This presentation was given at the Tenth Annual Healthcare Unbound Conference in Denver. It covers the following topics: * Things that kill and harm human beings today are very different than just 100 years ago * Health policy and payments are shifting to deal with new realities * Marketplace and industry challenges for device vendors * Why wireless connectivity is good business * Why wireless connectivity is a disruptive innovation Key takeaways include: * Wireless is a business enabler but there’s a lot to consider. * Hardware, sensors, and software are transient businesses but data lives forever. * He who owns, integrates, and uses data wins in the end. * Data from devices is too important and specialized to be left to software vendors, managed service providers, and system integrators.

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

2. NETSPECTIVE
Who is Shahid?
• 20+ years of software engineering and multisite healthcare system deployment experience
• 12+ years of healthcare IT and medical devices
experience (blog at http://healthcareguy.com)
• 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”
www.netspective.com
2

3. NETSPECTIVE
Life expectancy is increasing…
…but the rate of growth is slowing
www.netspective.com
3

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

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

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

7. NETSPECTIVE
From cures to management…
…young people don’t dye of diseases often now
Death by age group, 1900
Death by age group, Today
http://siteresources.worldbank.org/INTHSD/Resources/topics/Health-Financing/HFRChap1.pdf
www.netspective.com
7

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

9. NETSPECTIVE
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
http://www.cdc.gov/chronicdisease/resources/publications/AAG/chronic.htm
www.netspective.com
9

10. NETSPECTIVE
Keep patients away from hospitals
Hospitalization, physician and clinical services total more than $1.2 Trillion today
$800
Hospital care, total
$700
Physician and clinical services, total
$600
Nursing care facilities and continuing care
retirement communities, total
Prescription drugs, total
$500
$400
$300
$200
$100
$0
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
http://www.census.gov/compendia/statab/cats/health_nutrition/health_expenditures.html
www.netspective.com
10

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

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

13. NETSPECTIVE
Consumers will need do/pay more…
www.netspective.com
13

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

15. NETSPECTIVE
Consumerization of physiologics….
www.netspective.com
15

16. NETSPECTIVE
Consumerization of labs / genes
Labs on chips
www.netspective.com
Personal Genomics
16

17. NETSPECTIVE
Consumerization of monitoring
www.netspective.com
17

18. NETSPECTIVE
Wireless Body Area Network (BAN)
The cornerstone of mHealth
www.netspective.com
18

19. NETSPECTIVE
Wireless BAN Ecosystem
Source: Qualcomm
www.netspective.com
19

20. NETSPECTIVE
Wireless Protocols Comparison
http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
www.netspective.com
20

21. NETSPECTIVE
ANT+ is winning ULP protocol battle
http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
www.netspective.com
21

22. NETSPECTIVE
Needed: diagnostic quality mHealth
www.netspective.com
22

23. NETSPECTIVE
Needed: sophisticated analytics
www.netspective.com
23

24. NETSPECTIVE
Needed: care team involvement
PATIENT/
CONSUMER
HEALTHCARE
PROVIDER
Care Team
FAMILY
CAREGIVER
CALL CENTERS AND
REMOTE SUPPORT
www.netspective.com
HOSPITAL
ALTERNATE
SITE OF CARE
24

25. NETSPECTIVE
Needed: automated diagnostics
www.netspective.com
25

26. NETSPECTIVE
Data changes the questions we ask
Simple visual facts
www.netspective.com
Complex visual facts
Complex computable
facts
26

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

28. http://healthcareguy.com
Shahid.Shah@netspective.com
Questions?
Thank you