The document discusses connected health and the importance of systems integration. It notes that barriers to integration include technical standards, regulations, and demonstrating financial value. Drivers for healthcare integration are addressing staffing shortages, developing smart devices, improving processes and reducing costs. A successful solution must consider the complete system from a user, business and technology perspective. The case study describes how Starkey developed a wireless solution called SurfLink Mobile to allow hearing aid users to stream audio from smartphones without a separate relay device.

1. Copyright 2014 Logic PD, Inc. All Rights Reserved.
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Connected Health: The Importance of Systems Integration MD&M Chicago October 16, 2014
Bill Betten
Vice President of Business Solutions Medical/Life Sciences
Logic PD

2. Copyright 2014 Logic PD, Inc. All Rights Reserved.
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Agenda
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Interoperability overview
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Interoperable medical system drivers
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Systems integration considerations
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Case Study
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Questions

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Who is Logic PD?
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Logic PD is the complete product innovation and product realization company for connected devices.
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Helping launch products and accelerate growth for over 50 years.
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Minneapolis Headquarters
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Design offices in Boston and San Diego
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Manufacturing operations in Minnesota

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Definition of Interoperability
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The ability of a system or a product to work with other systems or products without special effort on the part of the customer
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Two approaches:
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Adhere to published interface standards
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Make use of a "broker" of services that can convert one product's interface into another product's interface "on the fly"

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Technical: the lack of interoperable telehealth standards and equipment
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Regulatory: safety regulations hamper the creation of multi-vendor solutions
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Financial: economic value has proven difficult to demonstrate to hospitals, vendors, and consumers
Barriers to Interoperability

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The purpose of systems engineering and integration
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Produce systems that satisfy the customers’ needs and expectations
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Increase the probability of success
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Reduce risk
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Reduce total lifecycle cost

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Healthcare Integration Drivers
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Address shortfall in healthcare professional staffing
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Develop “smart” healthcare devices
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Simplify business processes and improve operational efficiency
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Reduce costs
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Enhance privacy and security
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Improve risk management and compliance
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Leverage rapid advancements in technology
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Enhance quality of care using decision support systems
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Generate insights from analytics on “big data”
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Improve data accuracy

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Healthcare Ecosystem
All stakeholders need to work together to create a better overall experience.
A better healthcare experience.
Providers
Government Agencies
Payers / Insurance
Clinical Research Companies
Consumers / Patients

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Successful solutions consider the complete system.
User Desirable
Technology Feasible
Business
Profitable
Identify value and expectations of users and stakeholders.
Select and deliver appropriate technology solution.
Define appropriate business model.

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Device
Network
Cloud
Application
User
Administrator
Connected Ecosystem: Why it’s complicated.

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Connectivity Considerations
Sensors and Data
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What data do you need to gather?
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Does the equipment already have the required sensors built in?
Power
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What is the amount of data needed?
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How frequently will the data be collected?
Security
•Protecting the data at collection, in transit and on the application.
Network Connection
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What connection option best fits your application?
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Wi-Fi, Bluetooth™, cellular and more.
Analytics
•Data needs to be converted to useful information.
•What is it exactly that your users want to know?

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One-time
Recurring
fixed
Recurring
variable
Recurring
variable
One-time
Costs are apples and oranges
Device
Network
Cloud
Application
User
Administrator

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System Integration Considerations
Device
Network
Cloud
Application
1.
Functional Architecture Identify the functional blocks needed to complete the healthcare ecosystem.
2.
Analysis of Alternatives Assess each functional block to determine the right solution based on your available options and performance criteria.

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System Integration Considerations
Device
Network
Cloud
Application
3.
Define Interfaces Create the required connections between each block so data can transfer seamlessly.
4.
Develop Solution Develop the final solution to complete the healthcare ecosystem.

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Navman GPS Sleeve
CoPilot GPS for Laptop
iPhone with GPS
The Three Stages of Convergence
1.
Wired or wireless connection
2.
Physically joined together
3.
Integrated

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Starkey SurfLink® Mobile
Challenge
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Hearing aid patients cannot effectively talk on smartphones
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Current hearing aids stream audio via a secondary relay device typically worn around the patients’ neck
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Find a solution that eliminates the need for a body worn relay device

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Starkey SurfLink Mobile
Solution
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Mobile transmitter solution that wirelessly connects with Bluetooth-enabled smartphones
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Create a new look, icons and ergonomics, to meet expectations of today’s consumers
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Antenna – small in size without compromising quality
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Communication between mobile phone and SurfLink mobile – 30ft. Bluetooth range

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Starkey SurfLink Mobile
Results
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SurfLink Mobile is a remote microphone, assistive listening device, and hearing aid remote control - all in one.
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Audio streaming for other Bluetooth-capable devices is also possible, allowing the hearing aids to act as highly customized headphones.
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Available in 17 countries and has opened up the smartphone market to millions of hearing aid patients.
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In 2013, SurfLink Mobile won a Red Dot Design Product Design Award and was a CES Innovations Design & Engineering Award Honoree.

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Summary
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Barriers to integration include technical, regulatory and financial
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Healthcare integration drivers include
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Cost reduction
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Enhanced quality of care
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Overall improved healthcare experience
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The connected ecosystem is complicated and you need to consider the complete system: User, Business and Technology

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Questions?
Bill Betten, Logic PD
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Email: bill.betten@logicpd.com
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Website: www.logicpd.com