Secure M2M Technology for a Healthier and Safer Life

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1 Secure M2M Technology for a Healthier and Safer Life Manfred Kube, Director Business Development mhealth Wireless Modules GmbH 2011, All rights reserved

2 AGENDA Secure M2M Technology for a Healthier and Safer Life The Potential for Standardized Embedded mhealth Introduction Challenges mhealth and M2M Major Barriers Continua Health Alliance Security Case Studies Page 2

3 the leading M2M module supplier who we are Worldwide leading supplier of industrial cellular machine-to-machine (M2M) communication modules - GSM, GPRS, EDGE, UMTS, HSPA+ Founded as a business unit of Siemens Communication in 1995 and spun off in 2008 A Gemalto company since 2010 Product History M2M Module Market Shares 2010 Enfora Simcom Motorola Telit Other Source: Beecham Research 6/ % Sierra Wireless st automotive grade module st GPRS module on the market st GSM/GPS module on the market st HSDPA module on the market 2008 Scalability GPRS + EDGE platform 2010 Scalable UMTS & HSPA+ module st Compact GSM module st Java module st EDGE module on the market 2007 HSDPA with worldwide roaming 2009 Evolution Products LGA surface mounting 2011 Automotive HSPA+ module Page

4 Gemalto Products Gemalto Product Examples Gemalto s secure personal devices are in the hands of billions of individuals enabling users to: Gemalto Product Achievements Produced and securely personalized over 1.5 billion devices in 2010 Supplying e-passports to countries with more than 200 million citizens Communicate Shop/Bank 500 million people use our banking cards Serving some 450 mobile operators worldwide that connect 2 billion subscribers 30 years experience in designing and producing secure personal devices Travel Work Page 4

5 M2M a Proven and Established Technology for mhealth Metering Tracking & Tracing Automotive Industrial Computing Remote Monitoring & Control Payment Cellular M2M communication modules helping enterprises to cut costs and increase productivity and efficiency Page 5

6 The Challenges for Healthcare Page 6

7 The Challenges for Healthcare Key Challenge #1: Availability of Healthcare Services Key Challenge #2: Increase in Chronic Diseases Key Challenge #3: Ageing Population Key Challenge #4: Cost of Delivering Healthcare Page 7

8 Summary of Challenges Chronic diseases are growing, population is increasing in number and age 982M People Aged 65+ by M People with long term conditions 1380M People require assistance by 2025 Healthcare systems under pressure while cost of healthcare is rising 1,7 Physicians per 1000 people 7% GDP spent on healthcare (Europe) 73% Average public expenditure health 75% Health expenditure for long term conditions Source: GE, Cinterion Analysis Page 8

9 mhealth and M2M Page 9

10 mhealth Definition Healthcare ehealth mhealth Page 10

11 The Spectrum of mhealth Devices Mobile Phones Embedded GSM Feature phones Text Messaging Voice Dedicated devices Mainly mobile use Integrated medical sensors Smartphones Health apps External wireless sensors Specialized devices Stationary & mobile Plug and Play Dedicated & highly specialized devices Mainly stationary use works out of the box Page 11

12 Embedded mhealth Application Areas Prevention Diagnosis Treatment Monitoring Fitness & Wellness Portable interconnected devices Disease and lifestyle awareness and education Early Diagnosis Avoid white coat hypertonia Long term monitoring Record incidents as they occur Post operative monitoring Earlier discharge of patients Remote monitoring solutions Treatment compliance solutions Avoid hospitalization and emergency admissions Private Semi-Professional Doc2patient Doc2patient Doc2patient Doc2patient Page 12

13 Embedded GSM technology offers new business opportunities for mhealth Stand-alone device No connectivity Application runs only on device No additional services possible Device connected to mobile handset via Bluetooth Limited additional services possible Paring problems - high adaptation & test efforts Interfering private space (commercially) Device connected to external terminal External dedicated terminal connected via short-range or cable to medical sensors Independent solution to offer additional services Fast time to market and limited investment risk Bulky solution with limited mobility for users Devices connected via embedded cellular module Compact and independent solution to offer additional services Fully integrated solution with built-in connectivity Ease of use, high mobility, cost and power optimized New and creative business models possible Page 13

14 Major Barriers to mhealth Adoption Page 14

15 Key Challenges Inhibiting Wide-Spread Adoption of mhealth Today Key Challenge #1: Business models for reimbursement Key Challenge #2: Slow uptake of new technologies in the healthcare industry Key Challenge #3: Market fragmentation Key Challenge #4: Standards, interoperability & regulatory frameworks Standards are necessary on the road to success Page 15

16 Continua s Case Page 16

17 Continua s 3 focus areas Health & Wellness Chronic Condition Management Living Independently Longer With a second separation and focus on non-regulated and regulated devices to ensure appropriate adoption Page 17

18 Continua Health Alliance Our Mission is to establish an eco-system of interoperable personal health systems that empower people & organizations to better manage their health and wellness Source: Continua Page 18

19 Disease Management Use Case: Remote Patient Monitoring Glucose Meter Cell Phone / M2M Module Disease Management Service A person is required to check their glucose values after each meal The data is delivered to a mobile device via e.g. Bluetooth (phone or M2M gateway) Note: The M2M module could also be embedded directly into the sensor The data is then delivered to a monitoring service via e.g. GPRS xhr IF - WAN IF Standard PAN IF WAN Device Application Hosting Device PAN Device Source: Continua Page 19

20 Security Page 20

21 M2M Security Requirements in mhealth Cellular M2M Module with Patient Medical Data Mobile Network Internet Health Care Service Center 1 Secure authentication and authorization 2 Secure transmission of data and OTA setup of devices 3 Security of personal data stored in the clouds 4 Secure access to data by authorized persons Page 21

22 Security - A Central Need in M2M 1 Secure authentication and authorization Prevent tampering and physical attacks Identification and mapping/matching (device, patient and record ) Encryption of data on the device 2 Secure transmission of data and OTA setup of devices 3 Security of personal data stored in the clouds 4 Secure access to data by authorized persons Ensuring data integrity and preventing corruption Data encryption to ensure privacy during transmission Secure across interfaces Encryption of data stored in the cloud Enabling services for multiple parties Changing service from one partner to another Data retrieval by authorized persons Consent to access and share Record sealing (eg. HIV and anti-retroviral drugs) Page 22

23 Solutions to Address Security Concerns are Available Today 1 Secure authentication and authorization SIM and MIM are mass-personalized secure elements PIN, PUK and Public Key Infrastructure (PKI) Software components (eg. security stack) to handle keys 2 Secure transmission of data and OTA setup of devices 3 Security of personal data stored in the clouds 4 Secure access to data by authorized persons Encryption of data and algorithms to verify data integrity Cellular Network and secure transmission protocols Secure storage and digital vaults Trusted Service Manager (TSM) Certificate issuing and management Key issuing, exchange, distribution and recovery Single Sign-On (SSO) mechanisms across systems Page 23

24 Solutions should be secure by design and not by hindsight Remote Unit Connectivity Central Server Machine Identity Module Application SW Device Wireless Module Mobile Network Gateway Internet Application Server IT Center (ERP, CRM) Considerations The technology bricks for ensuring end-to-end security are available today Incidents can lead to loss of revenue and credibility Security should be included by design and not in hindsight Page 24

25 Outlook: GSMA Mobile Health Architecture Proposal Health Application Decision Support Knowledge Base Care Pathways Service Directories - Service Billing and Cost Management Service Costs Transaction Costs Customer Billing vs. Insurer Billing vs. Other Service Management Provisioning, Deployment, Upgrading Fault Management Configuration Management Medical Device Mobile Module Network Operator Payer Personal Health Record Clinician s EHR Patient Patient Clinician Embedded mhealth Medical Device Mobile Module Embedded mhealth Mobile Network mhealth Integration Gateway (Built using open standards) Data Storage and Analytic's Information Services Administration Services Not hosted by mobile service provider Administrators Clinician Mobile Module Patient Information Receiver only Identity & Access Communications Consent Management Consent to Share Security Management Authentication Messaging Device Communications (IEEE 11073) Networks Coverage Record Sealing Encryption Health Messaging Standards (HL7) Bandwidth Identity Management Identity Maps Service Interfaces Device Software Services Patient IDs Device IDs Billing IDs Common Web Services Custom Application Interfaces Cinterion is working with the GSMA to establish an Architecture Proposal for mhealth that will ensure security and interoperability Data / Cloud Storage Data & Records Records Management Mobile-only Health Record Personal Health Record classic Electronic Health Record Data Standards Clinical Coding (SNOMED, LOINC, ICD-10) Page 25

26 Case Studies Page 26

27 M2M-based mhealth Devices are Applied in Many Fields of Health Care Page 27

28 TZ Medical Aera CT Heart Monitoring M2M-based heart arrhythmia monitoring Rapidly detects heart arrhythmias during normal day-to-day activities and over long periods of time Sends detailed diagnostic data via cellular networks and the Internet 24/7 monitoring and improved detection and visibility of arrhythmia events Authorized caregivers can securely view patient data at anytime, from anywhere in the world Powered by Cinterion MC75i module Page 28

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30 Aerotel Wireless Home Telehealth System Page 30

31 Aerotel Web-Based Personal Health Portal Page 31

32 Remote-Monitoring Technology Leads Heart Patients to Take Their Readings at Home From the Wall Street Journal, July 27, 2010 'I was constantly going to the doctor,' said Carolyn Brown of the Bronx, N.Y. 'Now they can tell right away if I am in trouble.' Ms. Brown's blood-pressure reading and transmission devices. Page 32

33 Aerotel Case Study: Do-It-Yourself House Call What are the Benefits? Detect changes and intervene before the patient has to be hospitalized. Instead of constantly going to the doctor, the monitoring service can detect immediately if the patient has a problem. Faster evaluation of suspected heart failures. 30% reduction in hospitalization for heart-failure patients, a study showed. Cost savings: $6,300 for a Medicaid heart patient's typical hospital stay vs. a $626 wireless monitoring system. Page 33

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35 Philips Respironics System One Sleep Disordered Breathing A chronic disease with significant co-morbidity and management challenges Prevalence: 5% adults Majority undiagnosed: ~80% A care cycle approach Compliance challenges Reimbursement constraints Page 35

36 Obstructive Sleep Apnea Obstructive Sleep Apnea CPAP Therapy Page 36

37 Best Embedded Mobile End-to-End Service GSMA Embedded Mobile Competition Automatic data collection Seamless care team access anytime/anywhere Internet Streamlined, collaborative care management Timely intervention & remote management Page 37

38 Encore Data Management and Reporting Management by exception Efficacy issues: AHI, LL, Periodic Breathing, CA Compliance issues Compliance achieved Prescription changed Note from Dr. Page 38

39 Modem activation and management C C8 C C8 ` Page 39

40 Modems activation and management Page 40

41 Key success factors for Philips-Cinterion solution Modular wireless solution to enable fast time to market (and speeds up medical approval process) Complete system offering, providing end-to-end services and solutions Partner approach taking into account all value chain players and providing respective business models and benefits Ease of use due to preconfigured connectivity to service centers or health care service providers Miniaturization of medical equipment for mobile monitoring Technology is not enough management of complex value chain and processes is necessary Page 41

42 For more information, visit Cinterion M2M World Page 42

43 or come and see our demo downstairs! Manfred Kube Page 43