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Social Media and Mobile Health
Creating Value

March 6, 2012
Many Thanks to the Event Organizers and Sponsors!




            Anita Melikian (WSGR and FACCSF, LS Committee co-Chair)
            Benoit Berthoux (Capgemini Consulting)
            Brynhild Dumas (FACCSF, Executive Director)
            Caroline Raynaud (GABA, Executive Director)
            Edda Mihaescu (GABA, LS Committee co-Chair)
            Gabriel Paulino (FACCSF, LS Committee co-Chair)
            Marie Bayaut (FACCSF)
            Morgan Desvignes (FACCSF)
            Stefanie Bastian (GABA)
            Thomas Celerier (Capgemini Consulting and FACCSF)
            Ulrike Ruppelt (GABA, LS Committee co-Chair)

            … and the entire GABA and FACCSF Teams!

                                                               Social Media and Mobile Health - Creating value            2
                                                                         © Copyright Capgemini 2012 All Rights Reserved
Agenda


        Introduction

        Keynote speakers:
         –   Vibhor Rastogi, Investment Director, Intel Capital
         –   Peter Kacandes, Senior BD Manager, Sony Mobile
             Communications
         –   Paul Nerger, CTO, Happtique Inc
         –   Nick Hayes, President, Influencer50

        Panel Discussion / Q&As

        Wrap-up

                                                       Social Media and Mobile Health - Creating value            3
                                                                 © Copyright Capgemini 2012 All Rights Reserved
US Health Care costs have been rising over the past 50 years,
 currently increasing at 2-3 times the rate of inflation…
                                            Total US Health Spending                                                                                   Life expectancy
                                           and its Percent Share of GDP                                                                         and Health Spending per Capita

                                    3000                                                       20%
                                                                                      17.60%
                                                                                 16.60%        18%
                                                                           16%
                                    2500
                                                                                               16%
                                                                  13.80%
     Healthcare spend in Billions




                                                                                                     Spend as a % share of GDP
                                                             12.50%                            14%
                                    2000
                                                                                               12%
                                                         9.20%
                                    1500                                                       10%
                                                 7.20%
                                                                                               8%
                                    1000 5.20%
                                                                                               6%

                                                                                               4%
                                     500
                                                                                               2%

                                       0                                                       0%




Source: Centers for Medicare and Medicaid Services (CMS), Office of the Actuary                                                  Source: Economic Policy Institute, 2007




                                                         …Without translating into superior Quality of Care
                                                          when compared with international benchmarks
                                                                                                                                                                           Social Media and Mobile Health - Creating value            4
                                                                                                                                                                                     © Copyright Capgemini 2012 All Rights Reserved
Disruptive Health Care          Health Care Ecosystem                                                 Disruptive Digital
Trends                                                                                                      Innovation

Rising costs /                                                                                                         Social
Health Care                                                                                                        Platforms,
Reform                                         Patients                                                          Communities

Scientific
                                                                                                                Electronic
Innovation /
                                                                                                           Health Records
Patent Cliff             Research                                    HCPs

                                                                                                             Smart phones,
Patients
                                                                                                             Tablets, Apps,
Empowerment                             Quality       Cost                                                    Telemedicine
                         Govern-
                                                                 Channels
                          ment                                                                                            Smart
Consolidation                                                                                                         Packaging,
                                                                                                                           RFID
                                                          Public /
Growth in                              LS
                                                          Private                                                 Cloud-based
Emerging                            Industry
                                                          Payers                                                 Infrastructure
Markets



                     How can Digital Innovation Help Create Value
                 in a Complex and Evolving Health Care Ecosystem?
                                                                            Social Media and Mobile Health - Creating value            5
                                                                                      © Copyright Capgemini 2012 All Rights Reserved
#1   60%


81   25%
       Social Media and Mobile Health - Creating value            6
                 © Copyright Capgemini 2012 All Rights Reserved
Improving Quality and Cost of Care through Digital Innovation

                      Vision                                          Execution
  What unmet needs are we trying to answer?             How to align incentives to drive technology
       –   Disease prevention and adherence               adoption?
       –   Product integrity                             How to overcome current technical feasibility
       –   Clinical decision making support
                                                          challenges?
       –   ….
  What is the current level of maturity of these        How to protect privacy and confidentiality of
   technologies?                                          Patient personal health data?
  Should the vision be regional or global?              What are successful case studies?
  …                                                     …

                                              Their Perspective




                                                                                  Social Media and Mobile Health - Creating value            7
                                                                                            © Copyright Capgemini 2012 All Rights Reserved
Benoit Berthoux


Head of Life Sciences
West Coast Practice



4000 Shoreline Court, Suite 210
South San Francisco, CA 94080
Mob.: +1 415 200 9859
Benoit.Berthoux@capgemini.com




                                  8
Investing in
Global Innovation
                    Mar 05, 2012
Intel Capital Mission
Enhance Intel’s Strategic Objectives By Making and
   Managing Financially Attractive Investments




  STRATEGIC                         FINANCIAL




   A Stage Agnostic and Long-Term Investor
Investing In a World of Possibilities
     Enterprise   Servers, Networking & Storage
                  Manageability & Virtualization
     and Cloud    Data Centers & Cloud Services


     Software              AppUp Center™
                    Cloud Computing & Security
  and Services    Visual Computing & Open Source

                         Ultrabooks
     Mobility              Tablets
                        Smart Phones

    Consumer              e-Commerce
                   Social Media & Mobile Web
     Internet          Enabling Platforms


Digital Media &    Content Delivery/Services
                     Gaming & Education
Entertainment            Advertising

    Intelligent        Digital Signage
                     Connected Car & IVI
      Systems      Home Energy Management


    Cleantech          Grid Infrastructure
                   Smart Commercial Buildings
    Greentech       Microgrids & Communities

Manufacturing        Semiconductor Process
     Memory             EDA Tools & IP
                      Non-Volatile Memory
Intel Capital’s Investment Criteria

When making investments, we look for:

● Innovative technology and usage models

● Strategic interest to Intel

● Strong management teams

● Addresses rapidly growing and sizable
 markets

● Exit opportunity
Intel Capital Investments

 2011
                  51% Outside
 158 New Deals     N. America         6 IPOs
    $526M        74 International   28 Acquisitions
                  Investments



 Historical
                  36% Outside
 1,212 Deals
                   N. America       194 IPOs
 $10.4 Billion    51 Countries      289 Acquisitions
2011 Investments
2011 Intel Capital Exits
         34 Portfolio Company Exits: 28 M&A and 6 IPOs

USA
                                                                                      Taiwan: GTSM



                                                                                      Taiwan: TSEC



                                                                                       China: NYSE

China           India                                     Netherlands
                                                                                      China: NASDAQ



                                                                                       China: GTSM
Israel      Japan                   UK                              France


                                                                                       Poland: GPW


                    *Other marks and brands are property of their respective owners
Intel Capital Global Presence
Invested $10.4+ Billion in 51 Countries




            Intel Capital Offices in 26 countries
            Investments in 51 Countries
               Intel Capital Invested
               Intel Offices
Successful Investments
Helping to Support Successful Global Businesses Since 1991




                  *Other marks and brands are property of their respective owners
Global Investment Syndicate
Worldwide Co-investors Providing Ready Access to Growth
Capital, Global Market Reach, Board Members and Advisors




                  *Other marks and brands are property of their respective owners
Intel Capital Technology Days
Shortcuts the Corporate Technology Evaluation Cycle by Directly
   Connecting Portfolio Companies with Industry Executives




Delivering value for customers and portfolio companies
                 *Other marks and brands are property of their respective owners
                                                                                   Ver. Dec 2011
Intel Capital’s Unique Advantages

● One of the largest technology venture
 capital organizations worldwide

● Invests at all stages in private and public
 companies

● Leads investment rounds, takes larger
 stakes, actively participates on boards

● Speed and agility to make quick
 decisions

● Global brand recognition

● Committed to portfolio company success
Provider and Payer Technologies
    • Pay for Quality vs. Pay for Volume
      driving adoption of risk based
      entities such as ACOs
    • Cloud based Ambulatory and
      Hospital EMRs lowering cost of
      adoption of clinical technologies
      and digitizing the HC ecosystem
    • Big data for Clinical decision
      support an interesting new trend
    • Payers trying to become more
      consumer focused in anticipation of
      rollout of HC reform in 2014




            Representative
               Portfolio


Source: Oppenheimer, Frost and Sullivan, CMS,
Morgan Keegan
Remote Patient management
  • Aging populations: 65+ expected to
    reach 53M by 2020 and 80M by 2050 in
    the US. This long term demographic
    trend a key driver for the remote patient
    monitoring market
  • In place aging – There is greater desire
    on part of individuals and families to age
    in place. Remote patient management
    provides this flexibility
  • Treatment of Costly diseases -
    Chronic heart failure (CHF) one of the
    most common causes of hospitalization
    for elderly Americans, and is also one of
    the nation’s most costly conditions to
    treat. Remote patient management
    effective in preventive treatment of
    patients



       Representative
          Portfolio


Source: ABI Research
Consumer and Mobile Health
  • Smartphone adoption
       • Hundreds of million smart phones
         have the potential to be used for
         sensing and transmitting HC data
       • Mobile PHR adoption accelerated by
         EHR adoption and potential for
         integration via standard data
         interfaces
  • Increasing consumerism
       • Twice as many Gen-X and Gen-Y
         consumers want to access and
         maintain their PHRs using a mobile
         device than do Baby Boomers and
         Seniors
       • 50% of consumers in a recent study
         want a personal monitoring device
         to alert and guide them to make
         improvements in their health or
         treat a condition



        Representative
           Portfolio
Source: PWC
Bioinformatics and Genomics
Key Focus areas

  •   Genomics
  •   Proteomics
  •   Bioinformatics and
      bioanalytic portals
  •   Molecular modeling
  •   Computational chemistry




Representative
   Portfolio
Investing in Global Innovation
Mobile Health - Sony Mobile Communications
Peter Kacandes, Sr. Business Development Mgr.
2012




CONFIDENTIAL               26
Who we are



CONFIDENTIAL
Making
              people smile




The   Communication
      Entertainment brand
 Founded in1946
                Global company with headquarter in Tokyo
                World's leading electronics and entertainment
                 company
                Chairman, CEO and President: Sir Howard
                 Stringer (also Chairman of the Board for Sony
                 Ericsson )
                36.8B USD market cap as of Feb 28, 2011
                169,900 employees as of Dec.31, 2010
                1979 - First “Walkman” launch
                1982 - World’s first CD player launch
                1988 - CBS Records (later SME) acquired
                1989 - Columbia Pictures (later SPE) acquired
                1994 - First PlayStation® launch
                1996 - Digital camera “Cyber-shot” launch




CONFIDENTIAL
The new generation Xperia™




                             30
Differentiate
Sony’s expertise inside




            without   with




                             31
Integrate
Beautiful and easy-to-use smartphones




                                        32
Key Technologies for Mobile Health/Medicine/Fitness
The Quantized Self


• Communications
   • ANT+
   • NFC

• Wearable Computing
   • Sensors
   • Devices

• Connectivity
   • Backend Services in the Cloud
   • Social




CONFIDENTIAL
ANT +
Key Features

•   Compact (small stacksize)
•   Scalable (supports complex network topologies)
                                                            • ANT+ Interoperable Product Examples
                                                              •   Wrist-mounted instrumentation
•   Flexible (supports ad hoc network reconfiguration)
                                                              •   Heart Rate Monitoring (HRM)
•   Focused (not a standard development organization)
                                                              •   Speed and Distance Monitoring (SDM)
•   Proven (millions of nodes delivered)
                                                              •   Bike computers
•   Continua use case requirements for Body Area Networks
    (BAN) including:                                          •   Health and wellness monitoring devices
     • Proven Ultra-low Power                                 •   Industrial sensors
     • Co-existence with nearby networks                      •   Low data-rate communications
     • Small memory size                                      •   Active RFID
     • Support Range and data transmission rates              •   Location-based services
     • Number of devices on network                           •   Utilities wireless Automated Meter Reading (AMR)
     • Mobility                                               •   Smart toys
     • Ad hoc capability                                      •   Automotive instruments
     • Frequency agility                                      •   Remote Control
                                                              •   Central control of power devices




CONFIDENTIAL
ANT+ Topologies




                  ANT+ /
                  DevZone




CONFIDENTIAL      User
                  nam
                  e

                  Pass
                  word




                  Lost
                  Password?

                  Register
                  (Restrictio
                  ns apply)
Example: Continuous Blood Glucose Monitor
Dexcom

• ANT+ Transdermal
  Sensor and Android
  recording/reporting
  application (FDA
  approved)
• FDA approval for app
  expected in March
• Studies show up to $40K
  savings per year through
  better control



CONFIDENTIAL
NFC – Near Field Communications, Sony Dynamic Tag
Health Sensors, too. Not Just Commerce

• The Spirit System is a complete technology
  system that includes:
• (1) Hardware
• (2) Software
• (3) Project-based, progressive cross-curricular and
  nutrition curriculum
• (5) Ongoing support
• The system integrates into already established
  learning techniques and efforts for school physical
  education programs, corporate wellness, individual
  and group training. The results of using the system
  lead to better and more effective utilization and
  integration for all individuals involved in the
  program.
• We offer ala carte’ or bundled solutions, which
  allows simple implementation of our software with
  other technologies, along with training and a state-
  standard aligned, project-based curriculum and
  numerous resources for long-term success.




CONFIDENTIAL
The Quantized Self
Gathering and analysing data about their everyday activities
to help them improve their lives
• If you want to change or improve
  something, then you have to
  measure it and track it
• Adapting methodologies of Six
  Sigma and TQM to the self
• Simplified and made mass
  accessible by mobile tech
  (phones/apps/services/sensors)




CONFIDENTIAL
Key Issues for Successful Mobile Health Apps


•   Interoperability   •   Predictive
•   Integration        •   Preventative
•   Intelligence       •   Personalized
•   Outcomes           •   Participatory
•   Socialization,
•   Engagement




CONFIDENTIAL
Opportunities for Mobile in Health and Medicine


• Patient/User Driven/Centered Care
   • A Mobile handset is the most personal device and the most likely to always have with
     them
• Immediacy
   • The mobile handset makes it possible for the user to have immediate feedback
     information about their issues/condition
• Action
   • Allows the user to take action quickly
• Control
   • Helps user to keep tighter control of metrics has huge impact on outcomes and
     potential for cost reduction




CONFIDENTIAL
Xperia NFC SmartTags




CONFIDENTIAL
Xperia NFC SmartTags


• "All the new [Xperia] devices come equipped with NFC and to help
  connectivity across mobile devices and in the home [Sony] has also
  launched 'smart-tags,'" Informa principal analyst Dave McQueen said in
  a statement.

• "Based on NFC and offered in packs of three, users can set up profiles
  via the smartphone for individual smart-tags depending on a
  requirement, such as connectivity in-car or with a music system. These
  take a shortcut to the benefits of near-field connectivity, offering a much
  more practical and easier proposition to the end user."




CONFIDENTIAL
mHealth App Stores for Hospitals,
Clinicians, and Patients
Mobile Health Market is Taking Off Now
$718 Million in 2011                   11% Increase in pharma mobile projects
                                       since ’06 (E&Y)
Generated by health apps and
mobile health devices                  30% US Physicians w/ and iPad (Manhattan
                                       Research)
(research2guidance)
                                       31% Medical Device patents that include
63% of physicians are using            wireless (CC)

mobile health solutions that are not   35% US adults with a smartphone (Pew)
connected to their practice or
hospital (PWC)                         $84M 2010 sales for medical apps
                                       (Kalorama)

85%           of patients want to      600M
                                       2012 (Pyramid)
                                                         health apps downloaded in

receive their mHealth apps from
their healthcare providers and the
clinicians that they trust (PWC)

     How will you tap into your staff’s and patient’s mobile devices?                44
Happtique’s Mission
            Become the go-to destination for healthcare
             professionals for learning about and purchasing
             mobile Health (mHealth) apps, devices, and
             solutions

            Help the worldwide medical community lower the
             cost of healthcare while simultaneously improving
             the quality of care and the quality of life through the
             use of mobile technologies

            Provide a simple yet effective means of prescribing
             mHealth technology to patients by their care
             providers that will improve their condition


We are here to help providers with an mHealth Strategy
4 Problems
 Poor Health App
  Categorization


 Can’t Provide and
  Manage Apps &
  Devices for Staff


  Don’t Know the
  Quality of Apps


 Providers Can’t
 Provide Apps to
    Patients



                      46
1 Solution




Leadership in cost reduction and achievement of outcomes are vital
              mHealth is a pathway to this Leadership              47
3 Products - 3 Markets Served




   Enterprise Edition       Professional Edition      Patient Edition

  Empower healthcare          Provide access to      Enable patients to
 enterprises to leverage   mHealth technology for    help manage their
 mHealth technology to      individual healthcare    own health using
 improve the quality of         professionals       mHealth technology
   care while reducing                              in partnership with
          costs                                       their healthcare
                                                         providers
Hospital Substore   Your own Hospital
                        Branding
 Private Catalog
mRx – Prescribing Health Apps
                 Buttons on menu bar to
          mRx
                  share and prescribe an app
                 Sends a mobile app
                  prescription to the patient
                  after confirming physician’s
                  license details and signature
                  via email
                 Patient includes insurance
                  and co-payment details
                 Automatic app payment via
                  co-pay, credit card and
                  insurance reimbursement
                 Patient receives email with
                  app link



                                                  50
iTunes Curating and Indexing
   Apple App Store and Android                                    Happtique Professional Catalog
           Marketplac                                                   150+ Clinical Topics




                                    150+ Professional Audiences




          35,000+ Apps                                                     10,00+ Apps
Medical                  Health &
                          Fitness
App Certification Program
                 Blue Ribbon Panel
   Physician-Nurse-mHealth Technologist-Patient Advocate
                   Set Standards for App Certification

             App Certification Review Board
                       Implement Program and Oversee Reviewers




                                     Review Apps



                                                                 52
Happtique Vision Execution
                 We provide cloud services that
                 enable healthcare providers to
                 tap into the mHealth eco-system
                 to:
                  quickly deploy your mHealth
                     strategy
                  connect your staff, patients,
                     and payers through the cloud
                  provide you with the catalog
                     of quality off-the-shelf apps
                     that you can leverage
                  project you as a leading-edge
                     Healthcare provider



                                                     53
Happtique in the Market
                          Our Customers
Paul Nerger
  CTO, Happtique, Inc.
pnerger@happtique.com




                         55

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Creating Value in Healthcare through Disruptive Social and Mobile Innovation

  • 1. Social Media and Mobile Health Creating Value March 6, 2012
  • 2. Many Thanks to the Event Organizers and Sponsors!  Anita Melikian (WSGR and FACCSF, LS Committee co-Chair)  Benoit Berthoux (Capgemini Consulting)  Brynhild Dumas (FACCSF, Executive Director)  Caroline Raynaud (GABA, Executive Director)  Edda Mihaescu (GABA, LS Committee co-Chair)  Gabriel Paulino (FACCSF, LS Committee co-Chair)  Marie Bayaut (FACCSF)  Morgan Desvignes (FACCSF)  Stefanie Bastian (GABA)  Thomas Celerier (Capgemini Consulting and FACCSF)  Ulrike Ruppelt (GABA, LS Committee co-Chair)  … and the entire GABA and FACCSF Teams! Social Media and Mobile Health - Creating value 2 © Copyright Capgemini 2012 All Rights Reserved
  • 3. Agenda  Introduction  Keynote speakers: – Vibhor Rastogi, Investment Director, Intel Capital – Peter Kacandes, Senior BD Manager, Sony Mobile Communications – Paul Nerger, CTO, Happtique Inc – Nick Hayes, President, Influencer50  Panel Discussion / Q&As  Wrap-up Social Media and Mobile Health - Creating value 3 © Copyright Capgemini 2012 All Rights Reserved
  • 4. US Health Care costs have been rising over the past 50 years, currently increasing at 2-3 times the rate of inflation… Total US Health Spending Life expectancy and its Percent Share of GDP and Health Spending per Capita 3000 20% 17.60% 16.60% 18% 16% 2500 16% 13.80% Healthcare spend in Billions Spend as a % share of GDP 12.50% 14% 2000 12% 9.20% 1500 10% 7.20% 8% 1000 5.20% 6% 4% 500 2% 0 0% Source: Centers for Medicare and Medicaid Services (CMS), Office of the Actuary Source: Economic Policy Institute, 2007 …Without translating into superior Quality of Care when compared with international benchmarks Social Media and Mobile Health - Creating value 4 © Copyright Capgemini 2012 All Rights Reserved
  • 5. Disruptive Health Care Health Care Ecosystem Disruptive Digital Trends Innovation Rising costs / Social Health Care Platforms, Reform Patients Communities Scientific Electronic Innovation / Health Records Patent Cliff Research HCPs Smart phones, Patients Tablets, Apps, Empowerment Quality Cost Telemedicine Govern- Channels ment Smart Consolidation Packaging, RFID Public / Growth in LS Private Cloud-based Emerging Industry Payers Infrastructure Markets How can Digital Innovation Help Create Value in a Complex and Evolving Health Care Ecosystem? Social Media and Mobile Health - Creating value 5 © Copyright Capgemini 2012 All Rights Reserved
  • 6. #1 60% 81 25% Social Media and Mobile Health - Creating value 6 © Copyright Capgemini 2012 All Rights Reserved
  • 7. Improving Quality and Cost of Care through Digital Innovation Vision Execution  What unmet needs are we trying to answer?  How to align incentives to drive technology – Disease prevention and adherence adoption? – Product integrity  How to overcome current technical feasibility – Clinical decision making support challenges? – ….  What is the current level of maturity of these  How to protect privacy and confidentiality of technologies? Patient personal health data?  Should the vision be regional or global?  What are successful case studies?  …  … Their Perspective Social Media and Mobile Health - Creating value 7 © Copyright Capgemini 2012 All Rights Reserved
  • 8. Benoit Berthoux Head of Life Sciences West Coast Practice 4000 Shoreline Court, Suite 210 South San Francisco, CA 94080 Mob.: +1 415 200 9859 Benoit.Berthoux@capgemini.com 8
  • 10. Intel Capital Mission Enhance Intel’s Strategic Objectives By Making and Managing Financially Attractive Investments STRATEGIC FINANCIAL A Stage Agnostic and Long-Term Investor
  • 11. Investing In a World of Possibilities Enterprise Servers, Networking & Storage Manageability & Virtualization and Cloud Data Centers & Cloud Services Software AppUp Center™ Cloud Computing & Security and Services Visual Computing & Open Source Ultrabooks Mobility Tablets Smart Phones Consumer e-Commerce Social Media & Mobile Web Internet Enabling Platforms Digital Media & Content Delivery/Services Gaming & Education Entertainment Advertising Intelligent Digital Signage Connected Car & IVI Systems Home Energy Management Cleantech Grid Infrastructure Smart Commercial Buildings Greentech Microgrids & Communities Manufacturing Semiconductor Process Memory EDA Tools & IP Non-Volatile Memory
  • 12. Intel Capital’s Investment Criteria When making investments, we look for: ● Innovative technology and usage models ● Strategic interest to Intel ● Strong management teams ● Addresses rapidly growing and sizable markets ● Exit opportunity
  • 13. Intel Capital Investments 2011 51% Outside 158 New Deals N. America 6 IPOs $526M 74 International 28 Acquisitions Investments Historical 36% Outside 1,212 Deals N. America 194 IPOs $10.4 Billion 51 Countries 289 Acquisitions
  • 15. 2011 Intel Capital Exits 34 Portfolio Company Exits: 28 M&A and 6 IPOs USA Taiwan: GTSM Taiwan: TSEC China: NYSE China India Netherlands China: NASDAQ China: GTSM Israel Japan UK France Poland: GPW *Other marks and brands are property of their respective owners
  • 16. Intel Capital Global Presence Invested $10.4+ Billion in 51 Countries Intel Capital Offices in 26 countries Investments in 51 Countries Intel Capital Invested Intel Offices
  • 17. Successful Investments Helping to Support Successful Global Businesses Since 1991 *Other marks and brands are property of their respective owners
  • 18. Global Investment Syndicate Worldwide Co-investors Providing Ready Access to Growth Capital, Global Market Reach, Board Members and Advisors *Other marks and brands are property of their respective owners
  • 19. Intel Capital Technology Days Shortcuts the Corporate Technology Evaluation Cycle by Directly Connecting Portfolio Companies with Industry Executives Delivering value for customers and portfolio companies *Other marks and brands are property of their respective owners Ver. Dec 2011
  • 20. Intel Capital’s Unique Advantages ● One of the largest technology venture capital organizations worldwide ● Invests at all stages in private and public companies ● Leads investment rounds, takes larger stakes, actively participates on boards ● Speed and agility to make quick decisions ● Global brand recognition ● Committed to portfolio company success
  • 21. Provider and Payer Technologies • Pay for Quality vs. Pay for Volume driving adoption of risk based entities such as ACOs • Cloud based Ambulatory and Hospital EMRs lowering cost of adoption of clinical technologies and digitizing the HC ecosystem • Big data for Clinical decision support an interesting new trend • Payers trying to become more consumer focused in anticipation of rollout of HC reform in 2014 Representative Portfolio Source: Oppenheimer, Frost and Sullivan, CMS, Morgan Keegan
  • 22. Remote Patient management • Aging populations: 65+ expected to reach 53M by 2020 and 80M by 2050 in the US. This long term demographic trend a key driver for the remote patient monitoring market • In place aging – There is greater desire on part of individuals and families to age in place. Remote patient management provides this flexibility • Treatment of Costly diseases - Chronic heart failure (CHF) one of the most common causes of hospitalization for elderly Americans, and is also one of the nation’s most costly conditions to treat. Remote patient management effective in preventive treatment of patients Representative Portfolio Source: ABI Research
  • 23. Consumer and Mobile Health • Smartphone adoption • Hundreds of million smart phones have the potential to be used for sensing and transmitting HC data • Mobile PHR adoption accelerated by EHR adoption and potential for integration via standard data interfaces • Increasing consumerism • Twice as many Gen-X and Gen-Y consumers want to access and maintain their PHRs using a mobile device than do Baby Boomers and Seniors • 50% of consumers in a recent study want a personal monitoring device to alert and guide them to make improvements in their health or treat a condition Representative Portfolio Source: PWC
  • 24. Bioinformatics and Genomics Key Focus areas • Genomics • Proteomics • Bioinformatics and bioanalytic portals • Molecular modeling • Computational chemistry Representative Portfolio
  • 25. Investing in Global Innovation
  • 26. Mobile Health - Sony Mobile Communications Peter Kacandes, Sr. Business Development Mgr. 2012 CONFIDENTIAL 26
  • 28. Making people smile The Communication Entertainment brand
  • 29.  Founded in1946  Global company with headquarter in Tokyo  World's leading electronics and entertainment company  Chairman, CEO and President: Sir Howard Stringer (also Chairman of the Board for Sony Ericsson )  36.8B USD market cap as of Feb 28, 2011  169,900 employees as of Dec.31, 2010  1979 - First “Walkman” launch  1982 - World’s first CD player launch  1988 - CBS Records (later SME) acquired  1989 - Columbia Pictures (later SPE) acquired  1994 - First PlayStation® launch  1996 - Digital camera “Cyber-shot” launch CONFIDENTIAL
  • 30. The new generation Xperia™ 30
  • 33. Key Technologies for Mobile Health/Medicine/Fitness The Quantized Self • Communications • ANT+ • NFC • Wearable Computing • Sensors • Devices • Connectivity • Backend Services in the Cloud • Social CONFIDENTIAL
  • 34. ANT + Key Features • Compact (small stacksize) • Scalable (supports complex network topologies) • ANT+ Interoperable Product Examples • Wrist-mounted instrumentation • Flexible (supports ad hoc network reconfiguration) • Heart Rate Monitoring (HRM) • Focused (not a standard development organization) • Speed and Distance Monitoring (SDM) • Proven (millions of nodes delivered) • Bike computers • Continua use case requirements for Body Area Networks (BAN) including: • Health and wellness monitoring devices • Proven Ultra-low Power • Industrial sensors • Co-existence with nearby networks • Low data-rate communications • Small memory size • Active RFID • Support Range and data transmission rates • Location-based services • Number of devices on network • Utilities wireless Automated Meter Reading (AMR) • Mobility • Smart toys • Ad hoc capability • Automotive instruments • Frequency agility • Remote Control • Central control of power devices CONFIDENTIAL
  • 35. ANT+ Topologies ANT+ / DevZone CONFIDENTIAL User nam e Pass word Lost Password? Register (Restrictio ns apply)
  • 36. Example: Continuous Blood Glucose Monitor Dexcom • ANT+ Transdermal Sensor and Android recording/reporting application (FDA approved) • FDA approval for app expected in March • Studies show up to $40K savings per year through better control CONFIDENTIAL
  • 37. NFC – Near Field Communications, Sony Dynamic Tag Health Sensors, too. Not Just Commerce • The Spirit System is a complete technology system that includes: • (1) Hardware • (2) Software • (3) Project-based, progressive cross-curricular and nutrition curriculum • (5) Ongoing support • The system integrates into already established learning techniques and efforts for school physical education programs, corporate wellness, individual and group training. The results of using the system lead to better and more effective utilization and integration for all individuals involved in the program. • We offer ala carte’ or bundled solutions, which allows simple implementation of our software with other technologies, along with training and a state- standard aligned, project-based curriculum and numerous resources for long-term success. CONFIDENTIAL
  • 38. The Quantized Self Gathering and analysing data about their everyday activities to help them improve their lives • If you want to change or improve something, then you have to measure it and track it • Adapting methodologies of Six Sigma and TQM to the self • Simplified and made mass accessible by mobile tech (phones/apps/services/sensors) CONFIDENTIAL
  • 39. Key Issues for Successful Mobile Health Apps • Interoperability • Predictive • Integration • Preventative • Intelligence • Personalized • Outcomes • Participatory • Socialization, • Engagement CONFIDENTIAL
  • 40. Opportunities for Mobile in Health and Medicine • Patient/User Driven/Centered Care • A Mobile handset is the most personal device and the most likely to always have with them • Immediacy • The mobile handset makes it possible for the user to have immediate feedback information about their issues/condition • Action • Allows the user to take action quickly • Control • Helps user to keep tighter control of metrics has huge impact on outcomes and potential for cost reduction CONFIDENTIAL
  • 42. Xperia NFC SmartTags • "All the new [Xperia] devices come equipped with NFC and to help connectivity across mobile devices and in the home [Sony] has also launched 'smart-tags,'" Informa principal analyst Dave McQueen said in a statement. • "Based on NFC and offered in packs of three, users can set up profiles via the smartphone for individual smart-tags depending on a requirement, such as connectivity in-car or with a music system. These take a shortcut to the benefits of near-field connectivity, offering a much more practical and easier proposition to the end user." CONFIDENTIAL
  • 43. mHealth App Stores for Hospitals, Clinicians, and Patients
  • 44. Mobile Health Market is Taking Off Now $718 Million in 2011 11% Increase in pharma mobile projects since ’06 (E&Y) Generated by health apps and mobile health devices 30% US Physicians w/ and iPad (Manhattan Research) (research2guidance) 31% Medical Device patents that include 63% of physicians are using wireless (CC) mobile health solutions that are not 35% US adults with a smartphone (Pew) connected to their practice or hospital (PWC) $84M 2010 sales for medical apps (Kalorama) 85% of patients want to 600M 2012 (Pyramid) health apps downloaded in receive their mHealth apps from their healthcare providers and the clinicians that they trust (PWC) How will you tap into your staff’s and patient’s mobile devices? 44
  • 45. Happtique’s Mission  Become the go-to destination for healthcare professionals for learning about and purchasing mobile Health (mHealth) apps, devices, and solutions  Help the worldwide medical community lower the cost of healthcare while simultaneously improving the quality of care and the quality of life through the use of mobile technologies  Provide a simple yet effective means of prescribing mHealth technology to patients by their care providers that will improve their condition We are here to help providers with an mHealth Strategy
  • 46. 4 Problems Poor Health App Categorization Can’t Provide and Manage Apps & Devices for Staff Don’t Know the Quality of Apps Providers Can’t Provide Apps to Patients 46
  • 47. 1 Solution Leadership in cost reduction and achievement of outcomes are vital mHealth is a pathway to this Leadership 47
  • 48. 3 Products - 3 Markets Served Enterprise Edition Professional Edition Patient Edition Empower healthcare Provide access to Enable patients to enterprises to leverage mHealth technology for help manage their mHealth technology to individual healthcare own health using improve the quality of professionals mHealth technology care while reducing in partnership with costs their healthcare providers
  • 49. Hospital Substore Your own Hospital Branding Private Catalog
  • 50. mRx – Prescribing Health Apps  Buttons on menu bar to mRx share and prescribe an app  Sends a mobile app prescription to the patient after confirming physician’s license details and signature via email  Patient includes insurance and co-payment details  Automatic app payment via co-pay, credit card and insurance reimbursement  Patient receives email with app link 50
  • 51. iTunes Curating and Indexing Apple App Store and Android Happtique Professional Catalog Marketplac 150+ Clinical Topics 150+ Professional Audiences 35,000+ Apps 10,00+ Apps Medical Health & Fitness
  • 52. App Certification Program Blue Ribbon Panel Physician-Nurse-mHealth Technologist-Patient Advocate Set Standards for App Certification App Certification Review Board Implement Program and Oversee Reviewers Review Apps 52
  • 53. Happtique Vision Execution We provide cloud services that enable healthcare providers to tap into the mHealth eco-system to:  quickly deploy your mHealth strategy  connect your staff, patients, and payers through the cloud  provide you with the catalog of quality off-the-shelf apps that you can leverage  project you as a leading-edge Healthcare provider 53
  • 54. Happtique in the Market Our Customers
  • 55. Paul Nerger CTO, Happtique, Inc. pnerger@happtique.com 55