Continua Health Alliance: The Next Generation of Personal Telehealth is Here!

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1 Continua Health Alliance: The Next Generation of Personal Telehealth is Here! David L. Whitlinger President & Board Chair, Continua Health Alliance Director, Healthcare Standards, Intel Corporation August /1/2008

2 The Continua Health Alliance A non-profit, open industry alliance of the finest healthcare and technology companies in the world joining together in collaboration to improve the quality of personal healthcare 9/1/2008 2

3 The Challenge & The Opportunity Worldwide today: 1 billion adults overweight 860 million chronic disease patients 600 million elders age 60 or older 75-85% of healthcare spending is on chronic disease management Source: World Health Organization; McKinsey 9/1/2008 3

4 Promoters 9/1/2008 September 1,

5 Contributors Over 165 Member Companies! Alere Medical, Inc. Fujitsu Limited Pfizer All Medicus Co., Ltd. Fullpower Technologies Precor Fitness AMI Semiconductor GC Healthcare Corp. Proskauer Rose LLP Analog Devices GenerationOne, Inc. Proteus Biomedical, Inc. Analogic Corp. GlaxoSmithKline RMD Networks AT4 Wireless Healthsense Rossmax International Ltd. AT&T Mobility Home Guardian, LLC RTX Healthcare Avita Honeywell HomMed LLC Ryoyo Electro Corporation New BiancaMed Industrial Technology Research Institute Sensor Technology & Devices Ltd BIOSPACE Co., Ltd. Infineon Technologies SHL Telemedicine Members Bluegiga Technologies Oy INFORSON Co., Ltd. Silicon and Software Systems Boston Scientific InfraRed Integrated Systems Ltd. Sinapsys Srl Since British Telecommunications Innomed Medical Zrt. Smartlife Technology Ltd Cambridge Consultants Ltd. In Practice Systems Limited Sony Electronics Inc. June! Capital Health Institute for Infocomm Research Southern Nevada Wellness Cardiff University Institute of Biomedical Stichting IMEC Nederland Cardiomedix Inc. InterComponentWare, Inc. Stollmann E+V GmbH Cardionet Konami Sports and Life STMicroelectronics CELS, Ltd. LAXTHA Inc. TaiDoc Technology Corporation Centre for Global ehealth Innovation LG CNS Tanita Corporation Cerner Corporation LG Electronics Telbios, SpA Chiptech Limited LifeGate, Inc. Telecom Italia SpA Christus Health Lifescan Telehealth Solutions Ltd. Chunghwa Telecom Co., Ltd. LS Research, LLC TeleMedCare Pty Ltd. Claricode, Inc. MedApps,Inc. Telus Communications Company Computerized Screening, Inc. MEDCEL Terumo Corporation Continuity Health MedSignals Textronics Inc. CSR plc MedTech Systems Inc. The Scottish Centre for Telehealth CYPAK AB Microlife Corporation Toshiba Home Appliances Corporation Cypress Semiconductor Midmark Corporation Toumaz Technology Limited Dell Misys Healthcare Systems Training Peaks, LLC Digi International Molex Inc. Triage Wireless Inc. Dovetail Health Monitray, LLC Tyco Electronics Dynastream Innovations Inc. Motorola Tynetec Ltd EarlySense MIR- Medical International Research Ubiquitous Corporation empirica GmbH Neusoft Medical Systems UnitedHealth Group ETRI Nippon Telegraph and Telephone Corporation University of Miami - Miller School of Medicine FitSense Technology Nitto Denko Corporation Verizon Foundation for Research and Technology Novo Nordisk VTT Technical Research Centre of Finland France Telecom R&D, LLC nspire Health, Inc. Westchester Institute for Human Development Freescale Semiconductor Oracle Whole Health Management Frontline Test Equipment Oregon Medical Labs Wipro 9/1/2008 September 1, Oregon Scientific Inc. Zarlink Semiconductor

6 The Continua Health Alliance Mission Our Mission is to establish an eco-system of interoperable personal health systems that empower people & organizations to better manage their health and wellness 9/1/2008 6

7 Disease Management 860 million chronic disease patients world wide Chronic disease Post trauma Pre-op PEDOMETER BLOOD- PRESSURE CUFF WEIGHT SCALE PULSE OX Disease Management Vital sign monitoring (Remote Patient Monitoring) Medication reminders and compliance Utilize home network to locate devices in logical places: Scale in bathroom Pill minder in kitchen Blood Pressure cuff in living room Trend analysis and alerts , chat, video Appointment scheduling IMPLANT Cell Phone Digital Home PC Continua member companies help people with chronic conditions live healthier lives by connecting them to their care team through a more efficient exchange of personal health information. FITNESS EQUIPMENT Internet Family care givers Disease management service Healthcare provider Personal Health Record MEDICATION TRACKING Personal Health System 9/1/2008 7

8 Cell Phone Video Conferencing Equipment Stethoscope Bonnie ID Badge Nursing Bag Coagulometer Telemonitor Ultrasound Weight Scale (missing: Baby Scale) Point of Care Device (Laptop) Glucometer Pulse Oximeter Trunk Box of Medical Supplies Pager Instant Camera (missing: Digital Camera) Sphygmomanometer (Blood Pressure Cuff) 9/1/2008 8

9 Aging Independently 600 million elderly individuals world wide Independent living Chronic disease Aging Independently An adult child helping their elderly parents age gracefully in their own home Basic life monitoring as appropriate (ADL): Bed pressure (sleep) Bathroom sensor Gas / water sensor Emergency sensor Vital sign monitoring (RPM) Medication reminders and compliance Trend analysis and alerts , chat, video Appointment scheduling PEDOMETER BLOOD- PRESSURE CUFF HOME AUTOMATION & CONTROL PULSE OX IMPLANT Cell Phone Digital Home PC Continua member companies help the elderly age independently, with dignity and security, through the efficient exchange of personal health and safety information that connects them to their family and care team. FITNESS EQUIPMENT MEDICATION TRACKING Personal Health System Internet Family care givers Elderly monitoring services Diet & wellness services Disease management Service, Healthcare provider 9/1/2008 9

10 Health & Wellness One billion adults overweight world wide Healthy Family Health & Wellness Weight loss Fitness Worried Well vital sign monitoring: Weight Blood pressure Glucose Cholesterol Activity level Personal Health Records Appointment scheduling In the future Extension of healthcare system into the home Initial triage of non-emergency conditions Vital signs Images / chat / video PEDOMETER BLOOD- PRESSURE CUFF GLUCOSE METER Cell Phone Digital Home Continua member companies help people live healthier, more active lives by connecting them to their health and wellness team through a more efficient exchange of their personal fitness information. WEIGHT SCALE FITNESS EQUIPMENT MEDICATION TRACKING PC Internet Weight loss and fitness coaching Healthcare Professionals Personal Health Record 9/1/

11 Guidelines Certification Logo GUIDELINES: Continua member companies will select connectivity standards and publish Guidelines for strict interoperability. CERTIFICATION & LOGO: Continua will establish a certification program with a consumer recognizable logo signifying the promise of interoperability with other certified products. Home Automation & Control 9/1/

12 Recognizable Logo PRODUCT PACKAGING ELECTRONIC MEDIA / SOFTWARE PRODUCT APPLICATIONS PRODUCT SUBSTRATES 9/1/

13 WiFi Alliance- Successful Example Logo Test & Certification Logo Test & Certification Plugfest Plugfest Guidelines- e.g., Setup, Security Guidelines Industry Standard IEEE x Industry Standards 9/1/

14 Version One Device Connectivity Standards Pulse Oximeter Pulse /Bloodpressure Thermometer Weight Scale ISO/IEEE = Pulse Oximeter ISO/IEEE = Pulse / Heart Rate ISO/IEEE = Blood Pressure ISO/IEEE = Thermometer ISO/IEEE = Weighing Scale ISO/IEEE = Glucose ISO/IEEE = Cardiovascular Fitness Monitor ISO/IEEE = Strength Fitness Equipment ISO/IEEE = Independent Living Activity ISO/IEEE = Medication Monitor Personal Health System PC Glucose Meter Cell Phone Cardiovascular and Strength Fitness Monitor Independent Living Activity Bluetooth Medical Device Profile Specification Set Top Box Medication Monitor USB Personal Healthcare Device Class Specification Aggregator 9/1/

15 Version One Healthcare Record Standards Disease Management Service Provider Continua xhr Interface (Data, Message, Security) Healthcare Provider Remote Patient Monitoring (RPM) Server Electronic Health Record System Labs Disease management nurse or home care nurse Home based Remote Patient Monitoring (RPM) System Patient Vital Sign Devices 9/1/ EHR

16 Free Reference Source Code Continua has roughly 500 modules of member written source code already available in our library downloaded by dozens of companies. We are paying contractors to write the rest. Planning on $1M in 2008 add more code to the library each year. Reference code only use at your own risk (disclaimer) Generic reference platform- not optimized for a specific device: Operating System: Windows XP Hardware: X86-based Language: C/C++ Implement mandatory features of guidelines Structured as Library of modules w/ API Save $ K on product development! 9/1/

17 Pre-product components arrive! Groundbreaking platform allows medical devices to communicate wirelessly US$5 platform lets consumers effortlessly monitor health at home Cambridge Consultants today announced the first demonstration of the emerging industry standards for medical device interoperability. The Vena platform is a breakthrough software solution on a single chip that allows medical devices such as blood pressure monitors to transmit data wirelessly. The development gives consumers, especially those with chronic conditions, the ability to monitor their own health accurately, systematically and independently. This platform uses low-cost wireless technology and will allow devices to deliver medical readings to a central monitor located in the home, or even to an online health record such as Google Health or Microsoft Health Vault. The Vena software solution can be added to a medical device using hardware with a potential cost of less than US $10 at the appropriate volumes and could even be available in medical devices by the end of For the first time, the Vena platform embeds both the emerging IEEE11073 standard, which ensures compatibility of data exchanged between different types of devices, and the emerging Bluetooth Medical Device Profile, optimised for the secure transport of medical data, onto the single chip. Successfully concept tested with a pulse oximeter and weighing scales, the platform will be expanded to include other types of devices including blood pressure monitors. The platform is also capable of delivering a complete display, which means that device manufacturers now simply need to add their sensor of choice and the device is wireless-ready. 9/1/

18 Working Group Structure VTM Administration Board Of Directors Over 1,400 members participating in the various Working Groups Use Case Technical Test & Certification Employer HR Benefits Marketing Regulatory Policy Strategy Expert Group NHS, AAFP, ATA, AHA Sub- Committees PR & Marketing agency Australia Policy EU Policy Japan Policy Latin America Policy U.S. Policy U.S. Payer 9/1/

19 F2F Mtgs Q2 08 Q3 08 A M J J A S / 2009 Roadmap Q4 08 O N D Q1 09 Q2 09 J F M A M J Q3 09 J A S Q4 09 O N D T V1 Guideline development V1 Design Guidelines F Draft Guidelines V2 Coordinate with UC V2 Architecture; Requirements; Standards; Gap Analysis TC Test Tool RFP Test Tool Development Early Device Cert Establish Test Lab V1 Certification Test Lab RFP UC VASC Release 1 Phase 2 Use Case Refinement w/ T VASC Release 2 VASC Release 3 Refining Long Term Use Cases Use Case Demo 9/1/

20 F2F Mtgs Q2 08 Q3 08 A M J J A S / 2009 Roadmap Q4 08 O N D Q1 09 Q2 09 J F M A M J Q3 09 J A S Q4 09 O N D HR Global Policy Future State Paper Available EU Advocacy Day Pilot specification, pilot specification, and Exec. Presentation US Advocacy US Policy Day Environment Paper EU Advocacy Day US Legislative / Regulatory Proposals US Advocacy Campaign R Finalizing FDA Paper Regulatory Panel Submit standards to FDA Product Showcase Dev. Web site Revamp / Consumer Site M MKTG Plan Dev MKTG Plan Healthcare Unbound IMHS HIC Partners Symposium Medica CES 9/1/

21 Building awareness around the world London January 2007 San Francisco June 2006 Boston October 2006 Ireland January 2008 Luxembourg April 2008 Tokyo April 2007 San Francisco June 2007 San Francisco June 2008 Boston October 2007 Boston October 2008 Continua sponsored public Symposiums & member Summits 2009: Tokyo, Spain, Vancouver, Boston 9/1/

22 Continua Matchmaking Continua has received numerous inquiries from members and non-members requesting help in finding appropriate vendors for new health and chronic disease management programs Let Continua help you find partners! The Continua Matchmaking Program: Help healthcare providers find world class vendors who are developing the next generation of personal telehealth devices and services Come to our website, fill out a simple RFP-like form and submit it. Our Continua vendor community will receive notification and contact you. 9/1/

23 Thank You Come see us in our booth! Thank you! 9/1/

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