Home Tianyi Continuum Rehabilitation Management Platform Files IPO Prospectus: Integrating Home, Community, and Hospital through 'Rehabilitation + Internet'

Tianyi Continuum Rehabilitation Management Platform Files IPO Prospectus: Integrating Home, Community, and Hospital through 'Rehabilitation + Internet'

Sep 30, 2015 18:10 CST Updated 18:10

Marked by research in rehabilitation medicine, the development of this discipline in China has a history of merely 30 years. High-quality rehabilitation medical resources are predominantly concentrated in major metropolitan areas such as Beijing, Shanghai, and Guangzhou, while second- and third-tier cities, as well as county and township levels, suffer from a severe scarcity of such resources—a situation that mirrors the current distribution of medical resources across the country. Balancing and optimizing existing rehabilitation medical resources is a key focus of ongoing healthcare reforms in China. The “Tianyi” Continuous Integrated Rehabilitation Management Service Platform, founded by President An Wei, aims to address this challenge. The comprehensive rehabilitation management system leverages the iPad application “Rehabilitation Doctor” to integrate online and offline services, thereby realizing an O2O (Online-to-Offline) model for rehabilitation healthcare.

Anwei’s future goal is to build “Tianyi” into a rehabilitation management brand, attracting more medical resources through a cooperative operation model to achieve mutual benefits.

Cooperation, Not Going It Alone

An Wei is referred to as the hospital president because his company, Jiawei Xinke (Beijing) Technology Development Co., Ltd. (hereinafter referred to as “Jiawei”), has established a long-term partnership with Beijing Jiuhua Wenyu River Hospital (hereinafter referred to as “Wenyu River Hospital”) through a joint operation model. Located in Xiaotangshan, the renowned “Home of Hot Springs,” Wenyu River Hospital is an ideal site for both rehabilitation hospitals and nursing homes. As a comprehensive hospital focusing on health management and rehabilitative medical care, Wenyu River Hospital has entrusted its core rehabilitation and physiotherapy services to Jiawei, with both parties engaging in cooperative operations.

U9083P62DT20121030191558

An Wei told VCBeat that the company has currently signed a joint operation agreement with only one hospital, Beijing Wenyu River Hospital. However, it has established medical partnerships with multiple Grade A tertiary hospitals in Beijing, including Beijing Bo’ai Hospital, Jishuitan Hospital, Peking University Third Hospital, and Beijing Anzhen Hospital. Clinical experts at the associate chief physician level or above and rehabilitation department physicians from these major hospitals are available on the “Tianyi” platform, where they specialize in prescribing rehabilitation training plans for patients.

Generally, hospitals establish specialized rehabilitation departments aligned with their clinical strengths. For instance, Jishuitan Hospital, renowned for its orthopedics, has a rehabilitation department specifically catering to post-operative orthopedic patients. The rehabilitation department comprises both rehabilitation physicians and rehabilitation therapists. The former are responsible for diagnosis and formulating rehabilitation prescriptions (i.e., training plans), while the latter work directly with patients to implement the training plans prescribed by the physicians.

Therefore, rehabilitation physicians and clinicians with prescribing authority are key. Leveraging the resources of three hospitals with strong rehabilitation capabilities, “Tianyi” formulates rehabilitation plans for the rehabilitation departments of local hospitals, which are then implemented by local therapists. This constitutes the core model of the platform, which he terms “collaborative rehabilitation care.” Meanwhile, personnel training is another critical pillar of the platform. To enable effective collaboration among various rehabilitation healthcare professionals—including rehabilitation therapists, rehabilitation physicians, clinicians, rehabilitation nurses, and caregivers—it is essential to ensure they communicate in a common language, follow standardized operational procedures, and adhere to uniform evaluation criteria.

According to An Wei, the medical field is divided into three major categories: preventive medicine, clinical medicine, and rehabilitation medicine. His decision to enter the rehabilitation sector stems from his comprehensive market analysis. First, unlike clinical treatments that aim for one-time solutions, rehabilitation therapy is characterized by high frequency and long duration. For instance, the recovery period for stroke or hemiplegia generally exceeds six months, while children with cerebral palsy require continuous rehabilitation and concurrent pharmacological treatment from around eight months of age until five or six years old, making it a long-term, ongoing process.

Secondly, the rehabilitation management model is more easily replicable than the clinical management model. For instance, while it is difficult to train a physician from scratch, rehabilitation therapists can be trained and certified relatively quickly through examinations, akin to specialized technicians, thereby facilitating their entry into the workforce. Moreover, as a skilled trade, proficiency increases with the volume of patients treated. Since this field does not require mastery of highly advanced professional knowledge, the rehabilitation sector inherently possesses strong scalability.

Furthermore, inpatient beds and rehabilitation therapists in hospital rehabilitation departments are always limited. Even if a rehabilitation physician can issue 100 rehabilitation plans in a single day, there are not enough rehabilitation therapists to implement them; and even if there were, the hospital’s hardware infrastructure would not permit it. Therefore, by maximizing the utilization of rehabilitation physicians’ capabilities through prescribing for more out-of-hospital and non-local patients, we can reclaim medical resources that would otherwise be wasted.

Not Internet Healthcare, but Healthcare Internet

Regarding the currently popular concept of “Internet healthcare,” An Wei expressed that he does not fully agree with it. He believes that medical care is the core; rehabilitation falls within the scope of medical care. However, as users lack medical knowledge and cannot master rehabilitation techniques, they must receive guidance from medical institutions to achieve effective recovery.

An Wei stated that the company’s business model is “Healthcare + Internet,” with the provision of medical services as its fundamental objective. The approach of aggressively burning cash to acquire users in the internet healthcare sector may not be appropriate. He advocates for an integrated linkage among hospitals, communities, and households, ensuring that patients receive professional medical care regardless of where rehabilitation takes place. For patients discharged from hospital intensive care units, there remains a 1–2 week period of hospitalization, which represents the optimal window for rehabilitation; it is advisable for these patients to remain under hospital observation during this time. The remainder of the rehabilitation process can be carried out at home or extended into community-based settings.

For three different rehabilitation settings or needs, the “Tianyi” platform provides differentiated medical services. The jointly operated Jiuhua Wenyu River Hospital has 270 beds, offering corresponding medical services such as diagnosis and treatment, rehabilitation assessment, exercise therapy, physical agent therapy, and traditional Chinese medicine (TCM) rehabilitation therapy, targeting patients who require initial rehabilitation in a hospital setting.

Given the wide variations in conditions among partner local hospitals, Jiawei establishes a rehabilitation outpatient clinic within each hospital, providing beds, procuring medical-grade equipment, and staffing it with rehabilitation therapists as well as psychotherapists. Patients can consult directly with physicians at the local hospital or seek remote consultations with doctors from Beijing Hospital. Physicians in Beijing can also conduct remote consultations to guide local rehabilitation therapists.

Remote consultations are made possible by Jiawei’s development of an intelligent health terminal device. This device connects to digital TVs via a high-definition digital interface, utilizing the TV as a large display, and is also compatible with various mobile terminals. More importantly, it features a one-touch expert video function that facilitates easy initiation of remote consultations. As a result, this versatile set-top box can be used seamlessly in hospital outpatient departments, community settings, and homes alike.

Currently, Hejia has partnered with four local hospitals: Hengzhou Hospital in Quyang, Baoding; Chu’s Orthopedic Hospital in Huaiyang, Zhoukou; Xuzhou Children’s Social Welfare Institute; and Puyang Orthopedic Hospital. As initial pilot sites, these four institutions respectively represent major rehabilitation patient groups, including those with tumors, orthopedic conditions, and cerebral palsy.

An Wei explained that, across the rehabilitation department, patients from five specialties—neurology, neurosurgery, cardiology, cardiac surgery, and oncology—demonstrate the most visible and significant improvements following rehabilitation therapy. Therefore, the focus is placed on these five key areas. Common bone and joint injuries are categorized under neurosurgery because post-orthopedic surgical care primarily employs movement therapy to address spinal or joint damage, which stimulates motor nerves, thus warranting their classification within neurosurgery.

As for the reasons behind selecting these hospitals, An Wei provided a detailed introduction. For instance, the specialized oncology hospital in Baoding is located relatively close to Beijing, offering a geographical advantage. Furthermore, tumor rehabilitation at this facility primarily relies on Traditional Chinese Medicine (TCM) therapies. In fact, while TCM-based cancer treatment may seem obscure to laypeople, it has a history spanning thousands of years in China.

qyindex

“Traditional Chinese Medicine (TCM) treatment can reduce the physical damage caused by radiotherapy and chemotherapy. Since tumorigenesis is driven by alterations in the internal bodily environment, conventional Western medical interventions that surgically remove cancerous tissues do not fundamentally change this underlying environment; persistent acidity may still promote tumor development. However, TCM herbal regulation can shift the body’s internal environment toward an alkaline state, under which cancer cells cannot survive. Thus, these represent two distinct therapeutic paradigms, and many hospitals are now adopting integrative approaches combining TCM with Western medicine,” stated An Wei.

Xuzhou Children's Social Welfare Institute was selected because it cares for more than 300 children with cerebral palsy, receives funding and subsidies from the China Disabled Persons' Federation and the Civil Affairs Bureau, and benefits from Jiangsu Province’s substantial subsidy policies; therefore, this institution was chosen first.

xuzhou

Currently, like Jiuhua, the rehabilitation outpatient clinics at these four hospitals are operating normally. Tens of thousands of medical records collected by the outpatient clinics were screened by rehabilitation therapists on the “Tianyi” platform to identify patients suitable for service provision. Targeted services were then pushed to these patients, converting them into offline clients.

In addition to hospital-based outpatient rehabilitation clinics, Jiawei has also established similar rehabilitation centers in communities, equipped with medical devices such as four-limb linkage trainers and acupoint therapy instruments. Since some of these devices allow patients to train independently after parameters are set, without requiring therapist supervision, they facilitate a mechanism for autonomous training. Currently, Tianyi has built four community rehabilitation centers in Beijing, including one in Tiantongyuan.

Monetizable Healthcare + Internet Models

Compared with hospital-based rehabilitation outpatient clinics and community health service centers, home-based rehabilitation services are clearly more convenient. “Rehabilitation outpatient clinics and community rehabilitation centers both require investments of several million yuan in medical equipment, whereas home-based rehabilitation services incur only costs for online platforms and physicians, resulting in relatively higher profit margins,” An Wei told VCBeat.

An Wei also used an iPad to showcase a video of an elderly female stroke patient receiving expert movement guidance via television. This service costs over RMB 1,000 per person annually and includes complimentary smart devices, while the next-generation product, the Tianyi Box, has already received more than 10,000 orders.

The “Tianyi” platform charges vary depending on the specific value-added services or bundled packages—such as video consultations, referrals, and family health care cards—as well as different rehabilitation programs. For instance, the six-month fee for cerebral palsy patients is RMB 20,000 per person.

Currently, “Tianyi” has 20 users and total revenue of approximately RMB 1.3 million. However, the “Tianyi” system has been online for less than six months since its launch in April. Therefore, An Wei insists that his venture is an internet healthcare project. After all, for an internet healthcare company, a mere 20 users is hardly something to boast about; not only does it fail to generate revenue, but it also requires substantial ongoing capital infusion.

In addition to this revenue stream, An Wei, who hails from a corporate training background, continues his core expertise in the rehabilitation sector by providing continuing education for rehabilitation physicians. Doctors at primary-care hospitals pay tuition to attend these courses and earn continuing medical education (CME) credits. Case presentations delivered during the classes are recorded as videos and uploaded to an online educational platform called “Lecture Hall by Renowned Experts,” where viewers must also pay a fee to access the content. Two rounds of physician training have already been conducted. According to An Wei, the frequency of training sessions will increase after October, reaching two to three sessions per month.

An Wei previously served as a specially appointed lecturer at Tsinghua University and held an EMBA from the Open University of Hong Kong, where he specialized in teaching business administration courses to enterprises. The company he founded, Jiaweixin, was also dedicated to the design and development of software for the healthcare informatics industry. After formally entering the healthcare sector, An Wei traveled abroad multiple times for study, including visits to the Mayo Clinic in the United States. “Our benchmark institution is the Mayo Clinic, whose management system is regarded as the best globally. Its out-of-hospital management model is highly sophisticated, extending even to the provision of specialized chocolate for diabetic patients. In their view, depriving patients of the right to enjoy chocolate simply due to their illness constitutes a violation of human rights. We are learning from the Mayo Clinic’s out-of-hospital management system, such as methods for interfacing between different systems, assessment forms for patient information sampling, care plans, and the matching relationships among these forms.”

An Wei’s next step is to leverage financing to rapidly scale the hospital-affiliated outpatient clinic model, replicating it across more hospitals nationwide. By standardizing service processes through initial exploration and refinement, this model will become the core of the Tianyi Rehabilitation brand, enabling broader promotion and nationwide reach.

Responsible Editor: Bu Yan

This project is seeking financing. Interested investment institutions please contact VCBeat staff: 15902376728