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1
What Healthcare Organizations Must Know to
Reduce Costs and Improve Patient Outcomes
Machina Research is a research and
consulting firm focussed on M2M
Machina Research 2
Market side Provider side
• Quantify...
Consumer and clinical healthcare markets
work in very different ways
Machina Research
Criteria Consumer applications Non-c...
883 million M2M healthcare connections
by 2022, USD 115bn revenue
0
100
200
300
400
500
600
700
800
900
Connections(b)
Mac...
Regional market differences
• Investing in connected solutions and generating returns
o US: can impact the same P&L
o Euro...
6
Agenda
• Multi-Tech Systems
• About the company
• M2M and the Healthcare Industry
• Applications and Case Studies
• Depl...
7
8
Agenda
• Multi-Tech Systems
• About the company
• M2M and the Healthcare Industry
• Applications and Case Studies
• Depl...
9
Healthcare Industry Key Drivers
– Industry Growth
• Number of companies has grown by just under 10% in the last 10
years...
10
• The population is aging
worldwide
• Patient behaviors are changing
• Patients are becoming more
comfortable with tech...
11
Agenda
• Multi-Tech Systems
• About the company
• M2M and the Healthcare Industry
• Applications and Case Studies
• Dep...
12
Successful development relies on multiple business disciplines:
Hardware – Software – Certifications – Carrier Approval...
13
4. STAND-ALONE
Certified communications
equipment
3. EMBEDDED MODEM
Pre-certified carrier cards
(SocketModem)
2. MODULE...
14
Customer Life Cycle
External
Modem
Embedded
Modem
Module
Initial M2M Solution/
Upgrade Existing
Embed into New
Designs
...
15
Build vs. Buy
Reduce time to revenue with Approved Devices
16
Healthcare Case Studies
M2M has had a significant impact in two segments of
Healthcare
Emergency data transmissionRemot...
17
Remote Patient Monitoring
– What can technology do?
• Measurement of activity and/or movement
• Wellness monitoring
• S...
18
• Challenges
• Disappearance of analog connectivity options
• Improving care while managing costs
• Ability of elderly ...
19
Emergency Data Transmission
– What can technology do?
• Subset of Emergency Patient Tracking System
• Frequently involv...
20
• Challenges
• Cellular infrastructure changes from city to city and
around the globe
• New cellular technologies being...
21
Agenda
• Aeris
• About the company
• Selecting Partners
• Telehealth Product Needs & Life Cycle
• Certification & Appro...
22
About Aeris
• Cellular services for Machine to Machine (M2M)
• Industry pioneer that began service in mid-1990’s
Compan...
23
Agenda
• Aeris
• About the company
• Selecting Partners
• Telehealth Product Needs & Life Cycle
• Certification & Appro...
24
Data Need is Simple
Medical
Monitors
Patient
Data
Sensor
Information
Remote
Control
Storage
Servers
Data
Analytics
Tran...
25
But … Deployment Can Be Complex!
Who Makes Devices
for my needs?
Who are the Radio
suppliers?
Do I develop my App
Firmw...
26
Using M2M Platforms
Medical
Monitors
Patient
Data
Sensor
Information
Remote
Control
Servers
Analytics
Provisioning
& Bi...
27
Telehealth Products Life Cycle
EOL
• Plan up-front
• Remove units
• Re-use #’s
Operate
• Manage units
• Bill customers
...
28
Buy vs. Build … Data & Systems
– Find the right partners
29
TIME TO MARKET
Hardware Design
30
Managing Data Costs
Can standard cellular subscriptions fit needs?
• Most operators have monthly recurring charges plus...
31
Agenda
• Aeris
• About the company
• Selecting Partners
• Telehealth Product Needs & Life Cycle
• Certification & Appro...
32
Certifications & Approvals
• Stand-alone communication products reduce/eliminate requirements
• Medical regulations & c...
33
Agenda
• Aeris
• About the company
• Selecting Partners
• Telehealth Product Needs & Life Cycle
• Certification & Appro...
34
Telehealth Trends
Increased use of Cellular for some applications
• Natural transport for wide-area, long-range transmi...
35
Wearable Telehealth Devices
• 100M health-related devices annually by 2016 – ABI Research
• Wireless patches … smart me...
36
Wearable Telehealth Devices
• Fashion and aesthetics are important
• If devices are not actually worn, the purpose may ...
37
Summary
Telehealth Market Trends
• Telehealth markets, products and services growing dramatically
• Standard medical ca...
38
Syed Zaeem Hosain Don Miller
Syed.Hosain@aeris.net damiller@multitech.com
@AerisCTO @MultiTechSys
www.aeris.com/blog Yo...
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Advanced Planning Strategies for Telehealth

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Published on

Slides from the "Advanced Planning Strategies for Telehealth" webinar.

Speakers:
Jim Morrish, Managing Director of Machina Research
Syed Zaeem "Z" Hosain, CTO of Aeris Communications
Don Miller, Senior Product Marketing Manager of MultiTech Systems

Published in: Technology, Business
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Advanced Planning Strategies for Telehealth

  1. 1. 1 What Healthcare Organizations Must Know to Reduce Costs and Improve Patient Outcomes
  2. 2. Machina Research is a research and consulting firm focussed on M2M Machina Research 2 Market side Provider side • Quantifying the opportunity for M2M – Forecast Database providing 10 year forecasts across 201 countries for 61 application groups – Sector Reports annually updated reports on our 13 sectors (including Automotive, Healthcare and Utilities) • Addressing the issues that determine success – Research Notes - 3 per month on major qualitative issues such as platforms, value chain roles, big data, NFC, and security – Strategy Reports - 4 in 2013 covering four areas: Big Data, platforms, modules/device s and our CSP Benchmarking Report M2M Leaderboard Custom Research
  3. 3. Consumer and clinical healthcare markets work in very different ways Machina Research Criteria Consumer applications Non-consumer applications Drivers Barriers Channels Addressable market Application functionality Risks Available margins Attractiveness to a new entrant service provider: Low High Consumer vs non-consumer applications in the Healthcare segment Source: Machina Research 2013
  4. 4. 883 million M2M healthcare connections by 2022, USD 115bn revenue 0 100 200 300 400 500 600 700 800 900 Connections(b) Machina Research 4 0 20 40 60 80 100 120 Revenues(USDb) M2M connections, Healthcare 2022 Source: Machina Research 2013 M2M revenue, Healthcare 2022 Source: Machina Research 2013
  5. 5. Regional market differences • Investing in connected solutions and generating returns o US: can impact the same P&L o Europe: often fall on different P&Ls • Routes to market o US: more autonomous decision makers, but a fragmented environment o Europe: more central decision making, often less fragmented environment • Benefits of datamining o US: can become a competitive differentiator o Europe: more likely to be shared to save national healthcare costs Machina Research 5
  6. 6. 6 Agenda • Multi-Tech Systems • About the company • M2M and the Healthcare Industry • Applications and Case Studies • Deployment of cellular connectivity from a product perspective
  7. 7. 7
  8. 8. 8 Agenda • Multi-Tech Systems • About the company • M2M and the Healthcare Industry • Applications and Case Studies • Deployment of cellular connectivity from a product perspective
  9. 9. 9 Healthcare Industry Key Drivers – Industry Growth • Number of companies has grown by just under 10% in the last 10 years • Revenue growth of over 35% in the same time period Home Healthcare Monitoring Revenue Forecast (No. America)1
  10. 10. 10 • The population is aging worldwide • Patient behaviors are changing • Patients are becoming more comfortable with technology • People are unhealthier than ever Healthcare Industry Key Drivers
  11. 11. 11 Agenda • Multi-Tech Systems • About the company • M2M and the Healthcare Industry • Applications and Case Studies • Deployment of cellular connectivity from a product perspective
  12. 12. 12 Successful development relies on multiple business disciplines: Hardware – Software – Certifications – Carrier Approvals – Manufacturing • Organizational Considerations: • Organizational Capabilities • Development Budget and Timeline • Volume Expectations • Total Cost of Ownership/ROI Expectations • Application Flexibility/Roadmap • Network Coverage Requirements • Regulatory Considerations Enabling Cellular Connectivity
  13. 13. 13 4. STAND-ALONE Certified communications equipment 3. EMBEDDED MODEM Pre-certified carrier cards (SocketModem) 2. MODULE Pre-certified module 1. CHIPSET TIME TO MARKET 4 Months 18-24 Months 17 Months 8 Months Enabling Cellular Connectivity – Integration and Design Levels - Hardware
  14. 14. 14 Customer Life Cycle External Modem Embedded Modem Module Initial M2M Solution/ Upgrade Existing Embed into New Designs Original Design Manufacturing Life Cycle Management: Professional Services | Manufacturing Services | Support Services • Quickest • Lowest out of pocket cost • Minimal risk • For lower volumes • Quick • Lower out of pocket cost • Minimal risk • For medium volumes • Longest development cycle • More risk • For higher volume Build a custom solution Buy an embedded device Buy an existing device
  15. 15. 15 Build vs. Buy Reduce time to revenue with Approved Devices
  16. 16. 16 Healthcare Case Studies M2M has had a significant impact in two segments of Healthcare Emergency data transmissionRemote patient monitoring
  17. 17. 17 Remote Patient Monitoring – What can technology do? • Measurement of activity and/or movement • Wellness monitoring • Sharing information with those who matter most in their lives • Messaging based on data collected • Care facility proactively reaching out to a patient • Trend and timely data available Weight Activity Blood sugar Pain levels Vitals signs Sleep patterns
  18. 18. 18 • Challenges • Disappearance of analog connectivity options • Improving care while managing costs • Ability of elderly patients to handle technology and its challenges • Solution MultiModem® rCell Intelligent Wireless Router • Applied when cellular communications is the only or best connectivity option • Simple installation • Home monitoring equipment with large display, large buttons, and simple user interface Home Healthcare – Case Study In home device interface collects and transmits vital health data
  19. 19. 19 Emergency Data Transmission – What can technology do? • Subset of Emergency Patient Tracking System • Frequently involving a mass event • A fairly new segment with tremendous growth potential • Financed heavily through government grants • Life critical health care situation • Requires a moment-to-moment analysis and real-time information • Frequently from the incident site to the care facility • Provides better care via increased communication and knowledge • Bridges field and hospital care teams to reduce the time to treatment
  20. 20. 20 • Challenges • Cellular infrastructure changes from city to city and around the globe • New cellular technologies being introduced • Company needed to upgrade software to accommodate faster, more reliable data transfer, yet preserve usability of deployed units • Solution MultiConnect® OCG Open Communications Gateway • 3G enables more patient data to be transmitted faster to improve patient care • Allowed the ability to control software engineering and legacy quality system • Future-proofs designs Emergency Data Transmission – Case Study Portable monitor/defibrillator sends remote patient data to hospital to improve time to treatment.
  21. 21. 21 Agenda • Aeris • About the company • Selecting Partners • Telehealth Product Needs & Life Cycle • Certification & Approvals • GSM & CDMA • Future Trends • Telehealth Products
  22. 22. 22 About Aeris • Cellular services for Machine to Machine (M2M) • Industry pioneer that began service in mid-1990’s Company • Platform built from the ground up to only support M2M • Network infrastructure, management portal, and API’s designed for automation, performance, and scalability • We apply Silicon Valley Innovation to M2M services Solution Customers
  23. 23. 23 Agenda • Aeris • About the company • Selecting Partners • Telehealth Product Needs & Life Cycle • Certification & Approvals • GSM & CDMA • Future Trends • Telehealth Products
  24. 24. 24 Data Need is Simple Medical Monitors Patient Data Sensor Information Remote Control Storage Servers Data Analytics Transport
  25. 25. 25 But … Deployment Can Be Complex! Who Makes Devices for my needs? Who are the Radio suppliers? Do I develop my App Firmware? Will it work where I put my Device? How do I remotely “touch” my Device? Should I use Cellular transport services? Or do I need Satellite services? Do I need short- range wireless? What is the latency? How do I certify my completed Device? What antenna do I use? Can I shoulder tap my Device? What is my Device location? Is SMS too expensive/slow? How do I scale the number of units? What does my service really cost? Cellular 3G? 4G? Which “G” is right? Is there an M2M Family Plan? Can this Device work on batteries? Why did my data not come through? Is the network down? What network stats do I get? How secure is my data transport? How many times should I retry? What data do I store and keep? Do I need to encrypt my data? Do I send TCP or UDP packets? Can I get a Public Static IP?
  26. 26. 26 Using M2M Platforms Medical Monitors Patient Data Sensor Information Remote Control Servers Analytics Provisioning & Billing Transport Support P o r t a l Cloud-based Big Data S D K Standard Hardware Optimized Network Increase performance Increase reliability Standard protocols Extensive API’s Simplify application Content correlation Large-scale analytics Better decisions Standardize units Simplify certification Common SDK Avoid duplication P o r t a l A P I
  27. 27. 27 Telehealth Products Life Cycle EOL • Plan up-front • Remove units • Re-use #’s Operate • Manage units • Bill customers • Update app Scale • Manufacture • Provision • Test (on-air) Develop • Buy vs. Build • Certification • Select network 
  28. 28. 28 Buy vs. Build … Data & Systems – Find the right partners
  29. 29. 29 TIME TO MARKET Hardware Design
  30. 30. 30 Managing Data Costs Can standard cellular subscriptions fit needs? • Most operators have monthly recurring charges plus data costs • But, typical handset plans and services don’t fit Telehealth requirements • Asking end-users to maintain cellular service limits deployment Can operator provide multiple-year pre-paid service? • Bundling transmission into products reduces end-user concerns • Requires good understanding of application data patterns • And careful attention to device design: retries, emergency use, etc. Can operator provide special plans for M2M devices? • Multiple rate plans for different levels of use in same application • “Pooled” data billing services … across multiple plans 
  31. 31. 31 Agenda • Aeris • About the company • Selecting Partners • Telehealth Product Needs & Life Cycle • Certification & Approvals • GSM & CDMA • Future Trends • Telehealth Products
  32. 32. 32 Certifications & Approvals • Stand-alone communication products reduce/eliminate requirements • Medical regulations & certifications play a major role FCC PTCRB Operator FCC CDG Operator 
  33. 33. 33 Agenda • Aeris • About the company • Selecting Partners • Telehealth Product Needs & Life Cycle • Certification & Approvals • GSM & CDMA • Future Trends • Telehealth Products
  34. 34. 34 Telehealth Trends Increased use of Cellular for some applications • Natural transport for wide-area, long-range transmissions • From simple monitoring to mission-critical, emergency care Expanding information requirements • Increased need for information storage, filtering and analysis • Real-time … sent directly to clinics, doctors and care-givers • Patient privacy and data access/ownership regulations concerns Product and technology evolution • Deployment of wearable health devices, including aesthetic designs • Hybrid technology transmissions for short-range + long-range wireless • “Continual connection” between patients and their care teams 
  35. 35. 35 Wearable Telehealth Devices • 100M health-related devices annually by 2016 – ABI Research • Wireless patches … smart medical clothing … biosensors  Body Area Networks • Projected to reach $6B by 2016 – IMS Research • Explosive growth over the next decade Sources: medsmagazine.com, ABI Research, IMS Research, Information Week, www.preventice.com, www.imecs.be
  36. 36. 36 Wearable Telehealth Devices • Fashion and aesthetics are important • If devices are not actually worn, the purpose may be lost • Many new technologies in the works • Hidden technology and “smarter” garments • Smart skins, patches, flexible electronics Sources: Misfit Wearables, Coleman Labs, Idealabs, Univ of Pennsylvania, Isansys
  37. 37. 37 Summary Telehealth Market Trends • Telehealth markets, products and services growing dramatically • Standard medical care services not keeping up with population • Patient and care-team communication & involvement increasing • Wearable devices futuristic but key to large-scale deployments • Real-time monitoring needs are increasingly important Long-range Wireless • Regulations, certifications, technology choices, can slow time to market • Stand-alone communications products minimize cert & cost issues • Development and operation can be complex without the right partners • Understand & manage the costs for wireless implementations • Manage the life-cycle: develop, scale, operate, and end-of-life
  38. 38. 38 Syed Zaeem Hosain Don Miller Syed.Hosain@aeris.net damiller@multitech.com @AerisCTO @MultiTechSys www.aeris.com/blog YouTube.com/MultiTechSystems

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