suny china healthcare panel new york, new york march 12, 2012 the dorenfest china healthcare group...

SUNY China Healthcare Panel

New York, New York March 12, 2012

The Dorenfest China Healthcare The Dorenfest China Healthcare

Group and Its Business in ChinaGroup and Its Business in China

SUNY CHINA HEALTHCARE PANELSUNY CHINA HEALTHCARE PANEL DORENFEST CHINA HEALTHCARE GROUPDORENFEST CHINA HEALTHCARE GROUP22

Presentation Agenda

PagePage

About the Dorenfest GroupAbout the Dorenfest Group 33

A Foreigner’s View of Healthcare in ChinaA Foreigner’s View of Healthcare in China 1414

Current Status and Future Direction of HIT in ChinaCurrent Status and Future Direction of HIT in China 2424

Where Does China Stand on the Global HIT Continuum?Where Does China Stand on the Global HIT Continuum? 3232

Emerging Business Opportunities in China HealthcareEmerging Business Opportunities in China Healthcare 3434


About the Dorenfest Group

40 years experience in HIT40 years experience in HIT

Offer healthcare improvement services through a variety of businesses.Offer healthcare improvement services through a variety of businesses.

– SoftwareSoftware

– Hospital Operations ImprovementHospital Operations Improvement

– Consultation with Technology and Software Vendors In HealthConsultation with Technology and Software Vendors In Health

– Information BusinessInformation Business

Focus on improving patient care and operational efficiency through better Focus on improving patient care and operational efficiency through better change management change management

– Work process improvementWork process improvement

– Management systems improvementManagement systems improvement

– Improvement in services for patientsImprovement in services for patients

– Improvement in quality of patient care Improvement in quality of patient care


Dorenfest’s Investigation of China Healthcare in 2005-2006

1.1. Visited 17 cities in ChinaVisited 17 cities in China

2.2. Met 100’s of healthcare industry leaders in ChinaMet 100’s of healthcare industry leaders in China

3.3. Visited over 100 hospitals to review hospital operations and define Visited over 100 hospitals to review hospital operations and define opportunities for improvementopportunities for improvement

4.4. Met provincial and city health bureau leaders in cities visitedMet provincial and city health bureau leaders in cities visited

5.5. Met with many companies selling products and services to the healthcare Met with many companies selling products and services to the healthcare industry in Chinaindustry in China

6.6. Evaluated a group of hospital ownership and management opportunities and Evaluated a group of hospital ownership and management opportunities and assessed viability of the Dorenfest “model hospital” in Chinaassessed viability of the Dorenfest “model hospital” in China

7.7. Developed a strategy for bringing Dorenfest skill and experience to ChinaDeveloped a strategy for bringing Dorenfest skill and experience to China


Dorenfest Vision of a Model Hospital

Provides improved quality of care to its patientsProvides improved quality of care to its patients

Operates at a highly efficient level through effective use of systems and Operates at a highly efficient level through effective use of systems and better work processesbetter work processes

Offers its services to patients at an affordable costOffers its services to patients at an affordable cost

Creates a highly satisfied patient population with the patients observing a Creates a highly satisfied patient population with the patients observing a noticeable improvement in the services and treatments provided by the noticeable improvement in the services and treatments provided by the hospitalhospital

Utilizes appropriate digital technology to create a state of the art “digital Utilizes appropriate digital technology to create a state of the art “digital hospital”hospital”


China Healthcare Leaders Want to Leapfrog the World in IT Use

Chinese hospitals and health bureaus are carefully considering how to be Chinese hospitals and health bureaus are carefully considering how to be more successful in taking next steps forward in IT usemore successful in taking next steps forward in IT use

There is a recognition that for China to accomplish its objectives in HIT There is a recognition that for China to accomplish its objectives in HIT requires the following: requires the following:

– Learning quickly from the global experienceLearning quickly from the global experience

– Overcoming resistance to changeOvercoming resistance to change

– Knowing how to manage changeKnowing how to manage change

– Doing more of what the rest of the world did right and less of what they Doing more of what the rest of the world did right and less of what they did wrong to avoid mistakes other countries have made and China is did wrong to avoid mistakes other countries have made and China is still makingstill making

– Developing more expertise in these areas of need quickly Developing more expertise in these areas of need quickly


Chinese Hospitals Needed Help in the Following Areas

The creation of IT plansThe creation of IT plans

The buying of IT systems The buying of IT systems

The implementation of IT systemsThe implementation of IT systems

Change management to gain benefits and improvements from new IT Change management to gain benefits and improvements from new IT systemssystems


The Dorenfest Group Is Bringing Needed New Skills to China

1.1. Hospital operations improvement and change managementHospital operations improvement and change management

2.2. IT program improvement, problem-solving, strategy, and planning IT program improvement, problem-solving, strategy, and planning

3.3. New approaches to buying IT systems in a stronger partnership with users New approaches to buying IT systems in a stronger partnership with users

4.4. New ways to implement IT systems New ways to implement IT systems


Project Examples

The Dorenfest China Healthcare Group was formed in 2006 to offer consulting The Dorenfest China Healthcare Group was formed in 2006 to offer consulting services to China Hospitals and Health Bureaus. We have worked with over 25 services to China Hospitals and Health Bureaus. We have worked with over 25 hospitals and health bureaus to help them use information technology more hospitals and health bureaus to help them use information technology more effectively and have consulted with a variety of Chinese and Western healthcare effectively and have consulted with a variety of Chinese and Western healthcare companiescompanies

Examples of health bureau clients for RHN and digital hospital planning Examples of health bureau clients for RHN and digital hospital planning

– ShenzhenShenzhen

– ChongqingChongqing

Examples of hospital clients Examples of hospital clients

– Peking University Third HospitalPeking University Third Hospital

– Foshan City First People’s HospitalFoshan City First People’s Hospital

– Shanghai Changning Maternity & Infant Health InstituteShanghai Changning Maternity & Infant Health Institute

– Rizhao City People’s HospitalRizhao City People’s Hospital


Project Examples (Continued)

Examples of Western clients bringing their skills to mainland China Examples of Western clients bringing their skills to mainland China

– Hong Kong Hospital AuthorityHong Kong Hospital Authority

– IMS ChinaIMS China

– Microsoft ChinaMicrosoft China

– Philips Healthcare ChinaPhilips Healthcare China

Examples of Chinese companies Examples of Chinese companies

– DonglianDonglian

– Heren HealthHeren Health

– Simcere PharmaceuticalsSimcere Pharmaceuticals

– SINOPHARMSINOPHARM


Dorenfest Education in China – Tongren Hospital, Beijing 2005


Dorenfest Education in China – Zhejiang Medical Association 2009


The Dorenfest China Healthcare Group Current Status as of March 12, 2012

Still in Phase 1. Still in Phase 1. Timing of Phase 2 not determined yetTiming of Phase 2 not determined yet

All our current clients like our work a lot and buy more projects from usAll our current clients like our work a lot and buy more projects from us

The market is booming with interest and opportunity in the areas we have skill inThe market is booming with interest and opportunity in the areas we have skill in

We made our entry at the right time and developed the experience and reputation We made our entry at the right time and developed the experience and reputation before all of these new opportunities emerged, abefore all of these new opportunities emerged, and as a result are positioned with nd as a result are positioned with great understanding of the current situation and a good reputation in Chinagreat understanding of the current situation and a good reputation in China

Issues for us:Issues for us:

– Consulting market in China HIT still very smallConsulting market in China HIT still very small

– Dorenfest operates in China as a small entrepreneurial company, because Dorenfest operates in China as a small entrepreneurial company, because the consulting market is small. This will not always be true, so we are now in the consulting market is small. This will not always be true, so we are now in the process of building critical mass to handle the expected growth in the the process of building critical mass to handle the expected growth in the marketmarket

– Finding and training the right people to bring these new services to China is Finding and training the right people to bring these new services to China is an important factor in the next steps in growthan important factor in the next steps in growth


A Foreigner’s View of A Foreigner’s View of Healthcare in ChinaHealthcare in China



The Development of Healthcare in China

1.1. In the change to a more market driven economy in China, there was a shift In the change to a more market driven economy in China, there was a shift from government funding of the healthcare system to citizen funding, which has from government funding of the healthcare system to citizen funding, which has made China the highest “patient pay out of their pocket” healthcare system in made China the highest “patient pay out of their pocket” healthcare system in the worldthe world

2.2. China’s healthcare spending has made it one of the most efficient healthcare China’s healthcare spending has made it one of the most efficient healthcare systems in the world systems in the world

3.3. China’s outpatient care has followed a different model than the rest of the China’s outpatient care has followed a different model than the rest of the world, with most outpatient care now provided on hospital campusesworld, with most outpatient care now provided on hospital campuses

4.4. Most countries’ healthcare systems now have problems, which generally come Most countries’ healthcare systems now have problems, which generally come from not managing past changes properly from not managing past changes properly

5.5. China, on the other hand, has not changed its healthcare system as rapidly as China, on the other hand, has not changed its healthcare system as rapidly as other countries, so its problems are different other countries, so its problems are different


Healthcare Cost Trends($ and RMB in billions)

-

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

1990 1995 2000 2002 2003 2004 2005 2006 2007 2010

GovernmentGovernmentSocial InsuranceSocial InsuranceOut-of-pocketOut-of-pocket

SOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOKSOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOK

RMB inRMB inBillionsBillions

13.8%13.8% 15.2%15.2% 14.1%14.1% 13.6%13.6%

Annual Growth Rate Annual Growth Rate

14.6%14.6%

75 RMB75 RMB($9.6)($9.6)

216 RMB216 RMB($27.8)($27.8)

459 RMB459 RMB($59.1)($59.1)

579 RMB579 RMB($74.7)($74.7)

659 RMB659 RMB

($84.9 ($84.9 ))

759 RMB759 RMB

($97.0) ($97.0)

984 RMB984 RMB($144.0 ) ($144.0 ) 866 RMB866 RMB

($126.7 ) ($126.7 )

1128 RMB1128 RMB

($165.0) ($165.0)

Forecasted GrowthForecasted GrowthRate – 15% in 2008 and Rate – 15% in 2008 and 20% in 2009 and 201020% in 2009 and 2010

1900 RMB1900 RMB($275.0)($275.0)


Average Medical Expense Per Outpatient Hospital Visit ($ and RMB)

0

25

50

75

100

125

150

175

1995 2000 2004 2005 2006 2007

DrugDrugExam/TestExam/TestMedical ServicesMedical Services

40 RMB40 RMB($5.8 )($5.8 )

86 RMB86 RMB ($12.6) ($12.6)

118 RMB118 RMB ($17.3)($17.3)

127 RMB127 RMB ($18.6)($18.6)

129 RMB129 RMB ($18.8)($18.8)

136 RMB136 RMB($19.9)($19.9)

RMBRMB

SOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOKSOURCE: MINISTRY OF HEALTH ANNUAL STATISTICS YEARBOOK


Outpatient Registration Is an Example of the Problems of Being an Efficient Investor


Waiting to Pay for Services


The Outpatient Health Record Which Patient Keeps


Customer Service Has Been a Lower Priority

1.1. Long wait timesLong wait times

2.2. Very few advance appointment systemsVery few advance appointment systems

3.3. Average time of physician visit is 2-5 minutesAverage time of physician visit is 2-5 minutes

4.4. Collecting money and making profits are a major focusCollecting money and making profits are a major focus


Challenges of the Chinese Healthcare System

1.1. Over 50% of healthcare costs are paid directly by patients out of their pocketOver 50% of healthcare costs are paid directly by patients out of their pocket

2.2. Access to healthcare for the poor has been limited, but now changingAccess to healthcare for the poor has been limited, but now changing

3.3. The middle and upper classes are dissatisfied with healthcare services The middle and upper classes are dissatisfied with healthcare services

4.4. Doctor income earning methods weaken the doctor-patient relationshipDoctor income earning methods weaken the doctor-patient relationship

5.5. Drugs and tests have funded too much of the healthcare costsDrugs and tests have funded too much of the healthcare costs

6.6. Hospitals have needed to earn profits to support themselvesHospitals have needed to earn profits to support themselves

7.7. Primary care is just beginning to separate from hospitals to newly-developed Primary care is just beginning to separate from hospitals to newly-developed community clinicscommunity clinics

8.8. Healthcare reform will cause healthcare costs to rise more rapidlyHealthcare reform will cause healthcare costs to rise more rapidly


Healthcare Reform in China is Bringing Many Changes and Much New Spending

1.1. Basic care for people in China who cannot afford to pay for careBasic care for people in China who cannot afford to pay for care

2.2. Large stimulus spending is being made to improve healthcareLarge stimulus spending is being made to improve healthcare

3.3. Many major changes are being implemented all at once. Some are:Many major changes are being implemented all at once. Some are:

Public hospital reformPublic hospital reform

Community clinicsCommunity clinics

Modernizing facilitiesModernizing facilities

Clinical pathwaysClinical pathways

Regional health networksRegional health networks

Electronic health recordsElectronic health records

Many moreMany more

4.4. The challenge for China and the opportunities for wise business people is The challenge for China and the opportunities for wise business people is in the management of all of these changes in a short period of time to in the management of all of these changes in a short period of time to accomplish the desired outcomesaccomplish the desired outcomes


Current Status and Future Direction Current Status and Future Direction of HIT in Chinaof HIT in China



The Development of HIT in China

1.1. Chinese hospitals began to computerize in the early 1990s Chinese hospitals began to computerize in the early 1990s

2.2. The initial focus of computer efforts was on financial systems The initial focus of computer efforts was on financial systems

3.3. In the early 2000s, Chinese hospitals began to implement IT for clinical In the early 2000s, Chinese hospitals began to implement IT for clinical systemssystems

4.4. Many software solutions are now available, with well over 500 smaller software Many software solutions are now available, with well over 500 smaller software companies now operating in the HIT market in Chinacompanies now operating in the HIT market in China

5.5. Between 2005 and 2010, China hospital spending on IT grew from 5 billion Between 2005 and 2010, China hospital spending on IT grew from 5 billion RMB in 2005 to 16 billion RMB in 2010, and we forecast it will rise to 21.5 RMB in 2005 to 16 billion RMB in 2010, and we forecast it will rise to 21.5 billion RMB in 2011 billion RMB in 2011

6.6. Spending will continue to grow in the next few years at an even more rapid Spending will continue to grow in the next few years at an even more rapid pace as many investments are being made in information technology pace as many investments are being made in information technology throughout China healthcare throughout China healthcare


Factors Contributing to Future Spending Growth in China HIT

1.1. China hospital work processes are redundant, expensive and error-prone. Past IT China hospital work processes are redundant, expensive and error-prone. Past IT investment has increased these problems by adding work to the work processes and investment has increased these problems by adding work to the work processes and creating unhappy clinicianscreating unhappy clinicians

2.2. The desire to share healthcare data in cities and provinces has fueled much IT The desire to share healthcare data in cities and provinces has fueled much IT investment by health bureaus in RHNs/HIEs throughout Chinainvestment by health bureaus in RHNs/HIEs throughout China

3.3. Improved use of IT is one of eight pillars (see chart) of the new China healthcare reform Improved use of IT is one of eight pillars (see chart) of the new China healthcare reform plan, giving a new momentum to HIT in China healthcare. Focuses include: plan, giving a new momentum to HIT in China healthcare. Focuses include:

1.1. Improved hospital IT systemsImproved hospital IT systems

2.2. Electronic health records Electronic health records (EMR and EHR) (EMR and EHR)

3.3. Data sharing through RHNs and integration with community clinics Data sharing through RHNs and integration with community clinics

4.4. IT systems to support expanded health insuranceIT systems to support expanded health insurance

4. 4. Chinese hospital leaders want to take a big leap forward in improving work processes Chinese hospital leaders want to take a big leap forward in improving work processes and in digitizing Chinese hospitalsand in digitizing Chinese hospitals

1.1. While money has always been a problem in Chinese hospitals, today there is much While money has always been a problem in Chinese hospitals, today there is much more money available from many sources, and it is now being spent more freely more money available from many sources, and it is now being spent more freely


HIT Is One of Eight Pillars of China Healthcare Reform

Core of Health Reform: Establish Basic Healthcare System

Healthcare system that covers all urban and rural residents

Public healthcare systemMedical service systemMedical insurance systemSecured pharmaceutical

supply system

Managem

ent M

echanism

Operation

Mechanism

Investment

Mechanism

Pricing M

echanism

Supervision M

echanism

Talent Supply

HIT

Construction

Legal System

Further Implement Health Reform


The Competitive Environment

1.1. There are over 1,000 small software vendors active in China HIT There are over 1,000 small software vendors active in China HIT

2.2. The market segments with the most vendors are HIS, PACS, RIS, LIS, and The market segments with the most vendors are HIS, PACS, RIS, LIS, and EMREMR

3.3. All HIT vendors in the market started in a city and most are still operating in All HIT vendors in the market started in a city and most are still operating in that city or a small region around the city. that city or a small region around the city. Many of these smaller local vendors Many of these smaller local vendors have a dominant market share in the area they service. have a dominant market share in the area they service. Some HIT vendors Some HIT vendors have become more national in scopehave become more national in scope

4.4. Many vendors in the hospital computer systems market offer heavily Many vendors in the hospital computer systems market offer heavily customized solutions rather than products. These heavily customizable customized solutions rather than products. These heavily customizable solutions create greater dependency on the software vendor and are more solutions create greater dependency on the software vendor and are more difficult/expensive to keep current when vendors release new software updates difficult/expensive to keep current when vendors release new software updates periodically periodically

5.5. Chinese hospital leaders would like to see a new generation of HIT software Chinese hospital leaders would like to see a new generation of HIT software developed for the country to assist in helping them accomplish their “leapfrog” developed for the country to assist in helping them accomplish their “leapfrog” objectives objectives


The Current Computing Environment in a Typical Large Complex Chinese Hospital Today

Major Ancillary Systems

Note: Chart taken from a couple of real hospital situations with each vendor or product family shown in a different color

Sample Current Systems (High Level View)

Major FinancialSystemsMajor Clinic

OR/Anesthesia(Vendor 5)

R.I.S./PACS(Vendor 4)

L.I.S.(Vendor 3)

Blood Bank(Vendor 3)

Bar Code(Vendor 3)

Ultrasound(Vendor 6)

Stomatology (Vendor 7)

Financial(Vendor 2)

MD Workstation(Vendor 2)

Pharmacy(Vendor 2)

L.I.S.(Vendor 3)

Core Vendor(Vendor 1)

Inpatient EMR(Vendor 8)

Cashiering(Vendor 2)

General Accounting (Vendor 2)

Medical Records(Vendor 11)

Medical Ins(Vendor 9)

Medical Ins(Vendor 10)

Human Resources(Vendor 12)

Performance Assessment System

(Vendor 13)Policy Exchange

Platform (Vendor 13)

Webport System(Vendor 13)

Hospital Website (Vendor 13)

Office Automation

Systems

MajorAdmin Systems

Order Management

Inpatient Physician Workstation

Outpatient PhysicianWorkstation

Inpatient Pharmacy

Outpatient Pharmacy

Inpatient ADT and Billing

Outpatient and ER Registration

Outpatient Pricing and Charging

Material Supply

Smart Card

Patient ConsultationSurvey

Lab Price System

Instrument and Equipment

Management

InpatientInsurance Interface

RF Card Producing Sub-System

Many Other Niche andSpecialty Systems


Major Areas of Future Development and Opportunity in the China HIT Market

1.1. Application software will become more productized with greater tools to support Application software will become more productized with greater tools to support the growing use of IT in hospitals the growing use of IT in hospitals

2.2. New application software to serve the not yet automated areas of clinical work New application software to serve the not yet automated areas of clinical work processes are emerging very quickly processes are emerging very quickly

3.3. Integration tools to facilitate the development of an improved IT environment Integration tools to facilitate the development of an improved IT environment will emerge will emerge

4.4. Data analytics products and support tools to facilitate better data analysis, Data analytics products and support tools to facilitate better data analysis, reporting, and decision making will emerge as Chinese Hospital Managers reporting, and decision making will emerge as Chinese Hospital Managers grow in sophistication grow in sophistication

5.5. Service and implementation tools will improve Service and implementation tools will improve

General contracting for entire efforts with some company software and General contracting for entire efforts with some company software and some partner softwaresome partner software

Planning and implementation services to support making better buying Planning and implementation services to support making better buying decisions and creating more successful implementation of software decisions and creating more successful implementation of software

Other problem-solving servicesOther problem-solving services


Today Chinese Hospital HIT Investment Is Spent Differently Than the Rest of the World

SOURCE: CCW ResearchSOURCE: CCW Research

2005 GLOBAL H.I.T. INVESTMENT STRUCTURE

28.9%20.2%

27.8%

64.7%12.2%

13.2%

20.7%

22.3%58.9%

66.6%

51.5%

13.0%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Global U.S. Europe China

Service

Software

Hardware


Where Does China Stand on the Where Does China Stand on the Global HIT Continuum?Global HIT Continuum?



Broad Comparison of U.S. and China HIT Situations

. .

Key Element U.S. China

Per Capita Healthcare Spending $7,500+ $100+

Employees per bed 6+ 1 to 2

HIT Spending Very high Very low

Number of Software Vendors in a Hospital 80+ 20+

Integration Status Okay Very bad

Size of IT Staff Very Big Small

Dependence on Software Vendors Medium Very High

Implementation Approaches Fair Bad

Historic Data Available in Any Form Lots Very Limited

Historic Data Available in Accessible Automated Form Considerable Very limited

Clinician Use of Data Growing Limited to none


Emerging Business Opportunities Emerging Business Opportunities in China Healthcarein China Healthcare



Western Businesses Now Operate in Many Markets in China

Most major Western companies and many Western investors have reviewed Most major Western companies and many Western investors have reviewed China for investment opportunitiesChina for investment opportunities

Large multinational companies are now operating in most industries in China Large multinational companies are now operating in most industries in China

– First for low cost manufacturingFirst for low cost manufacturing

– Later to serve the Chinese marketplaceLater to serve the Chinese marketplace

Western companies operate in China at the pleasure of the Chinese Western companies operate in China at the pleasure of the Chinese governmentgovernment

– When there is a strong need for what the Western company offers, the When there is a strong need for what the Western company offers, the Chinese government will make it easier Chinese government will make it easier

– When the need is reduced, the Chinese government can create a When the need is reduced, the Chinese government can create a variety of obstacles for the progress of that companyvariety of obstacles for the progress of that company

– The size and future growth of the Chinese marketplace is like a magnet The size and future growth of the Chinese marketplace is like a magnet that attracts these companies, even though there are lots of challenges that attracts these companies, even though there are lots of challenges for them for them


Western Businesses Now Operate in Many Markets in China (Continued)

Doing business in China is different than doing business in the West. Doing business in China is different than doing business in the West. When Western companies come to China, there are many things they When Western companies come to China, there are many things they must learn in order to be successful in operating a business in Chinamust learn in order to be successful in operating a business in China

When Chinese companies come to the West, they experience similar When Chinese companies come to the West, they experience similar adjustment issuesadjustment issues

The Chinese people are very entrepreneurial and in general are great The Chinese people are very entrepreneurial and in general are great business people. Doing business with them on their turf presents a business people. Doing business with them on their turf presents a variety of challenges for Western companies variety of challenges for Western companies


Western Companies in the Healthcare Industry in China

Many Western companies operate in the Chinese healthcare industryMany Western companies operate in the Chinese healthcare industry

Most dominant market segments served by Western companies are:Most dominant market segments served by Western companies are:

– Pharmaceuticals Pharmaceuticals

– Medical devices Medical devices

– Medical imagingMedical imaging

Many companies in these markets have operated in China for a long time Many companies in these markets have operated in China for a long time and have been quite successful in serving the Chinese healthcare and have been quite successful in serving the Chinese healthcare industryindustry

In addition, multinational technology companies such as IBM, Hewlett In addition, multinational technology companies such as IBM, Hewlett Packard, Cisco, Microsoft, Intel, and others that operate in many Packard, Cisco, Microsoft, Intel, and others that operate in many industries in China also sell their products in the healthcare industry in industries in China also sell their products in the healthcare industry in China China


China Healthcare Offers New Opportunities for Foreigners

Rapid growth in healthcare spending and a desire to improve Rapid growth in healthcare spending and a desire to improve healthcare services healthcare services

A desire to move toward international standards for serving the A desire to move toward international standards for serving the growing middle class and wealthy populationgrowing middle class and wealthy population

Skills missing in China to accomplish healthcare improvement Skills missing in China to accomplish healthcare improvement objectivesobjectives

Foreign skills are valued and many universities, hospitals, and Foreign skills are valued and many universities, hospitals, and companies are bringing their skills to Chinacompanies are bringing their skills to China

Ways to serve the emerging needs profitably are still not clear Ways to serve the emerging needs profitably are still not clear


Some Opportunities Emerge in Healthcare Services

1.1. China has a big drive on to learn from the U.S.China has a big drive on to learn from the U.S.

2.2. China is serving the middle class and wealthy with the same healthcare system China is serving the middle class and wealthy with the same healthcare system they serve the poor people with, and there is an opportunity for better they serve the poor people with, and there is an opportunity for better healthcare provided by foreigners to the upper middle class and wealthy healthcare provided by foreigners to the upper middle class and wealthy

3.3. New opportunities are emerging in senior care, rehab medicine, and a variety New opportunities are emerging in senior care, rehab medicine, and a variety of medical specialties where China has limited skill (a good example is what of medical specialties where China has limited skill (a good example is what happened in cosmetic care a number of years ago)happened in cosmetic care a number of years ago)

4.4. Opportunities are emerging in HIT software and servicesOpportunities are emerging in HIT software and services


THANK YOU.THANK YOU.FOR MORE INFORMATION CONTACT:FOR MORE INFORMATION CONTACT:

SHELDON I. DORENFESTSHELDON I. DORENFEST

THE DORENFEST GROUPTHE DORENFEST GROUP THE DORENFEST CHINATHE DORENFEST CHINANBC TOWER, SUITE 2725NBC TOWER, SUITE 2725 HEALTHCARE GROUPHEALTHCARE GROUP455 N. CITYFRONT PLAZA DRIVE455 N. CITYFRONT PLAZA DRIVE HUAIHAI EAST ROAD NO. 45HUAIHAI EAST ROAD NO. 45CHICAGO, IL 60611-5555CHICAGO, IL 60611-5555 HUAIHAI PLAZAHUAIHAI PLAZAU.S. OF AMERICAU.S. OF AMERICA SUITE 908SUITE 908PHONE: 312-464-3000PHONE: 312-464-3000 SHANGHAI, CHINASHANGHAI, CHINAFAX: 312-467-0541FAX: 312-467-0541 PHONE: 021-51001821PHONE: 021-51001821

WEB SITE ADDRESS: WEB SITE ADDRESS: www.Dorenfest.com

E-MAIL ADDRESS: E-MAIL ADDRESS: [email protected]

SHELDON’S E-MAIL ADDRESS: SHELDON’S E-MAIL ADDRESS: [email protected]

suny china healthcare panel new york, new york march 12, 2012 the dorenfest china healthcare group...

Documents

china healthcare leaders

china healthcare34 slide

patients improvement

foreigners view of healthcare

dorenfest model hospital

dorenfest group3

dorenfest vision

dorenfest skill