1. Tokyo, Japan, 4-5 February 2013 mHealth services in Japan - Services provided by NTTDATA - Shigeru Tomita, Head of Strategy Planning Office NTTDATA CORPORATION tomitasg@nttdata.co.jp ITU Workshop on E-health services in low-resource settings: Requirements and ITU role (Tokyo, Japan, 4-5 February 2013) Session 1: Setting the context: e-health implementation in low-resource settings

2. Contents Introduction mHealth Services PHR: Creative Health Next Emergency Medical Service with Digital Pen Mobile Healthcare for post disaster Conclusions and Recommendations Tokyo, Japan, 4-5 February 2013 2

3. The Change of Disease Trend - Increasing NCDs Tokyo, Japan, 4-5 February 2013 3 WHO Factsheets http://www.who.int/mediacentre/factsheets/fs297/en/index.html Introduction CANCER 7.6 million people died. COPD 3 million people died 90% of COPD deaths occur in LMIC CVD 17.3 million people died. Over 80% of CVD deaths occur in LMIC Diabetes 3.4 million people died. More than 80% of deaths occur in LMIC LMIC: Low-middle income countries The number of patients with NCDs is increasing Prevention is more important in LMIC

4. The change of Communication Infrastructure The number of Mobile-Cellular telephone subscriptions is growing. Active mobile-broadband subscriptions is also increasing, expecting the growth in the future Tokyo, Japan, 4-5 February 2013 4 http://www.itu.int/dms_pub/itu-d/opb/ind/D-IND-ICTOI-2012-SUM-PDF-E.pdf Introduction Global ICT developments, 2001-2011

5. Tokyo, Japan, 4-5 February 2013 5 The number of Mobile cellular subscriptions is increasing in developing countries as well as in developed countries. The Growing of Mobile cellular subscriptions http://www.itu.int/dms_pub/itu-d/opb/ind/D-IND-ICTOI-2012-SUM-PDF-E.pdf Introduction Mobile-cellular subscriptions, 2001-2011, world and by level of development

6. mHealth service implementation is spreading mHealth initiatives are reported world-wide Tokyo, Japan, 4-5 February 2013 6 http://www.who.int/goe/publications/goe_mhealth_web.pdf mHealth is a range of healthcare services provided by using mobile terminals such as mobile celluler phones, smart phones and tablet terminals Introduction

7. mHealth Services PHR: Creative Health Next Emergency Medical Service with Digital Pen Mobile Healthcare for post disaster Conclusions and Recommendations Tokyo, Japan, 4-5 February 2013 7

8. Purpose PHR Personal Health Record management Provide individuals with Personalized Healthcare Program Service Data Management; Personal Health Data, Medical History Data Referal; Health check-up data, Medical Fee, Drug intake Technology Near Field Communication M2M Tokyo, Japan, 4-5 February 2013 8 PHR: Creative Health NEXT mHealth Services

9. PHR Cloud Service Hospital Prevention PHR: Creative Health NEXT Health check-up Healthcare Insurer mHealth Services

10. Medical History Drug Intake Allergies PHR:Creative Health NEXT - Self management Immunization Shots Life style Memo mHealth Services

11. Tokyo, Japan, 4-5 February 2013 11 PHR: Creative Health NEXT - Health check-up Data Information mHealth Services Date, Age, Name of Healthcare center Health check-up result General comments Health Risks Health Level Metabolic syndrome assessment eye sight test audiometry Height Weight, Blood Pressure Blood test

12. PHR: Creative Health NEXT - Personal Health Data Management mHealth Services Weight Blood Pressure BMI Calories burned per day Sleeping hours Chart

13. PHR: Creative Health NEXT - Medical Fee Information Total Medical Fee per month mHealth Services Detailed Medical fee Hospital Name Date Treatment term Total Fee Fee paid by Insurer Fee paid by Insured

14. Tokyo, Japan, 4-5 February 2013 14 PHR: Creative Health NEXT - Walking Program Weekly ChartAchievment per day mHealth Services Walking route

15. Introduction mHealth Services PHR: Creative Health Next Emergency Medical Service with Digital Pen Mobile Healthcare for post disaster Conclusions and Recommendations Tokyo, Japan, 4-5 February 2013 15

16. Emergency Medical Service with Digital Pen Tokyo, Japan, 4-5 February 2013 16 Purpose Patients data sharing between an ambulance and a hospital for better and seamless emergency medical service Service Patients observation data sharing written with a digital pen Measured by vital sensors Data sharing between ambulance and hospitals Technology Digital Pen, Tablet terminal, Vital sensors M2M mHealth Services

17. 17 4-1-10 4-1-10 121212 087 111- 1111 Emergency staffs at hospital receive the data and prepare for the arrival Emergency Medical System at Kagawa Prefecture Emergency Medical Service with Digital Pen Patient observation sheet mHealth Services Patient observation data written with a digital pen Then shared with the hospital

18. Introduction mHealth Services PHR: Creative Health Next Emergency Medical Service with Digital Pen Mobile Healthcare for post disaster Conclusion Tokyo, Japan, 4-5 February 2013 18

19. Mobile Healthcare for post disaster Tokyo, Japan, 4-5 February 2013 19 Purpose Provide better healthcare service at the shelters after the earthquake Service Sharing medical records with doctors in some Medical Service Teams Technology OnDemand VPM IPSec+IKE HL7 mHealth Services

20. 20 Mobile Healthcare for post disaster -System Image Doctors refer to patients medical record by using Tablet terminals Geneva, Switzerland, 26-27 April 2012 Healthcare information exchange Platform Healthcare information exchange Platform Mobile Medical Service Support System Clinical Record Database Scanner PC ODVPN Rooter Inernet I Sec+IKE) Shelters Tablet terminal Doctor reffer Commercia l Closed Network Shelters in Fukushima Patients Upload Clinical Recored (Paper Documents) Fukushima Pref. Med Univ. Hospital Shelters mHealth Services

21. Introduction mHealth Services PHR: Creative Health Next Emergency Medical Service with Digital Pen Mobile Healthcare for post disaster Conclusions and Recommendations Tokyo, Japan, 4-5 February 2013 21

22. Conclusions and Recommendations -Positive Impact of mHealth mHealth enable doctors and patients to interact wherever and whenever m in mHealth shouldnt stand for mobile, but for me Tokyo, Japan, 4-5 February 2013 22 2012 mHealth Summit Insider December 2012

23. Conclusions and Recommendations -Issues to be solved Adapt to the regulations and laws of each country Security and Privacy to protect the personal information Technical solutions are needed To prevent data from leaking and spreading over the Internet To delete leaked and spread data Rules, system and technical solutions for long term data storage Tokyo, Japan, 4-5 February 2013 23

24. Tokyo, Japan, 4-5 February 2013 24 Thank you for Listening! Skytree @Pink Ribbon Campaign