Document No:
GSC(14)18_035
Source:
CHA
Contact:
Michael J. Kirwan
Agenda Item:
5.3
e-Health Industry Expectation
July 22nd, 2014
Personal Connected Health Alliance
Empowering individuals to better manage their health
Michael J. Kirwan
Technical Operations Director
PCHA and Continua
May 2014
Empowering Individuals to Better
Manage Their Health
The world is moving to a
focus on linking individuals
with interoperable,
personalized health
solutions that meet their
lifestyle needs.
Advantages of Personal Connected Health
Consumers are not just linking health data to the Providers any longer
• Potential to transform human health and healthcare delivery, and
to reduce global disparities in healthcare access
• Adds motivation and inspiration to health self-management by
taking advantage of support networks in social media and other
online forums
• Capable of reducing the impact of chronic disease, which is
responsible for the greatest portion of healthcare expenditures
• Ability to shift from treatment focus to preventive care by making
health self-management a part of everyday life
• Allows us to enjoy life longer outside of traditional healthcare
Engaging Consumers at Every Stage of Life
…and Providing Links to Family, Friends, Social
Networks & Providers
Health and Relief
Pharma
PCH Creates an Information- and Inspiration-Rich
Environment for Health Improvement
• Consumers become engaged in health self-management
• Links to social networks become a source of positive
reinforcement
• A secure line of communication is established between
providers and caregivers outside the exam room
• Consumer-collected data can enrich healthcare for
individual patients and patient populations
Better use of resources, reduced cost, improved clinical
outcomes…and health management incorporated into everyday life
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
7
Envisioning A Better Way: Weight Loss
• Wearable trackers to monitor calories burned
through activity
• Apps for diet/nutrition advice and caloric
intake, on smart phone and/or computer
• Social networking for inspiration and
competition (i.e., Jenny Craig, Biggest Loser),
using online forums such as Facebook
Envisioning A Better Way: Gaming
• Wearable trackers to monitor specific activity
• New sensors to enable 3d tracking and
movements
• Already in use for Rehabilitation and
Diagnostic purposes
• Can be utilized to stimulate inactive or
cognitive impaired individuals
• Interoperability allows for this data to be
collected by healthcare team
Envisioning A Better Way: Management of
Rare & Serious Diseases
• Disease-based forums (web, social media) for
peer advice on treatment options and
experience
• Connectivity to providers via provider portal,
for expert advice during diagnosis, treatment
and follow-up Apps to find a clinical trial
• PCH-enabled studies that use sensors, trackers
and/or remote monitoring for data accuracy
and patient convenience
Envisioning A Better Way: Care of Special
Populations
• Individual and online gaming for children/teens
with chronic diseases
• Apps to support connection to people with
communication disorders, such as autism
• Wearable sensors and wireless monitoring for
elderly living independently
• Remote monitoring by healthcare providers to
augment parental care of a sick child or aging
parent
• Social networking for caregivers, i.e., Facebook
book, online chat with the ability to share sensor
data
Envisioning A Better Way: Clinical Trials
•
•
•
•
Direct involvement of the individual in the trial
Evaluate patient populations
Accelerate patient recruitment
More efficient and effective management of
clinical trails, data collection and reporting
• Better quality, more reliable data
• Get new drugs to market faster
Envisioning A Better Way: Interoperability
Compliance with global industry standards is proven to
decrease time to market and reduce development costs:
• Lower Design Costs: saves US$ 40,000-$80,000 in
development costs per device
• Faster to Market: decreases integration time from three
months to just three weeks
• Increased Efficiency: quicker, less expensive integration to
EMR or HIE platforms
• Forward/backward compatibility: longevity of devices
• Easy to expand or add new programs/products with
plug-and-play
Architecture to Enable PCH
Personal Device
Aggregation
Manager
Thermometer
Pulse
Oximeter
Pulse /
Blood
Pressure
Telehealth
Service
Center
Health
Records/
Networks
Weight Scale
Glucose Meter
WiFi, 2G, 3G & 4G
Cardio /
Strength
PHR
Independent
Living
Activity
EHR
Peak Flow
Medication
Adherence
Physical
Activity
Electrocardiogra
m
Insulin
Pump
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Health
Record
Network
(HRN)
Interface
NHIN
HIE
Envisioning A Better Way: Adoption
= Adopting Continua
= Local Work Group
Denmark
EU WG
UK (NHS
Worcestershire)
Japan
US WG
US Veterans
Administration
&
US Department of
Defense
Japan WG
Middle East
India WG
SE Asia WG
Singapore
Brazil
WG
Australia
WG
PCH: Why Now?
• Consumer market is exploding
– more than 97,000 mobile health apps are currently available;
– each day the top 10 apps generate up to 4 million free and 300,000 paid downloads
• New regulations and incentives transforming healthcare delivery, putting
consumers at the center of their care
– the Affordable Care Act features comprehensive health insurance reform to improve the
quality and patient access to care in the US
– Meaningful Use Stage 3 to address population health
• Governments around the world demonstrating significant interest in
adopting personal connected health (ex: Denmark, Norway, UK, UAE,
Singapore)
– the UK’s 3million lives initiative changing care delivery using connected health tools for
citizens with chronic conditions
• Globally, healthcare in crisis and world population aging
PCHA: An Historic Collaboration
Continua Health Alliance, mHealth Summit & HIMSS
•
•
•
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Global plug-and-play interoperability Design Guidelines
and Product Certification program
Unmatched industry education, thought leadership and
networking
International leadership in hospital-based health
technologies
Worldwide presence to promote local, regional and
national public policy, advocacy and market
development
PCHA Mission
Generating greater awareness, availability
and access to plug-and-play, consumerfriendly personal health technologies to
empower individuals to better manage their
health and wellness, anywhere at any time.
PCHA Strategic Initiatives
• Promoting education and awareness through events and
outreach to all stakeholders
• Facilitating adoption of global industry standards for userfriendly interoperability between devices; privacy and security
– publishing annual Continua Design Guidelines for end-toend, plug-and-play interoperability; certifying products
– Ratified by ITU as global standard for PCH technologies
• Defining the path to market by advocating for appropriate
regulation and promoting investment
• Supporting governments and health ministries seeking
connected health solutions
• Operating in nations around the globe to promote market
development
The Time is Now
PCHA will coordinate stakeholders in PCH and maintain a
‘consumer first’ position
• It’s about the individual
• The technology is available
• Consumers are demanding it
• Nations are implementing it
• We can’t afford to miss this opportunity
The Market will not grow until we reach interoperable
solutions
Get Involved with PCHA!
http://www.mhealthsummit.org/subscribe
Web: www.pchalliance.org
Email: ask@pchalliance.org
Thank You
Case Examples
Denmark’s National Action Plan for Telemedicine
Scope
•
•
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Secure collection, transmission, storage of personal health data from
patients’ homes to healthcare providers across the country
Sharing of medical documents & images
Management of health records, medical appointments, etc.
Objectives
•
•
•
•
•
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Ensure end-to-end, plug-and-play connectivity of personal health
devices; establish interoperability standards
Ensure personal health devices & services easy to deploy, secure &
convenient for patients & providers
Reduce acute care stays
Enable elderly to live home independently
Develop chronic disease management programs
Expand use of telemedicine
Denmark: Centralized Approach to Standards
Adoption
• Mandated national compliance with interoperability
standards (Continua)
• Pros:
– National healthcare IT conformity supports large-scale
population health and creation of cost, operational
efficiencies
– Limited systems integration issues during rollout and
subsequent changes in technology
• Cons: limited regional, local influence over standards
development; currently fewer choices in devices
UK Dept of Health: 3millionlives (3ML) Campaign
• Based on evidence from the Whole System Demonstrator
Programme (6,000+ person telehealth/telecare study)
Goals
• Improve lives of 3ML people with long term conditions, social
care needs
• Develop market, remove barriers to delivery (5 yrs)
• Create environment to support uptake
• Public/private cooperation to simplify procurement and
commissioning processes for telehealth, telecare at scale
• Put NHS and UK industry at the forefront of telehealth, telecare
globally
• Promote benefits of telehealth and telecare services to patients
3ML: Regional Approach to Standards Adoption
• All personal health device providers must comply with
CEN ISO/IEEE 11073
• Contracting occurs on a local basis
• NHS Worcestershire County and East Shires
Purchasing Organization have voluntarily adopted
Continua
• Pros: localities maintain maximal control (device
selection, cost)
• Cons: healthcare IT infrastructure likely to require
significant integration to achieve end-to-end
interoperability at a national scale
Catalonia, Spain: Regional Approach
• Catalonia, Spain
– Population covered by universal healthcare with a mix
of public/private providers
– Health Ministry funded ICT organization (TicSalut)
coordinates standards, integrates health and social
welfare systems
– 100% of hospitals use EHRS; 70% have mobile tools
– Device integration primarily based on Hl7 standards
Opportunities & Challenges for Big Data
Opportunities
• Adopt common standards for PHRs to enable data
aggregation, tracking from multiple consumer devices
– A starting point for big data, especially in decentralized
markets
• Agree upon type, definition and format of personal health data
relayed from consumer devices to a medical records system
– Ex: Health Records Network
Challenges
• Retail and home devices need common standards to enable
consumer plug and play
• Clinical workflow impact complicates standards adoption
• End-to-end standards adoption
Personal Connected Health Alliance (PCHA)
An alliance and collaboration focused on the vision of person-centered health and health care
with a mission to deliver interoperable personal health solutions that foster independence and
empower people to better manage their health and wellness from anywhere; at anytime.
Interoperability &
Ecosystem Enablement
Global Access &
Leadership
Thought Leadership &
Industry Connection
Clint McClellan
PCHA ORGANIZATION
PCHA Structure, Governance and Services
Single Member LLC with HIMSS as sole Equity Holder
• Operating agreement defines constitution & duties
Board of Managers:
- Sets strategy
- Defines objectives & organization
- Plans budget
Operational sub-structure
• Operating agreement defines duties
Council manages:
- Guideline development / releases
- Certifications
- Working groups
- Events & content
•
•
•
•
•
•
Vision and Mission stays unchanged
Brand will continue unchanged
WG’s structure are the same
WG’s charters & processes remain
Membership dues and benefits stay intact
Current Continua members will become
PCHA participants automatically
Personal Connected
Health Alliance
LLC
- Up to 15 Managers elected from
Continua Promoter Participants
Current board carries over into BoM
- 5 Managers appointed by HIMSS
- Exec. Vice President represents LLC
- 1 Manager represents in HIMSS WW
Continua Council
mHealth Council
Up to 15 members elected
from Promoters
- Up to 15 Members elected from
Continua Promoter Participants
- Director acts as COO
Participants:
Promoters
Contributors
Developing Companies
33
Small Changes
• We are dropping the Health Alliance portion
of Continua Health Alliance – now referred
to as Continua
• Marketing-wise – We refer to Continua as …a
Founding member of PCHA…
• Continua name still represents the
Guidelines and Certification
• Continua logos to remain the same and
integrated into the PCHA logo
Website Changes
• New PCHAlliance.org website
• Continua website will remain separate as we
have specific functionality to maintain
membership and voting processes.
• Continua site undergoing a phased approach to
integrate with PCHAlliance look and feel.
• Adding new features
– Comment section
– Online request for Guidelines
Past Events
What: mHealth Summit Europe
When: May 6 – 8, 2014
Where: Messe, Berlin
Info: http://www.himssme.org/
-
Continua was a supporting organization
Speakerships
What: Continua Spring Summit
When: May 8 – 10, 2014
Where: Berlin, Germany
-
First co-located mHealth Summit and Continua Summit
Past Events
What: eHealth Forum 2014
When: May 12 – 14, 2014
Where: Anthens, Greece
Info: http://ehealth2014.org/
-Continua was a supporting organization
What: mHealth Summit Middle East
When: May 28 – 29, 2014
Where: Abu Dhabi
Info: http://www.himssme.org/
-
First Continua Connects Event
Continua was a supporting organization
Save the Date!
Continua Summer Summit
August 26 - 28, 2014
Montreal, Canada
Upcoming Events
• July - JWG visit (Chuck and JWG Chair)
• August - Shanghai Bluetooth event
• Sept – 15-18 HIMSS AsiaPac mHealth event
o 17-18 Sao Paulo mHealth event
• Oct – Partners Connected for Health
• Dec – 7-10 mHealth Summit DC
o 9-12 Continua Summit
mHealth Summit Components
• 400 Exhibiting Companies
• Intelligent Medical Home Pavilion
• Startup Showcase
• Comprehensive Sponsorship Program
• Targeted Pre-conference and Co-located Events
• 5 Keynotes Delivered by Industry Leaders
• 3-Day Core Conference Program
• 2-day, Co-located Global mHealth Forum
• Continua Technology/Interoperability Showcase
• Continua Member Summit
Global mHealth Forum
Past Keynotes and Executive Spotlights
Past Sponsors
BoD Approved!
Emerging Markets Incentive
This emerging markets incentive qualifies new members from either
a developing region or from a small company.
Developing Region
A company may qualify by being
a company originating out of a
defined Developing Area (OECD
GDP of less than $15K per
Capita).
Small Company
A company may qualify if:
•less than 20 full-time employees (in
all company divisions).
•Less than $4M annual gross
revenues.
•Less than $4M in total assess (as
indicated on balance sheet).
Qualifying Benefits
1. Company pays only $1000 for their first year, $2,500 for their second and full Contributor costs in their third year of Continua
membership.
2. Company receives one free listing fee (subject to the listing fee only and excludes the testing fee).
3. Company may participate in Continua Plugfests and Continua Connects (subject to existing fees).
4. Company in the Developing Region category will receive all Contributor membership benefits except they are limited to a maximum of 2
participants at each Summit. Leadership roles are also not available to this category.
To sign-up, please contact Continua Administration.
Admin@ContinuaAlliance.org
Certification Incentives for New Members
For New Members
If you join Continua between now
and December 31, 2014, you
get:
– All existing benefits of
Continua membership (CESL
code, free Test Tool,
matchmaking, etc.).
– PLUS –
• Free certification within
first year of Continua
membership.
Join Now
BoD Approved!
Notes Regarding this Certification
Incentive:
1. Only one offer per company/subsidiary.
2. Covers certification for one device
specialization and one transport.
Additional device
specializations/transports follow typical
fees.
3. Does not cover retest fee.
4. The deadline refers to the date company
is ready for certification (device is at
Test Lab, certification application has
been received and approved). Actual
test completion date is dependent on
Test Lab volumes.
BoD Approved!
University Member Incentive
This incentive qualifies new members from a College or University who contribute
resources back to Continua.
For a limited time period only, until December 31st, 2014, a College or University may join Continua for as
little as $1000 (a $5,500 savings)!
A College or University may qualify for this incentive by stating their goal or intent for the use of their Continua membership in what they can contribute
back to Continua. Contribution possibilities may vary but a few examples may be as follows:
• Provide research for Continua, i.e., similar to what may be required as part of a request for grant.
• Become reviewers of Continua’s test tools, guidelines and documents, providing inputs based on their use and understanding of the
industry requirements.
• Use Continua’s tools to demonstrate complete End-to-End Plug-n-Play interoperability.
• Create educational materials that incorporates the key technical or business concepts of Continua while utilizing them in daily teaching
activities.
• Many other possibilities exist, just provide your ideas for contributing back to Continua.
Access to Continua’s membership portal is available to the College or University staff only.
Please note that Continua’s Bylaws, due to intellectual property rights, do restrict educational entities from participating in the Technical Working Group (TWG),
the Use-case Working Group (UCWG), gaining access to draft Continua Design Guidelines and in certifying devices. Each university would need to be nominated
by two Continua Board members and to sign an agreement with Continua.
Qualifying Benefits
1. College or University pays only $1000 annually for Contributor Level Membership.
2. College or University will have full access to Continua CESL and Test Tools.
3. College or University may participate in Continua Plugfests and Continua Connects (subject to existing university fees).
4. College or University will receive all Contributor membership benefits except they are limited to a maximum of 2
participants at each Summit. Leadership roles are also not available to this category.
Join Now
To sign-up, please contact Continua Administration: Admin@ContinuaAlliance.org
Approved by Continua Council, Need PCHA BoD Approval
Adopter Member
Incentive for Self-Certifying your Device or Service
Companies can receive a significant savings on membership and
certification if they join Continua as an Adopter member and self-certify
an Agent or Service within their first year of membership.
Qualifying Benefits
•
Company pays only $1000 for their first two years, then $3,000 for their third year. At the fourth year
and beyond, Company selects to either continue paying for Adopter level at $3000 and pay for tools,
meetings, Plugfests, and testing - or move to the annual Contributor membership fee ($6,500).
Company receives one free listing fee (subject to the listing fee only and excludes the testing fee).
Company may participate in Continua Plugfests and Continua Connects (subject to current posted
fees).
•
•
Notes on Adopter Membership
•
•
•
Access to CESL libraries will require fee or upgrade to Contributor membership.
Access to draft Guidelines or to internal Working Groups is not allowed.
Additional fees may be required for participation in Showcases and Demo centers.
Join Now
To sign-up, please contact Continua Administration: Admin@ContinuaAlliance.org
Continua Test Labs
Berkshire UK
Herndon, VA,
USA
http://www.at4wireless.com/
http://www.scc.sharp-eu.com/
http://emcite.com/english/
http://test.tta.or.kr/English/
http://ul.com/
Basingstoke,
UK
Beijing, China
Korea
Malaga, Spain
Taipei, Taiwan
Thank you!