Luminary Labs attended the 2010 mHealth Summit held November 8-10th at the Walter E. Washington Convention Center in Washington, D.C. The Summit was organized by the Foundation for the National Institutes of Health and the mHealth Alliance. The event brought together participants from both public and private sectors from both domestic and international locations.

1. 2010 EVENT DEBRIEF 1 Attendee: Simon Leung, Luminary Labs November 8 to 10, 2010

2. Contents Overview Key Themes Select Initiatives Select Commentary 2

3. WHY MHEALTH? 3 “…explore ways mobile technology can increase the access, quality and efficiency of healthcare to millions of families in communities in the U.S. and around the globe.” - 11/4/10 Press Release -

4. OVERVIEW 4 The 2010 mHealth Summit took place during November 8-10th at the Walter E. Washington Convention Center in Washington, D.C. The Summit was organized by the Foundation for the National Institutes of Health andthe mHealth Alliance. The event brought together participants from both public and private sectors from both domestic and international locations. Full Listing of mHealth Summit Exhibitors here: http://www.mhealthsummit.org/exhibitors/list

6. Bill Gates, Co-Chair and Trustee, Bill & Melinda Gates Foundation;

7. Francis S. Collins, Ph.D., Director, National Institutes of Health;

8. Ted Turner, Chairman, United Nations Foundation;

9. Todd Park, Chief Technology Officer, U.S. Department of Health and Human Services (HHS);

10. Aneesh Chopra, U.S. Chief Technology Officer; and

11. Dr. Judith Rodin, President, The Rockefeller Foundation5

12. KEY THEMES 6

13. Key Themes Systems, partnerships & integration Lack of data surrounding the use of technology in healthcare Technology is not a panacea Changing healthcare is about changing behavior 7

14. 8 THEME 1: SYSTEMS, PARTNERSHIPS & INTEGRATION

15. 9 SYSTEMS, PARTNERSHIPS AND INTEGRATION The complexity and scale required to make impactful changes in healthcare necessitate partnerships between public and private players as well as between innovators and industry giants. These partnerships should aim to deliver integrated solutions rather than standalone products. “It is system of systems that are necessary to scale solutions - therefore vertical partnerships are imperative.” - Dr. Judith Rodin - President, The Rockefeller Foundation

16. 10 THEME 2: THERE IS A LACK OF DATA SURROUNDING THE USE OF TECHNOLOGY IN HEALTHCARE

17. 11 THERE IS A LACK OF DATA SURROUNDING THE USE OF TECHNOLOGY IN HEALTHCARE The lack of statistically relevant studies on the impact of technology keeps questions about efficiency, costs and outcomes unanswered and is one of the barriers that must be overcome in order to bring about change. Can we innovate in parallel as the industry gathers this data? “5-year clinical trials,17-year adoption timelines are too long.” - David Gustaftson, Ph.D - University of Wisconsin, Madison

18. 12 THEME 3: TECHNOLOGY IS NOT A PANACEA

19. TECHNOLOGY IS NOT A PANACEA 13 “Four prongs needed for proper delivery of healthcare: Leadership, Institutions, Systems, Technology (L.I.S.T.).” - Julio Frenk - Harvard School of Public Health Technology as a tool will enable us to make dramatic changes in the mechanisms used to deliver healthcare. However, technology must be implemented in concert with changes in all other aspects of the value-chain.

20. 14 THEME 4: CHANGING HEALTHCARE IS ABOUT CHANGING BEHAVIOR

21. CHANGING HEALTHCARE IS ABOUT CHANGING BEHAVIOR 15 "Health ultimately depends on behavior and that is a difficult thing to change" - Vijay Vaitheeswaran - The Economist Making changes to healthcare that result in positive improvements in outcomes for patients will require behavioral changes from all participants in the healthcare system – patients, providers, institutions, etc. We should shift our focus to the specific changes in behavior we need to change through the use of technology.

22. SELECT INITIATIVES 16

23. Selected initiatives highlighted Text4baby.org - Free mobile service designed to promote maternal and child health Openmrs.org- Open source electronic medical record system Telemedicineindia.com- Apollo hospital (India) Telehealth Sense4baby - Fetal and Maternal Monitoring Device Zephyr-technology.com- Measures critical vital signs and physical activity Asthmapolis.com- GPS inhaler trackers Surescripts.com- Plans to offer secure provider to provider messaging system Eyenetra.com- Mobile phone attachment that can estimate refractive errors in the human eye Viocare.com- Personalized wellness solution integrating location into the design Epi.com.sg- ECG system built into a cell phone Platforms for getting involved: Healthunbound.org- meeting place for those who care about transforming health systems Challenge.gov– platform to bring best ideas to bear on nation’s most pressing challenges 17

24. Text4BabyFree mobile service designed to promote maternal and child health 18

25. OpenmrsOpen source electronic medical record system 19

26. TelemedicineIndia.comApollo hospital (India) Telehealth 20

27. Sense4BabyFetal and Maternal Monitoring Device 21

28. ZephyrMeasures critical vital signs and physical activity 22

29. AsthmopolisGPS inhaler trackers 23

30. SureScriptsPlans to offer secure provider to provider messaging system 24

31. MIT Eye NetraMobile phone attachment that can estimate refractive errors in the human eye 25

32. VioCarePersonalized wellness solution integrating location into the design 26

33. EPI lifeECG system built into a cell phone 27

34. Healthunbound.org meeting place for those who care about transforming health systems 28

35. Challenge.govplatform to bring best ideas to bear on nation’s most pressing challenges 29

36. SELECT COMMENTARY 30

37. Verizon Wireless Overview Verizon’s entrance into the Healthcare space is still early but they expressed tremendous interest in partnering and openly spoke of meetings with other Pharma companies including Pfizer. One of the key advantages of their future 4G network over others is that theirs will have the least amount of roaming, providing the most “secure” network for healthcare communications. Food for Thought Verizon, AT&T, Sprint, Qualcomm all had booths at the mHealth Summit. Orange was also a key participant. Telecom’s role in Healthcare is still to be determined but it seems that both Verizon and AT&T are interested in building a “Health Information Exchange” and in some ways becoming a “cloud” for healthcare information. Where will Telecom end up in the Healthcare value chain? 31

38. PROTEUS BIOMEDICAL Overview Proteus Biomedical makes “intelligent” medical products including “trackable pills.” Novartis recently invested $24 million in Proteus and plans to seek FDA approval within the next 18 months for the “microchipped pills.” Food for Thought How will consumers adapt to injectabletechnology? 32

39. CELLUCARE Overview Cellucare, creator of a virtual medical clinic focusing on chronic illness, was recently purchased by Abraxis Health, a spinoff of Abraxis Bioscience owned by Dr. Patrick Soon-Shiong. Abraxis Health is a private company focused on innovation within the wireless medical arena. Food for Thought Abraxis Health is one of many companies present at the mHealth Summit seeking to be a player in the next generation of Healthcare delivery systems and its acquisition of a video health delivery system is going to be the norm as the industry’s bigger players start consolidating innovators. 33

40. Overview EPI is the maker of EPI Life, a mobile device with an integrated Electrocardiogram and Health Suite function. One of the reasons why they chose not to create their product as an iPhone attachment was to demonstrate that their product could be integrated directly into the device. Food for Thought Each monitoring solution comes with its own “cloud” management for data. Will consumers want to have their data stored in multiple clouds? 34 ePhone International PTE Ltd

41. Tigertext Overview Platform to deliver “secure” text messages – messages that “do not live forever. They are eager to seek partners interested in utilizing their platform. Food for Thought The Regulatory Impact on innovation cannot be ignored and the need for secure and private communications channels between all participants of healthcare delivery will grow. 35

42. IPPLEX Overview Ipplex has technologies in the telemedicine area (video delivery systems) as well as in augmented reality. They are part of the company whose technology was sold to Google and became the foundation for “Google Goggles. Food for Thought The advantages of telemedicine are obvious and technology companies are rushing to build “the” platform of the future. Will there be “one” platform or will we have fragmented systems as we do today? 36