Virtual Care Reality & Accelerators to Scale - James R. Mault, MD, Qualcomm - TFSS Keynote

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Virtual Care Reality and Accelerators to Scale

James R Mault, MD, FACS VP & Chief Medical Officer

Virtual Care Platform …Circa 2001

In the Blink of an Eye…

Pope Benedict XVI Pope Francis

Smart phone adoption is unprecedented 2X 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 2008

Electricity (46)

Telephone (35)

Radio (31)

Television (26)

PC (16)

Mobile Phone (13)

The Web (7)

Smart Phone

(3 years)

// FIRST COMMERCIALLY AVAILABLE YEAR //

// #

of y

ea

rs t

o r

ea

ch

25

% a

do

ptio

n in

th

e U

S /

/

Qualcomm Global Wireless Mobile Pioneer

(4), (5), (6) and (7) See footnotes included in the appendix section at the end of the presentation ^Source: Qualcomm Incorporated granted and pending patents as of Jan.’16; licensee count as of Jan. ’16 ** Guidance as of Jan. 27, 2016.

***Sources: IHS, Jan. ’16 (RF); Strategy Analytics, Dec. ’15 (modem, AP)

932M MSM chipsets shipped in FY2015

170+ single-mode 4G only licensees^

295+ 3G licensees^ 1.56B 3G/4G

Est. global

devices shipped

in CY2015 **(4)

119,000+ Total worldwide patents^

#1 in 3G/4G LTE modem

Scale, reach and technology/IP powerhouse

#1 in RF

Technology leadership***

Why we win

#1 in smartphone apps processor/SoC

Mobile everywhere

~7.3B

*GSMA Intelligence, Jan. ’16

Global cellular connections*

Richer content

(video)

More

connections

LIVE

Mobile 2G Mobile 3G Mobile 4G Mobile 5G D-AMPS,

GSM/GPRS,

cdmaOne

CDMA2000/EV-DO

WCDMA/HSPA+,

TD-SCDMA

LTE, LTE Advanced,

LTE Advanced Pro

<0.5 Mbps (5) 63+ Mbps (6) More than multi Gbps 1+ Gbps (7)

5G Represents an Exciting Future State

Mission-critical services

Enhanced mobile broadband

Massive Internet of Things

Networking Smartphones Robotics and drones

Automotive Health Smart cities Smart homes Wearables

Unified design for all spectrum types and bands from below 1GHz to mmWave

• Ultra-low latency

• High reliability

• High availability

• Strong security

• Multi-Gbps data rates

• Extreme capacity

• Uniformity

• Deep awareness

• Low cost

• Ultra-low energy

• Deep coverage

• High density

Mobile compute

© 2015 Qualcomm Life. All rights reserved.

Qualcomm Life Vision:

Intelligent care everywhere

7

Capsule Platform

© 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved. 8

Continuous data for near real-time monitoring and informed interventions

60

15

95

High Acuity Patient

Monitor

Neuron

HIGH-ACUITY PATIENT ROOM CONTINUOUS DATA COLLECTION

Infusion Pump

SmartBed

00

00

00

00

00

Urimeter Ventilator Dialysis Intra-aortic

Balloon Pump

Documentation

• Enable Increased time at bedside

Surveillance • Respond proactively to trends

Alarm Management • Inform interventions with context

2net Platform

ENCRYPTED

Expansive

Ecosystem

2net Hub or 2net Mobile App

2net Platform ENCRYPTED

Ecosystem of 2net application partners

2net Design

9 © 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.


Near Real-Time Data Spanning Care Settings

A single flexible connectivity and integration partner

• Continuous data capture and integration across acuity levels for actionable

clinical and operational insights

• Capture and transmission of near real-time data to the 2net cloud

Hospital High Acuity Hospital Low Acuity Postacute Care Ambulatory RPM Preventative Care

Expansive Vendor Neutral Ecosystem

• Open device and application agnostic design

• One of the world’s largest connected health ecosystems

2,355

Companies spanning the health care

spectrum

796

Capsule device integrations

100+

2net device integrations

48

EMR and Health IT systems integrations


Intelligent Care Enables New Healthcare Services


Cloud-based

Intelligent Services via

Prescriptive Algorithms

© 2015 Qualcomm Life. All rights reserved. 13


All things being relative…

• US Physician visits per year: 928.6 million

• Number of visits per 100 persons: 300.8

• Percent of visits made to primary care

physicians: 54.6%

• Most frequent principal illness-related

reason for visit: cough

• Most commonly diagnosed condition:

arthropathies and related disorders © 2016 Qualcomm Life. All rights reserved. 16

Virtual Care / RPM Adoption Curve

Late Majority Early Majority Laggards

Accelerators for

Scalable Clinical

Adoption

Connected

Care

Critical Factors

To win over

early adapters

Innovators

Connected

Care Pilots

Early Adopters

Early Drivers

Entice Early

Adopters


• Provider Work-Flow Systems & Processes

• Value Propositions & Outcomes Data

• Somebody Willing to Pay for Tech & Service

• Medical Grade Accuracy / Reliability

Critical Accelerators

for Adoption

• Effortless Patient Experience

Effortless Patient

Experience

21

Will Doctors Trust the Data?

SOURCE: HRI Clinician Workforce Survey, PwC, 2014

Mobile app/device that

can check for ear infection

Mobile app/device that

can analyze urine Mobile app/device that

can monitor and check vital signs

74%

26%

53% 47% 48% 52%

Not comfortable Comfortable

Medical Grade

Virtual Care and RPM – Medical Grade Matters


• A highly secure, HIPAA compliant device connectivity platform

is a recognized need by the healthcare market

• Clinical Accuracy

• Reliability and Data Integrity, and

• Medical – Legal Liability

• FDA Quality Systems, documentation, and audit trails

• Qualcomm Life 2net and Capsule Platforms are the market-

leading Medical Grade Interoperable Platform Encompassing

all Care Settings


The AMA “Digital Snake Oil” Quote

“From ineffective electronic healthcare

records, to an explosion of direct-to-consumer

digital health products, to apps of mixed

quality - it's the digital snake oil of the early

21st century.”

- James L. Madara, MD, AMA CEO

»AMA Annual Meeting, June 2016


• Provider Work-Flow Systems & Processes

• Value Propositions & Outcomes Data

• Somebody Willing to Pay for Tech & Service

• Medical Grade Accuracy / Reliability

Critical Accelerators

for Adoption

• Effortless Patient Experience


First and only Bluetooth Smart-‐enabled pregnancy

test on the market. First Response™ Pregnancy PRO

connects to a woman’s smart device through a

mobile application. When synced, the app provides

her with pregnancy-‐related content only available

with Pregnancy PRO, and delivers a personalized user

experience throughout her entire pregnancy journey.

IoMT Drug Device Integration

© 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.

Integrated sensor design and tech licensing

Secure capture and transmission across settings

• Analysis of triggers and responses

• Mobile patient guidance

• Secure sharing across care team

IoMT Medical-Grade Infrastructure


Flexible secure gateways and wireless designs

Interoperability across an expansive ecosystem

• Rapid solution development through

ecosystem partners

• Scalable RPM solutions

• Contextual near real-time data

IoMT Goal Setting and Monitoring


Effortless plug and play connectivity

Secure capture and transmission of vitals to the cloud

• Establish and track goals

• Incentivize healthy behaviors

• Treatment and medication

adherence guidance

IoMT Member Engagement


Secure ‘always on’ connectivity

Scalable platform for mass deployment

• Member incentives

• Healthier behavior

• Employer savings Intensity

Frequency

Tenacity