the impact of digital change on the healthcare...

THE IMPACT OF DIGITAL CHANGE

ON THE HEALTHCARE SECTOR AND

THE LOCATIONAL CHOICE OF

START-UPS

How digitalization changes cities

6th September 2017, Witten

Digital Healthcare – From Top Down to Bottom UpDigitalization - Top Down

The Telematic Infrastructure and eHC (electronic Health Card)

The decision for the development of a nation-wide strategy for the use of telematic applications took place at the75. Conference of Ministers for Health on June 20th 2002

Phasing-in of the electronic Health Card in October 2011, legally binding use since 2015

With the eHealth law in 2016 every doctor‘s office, hospital pharmacy and every insurant will be connected by summer 2018 (nation-wide roll out)

Jäger/Piechulek 6th Sept. 2017

References: https://www.bundesgesundheitsministerium.de/themen/krankenversicherung/e‐health‐gesetz/e‐health.html

References: https://www.gmkonline.de/_beschluesse/Protokoll_75‐GMK.pdf

References: https://www.gkv‐spitzenverband.de/krankenversicherung/telematik_und_datenaustausch/egk/egk.jsp

What are the expectations towards the eHC and the TI?

Quality improvement of Healthcare

Improvement of user centered health services

Patient Empowerment – personal responsibility,

participation and initiative

Improvement of economic efficiency and

transparency of the Health Care System

Digital Healthcare – Top Down


…but there is also another, user centered and demand driven form of digitalization on the second Healthcare market.


Digital Healthcare – Bottom Up

WHO mHealth definitionmHealth or mobile health is a component of eHealth… medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices, personal digital assistants (PDAs) and other wireless devices

References: van Dyk 2013 – A Review of Telehealth Service Implementation Frameworks

References: Kay, M.; Santos, J. & Takane, M. (2011), mHealth: New horizons for health through mobile technologies

What is so exciting about mHealth?

Source: Deloitte 2014‐ Perspektive E‐Health – Consumer‐Lösung als Schlüssel zum Erfolg



“Mobile internet use will account for 26% of global media consumption in 2019, up from 19% in 2016”Resource: Zenith‘s Media Consumption Forecasts 2017

Expected market size worldwide for 2017 about 26 Mrd.$ Expected market size for Europe 6,9 Mrd. $ Over 100.000 Healthcare Apps in Google Playstore and Apple

Appstore

Source: Research 2 Guidance, mHealth App Developer Economics 2015


Germany has a high market potential which attracts young Start-Ups (about 8000) but is considered as overrated due to its bad market readiness

Source: TrendGuide Gesundheits‐IT 2017 –http://e‐health‐com.de/compendien/trend‐guide/


What do we have to handle?

Lack of „clear“ regulations for implementation

Problems with interoperability

Asynchronous dynamics between Top-Down and Bottom-

Up

The evaluation of medicine products or services (not

medication) can take between 2 to 6 years – the average

„go to market“ of digital healthcare apps takes less than

one year

Digital Healthcare – Where Top Down and Bottom Up meet


Source: Tharenberend & Gottschall 2016, – Transfer von Digital‐Health‐Anwendungen in den Versorgungsalltag


Digital Healthcare – Where Top Down and Bottom Up meet

Do we have to overthink the way we develop and evaluate digital Health services?

Cooperative development by targeting and

involving critical stakeholders and

gatekeepers at the earliest stage of

development (including patients)

Formative and summative evaluation during

the whole product live cycle

Offering support for Start-Ups/Developers

Managing and offering the necessary network could become a critical factor for the locational choice of Start-Ups and Developers

What is Webprax?

webPRAX is the new platform for comprehensive Online-Group-Therapy Timely intervention with personal counselling in real time Reduction of the relapse-quota through anchoring of positive daily routines Cost reduction through group principle and a new innovative digital platform High scalability through nationwide Network of psychological psychotherapists Consistent high quality of therapy through evaluated therapy manuals


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Locational ChoiceFrom Düsseldorf to Bochum

From a Start-Up perspective Location business-specialization

Risk of watering-can effect (everybody wants to be Silicon Valley 2.0) Unique selling proposition (USP) Acceleration in following fields:

Research and Development / think tank Health-Company settlement Business-networks Cooperation / Partner Recruiting Office-Space VC-Capital


IMPACT OF DIGITAL CHANGE

On the mental-Health Sector Compensation missing ambulant/outpatient therapists Work relief regional clinics/therapists Local-Care Improvement Integrated care networking: prevention-diagnose-therapy-aftercare



Thank you for your attention!

Arnd Jäger

Healthy Projects GmbH

Palmenstraße 1540217 Düsseldorf

0211/[email protected]

Lukas Piechulek

Ruhr-Universität BochumZentrum für ökonomische BildungGC 1/37Universitätsstr. 15044780 Bochum

+49(0)234 / 32-2 22 [email protected]/zfoeb

the impact of digital change on the healthcare...

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