SlideShare une entreprise Scribd logo
1  sur  13
Télécharger pour lire hors ligne
Assisted Living:
A purchaser’s perspective
George MacGinnis
14 September 2010
Agenda
        • Background
        • Trends
        • Business models
        • Moving to scale




© PA Knowledge Limited 2009.   Page 2
There is a real need to respond to ageing populations

  The OECD identifies 4 main policy
  themes for healthy ageing:
  • Improved integration in the economy
    and into society
  • Better lifestyles
  • Adapting health systems
  • Attacking underlying social and
    environmental factors
  But notes uncertainty over which of
  the policies are most cost effective
OECD HEALTH WORKING PAPERS NO. 42 POLICIES FOR HEALTHY
AGEING: AN OVERVIEW, 16-Feb-2009, DELSA/HEA/WD/HWP(2009)1
  © PA Knowledge Limited 2009.                              Page 3
There are some clear opportunities for change

Current systems are expensive and at
 times unnecessary:
• 90% of Older People want to live at
  home
       – In the UK nearly 200,000 people in
         care could be supported at home
• Around 66% of men and 75% of women
  aged 85 and over have a long-term
  illness or disability
       – 1.6m emergency admissions for
         patients aged 65 years and older in
         2003/4 in the UK

© PA Knowledge Limited 2009.        Page 4
Stronger evidence is stimulating demand

Large scale initiatives are underway:
• US VHA reports significant benefits for a
  service that cost $1600/patient/year*
• The EU has launched ‘Renewing Health’
• In the UK the NHS Whole System
  Demonstrators are looking at the impact
  on the wider care system
         • Involving around 6000 ‘users’
                   • Heart failure, COPD, Diabetes
                   • Frail people
         • Due to report ‘early 2011’
* Care Coordination/Home Telehealth: The Systematic Implementation of Health Informatics, Home Telehealth, and
Disease Management to Support the Care of Veteran Patients with Chronic Conditions, Darkins et at, Dec 2008
  © PA Knowledge Limited 2009.                                                                Page 5
Technology is opening up new possibilities
Community                                                  Wearable
                                      Tracking
alarms                                                     monitors




   1990                                          2010                  2030?



                               Biometric         Lifestyle        Intelligent
                               monitoring        monitoring       therapies?
  Personalised and pervasive smart care
© PA Knowledge Limited 2009.                      Page 6
With subtle differences between consumer and
  formal provider perspectives
                                                                               care
                                                                               profs


                                                   Self Care

                               User/Patient




                                                                                care
                                         Communication                          profs
                                            device
                                                     Supported
                                                       Care

                                                                              Clinical
                                                                              Provider

                                                                 Monitoring
                                                                  Service
© PA Knowledge Limited 2009.                         Page 7
© PA Knowledge Limited 2009.   Page 8
Payments have driven a focus on the most acute


     Sort-term RoI                                                    Avoiding
                                                                      admissions
     Invest-to-
                                                                      High value
     save

     Consumer                                                         Long term
     market                             Patients ranked by risk       costs


                           Technology and infrastructure remain significant
© PA Knowledge Limited 2009.
                                     barriers to wider adoption
                                                   Page 9
Scale demands greater integration




                                   Interoperability and
                                      patient choice
  Better Case Finding,                                         Smarter
  Commissioning and                                            Working
        Research



                               Engaging content and services
© PA Knowledge Limited 2009.               Page 10
Reflections on the current market

 • Covers a wider range of offerings
 • Purchasing is dominated by the
   formal care providers
 • Interoperability is a catalyst for
   innovation and growth
 • Local, regional or global?
             – Equipment different from services
             – Building capacity will be crucial




 © PA Knowledge Limited 2009.              Page 11
Conclusions


• There is a gap between potential and addressable markets
• Evidence and experience moving beyond a few early adopters
• Drivers for formal provider and self care markets are distinct
• A complex environment in which standards will provide a
  platform for growth




© PA Knowledge Limited 2009.    Page 12
How to contact us for more information

                                                                         Oslo

                                                                       Utrecht
                                                                                      Stockholm
                                                                 UK:   Dublin       Copenhagen
                                                                  London
                                    Madison                                      Frankfurt
                                                   Boston         Cambridge      Munich
                                                                  Belfast                                                      Beijing
                                                   New York
                  Los Angeles      Denver          Princeton      Birmingham
                                                                  Edinburgh
                                              Washington, DC
                                                                  Manchester                                       New Delhi                                               Corporate headquarters
                                                                                              Abu Dhabi   Dubai
                                                                                                                                                                           123 Buckingham Palace Road
                                                                                                                   Bangalore                                               London SW1W 9SR
                                                                                                                                                                           United Kingdom
                                                                                                                                                                           Tel: +44 20 7730 9000
                                                                                                                                                                           Fax: +44 20 7333 5050
                                                                                                                                                                           www.paconsulting.com

                                                        Buenos Aires                                                                                                       For further information e-mail:
                Key                                                                                                                            Wellington                  healthcare@paconsulting.com
                PA office
                Principal office




                                                               George MacGinnis
                                                               123 Buckingham Palace Rd Direct Dial: +44 20 7881 3784
                                                               London SW1W 9SR          Cell:        +44 7880 743 189
                                                               United Kingdom


                                                                                                          www.paconsulting.com
                                                                                             george.macginnis@paconsulting.com



                                                                                                                                                Subscribe free to
                                                                                                                                            PA’s Impacts newsletter at:
                                                                                                                                         www.paconsulting.com/healthcare

© PA Knowledge Limited 2009.                                                                                              Page 13

Contenu connexe

Similaire à AAL Investment Forum 2010 - Assisted Living: A purchaser’s perspective

Presentation Isabel Martinho Sustainability Ii Debate Lisbon 2008
Presentation Isabel Martinho Sustainability Ii Debate Lisbon 2008Presentation Isabel Martinho Sustainability Ii Debate Lisbon 2008
Presentation Isabel Martinho Sustainability Ii Debate Lisbon 2008Dianova
 
Owain Davies - The value of syndicating health information - an NHS case study
Owain Davies - The value of syndicating health information - an NHS case studyOwain Davies - The value of syndicating health information - an NHS case study
Owain Davies - The value of syndicating health information - an NHS case studyEduserv
 
2012 ppp in dev cooperation eahf_may_final_short
2012 ppp in dev cooperation eahf_may_final_short2012 ppp in dev cooperation eahf_may_final_short
2012 ppp in dev cooperation eahf_may_final_shortUHF-EAHF2012
 
Affiliate Marketing Theatre; The value of content: healthcare example
Affiliate Marketing Theatre; The value of content: healthcare exampleAffiliate Marketing Theatre; The value of content: healthcare example
Affiliate Marketing Theatre; The value of content: healthcare exampleTFM&A
 
Francois Nel at news:rewired
Francois Nel at news:rewiredFrancois Nel at news:rewired
Francois Nel at news:rewiredJohn Thompson
 
Mobile Technologies in Medical Aesthetics ASAPs Oct 2012
Mobile Technologies in Medical Aesthetics ASAPs Oct 2012Mobile Technologies in Medical Aesthetics ASAPs Oct 2012
Mobile Technologies in Medical Aesthetics ASAPs Oct 2012RCSconsulting
 
Jan Van Emelen - MLOZ e-health
Jan Van Emelen - MLOZ e-healthJan Van Emelen - MLOZ e-health
Jan Van Emelen - MLOZ e-healthRoald Sieberath
 
Sustainability Reporting A 21st Century Value Prop for Your Assn
Sustainability Reporting A 21st Century Value Prop for Your AssnSustainability Reporting A 21st Century Value Prop for Your Assn
Sustainability Reporting A 21st Century Value Prop for Your AssnPeter Turner
 
Accountable Care Organizations: Overview and the Role of Information Technology
Accountable Care Organizations: Overview and the Role of Information TechnologyAccountable Care Organizations: Overview and the Role of Information Technology
Accountable Care Organizations: Overview and the Role of Information TechnologyDave Shiple
 
DENEFF keynote - Assembling the jigsaw of energy efficiency financing. Steven...
DENEFF keynote - Assembling the jigsaw of energy efficiency financing. Steven...DENEFF keynote - Assembling the jigsaw of energy efficiency financing. Steven...
DENEFF keynote - Assembling the jigsaw of energy efficiency financing. Steven...Steven Fawkes
 
James morrow: Breaking of the line
James morrow: Breaking of the lineJames morrow: Breaking of the line
James morrow: Breaking of the lineNuffield Trust
 
Healthcare as an industry in transition
Healthcare as an industry in transitionHealthcare as an industry in transition
Healthcare as an industry in transitionCisco Canada
 
Professor George Crooks - ECO 19: Care closer to home
Professor George Crooks - ECO 19: Care closer to homeProfessor George Crooks - ECO 19: Care closer to home
Professor George Crooks - ECO 19: Care closer to homeInnovation Agency
 
Favaretti boston dr foster (1) 2011
Favaretti boston dr foster (1) 2011Favaretti boston dr foster (1) 2011
Favaretti boston dr foster (1) 2011Carlo Favaretti
 
pManifold Utility_Customer_Engagement_AnnualPackage
pManifold Utility_Customer_Engagement_AnnualPackagepManifold Utility_Customer_Engagement_AnnualPackage
pManifold Utility_Customer_Engagement_AnnualPackagepManifold
 
Strategic Market Intelligence
Strategic Market IntelligenceStrategic Market Intelligence
Strategic Market IntelligenceLoreta Lingyte
 

Similaire à AAL Investment Forum 2010 - Assisted Living: A purchaser’s perspective (20)

Presentation Isabel Martinho Sustainability Ii Debate Lisbon 2008
Presentation Isabel Martinho Sustainability Ii Debate Lisbon 2008Presentation Isabel Martinho Sustainability Ii Debate Lisbon 2008
Presentation Isabel Martinho Sustainability Ii Debate Lisbon 2008
 
Owain Davies - The value of syndicating health information - an NHS case study
Owain Davies - The value of syndicating health information - an NHS case studyOwain Davies - The value of syndicating health information - an NHS case study
Owain Davies - The value of syndicating health information - an NHS case study
 
2012 ppp in dev cooperation eahf_may_final_short
2012 ppp in dev cooperation eahf_may_final_short2012 ppp in dev cooperation eahf_may_final_short
2012 ppp in dev cooperation eahf_may_final_short
 
Affiliate Marketing Theatre; The value of content: healthcare example
Affiliate Marketing Theatre; The value of content: healthcare exampleAffiliate Marketing Theatre; The value of content: healthcare example
Affiliate Marketing Theatre; The value of content: healthcare example
 
Oepi external overview
Oepi external overviewOepi external overview
Oepi external overview
 
Francois Nel at news:rewired
Francois Nel at news:rewiredFrancois Nel at news:rewired
Francois Nel at news:rewired
 
Odelle dos
Odelle dosOdelle dos
Odelle dos
 
Jisc cloud conf 12th dec 2011 hopkins
Jisc cloud conf 12th dec 2011 hopkinsJisc cloud conf 12th dec 2011 hopkins
Jisc cloud conf 12th dec 2011 hopkins
 
Mobile Technologies in Medical Aesthetics ASAPs Oct 2012
Mobile Technologies in Medical Aesthetics ASAPs Oct 2012Mobile Technologies in Medical Aesthetics ASAPs Oct 2012
Mobile Technologies in Medical Aesthetics ASAPs Oct 2012
 
Jan Van Emelen - MLOZ e-health
Jan Van Emelen - MLOZ e-healthJan Van Emelen - MLOZ e-health
Jan Van Emelen - MLOZ e-health
 
Sustainability Reporting A 21st Century Value Prop for Your Assn
Sustainability Reporting A 21st Century Value Prop for Your AssnSustainability Reporting A 21st Century Value Prop for Your Assn
Sustainability Reporting A 21st Century Value Prop for Your Assn
 
Accountable Care Organizations: Overview and the Role of Information Technology
Accountable Care Organizations: Overview and the Role of Information TechnologyAccountable Care Organizations: Overview and the Role of Information Technology
Accountable Care Organizations: Overview and the Role of Information Technology
 
DENEFF keynote - Assembling the jigsaw of energy efficiency financing. Steven...
DENEFF keynote - Assembling the jigsaw of energy efficiency financing. Steven...DENEFF keynote - Assembling the jigsaw of energy efficiency financing. Steven...
DENEFF keynote - Assembling the jigsaw of energy efficiency financing. Steven...
 
James morrow: Breaking of the line
James morrow: Breaking of the lineJames morrow: Breaking of the line
James morrow: Breaking of the line
 
Healthcare as an industry in transition
Healthcare as an industry in transitionHealthcare as an industry in transition
Healthcare as an industry in transition
 
Professor George Crooks - ECO 19: Care closer to home
Professor George Crooks - ECO 19: Care closer to homeProfessor George Crooks - ECO 19: Care closer to home
Professor George Crooks - ECO 19: Care closer to home
 
Favaretti boston dr foster (1) 2011
Favaretti boston dr foster (1) 2011Favaretti boston dr foster (1) 2011
Favaretti boston dr foster (1) 2011
 
pManifold Utility_Customer_Engagement_AnnualPackage
pManifold Utility_Customer_Engagement_AnnualPackagepManifold Utility_Customer_Engagement_AnnualPackage
pManifold Utility_Customer_Engagement_AnnualPackage
 
Strategic Market Intelligence
Strategic Market IntelligenceStrategic Market Intelligence
Strategic Market Intelligence
 
Qualipso Official 2009
Qualipso Official 2009Qualipso Official 2009
Qualipso Official 2009
 

Dernier

ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Peter Embi
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentsaileshpanda05
 

Dernier (20)

ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing student
 

AAL Investment Forum 2010 - Assisted Living: A purchaser’s perspective

  • 1. Assisted Living: A purchaser’s perspective George MacGinnis 14 September 2010
  • 2. Agenda • Background • Trends • Business models • Moving to scale © PA Knowledge Limited 2009. Page 2
  • 3. There is a real need to respond to ageing populations The OECD identifies 4 main policy themes for healthy ageing: • Improved integration in the economy and into society • Better lifestyles • Adapting health systems • Attacking underlying social and environmental factors But notes uncertainty over which of the policies are most cost effective OECD HEALTH WORKING PAPERS NO. 42 POLICIES FOR HEALTHY AGEING: AN OVERVIEW, 16-Feb-2009, DELSA/HEA/WD/HWP(2009)1 © PA Knowledge Limited 2009. Page 3
  • 4. There are some clear opportunities for change Current systems are expensive and at times unnecessary: • 90% of Older People want to live at home – In the UK nearly 200,000 people in care could be supported at home • Around 66% of men and 75% of women aged 85 and over have a long-term illness or disability – 1.6m emergency admissions for patients aged 65 years and older in 2003/4 in the UK © PA Knowledge Limited 2009. Page 4
  • 5. Stronger evidence is stimulating demand Large scale initiatives are underway: • US VHA reports significant benefits for a service that cost $1600/patient/year* • The EU has launched ‘Renewing Health’ • In the UK the NHS Whole System Demonstrators are looking at the impact on the wider care system • Involving around 6000 ‘users’ • Heart failure, COPD, Diabetes • Frail people • Due to report ‘early 2011’ * Care Coordination/Home Telehealth: The Systematic Implementation of Health Informatics, Home Telehealth, and Disease Management to Support the Care of Veteran Patients with Chronic Conditions, Darkins et at, Dec 2008 © PA Knowledge Limited 2009. Page 5
  • 6. Technology is opening up new possibilities Community Wearable Tracking alarms monitors 1990 2010 2030? Biometric Lifestyle Intelligent monitoring monitoring therapies? Personalised and pervasive smart care © PA Knowledge Limited 2009. Page 6
  • 7. With subtle differences between consumer and formal provider perspectives care profs Self Care User/Patient care Communication profs device Supported Care Clinical Provider Monitoring Service © PA Knowledge Limited 2009. Page 7
  • 8. © PA Knowledge Limited 2009. Page 8
  • 9. Payments have driven a focus on the most acute Sort-term RoI Avoiding admissions Invest-to- High value save Consumer Long term market Patients ranked by risk costs Technology and infrastructure remain significant © PA Knowledge Limited 2009. barriers to wider adoption Page 9
  • 10. Scale demands greater integration Interoperability and patient choice Better Case Finding, Smarter Commissioning and Working Research Engaging content and services © PA Knowledge Limited 2009. Page 10
  • 11. Reflections on the current market • Covers a wider range of offerings • Purchasing is dominated by the formal care providers • Interoperability is a catalyst for innovation and growth • Local, regional or global? – Equipment different from services – Building capacity will be crucial © PA Knowledge Limited 2009. Page 11
  • 12. Conclusions • There is a gap between potential and addressable markets • Evidence and experience moving beyond a few early adopters • Drivers for formal provider and self care markets are distinct • A complex environment in which standards will provide a platform for growth © PA Knowledge Limited 2009. Page 12
  • 13. How to contact us for more information Oslo Utrecht Stockholm UK: Dublin Copenhagen London Madison Frankfurt Boston Cambridge Munich Belfast Beijing New York Los Angeles Denver Princeton Birmingham Edinburgh Washington, DC Manchester New Delhi Corporate headquarters Abu Dhabi Dubai 123 Buckingham Palace Road Bangalore London SW1W 9SR United Kingdom Tel: +44 20 7730 9000 Fax: +44 20 7333 5050 www.paconsulting.com Buenos Aires For further information e-mail: Key Wellington healthcare@paconsulting.com PA office Principal office George MacGinnis 123 Buckingham Palace Rd Direct Dial: +44 20 7881 3784 London SW1W 9SR Cell: +44 7880 743 189 United Kingdom www.paconsulting.com george.macginnis@paconsulting.com Subscribe free to PA’s Impacts newsletter at: www.paconsulting.com/healthcare © PA Knowledge Limited 2009. Page 13