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©	2017	All	Rights	Reserved
“Innovation	in	
Connected	Healthcare”
Summer	Knight,	MD,	MBA
Managing	Partner
Firecracker	International
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©	2017	All	Rights	Reserved
Getting	to	Total	Addressible Market
• Story	to	Humanize	Healthcare
• Lexicon	of	Connected	versus	Virtual	Health
• Opportunities	for	Cable
• A	specific	Use	Case
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©	2017	All	Rights	Reserved
Hi!
Nikolas
My	name	is
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©	2017	All	Rights	Reserved
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©	2017	All	Rights	Reserved
This	is	Nikolas’ mom
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©	2017	All	Rights	Reserved
Slide:
Illustration:	Nikolas	in	the	car	with	friend	pulling	up	to	clinic
This	is	to	illustrate	that	it	takes	a	village
It	takes	a	village
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©	2017	All	Rights	Reserved
Slide:	
Illustration:	Nikolas	taking	chemo	at	home,	devices,	and	Mom	
and	Doctor	video	chatting.
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©	2017	All	Rights	Reserved
This	is	Nik	&	His	Mom
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©	2017	All	Rights	Reserved
• Makes	health	caring,	accessible,	flexible,	efficient	and	
affordable	for	individuals	and	their	families	– the	end	
customers
• Restores	the	human	connection	in	healthcare
• Shares	information	with	patients	and	their	caregivers	
when	it	is	actionable
• Acknowledges	a	person's	social	and	emotional	needs	in	
addition	to	addressing	their	medical	condition
• Creates	healing environments	to	achieve healthfulness	
even	for	those	afflicted	with	a	chronic	condition
• Connects	data	to	the	human	story
Humanizing	Healthcare
Humanizing	healthcare	means	hardwiring	humanity	at	every	point	of	care.
Engages	and	empowers
the	individual	and	their	
family	as	part	of	the	
healthcare	team
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©	2017	All	Rights	Reserved
Problem/Opportunity
Lack	of	Integration,	
Coordination	&	Information	
sharing	among	Stakeholders
• Healthcare	system​
• Patient-consumers​
• Family ​
• Primary	caregivers​
• Home​
• Community ​
• Employers​
​
Critical	to	support	the	growing	
aging	population	and	epidemic	of	
individuals	with	Chronic	Conditions	
and	Disabilities.
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©	2017	All	Rights	Reserved
So	what	exactly	is
CONNECTED	HEALTH ?
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©	2017	All	Rights	Reserved
Remote
Communication
Diagnosis
Treatment
Monitoring
Remote
Communication
Virtual	
Healthcare
What	we	are	doing
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©	2017	All	Rights	Reserved
Cost	effective
Enhances	access
Is	convenient
Virtual	
Healthcare
What	we	are	doing
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©	2017	All	Rights	Reserved
Connected	Health
How	we	do	itConnected
Health
How	we	do	it
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©	2017	All	Rights	Reserved
Virtual	Healthcare
Consumer	Engagement	&	
Activation
Care	Triage,	Care	
Coordination,	&	Care	
Management
Digital	Health	Support
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Consumer	Engagement	and	Activation	Platform
19
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Care	Delivery	Transformation Consumer
Engagement
Care	Triage,	Care	Coordination	
and	Care	Management
Telemedicine	
Remote	Patient	
Monitoring	
Data	Exchange	&	Analytics
Content	Sharing
Natural	Support	Network	Activation	
Virtual	Care	Staff	
Augmentation
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©	2017	All	Rights	Reserved 21
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©	2017	All	Rights	Reserved
The	secure	connection	between	providers	and	medical	grade	devices	in	the	home.	
connectivity
medical	grade	
This	includes	authentication,	data	encryption	and	management	of	the	connection.
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©	2017	All	Rights	Reserved
Allow	for	true	
continuum	of	care
Unite	and	empower	the	
care	circle	(patients,	
caregivers	and	families)	
Allow	for	easy	data	flow	=	earlier	intervention
Enhance	healthfulness
Lead	to	efficient	use	of	healthcare	resources
Increase	access
Flexible	engagement	between	
consumers	and	clinicians
Foster	competition
Provoke	a	meaningful,	cost-effective	
customer	experience
health	can:
Connected
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©	2017	All	Rights	Reserved
We	develop	secure,	reliable,	high-performing	platforms	and	partner	with	best-in-class	technology	and	service	
organizations	to	provide	comprehensive	solutions	that	enable	and	augment	care	delivery	transformation.
Technology	PlatformsTechnology	Services Custom	Application	development
EngagementConnectivity Enablement
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©	2017	All	Rights	Reserved
Provided	on	a	value-based	model
Population	level,	individual	preference
Coupling	of	physical	health	with	social	
situation
Remote	health	monitoring	is	the	new	
“norm”
Information	when	and	how	you	need	it
The	Future	of	Healthcare
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©	2017	All	Rights	Reserved
Transition	risk		from	fee-for-service	
to	value-based	reimbursement
Augment	the	consumerization	of	
healthcare
Create	integration	between	
stakeholders	in	the	individual's	
care
Create	and	utilize	actionable	
data
Integrate	social	and	health	
information
Address	healthcare	
populations
To	Realize	the	Future	Vision,	Healthcare	Organizations	must:
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©	2017	All	Rights	Reserved
A	reliable	platform	that	securely	
connects	Healthcare	businesses	to	
consumer	home	
Ability	to	scale	to	“population	
health”	level
Engaging	content	delivered	
proactively
Tools	that	improve	care	coordination	
and	management	 Easy-to-use	eHealth	solutions	
Partnership	to	transition	from	capital	
intensive	technology	to	a	lower	cost,	
service	models
The	Healthcare	Industry	Needs…
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©	2017	All	Rights	Reserved
Critical	to	the	Healthcare	Industry	that	Cable	
Operators	become	Involved
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©	2017	All	Rights	Reserved
Technology	
Platforms	and	
Infrastructure	
already	in	place
Big	Data	
Management Content
Connection	
between	
Provider	and	
Home
Service	Logistics Call	Center	
Capabilities
Healthcare’s	Wish	List	for	Cable
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Why	Cable	Can	Win
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The	secure	connection	between	providers	and	medical	grade	devices	in	the	home.	
connectivity
medical	grade	
This	includes	authentication,	data	encryption	and	management	of	the	connection.
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In	the	healthcare	ecosystem,	medical	grade	connectivity	provides:
Scalability
Security	along	
the	Connection	
Continuum
Direct	Connections	between	
Provider	and	Home
Quality	Service
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Medical	grade	connectivity	
serves	as	the	foundation.
RPM
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©	2017	All	Rights	Reserved
• Diseases	lasting	three	months	or	longer
• Generally	progressive
• The	major	cause	of	disability	and	death	globally
Chronic	conditions	are:
*U.S	National	Center	for	Health	Statistics
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©	2017	All	Rights	Reserved
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©	2017	All	Rights	Reserved
Self-Recording RPM
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©	2017	All	Rights	Reserved
Spirometers
Blood	
Glucometers
Thermometers
Digital	Scales
Blood	Pressure	
Monitors
Pulse	Oximeters ECGs
A	change	in	the	standard	
of	care
Remote	Patient
Monitoring
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©	2017	All	Rights	Reserved
Early	interventions	based	on	actionable	data	can:
• Avoid	ED	visits	&	hospital	admissions
• Manage	transitions	in	care	and	decrease
re-admission		
Secure	Medical	Connection	–
authentication,	data	encryption,	and	
management	of	the	connection	-
foundation	for	RPM.
Savings:	$8375	per	patient
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©	2017	All	Rights	Reserved
Medical	IoT Security
2	Obstacles
Transitioning	reimbursement
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©	2017	All	Rights	Reserved
Critical	factor	aligning	for	Cable	to	
play	a	dominant	role:	
ü Secure	Medical-Grade	
Connectivity	
An	Opportunity	For	Cable	Operators
Example:	Medical	Grade	Connectivity	to	enable	RPM
165	Million
175	Million	
2017
2020
Patients	in	the	US	with	Chronic	Conditions
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©	2017	All	Rights	Reserved
Hospital/	ED	spend	and	Hospital	Readmissions	Penalties
Hospitals	Re-admission	Penalties
Health	Care	System
$1.1	Trillion is	US	annual	
direct	healthcare	cost spend	
to	treat	chronic	conditions	4
These	costs	continue	to	rise	
with	Chronic	Care	Patients	in	
US	estimated	to	reach 175	
Million by	20205
$400	Billion of	which	is	spent	
on	hospital	inpatient	and ER	visits,	
including $41.3	
BILLION	 in Readmissions Costs6
Research	suggests	a	savings opportunity	of $205	Billion if	chronic	
condition	are	monitored	and managed	proactively	at	home7
Data	Breaches	
41
2016	- $428	million	
2017	- $528	Million	(expected)	
Annual	Cost	of	Healthcare	Data	Breaches	
in	2015	reached	$6.2	billion
42
©	2017	All	Rights	Reserved
Avoidable	
Hospital	
Readmissions	&	
Emergency	Dept.	
Visits:	$205	billion	
Medicare	Hospital	
Readmission	
Penalties:	$528	
million
Criminal	Security	
Breaches:	$3.1	
billion		
Savings	Opportunity
Total	>$208	billion
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©	2017	All	Rights	Reserved
Sequential	
assumptions	to	
establish	a	realistic	
addressable	
market	for	Cable
%	of	Chronically	Ill	receiving	Clinical	Trtmt
Provider	adoption	&	Rx	rate	of	RPM
as	Standard	of	Care
The	basis	for	the	Business	Model	assumptions	is	the	growing	
Chronic	condition	population	and	the	demands	on	the	healthcare	system.
Assumption
1
Assumption
2
44
©	2017	All	Rights	Reserved
Growing	Chronic	Condition	Population
	
	 2015		 2020	 2025	
Total	Population	 321,369,000	 334,503,000	 347,335,000	
Population		<1-64	 273,539,000	 278,064,000	 281,415,000	
~	45%	with	at	least	1	chronic	
condition	
123,093,000	 125,129,000	 126,637,000	
Population	65	+	years	 47,830,000	 56,441,000	 65,920,000	
~	88%	with	at	least	1	chronic	
condition	
42,090,000	 49,668,000	 58,010,000	
Total	Chronic	Condition	Population	 165,183,000	 174,797,000	 184,647,000
45
©	2017	All	Rights	Reserved
Percentage	of	Chronically	Ill	
receiving	Clinical	Trtmt
175	million	*	97%	=	169.75	million	or	~	
170	million
Assumption
1
Assumption
2
US	Total	Addressable	Market
Provider	adoption	rate/Rx	rate	of	RPM
170	million	*	75%		=	~	127	million	TAM
46
©	2017	All	Rights	Reserved
Enhancing	Care	
Delivery	
Transformation	
Data	
Call	Center	
capabilities	
Patient	
Engagement	
Content	 Hospital	TV	
Security	
Solutions	
“Medical	Grade	Connectivity” offers	many	opportunities
47
©	2017	All	Rights	Reserved
In	Conclusion
Secure	Medical	Grade	Connectivity	(SMGC)	is	defined	as	a	secure	connection	between	
healthcare	providers	and	medical	grade	devices	in	the	home,	which	includes	
authentication,	data	encryption,	and	management	of	the	connection.	
$205	billion
medical	expenditures	that	
could	be	avoided
$528	million	
in	Medicare	penalties	
that	could	be	avoided
$3.1	billion	
security	breach	expense	
that	could	be	avoided
48
©	2017	All	Rights	Reserved
www.FirecrackerInternational.com
sknight@firecrackerinternational.com
850-545-7480
49
©	2017	All	Rights	Reserved
49

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