Utilizing wearable technology in remote patient monitoring with aging populations

2. INDEPENDENCE, SAFETY & CAREGIVER ENGAGEMENT FOR SENIORS JAKE LEVY OneCare, Inc. - Managing Partner, Healthcare jlevy@onecaresaves.com 678-481-0278 Jake is a serial entrepreneur and thought-leader with 25+ years of healthcare technology innovation. His passion for enabling better care for patients outside the hospital has been a career- long focus. He pioneered software for the homecare and hospice industry in 1991, creating the first EMR system designed around scheduling and telephony technology. After a successful exit in 2006, Jake continued to develop telehealth and mobile health solutions for remote patient care. He is the Managing Partner for Healthcare at OneCare, the first-to- market independently cellular connected Carewatch for seniors enabling greater independence and safety while enhancing caregiver engagement and providing clinical data analytics.

3. HEALTHCARE CHALLENGES  56 million Americans over the age of 65, growing to over 80 million by 2050. Growth in Senior Population  10% of physicians work in rural health whereas 25% of the population lives in rural areas. Access to Care  2583 hospitals (83%) paid nearly $563M in penalties. New payment models leave hospitals at-risk for readmissions. 2020 Hospital Readmission Rates Caregiver Burden  Approximately 32.4 million caregivers have provided unpaid care to an adult 50+ years old with an estimated $470B of economic value. 2018 Cost of Healthcare  Chronic Disease Patients comprise 71% of the $3.5 trillion US healthcare cost 2017.

4. PEACE OF MIND WHAT CAREGIVERS RANK AS #1 CHALLENGE Coping w/ Impact of Memory Loss 25% Handling Emotional Toll on Self 20% Having Patience w/ Loved One 17% Handling Mood Swings & Behavior 12% Daily Activities ADLs 11% Keeping Loved One Positive 8% Bills, Finances, Admin 4% Managing Medications 3% Study: Center to Advance Palliative Care (CAPC) 500 Caregivers

5. ADOPTION OF TECHNOLOGY IoT & Connectivity  Internet of Things: Advancements in cellular technology vastly improve speed for connected care devices. Physician Adoption  Telehealth adoption, interest increased 340% among physicians since 2015  Global wearable market is forecasted to reach $70B by 2022Wearables  New CPT Codes for Remote Monitoring & Equipment; average $165 per month per patient Reimbursement  US annual growth of 19% from $38B in 2018 to $130B in 2025 Telehealth Market

6. ADVANCEMENTS IN CONNECTIVITY HOW 5G & LTE-M NARROW BAND IMPACTS DEVICES LTE-M a.k.a Narrow Band  Makes use of existing LTE infrastructure for rapid deployment  Lower power requirements provides extended battery life, signal provides deeper penetration in to buildings  Lower cost with single-digit megabyte data plans vs. multi-digit gigabyte plans  Ideal uses include sensors for sweating, respiratory rate, body temperature, heart rate, blood pressure, SpO2, etc. 5G  Requires infrastructure upgrades of $1 trillion  Provides download speeds 10 to 100 times faster than 4G  Reduces latency to milliseconds, 10 times decrease compared to 4G  Ideal uses include physician video consults, intra-hospital networks, imaging CT & MRI, remote robotic surgery, emergency response (5G vehicles).

7. ADVANCEMENTS IN CONNECTIVITY MORE CONNECTED DEVICES CREATE MORE SECURITY RISKS AHA Cybersecurity Recommendations: 1. Ensure devices have strong security features; passwords & encryption 2. Segment the work so that non-critical devices aren’t connected to core systems 3. Inventory all devices and map how they are connected on the network 4. Monitor network abnormalities Microsoft Azure IoT Hub

8. 8 ONECARE CARE PLATFORM ALWAYS CONNECTED – REMOTE CARE MOBILE MONITORING First AT&T LTE-M Certified Wearable

9. 9 WHO DO WE SERVE? Seniors  Health self-management  Sense of security and safety  Greater independence  Improved quality of life Caregivers  Participation in their loved ones’ outcomes  Peace of mind  Reduced burden & strain  Enhanced Family Engagement Clinicians  Improved caregiver efficiency  Access to Actionable Data  Revenue generation  Chronic disease management

10. ONECARE CARE PLATFORM ALWAYS CONNECTED – REMOTE CARE MOBILE MONITORING TECHNOLOGY STACK  Microsoft Azure IoT Cloud ⁎ Build-With Lab Partner  LTE-M Narrow Band ⁎ AT&T, Verizon*, Global SIM  WiFi  BLE-Hub  GPS  Audio Speaker* FEATURE SET  Heart Rate  Activity  Sleep Quality  Fall Detection  Geo-Fencing  SOS  Alerts/Notifications  Mobile APPs  Voice* DATA  Analytics  FHIR Integration  Ecosystem API  24/7 Emergency Call Center *Coming 2Q2020

11. 11 ONECARE CAREWATCH SIMPLE – FRICTIONLESS - TRANSPARENT

12. INTERPRETING SENSOR DATA FALL DETECTION Accelerometer Sensors  Collect acceleration data in 3 dimensions in G-force  Vertical axis is G-force 2.5G = 24.5meters  Horizonal axis collects data at a rate of 50 times per second measuring acceleration Fall Detection  Shown are two simplistic features as an example that differentiate an actual fall  Sophisticated features can be extracted from the data and used with machine learning to classify falls high levels of specificity  Accelerometry data can be used to determine false positives Large Impact Free Fall

13. BLUETOOTH CONNECTED HUB BLOOD PRESSURE DATA CAPTURED VIA BLUETOOTH Monitor Connected Carewatch Clinician/Caregiver APP

14. ONECARE GUARDIAN APP CLINICAL APP DESIGNED FOR MULTIPLE PATIENT MANAGEMENT Patient Record 1. Data is pulled near real-time from the Carewatch and any other paired monitoring devices such as a Blood Pressure Monitor, PulsOx, Glucometer, and other devices. 2. Clinicians have secure access to patient Information via their mobile device or web interface. 3. Data can also transfer to the hospital’s electronic health record via our documented API.

15. Blood Pressure Alerts ONECARE GUARDIAN APP CLINICAL WORKFLOW Detailed Information 1. Blood Pressure screen (left) shows: - Trends including daily, weekly, monthly and yearly - Historical measurements - Highs, lows and averages 2. Health Alert screen (right) shows: - Readings that are outside of normal range - Falls - SOS emergencies - Several other alerts 3. Alerts follow preconfigured workflow to direct text messages and emails.

16. Heart Rate Sleep Quality GPS Geo-Fencing ONECARE GUARDIAN APP ADITIONAL DATAANALYSIS

17. 17 ONECARE CARE PLATFORM THE MOST ADVANCED CAREWATCH TO IMPROVE SENIOR CARE Clinicians Family Members Device Hub Population Health