Orange Healthcare
joining up healthcare
Ian Hay – GSMA Connected Living European Summit – 23rd Oct 2012
Orange and health
in France…

responding to the exploding burden of chronic diseases and
related expenses: in high-income countries, 94% of the
“burden of disease” results from chronic disease

anticipating an aging population: in industrial countries, the
number of those 60-plus is expected to reach 418 million
by 2050

providing answers to medical desertification

optimizing coordination and communication among healthcare
professionals: 80,1% of General Practitioners (GP) have a
high-speed Internet connection in their consultation room

improving the quality of patient care and comfort: using
telemedecine solutions can potentially reduce the number of
hospitalizations by up to 50%

caring for dependent persons: the number of those 80-plus is
expected to reach 400 million by 2050
2
Orange and health
… internationally
3

improving the quality of patient care and
comfort: using telemedecine solutions can
potentially reduce the number of
hospitalizations by up to 50%

responding to the exploding number of
patients with chronic diseases: in highincome countries, 94% of the “burden of
disease” results from chronic disease

optimizing existing healthcare systems:
health professionals need to archive around
5 Peta per year for imaging

facilitating access to care : GSMA studies forecast the mHealth market to
be worth US $23 billion by 2017

actively combating drug counterfeiting: it is estimated that 30% of
medicines in Africa are counterfeit
e-health, an evolving ecosystem …
intake
follow-up
prevention
4
exam
diagnosis
therapeutic
management
… that places information management
at the heart of the system
Orange transfers and hosts medical
data
patients
healthcare
professionals
the medical
industry
health data
hosting
5
Orange Healthcare - 2012
Orange
machine-tomachine
networks
medical
software
global
integration
service
user services
consulting, integration
players in
the health
ecosystem
specific
developments
(security,
portals)
Orange Healthcare
joining up healthcare
6

Orange helps modernize the healthcare infrastructure as well as
healthcare systems as a whole, and equip healthcare facilities with
communications solutions

we are convinced that the medicine of tomorrow is connected
medicine in which the management of healthcare data and medical
information play an essential role

at Orange Healthcare, we are using our expertise in
communications to enable healthcare professionals to increase
patient comfort and peace of mind
in 2012, Orange offers solutions in 3 areas
services for healthcare
professionals
professionals to
professionals
our services connect
infrastructure to improve
coordination, collaboration,
and information flow among
all the traditional players in
the healthcare profession
hosting and sharing of medical
imaging
7
Orange
OrangeHealthcare
Healthcare– -2012
2012
remote healthcare
monitoring services
professionals to
patients
our services allow patients
to keep in touch with
healthcare professionals,
so professionals can
provide high-quality care
remote monitoring of cardiac
arrhythmia
Orange Healthcare
preventive
services
patient
we offer tools to improve
prevention in populations on
a day-to-day basis
drug authentication
Orange Healthcare
an international network of customers and partners: a few examples
in France


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Group for Health Cooperation of Ilede-France (GCS):
medical imaging hosting and sharing
platform, labelled "Région Sans Film,"
in partnership with GE Healthcare
Centre Hospitalier Régional de
Metz-Thionville:
deployment of the Connected Hospital
solution

Centre Hospitalier Tréguier:
deployment of solutions for patient and
healthcare staff safety

Hospices de Lyon:
solution for confirming patient
appointments via text message

Centre Hospitalier Universitaire de
Grenoble:
medical emergency access for the
hearing-impaired

Générale de Santé:
health data hosting solution through
Flexible Computing Santé

Centre Hospitalier Universitaire de
Montpellier:
outsourcing of health data hosting and
sharing with our partner Medasys
Orange Healthcare
an international network of customers and partners: a few examples
from around the world

Kenya: release of a solution to combat counterfeit medicines with
mPedigree

Mali: Mobile Santé: a solution for tracking epidemiological data

Senegal: computerized management of payments between
healthcare professionals and supplemental insurance companies

Ivory Coast: a solution for quickly finding the nearest on-duty
pharmacy

Mauritius: implementation of Connected Hospital

Egypt: a remote dermatology solution

France, United Kingdom, Spain,
Germany, Italy, United States:
SMARTVIEW, a remote monitoring device
for patients with arrhythmia using
defibrillators that transmit data, in
cooperation with the SORING GROUP

Spain: implementation of a remote
monitoring platform for diabetes in
partnership with Sanofi

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France: deployment of Shared Medical
Imaging with the Région Sans Film
platform; health data hosting

Bhutan: Health Hotline, a single
number to contact health
professionals throughout the country
India
Orange Healthcare
trademark solutions that highlight our know-how
services for
healthcare
professionals
remote
healthcare
monitoring
services
preventive
services
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
Connected Hospital: sharing in order
to better coordinate care though a range
of services for patients, healthcare staff,
and hospital administrators

CaseConferencing: instant,
direct sharing of diagnosticquality images for pathology
and cytopathology

Flexible Computing Santé: Orange
Business Services is approved as a
personal health information host by the
Ministry of Health


Shared Medical Imaging: to allow
secure digital filing, storage, and sharing
of medical imaging data among health
professionals
Solution Résidence Senior:
communication and
assistance services for
residents and healthcare staff
in assisted living facilities and
nursing homes

SMARTVIEW™: remote monitoring of patients with arrhythmia using
defibrillators that transmit data

Tiers Payant: Almerys, a subsidiary of the Orange group of companies,
provides computerized payment solutions. It has 156,000 healthcare
professionals, including more than 15 specializations active on its Tiers
Payant network.

drug authentication: combating counterfeit drugs
Orange Business Services
approved health data host in France
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
In 2010, Orange Business
Services became the first
telecommunications operator in
France to be certified to host
personal health information

this approval was granted by the
French Ministry of Health
Orange Healthcare
we work with recognized leaders
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manufacturers
elite schools
professionals
international organizations
Orange Healthcare
leading standards development
Board Member / Technical Working Group Chair / Guidelines Control Board Chair
•
Enabling Mobility for the Continua Design Guidelines
•
Implementing a RESTful approach to health data delivery optimised for mobile networks
•
•
hData, RHEx, FHIR, MQTT, OpenID, Oauth
•
Use the web as it is used today predominantly
Partnering to develop real world demos of M2M in mHealth
Technical Plenary
•Harmonising M2M standards to create a common efficient, easily and widely available M2M
Service Layer, which can be readily embedded within various hardware and software
•Bringing Health Vertical requirements, Use Cases and architectural input
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Orange Healthcare
Embedded Medical Sensor (M2M) demo
create a new class of device, medical sensors with embedded wireless modules to enable
connectivity directly to Electronic Health Record (EHR) systems
•Applying mobility principles to medical devices
•Out of the box experience
•Over the Air management and provisioning
•Secure identity management
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Orange Healthcare
SIM identity Derivation for Healthcare
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e-Health & Smart Cards Context (1/2)

Health smart cards are keys to unlock E-health services +
major enablers to complain with government policies on
security.

~ 200M of Health smart cards deployed in Europe
–
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by public organizations & insurance companies.

For health professionals and citizens

Offering security features -X509 certificates, crypto processors …- for
identification , strong authentication, encryption, signature
usages.

Use cases : e-invoicing/billing, e-prescription, securing the usage
of Health Information System.

Benefits: ROI ++ & TCO -- ( -> Governments & insurance
companies happy ) , Easy to use, security ++
e-Health & Smart Cards Context (2/2)
FACTS
Rapid paradigm switch: Because of the democratization of
smart devices and their added values for healthcare industry,
Because ehealth services are moving in the cloud, Because
Telemedicine is becoming a reality, Smart cards are
inappropriate to secure these new digital usages.
ORIENTATIONS
But
for next years, Health Smart cards will remain
relevant when used in the Physical world. Also political + economical
+security reasons.
So
Health Smart cards ecosystem is a good lever.
With
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SIM cards -> new digital usages centric
Solution Overview - Principles
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1.
Identification and strong authentication of document holder based
on authenticated e-document
2.
Verification of document validity and associated rights
3.
Derivation of an eID or personalized daughter application hosted
by the SIM
Solution Overview & Identity Derivation

SIM based eID, distinct from health ID, but linked

Usage is always linked to rights validity

Applications set under the control of health organisation

Multi-screen usage (the phone and the SIM as secure token)

Possible extension to NFC channel
– Professional to patient (peer to peer)
– mobile/SIM as secure signing token for professionals
– Safe and easy access to eHealth services on public terminals
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Use Cases Considered

For health professionals : Hospital + Home care +
Chronic diseases
– In mobility, simple and secure Access to Health records with
Smart phone and Tablet.
– When no Smart cards readers available.

For patients
– Secure Access to ehealth services ( PHR, insurance…) with
any mass-market connected device. No reader needed.
– Secure transmission of data from connected sensors.

If both segments use the service, Telemedicine become
a reality:
– Teleconsultation/Tele-expertise : remote mutual
identification/authentication, remote e-invoicing/e-billing, eprescription
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Where do we go next ?
The problem has been ‘self’ quantified
•The size of the problem varies by geography, but its BIG
•Lifecorders are enabling people to measure, share, compare with others
The solutions are numerous and fragmented
•Silo approach to health data, hardware centric approach
•But we are Humans, not silos
•Data aggregation creates knowledge, how do we make it actionable ?
Standardised Interfaces is one road to take but which one(s) get(s) you there ?
Is it
“If you don’t know where you are going, any road will take you there”
or
“All roads lead to Rome”
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health gallery
a showroom for Orange's health
products
22
health gallery
visit our showroom

address:
contact:
France Télécom
Orange Healthcare
Recherche & Développement
sante.lob@orange.com
38-40, rue du Général Leclerc
92794 Issy-les-Moulineaux
FRANCE
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
health gallery
our videos on Orange Innovation TV

Shared Medical Imaging: deployment of “Région Sans Film” in Ilede-France
http://www.orange-innovation.tv/region-sans-film

CaseConferencing: sharing and remote assessment of pathology
and cytopathology slides
http://www.orange-innovation.tv/anapath

remote monitoring of kidney failure (experimental):
http://www.orange-innovation.tv/fr/webtv/info_interviews/hightech/toutes_les_videos/le_telesuivi_linnovation_au_service_de_lins
uffisance_renale
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Orange Healthcare
a few of our trademark solutions
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Shared Medical Imaging
a solution for sharing medical images in partnership
with GE Healthcare
industrial solution in Ile-deFrance (“Région Sans Film”): 9
deployments
more than 1,000,000 exams
stored
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
a total solution
files, hosting, storage,
diagnostic assistance (PACS)
and image management (RIS)

certified personal health data
hosting
in 2010, Orange Business
Services became the first
telecommunications operator in
France to be certified to host
personal health information

Cloud Computing for health
SMARTVIEW TM
Orange and SORIN GROUP in the service
of cardiac patients


end-to-end managed remote monitoring
solution
electronic data transmission management
from the device to the doctors
Health data hosting
patient equipped
with a cardiac
implant
(defibrillator,
pacemaker)
transmitter
back-office
connectivity
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web
application
hotline
drug authentication solution
Orange and mPedigree are fighting counterfeit drugs
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
text messaging solution to
ensure that the medicine is not a
counterfeit

no cost to the patient

deployment of the solution in
Kenya (pilot)
thank you