ClickDiagnostics Introduction

© ClickDiagnostics, Inc. 2010

September, 2008

Tackling the Global Healthcare Challenge

http://clickdiagnostics.com

Mobilizing healthcare, everywhere.


Can’t get to a doctor

We start by addressing the 3 main root causes

Can’t afford to

get treated

Not enough doctors

These root causes exist globally, even in the US


People in developing countries receive significantly less primary health care than in developed countries

Sources: WHO Health Statistics 2010. WHO (comprises data from 2000 to 2008)

Mothers visited at least once during pregnancy

Births attended by skilled health personnel

TB case-detection rateImmunisation for up to 1 year olds


Public investment strategies are not designed to cope with growing demand for healthcare

Lack of government fundingo Public health organisations and NGOs are

constrained by a lack of resourceso Both Asia and Africa lag developed countries in

how much they allocate for healthcare

Dependency on donorso In particular, African countries depend heavily on

aid flows to finance the health budget

More investment not a short-term solutiono Physician numbers cannot be substantially

increased without significant investmento Spending disjointed from mass problem: $42bn on

maternal health spend on 13m mothers at $3000/mother

Sources: WHO Health Statistics 2010 (comprises data from 2000 to 2008), http://ipsnews.net/news.asp?idnews=52938

http://ipsnews.net/news.asp?idnews=52938


The shortage of specialized health resources and infrastructure would take years to address

Source: WHO Health Statistics 2010. World Health Organization region definitions

Health personnel and assets per 10,000 population


There is an abundant supply of community health workers (CHWs) and local health providers

Total Registered Physician

Physician in private sector

Registered Nurse

Regtd. Nurse in Public Sector

Regtd Mid-wives

CHW

0 100,000 200,000

49,994

12,382

23,719

14,377

22,253

200,000

CHWs and other health resources in Bangladesh


…and the health organizations who employ them are looking for opportunities to improve impact and efficiency

Program Effectiveness

System & Process Efficiency

Expansion

Preventive care

Reporting

MonitoringStrategic decision making

Reduce Maternal and Child mortality

Emergency Response


Specialists

Community health workers

Patients

Easy to accessLimited medicalknowledge

Hard to accessExpert medical knowledge

Healthcare systems around the world are mostly pyramidal in structure

Nurses, junior physicians

Senior physicians


Specialists

Community health workers

Patients

Easy to accessLimited medicalknowledge

Hard to accessExpert medical knowledge

Click enables medical knowledge transfer to front-line health workers through mobile phones, empowering them to provide quality care

Nurses, junior physicians

Senior physicians

Medical knowledge, diagnosis, treatment advice


We believe mobile health technologies must be applied in conjunction with community-based work force and partnerships models

mHealth technologyConnects all actors of healthcare through

inexpensive, easily-accessible EMR systems and

communication tools

Value-based partnership

Incentivizes investments from traditional (e.g. pharmas) and non-

traditional (e.g. telecommunications) actors of healthcare

Community-based work force

Activates and expands community-level human and financial resources to deliver health service


Patient sees Click health

worker/clinic staff

Click’s solution delivers just-in-time treatment and ongoing, proactive care cycles

Health worker or clinic nurse uses phone to capture and

submit patient info to Click system

Views reports and provide

interventions

Hospitals

Govts

Research

Treatment Advice & supplies

Web patient records

& reports

Treatment advice &

follow-up plan

Treatment and

follow-up care

Click system enters patient data into EMR, displays patient case

and generates reports on a secure web portal

Remote expert accesses web

portal to provide diagnosis on patient case


The mobile software enables nurses or primary doctors to record patient data (images, audio, video, and text) and transmit to medical specialists for triage and treatment advice.

How: Front-line nurse or clinic doctor sends patient consult request via phone…


Remote doctor reviews a case and…


… enters consult response or forwards the case to another specialist


Health administrator can track outcomes, cost-saving, etc., and plan for needed interventions


The Click model opens the path to revolutionizing overall capability of a health organization to act timely and effectively

Program Effectiveness

System & Process Efficiency

Expansion

Hotline service with access to EMRs and

past history

Automated Monitoring and

Reporting

Efficient Dashboard for executive

decision-making

How Admin Efficiency and Emergency Response improves…

Potential transformation: based on field implementations

Patient risk categorisation

Targeted medical intervention

Prioritised medical attention and EMR-

supported

How Preventive Care improves…

Source: BRAC health program experience and interviews; Click field work experience

++%

++%


Income, knowledge

We are building sustainable health eco-systems with our partners

Income, knowledge

cost-savings, real-time data

analysis

Cost-savings, real-time data, improved care

in less timeRevenue, VAS,

enhanced marketing and

branding

Revenue from untapped market,

marketing

Revenue, cost-savings,

improved care in less time

Cost-savings, real-time data, improved care

Revenue

Partnership & revenue shares


Join us in creating the future of health care

Thank you

ClickDiagnostics Introduction

Health & Medicine

health statistics

improved care

comprises

time data

case

real

timerevenue

traditional