Exploring mHealth
Richard Cockle, mHealth Project Director GSMA
© GSM Association 2011
Introductions & Antitrust compliance
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All GSMA meetings are conducted in full compliance with the GSMA
antitrust compliance policy, which applies during all events to all
documents
Do not enter into discussions about commercial terms
(market/carrier/vendor prices, discounts, commissions, etc) and
other business issues of your company
Rule of thumb: do not exchange information in a meeting which you
would normally consider a business secret
The Antitrust compliance policy is available on the frontpage of the
InfoCentre. For more information: dwalsh@gsm.org
© GSM Association 2011
Agenda
© GSM Association 2011
Item
Speaker
09:30
GSMA Introduction - Update on the status of the work stream,
09:50
Ongoing mHealth work and research
10:30
Regional perspective on mHealth
10:50
Orange Healthcare Solutions
Richard Cockle, Project Director
mHealth, GSMA
Trond-Are Bjørnvold, Vice
President Telenor Next
Robert Sinclair MD, PHD, Senior
Medical Advisor
Ian Hay, Head of Emerging
Technologies, Orange
11:10
Coffee/Tea break
11:30
GSMA Diabetes Programme
11:50
Renewing Health
12:10
12:30
Brainstorm and Discussion
Group discussion
Richard Cockle, Project Director
mHealth, GSMA
Michael Strübin, Programme
Manager, Continua Health Alliance
All
All
13:00
Wrap up
GSMA
13:30
Lunch
What is Mobile Health?
Solutions across the Patient Pathway
Prevention
Diagnosis
Treatment
Monitoring
Healthcare Systems Strengthening
Emergency Response
Healthcare Practitioner Support
Healthcare Surveillance
Healthcare Administration
Source: Touching lives through mobile health, PwC February 2012
© GSMA 2012
Challenges facing healthcare delivery today?
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© GSMA 2012
Improve doctor to patient ratio
More self management and self care results in less visits to the doctor
Patient reach
Remote monitoring solutions means access to healthcare for patients
in less accessible areas
Aging populations
Adds pressure on healthcare systems and increases demand for new
simplified solutions in healthcare
Chronic diseases
Increase in prevalence requires solutions in the areas of remote
monitoring and self management by patients
Mobile Health is Here – 800 deployments worldwide
North
America
168
Lat Am
76
Europe
119
Asia
Pacific
180
Africa
257*
Source: GSMA Mobile
Health Services
Deployment Tracker
August 2012
*Including Middle East
© GSM Association 2012
Global Mobile Health business opportunity
Total Market Size: USD ~23 Billion
Forecast global mHealth revenue
(US$ Billion)
Global mHealth revenue by region
(US$ Billion)
23
Latin America,
1.6 , 7%
15.4
10.2
USA/Canada, 6.5 ,
28%
Africa,
1.2 , 5%
6.9
4.5
2013
Asia Pacific, 6.9 ,
30%
Europe, 6.9 , 30%
2014
2015
Source: GSMA/ PWC 2012
2016
2017
Source: PWC 2012
Monitoring represents 65% of global revenue opportunity
© GSM Association 2012
The mobile health opportunity within the EU
mHealth Service Type
Monitoring
Practioner Supt
Other areas
mHealth Market in EU in 2017
Diagnosis
Treatment
5%
15%
Germany
$1.05b
16%
6%
8%
Rest of EU
$3.3b
France – $0.8b
12%
48%
11%
India
$0.6b
65%
Russia $0.8b
8%
6%
UK $0.4b
Italy
6% $0.55b
Source: GSMA/PWC 2012
The rising number of chronic disease patients in
countries like UK, Germany and France, along
with their aging population are expected to drive
the take up of monitoring services.
© GSM Association 2012
$6.9b
Due to the long term disease condition in EU, their
will be a large opportunity on treatment compliance
products and services within the EU region
GSMA’s programme entering the 3rd year
2012/13
Market
Acceleration
2011/12
Capabilities
2010/11
Foundation
Framing the opportunities
and challenges for Mobile
Health
Developing the capabilities
and knowledge to be able
to accelerate a scalable
sustainable market (e.g.
reference architecture,
evidence guidelines,
device regulation)
Addressing the existing
market barriers and
pushing for market
acceleration of Mobile
Health, where mobile
operators play a leading
role in creating a scalable
and interoperable market
FOCUSING ON MARKET ACCELERATION
© GSM Association 2012
GSMA mHealth Programme Aims
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Showcase mobile health solutions and catalyse cross-industry
awareness and knowledge
Demonstrate outcomes and impacts on individuals, healthcare
systems and society
Foster new relationships and partnering with the healthcare sector
and mobile industry
Stimulate scalable, replicable solutions to drive towards
interoperability at critical junctions
Promote supportive policy and regulatory principles for growth and
innovation
Mission: reduce cost to serve, extend reach and improve quality of care
© GSM Association 2012
Connected Living: mHealth Objectives 2012/13
Mission
To reduce the cost to serve, extend reach and improve quality of care to patients, by accelerating the
development and adoption of scalable and interoperable operator led mobile health solutions
Strategic Objectives 2012/13
Market Acceleration
• Increase the number
of operator led mobile
health trials and
service launches that
generate clinically
relevant evidence and
demonstrate the use
of operators assets
beyond connectivity
© GSMA 2012
Increase Market Pull
Promote Operator Assets
Stakeholders Buy-in
• Stimulate the
• Generate awareness by • Create a favourable
demand side of
healthcare industry
and conducive
mobile health
and providers on
environment for the
ecosystems to drive
benefits of operator
acceleration of mobile
the need for mobile
assets to mobile health
health solutions, by
health solutions to
solutions, creating the
addressing key
be introduced into
way to more services
decision makers
the market
beyond connectivity in
(payers, governments
mobile health
and regulators)
Market activation strategy
Mission
To reduce the cost to serve, extend reach and improve quality of care to patients, by accelerating the
development and adoption of scalable and interoperable operator led mobile health solutions
Chronic Disease Programme - Diabetes
Over 346 million people worldwide have diabetes, it is forecast to double over the next 20 years. In some regions it already has
prevalence levels 20 – 25%.The nature of the disease means that patients require regular monitoring, making it the perfect
candidate for mobile health. Operators have identified diabetes as a key area of their strategy and are keen to collaborate to
develop scalable solutions with sustainable business models. The aim is to create a Hero programme that can focuses the efforts
of the programme, while the background work continues. Bringing operator together to focus on a common goal, including all types
of tech SMS – EM Sensor.
High level deliverables
• Campaign Vision, scope, objectives; Diabetes summit to agree common approach; 10 operators sign up to running trials
Regional Engagement Plans
Every region is at a different stage of their understanding and uptake of mobile health. The key stakeholders are different so if the
GSMA is to have an impact it will need to tailor its engagements to the specific requirements of the region.
The regional plans will be made up of the deliverables contained with tis phase of the project and ongoing activities.
Examples:
US - End user research, Engagement: Direct with FDA, Continua US policy WG, Continua Tech WG Showcase at HIMSS, etc
© GSM Association 2012
First half of 2012/13
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Achievements in the last half year - highlights
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Technology/Architecture
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Development of an landscaping paper – providing a summary of how NFC is been used in
Healthcare
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Demonstrators of UICC use in Healthcare – Orange – Card Vite, Dialog – USSD access to a
medical health record.
Strategy and Markets
- Re-launch of GSMA mHealth tracker – Now over 800 deployments worldwide
- Creation and launch to operators of the Diabetes campaign and detailed evidence analysis
paper published.
- Became a consortium member of the future EU eHealth programme United for health – ( 9
Clinical trial programme in 5 countries)
© GSM Association 2012
Achievements in the last half year
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Regulation and Policy
Develop of an EU medical device regulation paper
Creation of an EU operator task force
Promotion
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Showcase stand at WoHIT in Copenhagen (eHealth week)
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mHealth workshops held at Connected Living Summits in Korea and Brazil
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Mobile operator only round table held in Brazil
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Hosted a mHealth webinar – ‘Evidence generation for Mobile Health’
© GSM Association 2012
Plans for the rest of 2012/13
© GSM Association 2012
Milestones for the rest of 2012/13
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Technology/Architecture
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Promotion of mobile operator assets for use in mHealth solutions
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Advocating of healthcare standards use on mobile device
Strategy and Markets
- Public launch of GSMA Diabetes campaign (WGs in Middle East, Asia, and Lat Am)
- Creation of a showcase for mHealth in Catalonia
- Stimulation and support of live mobile operator lead mHealth solutions
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Regulation and Policy
- Develop of an EU position paper on medical data privacy and security
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Participation in the EU DG SANGO mHealth working group
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Social and economic benefits analysis of mHealth in the EU
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Latin Am Medical Device Regulation Analysis
© GSM Association 2012
Milestones for the rest of 2012/13
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Promotion
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Showcase of global mHealth solutions at mHealth Summit Washington
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Showcase of mobile technology at Medica
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Publication of End User research (US, Brazil, China and India)
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Promotion of mHealth events at Mobile World Congress
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Connected living workshop showcasing the benefits with DG Connect
© GSM Association 2012
Consideration for today
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In your opinion what is the key items that will drive adoption of mHealth within 2013?
(Barriers or Opportunities)
What is the biggest challenge facing your organisation to enable it to make a
success of mHealth?
What do you think the GSMA could do to support the realisation of the mHealth
opportunity?
© GSM Association 2012
Telenor :Ongoing mHealth work and research
Trond-Are Bjørnvold
© GSM Association 2012
What are the current issues?
Healthcare and Mobile industries can offer better and value added
services if collaboration between the two industries is achieved
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Fragmentation versus Interoperability
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Current solutions are limited to “one solution, one
device”. Scalability can be reached if systems are
developed in a interoperable way
Harmonised Regulation
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Regulation on medical devices vary between
countries and regions, it needs to be harmonised
Understanding the End User of mHealth
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The needs and requirements of end users need to
be addressed to create a market pull for mHealth
services
© GSM Association 2012
For more information
Events:
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Medtech Forum, Brussels 10-12
October
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Medica, Dusseldorf 14-17
November
mHealth Summit, Washington 3-5
December
Mobile World Congress, Barcelona
25-28 February 2013
© GSM Association 2012
Tools:
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Device Listing
www.gsma.com/connectedliving/?p=6
27
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mHealth Deployment Tracker
www.mobilehealthlive.org/mhealthtracker/
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Evidence Knowledge Bank
www.gsma.com/connectedlivingmhealth-evidence-knowledge-bank/
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Back up slides
© GSM Association 2011