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Orange Healthcare Orange Healthcare Orange Healthcare Orange Healthcare –––– the 24th of April, 2013the 24th of April, 2013the 24th of April, 2013the 24th of April, 2013
mHealthmHealthmHealthmHealth drivers, opportunities and trends: drivers, opportunities and trends: drivers, opportunities and trends: drivers, opportunities and trends:
the Orange Healthcare experiencethe Orange Healthcare experiencethe Orange Healthcare experiencethe Orange Healthcare experience
Alexandre Faesch
The Orange group = our main assets are our strong customer base and ability to cover all communication fields
3 Orange Business Services Russia
The Orange Group - key figures
45.5 billion euros in
2012 revenues
5.8 billion euros in capital
expenditure
170,000employees worldwide
4 Strictly confidential - Internal company use only
Who we are in Russia?
� Orange Business Services is the only international telecommunication and integration
services provider in Russia with its own infrastructure
� serving 5 000 + 15 000 business customers and operators all over the country with full
set of fixed voice and data licenses and services
� present in Russia since 1958 through SITA
� operating under the Orange Business Services trademark since 2006
16 000 kmbackbone and access network
CIS rep offices :Ukraine, Kazakhstan, Belarus
15 sales offices in major cities
1100 employees
5
part 1 mHealth drivers
6
the context for mhealth…
Worldwide, between
2010 and 2050, people
aged 60 and more :
+100+100+100+100 %%%%1111
People aged 80 and
more : +100+100+100+100 %%%%1111
Spending for seniors to Spending for seniors to Spending for seniors to Spending for seniors to
double or more by 2050, double or more by 2050, double or more by 2050, double or more by 2050,
says OECDsays OECDsays OECDsays OECD
In India, by 2015, 59% of
the total deaths would
be due to NCDs
In 2010 , in Africa (excl. North In 2010 , in Africa (excl. North In 2010 , in Africa (excl. North In 2010 , in Africa (excl. North
Africa) child mortality was Africa) child mortality was Africa) child mortality was Africa) child mortality was
1.2%.1.2%.1.2%.1.2%.3333
4 diseases are responsible for 4 diseases are responsible for 4 diseases are responsible for 4 diseases are responsible for
50% of these deaths.50% of these deaths.50% of these deaths.50% of these deaths. 3333
~30%~30%~30%~30% of drugs
of any given
medicine can be
counterfeit
wordwilde2
1 : accord the WHO, 2011
2 : according the WHO. (Source: The Times-UK, February, 2009)
3: Millenium report
4 : Informa WCIS (March 2011) – Telegeography 2013
5: World Health Statistics 2010 - WHO
1- m-health drivers
Europe & Europe & Europe & Europe &
North AmericaNorth AmericaNorth AmericaNorth America
Federation of Federation of Federation of Federation of
RussiaRussiaRussiaRussiaAccessAccessAccessAccess
Mobile Mobile Mobile Mobile
PenetrationPenetrationPenetrationPenetration4444
Healthcare costs Healthcare costs Healthcare costs Healthcare costs
(% GDP)(% GDP)(% GDP)(% GDP)5555
118%
184%
11%
5.6%
EfficiencyEfficiencyEfficiencyEfficiency
7
how can mHealth help?
Improve maternal
health
----30%30%30%30%
Maternal deaths per 100,000 live births
----68%68%68%68%
Combat HIV/AIDS, Malaria
and other diseasesTuberlocis prevalence per 100,000
* * ****
Source from BCG The socio-Economic Impact of Mobile Health, April 2012
*: As of latest WHO data from 2009 to be comparable across countries.
**: Bangladesh Maternal Mortality and Health Care Survey states 322 in 2011 and 194 in 2013. Assuming full -scale roll-out of selected services from 2012
Source: WHO; Government of Bangladesh; United Nations; BCG analysis
1- m-health drivers
8
part 2 success stories from Orange Healthcare
9
Orange Healthcare - 2012Orange Healthcare – 2012 Orange HealthcareOrange HealthcareOrange HealthcareOrange Healthcare
hosting and sharing of medical
imagingremote monitoring of cardiac
arrhythmia
drug authentication
in 2013, Orange offers solutions in 3 areas
services for healthcare services for healthcare services for healthcare services for healthcare
professionalsprofessionalsprofessionalsprofessionals
remote healthcare remote healthcare remote healthcare remote healthcare
monitoring servicesmonitoring servicesmonitoring servicesmonitoring services
preventive servicespreventive servicespreventive servicespreventive services
professionals to professionals to professionals to professionals to
professionalsprofessionalsprofessionalsprofessionals
professionals to professionals to professionals to professionals to
patientspatientspatientspatientspatient patient patient patient
2- Orange success stories
10
OrangeOrangeOrangeOrange
Value ChainValue ChainValue ChainValue Chain
Health Health Health Health
ApplicationsApplicationsApplicationsApplications Healthcare ecosystemHealthcare ecosystemHealthcare ecosystemHealthcare ecosystem
Health
“Computing”
(hosting)
PartnersPartnersPartnersPartnersPartners Partners Partners Partners
PatientsPatientsPatientsPatients
MedicalMedicalMedicalMedical
DevicesDevicesDevicesDevices
Consulting, IntegrationConsulting, IntegrationConsulting, IntegrationConsulting, Integration
M2M,
International
backbones &
Last mile
Global
Integration,
Helpdesk,
services to end
users
Specific
developments
(Security,
portals)
Our value chain is tightly linked with key partners:
medical device manufacturers, health apps editors...
2- Orange success stories
11
mHealthmHealthmHealthmHealth provides worldwide opportunitiesprovides worldwide opportunitiesprovides worldwide opportunitiesprovides worldwide opportunities
HealthlineHealthlineHealthlineHealthline in BhutanBhutanBhutanBhutan
to contact health pros
SMS for pharmacies SMS for pharmacies SMS for pharmacies SMS for pharmacies
on dutyon dutyon dutyon duty in Ivory CoastIvory CoastIvory CoastIvory Coast
Remote monitoringRemote monitoringRemote monitoringRemote monitoring of
cardiac patients in
Europe &Europe &Europe &Europe & USAUSAUSAUSA
SMS appointment SMS appointment SMS appointment SMS appointment
reminderreminderreminderreminder with the NHS
in UKUKUKUK
Drug authentication Drug authentication Drug authentication Drug authentication
via SMSvia SMSvia SMSvia SMS in KenyaKenyaKenyaKenya
Health Pro PackHealth Pro PackHealth Pro PackHealth Pro Pack
incl. mobile apps
in FranceFranceFranceFrance
GlycemiaGlycemiaGlycemiaGlycemia monitoringmonitoringmonitoringmonitoring
on iPhone in SpainSpainSpainSpain
TeledermatologyTeledermatologyTeledermatologyTeledermatology in EgyptEgyptEgyptEgypt
and BotswanaBotswanaBotswanaBotswana
2- Orange success stories
Medical complianceMedical complianceMedical complianceMedical compliance
in FranceFranceFranceFrance
Health data collection on mobileHealth data collection on mobileHealth data collection on mobileHealth data collection on mobile
child and maternity care child and maternity care child and maternity care child and maternity care
in Mali and SenegalMali and SenegalMali and SenegalMali and Senegal
Epidemiological Epidemiological Epidemiological Epidemiological
surveillance and training surveillance and training surveillance and training surveillance and training
inininin SenegalSenegalSenegalSenegal
interactive SMS quiz interactive SMS quiz interactive SMS quiz interactive SMS quiz
for prevention & awareness for prevention & awareness for prevention & awareness for prevention & awareness
in CameroonCameroonCameroonCameroon
12
case 1:
Sanofi and Orange
13
Sanofi and Orange use innovation to facilitate the
management of patients’ diabetes
2- Orange success stories
14
DiabeTIC: communication between HCP & patients
Mobile Computer
patients with BGStar or iBGStar
patients with other BGMs
Storage and analysis
HCPPATIENT
DNE
Available to all patients (not only i/BGStar patients)
2- Orange success stories
15
part 3 … examining the
issues of mhealth
16
1st challenge: business model
B2G or B2B2C or
B2C?
how can consumers be educated about and persuaded to use such a drug counterfeit service?
how can pharmacist be incentivized
to positively promote such a service?who will fund services?
can pharmas government, NGO finance services? why?
does a government need to constrain the installation of a
service ?
Is the system open to abuse – such as counterfeiters providing bogus SMS
checking numbers themselves?
what other kinds of similar services
could be developed?
3- challenges and opportunities
how to swap from a pilot to generalize solution?
17
2nd challenge: dilution of responsibility, value chain
complexity
Mobile Computer
patients with BGStar or iBGStar
patients with other BGMs
Storage and analysis
HCPPATIENT
DNE
connectivity
3- challenges and opportunities
18
3rd challenge: regulation
3- challenges and opportunities
19
3- challenges and opportunities
4th challenge: data overflow for health professionals
20
What are the next steps?What are the next steps?What are the next steps?What are the next steps?
4- prospectives
21
Orange is launching new services: leveraging SIM cards,
and identity association technology, Orange is overcoming
security challenges for health data mobility
health hosting
compliant with health standards
SIM-based identification solution to
address mobility
security
INTEGRATION
helpdesk
4- prospectives
22
Thank youThank youThank youThank you