finance a serious game in healthcare
DESCRIPTION
During the Games for health 2012 conference CbusineZ held a presentation on how to finance a serious game. Summarised as: stop creating games, start creating treatmentsTRANSCRIPT
How to finance a serious game in health care
woensdag 7 november 12
Index
2
- Healthcare challenges
- The healthcare landscape
- The ideal ‘financing method’: part of the treatment
- Financing the serious game startup
woensdag 7 november 12
3
The cost of healthcare have risen sharply
Rise cost of hospitalcare in Netherlands last 5 year
Cost increase in AWBZ (elderly care) in 10 year
woensdag 7 november 12
3
The cost of healthcare have risen sharply
Rise cost of hospitalcare in Netherlands last 5 year
Cost increase in AWBZ (elderly care) in 10 year
30 %to 20 mrd €
woensdag 7 november 12
3
The cost of healthcare have risen sharply
Rise cost of hospitalcare in Netherlands last 5 year
Cost increase in AWBZ (elderly care) in 10 year
30 %to 20 mrd €
66 %to 21 mrd €
woensdag 7 november 12
4
In 1970:
72 year
Life expectancy has risen
LINH, RIVM,
+3
And will increase the coming years
65+ in 2010:2,5 mln
The increase in life expectancy will lead to an increase in the number of elderly people
Baby in2010: 83jr
woensdag 7 november 12
4
In 1970:
72 year
In 2020there are3,3 mln 65+
Life expectancy has risen
LINH, RIVM,
+3
And will increase the coming years
65+ in 2010:2,5 mln
The increase in life expectancy will lead to an increase in the number of elderly people
Baby in2010: 83jr
woensdag 7 november 12
5
We live longer.... But not always healthy...
LINH, RIVM,
woensdag 7 november 12
5
We live longer.... But not always healthy...
LINH, RIVM,
woensdag 7 november 12
5
We live longer.... But not always healthy...
LINH, RIVM,
27% smokes
woensdag 7 november 12
5
We live longer.... But not always healthy...
LINH, RIVM,
40% over weight15% obesity27% smokes
woensdag 7 november 12
5
We live longer.... But not always healthy...
LINH, RIVM,
50% doesn’t exercise enough
40% over weight15% obesity27% smokes
woensdag 7 november 12
5
We live longer.... But not always healthy...
LINH, RIVM,
50% doesn’t exercise enough
40% over weight15% obesity27% smokes
Unhealthy lifestyle is an important reason for chronicle illness
woensdag 7 november 12
6
Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise
woensdag 7 november 12
6
Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise
Depression COPD Diabetes heartcondition
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6
463.000
Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise
Depression COPD Diabetes heartcondition
woensdag 7 november 12
6
463.000569.000
Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise
Depression COPD Diabetes heartcondition
woensdag 7 november 12
6
463.000569.000
1.1 mln
Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise
Depression COPD Diabetes heartcondition
woensdag 7 november 12
6
463.000569.000
1.1 mln1.2 mln
Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise
Depression COPD Diabetes heartcondition
woensdag 7 november 12
6
463.000569.000
1.1 mln1.2 mln
Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise
Depression COPD Diabetes heartcondition
Can you imagine what this means for care delivery?
woensdag 7 november 12
7
Patiënt empowerment could be a huge contribution but still faces hurdles in implementation
Patiënt empowerment showsvaluable contribution
Health 2.0Shared Decision Making Serious
gaming
Several studies showed:- better outcomes- less cost- less professional involvement
Patiënt empowerment is not part of the regular treatment process
Our current methods are too cognitive based
woensdag 7 november 12
Index
8
- Healthcare challenges
- The healthcare landscape
- The ideal ‘financing method’: part of the treatment and the consequensesfor development
- Financing the serious game startup
woensdag 7 november 12
The financing option is determined by the goal of the serious game
9
Goal of the serious game
Marketing toolCost of organisation by the organisation using it for the enhancement of their proposition
Enhancement of treatment
Training of professionals
Consumer“Entertrainment”
Customer centric approach“app store tactics”
Embed in formal training
Improve treatment to above ‘state of the art levels’
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What health insurers are not purchasing seperately
10
woensdag 7 november 12
What health insurers are not purchasing seperately
10
Part of material used in a tariff
Chirurgical scalpel
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What health insurers are not purchasing seperately
10
Part of material used in a tariff
Chirurgical scalpel
MRI scanner is purchased by hospital…
MRI Scanner
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What health insurers are not purchasing seperately
10
Part of material used in a tariff
Chirurgical scalpel
MRI scanner is purchased by hospital…
MRI Scanner Serious games
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New treatments are purchased when the effects are better then the golden standard
11
effe
ct
Golden standard(state of the art)
Treatment basedon serious gaming
In most Western countries medical professionals have the obligation to use the “golden standard”
Supplier has the obligation to ‘prove’ that the new treatmenthas better effects then the current Golden standard
woensdag 7 november 12
New treatments are purchased when the effects are better then the golden standard
11
effe
ct
Golden standard(state of the art)
Treatment basedon serious gaming
In most Western countries medical professionals have the obligation to use the “golden standard”
Supplier has the obligation to ‘prove’ that the new treatmenthas better effects then the current Golden standard
woensdag 7 november 12
A new diabetes treament would have to prove it has a better effect then the Golden standard
12
Imagine: A new diabetes treatment
Before it would be used andreimbursed…
Design
Laboratory test tot test result conform specification
Field test to confirm effectiveness (stage 1)
Double blind test to confirm higher effectiveness then Golden
standard
Marketing to care professionals Arranging reimbursement
woensdag 7 november 12
A new diabetes treament would have to prove it has a better effect then the Golden standard
13
Imagine: A new diabetes treatment
Before it would be used andreimbursed…
Design
Laboratory test tot test result conform specification
Field test to confirm effectiveness (stage 1)
Double blind test to confirm higher effectiveness then Golden
standard
Marketing to care professionals Arranging reimbursement
woensdag 7 november 12
A new diabetes treament would have to prove it has a better effect then the Golden standard
13
Imagine: A new diabetes treatment
Serious game
Before it would be used andreimbursed…
Design
Laboratory test tot test result conform specification
Field test to confirm effectiveness (stage 1)
Double blind test to confirm higher effectiveness then Golden
standard
Marketing to care professionals Arranging reimbursement
woensdag 7 november 12
Design and create for effect
14
Don’t design a serious game
Develop a treatment!
OrganisationMix of developers, medical professionals , process experts and expert on healthcare cost
Development processVisualise new gameVisualise new treatment processTest payment options
Develop gameDevelop processDevelop implementation
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In the eHealth market we use JV to create criticall mass on forehand
15
Create a joint venture to assemble critical mass
“Joint venture”
devHP HP HP
Assemble a group of potential clients to co-create, use the eHealth tool and share benefits
Creating critical mass before the start
Psy Health directJV with health insurer and mental health institute for delivering depression and fear treatment
Elab GGZA club” of mental health institutes together with a eHealth development organisation
Care2UA combination of GP’s (market), software designers and health insurer (payer)
woensdag 7 november 12
In progress:set up of a new Venture Fund esspecially for serious gaming
16
Investors
Knowlegde & Coaching
Serious gamingHealthcareVenturing
Under construction
woensdag 7 november 12