MobiHealth is a spin-off company from University Twente that was founded in 2007 to develop telemedicine services. It has developed a MobiHealth Services Platform (MHSP) that allows real-time and periodic patient health data to be securely transmitted over wireless networks from mobile devices. One application developed using this platform is BP@Home, which enables home blood pressure monitoring for hypertension patients following clinical guidelines. BP@Home is expected to improve patient care through more accurate diagnoses and increased treatment compliance. MobiHealth aims to commercialize innovative telehealth solutions through collaborations with healthcare organizations and research projects.

1. (c) MobiHealth, 2010
Dr. ir. Tom Broens
tom.broens@mobihealth.com

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(c) MobiHealth, 2010
What is MobiHealth?
• Originated from the MobiHealth research project
• Spin-off University Twente in 2007
• Employees:
–CEO: Peter Lems
–CTO: Richard Bults
–2 Developers
–1 Research coordinator
• Different supporting companies (design, accountancy, juridical
advice, etc.)
• Different daughter firms to exploit commercial products
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(c) MobiHealth, 2010
What do we do?
• MobiHealth: “putting care in motion”
– monitor patients health conditions from a
distance, in their own environment/home
– provide novel ways of visualizing health data
and providing feedback to patient and care
professional
– support clinical process
– create solutions that fit the healthcare domain,
organizationally, financially and legally
• Hence, provide innovative turn-key
telemedicine services!
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(c) MobiHealth, 2010
How do we do it?
• MobiHealth services platform (MHSP)
– ICT infrastructure for medical data storage and
transport over the internet
– Time synchronized, secure and reliable data
transfer
– Targets large scale deployments
– Capable of supporting wide range of applications
– Support for mobile (GPRS/UMTS) or stationary
internet connections
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MobiHealth Services Platform
(MHSP)
Wired/Wireless Internet
Applications

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MHSP
• Two types of applications:
– Real-time applications
• ‘24/7’ live measurements
• Body Area Network
• Real-time upload
– Periodic applications
• Periodic measurements
• Periodic upload
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(c) MobiHealth, 2010
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MobiHealth Services Platform
(MHSP)
Wired/Wireless Internet
Real-time mobile
apps
Periodic apps
What types of apps do we support?

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MHSP 5
Examples:
– Real-time applications
• Mobile Drug Research
• COPD training
•Stress/Emotion detection
• Chronic shoulder/back pain
– Periodic application
• BP@Home (High blood pressure)
• Thrombosis
• Obesitas
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(c) MobiHealth, 2010
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MobiHealth Services Platform
(MHSP)
Wired/Wireless Internet
Periodic apps
What do we work on?
Real-time mobile
apps
Periodic apps
MDR
COPD
Shoulder-back
pain
Stress / emotion
BP@Home
Thrombosis
Obesitas

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(c) MobiHealth, 2010
What is BP@Home?
• +- 1 mln. patients of hypertension in NL
• “White coat & masked” hypertension vs. home
measurements
• BP@Home enables home measurements following
ESH protocol
• Small & Large scale trails (i.e. 150 pat, 7 hospitals)
• Commercial product in june 2010
– chronic hypertension
– high-risk pregnancy
• Approx. 200 regular patients and growing...
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What is BP@Home?
• Technology
– Superb sensors (clinically validated, CE certified)
– Superb data transport system (robust, scalable, secure)
– Conformance to medical guidelines
– Usability extremely important for acceptance of (elderly) patients
– Validate the total service with trails
• Business case
– Clear profit for the care professional (income, time saving,
improved quality of care)
– Tailored to the current financing structures (pricing, functions)
– Aggressive pricing such that patients might also pay themselves
• Legal aspects
– Conformance to privacy laws (CBP)
– Conformance to european laws (CE -> patient safety)
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Why can this be a success?

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What is BP@Home?
• Usability
– Powerful but simple design of the web portals
– Patient/Professional centered design (requirement elicitation)
• Marketing
– Convince the people on the working floor
– (High profile) champion which is convinced in the solution
– Offer ‘free’ trails --> ‘proefplaatsingen’
– Validate the total service with trails
• Quality of Care, Therapy compliance, Patient motivation
– No manual input of medical data (error probability and
observational bias)
– Enabling of self management
– Notifications of measurement start/stop & upload
– ‘Informal’ communication channel between care professional and
patient (quality of care)
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Why can this be a success?

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(c) MobiHealth, 2010
Our way of working
• Listen to the healthcare market! - MobiHealth method
• MobiHealth Lab
– Students do bachelor/master assignments
– Create demo’s at Twents Lab voor Telegeneeskunde
– Create new potential concepts to try out...
• Participate in (research) projects to:
– Provide a robust basic communication platform
– Try out innovative concepts
– Improve our platform and develop new applications
– Perform (large-scale) trails
• Evolve and commercialize research results
– Create partnerships
– Organize the whole process on the highest level
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(c) MobiHealth, 2010
Thank you for your attention!
Questions?
Tom Broens
tom.broens@mobihealth.com
11MobiHealth:
putting care in motion