d-dataexChange

DIABETESMINEpresents

TMnov 192015

making interoperability happen.#wearenotwaiting

2015DIABETESMINEd-data exChangeThursday, November 19, 2015Li Ka Shing CenterStanford University School of MedicinePalo Alto, CA

Agenda#WeAreNotWaiting Welcoming Remarks Amy Tenderich, DiabetesMine

MAKING INTEROPERABILITY HAPPEN: Toward a Common Language for Medical DevicesJoe Smith, Chief Medical and Science O cer, West Health

Nightscout: A Case Study in Patient-Led InnovationJoyce Lee, University of Michigan

PPanel: What Interoperability is Working Today? Moderated by Adam Brown, Close Concerns

• Open mHealth – David Haddad, Executive Director • Red Urchin MedHelp – Michael Bodenstab, VP of Healthcare Solutions • Dexcom – Jorge Valdes, CTO • Human API – Andrei Pop, Founder & CEO

- Coee & Networking Break -

FFDA on DIY Diabetes Solutions: Regulatory Concerns & Best PracticesStayce Beck, FDA

Panel: EHR Integration & Standards – Where Do We Go from Here? Moderated by Peter Levin, Amida Technology

• Northshore University – Aaron Neinstein, Associate Medical Director of Health IT • UHN Centre for Global eHealth Innovation – Melanie Yeung • Patient Privacy Rights – Adrian Gropper, CTO • • FHIR (HL7) – Peter Bernhardt, Director of Product Development, Relay Health

- Stretch Break -

Design for D-Devices: Interactions with the iLet Sara Krugman, Tidepool

Innovation Lightning RoundIntroducing Demos by: • • Philips Diabetes App – Tom Wilson • EasyCarb – Luka Zupancic • DiabetesLab – Przemysław Majewski • Companion Medical – Sean Saint

DIY Innovation Highlight: OpenAPS Chris Hannemann, DIY entrepreneur

Wine & Cheese Networking ReceptionWith Technology Demo StationsWith Technology Demo Stations

1:00pm

1:15

2:00

2:20

3:10

3:40

4:104:10

5:00

5:15

5:35

6:10

6:30 – 8:00

2015DIABETESMINEd-data exChange

Keynote by Joseph Smith, MD Connect: @JoeSmithMD, @WestHealth

In his role as chief medical and science o cer of the West Health Institute, Dr. Joseph M. Smith brings strategic, engineering and clinical expertise to advance West Health’s mission to pioneer new and smarter technologies, policies and practices, to make high-quality healthcare more accessible at a lower cost, with a focus on making successful aging a reality for all seniors.

Dr. Smith has an extensive career at the intersection of clinical medicine and engineering. Prior to joining the Institute, he was vice president of emerging technologiestechnologies for Johnson & Johnson in their corporate o ce of science and technology. He also served as senior vice president and chief medical o cer of Guidant/Boston Scientific’s Cardiac Rhythm Management. Prior to accepting leadership roles in the industry, Dr. Smith was a practicing cardiologist for almost two decades, starting at the Brigham and Women’s hospital in Boston, with sub-specialty training in clinical cardiac electrophysiology. Dr. Smith also established the Arrhythmia Institute in Fairfax, VA, which specializes in interventional cardiac electrophysiology and clinical research.

Named one of “20 People Who Make Healthcare Better” by HealthLeaders Magazine in 2010, Dr. Smith serves as faculty at the University of Southern California; an advisor to Johns Hopkins Biomedical Engineering; the Harvard-MIT Division of Health Science and Technology; the Wellcome Trust; and on the boards of directors of a number of innovative healthcare and technology start-up companies.

Dr. Smith has testified several times before Congress on the value of healthcare technology. He’s also a member of the Food and Drug Administration Safety Innovation Act (FDASIA) workgroup, providing expert input on topics identified by the FDA, ONC and FCC concerning the regulation of health information technology.

Dr. Smith holds a B.E.S from Johns Hopkins University, a Ph.D. in medical engineering and medical physics from the Harvard-MIT Division of Health Sciences and Technology, and an M.D. from Harvard Medical School. He is a fellow of the American College of Cardiology, the American Heart Association and the American Institute for Medical and Biological Engineering.Engineering.

2015DIABETESMINEd-data exChange

Event Hosts

Amy Tenderich is a journalist, blogger, patient advocate, and consultant who started DiabetesMine.com after her diagnosis with type 1 diabetes in 2003. Her site has become a leading online destination for people with diabetes and one of the top award-winning health blogs around the country and the world. The site became part of San Francisco-based Healthline.com in January 2015.

AmyAmy is the co-author, along with Dr. Richard Jackson of the Joslin Diabetes Center, of Know Your Numbers, Outlive Your Diabetes – a unique motivational guide to the 5 key medical tests that everyone with diabetes should have and monitor regularly.

She has made it her personal mission to spur innovation in diabetes care that actually originates with patients. She penned an Open Letter to Steve Jobs in 2007 that went viral, developing into an international crowdsourcing competition called the DiabetesMine Design Challenge. The ccompetition was underwritten by the California HealthCare Foundation, and supported by IDEO, a leading design firm with close ties to Stanford University. The competition culminated in theDiabetesMine Innovation Summit, a unique gathering of diabetes stakeholders that Amy organizes and hosts annually at Stanford University School of Medicine.

Amy TenderichConnect: @DiabetesMine, @AmyDBMine | linkedin.com/in/amytenderich

Howard LookConnect: @TidepoolOrg | linkedin.com/in/howardlook

Howard is President, CEO, and Founder of Tidepool. Howard was on the founder’s team at TiVo, where as VP of Software and User Experience he led the eorts that made TiVo as easy to use as it was disruptive. He was also VP of Software at Pixar, where he led the team developing Pixar’s proprietary film-making system, and at Amazon where he ran a secret software project to develop devices that leverage cloud services. At Linden Lab he led the team that delivered the open-sourced Second Life Viewer 2.0 project.

HHoward has a BS in Computer Engineering from Carnegie Mellon University. His teenage daughter has T1D.

2015DIABETESMINEd-data exChange

Featured Speakers

Joyce Lee, MD, MPH, is a Pediatric Endocrinologist and Associate Professor at the University of Michigan Medical School and School of Public Health. She is a clinical and health services researcher who studies obesity and diabetes at multiple levels, from biomarkers to online communities to learning health systems. She is the PI on a grant from AHRQ which is using human-centered design to develop patient-centered personalized data visualizations for individuals with type 1 diabetes, and she is the PI of a PCORI engagement grant to involve patients and caregivers from the Nightscout community in the development of a research focused ccollaborative innovation network of patients and caregivers.

Dr. Lee spends a lot of time online, in particular Twitter, as Doctor as Designer and co-leads an interdisciplinary collaborative called HealthDesignBy.Us, which supports the application of patient-centered participatory design and the maker movement for catalyzing innovations in health and healthcare.

Joyce LeeConnect: @joyclee | doctorasdesigner.com

Stayce Beck, Ph.D., M.P.H. is the Branch Chief for the Diabetes Diagnostic Devices Branch at the Food and Drug Administration (FDA) where she leads a team that reviews new diabetes devices prior to sale in the U.S. Previously, Stayce was the team lead for the Artificial Pancreas project. Prior to joining the Center for Devices and Radiological Health in 2010, Stayce was a scientific reviewer and researcher in the Division of Monoclonal Antibodies in the Center for Drug Evaluation and Safety (CDER).

SheShe completed a B.S. in Chemical Engineering from the University of Texas, Ph.D. in Biomedical Science at the University of California San Diego, and a postdoc in bioengineering at Stanford University. She is passionate about running, hiking and triathlon and spends her free time being active outdoors.

Stayce Beck

Sara is an interaction designer and currently leading the design eorts at Tidepool. Previously, she ran Line, a Health Care Design Studio in Copenhagen. Her goal as a designer and artist is to connect the embodied and experiential, conceptual and critical with the systematic, practical and pragmatic. Sara was schooled at Oberlin College and the Copenhagen Institute for Interaction Design. Some of the spaces and places she has shown and been are: Maker Faire NY & Rome, The Flux Factory NY, Medical Museion Copenhagen, Spaces Gallery OH and Vitra Design Biosbuchet France.

Sara KrugmanConnect: @skrugman | designhealthtech.tumblr.com | sara@tidepool.org

2015DIABETESMINEd-data exChangeInteroperabilityPanelists

Adam Brown is the head of diabetes technology and digital health at Close Concerns, bringing nearly 15 years of personal experience with type 1 diabetes to his work. Adam has been highly involved in the expansion of technology coverage at Close Concerns, which includes glucose meters, CGMs, insulin-pumps, automated insulin delivery, diabetes software, mobile apps, and wearables. He also serves as a senior editor and regular contributor at diaTribe.org, where he writes an acclaimed column (Adam’s Corner) focused on actionable tips for living well with diabetes. Adam graduated summa cum laude from the Wharton School, University of Pennsylvania.

Adam Brown (moderator)Connect: @asbrown1 | linkedin.com/pub/adam-brown/19/807/269

Michael Bodenstab is a seasoned healthcare executive and entrepreneur with experience in healthcare strategy, finance, operations and business development. Michael has helped build, position and guide two companies to successful exits: Intelligent Healthcare (IHC), a clinical integration and analytics platform, to ZirMed, and Med-Vantage, a maker of software solutions that targeted provider performance and member engagement for cost and quality transparency, to IMS Health. In addition, Michael was CEO and co-founder of Predictive Medical Technologies, a predictive analytics start-up that provides real-time messaging to clinicians regarding potential adverse events.

Michael BodenstabConnect: @mjbodenstab | linkedin.com/in/michaelbodenstab

David is a co-founder and Executive Director of Open mHealth. He comes with a breadth of experience in both domestic and global health, working for organizations like the World Bank and UN Foundation. David holds a Master’s degree in health economics and policy from the London School of Economics, and a Bachelor’s in chemistry and public health from UC Berkeley. He loves tacos and in his spare time hustles Bent Basket.

David HaddadConnect: @haddadda, @openmhealth | david@openmhealth.org

Andrei is currently the founder and Chief Executive O cer of Human API, where he's worked to build the world's first consumer controlled, real time health data network, spanning more than 2000 sources and 8000 deployments across 40 countries. Human API is backed by Andreessen Horrowitz, BRV, Eric Schmidt, Max Levchin and others. Their work has been featured at TEDMED, and Andrei has spoken about his work at numerous institutions and conference, including Cleveland Clinic, The American Heart Association, Singularity University, and Le Web.

Andrei PopConnect: @andreimpop | linkedin.com/in/andreimpop

Jorge Valdes is Executive Vice President, Chief Technical O cer of Dexcom. He is responsible for the strategic and operational leadership of Dexcom's research and development functions as well as information technology and manufacturing operations. Mr. Valdes previously served the company since 2005 as its Senior Vice President of Operations and as its Vice President of Engineering. Mr. Valdes received his BS and an MBA from the University of Miami, Florida.

Jorge Valdes

Chris Hannemann is Director of Product Engineering at Alphabet Energy, a San Francisco Bay Area renewable energy firm. He was previously Lead Engineer at eSolar, which develops Concentrating Solar Power (CSP) projects. He was diagnosed with type 1 diabetes at age 8, and his sister also lives with type 1, while his father has type 2. Chris became involved with the #OpenAPS project in early 2015 and is now one of the first people on the planet to be wearing a fully closed-loop DIY (do it yourself) artificial pancreas system. Chris has a BS in Mechanical Engineering from Georgia Tech and a Master’s in Mechanical Engineering from U.C. BerMechanical Engineering from U.C. Berkeley.

Chris HannemannConnect: @hannemannemann | linkedin.com/in/christopherhannemann

2015DIABETESMINEd-data exChangeStandardsPanelists

Peter L. Levin is the founder and CEO of Amida Technology Solutions, an information technology firm that focuses on health data and data security. He is also currently a consulting professor in the Department of Aeronautics and Astronautics at Stanford University, and an adjunct senior fellow at the Center for a New American Security (CNAS). Previously, Peter served as Senior Advisor to the Secretary and Chief Technology O cer of the Department of Veterans Aairs, leading their health record modernization initiative and co-creating programs, including the inter-agency development of the Blue Button personal health record, now the most widely used PHR in the country.

Peter Levin (moderator)

Peter is a software developer with 20+ years of experience across various industries. For the past nine years, he has been a software architect at RelayHealth. Among his recent projects was the design and development of the core services for CommonWell Health Alliance (which leveraged an early version of the FHIR specification). Currently, Peter is building a DSTU2-based FHIR server for RelayHealth’s data platform. He is a member of the HL7 Patient Administration working group and, on the side, he maintains an open source FHIR client project called FHIR Cloud.

Peter Bernardt

Adrian Gropper is CTO of Patient Privacy Rights and is a veteran of patient-centered health information infrastructure. As an entrepreneur and physician-developer he has founded a number of software-intensive medical device companies. He consults on Federal pilots and participates in numerousnumerous health data policy standards groups including MIT-Kerberos Internet Trust, and as a co-founder of OpenID HEAlth Relationship Trust to develop standards and profiles for the Public API. He also helped create Blue Button, Direct Project, and Blue Button Plus and speaks frequently on privacy engineering in health care. Dr. Gropper holds an engineering degree from MIT and an MD from Harvard Medical School.

Adrian Gropper, MDConnect: @agropper

Dr. Aaron Neinstein is a practicing Endocrinologist and Associate Medical Director of Health IT at NorthShore University HealthSystem in Evanston, Illinois. His career highlights include being Physician Lead for the ambulatory EHR implementation at UCSF, leading many health IT projects to improve the e ciency of clinical workflows, and being on the founding team of Tidepool. He writes about healthcare redesign and innovation at both Medscape.com and aaronneinstein.com.

Aaron NeinsteinConnect: @aaronneinstein | linkedin.com/in/aaronneinstein | aneinstein@northshore.org

Melanie (MHSc., BASc.) has been involved in interoperability standards for over 3 years. As vice-chair of the IEEE 11073 Insulin Pump standard, she leads the development and discussion of the standard with subject matter experts and the Personal Health Device working group. She is a contributor to the IEEE Continuous Glucose Monitor standard as well as member of both the Bluetooth Medical Expert Working Group and Continua Health Alliance. Currently, Melanie manages a development team at the Centre for Global eHealth Innovation at Toronto General Hospital in Toronto, Canada. Her team uses an Agile, user-centered design and development process under an ISO 13485 quality management system to ddevelop safe medical technologies and applications for chronic disease management.

Melanie YeungConnect: @melaniesyeung | linkedin.com/pub/melanie-yeung/1b/b57/916

2015DIABETESMINEd-data exChangeTECHNOLOGY DEMOS

Companion Medical has developed a smart insulin pen and app to provide the benefits of an insulin pump to pen and syringe users. By harnessing the power of the smartphone, InPen™ gives patients better control over and greater compliance with their insulin therapy. The app includes a dose calculator, the ability to set dose alarms, and review and reporting of dose history. With inherent connectivity, InPen becomes another source of data to inform and improve the management of diabetes. Companion Medical is comprised of a team of medical device veterans with industry experience in diabetes and digital health. The company is actively engaging in strategic partnerships to commercialize InPen.

Companion Medical

DiabetesLab treats diabetes as an information problem. We provide software powered by data science and targeted at insulin-treated people. Those interested in sports may feel discomfort in approaching it. We are solving this by building an application that provides personalized advice before, during and after the exercise. Our web platform and mobile app analyze health-related data to provide advice on managing diabetes better, with features such as carbs dosing and insulin adjustments. Our team’s approach to helping people with insulin treated diabetes is simple – make use of data to keep glucose levels stable and minimize the risk of complications.

DiabetesLab

Easycarb is the world's first complete carb tracker for diabetics, consisting of a powerful app for smart devices combined with a dedicated portable Bluetooth scale for weighing food servings. Together with the integrated comprehensive cloud-based food database, the app calculates the carbohydrates (and other nutrients) in a given meal and the corresponding bolus insulin doses based on the user's insulin sensitivity profile. The integrated logger ensures all the user's nutritional intakes, blood glucose levels and insulin doses are carefully logged and stored for easy access, anywhere. Users will also be able to expoexport a PDF report for examination and follow-up with physicians. Since the biggest challenge is to transform good carb tracking into an easy, routine habit, the app will feature reward-based gamification, customizable reminders and additional motivational features. This will make keeping track of carbs easy and engaging for the first time.

Easycarb

Philips and RadboudUMC present a connected digital health prototype that enables people living with diabetes and their health care providers to make more confident care decisions while managing the complexity of diabetes self-care. This system, consisting of a mobile patient app and online community, collects and connect data from electronic medical records, personal health devices – such as a wireless glucose meters – and patient self-reported data. Via a smartphone or tablet, the app gives patients ccontinuous access to important parameters such as blood glucose levels, insulin use, and nutrition and provides coaching guidance at home and on the go. The secure online community is where enrolled patients and healthcare professionals can interact via private messaging or shared posts within a healthcare organization’s clinical guidelines. In this way, patients can get feedback from their care team using the combined data and can easily share experiences with fellow patients, clinicians and caregivers.

Philips Diabetes App

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