Automating Patient Care Through Telemonitoring



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Automating Patient Care Through Telemonitoring Mick Farrell CEO, ResMed 2015 Qualcomm Life. All rights reserved. #qualcommconnect

Why ResMed? 25+ years of successful innovation, market development and financial management Disciplined financial management Leader in innovation for sleep disordered breathing, respiratory care and chronic diseases Proven capital deployment history, committed to returning excess cash to shareholders Global sales and manufacturing franchise, delivering products and solutions Long-term Growth opportunities across all three horizons of ResMed s strategy

ResMed s Three-Horizon Growth Strategy Patient Growth Changing lives with every breath 20 million lives changed by 2020 Improve patient quality of life Prevent chronic disease progression Reduce healthcare system costs Horizon 1 Lead SDB Industry Ground breaking end-to-end solutions Horizon 2 Scale-Up Respiratory Care and Grow in Emerging Markets Adjacent growth in COPD, OHS, NMD, including ALS A portfolio of high growth markets including China, India and Brazil Time to Materiality Horizon 3 Accelerate and Expand into New Markets Respiratory monitoring solutions for HF & COPD Cardiology Atrial Fibrillation Heart Failure Coronary Artery Disease

Sleep Apnea: Highly prevalent in key chronic diseases Stroke 63% Depression 45% Morbid Obesity 77% Type 2 Diabetes 72% Drug-Resistant Hypertension 83% Heart Failure 76% Coronary Artery Disease 57% Atrial Fibrillation 49% References: Logan et al. J. Hypertension; O Keefe and Patterson, Obes Surgery; Oldenburg et al,, Eur J Heart Failure; Einhorn et al. Endocrine Prac; Basseti et al. Stroke

Automating Patient Care through Technology 2015 Qualcomm Life. All rights reserved. #qualcommconnect

We are simplifying complex homecare processes Submit claim for payment Order product from ResMed Payors Get paid Setup patient with product Follow-up patient calls to manage compliance HME Enter invoiced products into inventory system Push Therapy Outcomes to Hospital EMR Hospital EMR Mail SD card Fax compliance Info to doc Chase down follow-up notes Send prescription to HME Chase down Dx report Follow-up calls/visits for compliance and coaching and resupply Patient Consultation Fax Dx and Tx reports OSA Patient Referring Physician Sleep Lab or Home Sleep Test Diagnosis Therapy Monitoring & Management Patient Engagement Billing

New always-connected Sleep Apnea platform Built-in cellular communication on all AirSense 10 & AirCurve 10 Devices transmit the data to AirView the Hour after Last Off (HALO) 2015 Qualcomm Life. All rights reserved. 7

ResMed Healthcare Informatics Evolution ResMed was the first sleep apnea company to launch a telemonitoring program for sleep apnea devices in 2004 ResMed acquired Umbian in 2012, adding a rules based processing engine and automated patient outreach technology to the system ResMed added diagnostic capabilities into AirView, connecting the patient pathway from diagnosis to therapy in 2014 ResMed acquired Caretouch and Jaysec in 2015 adding digital prescription management and resupply to the portfolio ResMed s healthcare informatics system AirSolutions will add well over 1 million new connected healthcare devices under daily monitoring to the digital health ecosystem 8

We have changed the basis of competition in our market Air Solutions: Smaller, Quieter, More Comfortable and More Connected DIAGNOSIS THERAPY MONITORING & MGMT. PATIENT ENGAGEMENT BILLING

Simplified delivery model with Air Solutions Payors Hospital EMR HME RDM Resupply OSA Patient Referring Physician Sleep Lab or Home Sleep Test Diagnosis Therapy Monitoring & Management Patient Engagement Billing

Case Study: U.S. homecare channel efficiency Proven ability to maintain positive patient outcomes with significant reductions in labor. Results SOC Group** U-Sleep Group* Residual AHI 2.8 ± 3.8 3.0 ± 4.1 Medicare Adherence 73% 83% Mean Hours of CPAP Usage 4.7 ± 2.1 5.1 ± 1.9 Mean Minutes of Coaching 58.3 ± 25 23.9 ± 26 59% reduction In labor!!! *Based on an independent study and presented at ATS 2014, San Diego. A Web Based Automated Messaging Program for CPAP Adherence Coaching Reduced the Coaching Labor Required While Yielding Similar Adherence and Efficacy to Standard of Care Coaching.; **The Standard of Care Group was followed using scheduled manual calls on days 1, 7, 14 and 30. Additional contacts were made as clinically necessary.

Using Telemonitoring to Extend our Reach into Chronic Disease 2015 Qualcomm Life. All rights reserved. #qualcommconnect

ResMed s Three-Horizon Growth Strategy Patient Growth Changing lives with every breath 20 million lives changed by 2020 Improve patient quality of life Prevent chronic disease progression Reduce healthcare system costs Horizon 1 Lead SDB Industry Ground breaking end-to-end solutions Horizon 2 Scale-Up Respiratory Care and Grow in Emerging Markets Adjacent growth in COPD, OHS, NMD, including ALS A portfolio of high growth markets including China, India and Brazil Time to Materiality Horizon 3 Accelerate and Expand into New Markets Respiratory monitoring solutions for HF & COPD Cardiology Atrial Fibrillation Heart Failure Coronary Artery Disease

Chronic Disease Management (CDM) is a key focus for ResMed Prevalence of Sleep Apnea 72% Type II Diabetes 77% Obesity Sleep apnea is at the center of nearly every costly chronic disease. 37% Hypertension Sleep Apnea 57% Coronary Artery Disease 70% Stroke / TIA 49% Atrial Fibrillation

Telemonitoring is critical for effective CDM Chronic disease is increasingly managed in the home Changes in lifestyle and disease progression need to be monitored on a daily basis

ResMed s capabilities translate to the CDM market ResMed has years of success delivering data driven outcomes for our customers and patients in sleep apnea and in COPD.

Chronic diseases are complex for stakeholders to manage Multiple caring physicians Outpatient therapy HME Equipment Home Health Nursing Prescription management Loved ones actively involved Varying treatment protocols

HI solutions for CDM is a natural extension of our core capabilities Existing Core Capabilities Healthcare Informatics Secure and stable IT systems Fast and flexible integration capabilities Innovative efficiency-focused solutions Meaningful action-oriented data insights Global localized market readiness Advanced workflow management Integration of personal and population metrics User experience by personas Air Solutions for Chronic Disease Management Rapid implementation of new standards of care

ResMed Healthcare Informatics Across the Spectrum Therapy Adherence P at i e nt ResMed AirSolutions P a th w ay Awareness Obesity Hypertension TII Diabetes SDB COPD Cardiac Disease 19

AirViewCare.ResMed.com

AirView CareManagement - Charts Dashboard - Usage - Leak - Respiratory Rate - Tidal Volume - Minute Ventilation Manage a whole population of patients by quickly triaging and focusing attention on at risk patients 21

ResMed s 2020 Vision 2015 Qualcomm Life. All rights reserved. #qualcommconnect

ResMed s Three-Horizon Growth Strategy Patient Growth Changing lives with every breath 20 million lives changed by 2020 Improve patient quality of life Prevent chronic disease progression Reduce healthcare system costs Horizon 1 Lead SDB Industry Ground breaking end-to-end solutions Horizon 2 Scale-Up Respiratory Care and Grow in Emerging Markets Adjacent growth in COPD, OHS, NMD, including ALS A portfolio of high growth markets including China, India and Brazil Time to Materiality Horizon 3 Accelerate and Expand into New Markets Respiratory monitoring solutions for HF & COPD Cardiology Atrial Fibrillation Heart Failure Coronary Artery Disease

Thank you. #qualcommconnect Visit QualcommLife.com Copyright 2015 Qualcomm Life, Inc. All rights reserved. Qualcomm and 2net are trademarks of QUALCOMM Incorporated, registered in the United States and other countries. HealthyCircles is a trademark of MyTeleHealth Solutions, LLC, a wholly owned subsidiary of Qualcomm Life, Inc. Other product and brand names may be trademarks or registered trademarks of their respective owners. All QUALCOMM Incorporated trademarks are used with permission. 24