1. The power
tools of the
E4-patient
Heleen Borleffs How to
eCare strategie & implementatie Equip &
tangible-result.com
Enable the
tangibleresult@gmail.com Engaged &
Saartje@insites-consulting.com Empowered
http://nl.linkedin.com/pub/heleen-borleffs/0/270/103 patient
http://be.linkedin.com/in/saartjevandenbranden
www.insites-consulting.com
Ghent I Rotterdam I London I Timisoara I New York

2. Nice to
meet you!
Heleen Borleffs,
Program manager
Concept 2 completion in eCare
Honored to replace Saartje van den
Branden and proud of working with Insites
as the best research agency of the
Netherlands . We both are passionate
about connecting (with) empowered
info@tangible-result.com patients, passionate HCPs and forward
thinking health companies, to bring health
to the next level together
Living in Amsterdam and love to travel to
http://nl.linkedin.com/pub/heleen-borleffs/0/270/103
meet people of all nations to explore &
implement eCare solutions together. Just
back from inspirational eHealth “moments”
in California

6. Patients have stepped forward
to actively participate in the
conversations about their health
Empowered patients
are a FACT today

7. 1 2 3
A third globally
impactful movement
in history

8. e-Patient Dave
@ePatientDave
 “Gimme my damn data”
 Diagnosed with stage IV kidney cancer 2007
 Took an active role in his treatment & survived
 Inspiration for Novartis
 Current job: healthcare consultant!
Who is this guy?

9. 83%
already used the
internet
… to look for information on health
related topics.
The internet enables them to look for
information themselves.
Dr. Google is their guide in their
search.
Source: “How to engage in the conversation with empowered patients”
by InSites Consulting - 2010

10. 43%
Monthly Less than monthly
Male 38% Male 62%
Female 47% Female 53%
even looks for online
18-24 47% 18-24 53%
health info every 25-34 45% 25-34 55%
35-44 43% 35-44 57%
month 45-54 38% 45-54 62%
55-64 40% 55-64 60%
65+ 42% 65+ 58%
Empowered patients
Source: “How to engage in the conversation with empowered patients”
by InSites Consulting - 2010 are a FACT today
10

11. Patients with the more % of patients with disorder ... who
looked for online info on that disorder
PREVALENT DISORDERS Hairloss 39%
use the Internet MOST Menopause symptoms
Arthritis
Bladder infection
33%
31%
37%
Libido impairment 30%
Erectile dysfunction 29%
Obesity 29%
Depression 29%
Heart problems 29%
Stress 27%
Anxiety 26%
Fungal infection
Hairloss
25%
Sleep disorder 25%
High blood pressure 24%
Menopause Influenza
Migraine
24%
24%
Stomach problems
Arthritis Warts
24%
24%
Allergy 24%
Bladder infection Chronic pain
High cholesterol
23%
22%
Bronchial infection 22%
Libido impairment Diabetes 21%
Sinusitis 21%
Erectile dysfunction Gastroesophageal reflux disease 21%
Itch 20%
Muscle ache 19%
Obesity Intestinal problem 19%
Herpes labialis 19%
Depression Headache 19%
Heartburn 17%
Source: “How to engage in the conversation with empowered patients”
Asthma
Opportunities
16%
for
Diabetes OTC companies 11
N total = min 30 / Filter 2010within people with that disorder
by InSites Consulting - = %

12. of patients says
60% info found
online affects
decision about
treatments
Online information is impactful.
56% says it changed their overall
approach to maintaining their health
or the health of someone they help
take care of.
53% says it leads to ask a doctor a
new question or to get a second
opinion from another doctor.
Source: http://www.slideshare.net/PewInternet/2012-1-12-12-rise-of-
epatients-providence-st-joseph-medical-centerpptx

13. Healthcare
providers (finally)
start to realize!
Patient power tools are more than a
marketing vehicle.
It is a business strategy
Healthcare is
Source: Social media integration study – the Conversation Manager 2011
lagging

14. Patient power
tool: personal
information
An opportunity for the
industry to join or facilitate
the patient conversation!
General information
≠
Personal information

15. Manual Automatic
logbook logbook
Internet
Logbook app
logbook
Evolution of
logbooks

16. If patients (have to)
track information,
they appreciate
help.
Convenience is
key, they already
suffer enough.

17. #What’sInIt4HealthCareProviders
“Pharma companies would do well to provide
tools that help patients help themselves.
Even if they’re not promoting your product,
they can offer it as a service of their
company. Then people who are swimming
around in the current talking to each other
say good things about the company because
“
it helped them.” E-Patient Dave
Healthcare consultant
Boosting patient
conversation

18. #What’sInIt4HealthCareProviders
Apps: think B2B2C
Life Science & health
industry
Patients
Physicians

19. Higher or Lower
than
%
?
What is the % of
smartphone
owners in EU?

20. %
What is the % of
Source: “Social media around the world” smartphone
by InSites Consulting - 2011 owners in EU?

21. 25
installed
12 in use
Apps are
Source: “Social media around the world” selected
by InSites Consulting - 2011 carefully

22. 1. Apps for practical purposes
2. Apps for entertainment
3. Apps for connecting with others
Room for healthcare apps: 17% in 2012  30% in 2015!
17% today uses
Source: “Social media around the world”
by InSites Consulting - 2011 health apps

23. Apps
throughout the
patient journey
From prevention to insulin reminders
Apps are definitely not restricted to
medication reminders.
Different apps have already been
developed for patients in different
disease stages.
Let’s take a look at different apps in the
diabetes patient journey.

24. Warning: patient
focus only
 GPs & specialists
 Nurses
 Pharmacists
 PATIENTS
 Insurers
 …

25. Case study
Apps in diabetes
… equipment which is enabling &
empowering the engaged chronic
patient!
to calculate the risk for a disease (prevention)
to find info about a disease
to keep track of what one consumes
to support in changing lifestyle
to create logbooks
…
Equipped
diabetic patients

26. Prevention tools
CSR opportunities
3
1
2
App example

27. Patients  news!
Health general
information
Broad
Therapy Area
Disease
specific
App example

28. Nutrition coach
Supporting (newly diagnosed) patients
in their struggle with the disease or
connect with people on a diet
Daily totals for Carbs & Cals
Store a Breakfast + Lunch + Dinner + 3 Snacks/day
Calendar function to store and view past meals for
“ up to 2 years
For diabetic patients made by diabetes experts
(extended usage opportunities: non-patients)
App example

29. Financial
coach!
Making (chronic) patients
conscious about healthcare
expenses
360° view of health (insurance)
spending
Overview of:
total health care expense
out-of-pocket expenses
paid versus unpaid bills
breakdown by family member
App example

30. Glucose buddy – free app
Ranked the #1 diabetes iPhone app (for free) by Manny Hernandez
(founder of TuDiabetes.com)
Integrated with calory track
enter glucose numbers,
keeping track of carbohydrate consumption,
insulin dosages &
activities.
App example

31. Gamification: a relevant trend for
patient services
Nutritional coach app for kids: carb counting with Lenny
Carb values for many basic foods
Customize the food Guide by adding your own foods
Fun, interactive games to test knowledge
Compete for game high scores against players across
the nation.
Gamification for
kids – boosting
motivation

32. “A very well designed idea. It combines
lifestyle and mental health and is
expandable to broader groups. We love the
idea to embed this game in a care group.
Interesting that it uses a proven concept.”
The Future of Health Jury
HeartVille
Winner of 2012 Future of
Health Award
Gamification also
for adults…

33. App
development
Different potential players
• Pharma companies
• Patient organisations
• Governments
• Hospitals
• Health insurers
• HCPs
• Social Media companies
• …

34. Pharma companies start
investing in apps as well
They like to focus on the relation patient – health care provider
By Merck & Co.
Integration of different aspects of disease
management.
Guiding the (newly) diagnosed patient to
change his life
– Blood glucose monitoring
– Activity tracking
– Nutrition tracking
– Weight loss
(in cooperation with doctor)
– Medication tracking
– Progress charts
Apps by pharma
companies

35. Pharma companies embrace
gamification
Syrum game
Gamification
by pharma
companies

36. Facebook supports donor campaign
of Belgian government with “app”
Apps by
government

37. Hospitals offer online services
Hospitals

38. Health insurer supports nursing
staff with mobile app
Mobile app leads to
• increased efficiency
• increased flexibility
• smoother planning of visits
• simplified administration
for nurses.
Why not provide similar apps to
patients?
Health insurers

39. Don’t forget to involve patient
organisations as well!
“It’s hard to love or promote something
you do not know yet.”
Hartstichting (NL) released mobile app
Hartstichting
on track!

40. More apps & mobile contact
means
less offline contact
less visits
less income
Another way to look at the
phenomenon from a physician
point of view
Are apps a threat
for physician
income?

41. considered the other way
around…
A combination of face-2-face & mobile/online
contact with patients, enables the physician to
enlarge his/her ‘patient base’ and serve the
need of newly diagnosed patients.
Apps can release
the burden…

42. Manual Automatic
logbook logbook
Internet
Logbook app
logbook
Evolution of
logbooks

43. Manual Automatic
logbook logbook
THE
FUTURE -
WHAT’S
NEXT?
Internet
Logbook app
logbook
“It would be nice to have an app where all you
would have to do is plug in your meter and it would
take your results, and you wouldn’t have to do any
more entering of info.”
Patti Ruggiero
Future of
logbooks

44. Start creating
your own app
is
NOT
the take away of
this presentation
Let’s not go too
fast!

45. Just 1 example,
many more, so let’s
not go too fast!

46. Listening to what
the patient needs
Apps for patients are only successful if they fill in
an existing need of a patient & if they take into
account existing barriers (practical, emotional,
physical…).
Connecting with the patient in an ongoing way
is the key to success.
Observe, get
inspired & then
act

47. ………………………………………..……..…
Collaboration
Involve customers in
EVERYTHING you do.
………………………………………..……..…
Structural
partnerships

48. “Participatory medicine is not
about patients taking over.
Far from it – I’m fond of saying
that I’d be in sorry shape if I’d had
to dream up the high-dosage
Interleukin-2 treatment that saved
my life.”
E-patient Dave
Dave is no threat
for physicians

49. Many Thanks! Questions?
Heleen Borleffs
Programma manager
en eigenaar tangible-
result
+31 6 3865 6000
info@tangible-result.com
http://nl.linkedin.com/pub/heleen-borleffs/0/270/103

50. Thanks! Questions?
+32 479 611 878
saartje@insites-consulting.com
@Saartje_VDB
http://be.linkedin.com/in/saartjevandenbranden
Contact