Prepared by Helene Andre on August 2015 The impact of the Internet of things on the healthcare sector for both patients and healthcare practitioners.

1. How will the IoT
improve Healthcare?
What is eHealth?
The Care Value Chain is Increasingly Data-
centric
eHealth is a Steady and Promising Sector…
… Supported By an ever more Favorable
Regulatory Framework
Remote Patient Monitoring as the Main
Opportunity
3 Promising Remote Patient Monitoring
Companies
Personalized Insurance, a Tempting but
Controversial Opportunity
Data Management Remains The Main
Barrier
+ August 2015
+ Hélène André

2. What Is eHealth?
The internet revolution is disrupting each sector one by one. Healthcare is no exception
and eHealth is now emerging as a promising set of solutions.
eHealth comprises of all products and services that provide improved health care
through ICT, from infrastructure to systems. eHealth devices generally fall into four main
groups:
 consumer products for health monitoring
 wearable external medical devices
 internally embedded medical devices
 stationary, but connected, medical devices
PRIME & French Tech Hub analysis

3. The Care Value Chain is Increasingly Data-centric
Prevention Diagnosis Treatment Recovery
The eHealth value chain is based on how to collect, transport, store and analyze patient
data.
Thanks to the IoT, patient data can be collected over time and used for preventive care
or to understand how a therapy is improving a patient’s health.
Roland Berger Consulting, Ehealth And New CommercialModel, September 2014
PRIME & French Tech Hub analysis
Classic Care Value Chain
In the classic care value chain, there is challenge to provide personalized
treatment and patient centered care. eHealth can improve healthcare by
smashing these existing silos.

4. eHealth is a Steady and Promising Sector…
With a growing ageing population, healthcare practitioners, consumers and
governments bodies are demanding a more efficient efficient healthcare system. IoT-
driven systems drastically reduce costs & improve health by increasing availability and
quality of care.
Today, 30% of all connected devices are in healthcare
Healthcare-related IoT to reach a net worth of $2.5 trillion by 2025
eHealth funding is booming
$1.8B $4.1B
2013 2014 IoTdex, IoT in Healthcare, April 2015
RockHealth, 2014 Year in review, January 2015

5. … Supported by an Ever More Favorable Regulatory Framework
The Affordable Care Act fosters various digital initiatives to increase the quality and
affordability of health insurance and also to reduce the costs of healthcare for individuals
and the government.
84% of hospitals use Electronic Health Record
55% of ACOs have deployed remote patient monitoring
Intel, IoT Healthcare Policy Principles, March 2015
National Hospital Ambulatory Medical Care Survey, February 2015
PRIME and French Tech Hub analysis

6. Remote Patient Monitoring as the Main Opportunity
An economical and convenient solution for both patients and practitioners
 The ability of devices to gather data independently removes the limitations of human-entered
data and reduces the risk of error. Fewer errors may lead to better treatment and lower costs.
 Continuous monitoring can increase adherence (the extent to which a patient continues an
agreed treatment plan). This is key in the US where 50% of people with chronic conditions have
bad compliance and 60 million people help a loved one or relative take their medication.
 By extending care beyond the clinical setting and into a patient’s home, eHealth can help reduce
hospital readmissions and also prevent emergencies. Remote patient monitoring will allow HCP
to manage patients while away from the hospital and receive continuous patient data.
Better Adherence Better PreventionAccurate Data
RockHealth, 2014 Year in review, January 2015
PRIME & French Tech Hub analysis

7. 3 Promising Remote Patient Monitoring Companies
PRIME & French Tech Hub analysis
Validic offers a mobile health API connection that enables healthcare companies to
access data from clinical & remote-monitoring devices (like fitness equipment or
wearables). The platform gathers data from more than 100 applications and devices.
Their clients are employers willing to monitor their wellness program as well as
healthcare providers and pharmaceuticals. They raised a bit less than $20M in 2 years.
Kali Care has designed a connected eye drop bottle. Although Kali technology is relevant
to many conditions, their initial market offering is focused on ophthalmic clinical trials
and eye care medications. The eye drop bottle is connected and can therefore monitor
how many times a day a patient use her eye drops and in which conditions. Then, the
HCP can adjust the prescription.
HealthLoop operates a SaaS platform that enables medical practices to monitor signs
and symptoms, and communicate with patients during the recovery process. Its platform
enables doctors to identify patients at risk of decline in the follow up period. It can also
send alerts to physicians or providers about patients who are at risk of treatment
failures or hospital readmissions. Healthloop raised $10M in 2013.

8. Personalized Insurance, a Tempting but Controversial Opportunity
Tailored Healthcare Plan
Optimized & Economical Insurance
Contextualized Analytics
More Efficient & Accurate Treatments
Insurance Based on Genomic Testing
Scary? Discriminating?
Crunchbase
PRIME & French Tech Hub analysis

9. Data Management Remains the Main Barrier
Information Overload
In a survey of 500 physicians from 2014, one-third said the greatest challenge associated
with EHR adoption was the disruption to practice during implementation.
eHealth solutions have to eliminate the need for manual analysis and limit the number
of false alerts.
In addition, many eHealth solutions are not yet interoperable with most EHR systems.
This creates “information islands” where data streams are in silos.
Medical Economics
PRIME & French tech Hub analysis
Successful eHealth solutions will have to rely on Artificial Intelligence and
contextualized data to deliver meaningful and actionable insights to HCP
without being time-consuming.

10. Data Management Remains the Main Barrier
Data Privacy
Beyond delivering the right amount of relevant data, the most complex part of the
challenge is to secure data and ensure data privacy.
Data is vulnerable at each step of the eHealth value chain (collection, transportation,
storage & analysis). Healthcare companies need to create secure platforms to share
patients’ data with the right people. But healthcare data is so sensible and intricate to
secure that most global cloud computing companies do not position themselves on
healthcare. They address all sectors but healthcare.
Securing these platforms is going to be even more complex as the need for
interoperability between devices will become more urging.
PwC, Global State of Information Security Survey 2015
PRIME & French Tech Hub analysis

11. Data Management Remains the Main Barrier
Data Privacy
eHealth devices are like most connected devices, they are full of security fails. The classic
modus operandi is still to sell first and then, when security breaches are unveiled, to
update the software with patches. In the future, security should be built into devices and
the networks they use at the outset rather than be reactionary.
Industry and governments are slowly implementing comprehensive sets of security
standards & best practices (like HIPAA on Privacy, Security and Breach Notification). Some
promising players in this field are Accountable, Aptible and GE which is moving from
medical devices to a more complete offer with its SaaS offering, Centricity.
Even with the recent announcements of Google & Apple, we have yet to see leaders
emerge and there’s room for more players to secure healthcare data
PwC, Global State of Information Security Survey 2015
PRIME & French Tech Hub analysis