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Doctoc

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Prezibase Designs

on 12 February 2015

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Transcript of Doctoc

Your doctor, in your language,
Business Model &
User Experience

Clinical Scope
Regulatory Issues
Going Forward
wherever you are
The Problem
Unreliable and inadequate access to medical care

Delays in diagnosis and treatment

Inefficient
The Problem
Disease

Cost
No Scale
Difficult F/U
Inefficient
Social harmony
Cost
Health Inequity
Up to 70 percent of doctor office visits and 40 percent of hospital emergency room visits are unnecessary
200,000 – 400,000 unnecessary doctor visits per year clog up the system

The Problem –
Back to the Patient
Lack of insurance
Financial constraints
Hablan Español
Cultural comfort with Dr.
Unreliable and inadequate access to medical care.
Globally the challenge is even
And the opportunity is also

Travel to doctor is difficult
One sick family member impacts entire family’s day/week/year
Increase in chronic disease and emphasis on health maintenance

Doctors live predominantly in urban areas
Time consuming chronic disease management
Shortage of specialists
Limited flexibility in hours (e.g. maternity leave)

Early mover
– essentially no competition in Hispanic Telemedicine Market
bigger
much greater
The Solution
Sí, doctor Hernandez, ella está creciendo rápidamente!

Doctor-Patient relationship
through telemedicine
regardless of location or language
CLINICAL
SCOPE
TARGET
POPULATION
Low-acuity urgent care issues
Health maintenance, chronic conditions
Education, guidance, support, advocacy

Underserved by primary care
Language/cultural preferences
Geographically remote
Desiring convenience

*** Health Optimization ***
*** Education, Diagnosis, Treatment ***
*** Latin Americans First ***

Market Size
Plus
2,500,000
undocumented
immigrants in California
Clinically Effective (good patient care)
Regulatory Security (ethical and legal)
The best of clinical art and technical science
Highly secure and safe patient data
Patient engagement
Efficient use of scarce human resources; task shifting
Able to scale rapidly globally
The Optimal System
Founders
The Team
Eric Leroux
MD MBA (CEO)
Homero Rivas
MD MBA (CMO)
Ovet Esparza
(COO)
Princeton undergrad, Stanford medical school, Stanford business school
Significant international work in Ecuador, Kenya, South Africa
Emergency Room physician, Stanford
Mobile health/education innovator

Born and raised in Mexico, top of medical school class
Trained in Mexico, USA and Spain
Surgeon and Director of Innovative Surgery, Stanford
Mobile health champion

Physician Assistant, Stanford
Significant clinical experience in variety of settings with our target population in the USA
Former firefighter/paramedic, community engagement experience

Amazing Team
Community Outreach
Clinical Excellence
Legal and Regulatory
Product Development and
Technical Expertise
Business Development,
Strategy, Scale

Manuel Cardenas
Ray Laureano
Gustavo Chavez
Nam Phuong Nguyen
Jean-Paul Plaza

Maria Zoco MD
Maria Mugica
Heather Aholt
Sophie Koontz

Rene Quashie
Scott Murano

Milton Chen
Erika
Sherman Leung
Sabelle

Sylvie Denault
Matthew Wetschler
Valerie

Differentiating DocToc
Factor
Unique DocToc Consideration

Teladoc
MDLive
RingaDoc
HealthTap
AmWell
Free Clinic
Clinically Effective (good patient care)
Regulatory Security
(ethical and legal)
The best of clinical art and technical science

Highly secure and
safe patient data
Patient engagement

Efficient use of scarce human resources; task shifting
Able to scale rapidly globally

Founded by clinicians
Best telemedicine legal team
Cognitive aids for clinicians

Most secure evisit platform available

On-the-ground strategy

Task-shifting experts (published and implemented multi-province system in South Africa)
Latin America experience. Passion
Most Common Conditions
Care now for common conditions
Lab results analyzed
Specialist recommendation or referral
Health-related questions
Traveling on vacation, business, or personal
Short-term prescription refill
Considering the ER or urgent care but aren’t sure
Second opinion or further clarification of medical issue

Cold/Flu
Allergies
Sinus Infections
Bronchitis
Headaches/Migraines
Stomachache/Diarrhea
Respiratory Infections
Urinary Tract Infections
Prescription Refills
Chronic disease support/monitoring
Health questions/advice

Typical uses
Common & Addressable
Name, age
Medical History
Chief Complaint
Review of Systems
New Patient
Update Profile
Chief Complaint
Review of Systems
Returning Patient
Patient has full access
Doctor reviews prior to visit
Updated by doctor after visit
Sanity Check
“We are constantly misled by the ease with which our minds fall into the ruts of one or two experiences”
Meet Patient
Triage Process
Clinical Analysis
Recommendation
2.5 min
0.5 min
5.0 min
2.0 min
Sanity Check
Hx of Cancer
Persistent Fever
Incontinence
Bony Tenderness
3 poss. Dx
Demographics
Chief Complaint
Charting basics while
consulting
Assessment and
Recommendation
Be sure to consider these additional diagnoses:
Metastases
Recurrence
AAA
Internal Timeline –
9 months
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
July
Develop SOPs V1 for PA/MA/Dr
Revise SOPs
Training on SOPs
Develop Clinical Guidelines
Revise and Maintain CGs
Team Recruitment, PA recruitment, Dr recruitment, MA recruitment
Grant Cycle
Investor Pitch
Launch
CA Community Outreach
Mexico launch
MVP development
Advertising campaign,
US states
Progress and Funding
Preference for smart money from investors who share our vision of utilizing telemedicine to massively expand access to healthcare for Latin Americans
Feb 2014 – incorporate
March 2014 – partnerships with law firms and technical firm
March 29 2014 – 1st prescription
April 2014 – invited to CTeL Telemedicine regulatory executive meeting in DC
April/May 2014 – Team recruitment
May 2014 – building the platform (V1 almost ready to launch)
Now - Seeking 500 K seed investment.
So far we have bootstrapped
125 K
Seed investment will finance:
Launch
Complete build and upgrade of the platform
Outreach, Marketing, Legal
Will last 6 months, allow economic proof of business model and preparation for scale.
Convertible equity or convertible debt (to be discussed on individual basis)
Equity converts at Series A with $5 MM cap.
Debt terms to be discussed.
DocToc’s Collaborators
HiPPA compliant telemedicine provider, Silicon Valley

Corporate Law Representation and Incorporation,Silicon Valley

Telemedicine & Digital Health Law Representation, Washington, DC

American Telemedicine Association, Corporate Member

Marketing / Patient Recruitment
Community Organizations
Nonprofit community organizations
Nonprofit health organizations
Churches
Traditional Media
Hispanic radio stations
Local weekly newspapers
Spanish language TV
Web/Social Media/SEO

Retention is based on:
Focus on mothers
Personalized doctor follow-up
Customized health support
Free visit for family member for every two referrals of friend
Cross-border regulations
Impact of ACA
Data encrypted and stored with Online Tech—HIPAA compliant
Vsee partnership – secure file sharing and teleconferencing
Advice, guidance, health coach, health advocate – OKAY
In CA we can prescribe without previous doctor relationship via PA
(TX next, require existing provider-PT relationship for Rx)
Increase demand on safety-net facilities
Increase ambulatory care visits
Many of our patients will be among the 17mm who remain uninsured

Data Privacy & Security
Please visit
www.DocToc.com

Thank you for investing in
Full transcript