Ofer Atzmon VP Business Development and Marketing

Are M2M Health Applications

Going to Replace our Doctors?

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Topics of This Presentation

M2M Health Definitions

Market Trends

Case Studies

Will M2M Health Applications Replace Our Doctors?

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Introduction and Definitions

Source: www.m2mnow.biz

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Aerotel Medical Systems A global provider of fixed and mobile personal remote monitoring solutions

Based in Holon

Privately held, 22 employees

Customer base in 50+ countries

Developing M2M Health applications since 1996

Definitions

M2M (machine-to-machine) - technology that supports wired or wireless communication between machines

Telemedicine or Telehealth - the use of information and communication technologies (ICT) for the delivery of health services and information over a distance

mHealth (mobile health) - telemedicine services, supported by mobile (wireless) devices or technologies

M2M Health - Telemedicine where data is transmitted with minimal human intervention

5 Sources: WHO, ATA

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M2M Health is actually M2H or H2M

Source: Ventura Team Analysis, 2010

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M2M Health System: The Vision

Image Credit: Luis Vazquez/Gulf News

Mobile Patient

Cloud

M2M Health Systems

M2M health systems can be useful for early detection of acute conditions and for prevention of deterioration

For example, vital sign monitoring, such as blood glucose or heart ECG for homebound patients

They can monitor not only physiological parameters but also environmental conditions, such as humidity, temperature

M2M Health systems can be part of a smart garment or worn as an accessory

Sensors can be embedded and/or external

Patient is usually connected to a medical monitoring center

Communication links include fixed phone lines, Internet or cellular connection

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Wireless Technologies are a Key to M2M Health

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Benefits of M2M Health

Doctors are scarce and their time is valuable

Telemedicine can allow doctors to see more patients within given time

M2M tracking systems can watch patient’s location and conditions

Monitoring can automatically alert a doctor or healthcare facility when necessary

Portable, wearable and even implantable sensors can monitor vital signs and provide the data to healthcare providers

Real-time information can mean the difference between life and death in many situations

Telemedicine helps reduce the high costs of serious diseases and improve quality of life

Source: T-Mobile

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Main Market Trends

Consistent Growth for Home Telehealth

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Source: Berg Insight

Source: Parks Associates

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M2M Health Revenues to Triple by 2015

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M2M Health is Driven by Consumers, not Patients

The majority of M2M connected healthcare devices will be consumer-oriented applications

However, the majority of revenues will come from the non-consumer segment, due to the significantly higher average cost of such devices

More than 50 million wireless health monitoring devices will ship for consumer monitoring applications during the next five years, with a smaller number for managed telehealth systems

Consumers want to be able to monitor and manage their own health at home

Medical devices bought by consumers to self-monitor their health will account for more than 80% of all wireless medical devices in 2016

Increasing availability of home sensors (such as blood pressure monitors) to track and upload information in real time via a wireless or wired connection

Source: IMS Research - Wireless Opportunities in Health and Wellness Monitoring (05/2012)

Machine-to-Machine (M2M) Communication in Healthcare (05/2012)

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Cade Studies

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Use Case (1): ECG Monitoring at Home

Source: Global Industry Analytics (GBI)

ECG monitoring is growing in demand due to:

the rise of the aging population,

increasing incidence of cardiovascular diseases

growing number of people receiving home care

demonstrated costs/benefits

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Personal ECG Monitoring

Personal Mobile ECG

Monitor

Monitoring

Center

Fixed or Mobile

Phone

BT

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Remote ECG Monitoring – The Benefits

Reduced hospital admissions by 30%

Reduce death rates by 45%

Peace of mind for high-risk patients

High satisfaction rate by users and medical professionals

Significant cost savings:

UK NHS study (2007) found that return on investment is 3.5 months(!)

Use Case (2): Chronic Disease Management 200 million patients in the EU and the US suffer from chronic diseases

This will increase dramatically by 10%-20% over the next 10 years

According to the World Health Organization (WHO) chronic diseases are the leading cause of mortality, representing 60% of all deaths

Prevention programs can provide valuable information, eliminate risks and enable effective decision making and timely intervention

Insurance companies try to lower their expanses and reduce hospital admissions

The result: Significant growth in home monitoring of chronic diseases

The enabler: M2M

19 Source: GBI, Juniper Research, Berg Insight, InMedica

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Aerotel’s M2M Homecare Hub

Connected World 2011

Value Chain

GOLD Award

in

Home Health

Cost-effective, easy to use homecare hub

Specifically intended for daily monitoring of various clinical parameters

Wired or wireless (Bluetooth) connectivity with various sensors

A wide range of sensors to choose from

Three models offering a flexibility of connection types : Connect-CELL™ - Cellular (GPRS) connection Tele-Modem™ - Fixed phone connection Connect-LAN™ - IP (LAN) connection

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Home System for Chronic Disease Management

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Case Study: “The Do-It-Yourself House Call” Remote-Monitoring Technology Leads Heart Patients to Take Their Readings at Home From the Wall Street Journal, July 27, 2010 (click to read full article)

Ms. Brown's blood-pressure reading and

transmission devices.

'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.'

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Demonstrated 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

Cost savings: $6,300 for a Medicaid heart patient's typical hospital stay vs. a $626 wireless monitoring system (10:1 ratio)

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Case Study: Home Monitoring of COPD Patients (Spain)

Source: Princesa University Hospital (Madrid), Air Products

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COPD Study Outcomes

days in hospital

visits to

emergency

units

hospitalizations

Telemedicine

(M2M) Group

Control Group

Source: Air Products

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GeoSkeeper™ – Mobile Personal Emergency Response System (MPERS)

SMS

emails

Panic button

3 speed-dialing numbers

GPS

Geofencing

GSM Cellular Network

Hands free cellphone, with GPS 911 or medical alert center

Primary doctor

Caregiver, daughter or son

Grandchildren

Text/e-mail alerts are sent to caregivers or call center when panic button pushed or during critical events

activity monitoring, fall detection

Automatic Alerting When Patient Wanders or Falls Three out of four Alzheimer's patients wander*

The device can send electronic alerts about the user’s location

Can create automatic voice calls, send SMS or emails

Automatic alerting of falls or non-activity

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* Source: The editorial staff of www.everydayhealth.com. © 2010 www.Everydayhealth.com

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Are M2M Health Applications Going to Replace Doctors?

The use of M2M technologies can automate many tasks

It overcomes distances and saves valuable time and costs

However, professionals still need to review and analyze the data and take informed decision

Currently M2M health applications are still limited to M2H (H=Doctor)

Doctors also play an important role in promoting and specifying M2M health systems

Therefore, we believe the doctors will continue to play an important role and will remain part of the equation for many years to come

Thank you

תודה רבה

Ofer Atzmon VP Business Development and Marketing +972-3-5593222 ext. 109 ofer@aerotel.com www.aerotel.com