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The practice of medicine is a critical social interaction . . .
From where I stand . .

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IBM 360 – Card Reader
Hewlett Packard Magnetic Card
Programable Calculator
1975

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Z80A microprocessor
S-100 Bus
4K memory
Serial Port
Monitor input
5 ¼ floppies (hard sectored)
What is this ??1978

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Personal Computers Learn to Talk
CP/M
Operating System
Dennis Hayes
Hayes Microcomputer

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From CP/M to DOS
Osborne Portable
Texas Instruments - Color
Radio Shack TRS 80
Compaq Luggable
Bill Gates

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Modems Go International
Satellite communications goes global

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Telemedicine goes
Worldwide
The era of Big Data begins
Telemedicine for Homeless Cruise Ships
Telemedicine for NASA

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Management:
Executive Summary
TTS provide a telemedicine capability for Rotary Wing MedEvac to provide for improved
patient care and capture of critical data
The TTSRW program was originally funded by 2 congressional plus-ups which provided a
brassboard demonstration of the TSS capabilities
USAMMA continued funding of the program with pre Milestone A funding in 2012 which
concluded with a proof of military (PMU) demonstration of the TSS system
With Milestone A approval in March 2013, USAMMA issued a contract for Advanced
Development
CDD, required for a Milestone B decision was originally submitted and in staffing, but was
withdrawn by AMEDD DCD
Primary Pursuit: T2 Rotary Wing Adv Dev (LTC Beach)
Prime/Sub: Prime
Competitive/Sole Sole Source
Customer: US Army – Integrated Clinical Systems PO
Teaming Partners: None
Competition: Pre Milestone B Competition
Acquisition Status: Awarded Phase II Advanced development Contract
Market Potential: Over $168M
Technology: TRL 7
Key Milestones:
 T2RW Phase II Adv Dev Contract Award - Oct 2013
 PDR – Feb 2014, CDR – Apr 2014
 Stead Flight Test – Jun 2014
 Ft Gordon Battle Lab Test – Aug 2014
 Ft Rucker Flight Test and Eval – Sep 2014
 Milestone B subject to Approved Requirements Document
Forecast:
Tracking # Year Order Pw Start Date Po Actual Order Baseline
Advanced Development
A3652-008 2014 4,200,000 90% 2/03/2014 3,780,000 3,780,000
Stateside – Ft Rucker
A3652-007 2014 90,600 100% 2/17/2014 90,600 90,600 45,000
Program of Record
A3958 2015 6,000,000 50% 9/10/2015 3,000,000
A3958 2016 12,000,000 50% 7/01/2016 6,000,000

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2016

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Peripherals
Diabetes
NTT Telemedicine Solutions
Chronic Disease Management
Video
Medical
Devices
Audio
Medical
Devices
Remote Monitoring
Diagnostic
Medical
Devices
Managemen
t
Prevention
Patient
Camera
Exam
Cameras
Stethoscope
Blood
Pressure
Diabetes
Cholesterol
Custom
Monitoring
Independent
Living
Assisted
Living
Skilled
Nursing
Hospice
Post
Traumatic
From the Desk of James Hammond
james_hammond@dell.com
Traumatic
Brain
Alcohol
Marijuana
HIV & AIDS
Coronary
Artery
Disease
Multiple
Sclerosis
Hepatitis
Internet
of
Things (IoT)
Addiction Veteran Lungs
Opioids
Pornography
Tobacco
Family
Counseling
Heart Aging
Auto
Immune
COPD
Asthma
Hypertensio
n
Congestive
Heart
Cholesterol
Stroke
Cancer
Mental
Health
Lungs
Breast
Skin
Prostate
Family
Counseling
Adult
Adolescent
Children

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Case Management
Connected Health
Platform
Psychologist
Psychiatrist
Specialist
HospitalSystem
BP Cuff
Scale
Activity
Tracking
Food
Journal
Surveys
Dashboards &
Alerts
HomeMonitoringKit
BioMetric
Data
TextandVoiceNotifications
Connected Health Platform - Overview
Patients
Education
BioMetric
Data
Social
Media
Activity
Tracking
Weekly Video ConferenceText and Voice Notifications
Surveys &
Assessments
Food
Journal
Video
Client
Electronic
Medical
Record
PACS
OptionalIntegration
Patient
CRM
Clinical
Archive
Optional
Integration
Mapping

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Surveys &
Assessments
Dashboards
Patient
Physician
Support
Connected Health Platform
Remote Devices
Biometric Data
Glucometer
Education
Social Media
Food
Journal
Activity
Tracking
Scale
BP Cuff
HomeMonitoringKit
Patient Dashboard - Consolidated Data View:
• Weight – Current – Target - Trending – Compare
• BMI – Current – Target - Trending - Compare
• Blood Pressure – Current – Target - Trending
• Glucometer – Current – Target - Trending – Compare
• Activity – Current – Target - Trending – Compare
• Food Journal – Current – Target - Trending – Compare
• Assessment Score – Current – Trending – Compare
Patient Dashboard
Consolidated View
Alerts
Patient
Physician
Support
CRM
EMR
PACS
Video Client
Connected Health Platform
Home Monitoring Kit

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Connected Health Platform – Video Client
EducationSocial Media
Home
Monitoring Kit
Video ClientActivity
Tracking
Integrated Components
Surveys
Food
Journal
Video Clients support:
 Multiple camera access with the ability to switch between cameras while in a video session.
 Access into DICOMM systems
 Graphic File gallery access
 Video connection and transmission to and from secondary phones and tablets
 IP Camera access with PTZ controls
 Whiteboard
 Application and desktop sharing
 YouTube Video Access
 Bridge access to legacy H.32X systems

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Connected Health Platform – Integration
Connected Health Platform
BP Cuff
Scale
Activity
Tracking
Food
Journal
Patient Dashboards
Home Monitoring Kit
Glucometer
Insulin Pen
Physician Dashboards
Case Management
Primary
Physician
Mid-Level or
Consulting
Physician
Specialist
Alerts Escalations and
Alerts
Integrated Components
EducationSocial MediaBioMetric Video ClientActivity
Tracking
Food Journal Surveys
Patient
EMR
PACS Patient
CRM
Optional Integration
Clinical
Archive
Geographic
Mapping

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Connected Health Platform – Alerts, eMails and IM
Case Management Alerts:
1. Weight – No Data within 24 hours – Current exceeds 10% variation in 15 days –
Trending is negative
2. BMI – No Data within 24 hours
3. Blood Pressure – No Data within 24 hours - Current exceeds 10% variation in 15
days - Trending is negative
4. Glucometer – No data within 24 hours - Current exceeds 10% variation – Trending is
negatiive
5. Activity – No Data within 24 hours – Current exceeds 20% variation – Trending is
negative
6. Food Journal – No Data within 24 hours - Current exceeds 20% variation – Trending
is negative
7. Assessment Score – Current exceeds 20% variation from average assessment score
8. Compliance Score – % Data Received
Patient Alerts:
1. Weight – No Data within 24 hours – Current exceeds 10% variation in 15 days
2. BMI – No Data within 24 hours
3. Blood Pressure – No Data within 24 hours - Current exceeds 10% variation in 15
days
4. Glucometer – No data within 24 hours - Current exceeds 10% variation
5. Activity – No Data within 24 hours – Current exceeds 20% variation
6. Food Journal – No Data within 24 hours - Current exceeds 20% variation
7. Assessment Score – Current exceeds 20% variation from average score
8. Compliance Score - % of Data Received plus assessment score
Patient Notices
• Weight –
• BMI –
• Blood Pressure –
• Glucometer –
• Activity
• Food Journal –
• Assessment Score –

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GIS Mapping
Biometrical and Environmental
What environmental,
geographic of location
variables affect patients

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Retail Telemedicine
Medical Maintenance - $29.00/month/client
Cox Cable
Time Warner
Comcast

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For additional questions, please contact:
Jim Hammond
james.hammond@nttdata.com

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