Personal Connected Health Alliance - Applications to Diabetes Care

Horst Merkle Vice Chair of the Board, PCHA

Director Diabetes Management Solutions,

Roche Diagnostics Operations Inc.

DiabetesMine D-Data Exchange, San Francisco, June 13, 2014

Linking individuals with interoperable, personalized health solutions that meet their lifestyles.

Empowering Individuals to Better Manage Their Health

PCHA: A Historic Collaboration Continua Health Alliance, mHealth Summit & HIMSS

3 Continua Health Alliance Confidential

6/11/2014

Personal Connectred Health Alliance

Continua Council

mHealth Council

HIMSS Worldwide

Ecosystem Enablement • Plug&Play Interoperability • Standards Development • Product Test & Certification • Health Policy & Regulatory Advocacy

Thought Leadership • Thought Leadership • Industry, Government, Provider Networking • Education, Awareness & Publicity • Standards Adoption

Global Access, Recognition & Leadership

Clinical, Hospital, Enterprise Environment

Consumer, Individual, Physician Office Environment

PCHA Features • PCHA: Worldwide presence to promote local,

regional and national public policy, advocacy and market development

• Continua: Global plug-and-play interoperability Design Guidelines and Product Certification program

• mHealth Summit: Unmatched industry education, thought leadership and networking

• HIMSS: International leadership in hospital-based health technologies

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.

PCHA Mission

Drivers for Personal Connected Health Pressure on Healthcare Require New Care Models

Source: DB Research 2010

• Aging population in industrial countries à increase of age-related diseases

• Care of elder highly correlated to development of population

Demographic Change

Increase of Chronic Diseases

High Health Care Expenses

Provision of healthcare

• Worldwide increase of chronic diseases

• Compounding impact on expenses due to increasing rate of chronically ill children

• For Europe the number of diabetics will increase from approx. 55 m in 2011 to 66 m in 2030

• 70-80% of health care expenses account for chronically and long-term illnesses (US $~780-900 bn/y)

• Diabetes costs the US health care system $ 170 bn/y

• Decreasing number of regional hospitals

• Reduction in hospital beds

• General practitioner care is declining

• Housing situation and lack of transportation affect access to care

Declining access

to quality medical care for

many

Accelerated increase of

chronic diseases

Continuous rise of health care cost

(payer and patient)

Insufficient number of working population to finance the health care

system

• Technology allows for secure lines of communication between health care

providers outside the exam room • Care moves from episodic to more data driven, on demand consultations • Increased utilization of remote monitoring and therapy adjustments (CDS) • Links to social networks become a source of positive reinforcement • Individuals are more engaged in disease- and health-self-management

• Consumer-collected data can enrich healthcare for individual patients and patient populations

PCH Creates an Informational and Motivational Environment for Health Improvements

Expected Benefits: Better use of resources, overall cost reduction, improved clinical outcomes,

improved standards of care, increased motivation, lifestyle change à Health management part of individuals’ everyday life ß

Main Risk Factors

Continuum of Type 2 Diabetes

Healthy Pre-Diabetic

Diet & Exercise

Oral Meds

Fixed Insulin

Flexible Insulin

Insulin Pump

Health & Fitness – non-regulated highly regulated - Medical

• Impact on Life Style • Complications • Co-morbidities

Obesity Inactivity Family history Race, ethnicity Hypertension

Age Obesity Inactivity Hypertension

Glycemic Control Obesity Age Inactivity Hypertension

Glycemic Control Obesity Inactivity Age

Glycemic Control Obesity Age Inactivity

Glycemic Control Obesity Age Inactivity

• Effect of Exercise Nutrition & Life Style

Person with Diabetes

} Fear of hypo glycaemia } Deficient glycemic control } Long-term complications } Inconvenience of self management } Self motivation / engagement

} Shortage of Specialists } Lack of time } Insufficient data } Lack of decision support

Every action of self-management is a significant intrusion on “normal” living

Despite of patient self-management,

accountability falls on the Provider

Health Care Provider

Different Realities, Shared Challenges

Technology brings the Worlds Together

<<<<<<< Interoperability >>>>>>

Technology brings the Worlds Together

<<<<<<<<<<<<<<<<<<<<<< Interoperability >>>>>>>>>>>>>>>>>>>

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

• More robust & reliable communication: Higher customer satisfaction

• Forward/backward compatibility: longevity of devices • Easy to expand or add new programs/products with

plug-and-play

Envisioning A Better Way: Interoperability

* Price Waterhouse 2011 ** Continua member survey estimates factor 3-5 cost savings potential for certain devices

Consumer Benefits: Choice, Innovation, User-Experience, Quality-of-Life, Safety

• Continua 2014 Design Guidelines are accepted by ITU-T as official, global standard (H-810)

• FDA acknowledges IEEE 11073 interoperability standards. Continua developed the “Device Profiles” of the seven mentioned devices – including Glucose Meter profile (10417)

• Globally, policy makers & regulators recognize interoperability as key for successful mHealth implementation

• Continua/PCHA to expand guidelines for Diabetes

– Insulin Pump data read-out (2015) – Insulin Pump control & command (2016) – Continuous Glucose Monitoring (CGM) (2016)

Envisioning A Better Way: Standardization

* Price Waterhouse 2011 ** Continua member survey estimates factor 3-5 cost savings potential for certain devices

Envision A Better Way: Adoption • New regulations and incentives transform healthcare delivery, putting

consumers at the center of their care

• Governments around the world demonstrating significant interest in adopting personal connected health

– USA: Affordable Care Act features comprehensive health insurance reform to improve the quality and patient access to care in the US

• Meaningful Use Stage 2 to integrate patient created data

• MU Stage 3 to address population health

– UK: 3million lives initiative changes care delivery using connected health tools for citizens with chronic conditions (includes Diabetes). Continua adopted as interoperability framework

– Denmark: Nationwide health IT framework mandates compliance with interoperability standards (Continua).

– Singapore, UAE take similar steps to implement significant changes in HIT and to adopt Continua based interoperability “To make it clear in

Denmark the government is part of the solution”

The Time is Now With the expanded scope and reach of the PCHA, we will coordinate all stakeholders in Personal Connected Health The market is forming and interoperability is a key driver: • Consumers demand it • Technology is accessible • Standards are available • Nations start implementation • ………..

Get Involved with PCHA!

Web: www.pchalliance.org

Email: ask@pchalliance.org