M HEALTH SHARING INDUSTRIAL VISION AND EXPERIENCE. Dr Beatrice Falise Mirat COCIR Business and Innovation Committee ehealth Member Orange Healthcare

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1 M HEALTH SHARING INDUSTRIAL VISION AND EXPERIENCE Dr Beatrice Falise Mirat COCIR Business and Innovation Committee ehealth Member Orange Healthcare

2 M HEALTH : A REALITY Definition: Mobile health (m health) covers medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices, personal digital assistants (PDAs), and other wireless devices (WHO) Key figures: medical or health apps 500 M individuals will use medical apps in 3 years (mobile health market report ) 100 M e consultations by end 2014 (+400% / 2012) Estimated Market: $2.4Bn end 2014, $26B end 2017 (research2guidance)

3 E HEALTH AND MOBILE HEALTH NEW ORGANIZATIONS, NEW CHALLENGES health professionals patients & health professionals patients & others partners business model B to B 2 B B to B C BtoC medical data compliance usage medical medical consumer Telemedicine Prescription Telemonitoring Agenda education EHR Wellbeing Quantified self Corporate wellness

4 MOBILE HEALTH: INTERSECTION OF 2 WORLDS Press & Portals Web 2.0 CRM New business model Health technologies

5 WHY M HEALTH? Determinants of health: 10 to 20% healthcare organization: telemedicine, patient pathway and coordination, others factors: Behaviour, social environment, genetics, medical care, stress 30 to 50%: evaluation of impact of person s individual characteristics and behaviors Quantified self, Wellness, Patient education and empowerment PwC estimation ( socio economic impact of m health, 09/2013) Savings: 99B in Europe through efficiency and prevention (2017) Increase of GNP: 93B in Europe

6 USAGES What? Looking for information on internet Patient monitoring Information sharing between health professionals Shared appointment solutions, messages Weight monitoring, blood pressure monitoring with connected devices Administrative information and procedures Wellness, sleep quality Prescription Patients pathways, coordination Localization (health professionals, tools, patients, ) Observance Chronic patient monitoring.. Who? Healthcare professionals Patients Citizens

7 BARRIERS TO DEPLOYMENT Security: data, transmission, authentication, traceability Quality: apps certification or homologation? Standardization and interoperability Training/information Implication of healthcare professionals Assessment and financial models

8 TRUST, SECURITY, QUALITY > Security Where and how is stored data? What usage of collected data? who can access the data? Can I access my data? How can I protect my private life? Dedicated solution, implementation of a security trusted third party on top of the medical trusted third party (MD)

9 TRUST, SECURITY, QUALITY Quality: Quality of proposed solutions? what can be expected? Apps certification? Status of connected devices? Country solutions NHS US: Happique Spain (Andalousia).. France, Private solutions Certification (Europe?)

10 MEDICAL PROS MUST GET INVOLVED! > Only 14% of m health solutions address healthcare professionals, but MDs are key for m health deployment (Reserach2 guidance) > Solutions are not known (depending of countries) > Limited involvement of healthcare professionals (depending on countries) Patients expect MD s recommendation for apps IN UK, US, more than 50% of physicians recommend apps to their patients, in France less than 8% > No evaluation of implemented solution Information, Certification, Evaluation

11 STANDARDIZATION/ INTEROPERABILITY Mobile tool Apps Health professional Hosting Device Connectivi ty Integrate mhealth into Healthcare delivery structures Service Center 11

12 M HEALTH GRAND TOUR 2013 REAL-TIME HEALTH MONITORING FOR RIDERS WITH DIABETES Orange Healthcare

13 COCIR RECOMMENDATIONS FOR MHEALTH Integrate mhealth into Healthcare delivery structures Enable citizens access to their data Develop appropriate reimbursement strategies Establish a harmonized data protection regime that enables innovation Support mobile broadband policies that sustain investment in connected devices Provide clear and simple regulatory guidance for mhealth Foster the use of widely recognized international standards

14 THANK YOU FOR YOUR ATTENTION