SKYNET INC. & HEALWISE GROUP

Prepared for: Mr. Yang and Zhao Jin

Prepared by: Taylor Manning, Anthony Head, Chen Jun, Zhang Peng

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Executive Summary

This report examines both Healwis Group and Skynet INC. Healwis Group offers general health examinations and depth (precision) examinations for businesses and Individuals. Skynet INC is a software development company that specializes in the advancement of mobile health technology. Both companies have hired our team of consultants in a joint effort to elp allivate some of their current issues. For Healwis, they currently have an influx of customers and would like to expand their services to offer more for their customers. Skynet Inc currently has the technology ready to proceed with their mHealth apps, but wants to know more about the American mHealth industry and what they can do to increase their customer base. Through analysis of the current healthcare and mHealth industries in both China and America, our team was able to address the current problems facing both companies.

Chinese Healthcare Industry

The Chinese Healthcare Industry currently has three different segments: Private Clinics Collaborating with Hospitals, Community Health Service Centers, and Physical Examinations and Heath Management Center. Each of these segments has room for improvement, and due to the infancy of China’s current healthcare service market practitioners within the industry have not yet formed complete business models.

American Healthcare Industry

Within the American Healthcare Industry there are currently four different segments: Family Doctors/Primary Care Physicians, Proprietary Hospitals, Nonprofit Hospitals, and Government-supported Hospitals. Each of these segments had different business models that can be applied to the Chinese Healthcare Industry. The typical payment for these services is through private health insurance policies bought by the public.

mHealth Industry

mHealth is up-and-coming in both China and America, however it is more established in America due to policy regulations in China. Currently Chinese mHealth applications are only allowed consult doctors, rather than prescribe medicines. Although American is currently leading in mHealth technology, China is expected to hold 37% of the market by 2017, which is 7% more market share than America is expected to have.

The Chinese mHealth industry is experiencing an influx in mHealth due to their againg population, the technological movement, increasing government support, and the discrepancies in healthcare based on geographic regions. The mHealth industry in America is experiencing an influx in mHealth due to rising healthcare costs, discrepancies in healthcare based on geographic regions, and increasing in chronic diseases due to an aging population.

Recommendation

Our recommendations to HealwisGroup are to: Begin accepting all Chinese Health Insurance; Utilize mHealth in everyday practices and; Market by collaborating with public and private hospitals as well as market through medium to large for-profit corporations.

Our recommendations to Skynet INC are to: Increase their presence in International Markets; Branch out to Hospitals and Family Doctors; Go beyond mobile applications; Make software compatible with all mobile devices and; Connect with companies that specialize in wearable devices.

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Table Of Contents

Overview of Companies

Overview of Healthcare in American & China

Introduction to mHealth

mHealth Applied to Chinese Healthcare

mHealth Applied to American Healthcare

Chinese Healthcare vs. American Healthcare

Chinese mHealth vs. American mHealth

Recommendations

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Overview of Skynet INC.

Skynet INC is a software development company established in 1991 that specializes in the advancement of mobile health (mHeath) technology. Skynet software uses sophisticated software production quality assurance systems in order to provide a more caring, localized, and sophisticated service to its customers.

In 2004, Skynet had a total share capital of 92.2 million Yuan, and total assets equivalent to 280 million Yuan. Skynet has won multiple world-renowned awards for their innovations in technology, including but not limited to: “National Key New Product” award, “Science and Technology Achievement Award,” and the “Major Scientific and Technological Projects Award.”

Skynet has many values including justice, friendship, a win-win culture, diligence, integrity, honesty in business practices, and the equality of human rights. Skynet values their relationships with trusted partners, such as the Institute of Computer Technology, Tsinghua University, and IBM, due to their input of progressive forces that have allowed Skynet’s core business values to thrive. Skynet currently services a wide variety of customers, however they are looking to expand their client base in order to accumulate more customers.

Healwis Group is a line for businesses and individuals to provide general health examinations and depth (precision) examinations. They are currently the largest high-end medical and health care center operating in Xi’an, China, and primarily serve high-end services to an exclusive customer base. Healwis Group services between 300 and 400 patients per day, which results in between 80,000 and 90,000 patients per year. They are committed to respecting customers privacy while providing the best customer service and creating lifelong relationships with their customers.

Healwis Group was established 5 years ago, in 2009. Healwis has an elite team that has three very renowned doctors, including but not limited to Jiangrui Ying, Lin Xing Stone, and Pu Grace Fu. Additionally, Healwis currently have eight partners: Beijing Union Medical College Hospital, Shanghai Ruijin Hospital, Xijing Hospital, Tang Du Hospital, Dental Hospital of Fourth Military Medical University, Second Addiliated Hospital of Xi’an Jiaotong University, Stomatology Hospital of Xi’an Jiaotong University, and Houston Medical Center.

Healwis’s mission is to protect life and optimize health while extending their knowledge on every aspect of customer’s health in an effort to create value. While Healwis is not currently experiencing problems they want to extend their services in order to serve a wider variety of the Chinese population, while also adopting US business models into their company in order to increase profit margins.

Healwis Group

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Due to the differences between urban and rural settings there are many differences in the healthcare each region gets. There are huge gaps in the quality of healthcare between urban and rural setting, making it exceptionally difficult for people living in rural environments to get the proper care they need.

The emergence of private doctors can make positive effect on the current problem--it’s difficult and expensive to see a doctor. In normal circumstances, 80% of people suffer from conventional diseases and general medical practitioners can treat the patients. Only about 20% of diseases require specialists of a large hospital for treatment. Due to the lack of medical care knowledge and consultation channels people have to go to large, urban hospitals to find experts for treatment even if they’re just suffering from a cold. The private physicians can provide treatment advice and treatment services, which leads to the decreasing of the needs for registration and inspection in the hospitals. Private physician services can also save time and cost of managing the patients’ medical information.

Due to China’s healthcare service market being in it’s infancy stage, Chinese healthcare practitioners have not yet formed compete models. There are, however, three separate sectors of healthcare as follows: Private clinics collaborating with hospitals, Community health service centers, and Physical examination center and health management

Business Model of Chinese Healthcare

In China, the private physician services market is still in its infancy, however it is growing rapidly. Currently, several economically developed cities such as Beijing, Shanghai, Nanjing, Shenzhen have some intermediaries of private physician services, some of them are transformed from the subsidiaries of the health sectors of medical institutions or medical schools, some of them are direct established in the name of private hospitals.

Chinese Healthcare Industry

Current Status of Healthcare Industry

According to the American Hospital Association (2013), there are 5,724 hospitals in the United States. Phillips (2014) states that there are three basic types of hospitals that exist in the United States: propriety hospitals (for-profit), nonprofit hospitals, and government-supported hospitals. Although the services within these institutions vary, they are usually organized based on missions or objectives of the individual institutions.

Phillips (2014) states, according the data retrieved from the United States Census Bureau, that for the 2012-year propriety hospitals generated 10.8% of industry revenue; governmental hospitals generated 20.7% of industry revenue, however non-profit hospitals historically have dominated the industry’s revenue contributing to 68.5% of industry revenue.

Business Model of American Healthcare

The business models for American Healthcare systems vary depending on the type of hospital entered. Each hospital has a value proposition of giving their customers a product or service that is more effective, affordable and convenient than their competitors.

American Healthcare Industry

Current Status of Healthcare Industry

America has and will continue to see rising healthcare costs. In 2013 health care costs in America were $2.9 trillion, 16.8% of US GDP, and they are expected to rise to $4.8 trillion, 19.6% of US GDP, by 2021 (Xiaohui et al, 2013). With healthcare costs in the Unites States increasing, family insurance plan costs are also increasing dramatically; health insurance premiums families have almost tripled in the U.S from $5,791 in 1999 to $15,745 in 2012 (Claxton et al., 2012).

The majority of patients (40.9%) treated at hospitals are covered by Medicare, followed by Medicaid (17.2%), Blue Cross Blue Shield (16.5%), and HMO or PPO (14%). An additional 4.9% of hospital payments come from self-paying individuals, and the remaining 2% of payment comes from workers compensation and other government programs (Dunn & Becker, 2013).

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Private Clinic Collaboration with Hospitals

In this model, private physician own a general clinic to provide comprehensive treatment services to customers. Private physicians master the information in all aspects of the customers and their families. Private physicians set up a medical database and build contact with the hospitals so that private physicians can refer the patients who suffer from serious ills to the correct hospitals. The advantage of this model is that providers can not only provide basic medical services, but also solve the emergency problems through the cooperation with hospitals.

Community physicians who are in the community health centers can use medical resources of the community health centers to provide private physician services to the family in the community. Many community health service centers in China provide health education, immunization, maternal and child health, chronic disease prevention and other medical services of public health and common disease. The disadvantage of community health service center is that the level of health care is not high enough to meet a higher level of demand of the residents for medical services.

Community Clinic Collaboration with Hospitals

In this model, the healthcare service providers provide comprehensive health management based on the physical examination. Firstly, Healthcare service providers establish health documents of consumers and provide consumers a comprehensive physical examination. Then the providers provide some conditioning and simple treatment on the basis of examination results. In addition, Healthcare providers combine examination results and consumers' daily habits, and then provide health advices and the services of disease prevention to consumers. If there are emergency problems or if healthcare providers can’t meet the treatment needs of consumers, providers will arrange consumers to go to specialized hospitals for medical treatment according to the consumers' health documents.

Physical Examination Center and Health Management

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Family Doctors / Primary Care Doctors

Primary Care consists of practitioners that possess either a Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree, and they usually have a general or broad understanding of all illnesses. They typically do not restrict their practices to one particular field; instead they are trained as comprehensive first-contact and continued care for anyone with undiagnosed health problems. Family doctors typical services include diagnosis of general symptoms, diagnosis, screening, and preventative care, diagnosis of symptoms related to the respiratory system. Family doctors will also diagnose symptoms related to musculoskeletal system and give disease treatment, however these practices are much less prone to happening than the others (Lerman, 2014).

Industry services are performed by personal physicians who often collaborate with other health care professionals through utilization of consulting or referrals. There are many subspecialties within general primary care, including family medicine, internal medicine, obstetrics and gynecology, and pediatrics. There has been a noticeable decrease in doctors specializing in family medicine, obstetrics and gynecology for the year 2014, however there has been an increase in doctors specializing in internal medicine and pediatrics.

Typically the family practitioner will interview the patient to collect information on their current symptoms, prior medical history, and other health details. Interviews are then followed by a physical examination. Typically more complex and time intensive diagnostics will be referred to specialists who have special training with specific technology. Once the doctor has collected data on their patient, they then arrive at a diagnosis and formulates a plan that includes components of further testing, specialists referrals, medication, therapy, diet or life style changes, patient education, and follow-up treatment if needed (Lerman, 2014).

There are four defining features of primary care services: first-contact care, continuity of care over time, comprehensive or concern for the entire patient rather than one organ system, and coordination with other parts of the healthcare system.

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Primary care doctors are the first point of contact for many individuals seeking healthcare, however the industry is experiencing a decline due to individuals losing insurance coverage, a falling birth rate, and a higher rate of unemployment (Lerman, 2014). Although the industry is currently experiencing a decline, IBISWorld (2014) predicts there will be a rise in demand for family doctors, and thus is will raise revenue an annualized 4% to $164.2 billion. With the rise in demand, primary care doctors will see an influx in pressure to become more efficient, and thus consolidate at a higher rate with group practices or hospitals (Lerman, 2014).

Typical payment of family doctors is through private health insurance, and the number of people with private health insurance is expected to increase for the 2014 year. Additionally, Medicare and Medicaid reimbursements will constitute more than a quarter of the industry’s revenue for the year 2014. Out of pocket payments constitute 9.5% of industry revenue, however as household income increases over the next five years personal expenses and health insurance will be better affordable for families, thus decreasing this number.

Demand for primary care physician’s services have increased over the past five years, mainly due to the number of adults aged 65 and older. Chronic illnesses are exceptionally common in this demographic, leading to mounting concern that most patients will be unable to obtain services without the industry seeing an increase in primary care doctors.

The number of solo and two-physicians practices and physician-owned practices are slowly declining, while an estimated 75% of primary care doctors are in practice groups of fewer than five doctors (lerman, 2014). This is directly related to hospitals experiencing an increase in membership and interest from doctors who originally operated in smaller practices. The number of locations of primary care doctors is decreasing at a rate of .8% per year due to decreased interest in doctors owning and operating their own practices.

Currently the processes for foreigners attending American family doctors is the same as the American citizens going to the doctor. If the foreigner has insurance, it is typically accepted, however if they foreigner doesn't not have health insurance then they have to pay out of pocket, much like the American citizen.

Family Doctors / Primary Care Doctors

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Government-supported hospitals include tax-supported hospitals for counties, communities, and cities, as well as voluntary hospitals run by a board of citizen administrators. According to Dunn & Becker (2013), there are currently 1,045 hospitals in the United States that are owned by state or local government entities. The main objective of government-supported hospitals is to provide healthcare for a specific community or specific geographic region. Government-supported hospitals are most likely to supply unprofitable services to the public because the poor and uninsured patients disproportionately need government-supported hospitals.

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Nonprofit Hospitals

Most nonprofit hospitals provide similar medical services as general hospitals, however they do not have as high quality or as specialized services as specialized hospitals. They aim to cure, treat, and manage the greatest number of diseases while preserving patient autonomy (Nation, 2010). Nonprofit teacher or community hospitals serve several purposes, including but not limited to providing training to interns and residents and offering services to patients who cannot pay for them (Phillips, 2014).

There are currently 2,903 hospitals in the United States that are registered as nonprofit (Dunn & Becker, 2013). Nonprofit hospitals typically accept everyone, regardless of their ability to pay; this practice allows nonprofit hospitals to receive tax exemptions because of the benefits they provide to their communities (Writer, 2014). Although nonprofit hospitals accept people unable to pay, they often treat the poor very harshly and charge them rates multiple times higher than the amount the hospitals accept from insured patients (Nation, 2010).

Nonprofit hospitals will sometimes partner with for-profit pharmaceutical companies in order to access their lucrative research (Landsberg, 2004). While this practice is legal, it is debatable as to how a nonprofit hospital can still keep their tax exemptions while utilizing profitable practices through for-profit entities. The current federal tax law requirements, according to Nation (2012), result in higher costs and lower quality health care.

Propriety Hospitals

Propriety hospitals include both general and specialized hospitals; they are usually members of a healthcare network, which can be corporately owned. Specialty hospitals are increasingly becoming a larger part of the American healthcare sector due to the increased demand for high quality care, and include cancer treatment centers, surgery centers, inpatient care, and many more specialized practices. The majority of hospitals in America focus on two different types of business models however there are currently no businesses that have successfully integrated both of these business models within the same operating unit. The first model is a solution-shop business model organized around intuitive diagnostic activities while the

second is a value-adding process business model organized around the efficient delivery of specific procedures (Christensen et al, 2008).

General hospitals typically utilize a solution shop model and aim to find out what the patients’ problem is, what is causing it, and what they can do to help it. They typically have every type of diagnostic equipment and are staffed by physicians from every specialty (Christensen et al, 2008). These hospitals aim to diagnose the root cause of a problem and then prescribe the best possible root of therapy, including recommendations to specialty hospitals and doctors.

Specialty hospitals typically utilize a value-added process where they

already know what the problem is and they aim to correct it effectively, affordably, and conveniently. These hospitals are usually the second step in treatment for proprietary hospitals and are utilized through recommendations from physicians and doctors at general hospitals. According to Christensen et al (2008), specialty hospitals can successfully integrate their business processes and business models because they can focus on a singular job instead and thus produce higher levels of quality at a substantially reduced cost.

Government-Supported Hospitals

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mHealth

Mobile technology (mHealth) assists patients, health providers, and policymakers in many different ways. mHealth helps patients by allowing them to monitor their health conditions in home and at their convenience, and then based on the app communicate those results to their physicians. mHealth helps health providers get broader views and opinions by helping them communicate more efficiently and effectively with colleagues. Additionally, mHealth helps policymakers by giving them access to important information on health delivery and medical outcomes (Xiaohui et al, 2013).

Utilization of mHealth varies around the world. There are many differences in the successful utilization of mHealth, most significantly being between Africa and North America, South America, and Southeast Asia. According to Xiaohui et al (2013), Africa has the lowest rate of adoption of mHealth, whereas North America, South America, and Southeast Asia have the highest adoption levels. In addition to the adoption of mHealth, analysis predict the worldwide mHealth market in 2017 will surpass $23 billion, with China and the United States having the largest market at a net worth of $6.8 billion each, or 30% of the total market. With regards to the future of mHealth in APAC, China is predicted to hold 37%, or $2.5 billion, of the market share.

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There is significant growth around mobile broadband, and, according to a GSMA Wireless Intelligence report the number of broadband users has gone from 2.3 billion users in 2008 to 3.4 billion users in 2013, and it is predicted that by 2017 the number of broadband users will exceed 3.9 billion (GSMA, 2012). Unfortunately, according to Heussner (2012), and the Pew Internet & American Life Center, “Only ten percent of adult cell phone users in the U.S. have downloaded a health app, with some never using it of only using it once.” In order for mHealthto become a thriving industry companies will have to market their apps in a way that engages and educates the client, while giving them a convenient way of communicating with their health care specialists

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Limitations of mHealth

There are various ways to utilize mHealth, most prominent being mobile health apps via smart-phones and tablets. Although these apps have the capability of connecting a vast population of patients, doctors, and hospitals, they do have some shortcomings. One of the major limitations of these apps is that they fail to engage customers and patients in a way many doctors are currently able to.

Additional limitations regarding mHealth apps fall in the hands of doctors. Although patients are eager and willing to adopt new technology and new ways of communicating with their doctors, the doctors are apprehensive to change the current way they are doing business. Doctors and physicians expressed great concern with the training surrounding the apps due to liability concerns and discomfort related to the data it generated (Heussner, 2012). While some doctors have expressed concerns with the apps some have stated they would be more willing to accept this technology if education surrounding the technology increased, which paves the way for a huge takeoff in the mHealth industry.

mHealth Applied to Chinese Healthcare

mHealth activities are rapidly growing in the Chinese healthcare market. According to iiMedia, the Chinese mHealth market is estimated at around 1.86 billion RMB, or $28.8 million USD, which is a 17.7% increase from 2012. By 2017 it is predicted that the medical market in China will exceed 10 billion RMB. Along with the increase in popularity of the mobile health market in china, there is an increase in wearable medical devices. These devices are bracelets that track and monitor your everyday activities such as movement, diet, and sleep, as well as monitoring your blood pressure, heart rate, and other vital health information. As of 2012 the wearable medical equipment market in China was at a net worth of 420 million RMB, or $67.3 USD, and is predicted to exceed 5 billion RMB by 2017 (Xiaohui, 2013).

There is currently a growing demand on healthcare in china due to the accelerating aging population in China. According to “China’s Aging Development Report,” a report by the National Committee of Ageing (2013), 9.4% of the Chinese population was 65 or older in 2012, and that number is expected to increase to 33.3% to 440 million people by 2050. The prevalence of coronary heart disease, hypertension, diabetes, asthma, arthritis and other chronic diseases will see an increase in prevalence due to the ageing population, which will result in an increase need for doctors to conveniently monitor their health outside of the hospitals.

Ageing Population

Government Support

There is great potential for mHealth technology to increase patient’s accessibility to medical records and doctor recommendations, as well as significantly reduce patient health care costs. Due to added benefits of mobile technology, the Chinese government has given their support for advancing technology within the mHealthindustry.

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In addition to an ageing population, there is a rapid technological movement happening in China; with the advent of the 4G era there is an increase in intelligent terminals and thus an upgrade of cellphone sensing technology via cloud computing infrastructure. The increase of mobile and cloud technology paves the way and sets an important stepping-stone for the future of online medical technology. Further development of mHealth technology can reduce healthcare costs significantly and allow for a more diverse way for doctors to treat patients. mHealth companies can not only release apps for their mHealth services, but they can also create open service networks on social media platforms, such as WeChat, that assist in easier communication between doctors in certain medical fields.

Discrepancies in Geographical Regions

With the application of mHealth in China, people in rural environments can begin obtaining the same quality healthcare as those in urban settings. Urban doctors have access to more abundant medical resources and more advanced medical technology; upon utilization of mHealth technology rural doctors can have equal access and thus be more qualified to treat their patients (Xiaohui, 2013).

Technological Movement

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Top Companies in Chinese Healthcare Industry

There are many companies that are involved in the newly emerging Chinese mHealth industry. The following are the top five most popular, profitable, or successful companies within this industry.

HaoDF, founded in 2006 in affiliation with Hudong Feng Technology Co.Ltd, is the biggest medical website in China. It focuses on providing reference information for patients seeking medical advice. HaoDF developed the first real-time updating patient information system on the internet and after several years of rapid development, has become China's largest online medical triage platform (关于我们-好大夫在线, n.d).

Like most of other Chinese mHealth companies, HaoDF still does not have a clear profit model. Their current business model includes charging money for the purchase of their applications, advertising to consumers both domestically and overseas, and consulting with international mHealth companies. Although they have some of the largest medical websites in China their business model has proven unsuccessful. Since HaoDF’s inception in 2006, the company has been losing money. The company is continuing to explore business models because they have accumulated a number of users without properly knowing how to make money. Commercialization is the most important area for HaoDF, however it is also the area they are experiencing most difficulty in.

HaoDF provides query, consulting, transfer treatment, sharing services on the website as well as on their mobile applications. HaoDF’s database include patient access to China's leading hospitals, physician information inquiry center, China's leading physician-patient consultation platform, China's first online disease priority referral platform, and China's leading medical experience sharing system. A patient can query the information about diseases, doctors, and hospitals, consult doctors on patient health information, and share patient experiences and comments on the website or app.

HaoDF

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5U Family Doctor

5U Family Doctor, founded in 2011 by Tsinghua Science Park, is the mHealth industry's leading high-tech enterprise. 5U combined the American Family Physician (General Practitioner) mode with the mobile Internet. Every member has a private physician, and with just a phone call a patient can solve all concerns about health care and medical treatment. 5U provides services including family doctors, one on one telephone consultation, appointment of experts, serious illness green channel, emergency services, and many other online options. 5U currently has over 1 million users in China alone, and believes that health is a resource for everyday life, not the purpose of life. The mission of 5U is to help every family have its own family doctor and timely access to quality health service by a phone call in order for every user to have a healthy and enjoyable life.

The target user of 5U Family Doctor is the group who attaches great importance to individual and family members health management and high -income people, and those with special healthcare needs populations, such as maternal and chronic diseases. By bringing in private family doctors, 5U provides more professional health care advice, appointments and treatment services for its users. 5U is different from many other mHealth companies because all services they offer have to be bought. When becoming a member of 5U a patient must sign for family doctor and then maintain long-term stability service relationship. Users pay for the doctor and doctors pay to be included in the 5U database.

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Registered Network

Registered Network is a national health counseling and medical guidance platform official website, which is approved by Ministry of Health. It aims to create a real-name doctor-patient communication internet media platform. Registered Network is currently the largest appointment registration, medical guidance, health counseling, online payment medical and health services website in China. In March 2010, Registered Network approved the Guardian Planning Commission and officially started construction of the China Health Education Center in an effort to improve their health literacy and effectively alleviates difficult issues. The Chinese Hospital Association Emergency Department Management Committee co-chaired the building (Guahao, n.d).

Registered Network currently provides users with medical guidance, ability to make doctor appointments, health counseling, medical online payment services and many other options. Registered Network is also very convenient for patients. Registered Network gathered more than 3,900 of the National Heart Hospital and 600 tertiary hospitals’ appointment resources. It currently has 300,000 doctor's expertise libraries, more than 70,000 experts appointment registration service, has successfully helped more than 12 million users make appointments and assess doctors. In addition, Registered Network developed a mobile application and created a Wechat public service account to provide more convenient, more effective and more efficient service for patients.

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Beijing Spring Rain Software Co Ltd.

Beijing Spring Rain Software Co.Ltd, found in the summer of 2011, believes that everyone has the right to know the information regarding his or her bodies. Therefore, they believe everyone should enjoy better quality, economic, and convenient healthcare information services. Beijing Spring Rain Software Corporation is committed to using mobile internet technology to help people have a better grasp on their health, increase information flow, and treat illnesses.

Spring Rain doesn’t have clear profit model yet and is still attempting to accumulate users and explore future business model stages. They initially provided services free of charge, however at the end of 2013 they implemented a membership system to their online databases and applications in order to increase profits. To become a member, one must pay the membership fee. By participating in membership, a patient can receive important information from their doctors more effectively, efficiently, and conveniently. Although the membership fee generates revenue, CEO Zhang Ruistated this was not their profit model and they are still in the process of developing one (关于我们, n.d.).

Spring Rain Software Co Ltd has developed multiple online health applications and currently has the worlds most complete mobile disease database. Of the multiple applications they have developed, Spring Rain Doctor is their most used and recognized by the Chinese mHealth industry. Spring Rain also developed some other professional mobile health applications such as Spring Rain Parenting Doctor, Spring Rain Pregnancy Doctor, the Male and Female Doctor and Spring Rain Heart Mirror etc. Spring Rain Parenting Doctors focus on helping parents raising their babies healthily. Spring Rain Pregnancy Doctor’s main function is offering help for pregnant women how to birth their babies safely and healthily. The Male and Female Doctor provides knowledge and information about female and male health. Spring Rain Heart Mirror can measure your heart rate and protect your heart health (春雨医生, 2013).

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DXY is the largest online academic portal for five million Chinese physicians and life science professionals, with average daily page views of 1.8 million hits. DXY was established in 2000 and now has over three million registered members. DXY features over 100 columns to facilitate communication, information sharing, and collaboration of medical professionals within practically all sub-specialties of clinical medicine, basic medical research, life sciences, and pharmaceutical sciences (丁香园, n.d).

DXY has helped over 700 pharmaceutical companies, life science companies, and marketing survey companies reach Chinese physicians and scientists in the past five years. The profit model of DXY is continuously exploring; DXY developed a mobile application called Pharmacy Assistant. Pharmacy Assistant collects thousands of drug instructions and users can quickly find the drug instructions according to drug names, generic names and disease name etc. Pharmacy Assistant provides convenient drugs information query service for clinician, pharmacist, nurse, and other medical personnel. In order to use this application a user must first purchase it. In addition, advertising revenue is another important profit point for DXY because of its vast users and page view.

DXY obtain funds through financing. Although DXY doesn’t have clear and stable profit model, it possesses a good deal of users. In addition, mHealth is a promising industry which helps DXY attract many venture capitals. DXY is a comprehensive medical life sciences professional website that provides many products and service. Users can discuss academic issues and exchange medical experience on the DXY BBS. Users can also get the information of drugs easily through the Pharmacy Assistant.

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Top Applications in Chinese mHealth Industry

Spring Rain Doctor HaoDF

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Pocket Pharmacy 5U Family Doctor

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Spring Rain Doctor

Spring Rain Doctor is a mobile application developed by Beijing Spring Rain Software Ltd that provides medical self-diagnosis and consulting services. Spring Rain believes that everyone should enjoy the high quality, economic, and convenient medical and health information services. The application provides healthcare information for users to diagnose themselves with possible diseases and sicknesses. Spring Rain Doctor is professional mobile phone software that patients can interactively use to ask questions about their health and have doctors give them the answers. Spring Rain Doctor is a self-examination and inquiry app. Users can inquiry their diseases and consult professionals for free through Spring Rain Doctor (关于我们, n.d.).

Spring Rain Doctor has the most complete mobile disease database in the world. All their disease data comes from the authoritative medical books and official database. Users can query information according to the disease name or symptoms. When you consult the qualified professional doctors, you can use voice, words and pictures. By utilizing patient’s mobile GPS information, Spring Rain Doctor finds the appropriate information about doctors, hospitals, and pharmacy’s in the area.

This application also offers a feature to consult with a doctor; the user has the ability to use their voice, text, or even pictures in order to generate professional medical advice. The professional can provide medical recommendations via the mobile device making this process easier and more convenient for both parties. Finally, this application offers GPS location of where to get medicines necessary for treatment, assists users in finding doctors, hospitals, and pharmacies according to location.

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HoaDF

HaoDF is a mHealth app which can help patients find excellent doctors and allows patients to make comments and ratings after seeing a doctor. There are 1.47 million patients’ comments on HaoDFapplication, which allows patients to choose their doctor based on previous patient reviews and clients. In this way, patients can find excellent and experienced doctors easily, while avoiding going to doctors who are not highly qualified or do not have high reviews. Additionally, patients can consult 52,337 specialists from formal hospital for free and keep touch with their attending doctors. The most important aspect of this app is that people can use the app to make appointments with 5,661 specialists’ outpatient service for free. Patients can get the doctors’ schedule through the app and then you can know when the doctor you chosen can serve you (关于我们-好大夫在线, n.d)..

Due to China’s large population and scarce medical resources “registration difficulty” is a serious social problem concerned by everyone. HaoDF integrates the hospital and doctor resources and provides patients an online registration service. This is an effective way to solve the “registration difficulty” problem. Through their registration service HaoDF was able to attract many users and experience great success. In addition, patients’ comment to the doctor can help users find the excellent doctors. This is also an important factor for HaoDF’s success. Advertising on the network is the most important marketing strategy. HaoDF advertises itself on search engine and web portals. This help HaoDF attract users and then lock the users by its high quality service and products.

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YPocket Pharmacies

Pocket Pharmacies is a free mobile application that focuses on public health. Pocket Pharmacies provides accurate, efficient and professional health information services to patients using their app. It includes tens of thousands of pieces of drug information, nationwide drugstore information, well-known pharmaceutical factories information, perfect symptoms database, and diseases database and comprehensive health care knowledge. Pocket Pharmacies also offers the latest information about health and health management functions. Their mission is to make people healthier through utilization of their app at the patients convenience.

While not connecting patients to doctors Pocket Pharmacies allows users access to information about drugs, drugstores and pharmaceutical factories. Pocket Pharmacies provides accurate, efficient and professional health information services to patients for free, so it grasped the users quickly. It includes tens of thousands of pieces of drug information, nationwide drugstore information, well-known pharmaceutical factories information, perfect symptoms database, and diseases database and comprehensive health care knowledge. Their services and products make them succeed. Pocket Pharmacies advertising on the network and this is their most important marketing strategy. Pocket Pharmacies also advertises itself on search engine and web portals, which helps Pocket Pharmacies attract users and then lock the users by its high quality service and products.

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Menstruation is a mobile phone application that focuses on menstrual health and woman health.

It’s function includes the record and prediction of menstrual period, the self-measurement of emmeniopathy, and premenstrual syndrome, and also gives women medical advice on the predication of their fertile periods. In addition to it’s services offered above, Menstruation gives women “push” tips about weight loss, beauty, and overall health. The female community forum provides a secret platform for female sharing their lives. It focuses on menstrual health and woman health and provides a lot of useful information and knowledge for women. In this market segment, it created value for users. In addition, it is free to download on all devices. Advertisements and high quality services and products are always the effective marketing ways.

Menstruation

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5U Family Doctor service platform is China 's first mobile internet-based family doctor services platform and China's first private family doctor model-based mobile medical service platform. It is committed to helping everyone who has a private family doctor. Through mobile phones and networks, users can get information on family doctor health management and book medical appointment services conveniently. The doctors and nurses of Peking Union Medical College Hospital and their family members founded 5U; their technology team comes from Tsinghua University.

In order to use 5U Family Doctor a patient must download and set up the application or log in the website and register the membership first. Then they need submit and application in order for the well-known doctors to become their private family doctor. Patients can upload their conditions or consult their family doctor through telephone. Once the doctor understands patients’ symptoms the doctor will give health guidance and initial diagnosis timely. The doctor will tell patients if they need immediate medical attention, what doctors to see, and help schedule appointments for the specialty doctors. 5U Family Doctor provides high quality products and services as their marketing strategy, however they also utilize advertisements and public recognition through word of mouth.

5U Family Doctor

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The mobile health industry in America is experiencing constant innovation and increasingly becoming more popular among health care institutions and privatized practices. There are many mHealth initiatives currently in place, with the most common activity being the creation of health call centers, next being utilizing SMS for appointment reminders, and then utilizing telemedicine (Xiaohui et al., 2013). While the mHealth practices above have already been implemented in the United States, there is great room for improvement. Currently mHealthproducts can be seen in hospitals, homes, and on personal devices, however there is room for much improvement in all three areas.

Healthcare Costs

With the utilization of mHealth, patients are able to see significant drops in costs of healthcare. According to a case study done by Xiaohui et al (2013), 50 patients enrolled in the “Care beyond Walls and Wires” saved a mean of $92,317 per patient in six months due to fewer hospitalizations and fewer days in the hospital; this resulted in each patient’s expense being a mean of $43,703 for six months rather than $136,020 as they had previously experiences. Additionally, in respect to emotional costs rather than monetary, people felt they were being cared for and that the hospital was paying attention to them even after hospitalization, whereas prior to utilization of mHealth people felt the hospitals weren’t staying on top of the issues upon discharge from the hospital.

While insurance premiums have almost tripled, people in rural areas are seeing significantly fewer benefits of these premiums than those in metropolitan areas. According to the United Health Group’s Analysis of HRSA Area Research Filings (2013), American rural areas have about half of the physicians compared to urban areas, making their insurance policies less beneficial than if they resided in urban areas. In addition to the lack of high-quality medical services offered in rural areas, there is an increase in costs for people that need constant medical care and reside in rural areas.

Currently only 7% of 2,401 U.S practicing physicians had used videoconferencing to communicate with patients, making it necessary for the majority of rural patients to drive long distances to see their physicians and get accurate assessments of what’s wrong (Taking the Pulse, n.d).

With the utilization of mHealth people who are unable to get sufficient medical health are able to overcome geographic discrepancies between rural and urban healthcare. With the use of videoconferencing, people in rural areas are able to gain low-cost yet high-quality medical services they would not ordinarily be able to acquire. Videoconferencing allows healthcare providers the ability to talk to one another from a wide variety of geographic areas, for example the United States to China. Being able to get a wide variety of information and ideas from other physicians is exceptionally important because it can aid in quick diagnosis and rapid treatment.

Discrepancies in Geographic RegionsmHealth Applied to American Healthcare

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Chronic Diseases

In addition to high health care premiums, about 75% of health care costs in the United States are the result of chronic diseases (Xiaohui et al., 2013). These costs include but are not limited to hospital inpatient, emergency room visits, and prescribed medicines. mHealth technology is becoming increasingly popular among patients with chronic illnesses due to the low costs associated with them. Patients are able to upload their medical history and current medical statistics each day rather than commuting to the doctors or the hospitals and occupying space for regular body checkups. Additionally, doctors could reduce the uncertainties surrounding the diagnosis of certain chronic illnesses based on incomplete data or inadequate information. Through the utilization of data sharing networks, doctors would be able to analyze data that could improve the information they currently use to make their diagnostic opinions.

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McKesson is known for delivering pharmaceutical, medical supplies, and health care information technologies. McKesson has two segments that they specialize in; The first segment is the McKesson distribution segment and the second one is the McKesson Technology solutions segment. The distribution section distributes drugs, medical-surgical supplies, equipment and health, and beauty products. One of the other specialties that the distribution segment does is provide specialty solutions for pharmaceutical manufactures. They also provide practice management technology, clinical support and business solutions for pharmacies, consulting, outsourcing and a few other services (Net Advantage, 2014).

The McKesson Technology Solutions Segment on the other hand delivers clinical, patient care, financial, supply chain, management software solution, pharmacy automation for hospitals, and also connectivity, outsourcing and other services including remote hosting and managed services, to healthcare organizations. These sections clients include hospitals, physicians, homecare providers, retail pharmacies, and payers from North America, the U.K, Ireland and other companies (Net Advantage, 2014).

The business model of McKesson is very interesting because they split their company into segments and then create sub companies. The first segment is the distribution segment, which has multiple sub companies. These sub companies include U.S. Pharmaceutical Distribution, McKesson Canada, Medical-Surgical Distribution, McKesson Specialty Health and McKesson Pharmacy Systems and Automation. Each of these companies does different processes in the McKesson business model (Mergent, 2014).

The U.S Pharmaceutical distribution is in charge provides pharmaceutical supplies to retail national accounts, independent retail pharmacies, and institutional health care providers. McKesson Canada handles the distribution to China manufacturers and retail stores. Medical Surgical distribution handles the transportation of the medical surgery supply. McKesson Specialty Health deals with any of the specialty clinics, for example oncology or an orthopedist. McKesson Pharmacy Systems handles putting in automated systems into different pharmacies, including ones that automatically fill prescriptions bottles independent of a human (Mergent, 2014).

In for McKesson Pharmacy Systems to be able to utilize their technology, they must have three different software’s installed: Enterprise RX, Pharmacy RX, and Parata Systems LLC . The technology segment only includes one sub section and that’s McKesson health Solutions. McKesson Health Solutions help consult to improve business processes. Their profit model is that each of their sub companies are responsible for generating revenue for their sections. All of their revenue eventually goes back to McKesson, which allows them to distribute money to each of the other segments of the company (Mergent, 2014).

Some of their biggest competitors include Microsoft and Amazon. McKesson is easily one of the most successful companies on the market mainly because of all their ability to be a leader in technology and distribution making them an essential product to any company. As far as how they receive money, they received most of their money initially from investments but now most of it is from distribution and technology (Net Advantage, 2014).

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Allscripts Healthcare Solutions is an American Company headquartered in Chicago and specializes in providing physician practices, hospitals, and other healthcare providers with electronic health record and practice management technology. Allscripts software gives hospitals, physicians, and other healthcare providers the ability to electronically prescribe medicine. Their software also helps their clients with care management and cycle management. The five services that Allscripts offers are: managed IT services, education and training services, hosting services, consulting services, and implementation and upgrades (Allscripts, 2014).

Allscripts recorded revenues of about $1,446.3 million during the fiscal year ended on December 2012. This is because of Allscripts strong client base and ability to push the innovative field. Serving over 180,000 physicians 50,000 physician practices, 1,500 hospitals, 10,000 post-acute facilities, and 27,000 individual post-acute providers Allscripts is one of the leading mHealth companies in the industry (Allscripts, 2014).

Allscripts Healthcare Solutions uses multiple business processes to accomplish a different array of tasks; their main target markets are hospitals, physician practices, and other health care providers. These businesses can request a different array of services from Allscripts Healthcare solutions all of which are designed to greatly improve the efficiency of the hospital, physician practice, or health care provider.

Their main motto is to address the physicians practice market one practice at a time, one community at a time, and one region at a time. The company has three sales channels that include a large direct sales team, a national distribution network, and hospitals that market Allscripts products. Their main form of revenue is through their products, consulting, and solutions that they provide to the health care providers (Allscripts, 2014).

Unfortunately for Allscripts their market is incredibly competitive. They also have to deal the problem of ever growing technology. Some of their competitors include Aprima Medical Software, Athenahealth, Cerner, Eclinical works, and Edmeon Business. Allscripts mostly gets its money from Hospitals, Pysician practices, and other health care providers. They also received a ton of investments from multiple technology investors (Mergent Online, 2014).

Meditech is a small company that creates innovative solutions for health care providers. They are very similar to the company Epic as they provide a similar technology. They provide products to different care providers that actually allow communication between patients and doctors even when not in the same room. They also provide tons of consulting as well. Their solutions are targeted towards doctors, nurses, patients, surgery staff, and more (Business Week, 2014).

Their business model is they go to different hospitals and health care providers and try to get them to use their e software called an EHR. EHR is an online database that keeps records of patients that can be transferred to a person’s phone or tablet. They will also supply consulting to any department and try to increase efficiency and productivity. The way Meditech makes a profit is through their consulting and through selling their software for hospitals and other health care providers to use. Meditech’s main competitors are companies like Epic or Cerner (Mergent, 2014).

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Cerner is one of Allscripts main competitors and they specialize in the same market as Allscripts. Cerner provides healthcare information technology software, services, devices, and hardware to healthcare providers. The software that they provide allows health care providers access multiple health records and also organizes the information and sends them to whoever the doctor, nurse, front office, or back office employee needs to send them to. They also offer multiple services that include implementation and training, remote hosting, operational management services, revenue cycle services, support and maintenance, health care data analysis, clinical process optimization, transaction processing, employer health centers, employee wellness programs, and third party administration services for employer based health plans (Cerner, 2014).

Cerner’s business model is very similar to Allscripts; they market their software and services to health care providers in order to increase efficiency. In return they receive usually some form of payment. The reason there is a demand for a company like such as Cerner is because their software has eliminated the problem of having to keep records on paper, instead it’s all put into a database that automatically organizes their records. Once the information is loaded onto the database and organized, it can then be sent to the caregiving team. Cerner makes the whole process of having to keep track of patients easier and much more efficient. (Cerner, 2014)

The second part of their business model is the services that they offer. Many health care providers want to improve their workflow but don’t know how too, and Cerner has a reputation of offering complex solutions to other companies. Cerner has a large client base and an excellent reputation, making it easy for other companies to learn about them and thus request their services. Cerner, much like Allscripts, has a very strong reputation within the mHealth industry, which allows them to be a leader in the industry. One of Cerner’s biggest upcoming projects is their plan to go global, making them one of the only mHealth companies that are pursuing an international market. (Mergent, 2014)

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Epic is a software company that provides products to mid-sized and large medical groups, hospitals, and intergraded healthcare organizations who work with customer that include community hospitals, academic facilities, children’s organizations, safety net providers and multi hospital systems. Epic employees many of the same services and processes as Cerner and Allscripts on a much smaller scale. Although they provide to the same target market their client base is much smaller. Additionally, Epic doesn’t do as many extra services as Allscripts and Cerner, instead Epic solely provides software to hold patients information in a database (Epic, 2014).

Epics business model is a small company that provides high-end patient databases to big clients. What differentiates Cerner from other mHealth companies is that they have a server that uses two different programs. One is called Care Everywhere allows the doctors the ability to control information and where it is going. The second is Lucy PHR, this program is where patients can edit their own information and share it with the doctor. Epic has also developed a multitude of apps including some of ranked ones like MyChart, Bedside, Haiku, Canto, and Lucy. All of their apps help increase the medical industry (Epic, 2014).

Epic’s first way of making a profit is through selling their database software to big clients. Their second way of gaining revenue is through their apps. Their business model is incredibly smart mainly because they are able to first sell their database to their clients but then are able to recommend that the doctors use their app and then have the doctors recommend there app to their patients. This ensures that they are making revenue either through the database, the app, or both. Epic receives most of their money through investments and also does a lot of investing as a whole company. Their core competitiveness is very similar to Allscripts and Cerner except they are also in the App market, which is incredibly competitive, but because of their innovative technology Epic is able to maintain competitive despite only having fewer clients (Epic, 2014).

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Overview of American mHealth Applications

The mHealth app industry has multiple markets where users are able to purchase and download online medical applications. Both Apple’s app store and Google’s android market are both leaders in selling mHealth applications. Although apple compared to droid, according to a journal posted to by sciencedirect.com, Apple has far more mHealth apps then Google’s Android. Even though Apple dominates the current marketplace however Androids app market is becoming more and more popular (Liu C, 2012).

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PatientTouch

PatientTouch is an innovative app and software developed by the company Patient Safe Solutions who was ranked #2 in top 10 venture-backed companies in 2011 and 2012 (Crunch Base). It is designed to deliver PPID (Positive Patient Identification) workflows, care interventions, and communication solutions all virtually. Its main feature is a high-powered barcode scanner that can hold tons of information about a patient including but not limited to vitals, medicine dosage, symptoms, and diagnosis. Hospitals must have licenses to use this application in order for their patients to use it. Once hospitals have the license the patient is able to download the app for free and are able to keep updated with their health status, lab results, medication dosages, and much more (Patient Safe Solutions, 2014).

PatientTouch is successful because their app eliminates multiple business problems. Their business model increases the productiveness of doctors and nurses because it bombards them with organized information forcing doctors to verify every step and make sure what they are doing is correct. PatientTouch’s technology is also incredibly advanced, by implementing PPID patients information is easily transferrable between the care giving team. Another reason that

they are so successful is because they have a specified target market composed of hospitals. By selling their software and servers to different hospitals PatientTouch is able to acquire users by having the hospital recommend patients download their software. This makes it very easy for the company because once they get into hospitals any patient that goes to that hospital will have to download PatientTouch making it one of the most popular apps on the market (Patient Safe Solutions, 2014).

PatientTouch’s marketing strategy involves convincing hospitals of four advantages: Increased productiveness, reduced costs, reduced medical errors, and improved medical reconciliation. PatientTouch has been very successful in doing this allowing them to become one of the top apps on the market. Some of their advertisement techniques include: Internet adds, magazines advertisements, and implementation into hospitals. Most of PatientTouches ads actually come from word of mouth due to the referrals that they receive from doctors. PatientTouch deals with 5 parts of the medical industry: medical administration, specimen collection, infant care, care interventions, and clinical communications.

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This is a very useful tool because it allows for the whole care-giving team to be able to communicate through voice, text, and images in real time, which increases the efficiency of the whole hospital and increases the service speed. The user is also allowed to change their status to let fellow nurses, doctors, and patients know when they are available and when they are busy. It also allows nurses to share schedules, tasks, and patient information all with a simple click of a button (Patient Safe Solutions, 2014).

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PatientTouch: Infant Care

PatientTouch increases safety in hospitals by being able to verify if it is the right mother, right baby, right bottle, right time, and right expiration. This is very important because a mix up can endanger a baby’s health. PatientTouch is perfect for any health care facility that has an infant ward; it ensures safety and efficiency and protect the hospital against mistakes (Patient Safe Solutions, 2014).PatientTouch: Clinical Communication

PatientTouch: Care Interventions

The app is able to track the patient’s key vital signs allowing for the nurse to be able to keep track of their patients at all times. Before PatientTouch it was much more difficult to keep watch their patients. Now nurses and doctors can order any service at any time for any emergency that the patient would be going through. It also provides the user with risk assessments, safety procedures, and checklists to make sure that all of the patients needs are possibly completed (Patient Safe Solutions, 2014).

Patient Touch: Medication Administration

The way that PatientTouch deals with medication administration is by the nurse being able to send a request to the doctor explaining that the patient needs a certain medication. After the doctor receives the request the doctor must accept the request and the patient will be able to receive that medication, allowing the patient to instant access to approval so they can receive their medicines at efficiently and effectively (Patient Safe Solutions, 2014).

Patient Touch: Specimen Collection

PatientTouch deals with specimen collection by allowing nurse’s to record all of the data from a blood test or urine test into the PatientTouchsoftware. It improves the safety of the test by verifying that it’s the right patient, right order, right time, right specimen, and the right label. It also improves the collection accuracy by making sure that the right amount of blood or urine is taken from the patient. PatientTouch increases the speed at which labs are ordered and completed thus increasing the amount of patients the lab receives. It will also record all of the orders into a schedule making it easy to stay organized and remain on task (Patient Safe Solutions, 2014).

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Pokitdoc

Pokitdoc’s main function is to connect patients with doctors closest to their location. Pokitdocdifferentiates itself through their ability to search by doctor’s name, specialty, or a condition and then giving the user a list of doctors. Once given the list of doctors the user can select the doctor and receive information about them such as what their specialty is and how much the doctor usually charges. The user then adds each of the doctors they are interested in trying and then receives a quote from a market place they call the pokit. Users then request for a quote using a budget showing how much they are willing to pay for the services. The doctor then will receive the quote and then either accept the quote or give you a different price. Once the appointment and price is agreed on they can pay for the appointment online making it extremely easy to find a new doctor (Itunes, 2014).

The reason they are so successful is because they eliminate the hassle of setting up an appointment and not knowing exactly how much it is going to cost. With Pokitdoc the user knows exactly what they are getting when they go into the doctor’s office. They market themselves as an easier way to book appointments and a more efficient way to pay for health services (Itunes, 2014).

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Urgent Care 24/7

Urgent Care 24/7 is one of the most popular mHealth apps on the U.S app market. Created by GreatCall, Urgent Care 24/7 connects a user directly with a doctor for only $3.99. It will first connect you with a licensed nurse who will listen and answer all of your medical questions and within 30 minutes have a physician call you back. Once the user is connected with a doctor they can prescribe medicines, give assessments, give medical advice, and diagnose the user all over the phone. Not only do they connect you with a doctor but also they have an award winning medical dictionary and encyclopedia as well as an interactive symptom checker to ensure that the user is fully educated about their possible condition (Urgent Care, 2014).

Urgent Care is successful because they are the least expensive provider of this type of service; there are currently other apps on the market that connect the users similarly through a videoconference, however they are much more expensive. They are the cheapest because they first only connect the user to a nurse who, based on the symptoms, will connect the user to a doctor or a pediatrician if needed. Where the ones that are 40$ will connect the user directly to a doctor even when one might not be needed. Urgent Care 24/7 is marketed as an alternative to having to go into a hospital or a doctor’s office (Urgent Care, 2014).

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Baby Connect

Baby Connect is one of the most successful and profitable mHealth apps in America created by Seacloud Software LLC. One of the serious problems about having a baby is finding a way to keep track of the baby when the parents are at work or extremely busy. Another issue is keeping updated with all of the baby’s vaccines and health information. Baby Connect solves both of these problems with one app. Baby Connects key features include tracking capability (food, diapers, sleep, activities, mood, pumping and expressed milk, doctor visits, medicines, vaccines, sicknesses, weight, height, and head size), event reminders (e.g feedings), synchronizes to any user specific baby connect accounts all over the internet, shows graphs and charts of baby’s activities, shows baby’s growth percentile, shows all of the entries in a timeline view, timer to track naps and activities, holds unlimited data, email formatted graphs and reports, can track multiple babies, and every aspect is password protected. This app is incredibly efficient and is one of the most well respected mHealth apps in America (mHealth Apps, 2014).

The reason that Baby Connect is one of the most successful apps on the market is due to its remarkable technology. The fact that the app can track not only everything the baby does but also can compare it to the average baby and share it with the baby’s doctor is amazing. There is no other app on the market that comes close as to providing all of the features that Baby Connect has. They also have a specific target market, moms and dads. This makes it easy to design ads and also explain why it is beneficial for moms and dads to have Baby Connect. It also eliminates the problems of having to track the baby’s activities. Baby Connect makes taking care of babies simple (mHealthApps, 2014).

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Glooko

Diabetes is one of the leading health epidemics in the world, and for diabetics managing your glucose levels and how long ago you ate can be overwhelming. Luckily there is an app to make managing the user’s diabetes much easier, Glooko. Glooko allows the user to check their blood glucose readings and compare it to over 20 glucose scale databases. Information can then be shared to the users family and physicians, allowing them to annotate the data. The key features of Glooko are being able to download glucose readings directly to the user’s device, being able to keep track of the users readings in a chronological log book, being able to record meals and carb values, being able to view statistical data of the users blood glucose readings, being able to add medications and exercise to the users log so they know what effects there blood sugar, being able to view your data online, and being able to communicate that data with the users healthcare provider. This app is a must have for diabetics and one of the most advanced on the market. It has been featured on multiple diabetes blogs (mHealth Apps, 2014).

Glooko is extremely successful due to its ability to compare a diabetics blood sugar level to multiple charts all over the internet and also share their information with their doctor all virtually. They are also able to have doctors actually recommend their application generating more users. Not only do they market that way they are also on multiple blogs and in magazines making them one of the most accomplished diabetes apps on the market.

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Doximity

Doximity is one of the few apps that allow doctors to connect with doctors. It is a professional network of over 260,000 doctors all with a personal pages and the ability for other professionals in the same field to communicate with each other. Not only can a doctor maintain connections with people from their medical school and other doctors in the industry, but also they can fax documents to another doctor with the click of a button. It also keeps all healthcare professionals updated on current medical discoveries so all medical professionals are kept updated. It is one of the most well known apps for medical professionals and is bound to become even more popular is the medical industry becomes more virtual (Doximity, 2014).

Doximity is successful due to its unique business model of connecting doctors to doctors and even being able to send them faxes online or through their mobile device. It was the first app created of its kind making its competition very low. Not only are they the first app but they are the only app of its kind allowing for doctors to market it to other doctors just from word of mouth. They also market themselves on many medical websites and conventions (mHealth Apps, 2014).

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Differences in Chinese and American mHealth Industries

China and America are both huge markets in the mHealth industry. While America has been generating mHealth apps longer then China, according to analysts China and the United states will have the largest market net worth of $6.8 billion each, 30% of the total market. One of the main aspects about the market that they have in common is that the monitoring devices market is extremely generating a shocking $15 billion, which is 65% of the mHealth industry net worth. Now these are astonishing numbers for markets that are completely different. According to an article about mHealth between China and America the potential market for China is way bigger then in America. Although America right now is tied for China with the largest mHealth market net worth with Chinas 1,170 million mobile device users and America only having 327 million mobile device users Chinas potential market is much vaster.

One advantage that America has is that even though China has more mobile phone users America currently has greater technology. To be more specific many American mobile phone users have 3G and 4G technology whereas in China many of the cell phone only have 2G. The problem with 2G is that it limits the amount that the user can do preventing the amount of technology that can go into the mHealth apps.

Another reason that Chinas potential market is bigger is because there is more chronic disease. Even though chronic disease a big issue in America, chronic disease accounts for 85% of deaths in China. While in America it is 75% of total health care costs. This epidemic is causing the health industry to look for innovative ways to help patients manage their chronic diseases many of those ways involving mHealth. In China analysts predict that by 2017 chronic disease monitoring services will reach about $1.2 billion.

One of the main differences between the Chinese and American mHealth markets is support from insurance companies. In America most mHealth companies can receive investments and promotion from multiple insurance companies, whereas in China mHealth app companies have to look to other businesses and investors for money and promotion.

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Differences in Chinese and American mHealth Industries Cont.

Another big difference is the wellness of health. Many Americans have a family doctor that they go see for an annual checkup or an annual dentist appointment but in China that is not the norm. Only people that have a lot of money are able to see check up facilities like Healwiz who will then refer them to another specialist who will deal with the illness. Most Chinese only go see doctors when they are unhealthy or feel sick while in America many Americans will go to the doctor just to make sure that they are healthy and taking care of themselves.

One of the biggest differences is the amount of users that actually download mHealth apps. As of now only 2.9% of all the mobile phones have a mHealth app downloaded on their phones. While in America mHealth apps are much more popular. One of the main reasons for this is marketing. Since mHealthapps in China have difficulty getting help from health insurance companies it is hard to receive promotion. In America doctors will prescribe mHealth apps to clients increasing the amount of revenue the app generates as well as providing a great strategy for user acquisition.

This now goes into the differences between legal and policy challenges that China and the United States faces. Chinas ministry of health only allows consulting services through mobile health apps, which means they are unable to treat patients or even provide prescriptions. In America a lot of the problems deal with reimbursement practices. Many doctors feel inadequately compensated for mHealth initiatives. This is because insurance private or public does not cover mHealth consultations, diagnosis, or treatment. Another big issue is the regulation of these apps. The FDA in 2013 just started to regulate mHealth apps while in China according a survey by research2guidence 50% of Chinese citizens believe that the lack of standards and hardware are not up to par creating uncertainty in the market place.

One of the main differences between China and America is Chinas growing popularity of the wearable bracelets. Chinas wearable medical equipment market having a net worth of 420 million or $67.3 million is amazing compared to Americas

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Chinese Healthcare vs. American Healthcare

The Health Care systems between America and China have a lot of differences. The first difference has to do with family doctors how the Industry works. Family doctors in America are incredibly common while in China, not only are family doctors in their early stages they are also not covered by the patients insurance. In America the family doctor is the first step for most patients who are not having an emergency. They will get a check up and if the family doctor finds that there is a problem with the patient they will send them to a specialty doctor or prescribe them medicine. If the patient has insurance the insurance company will pay for or part of the final bill.

Not only in America does insurance pay for family doctors it pays for most procedures and bills related to health care. In China health insurance companies doesn’t cover for nearly as many procedures and mainly helps pay for the users initial hospital visit and some of their procedures. Insurance is a huge part of the American health care industry because for people that don’t have it they have to pay hefty costs that make it hard to stay healthy.

The Chinese healthcare industry has created two types of social insurances one for urban employees and an expanded one for people who work in rural areas called rural cooperative medical plan and the urban one is called the urban employee based medical insurance. Most of these social insurances are given when employed. This is where the government helps pay hospital bills. This being said if someone is actually over 60 whether they are employed or not will receive health insurance as long as they have social insurance. U.S.A on the other hand does not have a universal health care. 16.3% of Americans are unemployed, 55.3% are covered through employment, 9.8% are covered through direct purchase, and 31% are government funded through Medicare, Medicaid, or military (Nelsen, 2014).

A couple other differences include the type of Health institutions that China has and that America has family doctors, proprietary hospitals, non-profit hospitals, and government supported hospitals. In China their industry contains private clinics, community health service centers, and physical examination centers. Family doctors are very similar to private clinics and physical examination centers. They provide exams and check-ups and also can prescribe you medicine. The doctor’s knowledge is also usually that of the whole body and not just one part. Like the physical examination centers and the private clinics they can refer the patient to a specialized doctor.

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Another big difference is the competiveness and history of the health care industry. In America it has always been a competitive market. Each health care provider is trying to give better service, better efficiency, and more affordable. In China private check up facilities are fairly new. Cleanliness is also a very important issue and these private check up facilities provide the cleanliness and privacy of a family doctor in America. Although it is more expensive than a normal hospital it is a perfect market to develop businesses like these. One reason why family doctors are so successful is because of their ability to build long lasting relationships. One way that they do this is by providing excellent customer service and making the patient feel comfortable with them. With the lack of privacy in Chinese hospitals many patients don’t feel as relaxed when talking to the doctor creating a relaxing environment is incredibly important to the family doctor industry (Nelsen, 2014).

One way that the industry is similar is chronic disease and health issues is a big issue some of the worst diseases that plaguing Americans and Chinese include type 2 diabetes and cancer. As well as having to deal with the aging population its putting pressure on the healthcare industry to put more money into medical research to deal with diseases like lung cancer and cardiovascular disease. According to a report by Sabrina Nelsen China is using 4.8% GDP while America is using 17.7 GDP on Health Care. Which is a massive difference because of the amount of spending that America has been using on health research the technology is more advanced.

Not to mention the difference between GDP spending there is also a difference in deaths from chronic disease. Chronic disease accounts for more then 80% of the countries 10.3 annual deaths while in America it is about 70% (Nelsen, 2014).

There are also differences in the types of preventive care steps that the United States and China has. In high end cities, like Shanghai, they have created community support centers for people with cancer. They have also started huge immunization movements. But one of the biggest problems with this is that they don’t exist in rural and poor areas meaning that there is a whole market not getting treated. America has a few preventive care initiatives that have been started. For instance employers will educate their employees about disease programs and health prevention programs. An example of some of these programs would be the employer would provide a program that helps a person quit smoking. 80% of American workplaces with 50 or more employees actually provide programs like this while small business’ don’t have funds to actually implement programs. One of the most shocking differences is the difference in culture. In China rural areas many people actually are unwilling to pay for preventive services or admit to having a mental illness. People also are willing to disregard health warnings for example how smoking increases the risk for lung cancer. This epidemic is actually very similar to America where some people were unwilling to go to an HIV clinic because of fear of embarrassment( Nelsen, 2014).

Chinese Healthcare vs. American Healthcare Cont.

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Currently, Chinese medical insurance only covers use of public hospitals. This makes it so that people without private health insurance or without a lot of money cannot see private physicians because it is very expensive. Healwis could benefit from accepting all medical and health insurances because they would see an influx of customer who were unable to use their services prior to them accepting health insurances. By seeing more patients, they could potentially see increases in profit.

An important aspect about bringing customers into Healwis is marketing. We suggest that Healwismarkets with two types of business to generate more customers. The first business is collaborate with public and private hospitals that have no comprehensive medical examination. Having the doctors and nurses recommend Healwis as a place to go for a checkup would exponentially increase the amount of customers entering Healwis. Not only will that increase customers for Healwis but it will also increase the relationship with hospitals allowing Healwis to increase their network of professional doctors that they can send their patients to for special operations. The second type is medium to large for-profit corporations. Partnering with companies and possibly providing even a discount for employees of certain companies would allow for an increase in Healwis’ user base. This is also very similar to American family doctors who will provide services to a whole companies. Overall partnering with companies and hospitals would be the best strategy for marketing.

When you go to a public hospital, you don’t know which doctor you will see. But you can see a regular private physician in the Healwis, which is an advantage of Healwis. Healwis can utilize the mHealth to strengthen the contact between customers and doctors. mHealth also can help customers input their data of physical state and share the data with their doctors and friends.

Accept all medical insurance

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Marketing

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Suggestions for Skynet

Skynet has a lot of great potential in continuing their success both domestically and internationally. They currently are recognized for their advanced scientific and technological achievements, and through our recommendations we believe they could achieve a higher status in the technology industry.

The third recommendation we have for Skynet is to make their app compatible with all mobile devices. Currently Apple and Google Android are the leaders in selling applications, but Skynet should not limit themselves to just the iPhone and Android market. By making their apps compatible with other mobile devices such as Windows and HTC, Skynet could see a rise in their customer base, and thus an increase in profit.

The second recommendation is for Skynet to branch out to hospitals and family doctors in a collaborative effort to market their brand. If they have a collaboration with companies such as Healwis, Skynet can be more successful because they will be recommended to each patient that walks in the door. Through an effort to branch out with family doctors, Skynet could experience an influx of customers using their applications.

Our first recommendation to Skynet is to utilize and international market. China currently has strict regulations that do not allow mHealth apps to do more than consulting. We believe that if Skynetimplemented apps in foreign markets that have more lenient rules, they would be ahead of the Chinese market once their laws catch up to the current technology mHealthis capable of.

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Our fourth recommendation for Skynet is to go beyond mHealth applications. Skynet should utilize new technologies such as heart rate monitors that are compatible with iphone and ipads as well as other common household technologies. By doing this Skynet could have a potential growth in sales because they will be able to sell add-on’s to their app that make the application even more useful. It is also important for Skynet to stay updated on all brand new medical technologies and apps. To accomplish this they should attend multiple mHealth conferences; two of the best mHealth conferences in the world are HIMSS and the mHealth Summit.

Our fifth recommendation for Skynet is to begin specializing in wearable devices such as Jawbone and Fitbit. These companies specialize in wearable devices that track and monitor a users activity and sleep. Skynet could benefit from the utilization o this technology by even further creating ease and convenience for their users. A user would not have to input all their data each day, but instead they would just have to make sure they wear their bracelets. By wearing the bracelets a user can track their heart rate, distance traveled that day, steps taken, calories burned, and basic active minuets they’ve had that day. Skynetcould potentially advance this technology further and provide more services through the wearable devices that they could utilize.

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