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© 2016 Qualcomm Life. All rights reserved.
Internet of Medical ThingsYury Rozenman, Qualcomm Life, Business Development
April 19th, 2016 / London, UK
//////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////Smart phone adoption is unprecedented2X faster than internet, 3X faster than social media
Sources: Pew Research, Ever Accelerating Rate of Technology Adoption, March 2014 Nielsen Telecom Research and Insights, Sept. 2011
50
40
30
20
10
0 1870 80 90 1900 10 20 30 40 50 60 70 80 90 2000 10 2014
Electricity (46)
Telephone (35)Radio (31)
Television (26)
PC (16)Mobile Phone (13)
The Web (7)
2014 Smart Phone (3 years)
// FIRST COMMERCIALLY AVAILABLE YEAR // // #
of y
ears
to
reac
h 25
% a
dopt
ion
in t
he U
S //
//
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Service Industries Over 20 Years…Then and Now…
To Mobile ShoppingMobile BankingMobile Reservations
From In-store ShoppingBanking TellerTravel Agents
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4
How Does Healthcare Compare?
Facility basedInconvenient
DelayedManual
DisconnectedEpisodic
Unaffordable
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PRIMARYCHRONIC DISEASE
COMPLEXCHRONIC DISEASE
$80B
Amateur Athletics
Consumer Fitness
Fitness/Exercise
Stress Management
Diabetes
Hypertension
Metabolic Syndrome
Trauma / Burn
Myocardial Infarction
Pulmonary Failure
Stroke
Surgery
Critical Care
$350BFITNESS
WELLNESS
$10B
$3000/day$300/day$3/day$0.30/day
Heart Failure
COPD
CAD
Cancer
Renal
MDD
ACUTECARE
Heart Failure
COPD
CAD
Cancer
Renal
MDD
HEAL
TH &
VITA
LITY
(CAK
E)DEATH
HHome Care Hospital Care
$3000/day$300/day$3/day$0.30/day
Spectrum of Care
//
//
////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////Internet of Medical Things (IoMT) Connects…Home
Diagnostics Therapeutics Biometrics
//
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8© 2015 Qualcomm Life. All rights reserved.
IoMT for Home Diagnostic, Pharma, and MedTechValue Based Care
• Pay for outcomes• Diagnostic + Therapeutic +
biometric documented outcome• Adherence and compliance• Reduce unnecessary
hospitalizations• Better, faster, cheaper clinical
trials
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© 2015 Qualcomm Life. All rights reserved. 9
INTEROPERABLE DEVICE DATA CAPTURE ON A COMMON PLATFORM
Patient EngagementCare CoordinationIntensive Monitoring
IoMT from Hosptial to Home and All Points Between
Point of Care Validation of Vitals
FDA Cleared Device & Sensors
Single Device Platform
Secure Pt. & Data Association
Unified Analytics & Alerting
Acute Hospital Sub-Acute: Clinic, Long TermCare, Skilled Nursing Facilities Home, Wellness, Wired & Wireless
Analytics Physical Alerts
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////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////“Mobilisation” of Clinical Trials (Lessons Learned)
10
BYODMobile Devices Healthcare Device Connectivity
Mobile Operating Systems
Remote Device Management
MCD/HCD Testing & Validation
Mobile Broadband Service
Connectivity Standards
Mobile Operations
Relying on consumer’s own smartphone & tablet introduces many uncontrollable variables that need workaround processes. The first step is to understand the risk areas.
Understanding and being able to drive the mobile device landscape which is the endpoint that all these devices connect and drives the experience the patient has
Making previously disconnected healthcare devices wireless and making them interoperate well together
Wirelessly managing medical and mobile devices in the field with
upgrades and improvements without impacting patient experience
Mature processes and infrastructure to manage issues proactively before customers notice them and when customer-impacting issues occur, manage through them effectively
Leading the industry to work with medical device and mobile device industry to drive standards towards a more interoperable and seamless future
Managing and monitoring wireless carriers globally within an integrated experience to ensure a seamless experience with security, reliability and without data loss
Testing all the thousands of combinations of medical devices against thousands of combinations of each mobile make, model and OS version to ensure “it just works”
Managing the fragmentation of Android with IOS & Android rapid upgrade cycles within slower medical device cycles and meet medical device quality standardsUniquely driving the
mobile device world and the connected health world to enable both worlds to work together for the benefit of patients and trials
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Backup Examples
© 2014 Qualcomm Life. All rights reserved. 11
//
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Medtech Example: Remote Chronic Care Management
© 2015 Qualcomm Life. All rights reserved. 12
• Create a frictionless solution to facilitate increased home testing for improved Warfarin therapy management
- Added convenience for patient- Informed interventions for provide- Reduce unnecessary hospitalizations and complications
resulting from sub-optimal Warfarin therapy management
- >500,000 patients on Roche Coaguchek today
Roche Diagnostics
“At its core, point-of-care diagnostics have a singular and elegant focus: to provide patients and their physicians with reliable, medically-relevant results when and where they need them.”1
1 Dr. Alan Wright, Chief Medical Officer, Roche Diagnostics
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13
AirView Care Management’s connected respiratory patient management platform, leverages the 2net and HealthyCircles Platforms
Dynamic tracking of respiratory rate, tidal volume, minute ventilation, usage
Aggregation and visualization of data for exception management
Wireless capture and transmission of custom Care Management checklist
© 2015 Qualcomm Life. All rights reserved.
//
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Clinical Trials
Pharma Example: Digital Medicines
14
One pharma customer, millions of units in addressable market with common solution
© 2015 Qualcomm Life. All rights reserved.
Heart Failure
Asthma• Same Breezhaler platform• 2018 Asthma drug
planned• >100M devices• 10-20M connected
• Entresto Heart Failure Drug• Companion diagnostic +
nurse monitoring service
• Trials of the future program
• >500k patients on Novartis trials at any time
• 100k new patients each year
Chief Executive Joe Jimenez said Thursday Novartis was “looking hard” at going to insurers with add-on services intended to further improve outcomes for patients on Entresto. He said this could involve providing a device that allowed doctors to monitor patients remotely so they could pick up on early signs of deterioration. “If you had a remote patient-monitoring device that the patient could use in their home together with Entresto, we could make an even more serious dent in hospitalization,” he said in an interview with The Wall Street Journal.
COPD• Breezhaler platform• 4 COPD drugs• >100M devices• 10-20M connected
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Walgreens Balance Rewards for healthy choices™ program integrated with 2net rewards patients for being engaged in their health care
15© 2015 Qualcomm Life. All rights reserved.
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© 2014 Qualcomm Life. All rights reserved. 16
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