Business Model as a Strategic Tool in Telehealth Development

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1 Business Model as a Strategic Tool in Telehealth Development E. Sutjiredjeki 1, H. Karnawati 1, F. Satria 1, E.M. Dewi 1, K. Astami 2 1 Politeknik Negeri Bandung 2 Bandung Institute of Technology Med-e-Tel

2 Outlines Introduction Methodology Telehealth Business Model Development Closing Remarks Acknowledgment References Med-e-Tel

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4 Health services Structure in Indonesia MOH Level from Central to peripheral level Departemen Kesehatan (DEPKES) Ministry of Health Central Level Dinas Kesehatan Provinsi (Dinkes) Provincial health Office Provincial Level Dinas Kesehatan Tingkat Kabupatan/Kota District Level Health Office District Level Pusat Kesehatan Masyarakat (PUSKESMAS) tingkat Kecamatan Sub district level Health center Village Level Puskesmas Pembantu (PUSTU) Sub Health Center Pondok Bersalin Desa (POLINDES) Village midwife clinic Pos pelayanan terpadu (POSYANDU) Integrated Health Post Med-e-Tel

District Level Pusat Kesehatan Masyarakat (PUSKESMAS) tingkat Kecamatan Sub district level Health center Village Level Puskesmas Pembantu

5 Hospitals Distribution in Indonesia Med-e-Tel

6 Community Health Center 9599 Community Health Centers - CHCs (Puskesmas) 23,875 Secondary CHCs (Puskesmas Pembantu) 8,009 Mobile CHCs (Based on CHCs data Juni 2013). Med-e-Tel

7 Telehealth Pilot Projects in Indonesia Mobile Telemedicine with Multicommunication Links, RSUD Sukabumi, 2007 Field Hospital Anambas, 2012 National Stroke Hospital Bukittinggi, 2012 Local Hospital in Meranti islands, 2014 Local Hospital Balangan, 2014 More than 30 pilot projects Med-e-Tel

2012 National Stroke Hospital Bukittinggi, 2012 Local Hospital in Meranti

8 Why Telehealth Business Model? At the moment most of Telehealth activities in Indonesia stop on a pilot projects state No overview for Telehealth investment No specific strategy for developing Telehealth to be adopt as a core business Med-e-Tel

on a pilot projects state No overview for Telehealth

9 Mapping of business models STOF and VISOR on Canvas. Med-e-Tel

10 Telehealth Business Model Development The most important stage in developing Telehealth business model, is to determine the products or services that will be offered (value proportions). This will depend on the evaluation and need assessment result, the demand and the targeted market. Based on the product or services, a scenario has to be developed to define interaction between components. Med-e-Tel

This will depend on the evaluation and need assessment result, the demand and the targeted market.

11 Telehealth Components Med-e-Tel

12 Steps in Telehealth Development (Adopted from the original document by Samuel G. Burgiss, Ph.D.) Evaluate Needs Develop Care Services Plan Develop Business Plan Plan Technology Train Personnel Test Care and Technology Plans Evaluate Outcomes Med-e-Tel

) Evaluate Needs Develop Care Services Plan Develop Business

13 Telehealth Business Plan [Adopted fromata Business Plan Template] Med-e-Tel

14 A Teleradiology Scenario Med-e-Tel

15 Telehealth Cost Components Med-e-Tel

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18 Closing Remarks [1/2] Telehealth is a complex business, no single model is effective to cover the entirety of its development. It depends on the complexity of a Telehealth program and its application, we can select an appropriate business model as required. When the Telehealth program does not involve many business entities, STOF framework might be the best choice. Med-e-Tel

It depends on the complexity of a Telehealth program and its application, we can select an

19 Closing Remarks [2/2] Integration of the three models might be a good solution, e.g. - Canvas business model is used for identifying business entities, - the STOF framework is applied to derive business architecture into infrastructure - the VISOR business model is used in the design and implementation of its application. Med-e-Tel

20 Acknowledgment This research has been funded by Directorate General of Higher Education Indonesia, under the MP3EI research scheme in Med-e-Tel

21 References [1/2] M. W. Johnson, C. M. Christensen, and H. Kagermann, Reinventing Your Business Model, Harvard Business Review, 86(12), 2008 R. Casadesus-Masanell, and E.R. Ricart, From strategy to business models and onto tacticts, Long Range Planning, 43(2-3): , 2010 R. Amit, and C. Zott, Value creation in e-business, Strategic Management Journal, 22(6-7): , 2001 H., Chesbrough, and R.S. Rosenbaum, The role of the business model in capturing value from innovation: evidence from Xerox Corporation's technology spin-off companies, Industrial and Corporate Change, 11(3): , 2002 Business Model Canvas - Wikipedia, the free encyclopedia H. Bouwman, et al, Conceptualizing the STOF Model, In: H. Bouwman, H. De Vos, T. Haaker (eds), Mobile Service Innovation and Business Models, SpringerVerlag, 2008 Med-e-Tel

22 References [2/2] E. Elizabeth Fife, and F. Pereira, The Business Models for Mobile Tele- Health in the U.S.: Applying the VISOR Framework, The Global Mobility Roundtable Conference, Auckland 2008, Indonesia's Health Sector Review - World Bank Bank 4/16/ OVERVIEW year. Source : IMF. 9. Indonesia's health system performance measured in terms of... Source : Indonesia Health Profile, WHO Indonesia - World Health Organization World Health Organization The WHO country health profile of Indonesia provides key statistics and links to health... Gross national income per capita (PPP international $, 2013), 9,260. Indonesia - Countdown to These country profiles present in one place the most recent Indonesia health data. They contain... pdf Indonesia Health Data 2013 Accountability Profile pdf... Med-e-Tel

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: Jalan Ganesha 10, Bandung 40132, Indonesia

: Jalan Ganesha 10, Bandung 40132, Indonesia Roundtable on Governance and Applications of ICT for Achieving the MDGs The United Nations Conference Centre, Bangkok (Thailand), 9 10 December 2009 1. Writer Identification Full Name Position : Soegijardjo