Mitsubishi UFJ, Ltd. based on statistics of the United Nations.

“Population bonus” Periods of Asia

　 1950 　 1960 　 1970 1980 1990 2000 2010 2020 2030 2040 2050

Japan 　　　　　　　　　　　　　　　　　　　　　

NISS +

China +

Thailand

Hong Kong 　　　　　　　　　　　　　　　　　　　　　

Singapore 　　　　　　　　　　　　　　　　　　　　　

China 　　　　　　　　　　　　　　　　　　　　　

South Korea　　　　　　　　　　　　　　　　　　　　　

Thailand 　　　　　　　　　　　　　　　　　　　　　

ASEAN +

India

Vietnam 　　　　　　　　　　　　　　　　　　　　　

Indonesia 　　　　　　　　　　　　　　　　　　　　　

Malaysia 　　　　　　　　　　　　　　　　　　　　　

India 　　　　　　　　　　　　　　　　　　　　　

Philippines 　　　　　　　　　　　　　　　　　　　　　


Source: UN, World Population Prospects : The 2010 Revision

45%

40 %

35 %

30 %

25 %

20 %

15 %

10 %

5%

0%1950 　　 1960 　　 1970 　　 1980 　　 1990 　　 2000 　　 2010 　　 2020 　　 2030 　　2040 　　 2050 　 (Year)

Asia is expected to be aging much faster than ROW

Changes in the aging rates of Asian countries

1. Japan

2. South Korea3. Singapore4. China5. Thailand

Developed regions


Aging of Japan


Japan has already entered a super-aging society

Source: Population Projection for Japan―the National Institute of Population and Social Security Research

75 years of age

2005 2030 2055

Age (years) Age (years) Age (years)


Mortality

Actual

Estimate

(Thousand)

In 20401.66 Million

19901980197019601951 2000 2010 2020 2030 2040 2050


Place of death

Deaths at medical institute

Deaths at home


Social security cost （ Medical cost ）

National medical cost

JPY Trillion

Ratio to National Income(NI)

Ratio to GDP

2009200019901980197019601955


Social security cost (People to support aging society)

2000 2009 2015 2015 2035 2045 20550

0.5

1

1.5

2

2.5

3

3.5

4

4.5

3.9

2.8

2.32

1.71.4 1.3

# of young people to support one elderly person over 65 years old


Medical and Welfare cost will increase by 30 trillion JPY by 2025

■Comparison of Japanese Medical and Welfare Expense in 2012 and 2025

Source: The Ministry of Health, Labour and Welfare *Graphics redesigned by You home clinic

￥ 35.1

trillion

¥54.0trillion

¥8.9trillion

¥19.8trillion

2012 (Actual) 2025 (Forecast)

×154%

×222%

+ ¥29.8 trillion× 168%

From 2012 to 2025(in 13 years)...¥44.0 trillion

¥73.8 trillion

Medical cost

Welfare cost


Home care saves money in caring for the elderly

■Comparison of monthly medical and welfare cost for elderly people　 between hospital and home care per capita

Source ： 2013.11 MEDIVA Co..Ltd *Graphics redesigned by You home clinic

Hospital care （ 30days ）Normal Unit (not ICU)

Home care （ 1month ）Medical care (every other week) andWelfare service at home

¥ 487,020 / Month

¥ 166,080 / MonthMedical

Care Cost

Welfare Care Cost

1/3 ofHospital care


Day-to-day problem-solving skills

Language (vocabulary) ability

Short-term memory

Not everyone’s cognitive/physical abilities decrease with aging

Source: Cornelius and CaspiSource: A study on the longitudinal and transverse changes in the physical functions of elderly Japanese―Takao Suzuki et al.

Norm

al walking speed

(m/sec)

1992

2002

(Cognitive point)

Walking speed classified by generation (Males)

Cognitive ability classified by generation

65 to 69 70 to 74 75 to 79 80 or over (years)

0.8

0.9

1

1.1

1.2

1.3

1.4

1.5


Elderly feeling anxiety about daily lives, albeit their wealth

Source: A 2009 awareness survey on the daily lives of elderly people―the Cabinet OfficeSource: A 2009 fact-finding survey on national consumption―Bureau of Statistics

Feeling anxiety about future lives 72%

1. The disease and health problems 78%2. Being in a physically disabled 53%

Elderly people’s awareness of anxiety about their daily lives

Financial assets of household heads classified by age

Avera

ge

Less th

an 30 30’s

40’s50’s

60’s

70 or o

lder

947

(38)

(262)

74

927

1,785 1,860 (10,000 yen)


Our activities


Our activities to revive community where elderly live happy

Step１

Step２

ICT home medical care system

ICT team care system

Evolution to a new social/community model

■3 steps to reconstruct community model in super-aged society

Step3

ICT comprehensive livelihood support system


Step 1: ICT home medical care system

• Home care-use electronic medical record

• Cloud-based electronic medical record

• Back office operational support (data entry etc.)

• Enables doctors to focus more exclusively on medical examinations and patient care

• Equipped with functions needed for home care, including task and scheduled route management

Electronic Medical record

Contact center

Home medical care cloud


©2013ZENRIN CO ．， LTD ．（ Z14LD 第 886 号）

Home medical care cloud (1/3)


©2013ZENRIN CO ．， LTD ．（ Z14LD 第 886 号）



©2013ZENRIN CO ．， LTD ．（ Z14LD 第 886 号） c



Step 2: ICT team care system

Sanatorium ward General

hospital

HelpersVisiting nurses

Pharmacists

Home clinics

Clinics

Care managers

Cloud systemFacility staff

Patients and families

Family members not living with patients


What made us move forward








Provision of services

Step 3: ICT comprehensive livelihood support system

Creation of databaseCoordination of support

Interface with disaster-affected residents

• Visits made to 20,000 households, with assessments conducted of 10,000

• Information was evaluated by specialists to identify the key support person required

• Support has been provided to approx. 3,000 households


Our system proved powerful for comprehensive survivor support

■Analysis of data ■Monthly report meeting

■Forums with government & NPOs


Our new project: Evolving to a new social/community system

Elderly people in need of nursing

care and caregivers

Health support

Livelihood support

Social participation and life motivation

Home medical care

Home nursing care

Home medical and

nursing care cloud

Self-reliant elderly people

Communicators

Face-to-face contact

Coordinating function

Public-private platform

Family support

　　　 =Newly innovated

Healthy life cloud

Public services

Private service

Medical and nursing care staff

Documents

1 Copyright(C) 2014 You Home Clinic All Rights Reserved Tetsuyu Medical Institute Corporation Shinsuke Muto, MD, MBA, Ph.D. June 16, 2014 Creation of New