This document discusses OpenTele, an open source remote patient monitoring platform developed by Silverbullet for the Danish healthcare system. Some key points: 1) OpenTele aims to provide a simple, scalable, and affordable remote monitoring solution using commercial off-the-shelf devices and cloud technology. 2) Existing remote monitoring systems are often too complex, expensive, proprietary, and disease-specific. OpenTele seeks to address these issues with an all-in-one platform. 3) OpenTele utilizes questionnaires, measurements, and video conferencing to facilitate remote monitoring and clinical pathways. Over 2000 patients in Denmark currently use OpenTele.

1. Henrik L. Ibsen, CEO
hibsen@Silverbullet.dk
+45 30701155

2. •Open Source/license free
•Initial budget $1,5 mio USD
•Large scale focus
•Complete coverage
Denmark -the danish healthcare strategy
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3. Home Health Monitoring Market
Business opportunities
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4. 5
Portable devices for measurements and end user interaction
Clinicians view designed to handle large scale remote monitoring
Monitoring data
Feedback from clinicians

5. Remote monitoring issues
Existing problems: (solved by Open Tele)
•Systems are too complexand ambitious (Keep it SIMPLE!)
•Not designed to be efficient or scalable (Design for scalability)
•Expensiveby license fee’s, prohibitive pricing (Target <$35 pt/year)
•Proprietaryhardware is complex and expensive (Use COTS)
•Systems are designed to specific diseases (All in 1 platform)
•Fewand scattered references (Implement a whole nation)
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6. OpenTele approach
At schedule the patient
execute the workflow
Data send to the
OpenTele DB
instructions to remain
calm for 10 minutes
Data is obtained -
-using std. devices
Patient goes to hospital
Questionnaire is pushed to patient
tablet, and activated when it’s time!
or perhaps.…
Patient has an online video
conference with the doctor
TIME!
Doctor reviews data
and takes action
Doctor creates questionnaire with
clinical pathway for COPD with schedule

7. Context, Data & Facts
Automatic or Manual input
•Blood saturation/pulse
•CTG
•Blood pressure
•Weight
•Glucose in blood
•Lung function (spirometer)
•Continual glucose measurement
Manual input
•Temperature
•Glucose i urine
•CRP
•Hemoglobin
•Protein i urine
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8. COPD Questionnaire/workflow
•COPD workflow
•Patient follows clinical pathway
•Instructions -> Context+
•Q&A -> Diagnostic data +
•Measurements -> Facts
The workflows can be quite complex, and
work as part of diagnostic efforts, for specific
diseases -thus extending monitoring to also
include fact-finding and document
changes/development in the patient condition.
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Clinical Value

9. OR
?
$2.80 / Month
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10. Scalability
10% of users
20% of users
85% of users
High Clinical quality
Bluetooth/Manual
High Clinical quality
Bluetooth/Manual
BYOD
Manual

11. •Hospitals: massive cost reductionsby allowingthe patients to take measurements at home. Patients save time, are checked more often, and feel empowered.
•Hospitals: Much better resource utilizationand huge savings on medico equipments, by utilizing empty beds for patients, equipped with a low cost tele kit instead of expensive fixed equipment
•Health insurance companies are able to systematically prevent people from hospitalization, because conditions are caught early and treated by GPs rather than at the Hospital.
•Large HealthIT provider benefit from cost effective cloudbased platform, and provider can focus on rollout and logistics delivered.
•Pharma companiesmandated to document adherenceand compliance to maintain reimbursement. Support ambitions to value add to their products by providing IT support for home care and telemedicine.(Chronic diseases)
Potential utilization
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12. Potential utilization
•Industrial companiesthat need to monitor critical personnelon a daily basis for security reasons (Like off-shore, shipping, mining etc)
•Public administrations (Health)are able to launch regional projects for screening large groupsof citizens, or even focus on home for elderly or schools. Preventional programs can be added.
•NGO’scan have access to remote monitoring and diagnostic equipment –increasing range, possibilities and efficiency of their healthcare efforts
•3rd world governmentsseeking to stretch very few clinical resources over vast geographical areas, as well as utilizing overseas specialists and doctors.
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13. Status of OpenTele
Silverbullethas developed OpenTele has Open Source for Danish Government
Live version of OpenTele is maintained by Silverbullet
Development, changes and support agreement with Danish Government
Live from 1/9 2013 -large scale
2000+ patients is using OpenTele as per 1/8 2014.
2nd version of OpenTele to be delivered before 1/1 2015.
CE markMedical device class II by Q2 2015 -deliverable through cloud technology
SignOn in DK by 3 regions and 10+ municipalities including CPH Municipality. More to come.
Part of the governments national roll-out strategy

14. Thank you for your attention!