Using Technology to Advance Global Health: Bottom-up Innovation to Improve Patient Engagement. Thursday, May 11, 2017
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1 Using Technology to Advance Global Health: Bottom-up Innovation to Improve Patient Engagement Thursday, May 11, 2017
2 Technology is impacting healthcare in Africa The World Bank & McKinsey Global Institute estimate potential annual productivity gains in 2025 in Africa from the internet and technology for healthcare alone to be $84 billion - $188 billion hour daily time saving for nurses 10-20% reduction in cost of treating chronic disease % reduction in drug counterfeiting Other benefits include: Real-time community engagement on disease outbreaks and emerging disease threats Data aggregation for improving population and community health Remote diagnostics and telemedicine support for rural clinics Automation and centralization of patient admissions, health records, and supply chains Advances in practitioner education and training Sources: The World Bank and McKinsey Global Institute, Lions go digital: The Internet s transformative potential in Africa,
3 The digital landscape is evolving Dominated by mobile, SMS & social media 60% use mobile to access internet in Africa 35 SMS average per person in Q1 of 2017 in Kenya 60% millennials use social media as main source of info Mobile is affordable, accessible and convenient 37% access internet through desktop 3% tablets 15.8 Billion SMS were sent in first quarter alone in Kenya 35% said they are always on their phone Sources: StatCounter, Desktop vs Mobile vs Tablet Market Share in Africa; Communications Authority of Kenya; GeoPoll on African Millennials, mobile use and social media 2
4 Our approach: Listen, learn and evolve Human-centered design: Built from the ground-up and tailored to market needs with essential functionality Understanding the need: We have spent many years on the ground asking questions Seeking feedback: We have a continual feedback loop with our consumers to meet their demands Iterating and improving: With mobile and web-based solutions, we are able to easily adjust, expand, and evolve our products Evidence-based solutions: Field research, user feedback and data, and our experience inform our solutions Agile technology: With near real-time data and web-based solutions we have a rapid and flexible response 3
5 Bottom-up innovation: Working with users in product development & adoption 1. Address a large pain point that users want fixed 2. Build with your end-user in mind 3. Simplify the product as much as possible 4. Get feedback from early users 5. Provide users information and incentives 4
6 access.mobile provides end-to-end patient engagement solutions We use mobile and cloud based technologies to engage patients outside the facility Awareness Practical: Built to meet market needs and designed for the African market Affordable: Priced to enable wide accessibility and distribution Usable: Created simply and intuitively to ensure success with users with limited technology experience Optimization Follow-up Health Education Service 5
7 Digital health development & implementation challenges and opportunities Challenges Creating the space for digital health new and evolving in African market Behavior change in the way people seek and use healthcare Business model in an aid and NGO driven market E-readiness, connectivity & interoperability Limited capital for growth Opportunities Partnerships to increase benefits and decrease fragmentation Enabling government policies to facilitate advances & value quality of healthcare Growth of tech infrastructure with caution about digital divide Implementation of existing technologies Awareness of digital health benefits and evidence 6
8 Annex 7
9 Provider-side engagement through amhealth amhealth is an affordable, secure, and easy-to-use technology that simplifies practice management and improves patient engagement Group and individual messaging Appointment calendar Patient record management Practice administration Going Digital Small to mid-size clinics Limited or no technology Targeting Clinical Segment Varying size and specialty Population with ongoing care needs Engage and track patients Engaging Patient Large hospital Use an EMR Want tool for engagement alongside EMR 8
10 Patient-side engagement through Gozee Gozee is a free web app that connects users with health facilities and pharmacies in the area Search from thousands of verified health facilities and pharmacies Contact a doctor Request an appointment booking Get health information based on your interest Access health promotions and vouchers Gozee Beta was launched in Uganda, Kenya, and Nigeria in
11 amhealth users can visualize trends with data analytics Tiered and customizable reports leveraging Microsoft s Power BI to provide insight on: Clinical trends Patient flow Financial and administrative data Patient engagement And more In-App Analytics: an analytics tab within amhealth to see information on weekly patient visits and messaging usage 11
12 Patients & providers eager for improved engagement outside the facility 1. There is a shortage of patient engagement technology for the African market 2. Regardless of the size of facility, specialty, location, and current digital systems (none to international EMR), providers seek better ways to work with patients outside of the facility, before and after visits 3. Facilities are willing to pay for health technology, including engagement, as they recognize the pain point and can understand the potential benefits 4. Demands on healthcare facilities and providers are increasing, health technologies including patient engagement can help practices with improving efficiency, reducing cost and increasing the quality of care 5. In East Africa, we have seen that patients want to be actively involved, are eager for more tools and information, and appreciate increased communication 10
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