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Rainer Kasan, Telepaxx - NOAH18 London



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Digital Health & Wellness: Company Presentation by Rainer Kasan, Co-Founder & CTO of Telepaxx at the NOAH Conference 2018 in London, Old Billingsgate 30-31 October 2018.

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Rainer Kasan, Telepaxx - NOAH18 London

  1. 1. Tuesday, 30th October 2018 Rainer Kasan, Founder and CTO From Medical Archiving to the Leader in Health Cloud Services
  2. 2. Three Conferences, One Mission: Empower the European Digital Ecosystem To provide a physical marketplace that facilitates funding of digital European companies at all stages Mission Mission Mission To promote Israel - European relationships and enable funding To bring together future-shaping executives and investors active across segments driven by digital revolution Connecting Capital with Entrepreneurs Connecting European Champions and Challengers Connecting Israel’s Startups with Large Corporates and Investors 30-31 October 2019 Old Billingsgate, London 13-14 June 2019 STATION Berlin 9-10 April 2019 Hangar 11, Tel Aviv
  3. 3. 2 Location: Nuremberg, Germany (incl. data centers in South & North) History: >20 years of experience in medical image archiving and processing Standards & Certifications: DICOM, HL 7 Standard; German Data Privacy & Protection Seal, European Privacy Seal Management & Ownership: 100% privately owned Medical Data Analyzing: Deep Learning & SaaS Company Products Market Telepaxx Company Profile: Experts in Archiving, Sharing and Analyzing of Medical Data Archiving of Medical Images & Documents High Security Sharing of Medical Data 600 hospitals and radiologies in Germany 13 billion medical images Per day +3 million new medical images 15 million patients per year CEO Andreas Dobler CTO Rainer Kasan (Founder) Chairman Herbert Grau (Founder) "We are the market leader for medical image archiving and sharing in Germany and Europe!"
  4. 4. 3 Telepaxx: Market & Regulatory Framework for Medical Data ✓ 100,000,000 diagnostic imaging examinations have been conducted in Europe in 2016. Every examination can contain hundreds of single images ✓ Hospital data is growing by up to 30 % every year. A midsize clinic produces 4 – 6 TB / year, a university hospital produces 40 – 100 TB / year ✓ More and more medical departments will become digital in the near future and produce additional billions of medical images ✓ Storing, sharing and processing of the dramatically increasing number of medical images must be compliant with the GDPR ✓ The GDPR increased the pressure to European countries to react to the legal requirements defining high standards for secure storing and processing of sensible patients data ✓ All archived data in Telepaxx data centers are encrypted, the encryption key is at customer site (archiving) or owned by medical doctors or patients (sharing) ✓ Since more than 20 years Telepaxx is compliant with the German Personal Data Protection Law, which was more strict than the GDPR is now ✓ The new GDPR opens significant business opportunities for Telepaxx in Europe: 1) Expansion through GDPR compliant archiving projects in Europe 2) GDPR defined pseudonymization (in the medical images the patient demographic data is replaced by a reference number).This allows data analytics (AI) projects just with the consent of the hospital (not of the patient any more) Market Regulatory Framework & Growth Potential
  5. 5. 4 Business Model: Archiving Core Business Telepaxx is the European Market Leader for Medical Image Archiving Telepaxx Archive: Medical Archiving as a Service 2nd and 3rd Tier data storage for medial image data ✓ GDPR compliant: Certified Data Security Certified data protection and data security concept since more than 20 years, (Telepaxx has own data centers for >20 years) ✓ GDPR opens new markets in the EU Starting business in France and Poland ✓ Vendor Neutral Archiving (VNA) Compatibility with all PACS (Medical Imaging) providers guaranteed, Works for Radiology as well as for other “-ologies” like Pathology, Ophthalmology, Cardiology, etc. ✓ Direct access to medical workflow at customer 600 Telepaxx owned servers in clinical workflow are part of our e-Health platform ✓ Trustful, long-term customer relationships Standards and Certifications: DICOM-, HL 7-, IHE-Standard; German Data Privacy & Protection Seal, European Privacy Seal Hospitals and radiologies as customers: Largest clinic groups in Germany: ✓Asklepios ✓Helios ✓Rhön Clinics Largest single clinics: ✓Clinic Nuremberg (2.500 beds) ✓Clinic Stuttgart (2.100 beds) >600 Coverage Germany (Selective)
  6. 6. 5 Radiology HOSPITAL Ophthalmology Cardiology Tier 1: PACSStorage Level Tasks Activities PACS / Modalities Pathology NewIndicationFields Tier 2: e-pacs Appliance Unencrypted online storage, 3-5 years Data Acquisition; Dicom, HL 7, IHE Create Patient Accounts for HDS Encryption / Decryption Deep Learning on site Tier 3: e-pacs Cloud Archive VNA and tiered storage management Security & Encryption Archiving File Sharing Value Added Service Deep Learning central NewApplicationAreas Business Model: Archiving Growth Strategy Core
  7. 7. 6 Business Model: Archiving Growth Strategy Telepaxx is the Fastest Growing European Market Leader for Medical Image Archiving Growth of data volume in the Telepaxx Data Center Images in e-pacs
  8. 8. 7 Business Model: Sharing - HealthDataSpace Simple and secure access on medical data Medical Images: Any time Any where Any platform
  9. 9. 8 Business Model: Sharing Telepaxx has the only certified product for sharing of medical data Telepaxx HealthDataSpace for sharing medical data: The secure „Dropbox“ for medical images and health data ✓ Certified with the German Data Privacy and Protection Seal, 100 % GDPR compliant ✓ Seamlessly integrated within clinic workflows due to DICOM, IHE and HL7 interfaces to support clinical process ✓ Every archived study can create automatically a patient account with images and corresponding medical reports ✓ Patients keep their right to informational self- determination and share their medical records e.g. to get a second opinion ✓ Multi-platform, running on smartphone, tablet and desktop computers HealthDataSpace has an actual growth rate of 75.000 new patient accounts per month >20 Million medical images and documents have been shared via HealthDataSpace $ Fee-based accounts for doctors/radiologists and clinics The most active medical use case a mammography tumor board has transmitted >1.000 cases with HealthDataSpace Free access for patients (up to 1 GB of data volume) Integrated Webshop
  10. 10. 9 Business Model: Analyzing Medical Data We build the base for deep learning / AI and provide access to the healthcare industry BASE Steps in developing a medical deep learning algorithm ACCESS ▪ Identify optimal algorithm ▪ Adjust parameters, train algorithm, get classifier ▪ Offer Value Added Services to clinics, doctors, radiologists, etc. ▪ Test in real-life setting ▪ CE (MDR) / FDA Labeling ▪ Integrate in clinical workflow and IT infrastructure ▪ Provide smart data for relevant use case ▪ Prepare training data sample ▪ Telepaxx Data Center: 13 PB of medical data (13 billion DICOM images and medical reports) ▪ Big data source 1 PARTNERSHIP 2 3 4 Define image data source Pre-process image data Create classifier Medical workflow integration Deliver Value Added Services 5 “We have the largest database to enable deep learning on medical images!” ACCESS 5 Value added services
  11. 11. 10 Business Model: Analyzing Medical Data We started deep learning projects for automated diagnosis Diagnosis of Brain Bleeding, Segmentation of Vertebrae, Mammography Screening, Prostate Screening ▪ With strong scientific partners in cognitive computing ▪ Based on Telepaxx’s smart image databases ▪ AI Classifiers installed on Telepaxx Department Servers for clinical evaluation Variety of use cases: ▪ Decision support ▪ Immediate alert in case of crisis (e.g. CT → Brain Bleeding → alarm) ▪ Optimized work list sorting ▪ Automatic second diagnosis ▪ Medical research findings and analytics Telepaxx already provides "Value Added Services" to customers: ▪ e.g. fully automated diagnosis of "pulmonary nodule detection in lung images" (CT) - customers pay per use or a monthly flatrate 4 medical deep learning projects Use cases Experience in Value Added Services
  12. 12. Telepaxx Medical Data Archiving, Sharing and Analyzing Telepaxx Medical Archiving GmbH Wasserrunzel 5 D-91186 Büchenbach
  13. 13. Selected Completed NOAH Transactions Focus on Leading European Internet companies Covering over 400 companies across 25 online verticals, a broad range of over 500 investors as well as 100+ online-focused corporates Deep understanding of industry dynamics Ability to add value beyond banking advice Facilitates overall process and minimizes management distraction NOAH Advisors is globally well connected and has direct access to virtually all key players in the industry Knowledge of and strong relationships with potential buyers’ key decision makers Proactively finds and unlocks attractive investment opportunities for leading investors Annual NOAH Conference in its 8th year Over 40 years of combined relevant M&A experience Routine execution of M&A and financing transactions with sizes of several billion euros 25+ successfully completed NOAH Advisors transactions underline successful transfer of M&A competencies to the Internet sector Entrepreneurial mind-set, focused on growing the business and establishing a reputation for excellence Ability to deliver top results in short time frames Highly success-based compensation structures align interests of clients and NOAH Advisors, and demonstrate conviction to deliver top results Creative deal solutions December 2014 October 2014 May 2014 Sale of 100% of for $800m to Exclusive Financial Advisor to Fotolia and the Selling Shareholders Sale of 100% of for €80m to Exclusive Financial Advisor to Trovit and its Shareholders sold 100% of for $228m to a joint venture between Exclusive Financial Advisor to Yad2 and its Shareholders Unique Industry Know-How Unmatched Network and Relationships Strong Investment Banking Competence Full Commitment - We Are Entrepreneurs! EUROPE’S LEADING INTERNET CORPORATE FINANCE BOUTIQUE October 2016 July 2018 December 2016 ® The NOAH Advisors Core Banking Team Investment in Exclusive Financial Advisor to KäuferPortal and its Shareholders by 84% Ownership Exclusive Financial Advisor to PromoFarma and its shareholders Financial Advisor to Silver Lake Investment in by September 2018 August 2017 Financial Advisor to 10bis and its shareholders Financial Advisor to EMK Capital Acquisition of a Majority Stake in by at a valuation of $200m Marco Rodzynek Managing Director & Founder Jan Brandes Managing Director Nikhil Parmar Director Olek Skwarczek Analyst Lukas Schlund Analyst Sale of 100% in to Sale of 100% in for €135m to 10Bis