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How Wireless Networks Empower Patients 10th Annual Healthcare Unbound Conference & Exhibition Shahid N. Shah, CEO

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NETSPECTIVE 2 Who is Shahid? • 20+ years of software engineering and multi- site healthcare system deployment experience • 12+ years of healthcare IT and medical devices experience (blog at • 15+ years of technology management experience (government, non-profit, commercial) • 10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and non-profit) Author of Chapter 13, “You’re the CIO of your Own Office”

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NETSPECTIVE 3 Life expectancy is increasing… …but the rate of growth is slowing

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NETSPECTIVE 4 Bacteria used to kill us the most… Per 100k population, Historical Statistics of the United States, Millennial Edition

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NETSPECTIVE 5 We’ve got most infections beat… …except the flu and pneumonia Per 100k population, Historical Statistics of the United States, Millennial Edition

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NETSPECTIVE 6 Top killers today Heart disease Cancer Chronic lower respiratory diseases Top killers in 1900 Pneumonia and influenza TB Diarrhea and enteritis Infectious diseases used to kill us… …but what’s left seem only to be “manageable” not easily “curable” Per 100k population, Historical Statistics of the United States, Millennial Edition

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NETSPECTIVE 7 Death by age group, 1900 Death by age group, Today From cures to management… …young people don’t dye of diseases often now

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NETSPECTIVE 8 Chronic Conditions Almost half the U.S. population needs chronic disease management Source: NCQA State of Healthcare Quality Report 2007 & Wellpoint

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NETSPECTIVE 9 Medicine has accepted lack of cures… …we’re now focused on prevention and wellness (below is CDC’s framework) Objectives: • Keep people out of the hospital ($$$) • Keep people from their docs ($$) • Keep people off drugs ($) • Keep people at home

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NETSPECTIVE 10 Keep patients away from hospitals $0 $100 $200 $300 $400 $500 $600 $700 $800 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Hospital care, total Physician and clinical services, total Nursing care facilities and continuing care retirement communities, total Prescription drugs, total Hospitalization, physician and clinical services total more than $1.2 Trillion today

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NETSPECTIVE 11 Health services centralization tried Source: Jason Hwang, Innosight, via Jeff Selberg of IHI

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NETSPECTIVE 12 …now comes decentralization and disruptive innovation Source: Jason Hwang, Innosight, via Jeff Selberg of IHI

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NETSPECTIVE 13 Consumers will need do/pay more…

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NETSPECTIVE 14 The new world order General Wellness Specific Prevention Self Service Physiologics Self Service Monitoring Self Service Diagnostics Care Team Monitoring Care Team Diagnostics Healthcare Professional Monitoring Healthcare Professional Diagnostics Hospital Monitoring Hospital Diagnostics

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NETSPECTIVE 15 Consumerization of physiologics….

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NETSPECTIVE 16 Consumerization of labs / genes Labs on chips Personal Genomics

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NETSPECTIVE 17 Consumerization of monitoring

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NETSPECTIVE 18 Wireless Body Area Network (BAN) The cornerstone of mHealth

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NETSPECTIVE 19 Wireless BAN Ecosystem Source: Qualcomm

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NETSPECTIVE 20 Wireless Protocols Comparison

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NETSPECTIVE 21 ANT+ is winning ULP protocol battle

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NETSPECTIVE 22 Needed: diagnostic quality mHealth

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NETSPECTIVE 23 Needed: sophisticated analytics

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NETSPECTIVE 25 Needed: automated diagnostics

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NETSPECTIVE 26 Data changes the questions we ask Simple visual facts Complex visual facts Complex computable facts

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NETSPECTIVE 27 Implications for scientific discovery The old way Identify problem Ask questions Collect data Answer questions The new way Identify data Generate questions Mine data Answer questions

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Thank you Questions? [email protected]