the next generation of healthcare: personal connected...

Copyright© 2010 Continua Health Alliance ® All Rights Reserved

The Next Generation of Healthcare: Personal Connected Health & Wellness

www.continuaalliance.org

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Mission

“Our Mission is to establish an ecosystem of interoperable personal connected health systems that empower individuals and organizations to better manage their health and wellness”

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The Continuum of Care

CONTINUUM of LIFE

CONTINUUM of CAREGIVERS

Infant

AmateurAthlete

Diet/FitnessDiet/FitnessFocusedFocused

Active LifestyleActive Lifestyle

LivingLivingIndependentlyIndependently

ChronicChronicPatientPatient

AcuteAcuteRecoveryRecovery

PhysicianPhysician

HomeHomeHealthcareHealthcare

ProfessionalProfessional

Wellness CoachWellness Coach

Family Caregivers Family Caregivers

Extended FamilyExtended Family

Continua Health Alliance enables a personal connected health eco-system that empowers individuals & families to

better manage their own health and wellness across the continuum of life

and care methods.

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Goal: Realize Peak Health Potential

• Goal – Experience peak health potential throughout life for a high quality of life at minimal costs

• Reality– Average individual is experiencing much less of full health potential than expected at a high

financial & quality of life cost • Cause

– Adverse health events such as stress, poor nutrition, inactivity… are causing the population to fall away from their peak health potential

Adapted from Oregon Medical Labs

0 25 65Age

Illne

ss

P

re-I

llnes

s

W

elln

ess

Unpredictable Health

Predictable (Rules-based) Health

DeathDeath

60-80% LifestyleManagement

Modifiable lifestyle

Irreversible Disease state

Happening earlier in life

Higher $$ C

osts to All

Realize Peak Health Potential

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The Challenge

Worldwide today:– 1 billion adults

overweight– 860 million individuals

with chronic conditions– 600 million individuals

age 60 or older– 75-85% of healthcare

spending is on chronic condition management

Source: World Health Organization; McKinsey

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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

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The Solution: Personal Connected Healthcare

There is increasing evidence to support the value of remote monitoring for individuals with chronic conditions, including:

• 35-56% reduction in mortality ; • 47% reduction in risk of hospitalization; • 6 days reduction in length of hospital admission and • 65% reduction in office visits ; • 40-64% reduction in physician time for checks and • 63% reduction in transport costs

(Cleland et al 2005; Lee R, Goldberg et al, 2003; Scalvini S et al., 2001; Elsner et al, 2006; Van Ginneken et al 2006)

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Continua DomainsTo organize its work, Continua segmented the market in three large Domains

Living Independently Longer

Living Independently Longer

Wellness Wellness

Manage Chronic Conditions Manage Chronic Conditions

People are at the center of everything we do

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WellnessOne billion adults overweight worldwide

Internet

Pedometer

Blood-pressure

Cuff

Heart

Strap

Medication

Tracking

Weight

Scale

Fitness

Equipment

DigitalHome

Cell Phone

PC

PersonalHealthRecord

HealthcareProfessionals

Weight lossand fitnesscoaching

Continua member companies help individuals live healthier, more active lives by connecting them to their wellness team through a more efficient exchange of personal fitness information.

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Internet

Manage Chronic Conditions 860 million individuals with chronic conditions wor ld wide

Continua member companies help individuals with chronic conditions live healthier lives by connecting them to their careteam through a more efficient exchange of personal health information.

Pedometer

Blood-pressure

Cuff

Pulse Ox

Medication

Tracking

Weight Scale

Fitness

Equipment

DigitalHome

Cell Phone

Personal Health System

PCFamilyCare

Givers

DiseaseManagement

Service

PersonalHealthRecord

HealthcareProvider

Thermometer

Glucose Meter

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Internet

Living Independently Longer600 million elderly individuals world wide

Continua member companies help the elderly live independently longer, 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

ElderlyMonitoringServices

DiseaseManagement

Service, HealthcareProvider

Diet andWellnessServices

DigitalHome

Pedometer

Blood-pressure

Cuff

Medication

Tracking

Home

Automation

& Control

Fitness

Equipment

Pulse Ox

Cell Phone

Personal Health System

PC

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Already Complete : Interfaces & Standards

HealthRecordNetworkInterface

Personal Device

Weight Scale

Pulse Oximeter

Independent

Living Activity

Cardio / Strength

Medication

Adherence

Glucose Meter

Pulse /

Blood Pressure

Thermometer

Physical Activity

Peak Flow

AggregationManager

DeviceConnectivity

WideArea

Network(WAN)

Interface

TelehealthServiceCenter

HealthRecords

EHREHREHREHR

PHRPHRPHRPHRHIEHIEHIEHIE

NHINNHINNHINNHIN

CCDCCDCCDCCD

PCD 01PCD 01PCD 01PCD 01

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Continua BT Profiles

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Guidelines →→→→ Certification →→→→ Recognizable Logo

GuidelinesContinua member companies will select connectivity standards and publish Guidelines for strict interoperability.

Certification and LogoContinua is establishing a test and certification

program with a recognizable logo signifying the promise of interoperability with other certified products.

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Board Members

Continua Health Alliance Confidential 142012/10/24

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Promoter MembersOpen Open

InternationalInternational


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Over 200 Over 200 Member Member

Companies!Companies!Contributors� Advanced Micro Devices

� Alive Inc.

� All Medicus Co., Ltd.

� Allion Labs, Inc.

� Alps Electric Co., Ltd.

� American Heart Association

� Anakena Solutions, Inc.

� Analog Devices

� Andago Ingenieria s.l.

� Anson Group LLC

� Aptar Pharma

� ASE Consulting Limited

� AstraZeneca

� AT&T

� AT4 Wireless

� Austrian Institute of Technology

� Bayer

� Biocomfort Diagnostics GmbH

� Bionime Corporation

� BIOSPACE Co., Ltd.

� Bluegiga Technologies Oy

� BodyTel Europe GmbH

� Broadcom Corporation

� Brunel University

� Care Innovations

� CEA-LETI

� Centre for Global eHealthInnovation

� Cerner Corporation

� CETIC

� Chongqing University

� Christus Health

� Chunghwa Telecom Co., Ltd.

� Cinterion Wireless Modules

� Cnet Sweden

� Cogent Healthcare Systems

� Comarch

� CORE Corporation Chubu Company

� Coöperatie Slimmer Leven 2020 U.A.

� CSC

� CSR plc

� DELBio Inc.

� DELTA

� Dexcom Inc.

� Dialog Semiconductor

� Doro AB

� DSP Group

� Dynastream Innovations Inc.

� Elbrys Networks

� Empirica GmbH

� Epstein, Becker, & Green, P.C.

� Essence Security International

� ETRI

� FitLinxx

� Flextronics Design SRL

� Fraunhofer Gesellschaft e.V. -Allianz AAL

� Freescale Semiconductor

� frog design, inc.

� Frontline Test Equipment

� Future Technology Devices International

� GE Healthcare

� GlobalMedia Group, LLC

� H3System Co., Ltd.

� Healthrageous

� Hidea Solutions Co., LTD

� Hitachi, Ltd.

� Hosiden Corporation

� Hospital Clinic

� Huawei Technologies Co., Ltd.

� Humana, Inc.

� iMetrikus

� iMPak Health LLC

� Industrial Technology Research Institute

� Infineon Technologies

� Info Solution SpA

� Institute of Biomedical

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Over 200 Over 200 Member Member

Companies!Companies!Contributors� Insung Information Co., Ltd.

� InterComponentWare, Inc.

� Juniper Networks

� Kaiser Permanente

� KDDI R&D Labs

� Kontron AG

� KT Corporation

� L & T Integrated Engineering Services

� Lamprey Networks, Inc.

� LG Electronics Inc.

� Macnica, Inc.

� Marvell International Ltd.

� Maxim Integrated Products, Inc.

� MEDCOM - The Danish Healthcare Data Network

� Medtronic

� Mentor Graphics Corporation

� Merck Serono S.A.

� Micrium Inc.

� Microchip Technology

� Microsemi Corporation

� Microsoft Corporation

� Mindray DS USA, Inc.

� MindTree Ltd.

� MIR - Medical International Research

� MITRE Corporation

� MOH Holdings Pte. Ltd.

� MphasiS Ltd.

� Murata Manufacturing Co., Ltd.

� NEC Corporation

� Nestle

� NeuroVista

� Neusoft Medical Systems Co., Ltd.

� NHS Connecting for Health

� Nihon Kohden Corporation

� Nippon Telegraph and Telephone Corporation

� Nokia Corporation

� Nordic Semiconductor ASA

� Novo Nordisk

� NXP B.V.

� Oki Electric Industry Co., Ltd.

� ON Semiconductor

� openit, Inc.

� Oregon Scientific Inc.

� PA Consulting Group

� Pfizer

� Prodea Systems Inc.

� Prolific Technology Inc.

� Proskauer Rose LLP

� Qatar Science & Technology Park

� QNX Software Systems Co.

� Rancore Technologies Private Limited

� Renesas Technology America

� ResMed Corp.

� Rogers Communications

� Ryoyo Electro Corporation

� S3 Group

� Sagemcom

� Samtec, Inc.

� Sanofi-Aventis

� Sasken Communication Technologies Ltd

� Seers Technology Co., Ltd.

� Seiko Epson Corporation

� SHL Telemedicine

� Signove Tecnologia S.A.

� SINTEF

� SterlingTech, Inc.

� Stollmann E+V GmbH

� Stonestreet One, LLC

� Sumitomo Electric Networks, Inc.

� Swissmed Mobile

� Sybase iAnywhere

� T-Systems International GmbH

� TA Technology (Shanghai) Co., Ltd.

� TaiDoc Technology Corporation

� TechnoGym

� Telbios, SpA

� Telcare, Inc.

� Telecommunication Metrology Center of MIIT

� Telefonica S.A.

� Telehealth Solutions Ltd.

� TELUS Health Solutions

� Terumo Corporation

� Tesan SpA

� The Scottish Centre for Telehealth

� Tokyo Electron Device Ltd.

� Toppan Forms Co., Ltd.

� Toshiba Corporation

� TRaC Global Ltd.

� TTA

� Tynetec Ltd

� UCB SA

� UL

� Unicare Saude

� University of Applied Sciences Technikum Wien

� V.A.

� VigNet Inc.

� Vodafone Group Services Ltd.

� Voluntis

� VTT Technical Research Centre of Finland

� Weinmann Geräte Für Medizin GmbH & Co. KG

� Wind River

� Zephyr Technology Corporation

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Supporting Participants

Continua Health Alliance Confidential

2012/10/24 18

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Industry Liaisons


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Building Awareness Around the World …

Continua sponsored public symposiums and member summits

Belfast2010

2012: Austin, Berlin

2013: Portland, Taipei

London2007

San FranciscoJune 2006, 2007, 2008

BostonOctober 2006, 2007, 2008, 2009

IrelandJanuary 2008

February 2009

Spain March 2009

TokyoApril 2007

VancouverJune 2009

San DiegoFebruary 2010

South Korea2010

Amsterdam2011

Singapore2011

Washington D.C.2011

Austin2012

LuxembourgApril 2008

Thank you!

For more information or to join Continua Health Alliance…

Sign up for our newsletter

[email protected]

Visit our websitewww.continuaalliance.org

Scope of Version 2012 Scope of Version 2011, 2010 and 1.0

Pulse Oximeter, Blood Pressure Monitor, Thermometer, Weighing Scale, Glucose Meter, Cardiovascular Fitness, Step Counter, Strength Fitness, Activity Hub, Adherence Monitor, Peak Flow Meter, Fall Sensor, Motion Sensor, Enuresis Sensor, Contact Closure Sensor, Switch Sensor, Dosage Sensor, Water Sensor, Smoke Sensor, Property Exit Sensor, Temperature Sensor, Usage Sensor, PERS Sensor, CO Sensor, Gas Sensor, Heart Rate Sensor, Basic 1-3 lead ECG Sensor, Body Composition Analyzer.

Pulse Oximeter, Blood Pressure Monitor, Thermometer, Weighing Scale, Glucose Meter, Cardiovascular Fitness, Step Counter, Strength Fitness, Activity Hub, Adherence Monitor, Peak Flow Meter, Fall Sensor, Motion Sensor, Enuresis Sensor, Contact Closure Sensor, Switch Sensor, Dosage Sensor, Water Sensor, Smoke Sensor, Property Exit Sensor, Temperature Sensor, Usage Sensor, PERS Sensor, CO Sensor, Gas Sensor.

Evolving of Continua Guideline ReleasePAN-IF Interface for Wired (USB) & Standard Wireless (Bluetooth), and Sensor-LAN (ZigBee) Interface

Context of Continua End-to-End Architecture

PAN Device

Glucose Monitor

Heart Rate Monitor

Weight Scale

WA

N -

Inte

rface

LA

N -

Inte

rface

PA

N -

Inte

rface

HR

N -

Inte

rface

Application

Hosting

Device

WAN

Device

LAN Device

Health

Reporting

Network

Device

Source: Continua Design Guideline Version 2012, p95

PAN Interface Stack Diagram

Transport Protocol

& Selected Standards

Exchange Protocol

& Selected Standards


Sensor-LAN Wireless Infrastructure


Sensor-LAN Stack Diagram


Transport Protocol

Data Exchange Protocol

Device Specializations

WAN Scope


HRN Scope


HRN Topology


� The AHD may collect observations from multiple PAN devices at any given point in time and a single PAN device may deliver data to multiple persistent sessions.

� Likewise, an AHD may deliver these observations to zero or more WAN devices.

Application Hosting Device (AHD)

Block Diagram


Example of Home Telehealth Design

Source: www.freescale.com/homehealthhub

9960 Corporate Campus Drive, Suite 3300Louisville, KY 40223

Greg Chang0988-336-397

[email protected]

Thank You!

the next generation of healthcare: personal connected...

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