This document summarizes Cisco's Connected Healthy Children Initiative, which creates a Virtual Pediatric Network (VPN) to improve pediatric cancer care. The VPN brings together pediatric oncologists from six medical centers using Cisco TelePresence video conferencing. This allows experts to collaborate and share clinical information to provide personalized cancer treatment for children. The long-term goal is for the VPN model to help 30% of children with cancer in the US through shared knowledge and collective intelligence of medical experts.

1. Cisco Corporate Social Responsibility:
Connected Healthy Children Initiative—
Virtual Pediatric Network

2. © 2014 Cisco and/or its affiliates. All rights reserved.
2
CSR
Healthcare Programs Globally
Lucille
Packard
Children’s
Hospital
Virtual
Pediatric
Network
Kenya
Project
Samudaya
Jordan
Healthcare
Initiative
Connected
North
Great Ormond
Street Children’s
Hospital (UK)
Connected
Healthy
Children
Brazil
Connecting
Sichuan
Children’s
Healthcare
Atlanta

3. Problem:
Healthcare Information in Silos

4. Problem:
Healthcare Information in Silos

5. Pediatric Oncology
Quick Facts
 Cancer is the leading cause of disease-related death
ages 1-14 in the U.S.
 A child diagnosed with cancer every hour in
the United States
 Solid tumor cure rates have not increased
in last decade
 NCI budget gives only 4% of funding
to pediatric cancer
 Pharmaceutical companies fund
60% of adult oncology research
but virtually no pediatric cancer
research (not profitable)

6. © 2014 Cisco and/or its affiliates. All rights reserved. 6
Connected Healthy Children
Virtual Pediatric Network Initiative
 Virtual network brings together pediatric
oncologists for collective intelligence
 Employs Cisco TelePresence for face-to-face
sharing of clinical information
 Connects experts across the U.S. for best-in-
class cancer care for children

7. A collective
intelligence
network for the
advancement of
personalized
medicine in
pediatric
cancer care
Technology Solutions
 TelePresence — Video Collaboration
 Jabber — Mobile Video
 Box.com — Knowledge Repository

8. Connected Healthy Children—
Virtual Pediatric Network
 Shared
Knowledge
 Collective
Intelligence
 Personalized
Medicine

9. Virtual Pediatric Network (VPN)
 Goals
 Innovate pediatric cancer care across 6 centers
throughout the US in the first year
 Timeframe 3 years: Phase I deploy proof of concept
network and conduct user experience engineering to
develop the VPN model; Phase II demonstrate the
value proposition of the VPN model; Phase III expand
the model to the national scale
 Long term Impact: 30% of children with cancer
in the US

10. © 2014 Cisco and/or its affiliates. All rights reserved. 10
Grants and Partnerships
Family Foundation

11. © 2014 Cisco and/or its affiliates. All rights reserved. 11
Cisco Opportunities and VPN
• $1M network upgrade for CHOC to support their increased need
for video
• $200-400K – remote expert solution that would connect Neonatal
Intensive Care babies at Hoag with Gastro, Endocrinology and
Cardiology specialists at CHOC. It also includes jabber with an ipad to
connect family members with their babies in intensive care. Lastly they
want to create their own Virtual Baby Network to connect Neonatal
doctors with their peers at other hospitals, much like Dr. Sender’s use
case.
• $400K – telehealth opportunity to connect CHOC cardiologist to patients
at remote clinics and referring hospitals
• $100K – Neonatal solution (similar to Hoag’s) that would connect
Huntington Memorial babies to specialists at UCLA
Wendy, Cisco Account Manager for CHOC

12. Strategic Outcome
 Transform pediatric cancer care by
creating a completely novel collaborative
system for care delivery
 Differentiate through the implementation of
the TelePresence platform and IoE
innovations to address children’s
healthcare needs

13. Metrics and Innovation
 Metrics:
Quantitative and qualitative metrics of collaborative care delivery
decisions will include efficiency of remote patient consults, frequency
of usage of network to impact care delivery, types of decisions being
made, and perceived value added to care delivery.
 Innovation:
The goal is to transition the application of TelePresence from a
communication platform to a collaboration ecosystem. Integration of
IoE innovations to transform care delivery workflows.
 Research plan:
User engineering plan will apply an agile approach to collect user
feedback and rapidly iterate the experience by integrating new
requirements to rapidly evolve the solution an maximize the clinical
value proposition.

14. Typical Clinical Genomics Workflow
Biopsy
Refractory
Patient
Molecular
Analysis
Data
Production
Bio-
informatics
Clinical
Trial
Coordinator
Oncologist
Team
Assessment
Treating Onc
+ Patient
Consult
Clinical
Pathology
Knowledge
Engineering
Genomic
Tumor
Board
Treatment
Options
Treatment
Protocol
Decision
Patient
Treatment
&
Outcome

15. The Internet Continues To Evolve
Intelligent Connections
• Email
• Web browser
• Search
• E-commerce
• Digital
supply chain
• Collaboration
• Social
• Mobility
• Cloud
• Video
Connecting:
• People
• Process
• Data
• Things
Internet of
Everything
Digitize
the world
Immersive
Experiences
Digitize interactions
(business and
social)
Networked
Economy
Digitize business
processes
Connectivity
Digitize access
to information
BusinessandSocietalImpact

16. Thank You.