Continua Health Alliance Presentation @ the Summer 2014 DiabetesMine D-Data ExChange


Published on

Horst Merkle of Roche Diabetes & Continua Health Alliance discusses Continua's new Personal Health Alliance and applications to diabetes care.

1 Like
  • Be the first to comment

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Continua Health Alliance Presentation @ the Summer 2014 DiabetesMine D-Data ExChange

  1. 1. Personal Connected Health Alliance - Applications to Diabetes Care Horst Merkle Vice Chair of the Board, PCHA Director Diabetes Management Solutions, Roche Diagnostics Operations Inc. DiabetesMine D-Data Exchange, San Francisco, June 13, 2014
  2. 2. Linking individuals with interoperable, personalized health solutions that meet their lifestyles. Empowering Individuals to Better Manage Their Health
  3. 3. PCHA: A Historic Collaboration Continua Health Alliance, mHealth Summit & HIMSS 3 Continua Health Alliance Confidential 6/11/20 Personal Connectred Health Alliance Continua Council mHealth Council HIMSS Worldwide Ecosystem Enablement • Plug&Play Interoperability • Standards Development • Product Test & Certification • Health Policy & Regulatory Advocacy Thought Leadership • Thought Leadership • Industry, Government, Provider Networking • Education, Awareness & Publicity • Standards Adoption Global Access, Recognition & Leadership Clinical, Hospital, Enterprise Environment Consumer, Individual, Physician Office Environment
  4. 4. PCHA Features • PCHA: Worldwide presence to promote local, regional and national public policy, advocacy and market development • Continua: Global plug-and-play interoperability Design Guidelines and Product Certification program • mHealth Summit: Unmatched industry education, thought leadership and networking • HIMSS: International leadership in hospital-based health technologies
  5. 5. Generating greater awareness, availability and access to plug-and-play, consumer- friendly personal health technologies to empower individuals to better manage their health and wellness, anywhere at any time. PCHA Mission
  6. 6. Drivers for Personal Connected Health Pressure on Healthcare Require New Care Models Source: DB Research 2010 • Aging population in industrial countries à increase of age- related diseases • Care of elder highly correlated to development of population Demographic Change Increase of Chronic Diseases High Health Care Expenses Provision of healthcare • Worldwide increase of chronic diseases • Compounding impact on expenses due to increasing rate of chronically ill children • For Europe the number of diabetics will increase from approx. 55 m in 2011 to 66 m in 2030 • 70-80% of health care expenses account for chronically and long- term illnesses (US $~780-900 bn/y) • Diabetes costs the US health care system $ 170 bn/y • Decreasing number of regional hospitals • Reduction in hospital beds • General practitioner care is declining • Housing situation and lack of transportation affect access to care Declining access to quality medical care for many Accelerated increase of chronic diseases Continuous rise of health care cost (payer and patient) Insufficient number of working population to finance the health care system
  7. 7. • Technology allows for secure lines of communication between health care providers outside the exam room • Care moves from episodic to more data driven, on demand consultations • Increased utilization of remote monitoring and therapy adjustments (CDS) • Links to social networks become a source of positive reinforcement • Individuals are more engaged in disease- and health-self-management • Consumer-collected data can enrich healthcare for individual patients and patient populations PCH Creates an Informational and Motivational Environment for Health Improvements Expected Benefits: Better use of resources, overall cost reduction, improved clinical outcomes, improved standards of care, increased motivation, lifestyle change à Health management part of individuals’ everyday life ß
  8. 8. Main Risk Factors Continuum of Type 2 Diabetes Healthy Pre- Diabetic Diet & Exercise Oral Meds Fixed Insulin Flexible Insulin Insulin Pump Health & Fitness – non-regulated highly regulated - Medical • Impact on Life Style • Complications • Co-morbidities Obesity Inactivity Family history Race, ethnicity Hypertension Age Obesity Inactivity Hypertension Glycemic Control Obesity Age Inactivity Hypertension Glycemic Control Obesity Inactivity Age Glycemic Control Obesity Age Inactivity Glycemic Control Obesity Age Inactivity • Effect of Exercise Nutrition & Life Style
  9. 9. Person with Diabetes } Fear of hypo glycaemia } Deficient glycemic control } Long-term complications } Inconvenience of self management } Self motivation / engagement } Shortage of Specialists } Lack of time } Insufficient data } Lack of decision support Every action of self-management isa significant intrusion on “normal” living Despiteof patient self-management, accountability fallson theProvider Health Care Provider Different Realities, Shared Challenges
  10. 10. Technology brings the Worlds Together <<<<<<< Interoperability >>>>>>
  11. 11. Technology brings the Worlds Together <<<<<<<<<<<<<<<<<<<<<< Interoperability >>>>>>>>>>>>>>>>>>> Interoperability
  12. 12. 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 • More robust & reliable communication: Higher customer satisfaction • Forward/backward compatibility: longevity of devices • Easy to expand or add new programs/products with plug-and-play Envisioning A Better Way: Interoperability * Price Waterhouse 2011 ** Continua member survey estimates factor 3-5 cost savings potential for certain devices
  13. 13. Consumer Benefits: Choice, Innovation, User-Experience, Quality-of-Life, Safety • Continua 2014 Design Guidelines are accepted by ITU-T as official, global standard (H-810) • FDA acknowledges IEEE 11073 interoperability standards. Continua developed the “Device Profiles” of the seven mentioned devices – including Glucose Meter profile (10417) • Globally, policy makers & regulators recognize interoperability as key for successful mHealth implementation • Continua/PCHA to expand guidelines for Diabetes – Insulin Pump data read-out (2015) – Insulin Pump control & command (2016) – Continuous Glucose Monitoring (CGM) (2016) Envisioning A Better Way: Standardization * Price Waterhouse 2011 ** Continua member survey estimates factor 3-5 cost savings potential for certain devices
  14. 14. Envision A Better Way: Adoption • New regulations and incentives transform healthcare delivery, putting consumers at the center of their care • Governments around the world demonstrating significant interest in adopting personal connected health – USA: Affordable Care Act features comprehensive health insurance reform to improve the quality and patient access to care in the US • Meaningful Use Stage 2 to integrate patient created data • MU Stage 3 to address population health – UK: 3million lives initiative changes care delivery using connected health tools for citizens with chronic conditions (includes Diabetes). Continua adopted as interoperability framework – Denmark: Nationwide health IT framework mandates compliance with interoperability standards (Continua). – Singapore, UAE take similar steps to implement significant changes in HIT and to adopt Continua based interoperability “To make it clear in Denmark the government is part of the solution”
  15. 15. The Time is Now With the expanded scope and reach of the PCHA, we will coordinate all stakeholders in Personal Connected Health The market is forming and interoperability is a key driver: • Consumers demand it • Technology is accessible • Standards are available • Nations start implementation • ………..
  16. 16. Get Involved with PCHA! Web: Email: