360 degree ceo perspective of the global healthcare industry
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360 Degree CEO Perspective Of The Global Healthcare Industry. Economic Trends & Issues. Growth Process. Emerging Technology. Competitive Benchmarking. External Industry Impact. Emerging Competition. Career Development. Emerging Opportunities. New Applications. Cultural. - PowerPoint PPT PresentationTRANSCRIPT
360 Degree CEO Perspective Of The Global Healthcare Industry
04/20/232
Political&
Regulatory
EmergingOpportunities
Cultural
GrowthFunctions Growth
Team
Growth Process
CareerDevelopment
NonCustomer
Demo-graphics
Behavior
Competitor’sCustomers In-Direct
Competition
CompetitiveStrategy
CompetitiveBenchmarking
EmergingCompetition
Country Risk
Economic Trends &Issues
EconomicThreats
Economic Trends
EmergingTechnology
NewApplications
DisruptiveTechnologies
IndustryExpansionPotential
IndustryConvergence
IndustryShifts
ExternalIndustryImpact
IndustryIntegration
CEO
GLOBAL
BEST PRACTICES
CUSTOMER
COMPETITIVE
ECONOMIC
TECHNOLOGY
INDUSTRY
TECHNOLOGY
BEST PRACTICES
INDUSTRY
GLOBAL
CUSTOMER
ECONOMIC
COMPETITIVE
Identify geographic expansion opportunities, monitor the political and regulatory effects of doing business in another country; understand cultural implications and requirements
Ensure a solid understanding of emerging technologies: affects and opportunities; plan for potentially disruptive technologies; leverage new products and/or applications for growth
Maintain a solid grasp of your key industries and the industries that could have an impact on your business; identify factors that are causing new trends and changing buying behaviours; address industry convergence and integration; identify opportunities to expand within the market
Know any and all emerging competition; identify alliance partners; benchmark your growth against the industry; refine competitive strategy; monitor market perceptions, changing processes, technologies, culture, etc.
Identify unmet needs; tailor products and services to market needs; manage brand equity; identify emerging customer segments; keep track of changing cultural trends
Pinpoint current and future economic trends; identify growing customer segments; take advantage of emerging opportunities; adjust for currency changes
Maintain an effective Growth Plan for 3 - 5 years in the future; create and develop the Growth Team; ensure Growth Team members understand their functions and contributions to growth; leverage industry Growth Thought Leaders and best practices.
The CEO’s Perspective Of The Complex Business UniverseThe CEO’s Perspective Of The Complex Business Universe
04/20/233
AgendaAgenda
Global Healthcare Industry OutlookA Overview By AreaB
Top 10 Global Healthcare Trends1.
The Triple Healthcare Crisis2.
Shifting Healthcare Expectations
Hot Spots & Emerging Geographies
5.
Convergence in Healthcare
PESTLE Analysis7.
3.
4.
6.
Opportunity Analysis – Major Areas8.
Healthcare Paradigm Shift
Pharmaceuticals & Biotechnology 1.
2.
3.
4.
Clinical Diagnostics
Medical Devices
Medical Technologies
04/20/234
Global Healthcare
Industry Outlook
Shifting Healthcare Expectations
Convergence in Healthcare
The Triple Healthcare Crisis
Healthcare Paradigm Shift
Hot Spots & Emerging Geographies
PESTLE Analysis
Opportunity Analysis
Top 10 Global Healthcare Trends
04/20/235
ProjectedImpact on the
HealthcareIndustry
High Impact
Low Impact
CertaintyLow High
2010 – 2020
Top 10 Global Healthcare Trends MoreInfo
04/20/236
Patient centred care
2010 20202015
Power PatientGeneration
Major Trend
Patients Become Healthcare Kings And Queens, Medical Communities Become Interconnected, Doctor-Patient Relationship Goes Virtual
Patients Become
Customers
Personalised Healthcare
Healthcare Globe Trotters
Hospitals Go Virtual
SmarterDrugs
Devices Become Monitors
Innovation vs. Knowledge
CyberDocs
Prevention Before Cure
1
2
3
4
5
6
7
8
9
10
Baby Boomer retirement startsPatients become
healthcare Kings and QueensPatients gain access to
health quality information
Consumerismholistic health and well being
One stop shopCustomised products Home services
Genetic testingTargeted clinical trials
Information based medicine
Major diseases understood at molecular levelWellness care Presymptomatic diagnostics
& treatments
Immediate Treatment abroadbecomes an option
"medical tourism" crossesthe US$2 billion mark
Private companies invest in facilities and services abroad
All departments/buildings within hospitals are connected
Medical communities (1°, 2° care) become interconnected
Regional/Country-wide connectivity
Non-invasive delivery Drug cocktails will enhance productivity, memory,and physical performance
Disease management Remote patient monitoring Self-monitoring
War for medical talentMedical professionals keep up with knowledge growth
Baby Boomer retirement starts
Virtual face to face doctor- patient relationship
Perform routine diagnostics with predictive precision
Cheaper care available to more people in need
Early treatment Implementation of IT Precise therapy becomes reality
04/20/237
15% of patients admitted to hospital
suffer an adverse event.
8% of adverse events result in death.
6% of adverse events result in
permanent disability.
10-20% of all adverse events are
caused by medication errors.
10-15% of hospital admissions occur
because providers do not have access to
previous care records.
20% of laboratory tests are requested
because the results of previous
investigations are not accessible.
Healthcare is challenged by three interlocking crises that make present healthcare systems unsustainable:
Rising costs
Changing demographics
Quality
The Size of the Problem – Quality
Healthcare Is Challenged By Three Interlocking Crises That Make Present Healthcare Systems Unsustainable
Cost
Demographics Quality
Cost
Demographics Quality
04/20/238
$2,884
$3,647
$2,493 $2,665 $2,451 $2,693$2,337 $2,527
$2,110$2,614
$1,927$2,469 $2,371
$1,938 $1,927 $1,829 $1,609
$3,517
$717
$1,684$854
$914 $680$989 $760
$1,018$494
$1,165$449
$352$593 $431 $514
$646
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
In almost all countries worldwide, per capita healthcare spending is rising faster than per capita income.
No country can spend an ever-rising share of its output on health care, indefinitely. Spending growth must eventually fall in line with growth in per capita income.
If Current Trends Hold, By 2050 Health Care Spending Will Almost Double Claiming 20% – 30% Of GDP For Some Economies
$2,884
$3,647
$2,493 $2,665 $2,451 $2,693$2,337 $2,527
$2,110$2,614
$1,927$2,469 $2,371
$1,938 $1,927 $1,829 $1,609
$3,517
$717
$1,684$854
$914 $680$989 $760
$1,018$494
$1,165$449
$352$593 $431 $514
$646
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Private Per Capita Spending (2007) Public Per Capita Spending (2007)
Spending as % of GDP (2007) Estimated Spending as % of GDP in 2050
$1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Unsustainable Unsustainable Levels!!!Levels!!!
$1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009 $1,009
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
04/20/239
In 2000, 10% (606 million) of the global population was aged 60+. By 2050 this will be more than 21% (2 billion).
People aged 60+ utilise 3-5 times more healthcare services than younger people.
75% of people aged 60+ have one chronic condition, while 50% have two or more chronic conditions.
Chronic diseases account for more than 60% of all health care spending.
Health economics dictate a shift in spending – away from treating and towards predicting, diagnosing and monitoring.
30% of the population consumes 90% of health care resources
Balance Between Young And Old Is Shifting, Ageing Related And Chronic Diseases Increase, People Living With Multiple Long Term Conditions
04/20/2310
Healthcare
Entertainment & Media Customised products Home services
Retailing & Finance Customer service Comparison shopping Self-service Special offers
Manufacturing & Distribution Faster time to market One stop shop Anytime anywhere care Supply chain integration
Consumer Experiences In Other Markets Affecting Expectations From Healthcare
Health care that is customised to monitor, diagnose, educate, and intervene regardless of location or time-will be common.
Health care that is customised to monitor, diagnose, educate, and intervene regardless of location or time-will be common.
Freedom to make own decisions
Freedom to make own decisions
Greater variety of providers, products and services e.g. expensive health plans and alternative medicine services
Greater variety of providers, products and services e.g. expensive health plans and alternative medicine services
Power patients have increased access to computers and information through multiple channels to seek and analyse health information
Power patients have increased access to computers and information through multiple channels to seek and analyse health information
04/20/2311
Predictive tests
Disease Management
Gene Mapping & Functional Analysis
Tailored Treatments- Genomic/Proteomics based
Preventative Programmes
Health Management
Bio Chips: Controlled Released
Delivery Systems
Telemedicine
Remote Patient Monitoring
Drug Delivery
IT / Digital Information Systems
Nanotechnology
Medical Devices
Medical Technologies
Life Sciences
Technology…….Enables it
Economics………………Require it
Demographics………….Demand it
Convergence In Healthcare Enables Personalisation, Targeted Medicines, Virtual Patient Monitoring, Enabling A Preventative Approach To Healthcare
04/20/2312
Riding On A Wave Of Technical Innovations Healthcare Will Change From A “Find It And Fix It” System To A “Wellness Tracking” System
Current Healthcare Systems
Suffer from the
“RADAR” Syndrome
Electronic Health Records (EHRs)
Chronic Disease Management Systems
Personal Digital Assistants
Disease Management Program
Home monitoring devices
Personal Health Records
Web- based education and support
Patient Scan
Good Chronic
Disease care
Patient Patient Support Support
ToolsTools
Telehealthfor virtual
interactions
Sharable Personal Health Records
Web portalsto EHR Systems
Provider Support
Tools
System oriented to acute illness
Patient’s role not emphasised
Follow up sporadic
Prevention overlooked
Patient then disappears from radar screen
Patient Appears (falls sick)
Patient is treated “find it and fix it”
Patient is discharged
Future Healthcare Systems
Must Apply a
“GPS” Logic
04/20/2313
A Modern Healthcare System Is On The Horizon Demanding A Healthcare Paradigm Shift
Fragmented Patient Flow Integrated & automated
...From
Invasive Diagnosis & Treatment
Less invasive, Preventative, image based
Provider Centric Focus Patient Centric
Centralised – Hospital Monitor De-Centralised–Shift to Community
One Size Fits All Approach Personalised Medicine
Therapeutics/Diagnostics/Devices Tools “Theranostics”
Treating Sickness Objective Preventing Sickness – “Wellness”
...To
04/20/2314
Threats Arise From Unconventional Players Outside The Traditional Healthcare Boundary
Telecommunication Companies
2010 : Orange launches "Connected Hospital", its first e-healthcare offering designed to improve patient comfort and care quality
Consumer Product Companies
Chemical Companies2010:Roche and Toyama Chemical enter licensing agreement to develop potential breakthrough drug to treat rheumatoid arthritis
Employers & Government
2010 : Integrated Healthcare Management in the US has been launched as the systematic application of processes and shared information to optimise the coordination of benefits and care for the healthcare consumer
Agriculture & Food CompaniesBiotech is the changing face of agriculture. Biotech crops were planted in 18 countries in 2004. By 2010, it is projected that 15 million farmers will grow genetically modified crops on up to 375 million acres in 30 countries.
2008: Virgin Group launched a new healthcare network. The first of six “one-stop shops” clinics will offer extra NHS and private services including dentistry, screening, a pharmacy and complementary therapies alongside GP practices. Ultimately, offering wider options for patients.
2010 : SUPERMARKETS in the UK are increasingly becoming one-stop-shops for everything by branching out into healthcare, with everything from in-store pharmacies to blood tests, blood pressure checks and health checks on your lungs.
Healthcare CompaniesHealthcare Companies
04/20/2315
A Look At The Future: Patient Centric Health & Wellness Care
Web of Care
Smart eHomes
Mobile EHR
Health Robots
Implantable eCare
Wearable BioSensors
NanoCare
Decision Support
Regenerative MedicineRegenerative MedicineRegenerative MedicineRegenerative Medicine
Pre-emptive MedicinePre-emptive MedicinePre-emptive MedicinePre-emptive Medicine
Digital MedicineDigital MedicineDigital MedicineDigital Medicine
NanoMedicineNanoMedicineNanoMedicineNanoMedicine
EcoMedicineEcoMedicineEcoMedicineEcoMedicine
Self CareSelf CareSelf CareSelf Care
Diet &
Nutrition
Humour &
Joy
Lifestyle & Stress Reduction
Mind Body & Spirit
Exercise&
Fitness
My Health & Wellbeing Databases
DoctorsDoctors& Medical& Medical
TeamTeam
CoachesCoaches&&
AdvocatesAdvocates
OnlineOnlineSupportSupport
CommunitiesCommunities
FriendsFriends&&
FamilyFamily
eHealthAdvisorNetwork
04/20/2316
U.S.Huge healthcare market and growing, large opportunities, niche players will be more successful
CanadaRelatively high government spending on healthcare, small number of local market players, sizeable market
Hot Spots And Emerging Geographies
Germany/SwitzerlandHigh spending on healthcare, large market with not too many market players, increasing focus on eHealth and digitisation
UK/Scandinavian CountriesHigh government spending on healthcare IT, large market, high number of healthcare IT players.
IndiaLarge market, low operating costs, excellent local skills, high local competition, Distribution hub to the Middle- and South-East of Asia
Hong KongHigh government spending on healthcare, small domestic market, gateway to China
Australia & New ZealandHigh government spending on healthcare IT, small number of local market players, increasing focus on eHealth and digitisation
Sub-Saharan AfricaLimited current government spending on healthcare IT, increases planned in the future. Private sector developing increasing focus on eHealth. Moderate number of players mainly operating from South Africa.
Brazil & MexicoTwo largest healthcare markets in Latin America and growing at a sustained pace
Venezuela & ColombiaConstituting part of the Andean Region are the fastest growing countries in many HC categories due to large public investment
IsraelComputerized HMOs. Project to determine regulations/law for national EHR
04/20/2317
PESTLE Analysis – Timeline
Increase influence by regulatory bodiesPOLITICAL Increasing harmonisationGrowing Political Focus and Pressure on Healthcare
Spend per capita on health globally grows
ECONOMICDivide between the EU, US and rest of the world grows
Global ‘Not for Profit’ PharmaSupply for developing countries
Reduction in pharma growth(business model changes)
Patient Centric Healthcare
SOCIAL Increasing pressure from patient groupsHealth awareness (prevention)
Ageing population
InternetTECHNO-LOGICAL
Information Based Systems
LEGALTherapeutics>Theranostics (Rx/Dx)
ENVIRON-MENTAL
Mergers and Acquisitions
Personalised healthcareMedical Ethics Health educationRaised consumer expectations Increasing customer awareness
Pharmacogenomics
Drug Design
Genomic Drugs
Health card / Smart CardsCombined diagnostics and therapeutics
Customised treatments
Direct to Patient Advertising
Biogenerics/biosimilars
Privacy
Faster Drug Approvals Medical Errors / Safety
Genetic Discrimination
Biotech companies transition to Pharma companies
Development of specialist therapy providers
Impact of HIV and other pandemics
2010 20202015
04/20/2318
Opportunity Analysis – Major Areas (Europe), 2010-2012
ProjectedRevenuesIn 2012
($ Billions)
High Revenues
Low Revenues
Growth Rate (2010-2012)
Low High