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Copyright 2013 ITRI 工業技術研究院

Health Cloud: Challenges and Business Opportunities

Jenn-Hwan Tarng & Chi-Hung Lin* General Director, Service Systems Technology Center,

Industrial Technology Research Institute (ITRI)

*Commissioner, Department of Health, Taipei City Government


建議字型：中文微軟正黑體，英文Arial

Outline

2

Aging Population

Health ICT Global Market

Why Health Cloud

Example of View From Government

Ubiquitous Health Services and

Solution

Challenges

Proposed Topics to be discussed



Aging Population

Source: Public Health of Taipei City: 2010 Annual Report

The

per

cen

tage

of

aged

65

an

d a

bo

ve

po

pu

lati

on

(%)

year

3

Source: United Nations (2011) Asia Europe Latin America

and the carib

bean

Northern

America oceania



Healthcare: A Global Socio-Economic Challenge

Population aging: a global demographic phenomena

— US: 19.6% (2030); EU: 40% (2050); Japan: 36% (2050)

— Healthcare cost per person aged 65+ years is 3-5 X greater than that

for person aged < 65 years

— US: 17% of GDP (2008); 20% of GDP (2015)

Excessive costs of administering the health system are one of

major factors for high healthcare costs*

– Unnecessary diagnosis/treatments, inefficient healthcare

management system, and expensive doctors’ practices

Insufficient number of medical doctors and nurses.

An automated health caring system is needed at hospital,

communities, home and mobile space.

* Source: Annuals of Internal Medicine 2005 & U.S. Census Bureau. An Aging World:

2001 4



Treatments

(Institute Care)

Sub Acute

(Intermediate Care) Prevention Wellness

Healthcare Service Evolution

5

Personalized Healthcare Home/ Mobile

Community

Treatment-centric

Prevention-oriented home-based

personalized healthcare

5



ICT Market in Healthcare Market Scale in USA and China

Three Market Demands

• Preventive care field

• Medical field

• Home care field

2.2 million people adapted Tele-

homecare Monitoring service in

US and Europe (2011) .

(myocardial infarction,

Obstructive Sleep Apnea

Syndrome, diabetes, Chronic

Obstructive Pulmonary Disease)

In 2011 healthcare ICT is about

2% of the total Healthcare output

in US (2.4 trillion USD).

(only 1% in 2009)

US Healthcare ICT grow at a

CAGR 24% between 2011-

2014(InformationWeek，2011)

US ICT market in Healthcare

USD billion

2009 2011

Future

Market

estimation

CAGR

preventive

care field

Health

management 8

about

40

(Information

Week ,2011)

17

(2014) 16%

Medical

field

EMR、EHR 1.35 1.43

(2016) 6%

HIS 15.69 21.46

(2012)

Home care

field

Home care,

Disease

Management

0.58 1.1

(2014) 15%

China ICT market in Healthcare

USD billion 2009 Future Market

estimation

CAG

R

preventive

care field

Health

management 0.5

1.2

(2014) 20%

Medical

field

EMR、EHR

0.334 0.856

(2016) 15%

HIS

Home

care field

Home care,

Disease

Management

0.26 1.1(2014) 33%

6 Source of the materials : Frost & Sullivan(2008, 2009, 2010); ITRI IEK(2010)



Health Cloud Market Market Scale in Global

Billion USD

Year

Health Cloud Market in Global

Source: IBM/Bizcloud

• In 2011, cloud had only four

percent share of e-healthcare

market. Cloud market share will

grow to $5.4 billion by 2017,

Markets and Markets.

• The healthcare cloud computing

market is a fragmented in nature

and no provider occupies more

than five percent share. (2012)

7



• The health care is beginning to move to cloud-

based platform due to the following advantages:

– Cost effectiveness

– Prompt on-demand availability

– Pay-per-use

– Scalability and flexibility

– Ubiquitous: wearable mobile computing devices

• Main barriers

– Customer compliances

– Privacy and Security

8

Why Health Cloud?



Ageing/Aged

society

Increased life span Low birth rate

View From Government Formation of an aged society

Child development Development in

the prime of life Active aging

9 Source: Department of Health, Taipei City Government



To promote quality of healthy life

To prevent disease

To decrease co-morbidity and

premature death

Health

Care

Social Welfare and Safety Net

To reduce health inequality

To increase healthy life expectancy

To narrow health disparities due to life cycle

To narrow health disparities due to

socioeconomic background

To narrow health disparities due to

physical& mental status

Health Promotion and Disease Prevention

Health for All

Public

Health

10 Source: Department of Health, Taipei City Government

View From Government



Ubiquitous Health Services for All

Ubiquitous Health Services: Users can access services when needed at

anytime, from anywhere with any devices Mobile Phone, Pad, Health ATM,

Wareable Health MaaS/ coaching devices: iShoes, Google Glasses, i-bracelet

band

Service providers can provide needed healthcare resources and services

when needed E-Hospital, Community Healthcare ICT, Home Healthcare ICT, M-Healthcare

Cloud Computing is an emerging enabling solution to address cost-

effective, personal, and on-demand service requirements of ubiquitous

health for all

Health Cloud Definition

A cloud computing solution used by health care providers for

health information management: storing, maintaining and

backing up; and information mining / feedback, etc.

11



End-to-End Tele-healthcare Solution Architecture (ITRI)

and Cloud Service Models

Community

Customer/Patient caregiver physician

Value-added services

12

Cloud Service Models :

MaaS

CaaS

SaaS

PaaS

IaaS

Call Center Services



Challenges of Health Cloud Adoption • Medical liability

Monitoring data accuracy, false alarm, signal integrity

• Privacy-preserve security protection of patient record

Information exchange among different organization and customers

• Practical clinical use V.S. customer compliances

• System interoperability/scalability

Standard, Specification, Certification & Validation

User compliance and interface

Integration of com. gateway and sensors

• Who’s going to pay

The payment system for preventive medical care in general is not in place yet in Taiwan

13



Proposed Topics to be discussed

14

• The adoption of information and communication technologies with regard to tele-care or tele-medicine.

• The development and function of the professional tele-care human resource.

• The value-chain and the business model of the cloud-based application service.

• The performance criteria of the cloud-based application platform.



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Thanks for your attention !

Health & Medicine

Chinese taipei ct012 1366641275