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Confidential | Copyright © Larsen & Toubro Infotech Ltd. 1 Thomas Alva Edison “The doctor of the future will give no medicine, but will interest his patients in the care of the human body, in diet, and in the cause and prevention of disease.”
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 20 th September, 2012 Prevention Strategies: The impact of transformation in healthcare industries, global economic conditions and an empowered consumer Luke Rajkumar Head-Healthcare Practice
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 3 CAST IN STONE?? SHROUDED IN SECRECY? ? ? ? ? WHERE DO I GO ??? Guardians of health Health services proprietors Private Insurers - Pooled Risk Models only Government /Public Payer– Obligation to citizens Catering to the provider Expertise needed to operate and decipher information Disease driven approach Working in conjunction with providers Healthcare as it used to be ! ! ! ! WHAT’S BREAKING THE MYTH? Breakthroughs in Medical Services leading to reduced stay in hospitals Easier access to healthcare Portable, Smarter and Cheaper devices Personal Outsourced Manufacturers Clinical trials Computational and knowledge management on genomics Drug design, disease diagnosis and control Moving from conventional models to lifestyle management cos. Health & Medical intervention Hyperpersonalization Changes impacting Healthcare
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 4 Convergence eHealth initiatives Social medicine Health global accessibility Ethical aspects in eHealth Healthcare plans and patient benefits Synchronization of federal regulations Community health services Self build devices Electro medical Devices Retail Clinics Genomics Bioinformatics Diagnostic/Therapeutic Systems Scientific & Analytical Instruments Epidemic spreading and control Health Education Providing health in remote areas Decision support within healthcare Genetic Testing Clinical Trial Services Availability of medication Home Patient Care Personalized Medicine E-Health Health Records PC DEVICES INTERNET TELECOM MOBILE CONSUMER Empowered Consumer – further disrupting the healthcare landscape PC DEVICES INTERNET TELECOM MOBILE CONSUMER Epidemic spreading and control Health Education Providing health in remote areas Decision support within healthcare Genetic Testing Clinical Trial Services Availability of medication
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 5 Impact of Industry Changes Emergent Business Models Risk and Reward Model No Commitment No Cost Smart Devices Integration Carpet Baggers Wellness & Lifestyle management IT/BPS Services Cloud based solutions and services Devices become Applications New Ways of Risk Assessment & Management EHR/EMR Medical Devices Consumer Engagement Pandemic management Emerging Business Opportunities Medical Tourism Home Care TeleHealth Device As A Service Health IT Advancements Wellness Fraudulent pathways
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 6 The Paradigm Shift – focus on profits move from sickness to wellness Preventive Measures / Wellness Programs Health Screening / Genetic Predisposition Monitor / Track Measure Outcomes Sickness Vs Wellness Symptom based Diagnosis Illness Treatment Recover or Revisit Sickness Wellness
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 7 Preventive HealthCare – What is It? Assess individual risk before onset Demographic Risk Strategies Continuous risk assessment Device enabled tracking Enhanced Risk Assessment Hygiene and Sanitary improvements across Geographies Leverage and enhancing Telephony infrastructure Intra country cooperation Improving Infrastructure Promulgating Wellness advocacy Persistent engagement, multi Channel approach All stakeholders must meaningfully converse with the consumer Effecting Behavioral Change Increased usage of immunization Regional prevention strategies Financial and other motivational incentives Prophylactic Measures HealthCare Domain
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 8 Complete Health Profiling ScoresCritical Wellness tools Scores High Risk Moderate to High Low or No Risk Health Risk Indicators Take a complete health check Consult your Doctor immediately Continue doing things that are keeping you healthy Take a complete health check Take Wellness Programs Improved Health Condition Setting, Tracking & Monitoring Taking help from Wellness Champion Taking help from Experts Measuring ROW on Individual level
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 9 Measuring ROW on Government/Group Initiatives Wellness Programs Member Rewards Improved Health Condition Result Reduction in Premium Free Gifts Improved Productivity at work (Corporate clients) Setting, Tracking & Monitoring Complete Health Profiling Scores Critical Wellness tools Scores Tangible Return on Wellness Risk inputs to Actuaries and Underwriters Claims Cost Reduction Reduced average Hospital Stay per person Customer Stickiness Brand Building and Repositioning Intrinsic Return on Wellness Underwriter’s Client Profile
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 10 Essential elements for Action Support a paradigm shift towards integrated, preventive health care. Consumers take control of their health, health information and health risks Promote financing systems and policies that support prevention in health care Equip patients with needed information, motivation, and skills in prevention and self-management Make prevention an element of every health care interaction Develop of advanced Health IT infrastructure which can facilitate easy accurate and secure sharing of information among various Healthcare Ecosystem Entities. Well developed Remote Care, Wellness Program and Customer Centric HealthCare Model using integration of Patient, Provider, payer and Medical Devices. Meaningful use of EMR/PHR. PayersVendors/Suppliers Patients Private Sector & Government Sickness Treats, Prevents Manages Pharmaceuticals
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 11 Collaborating Entities Payer Physician Medical Device Manufacturer Lab Services PharmacyPharmacy Consumer Home Wellness Coaches Providers
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 12 Care Models everywhere Skilled Nursing Physical & Occupational Therapy Meals on wheels Nutritional Support Pharmacy Training & Education Preventive Acute Care/ Post Acute Care Chronic Disease Self Management Primary Labs Scenario 1 – Preventive ( 18
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Confidential | Copyright © Larsen & Toubro Infotech Ltd. 13 Technology - Enhancing Care Chronic Preventive Acute Sensor Domain Self Driven Medical Assistance Training & Education Internet Cloud Internet Cloud 3 rd Party Personal Medical Device Examples : Peak Flow Meter Glucose Monitor Heart Monitor InterfaceInterface Bluetooth USB eHealth Applications E - Prescription Online Chat Video Conferencing Wireless Devices Call on Phone Lab Order Teleconsulting Alerts on the eHealth Applications Online Wellness Program Alerts on wireless devices Wellness Program allocation Training & Education Nutritional Support Patient Provider SMS / Alerts
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 14 Healthcare – All About Consumer Engagement Consumer ‘ s data collected Medical / Pharmacy Claims Self Reported Data Physician Provided Data Lab Results Seamless Data Collection PWP - Profiling HRA Clinical Data Claims Analysis Screening & Appraisal Counseling Warn Track Guidance Consult Decision Support & Transparency Tools IT, Integration, Decision Support Progress Comparison Health Status Alerts / SMS Program Information Online chat Online Assistance Home Health Kiosk / Self Service Personal Services Online Coaching Onsite Delivery Awareness Data Analytics Engine Population Stratification Predictive Modeling Cost Trends Identify / Plan Self Service Motivate Incentives / Punishments Health Tracker Validation algorithms Why should I do? Help me Understand What are my options ? What does this mean ? Help me decide what to do? Help me what should I do ? Help me how to do ? How am I doing ? Am I doing it right ? Consumer Brand Consumer Trust Consumer Satisfaction Personal Services Intimacy
Confidential | Copyright © Larsen & Toubro Infotech Ltd. 15 Preventive Healthcare and Wellness – Way Forward Big shift towards patient centric Healthcare Primary reason to invest in preventive Healthcare is to promote Health Preventative Interventions should be used whenever they produce more health for the resource invested. Preventive services should be assessed carefully for effectiveness and cost effectiveness. Preventative medicine, Wellness and Electronic Records would make for cheaper and easy accessible system. Proliferation of advanced Medical technology cause runaway health costs The tipping point for personalized medical devices has arrived, for three reasons ―“Telemedicine” is taking off, ―Cheap portable home medical devices ―Sensors and Smart phones allow “body Computing”. Healthy Life Next Exit
Confidential | Copyright © Larsen & Toubro Infotech Ltd. Thank You Our Business Knowledge, Your Winning Edge. SMSC/11/04/069
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