1. © ClickDiagnostics, Inc. 2010
September, 2008
Tackling the Global Healthcare Challenge
http://clickdiagnostics.com
Mobilizing healthcare, everywhere.

2. © ClickDiagnostics, Inc. 2010
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

3. © ClickDiagnostics, Inc. 2010
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

4. © ClickDiagnostics, Inc. 2010
Public investment strategies are not designed to cope
with growing demand for healthcare
 Lack of government funding
o Public health organisations and NGOs are
constrained by a lack of resources
o Both Asia and Africa lag developed countries in
how much they allocate for healthcare
 Dependency on donors
o In particular, African countries depend heavily on
aid flows to finance the health budget
 More investment not a short-term solution
o Physician numbers cannot be substantially
increased without significant investment
o 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

5. © ClickDiagnostics, Inc. 2010
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

6. © ClickDiagnostics, Inc. 2010
There is an abundant supply of community health
workers (CHWs) and local health providers
49,994
12,382
23,719
14,377
22,253
200,000
0 100,000 200,000
Total Registered Physician
Physician in private sector
Registered Nurse
Regtd. Nurse in Public Sector
Regtd Mid-wives
CHW
CHWs and other health resources in Bangladesh

7. © ClickDiagnostics, Inc. 2010
…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
Monitoring
Strategic
decision
making
Reduce Maternal
and Child
mortality
Emergency
Response

8. © ClickDiagnostics, Inc. 2010
Specialists
Community health
workers
Patients
Easy to access
Limited medical
knowledge
Hard to access
Expert medical knowledge
Healthcare systems around the world are mostly
pyramidal in structure
Nurses, junior
physicians
Senior
physicians

9. © ClickDiagnostics, Inc. 2010
Specialists
Community health
workers
Patients
Easy to access
Limited medical
knowledge
Hard to access
Expert 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

10. © ClickDiagnostics, Inc. 2010
We believe mobile health technologies must be applied in conjunction
with community-based work force and partnerships models
mHealth technology
Connects 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

11. © ClickDiagnostics, Inc. 2010
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

12. © ClickDiagnostics, Inc. 2010
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…

13. © ClickDiagnostics, Inc. 2010
Remote doctor reviews a case and…

14. © ClickDiagnostics, Inc. 2010
… enters consult response or forwards the case to
another specialist

15. © ClickDiagnostics, Inc. 2010
Health administrator can track outcomes, cost-
saving, etc., and plan for needed interventions

16. © ClickDiagnostics, Inc. 2010
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
Source: BRAC health program experience and interviews; Click field work experience
++%
++%

17. © ClickDiagnostics, Inc. 2010
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 time
Revenue, 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

18. © ClickDiagnostics, Inc. 2010
Join us in creating
the future of
health care
Thank you