Connectivity in the Age of Telehealth. Haritha Treadway Eurotech

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1 Connectivity in the Age of Telehealth Haritha Treadway Eurotech

2 Agenda Telehealth and the medical device industry Market analysis Challenges faced Implementation methods Eurotech s solution Company overview Device Cloud Conclusion

3 Telehealth and the Medical Device Industry

4 Staying Connected Over 5 billion globally connected devices today 1 Forecasts of over 20 billion by 2020 Key driving factors Growth in internet-enabled cell phones Internet connectivity for TVs, cars, cameras and other household applications Connected M2M deployments 1 IMS Research, Internet Connected Devices About to Pass the 5 Billion Milestone, August 2010

5 Telehealth and Its Impact on Device Connectivity Over $6 billion by 2012 in the US market alone Key triggers for growth Need to control cost of health care Advances in broadband network Increasing usage of smart phones Advances in data handling technologies Overall shortage of doctors Wireless applications, devices and services will account for more than 70% of the telemedicine market [by 2014] 2 2 Pike and Fischer, Telemedicine and the Economic Stimulus: Broadband Opportunities in a Swelling Market, October 2009

6 What is Telehealth? Definition Use of electronic and telecommunications technologies for healthcare, education, and administration Types of applications Remote monitoring of biometric data Storing data from medical devices for short-term and long-term analysis and treatment recommendations Real-time interaction between the patient and medical staff via video or teleconferencing

7 Overall Benefits Patients - Improved access to medical specialists - Quicker, more accurate diagnosis and treatment, potentially leading to improved patient outcomes - Reduced travel - Decreased stress - Decreased cost (travel, meals, accommodation, lost work) Remote Health Care Provider - Improved access to medical specialists - Increased confidence in management - Increased opportunities for education (CME at a distance, students can attend classes virtually, can attend conferences virtually) - Decreased professional isolation - Virtual meetings - Collaborative research Health Care Payer - Decreased overall health care costs (per patient) - More specialists can visit region, more often, at less expense - Human resources are used more efficiently - Health professionals are attracted to and kept in the region - Back-up local health professionals Central Health Care Provider - Decreased need to travel - see patients, not the road - Improved screening of patients - Improved follow-up - Increased educational opportunities - Virtual meetings - Collaborative research - Electronic house calls 3 Elford, Rod, M.D., Setting up Telehealth in the Developing World,

8 Medical Devices and Staying Connected Telehealth enabled medical devices expected to top 2 million by Growing trends: Manufacturers offering subscription-based internet-based services to buyers Linking devices directly to Smartphones 4 Singer, Ira D., Telehealth enabled home medical device shipments will exceed 2 million by May 4, 2010,

9 Challenges Faced Existing infrastructures are very diverse Testing and certifications Data security and reliability Ease of use for all parties Low power device with minimal maintenance Easy-to-use communication for both patients and medical staff Flexible Adaptable to new technologies Expandable to include new devices and members

10 Server-based Implementation Wired medical devices Device manager Data Server Local Network Computer Wired Glucose Meter Meter Medication Pack Eurotech Helios Communications Gateway Wired Weighing Wired Weighing Scale Scale

11 Key Components IT infrastructure with local network connections Data storage centers Traditional M2M interfacing Hospitals maintain the traditional network provider relationships

12 Benefits and Pitfalls of Traditional Implementation Benefits Data security with implementation of firewall Usually preexisting in the hospital infrastructure Tight control of new devices or changes Pitfalls Data only accessible from local network within the firewall Expensive to house and maintain servers (large amounts of data, backup inventory in case of malfunctions) Time consuming with manual addition of new devices and patients into the system Not always real-time data

13 Cloud-based Implementation Wired medical devices Device Manager Cloud Services Provider Application Wired Glucose Meter Meter Medication Pack Eurotech Helios Communications Gateway Wired Weighing Wired Weighing Scale Scale

14 Key Benefits to Cloud Implementation Outsource parts of the IT infrastructure Reduces costs Reduces complexity Allows medical providers to focus on core competency Easy to deploy Scalable Easily integrate new devices and technologies Increase efficiency Access data in real time Store data to understand trends in real time Make faster diagnosis

15 Eurotech s Solutions Suited for Telehealth

16 Eurotech Overview Global company and major player in the market Strong relationships with key players in the industry Ability to manage complex solutions We help customers focus on their core competences

17 Delivering the Competitive Advantage Know How and Intellectual Property Experienced worldwide engineering Production & operations Management of complex projects Product Portfolio Comprehensive portfolio (core, infrastructure, edge) Customer focus products designed for vertical markets More than excellent hardware (software, services) Go to Market Expertise Certification process mgmt communications, medical, etc. Quality management system ISO 9001:2008 Technical support and forum

18 Product Evolution Boards & Modules Application Ready Platforms Ready To Use Devices Versatile, low power, high performance foundations Qualified platforms that cut time to market Market-specific devices with native capabilities

19 Proven Applications

20 Microsoft Product Offerings Processor Technology ARM Intel Atom x86 Eurotech Product Examples BitsyXb, Bitsy G5 TurboXb, Turbo G5 Sphere II Catalyst XL family Catalyst LP Catalyst TC ANTARES ANTARES ICE GEMINI ZEUS, TITAN, GCM ISIS GEMINI ICE Zypad PROTEUS, ALUDRA Helios Windows Embedded Products Windows CE Windows CE WEC WES WES Windows 7 Windows XP Windows 7 Windows XP

21 Delivering Value to Medical Device OEMs Turnkey, fully tested embedded platform to save OEM time & money Complete documentation as part of the as built package Testing using OEM procedures and OEM documentation Commercial (0 to +70C) and industrial (-40 to +85 C) temperature options Fanless, robust design with ruggedized connectors to handle vibration and dust interference

22 Case Study - Dynavox Application - Speech-generating device Eurotech Product - Catalyst Module Intel Atom processor Windows Embedded Standard DynaVox Product Requirements Small, light form factor for hand-held usage Rugged design to withstand being dropped Multimedia including MP3 playback and video Communications including Internet and Infrared Eurotech Value Best Atom-based solutions in the market with competitive pricing Customized hardware and software for unique application needs Full engineering support We found Eurotech had the best specs, met them, and offered a competitive price. Eurotech was also willing to work with us to customize their BIOS and other supporting software, an important concern for a smaller company like DynaVox. Their support has been excellent Bob Cunningham, Chief Technical Officer, DynaVox

23 Case Study - GE Healthcare Application Data Capture Device Eurotech Product TurboXb ARM processor Windows CE GE Healthcare Product Requirements Processing power for breath-to-breath data capture Continuous and reliable data capture Wireless connectivity for data transmission Ease of installation Portability across GE Engstrom ventilators Eurotech Value Proven platform to speed development process Extension of GE healthcare development team If we had questions during application development, we had someone to talk to at Eurotech. We found that Eurotech provided timely customer support and constant communication. John Huttenhoff, GE Healthcare Lead Program Integrator

24 Delivering Value to Telehealth via the Device Cloud Use the Cloud to interface directly with patient care by storing medical device data Bring data from the device to business applications Turn device readings into valuable and actionable information Access patient information in real time Seamlessly and quickly connect wide range of embedded devices to the cloud network

25 Eurotech s Everyware Device Cloud Everyware Device Cloud (EDC) offers a complete end-to-end solution Key components: Purpose-built hardware Eurotech Software Framework (ESF) Everyware Device Cloud Client Isidorey Device Cloud connectivity Embedded device management

26 Reduces Complexity and Cost Single point of contact Connectivity, data management and delivery Remote monitoring, maintenance and configuration of deployed devices Incur only monthly fees

27 Testing and Certifications Eurotech works closely with OEMs and customers throughout the development and deployment process To meet medical industry requirements ISO GMP 21 CFR 820 IEC and IEC Safety requirements Testing using customer procedures and documentation

28 Security and Reliability Portability across device platforms through Eurotech ESF, a best-in-class and proven application framework supporting a broad range of boards and systems Open standards-based with interfaces and APIs for seamless integration to business logic that can adapt to inevitable and unforeseen market forces World-class security and privacy policies protect the devices, data, and business investment Mitigate risk by basing your sophisticated application on cutting edge cloud platform architecture

29 Ease of Use Customization Where do you want to receive data (ipad, desktop, PDA, phone)? What form do you want to receive data (Tweet, SMS, , phone call, dashboard)? Software frameworks and toolkits simplify development of new features Easily communicate to provider applications like Microsoft HealthVault

30 Scalability Scalable from very small to large number of devices and applications Object modeling allows for quick addition of devices and categories Wide range of standard interfaces and APIs for business application integration

31 Challenges Faced Revisited How Does the Device Cloud Solve Challenges Existing infrastructures are very diverse Testing and Certifications Data security and reliability Ease of use Scalable and flexible

32 Where EDC is Available Eurotech s products support: Windows CE Windows Mobile Windows Embedded Windows XP / Vista / 7

33 Looking to the Future Telehealth is the new direction in healthcare Seeing an increase in chronic diseases which require regular monitoring Growing, aging population with limited mobility FDA and government agencies reviewing and opening up to Telehealth Cloud services like Eurotech s Everyware Device Cloud can help meet the needs and address challenges