Enabling Remote Patient Monitoring

Opportunities and Challenges

Akhsar Kharebov akhsar@infometers.com

August 2013

Previously <200 years ago

People died young

Main cause of death was acute

Main cause of death was acute

Innovation focused on solving acute problems

Dramatically increasing life

Currently

People live long lives, face other risks

Chronic Conditions are responsible for most deaths

Chronic Conditions are tied to 75% of the costs

Require Monitoring and Management

Management Traditionally Provider Driven

Diagnosis, Treatment and Management

Top Down Approach Doctors see patient at their office

Expensive Significant Time from Medical Staff

Limited Efficacy Lifestyle unaffected

Future

In Theory

Patient Choice

Ubiquitously Present Part of Your Life

Continuous Feedback Annotating Everything

Patient Driven Or at least engaged

Old and New

Challenges

EMR not designed to support remote monitoring

Low reimbursement for monitoring or prevention

Federal Guidelines Still Unclear

Technical adoption is slow in medicine

At the same time…

Development and manufacturing costs have

dropped At least for non-FDA devices…

Computational power has grown dramatically

Digital Health Data Next Big Frontier

Devices Generate Most of the Data Today

Data Represents Challenge and Opportunity

Traditional Healthcare Industry Stores

434 petabytes of data

Making Sense of it is Non Trivial

Additionally

Personal Health Data is growing rapidly

Many self-monitoring options FDA & QS

Examples

FitBit

Withings

BodyMedia & Jawbone

Basis

vimeo.com/45229049

Opportunities

Patient Monitoring

On sites like IndieGoGo

Crowd Funding

$846,675 in preorders

Misfit Shine

$ 1,664,375 in preorders

Scanadu

Crowd Testing

“Right now we are giving you access to our first version of the device as an exploratory

tool, where you are the researcher! By helping us collect data, we can file our

application to the FDA for market approval as an over-the-counter consumer-grade

diagnostic tool.”

Scanadu is not yet FDA approved

http://www.indiegogo.com/projects/scanadu-scout-the-first-medical-tricorder

CrowdTesting Platform, IndieGoGo Partner

HealthTechHatch.com

Personalized Diagnostic Services

Drug and Therapy Trials

New Delivery Vehicles and Devices

vimeo.com/45229049

New Distribution and Market Ecosystem

Summary

Challenges remain

A lot of new opportunities

Next 3 years crucial

akhsar@infometers.com

Thank you!