Continua Health Alliance: A Collaborative
Vision for Mobile Health & Innovation
Celeste Fralick, MS, CQA
Continua Member, Regulatory Working Group
Intel Corporation, Digital Health Group
celeste.r.fralick@intel.com
Thanks to Rick Cnossen, President/Chairman,
Continua Health Alliance
www.continuaalliance.org
Continua Health Alliance
“Our Mission is to
establish an eco-system
of interoperable
personal health systems
that empower people &
organizations to better
manage their health and
wellness”
The Continuum of Care
Infant
Amateur
Athlete
Diet/Fitness
Focused
Worried
Well
Chronic
Patient
Acute
Recovery
Elderly Living
Independently
CONTINUUM of LIFE
Continua Health Alliance enables a personal health eco-system that
empowers individuals & families to better manage their own health and
wellness across the continuum of life and care methods.
CONTINUUM of CARE GIVERS
New Parents
4/13/2015
Fitness
Wellness
Coach
The Family
Home
Nursing
Professional
Doctor/NP/Nurse
3
Promoter Members
Open
International
Industry Liaisons
5
Health and Wellness
One billion adults overweight world wide
“Worried well” vital sign monitoring:
 Weight
 Blood pressure
 Glucose
 Cholesterol
 Activity level
Healthy
Family
Blood-pressure
Cuff
Pedometer
Weight
Scale
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.
Heart Strap
Digital
Home
Cell Phone
Fitness
Equipment
Medication
Tracking
Benefits:
 Monitor and motivate
 Achieve individuals’ goals
 Access personal fitness
information anywhere
 Enhance trainers’ services
Internet
PC
Weight loss
and fitness
coaching
Healthcare Personal
Professionals Health
Record
Disease Management
860 million chronic disease patients world wide
Vital sign monitoring:
(remote patient monitoring)
 Diabetes
 COPD
 CHF
 Hypertension
 Chronic disease
 Post trauma
 Pre-op
Pulse Ox
Blood-pressure
Cuff
Pedometer
Fitness
Equipment
Medication
Tracking
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.
Thermometer
Digital
Home
Cell Phone
Weight
Scale
PC
Personal
Health
System
Glucose Meter
Benefits:
 Provide better-coordinated care
 Connect to care team
 Empower individuals
 Encourage early detection
 Reduce costs
Internet
Family
Disease
Healthcare Personal
Care Management Provider Health
Record
Givers
Service
Aging Independently
600 million elderly individuals world wide
Basic life monitoring:
 Bed pressure (sleep)
 Bathroom sensor
 Gas / water sensor
 Emergency sensor
 Independent
living
 Chronic disease
Blood-pressure
Cuff
Pedometer
Home
Automation
& Control
Fitness
Equipment
Medication
Tracking
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.
Pulse Ox
Digital
Home
Cell Phone
Internet
Personal
Health
System
Benefits:
 Involve family members
 Allow remote analysis & care
 Provide integrated view
 Encourage early detection
 Reduce costs
Family Elderly
Care Monitoring
Givers Services
Disease
Diet and
Wellness Management
Service,
Services
Healthcare
Provider
Guidelines  Certification  Recognizable Logo
Electronic Media / Software
Guidelines
Continua member companies will
select connectivity standards and
publish Guidelines for strict
interoperability.
Certification and Logo
Continua is establishing a test and
certification program with a
recognizable logo signifying the
promise of interoperability with
other certified products.
Product Applications
Product Substrates
Product Packaging
Working Groups
Marketing – Promote Continua (events, PR), provide marketing
materials, and grow membership in targeted industry markets.
Over 1,900 members
participating
in the various
Working Groups
Policy Strategy - Advance Continua's Mission globally by addressing policy barriers,
promoting policies that drive adoption, educating Continua's membership on relevant policy,
furthering Continua brand recognition with governments, and collaborating with external
stakeholders on advocacy activities.
Use Case - Identify and prioritize user experiences to be addressed by the Interoperability
Guidelines.
Technical – Decompose Use Cases into requirements and develop Interoperability Guidelines
that specify industry standards and profiles.
Wellness Solutions - Establish a clear value proposition for innovative health benefit plans
that effectively manage the health, wellness, costs, and productivity of the workforce using
personal telehealth technologies.
Regulatory – Clarify and describe interoperable device functions in a regulatory
environment.
Test & Certification - Create and maintain the Test and Certification Program for Continua,
including member test tools, plugfests, certified test labs, and certified product listings.
4/13/2015
10
Interfaces & Standards
Personal Device
Thermometer
Pulse Oximeter
Aggregation
Manager
Telehealth
Service
Center
Health
Records
Pulse /
Blood Pressure
Weight Scale
Glucose Meter
Cardio / Strength
Independent
Living Activity
EHR
Peak Flow
Medication
Adherence
Physical Activity
Electrocardiogram
Insulin Pump
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Health
Record
Network
(HRN)
Interface
PHR
11
Version One Device Connectivity Standards
Thermometer
Pulse /
Blood Pressure
Weight
Scale
Glucose
Meter
Cardiovascular
and Strength
Fitness
Monitor
Transport Independent
Pulse
Oximeter
 11073-10404 =
 11073-10406 =
 11073-10407 =
 11073-10408 =
 11073-10415 =
 11073-10417 =
 11073-10441 =
Monitor
 11073-10442 =
 11073-10471 =
 11073-10472 =
Pulse Oximeter
Pulse / Heart Rate
Blood Pressure
Thermometer
Weighing Scale
Glucose
Cardiovascular Fitness
Strength Fitness Equipment
Independent Living Activity
Medication Monitor
PC
Personal
Health
System
Cell Phone
 11073-20601 = Base Framework Protocol
Set Top Box
Independent
Living Activity
Medication
Adherence
Medical Device
Personal Health Device
Class Specification Profile Specification
Aggregator
Version One Healthcare Record Standards
Disease Management
Service Provider
Disease
management
nurse or home
care nurse
Remote
Patient
Monitoring
(RPM) Server
Personal
Health
Record
 Personal Health Monitoring
(PHM) [based on CDA / CCD]
Home-based
Remote Patient
Monitoring (RPM)
System
 Cross-Enterprise Document
Reliable Interchange (XDR)
Patient
Vital Sign Devices
Healthcare
Provider
Labs
Electronic
Health
Record
Ecosystem Development
Developer Resources
 Web-based environment
(repository, collaboration tools)
 Reference source code
Market Intelligence
 Access to market research data
 Access to pre-publication drafts of
the design guidelines
 Internal and external education and
training
Monday, April 13, 2015
Certification
 Test and certification tools
 Right to use certified logo upon
completion of successful
certification
Collaboration
 Plugfests participation
 Participation in RFP MatchMaker
program
 Unlimited participation in Continua
quarterly summits, town hall
meetings, and education seminars
Free Reference Source Code
Save $800K
on Product
Development!
Source Code Library
 500 modules of member-written source code already available in our
library…downloaded by dozens of companies
 We are paying contractors to write the rest. Currently investing over
$800k…will add more code to the library each year
 Structured as library of modules w/ API
 Reference code only—use at your own risk (disclaimer)
Generic Reference Platform
 Operating system: Windows XP
 Hardware: X86-based
 Language: Object Oriented C++ | C for embedded components
Implement Mandatory Features of Guidelines
 Common Source for Certification Test Tool, Plugfest System Simulator,
Member Implementations
First Public Interoperability Demonstration
Harvard Medical Amphitheater | October 2008
Device Interface
Heart Failure & COPD
XHR Interface
EHR
Wireless Pulse Oximeter
Telehealth
Service
Weighing Scale
PHR
Obesity & Diabetes
Telehealth
Service
EHR
Blood Pressure Monitor
Telehealth
Service
Tokyo Metabolic Syndrome Demonstration
Bluetooth-enabled devices | February 2009
• A&D Weigh scale, BP-cuff
• Omron Weigh sale, BP-cuff, Pedometer
• Panasonic Tough book
• Tanita Weight scale
• Toshiba- STB and UMPC
Latest Continua Certified™ Products
Manager (TBA)
Nonin Pulse
Oximeter
Nonin Wireless
Fingertip Pulse
Oximeter
Omron Blood
Pressure Monitor
Roche Accu-Chek® Smart
Pix Device Reader
Omron Pedometer
A&D Medical Weight
Scale
Omron Body
Composition
Monitor
Bluetooth™ Software
Application for
Windows® by Toshiba
Texas Instruments
MSP430 USB Agent
Platform
A&D Blood Pressure
Monitor w/ CPX186
Converter Cable
A&D Medical Blood
Pressure Monitor
A&D Weight Scale
w/ CYPAK
Converter Cable
Building Awareness Around the World…
London
January 2007
Vancouver
June 2009
Luxembourg
Ireland
April 2008
January 2008
San Francisco
June 2006,
2007, 2008 San Diego
February 2010
Continua
sponsored public
symposiums and
member summits
Boston
October 2006,
2007, 2008, 2009
Spain
March
2009
Tokyo
April 2007
Tokyo
February 2009
2009: Tokyo, Barcelona, Vancouver B.C., Boston
2010: San Diego, Belfast, South Korea
Thank You
Thank you!