Apps ON Health 2012 - Presentations

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Apps ON Health is the first conference in Europe that brings together international thought leaders to explore the business opportunities of mobile apps in the healthcare and wellness industry.

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Apps ON Health 2012 - Presentations

  1. bcn 19 March 12 Welcome! Dr. Rubén Díaz Medical Director Hospital de San Joan de Déuour sponsors
  2. bcn 19 March 12 Welcome! Eva Velasco CEO - Signature Pharma Apps ON Healthour sponsors
  3. business opportunities of mobile apps in the healthcare and wellness industry Barcelona March, 19, 2012 hosted byour sponsors
  4. The Challenge: -High quality healthcare accesible for all -Shortage of 2.4 million healthcare workers worldwide The Opportunity: -Patients willing to manage their health (and pay for services to help them do it) -2012 will be the 1st year in which there are more mobile phones than people on Earth#appsONhealth
  5. Can Apps Help? are apps helping? 1) Cut costs 2) Guarantee access to healthcare3) Reduce the impact of illness in peoples’ life
  6. Top 10 Free apps for HCP 1- Medscape 2- Micromedex 3- New England Journal of Medicine 4- Epocrates 5- Free Medical Calculators 6- Radiology 2.0, one night in the ED 7- Skyscape: RxDrugs and OCM 8- Living Medical Textbooks 9- Medical Radio 10-Neuromind#appsONhealth
  7. Using Ipads to better manage resources“Physicians are increasingly using mobile devicesin their clinical duties”“80% of surveyed physicians using Ipads perceive anefficacy gain of one hour a day” #appsONhealth
  8. Apps help explain conditions#appsONhealth
  9. Apps help diagnose&monitor remotely#appsONhealth
  10. Governments encourage use of apps#appsONhealth
  11. Apps empower patients “There are three apps that I routinely prescribe to my patients” Dr. Ilfitat Husain#appsONhealth
  12. Developping an App#appsONhealth
  13. Monetizing Your App Valued at half a billion USD #appsONhealth
  14. Monetizing Your App Personalized programs not Free 2 million downloads#appsONhealth
  15. What’s in it for me?
  16. business opportunities of mobile apps in the healthcare and wellness industry Barcelona March, 19, 2012 hosted byour sponsors
  17. bcn 19 March 12 Agenda10.15h Chia Hwu, Qubop.com, Keynote11.15h Coffee Break11.30h Round Table: Hospital and patients’ needs12.15h Dan Phillips – Healthbox, Sandbox Industries, Keynote13.15h Lunch14.30h Round Table: 10 steps to launch your medical app15.15h Lekshmy Parameswaran – Fuelfor, Keynote16.00h Round Table: How to monetize your app16.30h Coffee Break16.45h AppCircus: Showcase of Health Apps18.15h AppCircus Winner Announcement and Closing
  18. bcn 19 March 12 please use: #appsONhealthour sponsors
  19. bcn 19 March 12 Keynote Chia Hwu CEO Qubop.comour sponsors
  20. PATIENTS, PROVIDERS, & PLATFORMS: HOW TO BUILD TOMORROW’S mHEALTH APPS CHIA HWU CEO, QUBOP INC. @CHIAH @QUBOPINC APPS ON HEALTH BARCELONA, MARCH 19, 2012MARCH 19, 2012 - WWW.QUBOP.COM
  21. THE MOBILE MARKET SMARTPHONE USERS (MILLIONS) MOBILE APP SALES ($BILLIONS) 300 15 303 $15.0 200 10 174 143 100 5 $5.2 60 0 0 2010 2011 2010 2011 US WORLDWIDEMARCH 19, 2012 - WWW.QUBOP.COM
  22. SMARTPHONES REACHING 50% OF US & EU MARKET 100% 75% 50% 25% 0% 2008 Q2 2008 Q4 2009 Q2 2009 Q4 2010 Q2 2010 Q4 2011 Q2 FEATURE PHONES SMARTPHONESMARCH 19, 2012 - WWW.QUBOP.COM
  23. CUMULATIVE USERBASE, LATE 2011 250M 200M 150M 100M 50M 2005 2006 2007 2008 2009 2010 2011 IOS (ALL) ANDROID (CUMULATIVE WORLDWIDE USERS IN MILLIONS)MARCH 19, 2012 - WWW.QUBOP.COM
  24. CLINICIAN SMARTPHONE PLATFORMS 80% 84% OF U.S. DOCTORS 60% 40% WILL HAVE A SMARTPHONE BY 20% THE END OF 2011 0% IPHONE ANDROID BLACKBERRY OTHER SOURCE: APTILON, MANHATTAN RESEARCHMARCH 19, 2012 - WWW.QUBOP.COM
  25. CLINICIAN TABLET PLATFORMS 38% OF U.S. DOCTORS WINDOWS 12% ANDROID 9% WILL HAVE AN IPAD BY THE END OF 2011 59% OF DOCTORS WITH AN IPAD IPAD 79% CURRENTLY USE IT FOR MEDICAL TASKS PREFERRED TABLET PLATFORMMARCH 19, 2012 - WWW.QUBOP.COM SOURCE: APTILON
  26. EU CLINICIAN TABLET PLATFORMS 26% OF EU DOCTORS HAD AN IPAD BY THE END OF 2011 40% OF EU DOCTORS PLAN TO BUY 25% AN IPAD IN 2012 OF PHYSICIAN PROFESSIONAL TIME SPENT ON THE IPADMARCH 19, 2012 - WWW.QUBOP.COM
  27. THE MOBILE PLATFORMSMARCH 19, 2012 - WWW.QUBOP.COM
  28. MOBILE: MOST OF APPLE’S REVENUE, VERY LITTLE OF GOOGLE’S iOS (IPHONE, IPAD, IPOD TOUCH) ANDROID (MOBILE ADS, APP STORE) OTHER (INCLUDES MAC) OTHER (WEB ADS, SEARCH) $0.4B $9B $17B $9.6B TOTAL: $25B TOTAL: $10BMARCH 19, 2012 - WWW.QUBOP.COM
  29. MOBILE HARDWARE PROFIT SHARE: NOW MOSTLY APPLE HTC APPLE SONY-ERICSSON LG BLACKBERRY NOKIA SAMSUNG MOTOROLAMARCH 19, 2012 - WWW.QUBOP.COM SOURCE: ASYMCO.COM
  30. IOS iPhone: 55% iPod Touch: 32% iPad: 13%MARCH 19, 2012 - WWW.QUBOP.COM
  31. IPHONE DOMINATES APPLE SALES, IPAD IS GROWING RAPIDLY 40M 30M UNITS(PER QUARTER) 20M 10M 2007 2008 2009 2010 2011 2012MARCH 19, 2012 - WWW.QUBOP.COM SOURCE: FRNCS.CO/APPLE
  32. NEW IPAD (SHIPPED MARCH 16) 2X SCREEN RESOLUTION = 4X DATA USEDMARCH 19, 2012 - WWW.QUBOP.COM
  33. APPLE TV MORE RADICAL CHANGES COMING?MARCH 19, 2012 - WWW.QUBOP.COM
  34. ANDROID MOSTLY PHONES, VERY FEW TABLETS SOLDMARCH 19, 2012 - WWW.QUBOP.COM
  35. ANDROID 4.0 - A MORE AMBITIOUS DESIGN LOOKS GOOD, BUT MOST DEVICES ARE STILL RUNNING 2.3MARCH 19, 2012 - WWW.QUBOP.COM
  36. MOST POPULAR ANDROID TABLET: AMAZON KINDLE FIREMARCH 19, 2012 - WWW.QUBOP.COM
  37. WINDOWS PHONE FAR BEHIND IOS/ANDROID IN SALES, BUT NOKIA DEAL MAY HELP IN 2012MARCH 19, 2012 - WWW.QUBOP.COM
  38. RUNKEEPER (IOS) RUNKEEPER (ANDROID) RUNKEEPER (WINDOWS PHONE)MARCH 19, 2012 - WWW.QUBOP.COM
  39. MICROSOFT HEALTHVAULT: NOW HAS SDK FOR IOS AND ANDROIDMARCH 19, 2012 - WWW.QUBOP.COM
  40. BLACKBERRY RAPIDLY LOSING ITS TRADITIONAL VERTICALS TO IOS AND ANDROIDMARCH 19, 2012 - WWW.QUBOP.COM
  41. APPS FOR PROVIDERSMARCH 19, 2012 - WWW.QUBOP.COM
  42. MOBILE MIM FIRST FDA-APPROVED DIAGNOSTIC RADIOLOGY APPLICATION FOR MOBILE DEVICES (IPHONE/IPAD)MARCH 19, 2012 - WWW.QUBOP.COM
  43. AIRSTRIP CARDIOLOGY ECG APP INTEFACES WITH GE MUSE CARDIOLOGY INFORMATION SYSTEMMARCH 19, 2012 - WWW.QUBOP.COM
  44. APPS FOR PATIENTSMARCH 19, 2012 - WWW.QUBOP.COM
  45. VITAL SIGNS CAMERA MEASURES HEART RATE (VIA MICRO-BLUSHES) AND BREATHING RATE USING IPAD CAMERAMARCH 19, 2012 - WWW.QUBOP.COM
  46. MOBILE FOOD DIARIESMARCH 19, 2012 - WWW.QUBOP.COM
  47. DIABETES MANAGEMENT LOGFROG WAVESENSE DIABETES MANAGERMARCH 19, 2012 - WWW.QUBOP.COM
  48. WANT ENGAGEMENT? NO DATA ENTRYMARCH 19, 2012 - WWW.QUBOP.COM
  49. MOBILE APPS VS. MOBILE WEBMARCH 19, 2012 - WWW.QUBOP.COM
  50. MOBILE WEB CHEAPER THAN APP DEVELOPMENT USES AVAILABLE SKILLS (JAVASCRIPT, HTML) CAN TARGET MANY PLATFORMS AT ONCE DOES NOT REQUIRE APP STORE APPROVALS DOES NOT REQUIRE REVENUE SPLIT MOBILE WEB BROWSERS NOW MORE STANDARDIZED THAN DESKTOP BROWSERSMARCH 19, 2012 - WWW.QUBOP.COM
  51. MOBILE APPS PRESENCE IN APP STORES RICHER USER EXPERIENCE HIGHER PRODUCTION VALUE EASIER TO MONETIZE (ESPECIALLY ON IOS) BETTER ACCESS TO BUILT-IN FEATURES (CAMERA, GPS, MICROPHONE, TWITTER ON IOS, ETC.) BETTER USER ENGAGEMENTMARCH 19, 2012 - WWW.QUBOP.COM
  52. CURRENT DESIGN TRENDS CONSUMER APPS: WHAT PATIENTS ARE USING EVERY DAYMARCH 19, 2012 - WWW.QUBOP.COM
  53. THE 5-TAB SOCIAL APP WITH CENTER ICON INSTAGRAM PATH (VERSION 1) EVERNOTEMARCH 19, 2012 - WWW.QUBOP.COM
  54. PINTEREST FOODSPOTTING EATERY THE CENTER TAB ANSWERS THE QUESTION, “WHAT DO I DO WITH THIS APP?”MARCH 19, 2012 - WWW.QUBOP.COM
  55. FOURSQUARE (PREVIOUS) FOURSQUARE (NOW)MARCH 19, 2012 - WWW.QUBOP.COM
  56. NEW FOR 2012: DEATH OF THE TAB BAR?MARCH 19, 2012 - WWW.QUBOP.COM
  57. HIDDEN NAVIGATION: REPLACING TAB BARS FACEBOOK PATH V2 DOLPHIN NEWS 360 BROWSERMARCH 19, 2012 - WWW.QUBOP.COM
  58. THE ICON GRID (EARLY 2011) FACEBOOK LINKEDIN SCVNGRMARCH 19, 2012 - WWW.QUBOP.COM
  59. DEATH OF THE ICON GRID (LATE 2011) FACEBOOK LINKEDINMARCH 19, 2012 - WWW.QUBOP.COM
  60. CONSUMER APP USER LIFE CYCLE -38% 1 DAY -50% 1 WEEK -90% 6 MONTHSMARCH 19, 2012 - WWW.QUBOP.COM SOURCE: FLURRY
  61. HOW TO DESIGN FOR IPAD: DESIGN FOR IPHONE, ADD BREATHING ROOMMARCH 19, 2012 - WWW.QUBOP.COM
  62. FACEBOOK (IPHONE) FACEBOOK (IPAD)MARCH 19, 2012 - WWW.QUBOP.COM
  63. FLIPBOARD (IPHONE) FLIPBOARD (IPAD)MARCH 19, 2012 - WWW.QUBOP.COM
  64. THANKS! CHIA HWU CEO, QUBOP INC. @CHIAH @QUBOPINC WWW.QUBOP.COMMARCH 19, 2012 - WWW.QUBOP.COM
  65. Thank you! Chia Hwu CEO Qudop.comour sponsors
  66. bcn 19 March 1211.15 - 11.30 Coffee our sponsors
  67. bcn 19 March 12 welcome back!our sponsors
  68. bcn 19 March 12 Hospital and patients’ needs11.30 - 12.15 Round Table Eva Velasco, Moderator Apps ON Health Dr. Josep Manuel Picas CMIO, H. Sant Pau i Santa Creu Ángel Díaz Alegre Co-founder and CEO, iDoctus Jorge Juan Fernández Director Area E-Health & Health 2.0, H. Sant Joan de Déu our sponsors
  69. bcn 19 March 12 Keynote Dan Phillips Director Healthbox, Sandbox Industriesour sponsors
  70. bcn 19 March 12dŚĞƌĞ ,ĂƐ EĞǀĞƌ ĞĞŶ Ă ĞƚƚĞƌ dŝŵĞ ĨŽƌ/ŶŶŽǀĂƚŝŽŶ ŝŶ ,ĞĂůƚŚĐĂƌĞ ĂŶ WŚŝůůŝƉƐ ŝƌĞĐƚŽƌ͕ ,ĞĂůƚŚďŽdž ƉƉƐ KE ,ĞĂůƚŚ͕ ĂƌĐĞůŽŶĂ ϭϵ DĂƌĐŚ ϮϬϭϮConfidential and Proprietary, 2011 1
  71. ^ĂŶĚďŽdž KƉĞƌĂƚĞƐ Ăƚ ƚŚĞ /ŶƚĞƌƐĞĐƚŝŽŶ ŽĨ bcn 19 March 12ŶƚƌĞƉƌĞŶĞƵƌƐŚŝƉ ĂŶĚ /ŶǀĞƐƚŝŶŐ /Eh d/KE tĞ ĐƌĞĂƚĞ ĂŶĚ ŵĂŶĂŐĞ ŽƵƌ ŽǁŶ ďƵƐŝŶĞƐƐĞƐ ĨƌŽŵ ƐĐƌĂƚĐŚ͘ Z dKZ^ tĞ ŵĂŶĂŐĞ ƉƌŽŐƌĂŵƐ ƚŚĂƚ ĐŽŶŶĞĐƚ ĞĂƌůLJͲƐƚĂŐĞ ĐŽŵƉĂŶŝĞƐ ƚŽ ŵĞŶƚŽƌƐ͕ ĐƵƐƚŽŵĞƌƐ͕ ĂŶĚ ŝŶǀĞƐƚŽƌƐ͘ K KZ d/s /Es^dDEd s,/^ tĞ ƉĂƌƚŶĞƌ ǁŝƚŚ ůĂƌŐĞ ĐŽŵƉĂŶŝĞƐ ƚŽ ĞŶĂďůĞ ĂĚǀĂŶƚĂŐĞƐ Ăƚ ĞǀĞƌLJ ƐƚĂŐĞ͘Confidential 2
  72. ^ĂŶĚďŽdž ƌĞĂƚĞĚ Ă ^ƵĐĐĞƐƐĨƵů ŽůůĂďŽƌĂƚŝǀĞ /ŶǀĞƐƚŝŶŐ 12 bcn 19 MarchsĞŚŝĐůĞ ǁŝƚŚ ^ dŚĞ ůƵĞƐ ĂƌĞ Ă ŶĂƚŝŽŶĂů ĨĞĚĞƌĂƚŝŽŶ ŽĨ ϯϵ ŝŶĚĞƉĞŶĚĞŶƚ͕ ĐŽŵŵƵŶŝƚLJͲďĂƐĞĚ ĂŶĚ ůŽĐĂůůLJ ŽƉĞƌĂƚĞĚ ůƵĞ ƌŽƐƐ ĂŶĚ ůƵĞ ^ŚŝĞůĚ ŽŵƉĂŶŝĞƐ͘ ŽƌŵĞĚ ŝŶ ϮϬϬϴ͕ ƚŚĞ ƐƚƌĂƚĞŐŝĐ ǀĞŶƚƵƌŝŶŐ ƉƌŽŐƌĂŵ ŵĂŬĞƐ ŵŝŶŽƌŝƚLJ ŝŶǀĞƐƚŵĞŶƚƐ ŝŶ ĞŵĞƌŐŝŶŐ ŚĞĂůƚŚĐĂƌĞ ƚĞĐŚŶŽůŽŐLJ ĂŶĚ ƚĞĐŚŶŽůŽŐLJͲĞŶĂďůĞĚ ƐĞƌǀŝĐĞ ĐŽŵƉĂŶŝĞƐ͘ ĂƉŝƚĂů ĂĐŬŝŶŐ ƵŶĚ / ;ĐůŽƐĞĚ ŝŶ :ƵůLJ ϮϬϬϴͿ ŝƐ Ψϭϭϲ ŵŝůůŝŽŶ ŝŶ ĐĂƉŝƚĂů ĐŽŵŵŝƚŵĞŶƚƐ ƌĂŝƐĞĚ ĨƌŽŵ ϭϭ ůƵĞ WůĂŶƐ ƵŶĚ // ;ĐůŽƐĞĚ ŝŶ DĂƌĐŚ ϮϬϭϭͿ ŝƐ Ψϭϳϵ ŵŝůůŝŽŶ ŝŶ ĐĂƉŝƚĂů ĐŽŵŵŝƚŵĞŶƚƐ ƌĂŝƐĞĚ ĨƌŽŵ ϮϮ ůƵĞ WůĂŶƐConfidential 3
  73. bcn 19 March 12^ ƵŶĚ / WŽƌƚĨŽůŝŽ /ŶĐƵďĂƚŝŽŶConfidential 4
  74. bcn 19 March 12 ŐĞŶĚĂ dŚĞ ,ĞĂůƚŚĐĂƌĞ /ŶĚƵƐƚƌLJ ĂĐĞƐ ^ŽŵĞ ĂƵŶƚŝŶŐ ŚĂůůĞŶŐĞƐ tŚŝĐŚ ƌĞĂƚĞƐ ĞŵĂŶĚ ĨŽƌ EĞǁ ^ŽůƵƚŝŽŶƐ Ƶƚ /ŶŶŽǀĂƚŝŽŶ ŝŶ ,ĞĂůƚŚĐĂƌĞ ŝƐ ,ĂƌĚ EĞǁ WůĂƚĨŽƌŵƐ ŝŵ ƚŽ ŶŽĐŬ ŽǁŶ ĂƌƌŝĞƌƐ dŚŝƐ ŝƐ tŚĂƚ tĞ͛ǀĞ ĞĂƌŶĞĚConfidential 5
  75. bcn 19 March 12dŚĞ ,ĞĂůƚŚĐĂƌĞ /ŶĚƵƐƚƌLJ ĂĐĞƐ ^ŽŵĞĂƵŶƚŝŶŐ ŚĂůůĞŶŐĞƐConfidential and Proprietary, 2011 6
  76. ŽƐƚƐ ƌĞ ŽŶ ƚŚĞ ZŝƐĞ ĨŽƌ ŽǀĞƌŶŵĞŶƚ͕ ŵƉůŽLJĞƌƐ March 12 bcn 19 ĂŶĚ ŽŶƐƵŵĞƌƐ ,ĞĂůƚŚĐĂƌĞ ĞdžƉĞŶĚŝƚƵƌĞƐ ŝŶ ƚŚĞ h͘^͘ ŚĂǀĞ ŝŶĐƌĞĂƐĞĚ ϭϬͲĨŽůĚ ƐŝŶĐĞ ϭϵϴϬ ,ĞĂůƚŚ ƐƉĞŶĚŝŶŐ ĂĐĐŽƵŶƚĞĚ ĨŽƌ ϭϳ͘ϵй ŽĨ ƚŚĞ h͘^͛͘Ɛ W ŝŶ ϮϬϭϬ DĞĚŝĐĂƌĞͬDĞĚŝĐĂŝĚ ƐƉĞŶĚŝŶŐ ĞdžƉĞĐƚĞĚ ƚŽ ĚŽƵďůĞ ďLJ ϮϬϮϬ ,ĞĂůƚŚ ĐĂƌĞ ƉƌĞŵŝƵŵ ĐŽƐƚƐ ĨŽƌ ďŽƚŚ ĞŵƉůŽLJĞƌƐ ĂŶĚ ǁŽƌŬĞƌƐ ŚĂǀĞ ŵŽƌĞ ƚŚĂŶ ĚŽƵďůĞĚ ŝŶ ƚŚĞ ůĂƐƚ ĚĞĐĂĚĞConfidential 7
  77. bcn 19 March 12 tĞ ƌĞ ŽŶ ƚŚĞ ƵƐƉ ŽĨ Ă EĞǁ ƌĂ ŝŶ ,ĞĂůƚŚĐĂƌĞ New Payment Trends Incentivize ͙ Lower Cost, Better Outcomes Accountable care organizations Bundled payment Pay for performance Medical homeSource: Sg2 analysisConfidential 8
  78. bcn 19 March 12ĞŵĂŶĚ ĨŽƌ EĞǁ ^ŽůƵƚŝŽŶƐ ŝƐ ƌŽǁŝŶŐConfidential and Proprietary, 2011 9
  79. bcn 19 March 12dŚĞƌĞ ŝƐ EŽ ^ŚŽƌƚĂŐĞ ŽĨ WƌŽďůĞŵƐ ŽŽŬŝŶŐ ĨŽƌ ^ŽůƵƚŝŽŶƐConfidential 10
  80. bcn 19 March 12,ĞĂůƚŚĐĂƌĞ ŝƐ DŽǀŝŶŐ dŽǁĂƌĚ Ă sĂůƵĞͲĂƐĞĚ ĐŽŶŽŵLJConfidential 11
  81. bcn 19 March 12 tŚĂƚ /Ɛ ƌŝǀŝŶŐ ƵƌƌĞŶƚ dƌĞŶĚƐ ŝŶ ,ĞĂůƚŚĐĂƌĞ͍ ŽŶƚŝŶƵĞĚ ĞǀŽůƵƚŝŽŶ ŽĨ ƚĞĐŚŶŽůŽŐLJ ^ŝŐŶŝĨŝĐĂŶƚ ŝŶĐƌĞĂƐĞƐ ŝŶ ƚŚĞ ƋƵĂŶƚŝƚLJ ĂŶĚ ƋƵĂůŝƚLJ ŽĨ ĚĂƚĂ ZĞŐƵůĂƚŽƌLJ ŵĂŶĚĂƚĞƐ ʹ DZ /ŶĐƌĞĂƐĞĚ ŶĞĞĚ ĨŽƌ ĐŽŽƌĚŝŶĂƚŝŽŶ ŽĨ ĐĂƌĞ ŽŶƚŝŶƵĞĚ ĞǀŽůƵƚŝŽŶ ŽĨ ƐŽĐŝĂů ƉůĂƚĨŽƌŵƐConfidential 12
  82. bcn 19 March 12DŽďŝůĞ ,ĞĂůƚŚ ƉƉůŝĐĂƚŝŽŶƐ ĂƌĞ ůŽŽĚŝŶŐ ƚŚĞ DĂƌŬĞƚ /ŶĐƌĞĂƐĞĚ ŚŽƌƐĞƉŽǁĞƌ ŝŶ ŽƵƌ ƉŽƌƚĂďůĞ ĚĞǀŝĐĞƐ ĐŽƵƉůĞĚ ǁŝƚŚ ͞ĂůǁĂLJƐ ŽŶ͟ ĐŽŶŶĞĐƚŝǀŝƚLJ ŝƐ ĐƌĞĂƚŝŶŐ ƐŝŐŶŝĨŝĐĂŶƚ ŝŶŶŽǀĂƚŝŽŶ ŝŶ ŚĞĂůƚŚĐĂƌĞ DŽďŝůĞ ŚĞĂůƚŚ ĂƉƉ ŵĂƌŬĞƚ ƐĂǁ Ă ƐĞǀĞŶĨŽůĚ ŝŶĐƌĞĂƐĞ ŝŶ ƚŽƚĂů ƌĞǀĞŶƵĞƐ ŝŶ ϮϬϭϭ Ͷ ƚŽ Ă ƚŽƚĂů ŽĨ Ψϳϭϴ ŵŝůůŝŽŶ ϰϰ ŵŝůůŝŽŶ ŚĞĂůƚŚ ĂƉƉƐ ǁĞƌĞ ĚŽǁŶůŽĂĚĞĚ ŝŶ ϮϬϭϭ WĂƵů :ĂĐŽďƐ͕ K ŽĨ YƵĂůĐŽŵŵ͕ ƉƌĞĚŝĐƚƐ ŶĞĂƌůLJ ϰ ďŝůůŝŽŶ ƐŵĂƌƚ ƉŚŽŶĞƐ ǁŝůů ďĞ ƐŽůĚ ďĞƚǁĞĞŶ ŶŽǁ ĂŶĚ ϮϬϭϰConfidential 13
  83. /ŶĐƌĞĂƐŝŶŐ EƵŵďĞƌ ŽĨ ŝŐŝƚĂů ,ĞĂůƚŚ ŽŵƉĂŶŝĞƐ ĂƌĞ 12 bcn 19 March ƚƚƌĂĐƚŝŶŐ /ŶǀĞƐƚŽƌ /ŶƚĞƌĞƐƚ ŽŽƌĚŝŶĂƚŝŽŶ ŽĨ ƉĂƚŝĞŶƚƐ͕ ĐĂƌĞŐŝǀĞƌƐ͕ ƉƌŽǀŝĚĞƌƐ ʹ DLJ ,ĞĂůƚŚ ŝƌĞĐƚ WƌĂĐƚŝĐĞ DĂŶĂŐĞŵĞŶƚ͕ ĚŵŝŶŝƐƚƌĂƚŝǀĞ ʹ ĂƌĞŽ dĞůĞŵĞĚŝĐŝŶĞ ĂŶĚ ĐůŝŶŝĐĂů ĚĞĐŝƐŝŽŶ ƐƵƉƉŽƌƚ ;ƉŽŝŶƚͲŽĨͲĐĂƌĞͿ ʹ DŽĚĞƌŶŝnjŝŶŐ DĞĚŝĐŝŶĞ͕ dĞůĂĚŽĐ ZĞŵŽƚĞ ƉĂƚŝĞŶƚ ŵŽŶŝƚŽƌŝŶŐ ʹ ůŝǀĞŽƌ͕ ^ŽƚĞƌĂ͕ WĂƚŝĞŶƚĞĞƉĞƌ ĚƵĐĂƚŝŽŶ ʹ ,ĞĂůƚŚdĂƉ͕ ,ĞĂůƚŚdĞĂĐŚĞƌ ,ĞĂůƚŚ ĂŶĚ ǁĞůůŶĞƐƐ ƉƌŽŵŽƚŝŽŶ ʹ ^ƚƌŝŝǀ͕ ZƵŶŬĞĞƉĞƌ ůĞĐƚƌŽŶŝĐ DĞĚŝĐĂů ZĞĐŽƌĚ ʹ WƌĂĐƚŝĐĞ ƵƐŝŽŶ ŝƐĞĂƐĞ ŵĂŶĂŐĞŵĞŶƚ ʹ DĂƐƐŝǀĞ ,ĞĂůƚŚ ŽŶƐƵŵĞƌŝƐŵ ʹ ŽdžŽ͕ ŽĐŽĐConfidential 14
  84. dŚĞ ,ĞĂůƚŚĐĂƌĞ /ŶĚƵƐƚƌLJ ŽŶƚŝŶƵĞƐ ƚŽ ĂƌŶĞƌ ^ƚƌŽŶŐ 12 bcn 19 March/ŶǀĞƐƚŽƌ /ŶƚĞƌĞƐƚ ŶŐĞů ƵŶĚŝŶŐ ďLJ /ŶĚƵƐƚƌLJ ;ŽůůĂƌƐͿ͕ ϮϬϭϭ^ŽƵƌĐĞ͗ , K ƌĞƉŽƌƚ ďLJ /ŶƐŝŐŚƚƐ ŝŶ ĐŽŶũƵŶĐƚŝŽŶ ǁŝƚŚ ^ŝůŝĐŽŶ sĂůůĞLJ ĂŶŬ ĂŶĚ ŶŐĞů ZĞƐŽƵƌĐĞ /ŶƐƚŝƚƵƚĞConfidential 15
  85. bcn 19 March 12KƉƉŽƌƚƵŶŝƚŝĞƐ ƌĞ ƌĞĂƚ͕Ƶƚ /ŶŶŽǀĂƚŝŽŶ ŝŶ ,ĞĂůƚŚĐĂƌĞ ŝƐ ,ĂƌĚConfidential and Proprietary, 2011 16
  86. bcn 19 March 12Confidential 17
  87. bcn 19 March 12 ,ĞĂůƚŚĐĂƌĞ WŽƐĞƐ hŶŝƋƵĞ ŚĂůůĞŶŐĞƐ Complex payment mechanisms, numerous stakeholders, high uncertainty Doctors and consumers don’t like to pay for things Lives are short and sales cycles are long, especially in the payer and hospital worlds Regulatory hurdles, lack of clarity from the FDA on mobile health apps Patient privacy – HIPAA compliance Access to large, entrenched healthcare players is challengingConfidential 18
  88. bcn 19 March 12EĞǁ WůĂƚĨŽƌŵƐ ŝŵ ƚŽ ŶŽĐŬ ŽǁŶĂƌƌŝĞƌƐConfidential and Proprietary, 2011 19
  89. ,ĞĂůƚŚĐĂƌĞ KƌŐĂŶŝnjĂƚŝŽŶƐ ZĞĐŽŐŶŝnjĞ dŚĂƚ /ŶŶŽǀĂƚŝŽŶ 12 bcn 19 MarchtŽŶ͛ƚ ŽŵĞ ^ŽůĞůLJ ƌŽŵ tŝƚŚŝŶ ͞/ŶŶŽǀĂƚŝŽŶ ŶĞǀĞƌ ĐŽŵĞƐ ĨƌŽŵ ƚŚĞ ĞƐƚĂďůŝƐŚĞĚ ŝŶƐƚŝƚƵƚŝŽŶƐ͟ ͲͲ ŽŽŐůĞ ŚĂŝƌŵĂŶ ƌŝĐ ^ĐŚŵŝĚƚ Established institutions are finding new ways to reach innovators Health plan venture funds Health system venture funds Government challenges and competitions Pilot programs TelecommConfidential 20
  90. /Ŷ ƚŚĞ h^ ĂŶĚ ƵƌŽƉĞ͕ ƚŚĞ dĞĐŚŶŽůŽŐLJ ^ĞĐƚŽƌ /Ɛbcn 19 March 12 ŝůůĞĚǁŝƚŚ WƌŽŐƌĂŵƐ ƚŚĂƚ ^ƵƉƉŽƌƚ /ŶŶŽǀĂƚŝŽŶ dŚĞ ƚĞĐŚŶŽůŽŐLJ ƐĞĐƚŽƌ ŚĂƐ ŶƵŵĞƌŽƵƐ ĂĐĐĞůĞƌĂƚŽƌ ƉƌŽŐƌĂŵƐ ƚŚĂƚ ĨŝŶĚ ƌĞůĞǀĂŶƚ ĂŶĚ ĚŝƐƌƵƉƚŝǀĞ ƐĞĞĚͲƐƚĂŐĞ ĐŽŵƉĂŶŝĞƐ ĂŶĚ ŚĞůƉ ƐƵƉƉŽƌƚ ƚŚĞŝƌ ŐƌŽǁƚŚConfidential 21
  91. ,ĞĂůƚŚďŽdž ^ƵƉƉŽƌƚƐ ƌŽǁƚŚ ŽĨ ĂƌůLJ ^ƚĂŐĞ ,ĞĂůƚŚĐĂƌĞ 12 bcn 19 MarchƵƐŝŶĞƐƐĞƐ ,ĞĂůƚŚďŽdž ŝƐ Ă ƉƌŽŐƌĂŵ ƚŽ ƐƵƉƉŽƌƚ ĂŶĚ ĂĐĐĞůĞƌĂƚĞ ĚĞǀĞůŽƉŵĞŶƚ ŽĨ ŝŶŶŽǀĂƚŝǀĞ ŚĞĂůƚŚĐĂƌĞ ƐŽůƵƚŝŽŶƐ dE d D^͘ d,Z DKEd,^͘ KE K ͘ dĞŶ ŚĞĂůƚŚĐĂƌĞ ƐƚĂƌƚƵƉƐ ǁĞƌĞ ƐĞůĞĐƚĞĚ ƚŽ ƉĂƌƚŝĐŝƉĂƚĞ ŝŶ Ă ƚŚƌĞĞͲŵŽŶƚŚ ĂĐĐĞůĞƌĂƚŽƌ ƉƌŽŐƌĂŵ ŝŶ ŚŝĐĂŐŽConfidential 22
  92. bcn 19 March 12ŶƚƌĞƉƌĞŶĞƵƌƐ ĂŝŶ sĂůƵĞ ƌŽŵ ŝǀĞ ĞLJ ŽŵƉŽŶĞŶƚƐ ^ĞĞĚ ΨϱϬŬ h^ ŝŶ ĞdžĐŚĂŶŐĞ ĨŽƌ ϳй ĞƋƵŝƚLJ ĂƉŝƚĂů džƉĞƌƚ ^ĞĂƐŽŶĞĚ ƉƌŽĨĞƐƐŝŽŶĂůƐ ǁŝƚŚ Ă ǀĂƌŝĞƚLJ ŽĨ ƌĞůĞǀĂŶƚ ŝŶĚƵƐƚƌLJ EĞƚǁŽƌŬ ĂŶĚ ďƵƐŝŶĞƐƐ ĞdžƉĞƌƚŝƐĞ ƵƐŝŶĞƐƐ dŽƉŝĐƐ ƌĞůĞǀĂŶƚ ŝŶ ƚŚĞ ĞĂƌůLJ ƐƚĂŐĞƐ ŽĨ ďƵŝůĚŝŶŐ ďƵƐŝŶĞƐƐĞƐ ŽƌƵŵƐ ŽůůĂďŽƌĂƚŝǀĞ ƌĞĂƚŝǀĞ ƐƉĂĐĞ ǁŝƚŚ ƐƵƉƉŽƌƚŝŶŐ ŝŶĨƌĂƐƚƌƵĐƚƵƌĞ ƚŽ ǁŽƌŬ tŽƌŬƐƉĂĐĞ /ŶǀĞƐƚŽƌ KƉƉŽƌƚƵŶŝƚLJ ƚŽ ƉŝƚĐŚ ƚŽ Ă ůĂƌŐĞ ŐƌŽƵƉ ŽĨ ĂŶŐĞů ĂŶĚ ǀĞŶƚƵƌĞ ĂLJ ŝŶǀĞƐƚŽƌƐConfidential 23
  93. dĞĂŵƐ ƌĞ tŽƌŬŝŶŐ ĨŽƌ dŚƌĞĞ DŽŶƚŚƐ ƚŽ ĐŚŝĞǀĞ19 March 12 bcn KŶĞ/ŵƉŽƌƚĂŶƚ ŽĂů ^ƚƌĞŶŐƚŚĞŶŝŶŐ zŽƵƌ WƌŽĚƵĐƚ KĨĨĞƌŝŶŐ :ĂŶƵĂƌLJ ^ĞŵŝŶĂƌƐ͗ dĞĂŵ ĨĨĞĐƚŝǀĞŶĞƐƐ͕ hyͬh/͕ ĞĂŶ ^ƚĂƌƚƵƉ͕ hŶŝƚ ĐŽŶŽŵŝĐƐ WĂŶĞů͗ WƌŽǀŝĚĞƌͬƉĂLJĞƌ ĞƐŝŐŶŝŶŐ ĨŽƌ Ă ƌĞĂƚ ƵƐƚŽŵĞƌ džƉĞƌŝĞŶĐĞ ĞďƌƵĂƌLJ ^ĞŵŝŶĂƌƐ͗ ŝŶĂŶĐŝĂů ŵŽĚĞůŝŶŐ͕ DĂƌŬĞƚŝŶŐ͕ ^K͕ ƵƐŝŶĞƐƐ ĞǀĞůŽƉŵĞŶƚ WĂŶĞůƐ͗ WƌŽǀŝĚĞƌͬƉĂLJĞƌ͕ WƌŽƚŽƚLJƉĞ ĂLJ WůĂŶŶŝŶŐ ĨŽƌ ƌŽǁƚŚ DĂƌĐŚ ^ĞŵŝŶĂƌƐ͗ dĞƌŵ ƐŚĞĞƚƐ ĂŶĚ ĐĂƉ ƚĂďůĞƐ͕ dĂdžĞƐ WĂŶĞů͗ /ŶǀĞƐƚŽƌƐ ϰ Ɖƌŝů /ŶǀĞƐƚŽƌ ĂLJ /K ŝƐ ĂŶ ĂǁĂƌĚͲǁŝŶŶŝŶŐ ŐůŽďĂů ĚĞƐŝŐŶ Ĩŝƌŵ ƚŚĂƚ ƚĂŬĞƐ Ă ŚƵŵĂŶͲĐĞŶƚĞƌĞĚ͕ ĚĞƐŝŐŶͲďĂƐĞĚ ĂƉƉƌŽĂĐŚ ƚŽ ŚĞůƉŝŶŐ ŽƌŐĂŶŝnjĂƚŝŽŶƐ ŝŶŶŽǀĂƚĞ ĂŶĚ ŐƌŽǁ͘Confidential 24
  94. ,ĞĂůƚŚďŽdž ,ĂƐ ƐƐĞŵďůĞĚ ĂŶ džƉĞƌŝĞŶĐĞĚ ƌŽƵƉ19 March 12 bcn ŽĨϴϬн DĞŶƚŽƌƐ ƌŽŵ ŝǀĞƌƐĞ ,ĞĂůƚŚĐĂƌĞ ĂĐŬŐƌŽƵŶĚƐ ƵŶĐƚŝŽŶĂů ƌĞĂƐ ZĞŐƵůĂƚŽƌLJ ĞdžƉĞƌƚƐ ^ĂůĞƐ Θ ŵĂƌŬĞƚŝŶŐ ƐƚƌĂƚĞŐŝƐƚƐ ĞƐŝŐŶ Θ ƉƌŽƚŽƚLJƉŝŶŐ ĞŐĂů Θ /W ƵƐŝŶĞƐƐ ƐƚƌĂƚĞŐŝƐƚƐ ^ĞƌŝĂů ĞŶƚƌĞƉƌĞŶĞƵƌƐ ,ĞĂůƚŚĐĂƌĞ sĞƌƚŝĐĂůƐ WƌŽǀŝĚĞƌƐ /ŶƐƵƌĂŶĐĞ ĐŽŵƉĂŶŝĞƐ WŚĂƌŵĂ͕ ŵĞĚŝĐĂů ĚĞǀŝĐĞ ŵƉůŽLJĞƌƐ ,ĞĂůƚŚĐĂƌĞ ƌĞƚĂŝů ,ĞĂůƚŚĐĂƌĞ /dConfidential 25
  95. tĞ ZĞĐĞŝǀĞĚ ƉƉůŝĐĂƚŝŽŶƐ ĨƌŽŵ Ϯϲ ^ƚĂƚĞƐ ĂŶĚ ϴ 19 March 12 bcnŽƵŶƚƌŝĞƐ Fouders’ Experience Clincial No healthcare healthcare experience 35% 39% Non-clinical healthcare 26%Confidential 26
  96. ƉƉůŝĐĂŶƚƐ /ĚĞŶƚŝĨŝĞĚ DĞŶƚŽƌƐŚŝƉ ĂƐ ƚŚĞ ŝŐŐĞƐƚ 19 March 12 bcn ƌĞĂ ŽĨ EĞĞĚ ĞLJ dƌĞŶĚƐ ŝŶ ƚŚĞ ƉƉůŝĐĂŶƚ WŽŽů WƌŽĐĞƐƐ ĂŶĚ ŽƉĞƌĂƚŝŽŶƐ ŽŶƐƵŵĞƌ ĚŝƌĞĐƚĞĚ ŚĞĂůƚŚ tĞůůŶĞƐƐ ŽŵŵƵŶŝĐĂƚŝŽŶ ƚŽŽůƐ DĞĚŝĐĂƚŝŽŶ ĂĚŚĞƌĞŶĐĞ ŝĂŐŶŽƐƚŝĐƐͬƚŚĞƌĂƉĞƵƚŝĐƐ ĂƌĞ ŵĂŶĂŐĞŵĞŶƚ ŝƐĞĂƐĞ ŵĂŶĂŐĞŵĞŶƚ ĚƵĐĂƚŝŽŶ dĞůĞŵĞĚŝĐŝŶĞ ůŝŶŝĐĂů ĚĞĐŝƐŝŽŶ ƐƵƉƉŽƌƚConfidential 27
  97. ,ĞĂůƚŚĐĂƌĞ ŶƚƌĞƉƌĞŶĞƵƌƐ ƌĞ dĂƌŐĞƚŝŶŐ ŝǀĞƌƐĞ 19 March 12 bcn ŚĂůůĞŶŐĞƐ ĂŶĚ ^ƚĂŬĞŚŽůĚĞƌƐ Business Objective Target BuyerMake healthcaremore affordable Other 10% 10% Improve B2Dr B2B health 29% 35% outcomes Make healthcare 40% more accessible 20% B2C Improve provider 36% Make healthcare Lower costs for reimbursement fun providers 3% 6% 10% Confidential 28
  98. ƉƉůŝĐĂŶƚƐ tĞƌĞ ǀĂůƵĂƚĞĚ ĐƌŽƐƐ DƵůƚŝƉůĞ bcn 19 March 12ŝŵĞŶƐŝŽŶƐ ^ƚƌĂƚĞŐŝĐ ŝƚ /Ɛ ƚŚĞƌĞ ĂŶ ƵŶŵĞƚ ŶĞĞĚ Žƌ ƐŝŐŶŝĨŝĐĂŶƚ ƉĂŝŶ ƉŽŝŶƚ ƚŚĞ ďƵƐŝŶĞƐƐ ĂĚĚƌĞƐƐĞƐ͍ ^ŽůƵƚŝŽŶ /Ɛ ƚŚĞƌĞ Ă ĐůĞĂƌ ǀĂůƵĞ ƉƌŽƉŽƐŝƚŝŽŶ ƚŽ ƐƚĂŬĞŚŽůĚĞƌƐ͍ /Ɛ ŝƚ ĚŝĨĨĞƌĞŶƚŝĂƚĞĚ͍ DĂƌŬĞƚ /Ɛ ƚŚĞƌĞ Ă ƐƵďƐƚĂŶƚŝĂů ŵĂƌŬĞƚ ŽƉƉŽƌƚƵŶŝƚLJ͍ tŚĂƚ ŝƐ ƚŚĞ ĐŽŵƉĞƚŝƚŝǀĞ ĞŶǀŝƌŽŶŵĞŶƚ͍ ŝŶĂŶĐŝĂů /Ɛ ƚŚĞ ďƵƐŝŶĞƐƐ ƐĐĂůĂďůĞ͍ ĂƉŝƚĂů ĞĨĨŝĐŝĞŶƚ͍ dĞĂŵ ŽĞƐ ƚŚĞ ƚĞĂŵ ŚĂǀĞ ŚĞĂůƚŚĐĂƌĞ͕ ƚĞĐŚŶŝĐĂů ĂŶĚͬŽƌ ĞŶƚƌĞƉƌĞŶĞƵƌŝĂů ĞdžƉĞƌŝĞŶĐĞ͍Confidential 29
  99. ,ĞĂůƚŚďŽdž ^ĞůĞĐƚĞĚ ϭϬ WƌŽŵŝƐŝŶŐ ^ƚĂƌƚƵƉƐ ĨŽƌ /ƚƐ 19 March 12 bcn/ŶĂƵŐƵƌĂů ůĂƐƐConfidential 30
  100. bcn 19 March 12dŚŝƐ ŝƐ tŚĂƚ tĞ͛ǀĞ ĞĂƌŶĞĚConfidential and Proprietary, 2011 31
  101. bcn 19 March 12 ^ŽŵĞ dŚŝŶŐƐ ƚŽ dŚŝŶŬ ďŽƵƚ Make sure the product or service addresses a real problem for healthcare stakeholders – i.e. there must be a serious pain point Challenge assumptions, test cheaply If consumers won’t pay, who else benefits? (e.g. pharma, employers, insurers, government, etc.) Collect data, prove value – cost, quality, etc. You must be able to explain your economic value Nothing ever happens the way you think it’s going to happen “We always overestimate the change that will occur in the next two years and underestimate the change that will occur in the next ten.” -Bill GatesConfidential 32
  102. bcn 19 March 12tŚĞƌĞ ƚŚĞ KƉƉŽƌƚƵŶŝƚŝĞƐ ƌĞ dŽĚĂLJ Products, services and technologies that: expand the delivery system for primary care help combat, contain and prevent chronic illness advance wellness and prevention foster consumer engagement and decision-making capabilities Devices and diagnostics that demonstrate comparative effectiveness and reduce the cost of care/move services to lower acuity venues Today, innovations must be able to demonstrate net lower cost and equal or better quality outcomesConfidential 33
  103. bcn 19 March 12 dŚŝŶŬ ďŽƵƚ tŚĞƌĞ ƚŚĞ sĂůƵĞ ZĞĂůůLJ ŝĞƐ WĂƚŝĞŶƚ ĞŶŐĂŐĞŵĞŶƚ ƐŽůƵƚŝŽŶ ƚŚĂƚ ƵƚŝůŝnjĞƐ ĂƵƚŽŵĂƚĞĚ ƉĂƚŝĞŶƚ ƚĞdžƚ ŵĞƐƐĂŐŝŶŐ ƚŽ ŝŵƉƌŽǀĞ ƉƌŽǀŝĚĞƌ ƉĞƌĨŽƌŵĂŶĐĞ ^ƚĂƌƚĞĚ ŽƵƚ ǁŝƚŚ ƉƌŝŵĂƌLJ ĐĂƌĞ ĂƉƉŽŝŶƚŵĞŶƚ ƌĞŵŝŶĚĞƌƐ ĂŶĚ ƉĂƚŝĞŶƚ ƐĂƚŝƐĨĂĐƚŝŽŶ EŽǁ ĨŽĐƵƐŝŶŐ ŽŶ ƐƉĞĐŝĂůƚLJ ĐĂƌĞ͕ ƉĂƚŝĞŶƚ ƉƌĞƉĂƌĂƚŝŽŶ ʹ Ğ͘Ő͘ ĐŽůŽŶŽƐĐŽƉLJ͕ ŽƵƚƉĂƚŝĞŶƚ ƐƵƌŐĞƌLJConfidential 34
  104. bcn 19 March 12 Ğƚ zŽƵƌ WƌŽĚƵĐƚ ŝŶ hƐĞƌ͛Ɛ ,ĂŶĚƐ ůŽƵĚͲďĂƐĞĚ͕ ,/W ĐŽŵƉůŝĂŶƚ ĂƉƉůŝĐĂƚŝŽŶ ĞŶĂďůŝŶŐ ƌĞŵŽƚĞ ĚŝĂŐŶŽƐŝƐ ŽĨ ĚĞƌŵĂƚŽůŽŐLJ ĐĂƐĞƐ ŽŶƐŝĚĞƌ ͬ ƚĞƐƚŝŶŐ ŽĨ ƌĞǀĞŶƵĞ ŵŽĚĞůƐ ʹ ǁŚŽ ǁŝůů ƉĂLJ͕ ǁŚĂƚ ǁŝůů ƚŚĞLJ ƉĂLJ͍ hƐĞƌ ĨĞĞĚďĂĐŬ ĚƌŝǀĞƐ ƉƌŽĚƵĐƚ ŝŵƉƌŽǀĞŵĞŶƚ͕ ŶŽǀĞů ŝĚĞĂƐ EĞǁ ƉůĂĐĞ ĨŽƌ ĚĞƌŵ ŽĨĨŝĐĞƐ ƚŽ ƌĞĨĞƌ ƉĂƚŝĞŶƚƐConfidential 35
  105. bcn 19 March 12 dŚŝŶŬ ďŽƵƚ ŝƐƚƌŝďƵƚŝŽŶ͕ ŚĂŶŶĞů WĂƌƚŶĞƌƐ ĞŶƚƌĂůŝnjĞĚ ƉůĂƚĨŽƌŵ ƚŚĂƚ ĂůůŽǁƐ ĐŽŶƐƵŵĞƌƐ ƚŽ ĂĐĐĞƐƐ ŵĂŶƵĨĂĐƚƵƌĞƌ ĚŝƐĐŽƵŶƚƐ ŽŶ ŵĞĚŝĐĂƚŝŽŶƐ ƵƐŝŶĞƐƐ ĚĞƉĞŶĚƐ ŽŶ ƵƐĞƌ ƚƌĂĨĨŝĐ ĂŶĚ ƌĞĚĞŵƉƚŝŽŶ ƌĂƚĞƐ ƚŽ ĚƌŝǀĞ ǀĂůƵĞ ĨŽƌ ƉŚĂƌŵĂ /ŶŝƚŝĂůůLJ ĨŽĐƵƐĞĚ ŵĂƌŬĞƚŝŶŐ ĞĨĨŽƌƚƐ ŽŶ ^Kͬ^D͕ ƐŽĐŝĂů ŵĞĚŝĂ͕ ƉƌĞƐƐ͕ ĚŽĐƚŽƌ͛Ɛ ŽĨĨŝĐĞƐ͕ ĞƚĐ͘ WĂƌƚŶĞƌƐŚŝƉ ǁŝƚŚ Ă ĐŽŵƉĂŶLJ ƚŚĂƚ ŚĂƐ ƉĂƚŝĞŶƚ ŬŝŽƐŬƐ ŝŶ ϮϬŬ ƌĞƚĂŝů ƉŚĂƌŵĂĐŝĞƐ WĂƌƚŶĞƌƐŚŝƉ ǁŝƚŚ Ă ƚĞůĞͲŚĞĂůƚŚ ĐŽŵƉĂŶLJ ƚŚĂƚ ĞŶĂďůĞƐ ĚŽĐƚŽƌͲƉĂƚŝĞŶƚ ĐŽŵŵƵŶŝĐĂƚŝŽŶConfidential 36
  106. bcn 19 March 12 ŽŶ͛ƚ ĚĚ ƚŽ tŽƌŬĨůŽǁƐ KƌŝŐŝŶĂů ĐŽŶĐĞƉƚ ʹ WĂƚŝĞŶƚ ůŝƐƚ ŵĂŶĂŐĞƌ ƚŚĂƚ ƉƌŽǀŝĚĞƐ ƉŚLJƐŝĐŝĂŶƐ ĂĐĐĞƐƐ ƚŽ ĐůŝŶŝĐĂů ĐĂƌĞ ĞƉŝƐŽĚĞƐ ĂĐƌŽƐƐ ĚŝƐƉĂƌĂƚĞ ĨĂĐŝůŝƚŝĞƐ ZĞƋƵŝƌĞƐ ĚƵĂů ĞŶƚƌLJ ;,Z н /KEͿ ĚĚŝƚŝŽŶ ƚŽ ǁŽƌŬĨůŽǁ EĞǁ ĐŽŶĐĞƉƚ͕ ^ǁŝĨƚWĂLJ D ʹ ĚŝŐŝƚĂů ďŝůůŝŶŐ ĐĂƌĚ ZĞƉůĂĐĞ ŝŶĞĨĨŝĐŝĞŶƚ ƉĂƉĞƌ ďŝůůŝŶŐ ĐĂƌĚƐ͕ ǁŝƚŚ Ă ƐŝŵƉůĞ͕ ǀŽŝĐĞͲĚƌŝǀĞŶ ƐŽůƵƚŝŽŶ WƌŽǀĞ ŝŶĐƌĞĂƐĞĚ ƌĞǀĞŶƵĞConfidential 37
  107. bcn 19 March 12 ŝƐƚĞŶ ƚŽ tŚĂƚ ^ƚĂŬĞŚŽůĚĞƌƐ tĂŶƚ ΗKƵƌ ƐƚƌĂƚĞŐŝĐ ĚŝǀŝƐŝŽŶ ǁĂŶƚƐ ƐŵĂůů ƚĞĐŚ ĐŽŵƉĂŶŝĞƐ͕ ĂŶLJŽŶĞ ǁŚŽ ĐĂŶ ĂůůĞǀŝĂƚĞ Ă ƉĂŝŶ ƉŽŝŶƚ͟ ʹ ŽLJĐĞͲ^ŵŝƚŚ͕ ,ƵŵĂŶĂ ^͕ ĞƚŶĂ ĂŶĚ ŽƚŚĞƌ ŝŶƐƵƌĞƌƐ ǁĂŶƚ ƚŽ ŽĨĨĞƌ ƉƌŽĚƵĐƚƐ ĨŽƌ ďĞŚĂǀŝŽƌĂů ŚĞĂůƚŚ ĂŶĚ ĂƌĞ ůŽŽŬŝŶŐ ĨŽƌ ƚĞĐŚŶŽůŽŐŝĞƐ ƚŚĂƚ ĨĂĐŝůŝƚĂƚĞ ŵŽƌĞ ĐŽŶǀĞƌƐĂƚŝŽŶ͕ ƚƌĂŶƐƉĂƌĞŶĐLJ ĂŶĚ ƐŽĐŝĂůŝnjŝŶŐ ĂŵŽŶŐ ƐƵĨĨĞƌĞƌƐ ĂŶĚ ƚŚĞŝƌ ĚŽĐƚŽƌƐ /ŶƐƵƌĞƌƐ ĂƌĞ ůŽŽŬŝŶŐ ĨŽƌ ǁĂLJƐ ƚŽ ŝŶĐĞŶƚŝǀŝnjĞ ƚŚĞŝƌ ŵĞŵďĞƌƐ ƚŽ ĂĚŽƉƚ ŚĞĂůƚŚŝĞƌ ŚĂďŝƚƐ͕ ƐŽŵĞƚŚŝŶŐ ƚŚĞLJ ƐĂLJ ǁŝůů ůĞĂĚ ƚŽ Ă ƌĞĚƵĐĞĚ ĚĞŵĂŶĚ ĨŽƌ ĐŽŶƐƚĂŶƚ ĐĂƌĞ͘ ,ƵŵĂŶĂ ŝƐ ŝŶĐƌĞĂƐŝŶŐůLJ ůŽŽŬŝŶŐ Ăƚ ŽĨĨĞƌŝŶŐ ŐĂŵĞƐ͕ ĚŝƐĐŽƵŶƚƐ ĂŶĚ ƌĞǁĂƌĚƐ ƚŽ ŝƚƐ ŵĞŵďĞƌƐ ĨŽƌ ƌĞĂĐŚŝŶŐ ŚĞĂůƚŚ ŵŝůĞƐƚŽŶĞƐConfidential 38
  108. bcn 19 March 12ŝŐ ŶŶŽƵŶĐĞŵĞŶƚƐ ĂƌĞ ŽŵŝŶŐ ^ŽŽŶ͊ ŽŶŶĞĐƚ ǁŝƚŚ ƵƐ ĂĐĞŬ ʹ ĨĂĐĞŬ͘ĐŽŵͬ,ĞĂůƚŚďŽdž dǁŝƚƚĞƌ ʹ ΛŚĞĂůƚŚͺďŽdž ŝŶŬĞĚ/Ŷ ʹ ŚĞĂůƚŚďŽdž ĂĐĐĞůĞƌĂƚŽƌConfidential 39
  109. bcn 19 March 12 healthboxaccelerator.comConfidential 40
  110. bcn 19 March 12 Thank you! Dan Phillips Director, Healthbox Healthbox, Sandbox Industriesour sponsors
  111. bcn 19 March 1213.15 - 14.30 Lunch our sponsors
  112. bcn 19 March 12 welcome back!our sponsors
  113. bcn 19 March 12 10 steps to launch your medical app14.30 - 15.15 Round Table Chia Hwu, Moderator CEO, Qubop.com Jorge Carrasco Senior Consultant, Telefónica Xavier Lorenz Managing Director, Innuo our sponsors
  114. bcn 19 March 12 Apps On HealthTelefónica EmpresasMarch 2012 Telefónica Empresas
  115. bcn 19 March 12 Index 0 01 Automatable Medical Systems 0 • Areas with Mobile Potential • Needs for patients and medical staff 02 How to design a Medical App •10 commandments for medical apps development. •Who and what should I focus on? •Best PracticesAplicaciones en Movilidad y SaaS 1
  116. Apps on Health bcn 19 March 12 Automatable Medical Services Primary Specialized Health-care Emergencies Public Safety Attention Attention Members Safety and Home Care Medicalized Bedside Home Hygiene Doctor Ambulances Nursing Dependency Inspection Outpatient Attention in Home Care Non Medicalized Veterinary Services Geriatric Nursing Ambulances Surgeons Nursing Hospitals Emergencies Social Workers Day Clinic Nursing Home Care Doctors Bedside HIGH PRIORITY Doctors MEDIUM PRIORITY Emergency Doctors LOW PRIORITY Home Psycology and PsyquiatryAplicaciones en Movilidad y SaaS 2
  117. Apps on Health bcn 19 March 12 10 commandments for Medical Apps 1 It must provide services independently from the welfare system. 2 It must guarantee safety and privacy 3 It must reuse common services 4 It must be based on open systems, allowing the integration of new systems 5 Both the architecture and the services must be expandable 6 The architecture must be scalable 7 The architecture must be secure 8 There may exist technological interoperability Most important commandments 9 There may exist semantic interoperability 10 There may exist organisational interoperabilityAplicaciones en Movilidad y SaaS 3
  118. Apps on Health bcn 19 March 12 Technological Interoperability eHealth services Mobile technologies and operating systems have really short lifecycles. eHealth services must uncouple from the presentarion layer. Multidevice Mobility Platform Usage of a multidevice mobility platform becomes necessaryÁrea 4Razón Social
  119. Apps on Health bcn 19 March 12 Semantic Interoperability Encoding systems and Internal semantics in the applications terminologies must be independent from the • EDQM : Standard Terms of European semantics employed in the welfare Directorate of Quality in Medicine • LOINC : Logical Observation Identifiers system names and codes • ATC : Anatomical Therapeutic Chemical classification system It becomes necessary to use a server • CIE : International Statistical of terminologies Classification of Diseases and Related Health Problems • SNOMED CT : Systematized Nomenclature of Medicine-Clinical Terms Data structure, schemes and archetypes HL7 v3Área 5Razón Social
  120. Apps on Health bcn 19 March 12 Organizational Interoperability IHE IHE is an initiative by healthcare professionals and industry to improve Applications must follow IHE (Integrating the way computer systems in healthcare the Healthcare Enterprise) standards to share information. IHE promotes the coordinated use of established guarantee organizational interoperability. standards such as DICOM and HL7 to address specific clinical need in support of optimal patient care. Benefits: • Reduces the need to create expensive interfaces • Implementarion Framework based on standards • Building solutions accoording IHE profiles reduces development cycle for new products. • Worldwide usage • IHE standard serve as a base for interoperability in projects such as Historia Clínica Digital of SNS (HCDSNS) and in the european project epSOS. • It is used in Germany, Austria, Australia, Canada, China, France, India, Israel, Italy, Japan, Korea, Norway, Spain, Switzerland, Turkey, United Kingdom and USA. • Connectathon 2011 Pisa: 73 Companies, 110 systems • Compliant Solutions: Lorenzo (iSoft), Cerner Millenium, Siemens,…Área 6Razón Social
  121. Apps on Health bcn 19 March 12 Who should I focus on? B2C - Patient B2B – Med. staff ! Patient Folder: Information about patient clinic ! Medical Support. Schedule management history, available services, appointment for patients, parameter gathering, reservation diagnostic assistance, activity signage, ! Patient Control: Primarty attention, dose electronic prescriptions control ! Public Health Inpections: Mobile forms ! Patient Follow-Up: dose alerts, parameter for food inspections, sanitary condition control inspections, animal condition inspections. ! Pet Control: Veterinarian advice, pet follow-up, ! Maintenance and executive staff etc. process mobilizationAplicaciones en Movilidad y SaaS 7
  122. bcn 19 March 12Aplicaciones en Movilidad y SaaS 8
  123. bcn 19 March 12 10 steps to launch your medical app14.30 - 15.15 Round Table Chia Hwu, Moderator CEO, Qubop.com Jorge Carrasco Senior Consultant, Telefónica Xavier Lorenz Managing Director, Innuo our sponsors
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  139. bcn 19 March 12 Keynote Lekshmy Parameswaran Partner / Director Insights Strategy Fuelforour sponsors
  140. + providing fuel for innovation in health care 360° HealthTransforming healthcare experiences through design Apps ON Health Conference, Barcelona, 19th March 2012
  141. bcn 19 March 12360° health Improving the way people experience every aspect of health
  142. Our health care experienceDesigning solutions across the spectrum of care bcn 19 March 12 Radiology + X-ray Pregnancy care + Neonatal ICU + Magnetic Resonance + Ultrasound screening + Computer Tomography + Labor and delivery Cardiology + Cardiac ICU Personal health + Obesity + Cardiac EMS + Home monitoring + Elderly care Oncology + Nuclear Medicine + Rehabilitation care + Radiation Therapy + Hemodialysis + Chemo therapy + Psycho-social Care Regional health + Access infrastructure + Mammo screening + Healthy city + CRC screening + Organisational changeHealthcare IT + Reading room
  143. Our health care experienceActive collaboration with facilities worldwide bcn 19 March 12 Europe + AMC, Amsterdam USA + Edward Heart Hospital, Chicago + EKZ, Amsterdam + Lutheran General, Chicago + UMC, Utrecht + St. Josephs Hospital, Burbank + UMCG, Groningen + St. Vincents Hospital, New York + Catharina Hospital, Eindhoven + Washington Hospital Center, DC + NKI, Amsterdam + St. Francis Hospital, Indiannapolis + University Hospital, Leuven + Hoag Hospital, Newport Beach + Marzahn Hospital, Berlin + Hôpital Privé d’Antony, Paris + Deep Hospital, Ludhiana + S.S. Trinità Hospital, Fossano Asia + Iqbal Nursing Home, Ludhiana + S. Croce Hospital, Mondovi + KMCH, Coimbatore + Matia Foundation, Zarautz + Women’s Center, Coimbatore + Matia Foundation, San Sebastian + AIMS, Cochin
  144. fuelfor DTIA I key activities and timingRun 1 Experience Design methodologyA people-centered innovation process to design and develop holistic solutions. bcn 19 March 12 Framing Understanding Sense making Creation Communication Development Framing the problem, Field research Creating experience Concept generation Solution communication Design development defining the brief to generate insights journeys to identify experience prototyping and evaluation experience testing opportunities
  145. bcn 19 March 12
  146. Experience design for healthcare service innovation bcn 19 March 12We consider mobile applications as an important vehicle forhealthcare service innovation.Apps offer powerful ways to improve the consistency andquality of healthcare experiences for patients, families andprofessional care teams along the care journey.An experience design approach can support the designand development of more meaningful and valuable mobileapps for healthcare.
  147. What is Experience Design for healthcare? bcn 19 March 12Understanding...PeopleWho are the people that will use your app and what do you know about them?PlacesWhere will your app be used and what is it like there?Processes over timeWhen will people interact with your app and what else is happening then? ...to Design integrated solutions Combining products, services, spaces, communication
  148. Understanding people bcn 19 March 12
  149. Understanding disease perceptions in society bcn 19 March 12
  150. Facilitating story telling bcn 19 March 12
  151. Understanding care delivery challenges bcn 19 March 12
  152. Mapping the qualities of the care context bcn 19 March 12
  153. Capturing sensorial experiences bright, harsh bcn 19 March 12 fluorescent lights Elderly lady keeps her bagSeveral maintenance on her lap, fans herself as shestaff passing through - waitscleaner, rubbish collector, repair man L-shaped space creates blind spots for single receptionist who calls push panel patients via tannoy. entrance makes Small, claustrophobic you wonder what waiting areas off the main corridor. germs lie on the surface... floor signage points patients to triage area downstairs noisy, crowded and warm
  154. Zooming out to see the overall care journey bcn 19 March 12

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