e-health industry expectation
DESCRIPTION
e-Health Industry Expectation. July 22 nd , 2014. Personal Connected Health Alliance Empowering individuals to better manage their health. Michael J. Kirwan Technical Operations Director PCHA and Continua May 2014. Empowering Individuals to Better Manage Their Health. - PowerPoint PPT PresentationTRANSCRIPT
e-Health Industry Expectation
July 22nd, 2014
Document No:
GSC(14)18_035
Source: CHA
Contact: Michael J. Kirwan
Agenda Item:
5.3
Personal Connected Health AllianceEmpowering individuals to better manage their health
Michael J. KirwanTechnical Operations Director
PCHA and ContinuaMay 2014
The world is moving to a focus on linking individuals with interoperable, personalized health solutions that meet their lifestyle needs.
Empowering Individuals to Better Manage Their Health
Advantages of Personal Connected Health
Consumers are not just linking health data to the Providers any longer
•Potential to transform human health and healthcare delivery, and to reduce global disparities in healthcare access•Adds motivation and inspiration to health self-management by taking advantage of support networks in social media and other online forums •Capable of reducing the impact of chronic disease, which is responsible for the greatest portion of healthcare expenditures•Ability to shift from treatment focus to preventive care by making health self-management a part of everyday life•Allows us to enjoy life longer outside of traditional healthcare
Engaging Consumers at Every Stage of Life
Health and Relief Pharma
…and Providing Links to Family, Friends, Social Networks & Providers
• Consumers become engaged in health self-management• Links to social networks become a source of positive
reinforcement• A secure line of communication is established between
providers and caregivers outside the exam room• Consumer-collected data can enrich healthcare for
individual patients and patient populations
PCH Creates an Information- and Inspiration-Rich Environment for Health Improvement
Better use of resources, reduced cost, improved clinical outcomes…and health management incorporated into everyday life
7
The Goal: Improve Lifestyle Choices, Health
= Non Modifiable Contributors to Disease
= Modifiable Contributors to Disease
Hu et al. Diet, lifestyle and the risk of type 2 Diabetes in women. NEJM 2001 Sep 13;345(11):790-7.Stampfer MJ, Hu FB, Manson JE, Rimm EB, Willett WC. Primary prevention of coronary heart disease in women through diet and lifestyle. N Engl J Med. 2000; 343: 16–22
• Wearable trackers to monitor calories burned through activity
• Apps for diet/nutrition advice and caloric intake, on smart phone and/or computer
• Social networking for inspiration and competition (i.e., Jenny Craig, Biggest Loser), using online forums such as Facebook
Envisioning A Better Way: Weight Loss
• Wearable trackers to monitor specific activity• New sensors to enable 3d tracking and
movements• Already in use for Rehabilitation and
Diagnostic purposes• Can be utilized to stimulate inactive or
cognitive impaired individuals• Interoperability allows for this data to be
collected by healthcare team
Envisioning A Better Way: Gaming
• Disease-based forums (web, social media) for peer advice on treatment options and experience
• Connectivity to providers via provider portal, for expert advice during diagnosis, treatment and follow-up Apps to find a clinical trial
• PCH-enabled studies that use sensors, trackers and/or remote monitoring for data accuracy and patient convenience
Envisioning A Better Way: Management of Rare & Serious Diseases
• Individual and online gaming for children/teens with chronic diseases
• Apps to support connection to people with communication disorders, such as autism
• Wearable sensors and wireless monitoring for elderly living independently
• Remote monitoring by healthcare providers to augment parental care of a sick child or aging parent
• Social networking for caregivers, i.e., Facebook book, online chat with the ability to share sensor data
Envisioning A Better Way: Care of Special Populations
Envisioning A Better Way: Clinical Trials
• Direct involvement of the individual in the trial• Evaluate patient populations• Accelerate patient recruitment• More efficient and effective management of
clinical trails, data collection and reporting• Better quality, more reliable data• Get new drugs to market faster
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•Forward/backward compatibility: longevity of devices•Easy to expand or add new programs/products with plug-and-play
Envisioning A Better Way: Interoperability
HealthRecord
Network(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio / Strength
Medication
Adherence
Glucose Meter
Pulse /Blood
Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
AggregationManager
PersonalArea
Network(PAN)
Interface
WideArea
Network(WAN)
Interface
TelehealthServiceCenter
HealthRecords/Networks
EHR
PHR
NHIN
HIE
WiFi, 2G, 3G & 4G
Architecture to Enable PCH
Envisioning A Better Way: Adoption
UK (NHSWorcestershire)
Japan WG
Denmark
Singapore
SE Asia WG
Australia WG
India WG
Brazil WG
Middle East
= Adopting Continua
= Local Work Group
US Veterans Administration
& US Department of
Defense
US WG
Japan
EU WG
PCH: Why Now?• Consumer market is exploding
– more than 97,000 mobile health apps are currently available;– each day the top 10 apps generate up to 4 million free and 300,000 paid downloads
• New regulations and incentives transforming healthcare delivery, putting consumers at the center of their care
– the Affordable Care Act features comprehensive health insurance reform to improve the quality and patient access to care in the US
– Meaningful Use Stage 3 to address population health
• Governments around the world demonstrating significant interest in adopting personal connected health (ex: Denmark, Norway, UK, UAE, Singapore)
– the UK’s 3million lives initiative changing care delivery using connected health tools for citizens with chronic conditions
• Globally, healthcare in crisis and world population aging
PCHA: An Historic CollaborationContinua Health Alliance, mHealth Summit & HIMSS
• Global plug-and-play interoperability Design Guidelines and Product Certification program
• Unmatched industry education, thought leadership and networking
• International leadership in hospital-based health technologies
• Worldwide presence to promote local, regional and national public policy, advocacy and market development
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
• Promoting education and awareness through events and outreach to all stakeholders
• Facilitating adoption of global industry standards for user-friendly interoperability between devices; privacy and security– publishing annual Continua Design Guidelines for end-to-
end, plug-and-play interoperability; certifying products – Ratified by ITU as global standard for PCH technologies
• Defining the path to market by advocating for appropriate regulation and promoting investment
• Supporting governments and health ministries seeking connected health solutions
• Operating in nations around the globe to promote market development
PCHA Strategic Initiatives
The Time is Now
PCHA will coordinate stakeholders in PCH and maintain a ‘consumer first’ position
• It’s about the individual• The technology is available• Consumers are demanding it• Nations are implementing it• We can’t afford to miss this opportunity
The Market will not grow until we reach interoperable solutions
Get Involved with PCHA!
Web: www.pchalliance.org
Email: [email protected]
http://www.mhealthsummit.org/subscribe
Thank You
Case Examples
Denmark’s National Action Plan for Telemedicine
Scope• Secure collection, transmission, storage of personal health data from
patients’ homes to healthcare providers across the country• Sharing of medical documents & images• Management of health records, medical appointments, etc.
Objectives• Ensure end-to-end, plug-and-play connectivity of personal health
devices; establish interoperability standards • Ensure personal health devices & services easy to deploy, secure &
convenient for patients & providers• Reduce acute care stays• Enable elderly to live home independently• Develop chronic disease management programs• Expand use of telemedicine
Denmark: Centralized Approach to Standards Adoption
• Mandated national compliance with interoperability standards (Continua)
• Pros: – National healthcare IT conformity supports large-scale
population health and creation of cost, operational efficiencies
– Limited systems integration issues during rollout and subsequent changes in technology
• Cons: limited regional, local influence over standards development; currently fewer choices in devices
UK Dept of Health: 3millionlives (3ML) Campaign
• Based on evidence from the Whole System Demonstrator Programme (6,000+ person telehealth/telecare study)
Goals• Improve lives of 3ML people with long term conditions, social
care needs • Develop market, remove barriers to delivery (5 yrs)• Create environment to support uptake• Public/private cooperation to simplify procurement and
commissioning processes for telehealth, telecare at scale • Put NHS and UK industry at the forefront of telehealth, telecare
globally• Promote benefits of telehealth and telecare services to patients
3ML: Regional Approach to Standards Adoption
• All personal health device providers must comply with CEN ISO/IEEE 11073
• Contracting occurs on a local basis• NHS Worcestershire County and East Shires
Purchasing Organization have voluntarily adopted Continua
• Pros: localities maintain maximal control (device selection, cost)
• Cons: healthcare IT infrastructure likely to require significant integration to achieve end-to-end interoperability at a national scale
Catalonia, Spain: Regional Approach
• Catalonia, Spain– Population covered by universal healthcare with a mix
of public/private providers– Health Ministry funded ICT organization (TicSalut)
coordinates standards, integrates health and social welfare systems
– 100% of hospitals use EHRS; 70% have mobile tools– Device integration primarily based on Hl7 standards
Opportunities & Challenges for Big Data
Opportunities• Adopt common standards for PHRs to enable data
aggregation, tracking from multiple consumer devices– A starting point for big data, especially in decentralized
markets• Agree upon type, definition and format of personal health data
relayed from consumer devices to a medical records system– Ex: Health Records Network
Challenges• Retail and home devices need common standards to enable
consumer plug and play• Clinical workflow impact complicates standards adoption• End-to-end standards adoption
Personal Connected Health Alliance (PCHA) An alliance and collaboration focused on the vision of person-centered health and health care
with a mission to deliver interoperable personal health solutions that foster independence and empower people to better manage their health and wellness from anywhere; at anytime.
Global Access & Leadership
Interoperability & Ecosystem Enablement
Thought Leadership &Industry Connection
PCHA ORGANIZATIONClint McClellan
PCHA Structure, Governance and Services
- Up to 15 Managers elected from Continua Promoter ParticipantsCurrent board carries over into BoM
- 5 Managers appointed by HIMSS- Exec. Vice President represents LLC- 1 Manager represents in HIMSS WW
33
- Up to 15 Members elected from Continua Promoter Participants
- Director acts as COO
Single Member LLC with HIMSS as sole Equity Holder•Operating agreement defines constitution & dutiesBoard of Managers:- Sets strategy- Defines objectives & organization- Plans budget
Operational sub-structure•Operating agreement defines dutiesCouncil manages: -Guideline development / releases-Certifications-Working groups -Events & content
• Vision and Mission stays unchanged• Brand will continue unchanged• WG’s structure are the same • WG’s charters & processes remain• Membership dues and benefits stay intact• Current Continua members will become
PCHA participants automatically
Small Changes
• We are dropping the Health Alliance portion of Continua Health Alliance – now referred to as Continua
• Marketing-wise – We refer to Continua as …a Founding member of PCHA…
• Continua name still represents the Guidelines and Certification
• Continua logos to remain the same and integrated into the PCHA logo
Website Changes
• New PCHAlliance.org website• Continua website will remain separate as we
have specific functionality to maintain membership and voting processes.
• Continua site undergoing a phased approach to integrate with PCHAlliance look and feel.
• Adding new features– Comment section– Online request for Guidelines
Past Events
What: mHealth Summit EuropeWhen: May 6 – 8, 2014 Where: Messe, BerlinInfo: http://www.himssme.org/
- Continua was a supporting organization - Speakerships
What: Continua Spring SummitWhen: May 8 – 10, 2014 Where: Berlin, Germany
- First co-located mHealth Summit and Continua Summit
Past EventsWhat: eHealth Forum 2014When: May 12 – 14, 2014 Where: Anthens, GreeceInfo: http://ehealth2014.org/
-Continua was a supporting organization
What: mHealth Summit Middle EastWhen: May 28 – 29, 2014 Where: Abu DhabiInfo: http://www.himssme.org/
- First Continua Connects Event- Continua was a supporting organization
Save the Date!
Continua Summer SummitAugust 26 - 28, 2014
Montreal, Canada
Upcoming Events
• July - JWG visit (Chuck and JWG Chair)• August - Shanghai Bluetooth event• Sept – 15-18 HIMSS AsiaPac mHealth event
o 17-18 Sao Paulo mHealth event
• Oct – Partners Connected for Health• Dec – 7-10 mHealth Summit DC
o 9-12 Continua Summit
mHealth Summit Components• 400 Exhibiting Companies
• Intelligent Medical Home Pavilion
• Startup Showcase
• Comprehensive Sponsorship Program
• Targeted Pre-conference and Co-located Events
• 5 Keynotes Delivered by Industry Leaders
• 3-Day Core Conference Program
• 2-day, Co-located Global mHealth Forum
• Continua Technology/Interoperability Showcase
• Continua Member Summit
Global mHealth Forum
Past Keynotes and Executive Spotlights
Past Sponsors
This emerging markets incentive qualifies new members from either a developing region or from a small company.
A company may qualify by being a company originating out of a defined Developing Area (OECD
GDP of less than $15K per Capita).
A company may qualify if:•less than 20 full-time employees (in all company divisions).•Less than $4M annual gross revenues.•Less than $4M in total assess (as indicated on balance sheet).
Developing Region Small Company
Qualifying Benefits1.Company pays only $1000 for their first year, $2,500 for their second and full Contributor costs in their third year of Continua membership. 2.Company receives one free listing fee (subject to the listing fee only and excludes the testing fee).3.Company may participate in Continua Plugfests and Continua Connects (subject to existing fees).4.Company in the Developing Region category will receive all Contributor membership benefits except they are limited to a maximum of 2 participants at each Summit. Leadership roles are also not available to this category.
BoD Approved!
To sign-up, please contact Continua [email protected]
Emerging Markets Incentive
Certification Incentives for New Members
If you join Continua between now and December 31, 2014, you get:– All existing benefits of
Continua membership (CESL code, free Test Tool, matchmaking, etc.).
– PLUS – • Free certification within
first year of Continua membership.
Join NowJoin Now
Notes Regarding this Certification Incentive:
1. Only one offer per company/subsidiary.2. Covers certification for one device
specialization and one transport. Additional device specializations/transports follow typical fees.
3. Does not cover retest fee.4. The deadline refers to the date company
is ready for certification (device is at Test Lab, certification application has been received and approved). Actual test completion date is dependent on Test Lab volumes.
BoD Approved!For New Members
University Member Incentive
For a limited time period only, until December 31st, 2014, a College or University may join Continua for as little as $1000 (a $5,500 savings)!
A College or University may qualify for this incentive by stating their goal or intent for the use of their Continua membership in what they can contribute back to Continua. Contribution possibilities may vary but a few examples may be as follows:
• Provide research for Continua, i.e., similar to what may be required as part of a request for grant.• Become reviewers of Continua’s test tools, guidelines and documents, providing inputs based on their use and understanding of the industry
requirements.• Use Continua’s tools to demonstrate complete End-to-End Plug-n-Play interoperability.• Create educational materials that incorporates the key technical or business concepts of Continua while utilizing them in daily teaching activities.• Many other possibilities exist, just provide your ideas for contributing back to Continua.
Access to Continua’s membership portal is available to the College or University staff only.Please note that Continua’s Bylaws, due to intellectual property rights, do restrict educational entities from participating in the Technical Working Group (TWG), the Use-case Working Group (UCWG), gaining access to draft Continua Design Guidelines and in certifying devices. Each university would need to be nominated by two Continua
Board members and to sign an agreement with Continua.
Qualifying Benefits1.College or University pays only $1000 annually for Contributor Level Membership. 2.College or University will have full access to Continua CESL and Test Tools.3.College or University may participate in Continua Plugfests and Continua Connects (subject to existing university fees).4.College or University will receive all Contributor membership benefits except they are limited to a maximum of 2 participants at each Summit. Leadership roles are also not available to this category.
To sign-up, please contact Continua Administration: [email protected]
Join NowJoin Now
This incentive qualifies new members from a College or University who contribute resources back to Continua.
BoD Approved!
Adopter Member
Qualifying Benefits•Company pays only $1000 for their first two years, then $3,000 for their third year. At the fourth year and beyond, Company selects to either continue paying for Adopter level at $3000 and pay for tools, meetings, Plugfests, and testing - or move to the annual Contributor membership fee ($6,500). •Company receives one free listing fee (subject to the listing fee only and excludes the testing fee).•Company may participate in Continua Plugfests and Continua Connects (subject to current posted fees).
To sign-up, please contact Continua Administration: [email protected]
Join Now
Incentive for Self-Certifying your Device or Service
Notes on Adopter Membership•Access to CESL libraries will require fee or upgrade to Contributor membership.•Access to draft Guidelines or to internal Working Groups is not allowed.•Additional fees may be required for participation in Showcases and Demo centers.
Companies can receive a significant savings on membership and certification if they join Continua as an Adopter member and self-certify
an Agent or Service within their first year of membership.
Approved by Continua Council, Need PCHA BoD Approval
Continua Test Labs
Herndon, VA, USA
Malaga, Spain
Taipei, Taiwan
KoreaBeijing, China
Basingstoke, UK
Berkshire UK
http://www.at4wireless.com/
http://test.tta.or.kr/English/ http://emcite.com/english/
http://ul.com/
http://www.scc.sharp-eu.com/
Thank you!