04/19/23

The Continua Health AllianceEmpowering people through connected personal telehealth technologies

David L. WhitlingerPresident and Board Chairman, Continua Health AllianceDirector 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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ADT Well HealthAgilent TechnologiesAlere Medical, Inc. Altera CorporationAMC HealthAMI SemiconductorAnalog DevicesBDNA CorporationBiancaMedBL Healthcare, Inc.Bridge Technology HoldingsBritish TelecommunicationsCanada Health InfowayCapital HealthCard Guard Ltd.Cardiff UniversityCardionetCarematix, Inc.CELS, Ltd.Cerner CorporationChristus HealthCYPAK ABEarlySenseempirica GmbHFitSense TechnologyFullpower TechnologiesFrontline Test EquipmentHealthsense Home Diagnostics Inc.

Contributors Honeywell HomMed LLCHospital ClinicInstitute of BiomedicalInteractive Medical DevelopmentsIntercomponentWare, Inc.Jennic Ltd.LG ElectronicsLifescan Lusora HealthcareMedApps,Inc. MedCare SystemsMedred, LLCMCR GroupMolex Inc.Neusoft Medical SystemsNHS Connecting for HealthNippon Telegraph and Telephone CorporationNovo NordisknSpire Health, Inc.Oregon Medical LabsPalm, Inc.Precor FitnessProskauer Rose LLPRauland BorgResMedRossmax International Ltd.RTX Healthcare133 companies are now part of Continua!

SHL TelemedicineSilicon and Software SystemsStichting IMEC - NederlandSTMicroelectronicsSuuntoTactex Controls, Inc.Tanita CorporationTelbios, SpATelecom Italia SpATerumo CorporationTextronics Inc.The Lewin GroupThe Scottish Centre for TelehealthTimex CorporationToshiba Consumer Marketing CorporationToumaz Technology LimitedTraining Peaks, LLC Tyco ElectronicsTynetexc LtdUbiquitous CorporationUniversity of Miami - Miller School of MedicineVerizonWestchester Institute for Human DevelopmentWiproWhole Health ManagementYour Choice LivingZarlink SemiconductorZensys

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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

Source: World Health Organization; McKinsey

• 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 won’t scale

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Health & WellnessOne billion adults overweight world wide

HealthyFamily

InternetWeight lossand fitnesscoaching

HealthcareProfessionals

PersonalHealthRecord

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.

DigitalHome

GLUCOSEMETER

PEDOMETER

BLOOD-PRESSURE

CUFF

MEDICATIONTRACKING

WEIGHTSCALE

FITNESSEQUIPMENT

Cell Phone

PC

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

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Disease Management860 million chronic disease patients world wide

• 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.

Familycare

givers

Diseasemanagement

service

PersonalHealthRecord

Healthcareprovider

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

DigitalHome

Cell Phone

PC

Personal Health System

PEDOMETER

BLOOD-PRESSURE

CUFF

MEDICATIONTRACKING

WEIGHTSCALE

FITNESSEQUIPMENT

IMPLANTPULSE

OX

Internet

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Aging Independently600 million elderly individuals world wide

• 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.

Familycare

givers

Elderlymonitoring

services

Diseasemanagement

Service, Healthcareprovider

Diet &wellnessservices

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

Internet

DigitalHome

Cell Phone

PC

Personal Health System

PEDOMETER

BLOOD-PRESSURE

CUFF

MEDICATIONTRACKING

HOME AUTOMATION & CONTROL

FITNESSEQUIPMENT

IMPLANTPULSE

OX

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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

PersonalHealthSystem

CellPhone

Pulse /Blood-pressure

WeightScale

PulseOximeter

Bluetooth Medical Device Profile Specification

USB Personal Healthcare Device Class Specification

• 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

Set Top Box

Aggregator

Independent Living Activity

Cardiovascular and Strength

Fitness Monitor

Thermometer

MedicationMonitor

GlucoseMeter

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Remote Patient Monitoring (RPM)

Server

Electronic Health Record

System

Version One Healthcare Record Standards

Continua xHR Interface

(Data, Message, Security)

EHR

Labs

Disease ManagementService Provider Healthcare Provider

Document Standard: HL7 CCDMessaging Standard: HL7 v2.5

Home based Remote Patient

Monitoring (RPM) System

Vital Sign Devices

Patient

Disease management nurse or home care

nurse

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Certification Logo

• CERTIFICATION & LOGO:Continua 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

Industry StandardIEEE 802.11x

Guidelines- e.g., Setup, Security

Test & Certification

Plugfest

Logo

Industry Standards

Guidelines

Test & Certification

Plugfest

Logo

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Continua Working Group Structure

BoardOf

Directors

Use CaseWG

TechnicalWG

MarketingWG

Test&

CertificationWG

VTMAdministration

GovernmentAffairs

WG

Expert Groups,Physician

associations

Severaltechnical

Sub-committees

MaterialsTrade Shows

PRLogo / TM

WashingtonUK/Brussels

Asia

AdministrationTest ToolsPlugfests

Test vendors

ReimbursementWG

Public/PrivatePayers

Sub-Committee

Employer HR Benefits

Sub-Committee

Over 750 people areparticipatingin Continua’s

Working Groups

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• Any company can join…come work with us!

www.continuaalliance.org

• Thank you for your time.