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【2020 Solutions】 Venture Capital Veteran Returns to Taiwan to Create the First Remote Medical Platform

Originally believing that Taiwan was not fertile ground for the development of remote medical services, Xu Keyu, founder and CEO of the Health Networking Information Company, was driven by goodwill to build a remote medical collaboration platform for rural areas. The easing of regulations and the isolation caused by the COVID-19 pandemic unexpectedly ignited the demand for remote medical care. 'The wind has risen,' Xu Keyu, standing at the cusp of opportunity, sailed the winds, developed the 'Immediate Doctor View APP' and marked a new milestone in Taiwan’s remote medical services.

Xu Keyu lived in the United States for 20 years and was deeply involved in venture capital, boasting over 30 years of high-tech investment and management experience in Greater China and Silicon Valley. Due to the vast geographic size of the U.S., accessing medical care is challenging, hence remote medical care is quite common, with home-care doctors conducting initial diagnostics and giving treatment advice over the phone.

From a charitable perspective, creating Taiwan's first remote medical platform

After retiring and returning to Taiwan, Xu Keyu participated in rural medical volunteer activities with the Rotary Club. Moved by the scarcity of medical resources in rural areas, where volunteer doctors pay for their own transportation and medication, and differ in time attendance, leading to repeated consultations and resource sharing issues. Therefore, Xu Keyu hopes to promote remote medical services by establishing a cooperative platform, starting from a 'charitable' perspective.

Health Network Information Company's 'Immediate Doctor View' platform offers a system free of charge for volunteer doctors, with features including video recording, video calls, registration, and medical records. Currently, over 200 doctors are stationed on the platform. According to Xu Keyu, there are two models of remote medical services. One is the Smart Hospital model, which is centered around hospitals primarily with the aim of treating diseases, incorporating clinics, pharmacies, cooperative medical labs, and even mobile device providers, with services provided to patients by the hospital integration.

The second model is patient-centered Internet medical treatment, where all medical-related facilities revolve around the patient. The ownership of medical data and records belongs to the patient, not the hospital. Doctors need authorization to access patient data, and patients can also revoke a doctor's authorization. This approach can revamp the physician-patient dynamic, shifting authority back to the patients, also forcing doctors to improve overall medical quality by eliminating weaker elements.

Immediate Doctor View

Statistically, there are 58 rural health stations and 15 island health stations across Taiwan, with only fixed visiting family physicians stationed. By using the system platform, only nurses need to operate retinal cameras and related portable diagnostic equipment to immediately get health reports. Once the doctor in the remote location detects an issue, they can quickly arrange referrals, allowing for early detection and treatment, which saves on medical costs and secures health.

Starting from a charitable initiative, providing a field for verification of innovative business models in healthcare, the loosening of regulations brings more possibilities for remote medical care, turning Taiwan, once considered a 'remote medical desert' by Xu Keyu, into a place showing signs of developmental dawn. In response to remote medical services, the Ministry of Health and Welfare officially issued the 'Telemedicine Treatment Measures' on May 11, 2018, relaxing the care targets and modes for remote medical care, which include follow-up for acute inpatients within three months, institutional residential long-term care residents with chronic prescriptions from a medical institution, integrated care related to family doctors, and foreign patients who are not covered by national health insurance but are planning to receive or have received treatment from local medical institutions, all of whom can benefit from remote medical services.

Remote medical services include health education, health promotion, disease prevention, and post-recovery treatments. To protect public health, the Ministry of Health and Welfare will promote the 'Health Passbook' in the second quarter of 2020, aimed at returning the autonomy of health care and medical record data to the public, aligning with Xu Keyu’s philosophy.

The 'Immediate Doctor View APP' primarily targets the B2B market, focusing on corporate employee care. According to a research report by the 104 Job Bank, each year over 100,000 managers resign to take care of elderly family members, causing corporate personnel turnover. If this platform is utilized effectively, through triple video conferencing and full recording, one can accompany their parents for a doctor visit while in the office, reducing the chance of managerial resignations.

Additionally, with the introduction of remote medical care benefits in enterprises, whether on assignment or business trips, personnel can receive timely medical consultation and care, enhancing the company’s ability to retain talent.

Moreover, hospitals or clinics can also create VIP groups through the system platform, providing exclusive home care for VIP clients with significant assets, or for patients with severe conditions, offering appropriate medical resources at all times, reducing costs for hospitals and ensuring better care for patients.

Technology drives remote medical services, with AI+IoT being crucial

Xu Keyu states that technology is the driving force behind Taiwan's remote medical services, with AI and IoT playing key roles. Here, 5G helps solve the fundamental network issues, and IoT devices collect personal physiological information including temperature, heart rate, pulse, and blood pressure. These devices, in conjunction with AI, identify potential issues and provide guidance, assisting doctors in making remote disease diagnoses and offering precise recommendations.

The Immediate Doctor View APP system includes four modules: 1. Communication module, including CTI features which automatically bring up client-related data such as medical history, personal information, and IP address upon phone connection; 2. HIS module; 3. Service support module; 4. Online payment module.

This system has been providing remote medical services to rural areas, expatriates, international students, and travelers abroad since April 2019. Now, whether in rural areas or overseas, during the day or at midnight, patients can immediately access professional medical consultations through the mobile video feature. Xu Keyu believes that the biggest challenge in entrepreneurship is to integrate various stakeholders in the overall ecosystem, including doctors, devices, and data. He has to devise methods and strategies to persuade everyone to join the platform, initially providing resources for free, and plans to adopt innovative business models in the future, charging listing fees, thereby fostering mutual benefits among doctors, patients, corporations, and device providers on the platform, and building a more robust environment for Taiwan's remote medical services.

Immediate Doctor View APP development team

▲Immediate Doctor View APP development team

Health Network Information Company Founder and CEO Xu Keyu

▲Health Network Information Company Founder and CEO Xu Keyu

「Translated content is generated by ChatGPT and is for reference only. Translation date:2024-05-19」

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short-term layout, the company will actively cooperate with domestic players such as Hon Hai and TSMC to implement image analysis AI technology in fields such as self-driving cars, smart industrial safety, and smart warehousing robots In the medium to long term, Xinyunlinke will target the United States, Europe, Japan and other countries as its global market layout, establish investment and cooperation partnerships with major international companies such as Microsoft, and replicate its successful experience and promote it internationally Xinyunlinke official website Xie Yuanbao, founder and chairman of Xinyunlinke 「Translated content is generated by ChatGPT and is for reference only Translation date:2024-05-19」

【解決方案】破壞式創新商模 奇翼醫電推出行動醫療裝置- 心電圖傳感器 打造遠距醫療當中最後一塊拼圖
Disruptive innovative business model Qiyi Medical Electronics launches mobile medical device-ECG sensor to create the last piece of the puzzle in telemedicine

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Cardiovascular assessment reports, third-party remote medical consultation services and other functions Users use patch-type or chest-strap ECG sensors paired with end-to-cloud platforms for continuous physiological detection Before being transmitted to the cloud for further calculations, all data will be de-identified and made available to professionals Data reports are provided for physician judgment The BEATINFO HEALTH cloud service platform has powerful noise filtering processing capabilities, fast waveform recognition and judgment, as well as highly complex cloud architecture and communication technology Why is the noise filter processing capability so important Because medical equipment in general hospitals must require users to complete short-term measurements under static conditions Usually, data in life situations outside the hospital cannot be collected by the hospital, and this data is very important to doctors It is increasingly important to understand the progression of the disease and the condition of patients leaving the hospital Therefore, if we continue to record very weak ECG signals in daily life, we actually need to overcome a very high technical threshold After these signals are processed by the noise, they will first be judged by the AI algorithm before preliminary and rapid conclusions can be made Users can instantly avoid certain fatal risks The cloud architecture provides a deeper level of second-order computing and also covers the business model architecture It provides service models such as user management, automatic report generation, record keeping, alarm notifications, and connection with more services such as third-party alarms Emergency rescue, third-party medical consultation, doctor and patient docking, medical treatment cash flow and other functions In terms of competitive advantages in the industry, compared with the industry's braceletwatch products, Qiyi Medical's electrocardiogram sensor BEATINFO ECG provides accurate medical-level measurements, and can continuously record and collect physiological data, improving any Sudden or sporadic symptoms may occur Compared with the electrocardiogram patch of its peers, it provides real-time data return and web-based management tools, and can produce various reports for managers to remotely manage a large number of users on the web According to statistics from Beijing Medical University, the mortality rate of patients with acute heart failure within 30 days after discharge is as high as 11 If an electrocardiogram sensor is installed on the patient for continuous and real-time monitoring for 30 days, it is possible to reduce part of the risk of death, and at the same time, it can Significantly reduce health insurance costs Additionally, in the case of cardiovascular disease, if the user wears the device for a period of time, regular cardiovascular assessment reports can be obtained and provided for follow-up in-depth examinations by doctors In addition to the measurement of cardiovascular diseases, the ECG sensor configuration can provide home assessment of sleep apnea OSA During the measurement, patients can discover potential and easily overlooked cardiovascular diseases, and users do not need to stay in the sleep ward for treatment After a boring night, through the ECG sensor patch and AI algorithm, patients only need to sleep at home for one night to receive an OSA test report If needed, doctors can access patient status remotely and instantly via any internet browser Therefore, through the ECG sensor wearable service, users can discover hidden and unknown cardiovascular diseases such as arrhythmias related to sudden death from the measurement process to avoid unnecessary regrets Qiyi Medical Electronics’ business model is mainly B2B2C, hoping to assist individuals, hospitals, enterprises, care services and other units to create a win-win situation Li Weizhong analyzed that the business cooperation model is quite flexible, whether it is leasing or buying out wearable measurement devices, or providing annual report subscriptions to reduce the cost of purchasing devices for users, such as including 2-minute electrocardiogram, Flexible subscription package including 7-day cardiovascular health assessment, exercise cardiovascular health assessment, sleep health assessment report, etc Group cardiovascular monitoring system solution creates a many-to-many real-time physiological information monitoring platform to replace diagnosis with prevention In addition to providing individual users with remote mobile physiological data measurement, the BEATINFO cloud platform provides a "group cardiovascular monitoring system" solution that can create many-to-many real-time physiological information monitoring through network technology Based on the platform, patients only need to wear a lightweight monitoring patch, and the back-end system can grasp the changes in their physiological information, so that prevention can replace diagnosis and reduce the chance of sudden cardiovascular death This platform provides 3 functions, including the ability to manage different users into groups and hierarchically, and the number of users can reach tens of thousands it can display users’ basic physiological information in real time on web tools, and can be used under certain preset conditions When triggered, this platform will immediately send out an alarm historical data can also be reviewed on the platform, which is very suitable for doctors to check the patient's disease progression outside the hospital during consultation For the application of the "Group Cardiovascular Monitoring System" solution, taking high-intensity exercise as an example, such as long-distance running and cycling, mountain climbing activities or traveling abroad, a prior cardiovascular health assessment is required activities, and corresponding evaluation reports This report allows users to share it with doctors, so that participants can make assessments before the event or test their training effectiveness, which can significantly reduce the risk of accidents during the event beforehand During the activity, the group cardiovascular monitoring system also provides real-time on-site monitoring of a large number of participants It can be monitored in real time by the AI in the background at the moment of exercise Once an accident occurs, the platform can immediately issue an alarm and even report the accident GPS positioning of the location, and continuously transmits back the user's physiological information during search and rescue, striving for golden rescue time In sports monitoring applications, taking golf as an example, how to improve golfers' puttinghitting performance A player's performance and concentration are usually directly related to personal emotional stability Li Weizhong said that through HRV analysis of Qiyi Medical's electrocardiogram device, it can help determine the player's emotional and stress index performance, and at the same time help golf coaches select and train players The group cardiovascular monitoring system can create a many-to-many real-time physiological information monitoring platform Establish a firm foothold in Taiwan, move towards the US and European markets, and move towards the goal of a data company Faced with the challenges of technology research and development and market promotion, Qiyi Medical Electronics’ automatic identification of electrocardiograms requires a large amount of data for AI calculation development For this reason, Qiyi Medical Electronics must cooperate with hospitals and develop jointly Finish At present, the company has established good cooperative relations with many medical centers and research units, and has overcome these technical bottlenecks one by one In terms of market promotion, Li Weizhong said that the biggest challenge facing Qiyi Medical Electronics is to communicate with the market and let the public understand the differences between competitors' bracelet and watch products and the company's mobile device-electrocardiogram sensor Compared with the common bracelet and watch products on the market that collect electrocardiogram data in a discontinuous manner, it may take a long time to collect discontinuous data before potential cardiovascular problems can be discovered by luck Qiyi Medical Electronics actively promotes electrocardiogram to the public in a continuous manner The competitive functional characteristics of sexual detection data and emphasize that it is a very important means to assist in the detection of many potential diseases, replacing diagnosis with prevention and reducing the occurrence of unnecessary cardiovascular diseases In addition, in terms of business promotion, we also hope to create more opportunities for business matching and new venture capital raising with the assistance of the Corporate Resource Strategy Council Looking to the future, Li Wei and Xu Qiyi Medical Electric Energy will become the last piece of the telemedicine puzzle in the health wearable device-electrocardiogram service Li Weizhong said that in the short term, Qiyi Medical hopes to gain a firm foothold in Taiwan and become a common medical device in everyone's home, just like thermometers and blood pressure monitors The company is also constantly developing new indications Starting from electrocardiogram, coupled with AI and big data, it can deal with more chronic diseases In addition to cardiovascular diseases, we have also successively developed sleep apnea and other more special diseases The applications are aimed at the problems of elderly chronic diseases that modern people are very likely to encounter With a mid- to long-term plan, Qiyi Medical will enter the US and EU markets, become an international company, and continue to aim to become a data company, making good use of the company's long-term collection of data applications to provide services in diverse fields such as new drug development and vaccine development application to create business opportunities and profits 「Translated content is generated by ChatGPT and is for reference only Translation date:2024-05-19」