Henrik L. Ibsen, CEO

hibsen@Silverbullet.dk

+45 30701155

• Open Source/license free

• Initial budget $1,5 mio USD

• Large scale focus

• Complete coverage

Denmark - the danish healthcare strategy

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Home Health Monitoring Market

Business opportunities

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Portable devices for measurements and end user interaction

Clinicians view designed to handle large scale remote monitoring

Monitoring data

Feedback from clinicians

Remote monitoring issues

Existing problems: (solved by Open Tele)

• Systems are too complex and ambitious (Keep it SIMPLE!)

• Not designed to be efficient or scalable (Design for scalability)

• Expensive by license fee’s, prohibitive pricing (Target <$35 pt/year)

• Proprietary hardware is complex and expensive (Use COTS)

• Systems are designed to specific diseases (All in 1 platform)

• Few and scattered references (Implement a whole nation)

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OpenTele approach

At schedule the patient

execute the workflow

Data send to the

OpenTele DB

instructions to remain

calm for 10 minutes

Data is obtained -

- using std. devices

Patient goes to hospital

Questionnaire is pushed to patient

tablet, and activated when it’s time!

or perhaps.…

Patient has an online video

conference with the doctor

TIME!

Doctor reviews data

and takes action

Doctor creates questionnaire with

clinical pathway for COPD with schedule

Context, Data & Facts

Automatic or Manual input

• Blood saturation/pulse

• CTG

• Blood pressure

• Weight

• Glucose in blood

• Lung function (spirometer)

• Continual glucose measurement

Manual input

• Temperature

• Glucose i urine

• CRP

• Hemoglobin

• Protein i urine

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COPD Questionnaire/workflow

• COPD workflow

• Patient follows clinical pathway

• Instructions -> Context +

• Q&A -> Diagnostic data +

• Measurements -> Facts

The workflows can be quite complex, and

work as part of diagnostic efforts, for specific

diseases - thus extending monitoring to also

include fact-finding and document

changes/development in the patient condition.

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Clinical Value

OR ?

$2.80 / Month

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Scalability

10% of users 20% of users

85% of users

High Clinical quality

Bluetooth/Manual

High Clinical quality

Bluetooth/Manual

BYOD

Manual

• Hospitals: massive cost reductions by allowing the patients to take

measurements at home. Patients save time, are checked more often, and feel empowered.

• Hospitals: Much better resource utilization and huge savings on medico equipments, by utilizing empty beds for patients, equipped with a low cost tele kit instead of expensive fixed equipment

• Health insurance companies are able to systematically prevent people from

hospitalization, because conditions are caught early and treated by GPs rather than at the Hospital.

• Large HealthIT provider benefit from cost effective cloud based platform,

and provider can focus on rollout and logistics delivered.

• Pharma companies mandated to document adherence and compliance to

maintain reimbursement. Support ambitions to value add to their products by providing IT support for home care and telemedicine.(Chronic diseases)

Potential utilization

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Potential utilization

• Industrial companies that need to monitor critical personnel on a daily basis for security reasons (Like off-shore, shipping, mining etc)

• Public administrations (Health) are able to launch regional projects for screening large groups of citizens, or even focus on home for elderly or schools. Preventional programs can be added.

• NGO’s can have access to remote monitoring and diagnostic equipment – increasing range, possibilities and efficiency of their healthcare efforts

• 3rd world governments seeking to stretch very few clinical resources over vast geographical areas, as well as utilizing overseas specialists and doctors.

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Status of OpenTele

Silverbullet has developed OpenTele has Open Source for Danish Government

Live version of OpenTele is maintained by SilverbulletDevelopment, changes and support agreement with Danish Government

Live from 1/9 2013 - large scale

2000+ patients is using OpenTele as per 1/8 2014.

2nd version of OpenTele to be delivered before 1/1 2015.

CE mark Medical device class II by Q2 2015 - deliverable through cloud technology

SignOn in DK by 3 regions and 10+ municipalities including CPH Municipality. More to come.

Part of the governments national roll-out strategy

Thank you for your attention!