An exploration of the digital health landscape - what are "snake oils" and the accelerators from the Telehealth Failures & Secrets To Success Conference: vsee.com/telehealth-failures-conference

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Virtual Care Reality and
Accelerators to Scale
James R Mault, MD, FACS
VP & Chief Medical Officer

2. Virtual Care Platform…Circa 2001

3. In the Blink of an Eye…
Pope Benedict XVI Pope Francis

4. Smart phone adoption is unprecedented
2X faster than internet, 3X faster than social media
Sources: Pew Research, Ever Accelerating Rate of Technology Adoption, March 2014 Nielsen Telecom Research and Insights, Sept. 2011
50
40
30
20
10
0
1870 80 90 1900 10 20 30 40 50 60 70 80 90 2000 2008
Electricity (46)
Telephone (35)
Radio (31)
Television (26)
PC (16)
Mobile Phone (13)
The Web (7)
Smart Phone
(3 years)
// FIRST COMMERCIALLY AVAILABLE YEAR //
//#ofyearstoreach25%adoptionintheUS//

5. Qualcomm Global Wireless Mobile Pioneer
(4), (5), (6) and (7) See footnotes included in the appendix section at the end of
the presentation
^Source: Qualcomm Incorporated granted and pending patents as of Jan.’16;
licensee count as of Jan. ’16
***Sources: IHS, Jan. ’16 (RF); Strategy Analytics, Dec. ’15 (modem, AP)
932M
MSM chipsets
shipped
in FY2015
170+ single-mode
4G only licensees^
295+ 3G licensees^ 1.56B 3G/4G
Est. global
devices shipped
in CY2015 **(4)
119,000+
Total worldwide
patents^
#1 in 3G/4G
LTE modem
Scale, reach and technology/IP powerhouse
#1
in RF
Technology leadership***
Why we win
#1 in smartphone
apps processor/SoC
Mobile
everywhere
~7.3B
*GSMA Intelligence, Jan. ’16
Global cellular
connections*
Richer content
(video)
More
connections
LIVE
Mobile 2G Mobile 3G Mobile 4G Mobile 5G
D-AMPS,
GSM/GPRS,
cdmaOne
CDMA2000/EV-DO
WCDMA/HSPA+,
TD-SCDMA
LTE, LTE Advanced,
LTE Advanced Pro
<0.5 Mbps (5) 63+ Mbps (6) More than multi Gbps1+ Gbps (7)

6. 5G Represents an Exciting Future State
Mission-critical
services
Enhanced
mobile broadband
Massive Internet
of Things
NetworkingSmartphones Robotics
and drones
Automotive Health Smart cities Smart homesWearables
Unified design for all spectrum types and bands from below 1GHz to mmWave
• Ultra-low latency
• High reliability
• High availability
• Strong security
• Multi-Gbps data rates
• Extreme capacity
• Uniformity
• Deep awareness
• Low cost
• Ultra-low energy
• Deep coverage
• High density
Mobile
compute

7. © 2015 Qualcomm Life. All rights reserved.
Qualcomm Life Vision:
Intelligent care everywhere
7

8. Capsule Platform
© 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.8
Continuous data for near real-time monitoring and informed interventions
60
15
95
High Acuity Patient
Monitor
Neuron
HIGH-ACUITY PATIENT ROOM CONTINUOUS DATA COLLECTION
Infusion Pump
SmartBed
00
00
00
00
00
Urimeter
Ventilator Dialysis Intra-aortic
Balloon Pump
Documentation
• Enable Increased time at bedside
Surveillance
• Respond proactively to trends
Alarm Management
• Inform interventions with context

9. 2net Platform
ENCRYPTED
Expansive
Ecosystem
2net Hub or
2net Mobile App
2net Platform ENCRYPTED
Ecosystem of 2net
application partners
2net Design
9 © 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.

10. © 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.10
Near Real-Time Data Spanning Care Settings
A single flexible connectivity and integration partner
• Continuous data capture and integration across acuity levels for actionable
clinical and operational insights
• Capture and transmission of near real-time data to the 2net cloud
Hospital High Acuity Hospital Low Acuity Postacute Care Ambulatory RPM
Preventative
Care

11. Expansive Vendor Neutral Ecosystem
• Open device and application agnostic design
• One of the world’s largest connected health ecosystems
​2,355
​Companies spanning
​the health care
​spectrum
​796
​Capsule device
integrations
​100+
​2net device
​integrations
48
​EMR and Health IT
​ systems
​integrations
© 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.11

12. Intelligent Care Enables New Healthcare Services
© 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.12
Cloud-based
Intelligent Services via
Prescriptive Algorithms

13. © 2015 Qualcomm Life. All rights reserved.13

14. © 2015 Qualcomm Life. All rights reserved.14

16. All things being relative…
• US Physician visits per year: 928.6 million
• Number of visits per 100 persons: 300.8
• Percent of visits made to primary care
physicians: 54.6%
• Most frequent principal illness-related
reason for visit: cough
• Most commonly diagnosed condition:
arthropathies and related disorders
© 2016 Qualcomm Life. All rights reserved.16

17. Virtual Care / RPM Adoption Curve
Late MajorityEarly Majority Laggards
Accelerators for
Scalable Clinical
Adoption
Connected
Care
Critical Factors
To win over
early adapters
Innovators
Connected
Care Pilots
Early Adopters
Early Drivers
Entice Early
Adopters

18. © 2015 Qualcomm Life. All rights reserved.
• Provider Work-Flow Systems & Processes
• Value Propositions & Outcomes Data
• Somebody Willing to Pay for Tech & Service
• Medical Grade Accuracy / Reliability
Critical Accelerators
for Adoption
• Effortless Patient Experience

19. Effortless Patient
Experience

21. 21
Will Doctors Trust the Data?
SOURCE: HRI Clinician Workforce Survey, PwC, 2014
Mobile app/device that
can check for ear
infection
Mobile app/device that
can analyze urine
Mobile app/device that
can monitor and check
vital signs
74%
26%
53%47% 48% 52%
Not comfortable Comfortable
Medical Grade

22. Virtual Care and RPM – Medical Grade Matters
© 2016 Qualcomm Life. All rights reserved.22
• A highly secure, HIPAA compliant device connectivity platform
is a recognized need by the healthcare market
• Clinical Accuracy
• Reliability and Data Integrity, and
• Medical – Legal Liability
• FDA Quality Systems, documentation, and audit trails
• Qualcomm Life 2net and Capsule Platforms are the market-
leading Medical Grade Interoperable Platform Encompassing
all Care Settings

23. © 2015 Qualcomm Life. All rights reserved.23

25. The AMA “Digital Snake Oil” Quote
“From ineffective electronic healthcare
records, to an explosion of direct-to-consumer
digital health products, to apps of mixed
quality - it's the digital snake oil of the early
21st century.”
- James L. Madara, MD, AMA CEO
»AMA Annual Meeting, June 2016

26. © 2015 Qualcomm Life. All rights reserved.
• Provider Work-Flow Systems & Processes
• Value Propositions & Outcomes Data
• Somebody Willing to Pay for Tech & Service
• Medical Grade Accuracy / Reliability
Critical Accelerators
for Adoption
• Effortless Patient Experience

27. © 2016 Qualcomm Life. All rights reserved.27
First and only Bluetooth Smart-‐enabled pregnancy
test on the market. First Response™ Pregnancy PRO
connects to a woman’s smart device through a
mobile application. When synced, the app provides
her with pregnancy-‐related content only available
with Pregnancy PRO, and delivers a personalized user
experience throughout her entire pregnancy journey.

28. IoMT Drug Device Integration
© 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.
Integrated sensor design and tech licensing
Secure capture and transmission across settings
• Analysis of triggers and responses
• Mobile patient guidance
• Secure sharing across care team

29. IoMT Medical-Grade Infrastructure
© 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.
Flexible secure gateways and wireless designs
Interoperability across an expansive ecosystem
• Rapid solution development through
ecosystem partners
• Scalable RPM solutions
• Contextual near real-time data

30. IoMT Goal Setting and Monitoring
© 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.
Effortless plug and play connectivity
Secure capture and transmission of vitals to the cloud
• Establish and track goals
• Incentivize healthy behaviors
• Treatment and medication
adherence guidance

31. IoMT Member Engagement
© 2016 Qualcomm Life, Inc. and/or its subsidiaries. All rights reserved.
Secure ‘always on’ connectivity
Scalable platform for mass deployment
• Member incentives
• Healthier behavior
• Employer savings
Intensity
Frequency
Tenacity