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Copyright© 2014 Continua Health Alliance ® All Rights Reserved
Of chicken and eggs:market barriers and opportunities in personal connected healthMichael Strübin, Programme Manager Europe
Session “eHealth Market Development ”eHealth Forum, Athens, 13 May 2014
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International industry association
Open
International
Continua Health Alliance Confidential
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Mission
“Our Mission is to establish an ecosystem of interoperable personal connected health systems that empower individuals and organisationsto better manage their health and wellness”
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Where to find personal connected health?
Living Independently Longer
Wellness
Manage Chronic Conditions
People are at the center of everything we do
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Continua unique value proposition
The only organisation to focus on interoperability from the patients to the caregivers.
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The only organisation to provide clear, detailed, ready-to-use guidelines based on existing standards
(HL7, IHE, SNOMED CT…).
clear
detailed
ready-to-use
Continua unique value proposition
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The Continua Health Alliance provides a certification program and assistance.
Continua unique value proposition
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Healthcare Provider A
Healthcare Provider B
Healthcare Provider C
data repository
data repository
HEALTH ECOSYSTEM
data repository
data rep.
data rep.
data rep.
hosting
NO BIG DATA
Without Continua, several devices = several interfaces
RECEIVERS„ MANY INTERFACES
devicespeople
HC Provider A
HC provider B
HC Provider C
WAN
gateways
Continua Health Alliance Confidential
Interoperability platform
Research
Care mgmt.
Pharma
services
CLOUD
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With Continua, several devices = one interface
Continua Health Alliance Confidential
Healthcare Provider A
Healthcare Provider B
Continua
Translator
Platform
HUB
Healthcare Provider C
Research
Care mgmt.
Pharma
data repository
data repository
data rep.
data rep.
data rep.
WANCLOUD
gatewaysdevices Interoperability platform
hosting services
people
SENDER‟sINTERFACE
HEALTH ECOSYSTEM
data repository
HC Provider A
HC provider B
HC Provider C
BIG DATA
RECEIVERS„ UNIQUE INTERFACE
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Healthcare Provider A
Healthcare Provider B
Healthcare Provider C
data repository
data repository
HEALTH ECOSYSTEM
data repository
data rep.
data rep.
data rep.
hosting
All devices = Continua, one interface
devicespeople
HC Provider A
HC provider B
HC Provider C
WAN
gateways
Continua Health Alliance Confidential
Interoperability platform
Research
Care mgmt.
Pharma
services
RECEIVERS„ UNIQUE INTERFACE
CLOUD
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Without Continua
Continua Health Alliance Confidential
integration
rollout
security
reliability cost
maintenance
several devices = several interfacesseveral interfaces = several data modelsseveral data models = several applicationsseveral applications = several portals
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With Continua
Continua Health Alliance Confidential
several devices = one interfaceone interface = one data modelone data model = one applicationone application = one portal
integration
rollout
security
reliability cost
maintenance
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Guidelines versus standards
• Continua is industry association (no SDO)
• EC’s eHealth InteroperabilityFramework in July 2013endorsed Continua
• ITU adopts Continua guidelines in December 2013
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Market situation
So all is good, right?
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Misaligned incentives
Lack of demand for
interoperable devices
Fewer interoperable
devices available
(Public) buyers cannot require
standards compliance
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Successful market adoption
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The old days…
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Beginnings…• 1994 founding of USB Alliance:
Compaq, DEC, IBM, Intel, Microsoft, NEC, Nortel
• Prototype in 1995• Standards in 1996 • USB 2.0 in 2000• Slow uptake:
– Incentive to produce to old ports– Lack of demand for USB compatibility
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Market adoption accelerator…
Apple iMac G3
Introduced in 1998
No 3½ inch diskette drive
Only USB ports
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LessonsUSB• Apple’s dominance
spawns • Rising demand for
USB creates• Incentive to produce
USB devices means• Death to the old ports
Successful ecosystem
Connected Health• No prevailing
interoperable standard• Limited demand for
compliant devices• No incentive to produce
/ bring to market
Dormant ecosystem
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Who buys PCH?
• Consumer market slow to emerge• Public buyers dominate field• Subject in their decisions to legal
requirements• Mandate for interoperability
compliance can be difficult – to insert in tenders– to enforce against the market
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Market situation
• Buyers prefer one-stop-shop– Regions/countries contract with (international)
companies – Small buyers (hospitals, projects) work with
local integrators, bespoke solutions• Limited incentive for companies to
promote interoperability compliant devices
Most buyers wait
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Opportunities • Some countries move to official
endorsement of interoperability guidelines• “Demand push” accelerates
market development• Vendors are bringing
devices to market• Creates competitive field of
compliant devices• Hope for spillover effects
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Governments requesting Continua
UK (NHSWorcestershire)
Japan WG
Denmark
Singapore
SE Asia WG
Australia WG
India WG
Brazil WG
Abu Dhabi
= Adopting Continua
= Continua Work Group
US Veterans Administration
& US Department of
Defense
US WG
Japan
EU WG
UAE WG
Thank you!
Michael Strübin [email protected]
For more information or to join Continua Health Alliance…Sign up for our [email protected] our websitewww.continuaalliance.orgFollow us on
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Already Complete: Interfaces & Standards
HealthRecordNetworkInterface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio / Strength
Medication
Adherence
Glucose Meter
Pulse /
Blood Pressure
Thermometer
Physical Activity
Peak Flow
AggregationManager
DeviceConnectivity
WideArea
Network(WAN)
Interface
TelehealthServiceCenter
HealthRecords
EHR
PHR
HIE
NHIN
CCD
PCD 01
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Continua BT Profiles
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Supporting Participants
Continua Health Alliance Confidential 29
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Industry Liaisons
Continua Health Alliance Confidential 306/19/2014
