The Continua Health Alliance Empowering people through connected personal telehealth technologies

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The Continua Health AllianceEmpowering people
through connected personal telehealth technologies
David L. Whitlinger President and Board Chairman,
Continua Health Alliance Director of Healthcare
Standards, Intel Corporation September 25, 2007
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The Continua Health Alliance

• A non-profit, open industry alliance of the
  leading healthcare and technology companies in
  the world joining together in collaboration to
  improve the quality of personal healthcare

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Promoters
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Contributors
ADT Well Health Agilent Technologies Alere
Medical, Inc. Altera Corporation AMC Health AMI
Semiconductor Analog Devices BDNA
Corporation BiancaMed BL Healthcare, Inc. Bridge
Technology Holdings British Telecommunications Can
ada Health Infoway Capital Health Card Guard
Ltd. Cardiff University Cardionet Carematix,
Inc. CELS, Ltd. Cerner Corporation Christus
Health CYPAK AB EarlySense empirica GmbH FitSense
Technology Fullpower Technologies Frontline Test
Equipment Healthsense Home Diagnostics Inc.
Honeywell HomMed LLC Hospital Clinic Institute of
Biomedical Interactive Medical Developments Interc
omponentWare, Inc. Jennic Ltd. LG
Electronics Lifescan Lusora Healthcare MedApps,In
c. MedCare Systems Medred, LLC MCR Group Molex
Inc. Neusoft Medical Systems NHS Connecting for
Health Nippon Telegraph and Telephone
Corporation Novo Nordisk nSpire Health,
Inc. Oregon Medical Labs Palm, Inc. Precor
Fitness Proskauer Rose LLP Rauland
Borg ResMed Rossmax International Ltd. RTX
Healthcare
SHL Telemedicine Silicon and Software
Systems Stichting IMEC - Nederland STMicroelectron
ics Suunto Tactex Controls, Inc. Tanita
Corporation Telbios, SpA Telecom Italia
SpA Terumo Corporation Textronics Inc. The Lewin
Group The Scottish Centre for Telehealth Timex
Corporation Toshiba Consumer Marketing
Corporation Toumaz Technology Limited Training
Peaks, LLC Tyco Electronics Tynetexc
Ltd Ubiquitous Corporation University of Miami -
Miller School of Medicine Verizon Westchester
Institute for Human Development Wipro Whole
Health Management Your Choice Living Zarlink
Semiconductor Zensys
133 companies are now part of Continua!
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Mission

• To establish a marketplace of interoperable
  personal health systems that empower people
  organizations to better manage their health and
  wellness

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The Challenge The Opportunity

• Worldwide today
• 1 billion adults overweight
• 860 million chronic disease patients
• 600 million elders age 60 or older
• 75-85 of healthcare spending is on chronic
  disease management
• 200K hospitals, 18M hospital beds the current
  system wont scale

Source World Health Organization McKinsey
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Health WellnessOne billion adults overweight
world wide

• In the future
• Extension of healthcare system into the home
• Initial triage of non-emergency conditions
• Vital signs
• Images
• Email / chat / video

• Health Wellness
• Weight loss
• Fitness
• Worried Well vital sign monitoring
• Weight
• Blood pressure
• Glucose
• Cholesterol
• Activity level
• Personal Health Records
• Appointment scheduling

HealthyFamily
Continua member companies help people live
healthier, more active lives by connecting them
to their health and wellness team through a more
efficient exchange of their personal fitness
information.
Cell Phone
DigitalHome
PC
Internet
Weight loss and fitness coaching
Personal Health Record
Healthcare Professionals
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Disease Management860 million chronic disease
patients world wide

• Disease Management
• Vital sign monitoring (Remote Patient Monitoring)
• Medication reminders and compliance
• Utilize home network to locate devices in logical
  places
• Scale in bathroom
• Pill minder in kitchen
• Blood Pressure cuff in living room
• Trend analysis and alerts
• Email, chat, video
• Appointment scheduling

• Chronic disease
• Post trauma
• Pre-op

Continua member companies help people with
chronic conditions live healthier lives by
connecting them to their care team through a more
efficient exchange of personal health information.
Cell Phone
Digital Home
PC
Internet
Personal Health Record
Familycare givers
Disease management service
Healthcare provider
Personal Health System
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Aging Independently600 million elderly
individuals world wide

• Aging Independently
• An adult child helping their elderly parents age
  gracefully in their own home
• Basic life monitoring as appropriate (ADL)
• Bed pressure (sleep)
• Bathroom sensor
• Gas / water sensor
• Emergency sensor
• Vital sign monitoring (RPM)
• Medication reminders and compliance
• Trend analysis and alerts
• Email, chat, video
• Appointment scheduling

• Independent living
• Chronic disease

Continua member companies help the elderly age
independently, with dignity and security, through
the efficient exchange of personal health and
safety information that connects them to their
family and care team.
IMPLANT
PULSE OX
BLOOD-PRESSURE CUFF
Cell Phone

PEDOMETER
Digital Home

PC
HOME AUTOMATION CONTROL
Internet
Disease management Service, Healthcare provider
Familycare givers
Elderlymonitoringservices
Diet wellnessservices
FITNESS EQUIPMENT


Personal Health System
MEDICATIONTRACKING
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First Year Progress Report

• Continua has selected use cases, interfaces, and
  standards, for our Version One Guidelines.
  Completion of Version One Guidelines is scheduled
  for first quarter 2008 (USB, Bluetooth, ISO/IEEE,
  HL7)
• Continua Test and Certification program will
  provide membership with rights to use Continua
  certification mark for products that meet the
  Version One Guidelines (first quarter 2008)
• Reimbursement is a significant barrier to the
  personal telehealth industry. Continua is
  actively seeking to reduce this barrier and is
  working with Abt Associates, a research firm, to
  develop a definitive collection of worldwide
  remote patient monitoring trial data.

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Version One Device Connectivity Standards
PC

• ISO/IEEE 11073-10404 Pulse Oximeter
• ISO/IEEE 11073-10406 Pulse / Heart Rate
• ISO/IEEE 11073-10407 Blood Pressure
• ISO/IEEE 11073-10408 Thermometer
• ISO/IEEE 11073-10415 Weighing Scale
• ISO/IEEE 11073-10417 Glucose
• ISO/IEEE 11073-10441 Cardiovascular Fitness
  Monitor
• ISO/IEEE 11073-10442 Strength Fitness
  Equipment
• ISO/IEEE 11073-10471 Independent Living
  Activity
• ISO/IEEE 11073-10472 Medication Monitor

Pulse /Blood-pressure
Thermometer
Personal Health System
Weight Scale
Cell Phone
Bluetooth Medical Device Profile Specification
Set Top Box
USB Personal Healthcare Device Class
Specification
Aggregator
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Version One Healthcare Record Standards
Disease Management Service Provider
Healthcare Provider
Continua xHR Interface (Data, Message, Security)
Electronic Health Record System
Remote Patient Monitoring (RPM) Server
Labs
Disease management nurse or home care nurse
Document Standard HL7 CCD Messaging Standard
HL7 v2.5
Home based Remote Patient Monitoring (RPM) System
Patient
EHR
Vital Sign Devices
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Certification ? Logo

• CERTIFICATION LOGOContinua is establishing a
  test certification program with a consumer
  recognizable logo signifying the promise of
  interoperability with other certified products.

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WiFi Alliance- Successful Example
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Continua Working Group Structure
Over 750 people are participating in
Continuas Working Groups
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• Any company can joincome work with us!
• www.continuaalliance.org
• Thank you for your time.