the invasion of mobile medical apps: a 5-year outlook

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The Invasion of Mobile Medical Apps

A 5-‐YEAR OUTLOOK


DIGITAL HEALTHCARE

Delivery Support Intelligence Accessible

ERA OF DIGITAL

TECHNOLOGY

Technology

Digital


SMARTPHONES & CONSUMERISATION

EMPOWERING INDIVIDUALS

Generate own health data

Make decisions & manage health condiSons

First-‐hand knowledge about health & well-‐being


DIGITAL REVOLUTION

STAND-ALONE MOBILE SOFTWARE


The concept of apps and stand-‐alone soWware working on mobile devices has existed

since the 1990s.

STAND-ALONE MOBILE SOFTWARE

RHYTHMSTAT XL ECG MONITOR


IOS HEART MONITOR

ALIVECOR HEART MONITOR


CONVENTIONAL ECG MONITORING

SIMPLIFICATION MINITUARISATION


KEEPING IT SMALL & SIMPLE

Low cost chip techno

logy

MinituarisaSon

SimplificaSon of complex technology

Improved usability

Same level of funcSonality or be_er


KEEPING IT SMALL & SIMPLE


AVERAGE PERSON

Immediately available diagnosSc tool

HOSPITALS

•  Lower cost •  Reduced space uSlisaSon •  Greater mobility •  Faster care response

ALIVECOR THE BUSINESS


Founded by Dr. David Albert Physician, Entrepreneur & Scientist

Under the portfolio of Khosla Ventures

USD$13.5 MILLION Raised in 2012

FDA 2014 MARKET APPROVAL Revenue Model Monitor USD$74.99, App Free

Expanding Digital Healthcare Market


Skin Cancer Detection

Tremor Detection

Ear Infection

Smartphone Ultrasound

SkinVision

•  Melanoma app •  Track skin spots and moles

•  Check for skin cancer symptoms

•  www.skinvision.com


Skin Cancer Detection

Cellscope

•  Smartphone-‐enabled otoscope

•  LighSng and magnifying instrument

•  Visual examinaSon of the ear canal and tympanic membrane

•  www.cellscope.com


Ear Infection

Wearable Technology

•  Parkinson’s tremor monitoring

•  An aid for neurologists to diagnose Parkinson’s disease

•  Enable early treatment and determinaSon of medicaSon dose


Tremor Detection

Reference articles for tremor detection

•  Smart watch, app latest research weapon in understanding Parkinson’s disease

•  Study shows innovaSve use of smartwatch in diagnosis of tremors

•  mPowering the Apple ResearchKit: How Max Li_le put a Parkinson’s app on the iPhone


Mobisante Smartphone Ultrasound

•  Smartphone-‐enabled ultrasound

•  Provides mobility and versaSlity

•  www.mobisante.com


Smartphone Ultrasound

MARKET VALUE


2013 Global Health App

USD$2.4 billion

2017 Projected Growth

USD$26 billion

Q1 2014

100,000 Health Apps

Courtesy of mHealth App Developer Economics 2014

HEALTH APP CATEGORIES

0.6% 1.1% 1.4% 1.6% 2.1% 2.6%

6.6% 7.4%

13.6% 15.5% 16.6%

30.9%

Remote consultaSon & monitoring Reminders & alerts

DiagnosScs Compliance

CME PHR

Medical condiSon management NutriSon Others

Wellness Medical Reference

Fitness



BIGGEST POTENTIAL NEXT 5 YEARS

1.40%

5.40%

8.70%

9%

9.70%

13.50%

18.90%

21.90%

22%

22.90%

26.80%

31.70%

38.20%

53.20%

Others LogisScal and payments apps

Medical reference apps ConSnuiing medical educaSon tools

Wellness apps (e.g. yoga) NutriSon apps

Compliance apps Medical condiSon management apps

PaSent health records apps Fitness apps

Reminders and alerts apps DiagnosScs apps

Remote consultaSon apps Remote monitoring apps



GROWTH IN CHRONIC ILLNESS

Chronically ill people 31%

Health & fitness interested people 28%

Physicians 14%

Temporarily ill people 8%

Hospitals 7%

Others 12%



MEDICAL APP CATEGORIES

12 12 13 13 14 15 16 18 20 22

30 31

40 53 53

59 69

113 117

136

Medical sensors Rheumatology

Asthma MulSple sclerosis

Psoriasis Investor relaSons

Pregnancy Skin care

Cancer support Vision care Oncology

Cardiovascular Baby care Corporate Diabetes

Healthy living Medical meeSng

Animal health Medical reference

HCP tools


Courtesy of HIT Consultant in “The Evolving Landscape of Medical Apps in Healthcare”, 2014.

11% of total

APPS BY MOBILE DEVICE

0.1

8

30

244

359

597

Nokia/Symbian

Windows

Blackberry

Android

iPad

iPhone


48.2% of total

Courtesy of HIT Consultant in “The Evolving Landscape of Medical Apps in Healthcare”, 2014.

TOP 5 DIGITAL HEALTH IN 2015

• Fastest growing

Telemedicine

• TransacSonal efficiencies

Payer & Hospital AdministraSon

• Consumer decision-‐making

Health Consumer Engagement

• Tackling chronic illnesses

Digital Therapies

• Fitness & well-‐being

Personal Health Tools & Tracking


Telemedicine & Telehealth

•  Fastest growing digital health category in 2014

•  Increasing by 315% •  Nearly US$300million in aggregate funding


FASTEST GROWING

Payer Administration

•  Billing & reimbursements •  Hospital administraSon systems

•  Streamline clinical workflows

•  Big data and analyScs


IMPROVE TRANSATIONAL EFFICIENCIES

Health Consumer Engagement

•  Consumer-‐directed insurance health plans

•  Reduce employment health insurance costs in 2015

•  ConnexionsAsia – www.cxagroup.com

•  GroupHub.io


CONSUMER DECISION-‐MAKING

Digital Therapy

•  SoWware delivering clinical outcomes and health advice

•  Chronic diseases are preventable through lifestyle modificaSons


TACKLING CHRONIC DISEASES

Personal Health Tracking Tools

•  Track exercise, diet and sleep for example

•  Going towards interoperability and connecSvity


FITNESS & WELL-‐BEING

Examples of fitness/well-‐being apps: MyFitnessPal, Runkeeper, Endomondo and HealthBytes.

MEDICAL PRODUCT REGULATIONS


MARKET APPROVAL HEALTHCARE PRODUCTS


RISK-‐BASED ASSESSMENT

INFLUENCER JURISDICTIONS

• US Food & Drug AdministraSon (US FDA) United States

• DirecSves for Medicines and Medical Devices European Union

• Medicines & Healthcare Products Regulatory Agency (MHRA) United Kingdom

• Health Canada Canada

• TherapeuSc Goods AdministraSon (TGA) Australia


IS YOUR APP A MEDICAL DEVICE?

Intended Use DefiniSon Medical

Device


REGULATORY COMPLIANCE

Diagnosis

PrevenSon

Monitoring

Treatment

Disease alleviaSon

Injury compensaSon

Replacement

ModificaSon

Support of anatomy or physiology

Sustaining life

Control of concepSon

Medical device

disinfecSon

Providing informaSon for medical purpose

In vitro examinaSon

Instrument

Apparatus

Implement

Machine

Appliance

Implant

In vitro reagent

Calibrator

SoWware

Material

MEDICAL DEVICE DEFINITION


AcSon not achieved through

pharmacological, immunological or

metabolic means

What it is

Intended purpose

Instrument

Apparatus

Implement

Machine

Appliance

Implant

In vitro reagent

Calibrator

SoWware

Material





metabolic means

What it is

Diagnosis

PrevenSon

Monitoring

Treatment

Disease alleviaSon

Injury compensaSon

Replacement

ModificaSon

Support of anatomy or physiology

Sustaining life

Control of concepSon

Medical device

disinfecSon

Providing informaSon for medical purpose

In vitro examinaSon





metabolic means

Intended purpose

HOW AN APP BECOMES A MEDICAL DEVICE


Mobile app Operates LED Illuminate objects Examine paSent’s eyes Ophthalmoscope

Reference tool e.g. dicSonary,

literature, etc.

Archiving & retrieval of paSent data

Simple calculaSons & conversions

Complex algorithms for diagnosScs

Sports, leisure and wellness tracking

Tracking heart rate during exercise

Collects breathing rate, heart rate and blood pressure for health assessment

Therapy

DiagnosScs

Health Data

Medical Device Unlikely Very likely

LACK OF REGULATORY AWARENESS

Yes 27%

No 26%

Do not know 47%



DRIVERS FOR MOBILE HEALTH DEVELOPMENT



IMPACT ON HEALTHCARE Increase health

consciousness of the society 14.60%

Improve data quality on diseases to develop improved medicaSons or treatment plans

18.90%

Provide (be_er) access to healthcare in remote locaSons

28.70%

Enable people to take care of their own

health 37.30%

Improve interacSon between paSents &

doctors 42.60%

Reduce or slow down increase of healthcare

costs 42.80%

Improve prevenSon & educaSon 43.40%

Improve paSent outcome 46.20%




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h_p://medtechupdates.semoegy.com

•  Research2guidance, mHealth App Developer Economics 2014, www.mHealthEconomics.com

•  HIT consultant, Top 5 Digital Health Categories Poised for Growth in 2015, 13-‐Jan-‐2015

REFERENCES


the invasion of mobile medical apps: a 5-year outlook

Healthcare

parkinsons app

health app categories

global health app usd

health data

tremor detection smart

skin cancer symptoms

app latest research

mobile devices