e-Health Industry Expectation

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e-Health Industry Expectation
Document No GSC(14)18_035
Source CHA
Contact Michael J. Kirwan
Agenda Item 5.3

• July 22nd, 2014

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Personal Connected Health AllianceEmpowering
individuals to better manage their health

• Michael J. Kirwan
• Technical Operations Director
• PCHA and Continua
• May 2014

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Empowering Individuals to Better Manage Their
Health

• The world is moving to a focus on linking
  individuals with interoperable, personalized
  health solutions that meet their lifestyle needs.
  

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Advantages of Personal Connected Health

• Consumers are not just linking health data to the
  Providers any longer
• Potential to transform human health and
  healthcare delivery, and to reduce global
  disparities in healthcare access
• Adds motivation and inspiration to health
  self-management by taking advantage of support
  networks in social media and other online forums
• Capable of reducing the impact of chronic
  disease, which is responsible for the greatest
  portion of healthcare expenditures
• Ability to shift from treatment focus to
  preventive care by making health self-management
  a part of everyday life
• Allows us to enjoy life longer outside of
  traditional healthcare

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Engaging Consumers at Every Stage of Life
and Providing Links to Family, Friends, Social
Networks Providers
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PCH Creates an Information- and Inspiration-Rich
Environment for Health Improvement

• Consumers become engaged in health
  self-management
• Links to social networks become a source of
  positive reinforcement
• A secure line of communication is established
  between providers and caregivers outside the exam
  room
• Consumer-collected data can enrich healthcare for
  individual patients and patient populations

Better use of resources, reduced cost, improved
clinical outcomesand health management
incorporated into everyday life
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The Goal Improve Lifestyle Choices, Health
Non Modifiable Contributors to Disease
Modifiable Contributors to Disease
Hu et al. Diet, lifestyle and the risk of type 2
Diabetes in women. NEJM 2001 Sep
13345(11)790-7. Stampfer MJ, Hu FB, Manson JE,
Rimm EB, Willett WC. Primary prevention of
coronary heart disease in women through diet and
lifestyle. N Engl J Med. 2000 343 1622
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Envisioning A Better Way Weight Loss

• Wearable trackers to monitor calories burned
  through activity
• Apps for diet/nutrition advice and caloric
  intake, on smart phone and/or computer
• Social networking for inspiration and competition
  (i.e., Jenny Craig, Biggest Loser), using online
  forums such as Facebook

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Envisioning A Better Way Gaming

• Wearable trackers to monitor specific activity
• New sensors to enable 3d tracking and movements
• Already in use for Rehabilitation and Diagnostic
  purposes
• Can be utilized to stimulate inactive or
  cognitive impaired individuals
• Interoperability allows for this data to be
  collected by healthcare team

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Envisioning A Better Way Management of Rare
Serious Diseases

• Disease-based forums (web, social media) for peer
  advice on treatment options and experience
• Connectivity to providers via provider portal,
  for expert advice during diagnosis, treatment
  and follow-up Apps to find a clinical trial
• PCH-enabled studies that use sensors, trackers
  and/or remote monitoring for data accuracy and
  patient convenience

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Envisioning A Better Way Care of Special
Populations

• Individual and online gaming for children/teens
  with chronic diseases
• Apps to support connection to people with
  communication disorders, such as autism
• Wearable sensors and wireless monitoring for
  elderly living independently
• Remote monitoring by healthcare providers to
  augment parental care of a sick child or aging
  parent
• Social networking for caregivers, i.e., Facebook
  book, online chat with the ability to share
  sensor data

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Envisioning A Better Way Clinical Trials

• Direct involvement of the individual in the trial
• Evaluate patient populations
• Accelerate patient recruitment
• More efficient and effective management of
  clinical trails, data collection and reporting
• Better quality, more reliable data
• Get new drugs to market faster

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Envisioning A Better Way Interoperability

• Compliance with global industry standards is
  proven to decrease time to market and reduce
  development costs
• Lower Design Costs saves US 40,000-80,000 in
  development costs per device
• Faster to Market decreases integration time from
  three months to just three weeks
• Increased Efficiency quicker, less expensive
  integration to EMR or HIE platforms
• Forward/backward compatibility longevity of
  devices
• Easy to expand or add new programs/products with
  plug-and-play

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Architecture to Enable PCH
Aggregation Manager
Telehealth Service Center
Health Records/ Networks
WiFi, 2G, 3G 4G
PHR
EHR
Personal Area Network (PAN) Interface
Wide Area Network (WAN) Interface
Health Record Network (HRN) Interface
NHIN
HIE
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Envisioning A Better Way Adoption
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PCH Why Now?

• Consumer market is exploding
• more than 97,000 mobile health apps are currently
  available
• each day the top 10 apps generate up to 4 million
  free and 300,000 paid downloads
• New regulations and incentives transforming
  healthcare delivery, putting consumers at the
  center of their care
• the Affordable Care Act features comprehensive
  health insurance reform to improve the quality
  and patient access to care in the US
• Meaningful Use Stage 3 to address population
  health
• Governments around the world demonstrating
  significant interest in adopting personal
  connected health (ex Denmark, Norway, UK, UAE,
  Singapore)
• the UKs 3million lives initiative changing care
  delivery using connected health tools for
  citizens with chronic conditions
• Globally, healthcare in crisis and world
  population aging

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PCHA An Historic CollaborationContinua Health
Alliance, mHealth Summit HIMSS

• Global plug-and-play interoperability Design
  Guidelines and Product Certification program
• Unmatched industry education, thought leadership
  and networking
• International leadership in hospital-based health
  technologies
• Worldwide presence to promote local, regional and
  national public policy, advocacy and market
  development

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PCHA Mission

• Generating greater awareness, availability and
  access to plug-and-play, consumer-friendly
  personal health technologies to empower
  individuals to better manage their health and
  wellness, anywhere at any time.

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PCHA Strategic Initiatives

• Promoting education and awareness through events
  and outreach to all stakeholders
• Facilitating adoption of global industry
  standards for user-friendly interoperability
  between devices privacy and security
• publishing annual Continua Design Guidelines for
  end-to-end, plug-and-play interoperability
  certifying products
• Ratified by ITU as global standard for PCH
  technologies
• Defining the path to market by advocating for
  appropriate regulation and promoting investment
• Supporting governments and health ministries
  seeking connected health solutions
• Operating in nations around the globe to promote
  market development

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The Time is Now

• PCHA will coordinate stakeholders in PCH and
  maintain a consumer first position
• Its about the individual
• The technology is available
• Consumers are demanding it
• Nations are implementing it
• We cant afford to miss this opportunity
• The Market will not grow until we reach
  interoperable solutions

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Get Involved with PCHA!
http//www.mhealthsummit.org/subscribe
Web www.pchalliance.org Email
ask_at_pchalliance.org
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Thank You
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Case Examples
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Denmarks National Action Plan for Telemedicine

• Scope
• Secure collection, transmission, storage of
  personal health data from patients homes to
  healthcare providers across the country
• Sharing of medical documents images
• Management of health records, medical
  appointments, etc.
• Objectives
• Ensure end-to-end, plug-and-play connectivity of
  personal health devices establish
  interoperability standards
• Ensure personal health devices services easy to
  deploy, secure convenient for patients
  providers
• Reduce acute care stays
• Enable elderly to live home independently
• Develop chronic disease management programs
• Expand use of telemedicine

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Denmark Centralized Approach to Standards
Adoption

• Mandated national compliance with
  interoperability standards (Continua)
• Pros
• National healthcare IT conformity supports
  large-scale population health and creation of
  cost, operational efficiencies
• Limited systems integration issues during rollout
  and subsequent changes in technology
• Cons limited regional, local influence over
  standards development currently fewer choices in
  devices

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UK Dept of Health 3millionlives (3ML) Campaign

• Based on evidence from the Whole System
  Demonstrator Programme (6,000 person
  telehealth/telecare study)
• Goals
• Improve lives of 3ML people with long term
  conditions, social care needs
• Develop market, remove barriers to delivery (5
  yrs)
• Create environment to support uptake
• Public/private cooperation to simplify
  procurement and commissioning processes for
  telehealth, telecare at scale
• Put NHS and UK industry at the forefront of
  telehealth, telecare globally
• Promote benefits of telehealth and telecare
  services to patients

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3ML Regional Approach to Standards Adoption

• All personal health device providers must comply
  with CEN ISO/IEEE 11073
• Contracting occurs on a local basis
• NHS Worcestershire County and East Shires
  Purchasing Organization have voluntarily adopted
  Continua
• Pros localities maintain maximal control (device
  selection, cost)
• Cons healthcare IT infrastructure likely to
  require significant integration to achieve
  end-to-end interoperability at a national scale

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Catalonia, Spain Regional Approach

• Catalonia, Spain
• Population covered by universal healthcare with a
  mix of public/private providers
• Health Ministry funded ICT organization
  (TicSalut) coordinates standards, integrates
  health and social welfare systems
• 100 of hospitals use EHRS 70 have mobile tools
• Device integration primarily based on Hl7
  standards

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Opportunities Challenges for Big Data

• Opportunities
• Adopt common standards for PHRs to enable data
  aggregation, tracking from multiple consumer
  devices
• A starting point for big data, especially in
  decentralized markets
• Agree upon type, definition and format of
  personal health data relayed from consumer
  devices to a medical records system
• Ex Health Records Network
• Challenges
• Retail and home devices need common standards to
  enable consumer plug and play
• Clinical workflow impact complicates standards
  adoption
• End-to-end standards adoption

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Personal Connected Health Alliance (PCHA)
An alliance and collaboration focused on the
vision of person-centered health and health care
with a mission to deliver interoperable personal
health solutions that foster independence and
empower people to better manage their health and
wellness from anywhere at anytime.  
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PCHA Organization

• Clint McClellan

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PCHA Structure, Governance and Services

• Single Member LLC with HIMSS as sole Equity
  Holder
• Operating agreement defines constitution duties
• Board of Managers
• - Sets strategy
• - Defines objectives organization
• - Plans budget

• Up to 15 Managers elected from Continua Promoter
  ParticipantsCurrent board carries over into BoM
• 5 Managers appointed by HIMSS
• Exec. Vice President represents LLC
• 1 Manager represents in HIMSS WW

• Operational sub-structure
• Operating agreement defines duties
• Council manages
• Guideline development / releases
• Certifications
• Working groups
• Events content

• Up to 15 Members elected from Continua Promoter
  Participants
• Director acts as COO

• Vision and Mission stays unchanged
• Brand will continue unchanged
• WGs structure are the same
• WGs charters processes remain
• Membership dues and benefits stay intact
• Current Continua members will become PCHA
  participants automatically

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Small Changes

• We are dropping the Health Alliance portion of
  Continua Health Alliance now referred to as
  Continua
• Marketing-wise We refer to Continua as a
  Founding member of PCHA
• Continua name still represents the Guidelines and
  Certification
• Continua logos to remain the same and integrated
  into the PCHA logo

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Website Changes

• New PCHAlliance.org website
• Continua website will remain separate as we have
  specific functionality to maintain membership and
  voting processes.
• Continua site undergoing a phased approach to
  integrate with PCHAlliance look and feel.
• Adding new features
• Comment section
• Online request for Guidelines

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Past Events

• What mHealth Summit Europe
• When May 6 8, 2014
• Where Messe, Berlin
• Info http//www.himssme.org/
• Continua was a supporting organization
• Speakerships
• What Continua Spring Summit
• When May 8 10, 2014
• Where Berlin, Germany
• First co-located mHealth Summit and Continua
  Summit

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Past Events

• What eHealth Forum 2014
• When May 12 14, 2014
• Where Anthens, Greece
• Info http//ehealth2014.org/
• -Continua was a supporting organization
• What mHealth Summit Middle East
• When May 28 29, 2014
• Where Abu Dhabi
• Info http//www.himssme.org/
• First Continua Connects Event
• Continua was a supporting organization

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Save the Date!
Continua Summer Summit August 26 - 28,
2014 Montreal, Canada
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Upcoming Events

• July - JWG visit (Chuck and JWG Chair)
• August - Shanghai Bluetooth event
• Sept 15-18 HIMSS AsiaPac mHealth event
• 17-18 Sao Paulo mHealth event
• Oct Partners Connected for Health
• Dec 7-10 mHealth Summit DC
• 9-12 Continua Summit

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mHealth Summit Components

• 400 Exhibiting Companies
• Intelligent Medical Home Pavilion
• Startup Showcase
• Comprehensive Sponsorship Program
• Targeted Pre-conference and Co-located Events
• 5 Keynotes Delivered by Industry Leaders
• 3-Day Core Conference Program
• 2-day, Co-located Global mHealth Forum
• Continua Technology/Interoperability Showcase
• Continua Member Summit

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Global mHealth Forum
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Past Keynotes and Executive Spotlights
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Past Sponsors
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Emerging Markets Incentive
BoD Approved!
This emerging markets incentive qualifies new
members from either a developing region or from a
small company.
Developing Region
Small Company

• A company may qualify if
• less than 20 full-time employees (in all company
  divisions).
• Less than 4M annual gross revenues.
• Less than 4M in total assess (as indicated on
  balance sheet).

A company may qualify by being a company
originating out of a defined Developing Area
(OECD GDP of less than 15K per Capita).

• Qualifying Benefits
• Company pays only 1000 for their first year,
  2,500 for their second and full Contributor
  costs in their third year of Continua membership.
  
• Company receives one free listing fee (subject to
  the listing fee only and excludes the testing
  fee).
• Company may participate in Continua Plugfests and
  Continua Connects (subject to existing fees).
• Company in the Developing Region category will
  receive all Contributor membership benefits
  except they are limited to a maximum of 2
  participants at each Summit. Leadership roles
  are also not available to this category.

To sign-up, please contact Continua
Administration. Admin_at_ContinuaAlliance.org
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Certification Incentives for New Members
BoD Approved!
For New Members

• If you join Continua between now and December 31,
  2014, you get
• All existing benefits of Continua membership
  (CESL code, free Test Tool, matchmaking, etc.).
• PLUS
• Free certification within first year of Continua
  membership.

• Notes Regarding this Certification Incentive
• Only one offer per company/subsidiary.
• Covers certification for one device
  specialization and one transport. Additional
  device specializations/transports follow typical
  fees.
• Does not cover retest fee.
• The deadline refers to the date company is ready
  for certification (device is at Test Lab,
  certification application has been received and
  approved). Actual test completion date is
  dependent on Test Lab volumes.

Join Now
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University Member Incentive
BoD Approved!
This incentive qualifies new members from a
College or University who contribute resources
back to Continua.

• For a limited time period only, until December
  31st, 2014, a College or University may join
  Continua for as little as 1000 (a 5,500
  savings)!
• A College or University may qualify for this
  incentive by stating their goal or intent for the
  use of their Continua membership in what they can
  contribute back to Continua. Contribution
  possibilities may vary but a few examples may be
  as follows
• Provide research for Continua, i.e., similar to
  what may be required as part of a request for
  grant.
• Become reviewers of Continuas test tools,
  guidelines and documents, providing inputs based
  on their use and understanding of the industry
  requirements.
• Use Continuas tools to demonstrate complete
  End-to-End Plug-n-Play interoperability.
• Create educational materials that incorporates
  the key technical or business concepts of
  Continua while utilizing them in daily teaching
  activities.
• Many other possibilities exist, just provide your
  ideas for contributing back to Continua.
• Access to Continuas membership portal is
  available to the College or University staff
  only.
• Please note that Continuas Bylaws, due to
  intellectual property rights, do restrict
  educational entities from participating in the
  Technical Working Group (TWG), the Use-case
  Working Group (UCWG), gaining access to draft
  Continua Design Guidelines and in certifying
  devices. Each university would need to be
  nominated by two Continua Board members and to
  sign an agreement with Continua.

• Qualifying Benefits
• College or University pays only 1000 annually
  for Contributor Level Membership.
• College or University will have full access to
  Continua CESL and Test Tools.
• College or University may participate in Continua
  Plugfests and Continua Connects (subject to
  existing university fees).
• College or University will receive all
  Contributor membership benefits except they are
  limited to a maximum of 2
• participants at each Summit. Leadership roles
  are also not available to this category.

Join Now
To sign-up, please contact Continua
Administration Admin_at_ContinuaAlliance.org
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Adopter Member
Approved by Continua Council, Need PCHA BoD
Approval
Incentive for Self-Certifying your Device or
Service
Companies can receive a significant savings on
membership and certification if they join
Continua as an Adopter member and self-certify an
Agent or Service within their first year of
membership.

• Qualifying Benefits
• Company pays only 1000 for their first two
  years, then 3,000 for their third year. At the
  fourth year and beyond, Company selects to either
  continue paying for Adopter level at 3000 and
  pay for tools, meetings, Plugfests, and testing -
  or move to the annual Contributor membership fee
  (6,500).
• Company receives one free listing fee (subject to
  the listing fee only and excludes the testing
  fee).
• Company may participate in Continua Plugfests and
  Continua Connects (subject to current posted
  fees).

• Notes on Adopter Membership
• Access to CESL libraries will require fee or
  upgrade to Contributor membership.
• Access to draft Guidelines or to internal Working
  Groups is not allowed.
• Additional fees may be required for participation
  in Showcases and Demo centers.

Join Now
To sign-up, please contact Continua
Administration Admin_at_ContinuaAlliance.org
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Continua Test Labs
Berkshire UK
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Thank you!