Monitoring Transformation Deborah DiSanzo CEO Healthcare Informatics May 16, 2008
Philips is the world leader in Patient Monitoring 2007 World Share: 39.3% Philips 2007 Growth 8% North America: 1,091 Market Growth: 3% Philips Share: 46% EMEA: 483 Market Growth: 6% Philips Share: 27% Rest of World: 281 Market Growth: 9% Philips Share: 24% China: 129 Market Growth: 9% Philips Share:17% Latin America: 62 Market Growth: 4% Philips Share: 24% Asia Pacific: 345 Market Growth: 6% Philips Share:23% Source: Frost&Sullivan 2007 Market Report 2
Philips is the world leader in Patient Monitoring 45.0% 40.0% 35.0% 32.7% 35.0% 38.6% 38.9% 39.3% 30.0% 25.0% 26.9% 25.4% 30.6% 26.8% 31.6% 30.6% 30.2% 27.2% 25.1% 25.2% 24.0% 20.0% 15.0% 10.0% 5.0% 6.9% 6.2% 6.1% 8.0% 6.0% 6.5% 6.0% 5.7% 5.0% 4.9% 5.7% 4.7% 6.9% 7.5% 7.4% 8.2% 7.1% 7.0% 7.0% 7.1% 4.3% 5.0% 5.0% 4.5% 0.0% 2000 2001 2002 2003 2004 2005 2006 2007 Philips GE (+Datex) Draeger Mindray (+Datascope) Nihon Kohden Source: F&S Market Research Report 2000 2007 Selected Countries = US, Canada, France, Germany, Italy, Spain, UK, Belgium, Netherlands, Russia, Brazil, Mexico, Japan, China, India, Australia & Malaysia = 88% Market Does not include Goldway and Dixtel 3
Share growth is driven by Monitors everywhere, and an extensive direct field team of over 1600 Solutions in every area of care with intuitive user interfaces Acute Care Monitors SureSigns Monitors IntelliVue Monitors Fetal and Maternal Monitors Clinical Measurements Specialty Monitors Invivo MR Monitor MRx Monitor/ Defibrillator Telemetry 4
Goldway and Dixtal extend Monitors everywhere in emerging markets Goldway (China) Closing expected May 2008 Goldway is the second largest Chinese PM firm Provides low cost industrial solution Focus on emerging markets: small and medium hospitals, and general care areas Products that are low cost, highly featured, and appropriate for target customers Dixtal (Brazil) Estimated closing date in Q2 2008 Dixtal is the market leader in Brazil Focus on growth in Brazil and Latin America Gains immediate cost advantages over global competitors by having local manufacturing 5
The Patient Monitoring paradigm is changing For 20 years, patient monitoring technology has remained relatively stable It is based on the paradigm that critically ill patients are immobile in their beds and that critical care nurses are available to respond to alarms Bedside monitors connected via proprietary network to a dedicated central station 6
Demographics/technology are driving the change Patient are older and sicker and moving out of critical care areas. Infection control is a major concern Prevention of patient adverse events mean that alarms must be timely and relevant Shortages of clinicians means alarms must get to clinicians wherever they are Increased healthcare access in emerging markets is driving the need for monitoring Wireless technology is pervasive in healthcare institutions Improved clinician workflow can be achieved with information technology 84% of CIOs agree or strongly agree that providing nurses with information technology is an increasing focus (Health Data management 2007 CIO Survey ) 7
Monitors everywhere is accelerating The growth rate for wireless and the remote monitors is 24%. Kalorama Market Research on High Tech Patient Monitoring Market 2008 The number of beds in a hospital that are using multiparameter monitors is on the rise products that specifically address lower acuity situations, with greater focus on efficiency and ease of use, can be developed. The company that provides the most elegant solution in this space is likely to benefit from the high growth currently experienced by this area. North American Patient Monitoring Equipment Markets, Frost and Sullivan F847-56, 2008 Small, wireless, sensors acquire physiological information We are about to open an acute care facility with over 200 beds.all of which will be continuously monitored. Michael DeVita, MD, Associate Professor Critical Care Medicine and Internal Medicine, UPMC Presbyterian Hospital, Pittsburgh, Pennsylvania speaking at Deteriorating Patient Workshop, Portsmouth, England, September 2007 8
Monitoring is much more than ECG and SpO 2 VISICU eicu Measurements and other clinical information are combined in algorithms to support clinical decisions Monitoring 9% of adult ICU beds Improved Patient Outcomes: Mortality 20-30% Length of ICU stay by 10-30% Streamlined Hospital Costs: Case costs 25% Improved case margins 56% Increased Hospital Revenues: eicu Program improved throughput permitting ICUs to generate > $3M over 6 months * Peer-reviewed clinical study comparing Apache predicted to observed 9
Alarms must be accurate, relevant, and secure Emergin Alarm Management 1,000 Healthcare Organizations 5 Malcolm Baldrige Quality Award Recipients 35 of the 100 Most Wired Hospitals 50% of the Top-50 Leapfrog USA Hospitals 6 of the Top-10 Heart Hospitals Smart alerts and alarms are sent across the wired and wireless customersupplied infrastructure to the caregiver 10
Monitors everywhere transforms Philips to monitoring information solutions Integrate to the Electronic Medical Record Small, wireless, sensors acquire physiological information Measurements and other clinical information is combined in algorithms to support clinical decisions Smart alerts and alarms are sent across the wired and wireless customer-supplied infrastructure An intuitive presentation of supportive knowledge is available anywhere the clinicians are 11
Healthcare Informatics Vision 2010-15 Hospital Enterprise Decision Support/ Clinical Applications Reporting Workflow Storage Enterprise Imaging Cardiology Critical Care Philips Advanced Clinical Intelligence (CDSS) Care Cycle specific Integrated Solutions Enterprise (HIS/EMR) integration Philips Common Platform Oncology Home Health Others. Data Acquisition CT MR X-Ray NM US C/V X-Ray DECG Monitoring Data Sources Lab systems EMR Meds System Other departments - ED 12
Philips is well positioned Philips is the world leader in Patient Monitoring Patient Monitoring market is moving to information solutions Philips is well positioned with small, mobile, sensors and monitors, clinical decision support, secure smart alarms, and integration Philips is well positioned in emerging markets with the Goldway and Dixtal acquisitions as well as our extensive sales and service network Patient Monitoring sales growth and margins are higher than the Philips Healthcare average, and Patient Monitoring is a strong contributor to Vision 2010 13