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Health Consumer / Patient-centric e-Services

Business model & technological solution
Stefan Wild, External Affairs Director, MSD Switzerland
Silvio Frey, Head of Marketing & Sales Switzerland, InterComponentWare AG
Agenda


Questions:

− Where is the challenge in the prevention of widespread heart, lung
  and bone health/risks/diseases?
   For example: a person and their bone lifecycle pathway

− How can Health Information Management and eHealth Services
  support living healthy as well as staying healthy through holistic
  prevention and treatment?
  Example: Bone Health and Osteoporosis – a widespread disease.

− What is the use in bringing the establishment of suitable Health
  eServices to the commercial segment of health enterprises ?
Healthy
          The human individual in the healthcare system




                Consumer
                • Saluto-genetic approach

                • Prevention / Health promotion /Health Literacy




                                                life time cycle




                Patient
                • Patho-genetic approach
 sick




                • Treatment / Rehabilitation / Care
Healthy or Sick?
          Clear differentiation and corresponding definitions
Healthy




                 Healthy People




                                               Patients
 sick
STAY HEALTHY“ market as win-win opportunity
          What about the immense risk group?




                                           STAY HEALTHY“ Market
Healthy




                Healthy People



                     Risk group
                     Health Consumers


                                          Patients
 sick
E-Health from the cradle to the grave
       Lifecycle of the human individual (schematic)


Process: 1st Prevention        2nd Prevention         Event           3rd Prevention
  healthy




                         1 st Doctor‘s visit
            Health                              Event
            protection                          e.g. Broken bone      Relapse prevention
                                                                      and post-treatment



                                 Avoid worsening




                                                                       Rehab


                                                   In-/Out-patient
  sick




                                                   treatment

              e-health           e-health          e-health          e-health
Bone awareness along the individual lifecycle
Bone cycle of the human individual (schematic)


                                                                   “Mother
                    Individual                                     (Father)       Risk test
                   responsible                                       and          for Bones
                       “bone                                       Bones”                          Ascertain
        School:     behavior”                                                                        bone
        Healthy/                 s                                                                  density      Do bone
                               ne
                                     End of building bones
        diseased             bo                                                       Ons
                                                                                                               density scan
                           g                                                              et bo
         bones?          in
                      ild                                                     Onset            ne d
                                                                                                   eteri
                    Bu                                                                                  orati
                                                                              menopause                       on
                                                                                         Osteopenia
                                                                                         risk
                                                                                                         Osteoporosis
                                                                                                         risk


                                                              bone lifecycle pathway




                                                                                                               75 years
                                                        30 years




                                                                                              60 years
                                                                              45 years
                   15 years




                                                                                                                          Death
Birth
Changing information needs during the bone
lifecycle pathway (schematic)

Phases of healthy bone behavior Phases of risk bone competence
School:           “Mineralization”                  “Healthy             Bone risk      Bone literacy     Ageing literacy
Our bones?        • nutrition                         bones"             • Clarifying   • Knowing the     • Knowing bone
                  • Dietary                         • Nutrition            bone risk      bone risk         density value
• Vital organs/
  backbone          supplements                     • Sports             • Preventive   • Nutrition       • Nutrition
• Nutrition       • Sports                          • Treatment            measures     • Exercise        • Exercise
• Exercise        • Social                            possibilities                     • Treatment       • Treatment
                    environment                                                           possibilities     possibilities/
                                                                                        • Medication      • Medication
                                      s
                                    ne                                         Ons
                                  bo
                                      End of building




                                                                                   et bo
                             ng                                      Onset              ne d
                       il di                                                                eteri
                                                                                                  orati
                     Bu                                              Menopause
                                                                                  Osteopenia
                                                                                                       on
                                      bones




                                                                                  risk
                                                                                                   Osteoporosis
                                                                                                   risk
                                                        bone lifecycle pathway
                   15 years




                                                                                                          75 years
                                                30 years




                                                                                        60 years
                                                                      45 years




                                                                                                                       Death
Birth
What does the health consumer know?
How health literate is the individual?

Example “Motor specs”:
A car                     Own body
•   What‘s the HP?        •   Height
•   Acceleration from 0   •   Weight
    to 100 km/h?          •   BMI?
•   Gearbox?              •   Blood pressure ??
•   “Turbo”               •   Cholesterol ??
•   etc.                  •   Blood sugar levels ???
                          •   Lung volume ????
                          •   Bone density ?????
                          •   etc.
Steps towards becoming more health-literate
 in all lifecycle phases

Basic Health Literacy
• Heart (“motor”)
• Lung (“fuel”)
• Bone (“chassis”)




      Information       understanding           acting




          Input           Support       Motivation/ Monitoring
Agenda


Questions:

− Where is the challenge in the prevention of widespread heart, lung
  and bone health/risks/diseases?
   For example: a person and their bone lifecycle pathway

− How can Health Information Management and eHealth Services
  support living healthy as well as staying healthy through holistic
  prevention and treatment?
  Example: Bone Health and Osteoporosis – a widespread disease.

− What is the use in bringing the establishment of suitable Health
  eServices to the commercial segment of health enterprises ?
Prevention and awareness along the bone
lifecycle pathway (schematic)

                                      Fact: Target group has low awareness / no motivation
                                      Challenge: How to bring that about
Starting point
for preventive                                                                      Lower
measures                                                                            osteoporosis
                              s                                                     risk
                            ne
                                  building bones
                          bo
                      g
                    in                                           Ons
                  ld
              B ui                                                   et of
                                                                           bone
                                  End of




                                                          Onset
                                                                                dete
                                                          Menopause                 riora
                                                                      Osteopenia          tion
                                                                      risk            Osteoporosis
                                                                                     risk
                                              bone lifecycle pathway




                                                                                     75 years
                                        30 years




                                                                        60 years
                                                          45 years
             15 years




                                                                                                 Death
 Birth
Approach


Prevention campaigns with widespread impact

Physical Channel (push principle)
−   Communities & organizations (schools, clubs, state)
−   Events, media, radio, television, newspapers
−   Personal health network (family doctor / pharmacist / hospitals)
−   Family


Virtual Channel / eServices (pull principle)
−   Health portals
−   Games
−   Mobile Health (Apps)
−   Social Networks / Virtual Communities
Approach



Knowledge:

Combining physical and virtual measures is the
right way to proceed.
Consumer’s access to the healthcare market


                      Virtual Channel / eServices
                      −Health portals               Consumer / Patient
                      −Games
                                                                                                  live
                      −mHealth (Apps)                                                             healthy




                                                    Information, Products and Services, Contact
                      −Social Networks / Virtual
                      Communities

                                                                                                  stay
                                                                                                  healthy

  Healthcare market
                      Physical Channel
                                                                                                  be
                      −   Communities &                                                           healthy
                          Organizations
                      −   Events, media
                      −   Personal health
                          network                                                                 live sick

                      −   Family
Example: Quevita – First health and lifestyle
community in Europe
Quevita: Focus on “healthy living”


               Preventive
               measures




        PHR
From social network to a personal health record
and mobile health




                       Specific portal                            Specific portal

                       Mobile Health                              Mobile Health

                                   Physical Channel

                   Personal Health Record - LifeSensor

                           bone lifecycle pathway




                                                                            75 years
                        30 years




                                                       60 years
                                            45 years
        15 years




                                                                                       Birth
Birth
Value proposition



− Creating awareness and motivation in the search for and
  establishment of preventive measures among the population


− Procurement of products and services for prevention


− Electronic identification and linking of citizens in the context of
  preventive products and services


− Establishing of Health eServices and with it the creation of new
  marketing and sales channels for sustainable business
  developments
Thank you


  Contacts:

  Stefan Wild
  External Affairs Director
  MSD Switzerland
  Tel: +41 79 467 15 80
  stefan_wild@merck.com

  Silvio Frey
  Head of Marketing & Sales Switzerland
  InterComponentWare (Switzerland) AG
  Tel:+41 44 209 92 14
  Silvio.frey@icw-global.com

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Patient-centric eHealth Services for Bone Health & Osteoporosis Prevention

  • 1. Health Consumer / Patient-centric e-Services Business model & technological solution Stefan Wild, External Affairs Director, MSD Switzerland Silvio Frey, Head of Marketing & Sales Switzerland, InterComponentWare AG
  • 2. Agenda Questions: − Where is the challenge in the prevention of widespread heart, lung and bone health/risks/diseases? For example: a person and their bone lifecycle pathway − How can Health Information Management and eHealth Services support living healthy as well as staying healthy through holistic prevention and treatment? Example: Bone Health and Osteoporosis – a widespread disease. − What is the use in bringing the establishment of suitable Health eServices to the commercial segment of health enterprises ?
  • 3. Healthy The human individual in the healthcare system Consumer • Saluto-genetic approach • Prevention / Health promotion /Health Literacy life time cycle Patient • Patho-genetic approach sick • Treatment / Rehabilitation / Care
  • 4. Healthy or Sick? Clear differentiation and corresponding definitions Healthy Healthy People Patients sick
  • 5. STAY HEALTHY“ market as win-win opportunity What about the immense risk group? STAY HEALTHY“ Market Healthy Healthy People Risk group Health Consumers Patients sick
  • 6. E-Health from the cradle to the grave Lifecycle of the human individual (schematic) Process: 1st Prevention 2nd Prevention Event 3rd Prevention healthy 1 st Doctor‘s visit Health Event protection e.g. Broken bone Relapse prevention and post-treatment Avoid worsening Rehab In-/Out-patient sick treatment e-health e-health e-health e-health
  • 7. Bone awareness along the individual lifecycle Bone cycle of the human individual (schematic) “Mother Individual (Father) Risk test responsible and for Bones “bone Bones” Ascertain School: behavior” bone Healthy/ s density Do bone ne End of building bones diseased bo Ons density scan g et bo bones? in ild Onset ne d eteri Bu orati menopause on Osteopenia risk Osteoporosis risk bone lifecycle pathway 75 years 30 years 60 years 45 years 15 years Death Birth
  • 8. Changing information needs during the bone lifecycle pathway (schematic) Phases of healthy bone behavior Phases of risk bone competence School: “Mineralization” “Healthy Bone risk Bone literacy Ageing literacy Our bones? • nutrition bones" • Clarifying • Knowing the • Knowing bone • Dietary • Nutrition bone risk bone risk density value • Vital organs/ backbone supplements • Sports • Preventive • Nutrition • Nutrition • Nutrition • Sports • Treatment measures • Exercise • Exercise • Exercise • Social possibilities • Treatment • Treatment environment possibilities possibilities/ • Medication • Medication s ne Ons bo End of building et bo ng Onset ne d il di eteri orati Bu Menopause Osteopenia on bones risk Osteoporosis risk bone lifecycle pathway 15 years 75 years 30 years 60 years 45 years Death Birth
  • 9. What does the health consumer know? How health literate is the individual? Example “Motor specs”: A car Own body • What‘s the HP? • Height • Acceleration from 0 • Weight to 100 km/h? • BMI? • Gearbox? • Blood pressure ?? • “Turbo” • Cholesterol ?? • etc. • Blood sugar levels ??? • Lung volume ???? • Bone density ????? • etc.
  • 10. Steps towards becoming more health-literate in all lifecycle phases Basic Health Literacy • Heart (“motor”) • Lung (“fuel”) • Bone (“chassis”) Information understanding acting Input Support Motivation/ Monitoring
  • 11. Agenda Questions: − Where is the challenge in the prevention of widespread heart, lung and bone health/risks/diseases? For example: a person and their bone lifecycle pathway − How can Health Information Management and eHealth Services support living healthy as well as staying healthy through holistic prevention and treatment? Example: Bone Health and Osteoporosis – a widespread disease. − What is the use in bringing the establishment of suitable Health eServices to the commercial segment of health enterprises ?
  • 12. Prevention and awareness along the bone lifecycle pathway (schematic) Fact: Target group has low awareness / no motivation Challenge: How to bring that about Starting point for preventive Lower measures osteoporosis s risk ne building bones bo g in Ons ld B ui et of bone End of Onset dete Menopause riora Osteopenia tion risk Osteoporosis risk bone lifecycle pathway 75 years 30 years 60 years 45 years 15 years Death Birth
  • 13. Approach Prevention campaigns with widespread impact Physical Channel (push principle) − Communities & organizations (schools, clubs, state) − Events, media, radio, television, newspapers − Personal health network (family doctor / pharmacist / hospitals) − Family Virtual Channel / eServices (pull principle) − Health portals − Games − Mobile Health (Apps) − Social Networks / Virtual Communities
  • 14. Approach Knowledge: Combining physical and virtual measures is the right way to proceed.
  • 15. Consumer’s access to the healthcare market Virtual Channel / eServices −Health portals Consumer / Patient −Games live −mHealth (Apps) healthy Information, Products and Services, Contact −Social Networks / Virtual Communities stay healthy Healthcare market Physical Channel be − Communities & healthy Organizations − Events, media − Personal health network live sick − Family
  • 16. Example: Quevita – First health and lifestyle community in Europe
  • 17. Quevita: Focus on “healthy living” Preventive measures PHR
  • 18. From social network to a personal health record and mobile health Specific portal Specific portal Mobile Health Mobile Health Physical Channel Personal Health Record - LifeSensor bone lifecycle pathway 75 years 30 years 60 years 45 years 15 years Birth Birth
  • 19. Value proposition − Creating awareness and motivation in the search for and establishment of preventive measures among the population − Procurement of products and services for prevention − Electronic identification and linking of citizens in the context of preventive products and services − Establishing of Health eServices and with it the creation of new marketing and sales channels for sustainable business developments
  • 20. Thank you Contacts: Stefan Wild External Affairs Director MSD Switzerland Tel: +41 79 467 15 80 stefan_wild@merck.com Silvio Frey Head of Marketing & Sales Switzerland InterComponentWare (Switzerland) AG Tel:+41 44 209 92 14 Silvio.frey@icw-global.com