Gfh 2011 Sensor Ecosystems

www.gamesforhealth.org
Games with Sensors 2011
Sensor Connected Health Eco-Systems:
Ready to Play.

Games for Health 2011
Sensor Day
12:00 - 12:30PM - Games, Sensors & PHRs : Gameplay Meets Measurement
Brigitte Piniewski, MD. , Chief Medical Officer, PeaceHealth Laboratories, Oregon
12:30pm - 1:45PM - Topical Lunch w/Continua
Chuck Parker, Executive Director, Continua Health Alliance
1:45pm - 2:45PM - PHRs and Games : Back to the Drawing Board
Steven Munini, Chief Operating Officer – Dossia Service Corporation
3:00 - 4:00 PM - The Pervasive Sensor World : Obstacles & Opportunities
Ed Siemens, Director, Marketing, A&D Medical
Mike Paradis, Global Sales Manager, ANT Wireless
4:40pm - 5:30PM - Games with Sensors : From Experiments to Ubiquitous Health Gaming
Jim Burns, Senior Software Architect , Elbrys Networks
5:40pm - 6:15PM - Business Models for Games for Sensors

What I am playing…
With my family
When…
Plane Lands
When …
Grocery Shopping
When …
Running Late

Connecting the Dots
Sensor
EHR
PHR
FUN MEANINGFUL
USE

Games
5
Health ServicesPersonal Health Devices
Internet Devices
Connecting the Dots

Let’s hear from the Panel…

Anthony Delli Colli
VP, Marketing
Elbrys
Mike Paradis
Direct, Sales
Ant+ Alliance
Ed Siemens
Marketing & Sales
Director
A&D Medical
Brigitte Piniewski, MD
Chief Medical Officer
PeaceHealth Laboratories
The Pervasive Sensor World :
Obstacles & Opportunities

 30 year semiconductor veteran
 Global Sales Manager for ANT Wireless
 Japan, Europe and the US have been key
focus areas
Mike Paradis
Global Sales Manager
Ant+ Alliance

Wholly Owned Subsidiary of Garmin
Ltd, first incorporated 1998
Location, Cochrane, AB, Canada
Expertise
Sport and Wellness Activity
Monitoring Technology
Ultra Low Power Wireless
Technology
Dynastream History

 Dynastream incorporated in 1998
 First product to Nike shipped in 2000
 ANT developed with Suunto in 2004
 First single chip released in 2005
 Purchased by Garmin 2006
 ANT+ alliance formed 2007
 1ST
million units shipped 2007
 5TH
million unit shipped 2009
 Second Silicon Partner added 2010
 16+ millionth node shipped by April 2011
 Run rate of 1,000,000 per month
ANT History

Sensor Design Obstacles
Obstacles
Data Size Budgets
Battery Life
Interoperability
Connectivity
Cost
Practical solutions
Process at the sensor
Keep the radio off
Embed as much as you can
Enable Cell Phones
Keep it simple
KEEP YOUR EYE ON THE PRIZE

Game Sensor Design Obstacles
Obstacles
Real Time Data
Motion Artefact
Interoperability
Battery Life
Connection robustness
Cost
Practical Solutions
Real time protocol
Proven technologies
Robust Device Profiles
Keep the radio off
Pairing and re-pairing guarantee
Integrate as much as possible
KEEP YOUR EYE ON THE PRIZE

Health and Wellness Solution
One billion adults overweight world wide
Internet
Healthy
Family
Wellness vital sign monitoring:
 Weight
 Blood pressure
 Glucose
 Cholesterol
 Activity level
Benefits:
 Monitor and motivate
 Achieve goals
 Personal fitness information
 Building social teams
 Enhance coaching services
Pedometer
Blood-pressure
Cuff
Heart
Strap
Medication
Tracking
Weight
Scale
Fitness
Equipment
Phone
PC
Personal
Health
Record
Healthcare
Professionals
Weight loss
and fitness
coaching

ANT+ Ecosystem

Commitment to the Standard

Digital Fitness Watch Market

Over 112,793,000 participants in structured aerobic activities
over 50 times a year in the US
Over 44% of the population involved
Train Smart

Global Heart Rate Predictions

Digital Running Market

Run Smart
Participation Rates
(in thousands)
2008 2009 % Change
Walking 111,668 110,095 -1.4%
Running/Jogging 41,130 43,892 6.7%

Global SDM Predictions

Digital Cycling Market

Ride Smart
Hottest growth sport of 2010
18% growth in 2009 expected (SGMA)
Participation Rates
(in thousands)
2008 2009 % Change
Cycling (road/paved) 38,114 40,140 5.35%

Tour de France 2010
Internet

Live Smart

Health Profiles in Development
Blood Glucose Activity Monitor
Continuous Blood
Glucose
Future Health Profile Development - SPO2, ECG
Emergency
Response Alert
(Fall Detection)
CB
G
ERA

ANT+ in Cell Phones
ANT Enabled
Chip
(WiLink 1271)

Existing Potential ANT Enabled Cells
 38 smart phones from seven top vendors released
with TI WiLink
• 6 released officially with ANT
• 2 others demonstrated publically
 Vast majority android based
• ANT+ android API released
 Cell vendors need apps motivate market release

Major WiLink Enabled Phones
Android based
Droid X
Droid 2
Devour
XT720
Backflip
N8 -127
C6 – S60
C7 – S60
E7 – S60
C5- S60
2710 classic
Android based
Expresso (T-Mobile myTouch)
Legend
Hero
Diamond
Symbian S60 based
Vivaz
Vivaz Pro
Android based
Xperia X10 mini
Xperia X10 mini pro
Xperia X8
ARC
Neo
Pro
Android based
Galaxy A
Oscar I7680
-
XT800
Droid Milestone
MT710
Cliq/Dext
Quench
Sage
Pearl 3G
Style 9760
Torch 9780
Playbook

What I’m Playing...

 28 years experience in the medical device
and consumer packaged goods industry
 Focus - connected sensors for use in remote
patient monitoring and wellness applications
 Journey to find the perfect engagement tool...
Is gaming the solution?
Ed Siemens
Marketing & Sales
Director
A&D Medical

Sustaining
Healthy Engagement

• Kahn Academy
on my Mac
What am I playing?
• Foursquare on my
iPhone and using
Dash Four on my
iPad
• Bubble Pop on
my iPhone.
• Backgammon
on my iPhone
and iPad

It is estimated that the U.S. health care system could
reduce cost by nearly $200 billion during the next 25
years if remote monitoring tools were utilized… 4
Why…
Eight out of ten older Americans suffer from one or
more chronic diseases.1
Chronic disease accounts for three-quarters of
America’s direct health expenditures. 2
People with chronic disease cost 3.5 times as much
to care for compared to others and account for
80% of all hospital bed days and 96% of home care
visits. 3

Current sensor platform…
Digital Blood Pressure
Digital Tri-Axial
Activity Monitor
Digital Weight Scale

Sensors in development…
Zigbee
Wi-Fi
GSM
NFC

What are we missing…
• We can show you a single event
• We can show you change over time

What are we missing…
• Sustained
• Meaningful
• Engagement

Let’s make it fun!
An idea…

• Design a solution with the end user in mind
• User defined
• Individual with an interest in improving health
for both fitness and well being
• Target age: 40 to 60 (Aging Boomer)
• Initial sensor profile
• Blood Pressure
• Activity
• Weight
A&D BeWell Platform

• Create “actionable” information
• Data must be useful
• Must provide actionable information for all stake
holders (end-user, friend, associate, family,
care giver, coach, nurse, doctor, case
manager, etc.)
• Must maintain user engagement
Application Objectives

• Concept based on incremental improvement
behavioral theory
• Reward simple achievements
• Enhance difficulty for sustained interest
• Initial rewards virtual trophies or badges
• As developed link with partners to offer real
rewards
Game model

• Receive badge (A journey for a thousand
miles begins with a single step. Congratulations on the
beginning of your journey toward good health!)
• Virtual reward badges for different achievements
• Potential partner reward example
• Discount on lunch salad at Panera Bread Company for
walking 25,000 steps in 5 days. (Coupon pushed to your
phone or computer upon achieving your goal)
• Link to other partners, Chain pharmacies for example.
Reward Examples

• Improve personal wellness
• Seek healthcare partnerships
• Replicate the same model with weight
and blood pressure
Site Goal

Let’s play…

Brigitte Piniewski, MD
Chief Medical Officer
PeaceHealth Laboratories
 MD is currently the Chief Medical Officer at
PeaceHealth Laboratories, Springfield,
Oregon
 Crowd based approaches to gathering
evidence-based health intelligence
 Recent papers:
• “Empowering Healthcare Patients with Smart
Technology” (IEEE, July 2010)
• “Nudging lifestyles for better health outcomes:
crowdsourced data and persuasive technologies
for behavior change” 9JRC-IPTS EUR 24785 EN –
2011.

Home Care Cards
Product & Solution Ecosystem Overview
2011 Games for Health
Boston
Not for distribution without permission. © 2011 iMPak Health, Inc.

Reviewing the Basics
Home Care Cards are a suite of products and solutions
that combines low-cost remote testing and diagnostics with
instantaneous results and feedback. The cards incorporate
proprietary ‘lab on a chip’ capabilities in a low-cost form
factor, as well as near-field connectivity (NFC) technology to
allow instant feedback on a variety of devices.
The Home Care Card platform is flexible to meet the needs
of a variety of different trade partner requirements,
including:
• Configurable for a variety of retail or clinical delivery
methods;
•Customizable packaging and data presentation allows
for unique brand executions;
•Scalable product solutions can be deployed to address
specific use cases, protocols and diseases.
Initial consumer testing complete by March 2011, retail field trials
(U.K.) begin 1Q2011. Anticipated U.S. and Canadian retail field
trials end of Q2 2011. Selected applications available
immediately.
Not for distribution without permission. © 2011 iMPak Health, Inc.

Sleep Solution

Sleep Solution - Mobile User Interface
Analysis:
-Your most restless nights usually happen when you
go to bed more than one hour later than typical
-Your most restful nights usually happen when you
stop consuming alcohol at least 2 hours before bed
Recommendations:
- Be more consistent with your average go-to-bed
time (which is 10:30pm)
- Don’t consume any alcohol after 8:30pm
- Limit your use of Unisom to nights that you go to
bed later than usual, and never use it if you’ve
consumed alcohol after 8:30pm

Sample Lab Card Use Case

AcmeC
orp
Another Sample Use Case
Congratulations,
you’ve met your
cholesterol goal for
the year, and your
monthly weight loss
goal!
compare to others
show me who cares


Weight Management Solution Characteristics
Disposable credit card sized Step Counter
worn daily
Disposable Food Journal for tracking daily
food intake and choices by category
“Touch and Post” data transfer to Nokia
NFC enabled phone
Application analyzes and displays data:
Daily, weekly, monthly steps taken
Daily, weekly, monthly summary of:
Food Intake such as fruit, vegetables, fats, dairy, and proteins
Water Intake
Sodium Intake
Weight and BMI tracking
Improvement Tracking through trending over time
Capability to e-mail reports, upload to Personal Health Records,
and allow family access to data and alerts
Reminders to upload data and track overall motivation
Additional future planned upgrades include ability to upload to
social networking sites, add stress monitoring, and add
frequent motivational messages through phone, e-mail, and
text
Currently piloting in US

Various Use Cases, Hardware Targets

Sleep Card / Wellness Journal Integration
 Touch Sleep Card against phone to transfer last nights sleep.
 View trends of sleep time, time in bed, sleep efficiency and number of awakenings in Wellness Diary’s normal trend UI.
 View detailed actigraph data in Cypak Sleep UI.

Summary Points
Home Care Cards
• suite of products and solutions
• low-cost remote testing and diagnostics
• instantaneous results and feedback
• Easy to use
• flexible platform for multiple use cases and consumer types
• Highly scalable
• Testing extremely positive with unaided articulation of potential uses
“I could see this motivating him (spouse)
to finally address his problem...nothing I
tell him seems to work”
“If I can just do something I’d
be in control. Then I can act
on the results.”
“I spend half my time talking to the doctor
about things I can barely remember...there’s got
to be a better way”
“..it’s a simple step that can facilitate a lot o
things...what a great idea. If you wanted it
it allows for more control over you.”

Key Takeaways
1. Sensors are pervasive and affordable
2. Standardization and interoperability is here
3. Sustainable engagement is everything
“It’s all about the application …stupid.”

GAMES WITH SENSORS 2011 - DEVELOPER CHALLENGE
Sensor connected health eco-systems are ready to play.
Join us to develop innovative mobile serious games with the coming
of age of health sensors connected to next generation PHRs. For
details about our Developer Challenge please register at
dev.commonsenses.com.
dev.commonsenses.com
THE
PERSONAL
HEALTH RECORD
GAME

Thank You!

Gfh 2011 Sensor Ecosystems

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Editor's Notes