Vikram Thaploo CEO, Apollo Remote Healthcare thaploo(1).pdfVikram Thaploo CEO, Apollo Remote Healthcare. Providing Continuum of Care. ... •Mobile app/web portal based doctor search

Vikram ThaplooCEO, Apollo Remote Healthcare

Providing Continuum of Care

Healthcare Systems Today

“Yes if theprice isright”

64%

“Yesregardlessof price”

“Noregardlessof price”

18% 17%

82% of survey respondents said

they were open to trying new, non-traditionalways of seeking medical attention or treatment.Source: HRI consumer survey, December 2013

• Breaking down “brick and • Clear explanations of condition• Preference-based care

vs. evidence-based caremortar” approach to healthcare

24/7 access to personal healthinformation via web portals

Ability to communicate with providers via email

Test results and other data delivered via mobile devices

Online scheduling and bill pay

E-visits

• Content to help patientsunderstand health status

Shared-decision making

“In the loop” – treat patient like amember of the healthcare team

“I want all my information in one placeso my community has access”

•

• Customized approachto communication

“Respect my wishes for privacy and security”

•

••

•• •

•

•

Personalization

Convenience Engagement Personalization

What Consumers are looking at today from a Healthcare engagement

Evolving Trends: Personalization, Communication, Decentralization,

Collaboration

Care Delivery Transformation – From Acute care to Prevention

Track, predict, intervene, manage

Patient care delivery paradigms will evolve past traditional means

Paradigm 1

Patient Modality Doctor

Paradigm 2

Patient Modality Doctor

Paradigm 3

Modality Doctor pool

Paradigm 4

Modality Machine supported doctor delivered care

• The traditional paradigm has patients physically

visiting doctors on an intermittent basis. Thoughquality of outcomes has been improving, this physicalmodality remains the case today as well

• Mobile app/web portal based doctor searchand appointment scheduling platform is aiming

to create convenient scheduling of doctorappointments

• Remote health is aiming to create acontinuous patient care paradigm – withpatient care available on call/remote care

• A futuristic paradigm in which patient receives protocolbased programmatically supported care, while ensuring

requisite doctor involvement thus ensuring zero lag,real time, consistent standard of healthcareusing connected health- The Continuum ofCare.

Hospitals today

Emerging scheduling models

Emerging remote health models

Patient

Patient

Device

Connected Health

Creating various models of Connected health delivery ...

The socio-economic impact of Connected healthcare is all pervasive. Leading to a healthier, more productive life for all

Improved healthaccess

Quality of life Quality of care

Improved PublicHealth Outcomes

Affordablehealthcare

Social

ImpactReduction inDALY’s

Entrepreneurship

TechnologyInnovation

Geriatric care

Learning &Development

Chronic diseasemanagement

Reduction in travelcosts incurred

Apollo Hospitals Group Mission

A promise that redefined Healthcare

“ Our mission is to bring healthcare of international standards within the reachof every individual. We are committed to the achievement and maintenance ofexcellence in education, research and healthcare for the benefit of humanity”

One of The Largest Hospital SystemGlobally

(1) As on 31st Mar 2016.(2) NSE Closing price on 31st Mar 2016

Source: Company audited financials and Q4FY16 Earnings Update. # Source: Frost & Sullivan

Impacting Healthcare worldwide

Apollo Hospitals 66

Apollo Spectra (day surgery) 12

Clinics 100+

Apollo Telemedicine Centres 150+

Apollo Tele PHCs 164

Apollo Rural Teleclinics 60000+

Apollo Pharmacy 2300+

Apollo Hospitals’ presence

Hospital consulting projects

Apollo Hospitals - in progress

Apollo Tele Health Services, part of the Apollo Hospitals group – aims to transform healthcare delivery – by

delivering seamless, real time, protocol based quality healthcare

ATHS is working to solve several problems in patient care today ..

.. which are symptomatic of fundamental inadequacies of traditional patient care modalities

1. Inadequate access to quality healthcare outside of major urban agglomerations the world over

2. Inability of current healthcare paradigms to detect and serve non communicable diseases

3. Overcrowding of current hospital models and lack of real time care

4. Continuum of care to everyone, using Connected Health

1. Focus on disaggregated “visit” based care which does not afford continuous monitoring as a philosophy

2. Systemic bottlenecks –namely patient to doctor ratios, physical capacities of hospitals

3. Inability of capex led models to target multiple economic and geographic strata

4. Keeping patients out of hospitals, shifting point of care

We have been targeting and addressing fundamental inadequacies of conventional healthcare modalities through Telehealth ..

We have built a unique, technology enabled solutions, built on a core of healthcare expertise and driven by a

ubiquitous brand name

common service centerprogram

care facilities ..

• Proprietary IT software back end to deliver seamless audio/video consultations

Tie-ups with several medicaldevice manufacturers forremote healthcare datacollection

• The mostcomprehensive suite of remote healthcare servicestoday

• India’s largest team ofhealthcare specialists

• Dedicated primary care teams certified byApollo

•

radiology assistance to tertiary care facilities

.. to several tertiary care hospitals which require super

specialty assistance ..

• Specialized tele-

.. to every tier 3 city ..

• Tie-ups with several primary & secondary

.. offering a wide gamut of remote

healthcare solutions

.. connected seamless via proprietary tech

platforms ..

Core teams of primary and

specialty carespecialists trained by

the Apollo group

.. to every rural district inIndia

• Tie up with India’s

TELE-CONSULT SERVICES

TELE-CLINICSERVICES

TELE-READSERVICES

E-ICU SERVICES

DISEASE MANAGEMENT PROGRAMS

CONNECTED DEVICES

ICU

100,000+

Tele-Consults delivered

across 25 specialties

300,000+

Voice & video primary consults delivered

c.150

Owned & Franchised Tele-clinics

across

19

countries

432,000

Reports per Year

1,200

Average Reports per Day

32

Clients being served.

100+

Clinical Protocols in-built

100 ICU Beds

Managed 24x7x365

275+

Adverse events prevented

12,000+

Diabetics reached/month through 32 clinics in 16

Indian cities

4,000+

Diabetics enrolled into

Disease Management program

1,000+

enrolled into Asthma Management Program

500+

Single Probe Devices (AliveCor)

100+

Multi-Probe Devices (Control H)

Rural Connect Program Taking healthcare to the grass root level of India

25% Indian Population Coverage

60,000 Centres

Presence in 300,000Villages

60,000 Consultations Per Day 8000 Diagnostic Tests3000 Specialist ConsultsWill serve 3.6 billion Indians through 1,35,000 centres

Vision 2018GP Consultations POCTSpecialist Consults

Reforming the Public Health SystemA PPP with the Govt of Andhra Pradesh

20% of the state’s Total

Population Covered

164 Urban Health Centres

50% Urban Poor Being

Serviced

15,000 Footfalls Per Day1500 Lab Tests Per Day750 Specialist Consultations Per Day13.2 Million People Serviced In 3 Years

Vision 2016

GP Consultations DiagnosticsSpecialist Consults

Providing Tele-Emergency Servicesat 13,200 ft in Himachal Pradesh

PPP Model in Partnership with

HP Govt

World’s Highest

Tele-Clinic.

4000 ConsultsProvided

Presented the “Best Practices” award by NHSRC in 2015Presented the Flame Gold Award for “Innovation in Rural healthcare” in 201630 GP & 5 Specialist consults per DayRequest from HP Govt to scale Program Two fold

Achievements

GP & Specialist Consultations

DiagnosticsTele Emergency

300 Lives Saved

(Tele Emergency)

Providing remote access to patients from across the world

1st Touch-point for Medical Tourism

Patients

150 Centres

.

19Countries Covered

100 Consults Per DayServe both Domestic and International Patients

Statistics

GP Consultations DiagnosticsSpecialist Consults

www.askapollo.com

24X7 Family Physician ConsultationSpecialist & Super Specialist ConsultationBoard of Specialist ConsultationsDiet & Psychological Counselling

Book Doctor AppointmentRequest Homecare ServicesManage Health Records Online

Primary Services Value Added Services

How It Works

Users194,805

Users987

Users1,203

Users1,085

Users6,008

Users1,669

Users1,123

Users1,552

Users7,591

Total User Count 300K

Emerging Markets-Growth drivers

Increasing Prevalence of Non Communicable diseases Growing Population

68% of total deaths globally occur due to NCDs; emergingmarkets account for 75% of these deaths

Almost 200 million of the world’s 370 million peoplediagnosed with diabetes live in Asia

Many emerging markets in the Asia-Pacific region are yet to reach their ‘peak’ population.

Urban Rural Divide

Over 50% of the emerging market inAsia-Pacific live in rural areas.

Ageing Population

Emerging markets will account for80% of the world’s elderly by 2050. Some emerging markets should expect a significant increase in the portion of their population aged 65+between 2015-2050.

Emerging Innovations

Emerging innovations in the delivery of health care, particularly in developing countries, offer insights on how to tackle its rising cost, estimated at $7 trillion a year globally. Health care is consuming an escalating share of income in developed and developing nations alike. Yet innovators have found ways to deliver care effectively at significantly lower cost while improving access and increasing quality. They are uncovering patterns for raising productivity, and leaders across health sectors—public, private, and social—should take heed. With the recent passage of health reform legislation in the United States, for instance, tackling costs is imperative there, but it is also an important goal in every other part of the world.

Instances

In Mexico, a telephone-based health care advice and triage service is available to more than one million subscribers and their families for $5 a month, paid through phone bills.

In New York City, the remote monitoring of chronically ill elderly patients has reduced their rate of hospital admissions by about 40 percent.

Get close to the patient

Use existing technology to

reinvent delivery

Strategies

‘Right skill’ the workforce

Standardize operating

procedures

Making the transition to the new digital health model

From digitisation to disruption

From physician-centric to patient-centric(Engagement)

Key Elements

From independent to integrated From security to trust

Digital Health is converging to SMART HEALTH

Apollo has been delivering Connected Health solutions through ....

Apollo is now working to provide “Integrated Healthcare delivery” through Smart health for Smart

cities...

Thank you!