Enabling Remote Patient
Monitoring
Opportunities and Challenges
Akhsar Kharebov
akhsar@infometers.com

August 2013
Previously
<200 years ago
People died young
Main cause of death was
acute
Main cause of death was
acute
Innovation focused on
solving acute problems
Dramatically increasing life
Currently
People live long lives, face
other risks
Chronic Conditions are
responsible for most deaths
Chronic Conditions are tied
to 75% of the costs
Require Monitoring and
Management
Management Traditionally
Provider Driven
Diagnosis, Treatment and Management
Top Down Approach
Doctors see patient at their office
Expensive
Significant Time from Medical Staff
Limited Efficacy
Lifestyle unaffected
Future
In Theory
Patient Choice
Ubiquitously Present
Part of Your Life
Continuous Feedback
Annotating Everything
Patient Driven
Or at least engaged
Old and New
Challenges
EMR not designed to
support remote monitoring
Low reimbursement for
monitoring or prevention
Federal Guidelines Still
Unclear
Technical adoption is slow
in medicine
At the same time…
Development and
manufacturing costs have
dropped
At least for non-FDA devices…
Computational power has
grown dramatically
Digital Health Data
Next Big Frontier
Devices Generate Most of
the Data Today
Data Represents Challenge
and Opportunity
Traditional Healthcare
Industry Stores 

434 petabytes of data
Making Sense of it is Non
Trivial
Additionally
Personal Health Data is
growing rapidly
Many self-monitoring
options
FDA & QS
Examples
FitBit
Withings
BodyMedia & Jawbone
Basis
vimeo.com/
45229049
Opportunities
Patient Monitoring
On sites like IndieGoGo
Crowd Funding
$846,675 in preorders
Misfit Shine
$ 1,664,375 in preorders
Scanadu
Crowd Testing
“Right now we are giving you access to our
first version of the device as an exploratory
tool, where you are the researche...
CrowdTesting Platform, IndieGoGo Partner
HealthTechHatch.com
Personalized Diagnostic
Services
Drug and Therapy Trials
New Delivery Vehicles and
Devices
vimeo.com/
45229049
New Distribution and
Market Ecosystem
Summary
Challenges remain
A lot of new opportunities
Next 3 years crucial
akhsar@infometers.com
Thank you!
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation
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Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation

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Personal medical devices track an ever increasing amount of patient information away from the hospital. Coupled with quantitative self devices such as fitness trackers or calories counters, provide valuable information as the condition of a patient. Digital Health is growing a new realm of opportunities for biospace professionals. Yet challenges exist. Medical information software are archaic and siloed. Medical system is slow to adopt.

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Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation

  1. 1. Enabling Remote Patient Monitoring Opportunities and Challenges
  2. 2. Akhsar Kharebov akhsar@infometers.com August 2013
  3. 3. Previously <200 years ago
  4. 4. People died young
  5. 5. Main cause of death was acute
  6. 6. Main cause of death was acute
  7. 7. Innovation focused on solving acute problems
  8. 8. Dramatically increasing life
  9. 9. Currently
  10. 10. People live long lives, face other risks
  11. 11. Chronic Conditions are responsible for most deaths
  12. 12. Chronic Conditions are tied to 75% of the costs
  13. 13. Require Monitoring and Management
  14. 14. Management Traditionally Provider Driven Diagnosis, Treatment and Management
  15. 15. Top Down Approach Doctors see patient at their office
  16. 16. Expensive Significant Time from Medical Staff
  17. 17. Limited Efficacy Lifestyle unaffected
  18. 18. Future In Theory
  19. 19. Patient Choice
  20. 20. Ubiquitously Present Part of Your Life
  21. 21. Continuous Feedback Annotating Everything
  22. 22. Patient Driven Or at least engaged
  23. 23. Old and New Challenges
  24. 24. EMR not designed to support remote monitoring
  25. 25. Low reimbursement for monitoring or prevention
  26. 26. Federal Guidelines Still Unclear
  27. 27. Technical adoption is slow in medicine
  28. 28. At the same time…
  29. 29. Development and manufacturing costs have dropped At least for non-FDA devices…
  30. 30. Computational power has grown dramatically
  31. 31. Digital Health Data Next Big Frontier
  32. 32. Devices Generate Most of the Data Today
  33. 33. Data Represents Challenge and Opportunity
  34. 34. Traditional Healthcare Industry Stores 434 petabytes of data
  35. 35. Making Sense of it is Non Trivial
  36. 36. Additionally
  37. 37. Personal Health Data is growing rapidly
  38. 38. Many self-monitoring options FDA & QS
  39. 39. Examples
  40. 40. FitBit
  41. 41. Withings
  42. 42. BodyMedia & Jawbone
  43. 43. Basis
  44. 44. vimeo.com/ 45229049
  45. 45. Opportunities
  46. 46. Patient Monitoring
  47. 47. On sites like IndieGoGo Crowd Funding
  48. 48. $846,675 in preorders Misfit Shine
  49. 49. $ 1,664,375 in preorders Scanadu
  50. 50. Crowd Testing
  51. 51. “Right now we are giving you access to our first version of the device as an exploratory tool, where you are the researcher! By helping us collect data, we can file our application to the FDA for market approval as an over-the-counter consumer-grade diagnostic tool.” Scanadu is not yet FDA approved http://www.indiegogo.com/projects/scanadu-scout-the-first-medical-tricorder
  52. 52. CrowdTesting Platform, IndieGoGo Partner HealthTechHatch.com
  53. 53. Personalized Diagnostic Services
  54. 54. Drug and Therapy Trials
  55. 55. New Delivery Vehicles and Devices
  56. 56. vimeo.com/ 45229049
  57. 57. New Distribution and Market Ecosystem
  58. 58. Summary
  59. 59. Challenges remain
  60. 60. A lot of new opportunities
  61. 61. Next 3 years crucial
  62. 62. akhsar@infometers.com Thank you!

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