Global Healthcare Outlook and International Medical Cooperation - Changhua Christian Healthcare Experience

CEO of Oversea Medical Mission Center Changhua Christian Hospital Nina KAO H. L. Emerging Issues Faced by Global Healthcare Stakeholders

Global spending is projected to 10.059 trillion by 2022 and continues to increase at an annual rate of 5.4% in 2018-2022, a considerable rise from 2.9% in 2013–2017.

The spending growth because of - Aging - Increasing population - Developing market expansion - Advances in medical treatments ( technology, medications ) - Rising labor costs will drive spending growth

Source: Deloitte, 2019 Global Healthcare Outlook Emerging Issues Faced by Global Healthcare Stakeholders

- Life expectancy is estimated to increase by more than a full year between 2018 and 2022—from 73.5 to 74.4 years - The number of people aged over 65 to more than 668 million, or 11.6% of the total population.

- Much of the gain in life expectancy globally is due to falling infant mortality rates.

Source: Deloitte, 2018 Global Healthcare Outlook Rapid urbanization, sedentary lifestyles, changing diets, and rising obesity levels increase in chronic diseases: cancer, heart disease, stroke and diabetes

Someone develops dementia every three seconds. In 2017, an estimated 50 million people worldwide live with dementia - a number that is predicted to double every 20 years.

Evolution of Smart Healthcare

Source: Deloitte, 2019 Global Healthcare Outlook Top Global Healthcare Sector Issues

Creating financial Maintaining regulatory sustainability in an compliance and cyber uncertain health economy security

Adapting to changing Investing in digital consumer needs, innovation and demands, and expectations transformation

Using new care delivery models to improve access Recruiting, developing, and affordability and retaining top talent

Source: Deloitte, 2019 Global Healthcare Outlook What Exactly Does Smart Healthcare Look Like ?

Appropriate treatments are delivered at the appropriate time, in the appropriate place, for the appropriate patient

Clinicians use technology to more accurately diagnose and treat illness and deliver care

All care delivery stakeholders across the ecosystem effectively and efficiently communicate and use information

Patient data is in one, easily accessible place

The correct individuals do the correct work (e.g., nurses handle patient care, not administrative tasks)

Patients are informed and actively involved in their treatment plan

New, cost-effective delivery models bring health care to places and people that don’t have it

Efficiency improves; waste declines

Source: Deloitte, 2019 Global Healthcare Outlook 6 HealthCare System Performance of

Source: HSBC Expat Explorer survey, 2014 7 CCH Healthcare System

Main Hospital

Helicopter Apron (double propeller)

1st Green Hospital Intelligent Management CCH Logistics Center

 Integrated Resource CCH Logistics Center (Taiwan’s first logistics center set up by the hospital,  Mutual Supporting combines with 10 hospitals and campus)  Strategic Alliance Suppliers (before) Suppliers(now) CCH CCH  Horizontal Alliances A CHC A CHC Logistics  Diversification B LKCH B Center LKCH  Intelligent Management C LTCH C LTCH D YLCH D YLCH ELCH ELCH m. m. NTCH NTC YCH YCH CH CH YMH YMH 彰基與HTC合作推出的「蘭醫師」是全台灣首創橫跨10間醫院 的人工智慧AI+區塊鏈醫療照護對話機器人,功能從AI科別導診 、看診前問題筆記、到診後個人衛教,結合醫療區塊鏈資訊安全 ,一鍵啟動10間醫院全面照護。 (Line search for @cch.org.tw to down load 「蘭醫師」APP. On line registration, health education, CCH/HTC consultation, Q&A etc.) 「蘭醫師」APP Medical & Innovative 3D Printing Center (2019/05/13) Green, Clean and Smart Hospital

Changhua

U.S. Green Building Council LEED Gold Level Certification on Dec, 2015

Yuanlin County Green Building Energy management system

U.S. Green Building Council LEED Gold Level Certification 2015 Taiwan Honor Green Building Certification 2017 13 2018 Healthcare Quality Improvement Campaign

YCH 榮獲智慧醫療類智慧醫院全機構標章 Inclusive Partnership and Cooperation with Southbound Countries Needs for Cooperative Country

• Thai 4.0 Policy-Economic prosperity, Social well-being, Raising human values, Environment protection • Promote the Eastern Economic Corridor • e-Health strategy • Become the Medical Hub in Asia THAILAND EEC

THAILAND 4.0 Smart Industry + Smart Healthcare+ Smart City + Smart People

Agriculture Light industry Heavy industry Creativity + innovation Low wages advanced Smart Thailand machinery Resources We Have • CCH is the biggest healthcare system in central Taiwan with 10 branches. • Built the first green and smart hospital (YCH) in Taiwan • Professional knowledge and technology in smart healthcare • Established relationship with Thailand since 2010 • SHARE is the core values (Spirit care, Health promotion, Strategic Alliance, Resources mobilization, Knowledge Education)

Main Hospital

Helicopter Apron (double propeller) 1st Green Hospital Intelligent Management Seminar on Medical Industry Opportunity Professional Training Study Tour Distinguished Guests Visiting 2018 Taiwan Health Plus Expo. 2019 Smart City Summit & Expo. International Smart Healthcare Forum International Conference in Taiwan • Bridge Taiwan Smart Healthcare Industries btw Taiwan and Thailand

- MOU with hospitals and sites visiting to Thailand

Siriraj Hospital

Rangsit University and hospital Bangkok Christian Hospital 2018 Taiwan-Thailand Smart Healthcare Conference

Smart Healthcare in New Era-Innovation and Challenge (Aug. 28th ) 2019 Medical Devices ASEAN The Innovation and Application Smart Healthcare in Taiwan Forum Taiwan EXPO 2018 in Thailand Taiwan EXPO 2019 in India Smart Healthcare Demo-sites 12/20@BCH & 12/22@OBH

Demo-site setting up ceremony

Smart vital sign station and digital diagnosis system Health Promotion Awareness for Taiwanese Entrepreneurs

- Over 150,000 Taiwanese businessmen in Thailand -Health promotion awareness workshop -Comprehensive health examination -Tel- in chronic disease control -Call center for 24 hours service Seminar for Chinese Medicine Healthcare for Women (2019/06/01) Join International Conference • Mobile Clinic in Remote Area of Northern Thailand -Minority people healthcare promotion -Fulfil corporate social responsibility What We Do beyond Thailand • Cooperation with NGOs -Vietnam: * Child Malnutrition Improvement and Safe Water Project in Rural Area of Center Vietnam * Shing Mark Hospital -Nepal: BP GAUN Reconstruction & Healthcare Project after earthquake -Myanmar: * Health promotion and safe water project * Healthcare for disabled and PT/OT training project -India: • Medical service and sanitation promotion BP GAUN Reconstruction Project in Nepal -After the Earthquake in April, 2015-

BP GAUN Reconstruction (Cooperate with Taiwan AID EPF, MOFA)

CDC BP Gaun Self Made Construction ECO Brick Eco Tourism & Medical Station Village Plan & Rescue Reconstruction Team Training (Second phase) (First phase) (Third phase)

2016-2017 2017-2018 2018-2019 Healthcare Business in China Healthcare Management Company in Shanghai

CCH cooperated with Hong-Sin healthcare group in Shanghai to establish a healthcare management company in 2012

37