Continua Health Alliance:The Next Generation of Personal Telehealth is HereA non-profit, open industry alliance of the finest healthcare and technology companies in the world joining together in collaboration to improve the quality of personal healthcare.

Continua Health Alliance

“Our Mission is to establish an eco-system

of interoperable personal health systems that empower people & organizations to better

manage their health and wellness”

10/14/2009 3

The Continuum of Care

AmateurAmateurAthleteAthlete

Diet/FitnessDiet/FitnessFocusedFocused

WorriedWorriedWellWell

Elderly LivingElderly LivingIndependentlyIndependently

ChronicChronicPatientPatient

AcuteAcuteRecoveryRecovery

InfantInfant

CONTINUUM of LIFE

CONTINUUM of CARE GIVERS

Doctor/NP/NurseDoctor/NP/NurseHomeHomeNursingNursingProfessionalProfessional

The FamilyThe Family

FitnessFitnessWellnessWellnessCoachCoachNew ParentsNew Parents

Continua Health Alliance enables a personal health eco-system that empowers individuals & families to better manage their own health and

wellness across the continuum of life and care methods.

Promoter Members Open Open InternationalInternational

Over 222 Over 222 Member Member

Companies!Companies!Contributors

7 Layers AG24eight, LLCAdvanced Digital InstituteAlcatel LucentAlereAllion Test Labs, Inc.All Medicus Co., Ltd.American Heart AssociationAnalog DevicesAndago Ingenieria s.l.AppsHub, Inc.ASE Consulting LimitedAstraZenecaAT4 WirelessAT&T MobilityAttrezzature Medico Sanitarie SRLAuthentidate Holding Corp.AViTAAwarepointBiancaMedBiocomfort Diagnostics GmbH BIOSPACE Co., Ltd.Bluegiga Technologies OyBoston ScientificBroadcom CorporationBXI Health Systems, LLCCambridge Consultants Ltd.Canada Health InfowayCapital HealthCardiff UniversityCEA - LETICentre for Global eHealth InnovationCerner CorporationChiptech LimitedChristus HealthChunghwa Telecom Co., Ltd.Claricode, Inc. ConnectBlue ABContinuity HealthConvergence Wireless, Inc.CSR plcCYPAK AB

Dynastream Innovations Inc.eflow Inc.Elbrys NetworksEmber CorporationEmpirica GmbHEricsson Nikola Tesla d.d.ETRIEuroTech, Inc.Fairbanks ScalesFitLinxxFrance Telecom R&D, LLCFreescale Semiconductorfrog design, inc.Frontline Test EquipmentFujitsu LimitedGenerationOne, Inc.GlaxoSmithKlineGoogle Inc.Hill-RomHitachi, Ltd.Holst Centre (IMEC)Home For Life SolutionsHoMedicsHoneywell HomMed LLCHosiden CorporationHospira, Inc.HTCI2BC – Insitute of Innovation for Human WellbeingiFoundry Systems Singapore Pte LtdIndustrial Technology Research InstituteInfineon TechnologiesINFORSON Co., Ltd.Innomed Medical Zrt.Innovation Centre ScotlandInstitute for Infocomm ResearchInstitute of BiomedicalInsung Information Co., Ltd.InterComponentWare, Inc.Intramed A/SKai Sensors, Inc.

LG Electronics Inc.LifescanLifeWatch AGLogicMarvell International Ltd.MedApps, Inc.Medgate AGMedHelp InternationalMedixine OyMicrolife CorporationMindTree LimitedMotorolaMIR- Medical International ResearchMTI Ltd.MTS Medication TechnologiesMurata Manufacturing Co., Ltd.NEC Access Technica, LtdNestleNeusoft Medical SystemsNippon Telegraph and Telephone CorporationNordic Semiconductor ASANorth End TechnologiesNovo NordiskNuubo (Smart Solutions Tech)ON SemiconductorOregon Medical LabsOregon Scientific Inc.Orthosensor, Inc.PA Consulting GroupPfizerPolymap WirelessPrecor FitnessProduct Development Technologies (PDT) Proskauer Rose LLPProximiti Communications, Inc.Red Embedded DesignRenesas Technology AmericaResMed Corp.RF TechnologiesRMD Networks

Silicon Laboratories, Inc.SK Telecom AmericasSmartlife Technology LtdSony Electronics Inc.SterlingTech, Inc.Stollmann E+V GmbHSTMicroelectronics N.V.Sumitomo Electric Networks, Inc.Sybase iAnywhereT-Mobile USATaiDoc Technology CorporationTaiyo Yuden Co., Ltd.Tanita CorporationTechnoGymTekoa Technologies Inc.Telbios, SpATelecom Italia SpATelefonica S.A.Telehealth Solutions Ltd.TELUS Health SolutionsTextronics Inc.Toshiba Home Appliances CorporationToumaz Technology LimitedTSBTTATyco ElectronicsTynetec LtdUnitedHealth GroupUniversity of Miami - Miller School of MedicineValentia TechnologiesVerizonVitaphone GmbHVivoMetrics, Inc.Vocollect Healthcare Systems, Inc.Vodafone Group Services Ltd.VTT Technical Research Centre of FinlandWaldo NetworksWelch Allyn

i d Ri

Liaisons

6

The Challenge & The Opportunity

Worldwide today:– 1 billion adults

overweight– 860 million chronic

disease patients– 600 million elders

age 60 or older

– 75-85% of healthcare spending is on chronic disease management

Source: World Health Organization; McKinsey

Health and WellnessOne billion adults overweight world wide

Internet

HealthyFamily

“Worried well” vital sign monitoring:WeightBlood pressureGlucoseCholesterolActivity level

Benefits:Monitor and motivateAchieve individuals’ goalsAccess personal fitness information anywhereEnhance trainers’ services

Pedometer

Blood-pressure Cuff

Heart Strap

MedicationTracking

Weight Scale

FitnessEquipment

DigitalHome

Cell Phone

PC

PersonalHealthRecord

HealthcareProfessionals

Weight lossand fitnesscoaching

Continua member companies help people live healthier, more active lives by connecting them to their health and wellness team through a more efficient exchange of their personal fitness information.

Internet

Disease Management860 million chronic disease patients world wide

Continua member companies help people with chronic conditions live healthier lives by connecting them to their care team through a more efficient exchange of personal health information.

Chronic diseasePost traumaPre-op

Vital sign monitoring: (remote patient monitoring)

DiabetesCOPDCHFHypertension

Pedometer

Blood-pressureCuff

Pulse Ox

MedicationTracking

Weight Scale

FitnessEquipment

DigitalHome

Cell Phone

Personal Health System

PC FamilyCare

Givers

DiseaseManagement

Service

PersonalHealthRecord

HealthcareProvider

Thermometer

Benefits:Provide better-coordinated care Connect to care teamEmpower individuals Encourage early detectionReduce costs

Glucose Meter

Internet

Aging Independently600 million elderly individuals world wide

Independent livingChronic disease

Continua member companies help the elderly age independently, with dignity and security, through the efficient exchange of personal health and safety information that connects them to their family and care team.

Basic life monitoring:Bed pressure (sleep)Bathroom sensorGas / water sensorEmergency sensor

FamilyCare

Givers

ElderlyMonitoringServices

DiseaseManagement

Service, HealthcareProvider

Diet andWellnessServices

DigitalHomePedometer

Blood-pressure Cuff

MedicationTracking

Home Automation & Control

FitnessEquipment

Pulse Ox

Cell Phone

Personal Health System

Benefits:Involve family members Allow remote analysis & careProvide integrated view Encourage early detectionReduce costs

Guidelines Certification Recognizable Logo

GuidelinesContinua member companies will select connectivity standards and publish Guidelines for strict interoperability.

Certification and LogoContinua is establishing a test and certification program with a recognizable logo signifying the promise of interoperability with other certified products.

Product Applications

Product Packaging

Product Substrates

Electronic Media / Software

10/14/2009 12

Working Group Structure

Over 1,600 membersparticipatingin the variousWorking Groups

PC

PersonalHealth System

Cell Phone

Set Top Box

Aggregator

Version One Device Connectivity Standards

WeightScale

PulseOximeter

Independent Living Activity

Cardiovascular and Strength

Fitness Monitor

MedicationMonitor

GlucoseMeter

Pulse /Blood Pressure

Medical Device Profile Specification

Personal Health DeviceClass Specification

11073-10404 = Pulse Oximeter11073-10406 = Pulse / Heart Rate11073-10407 = Blood Pressure11073-10408 = Thermometer11073-10415 = Weighing Scale11073-10417 = Glucose 11073-10441 = Cardiovascular Fitness Monitor11073-10442 = Strength Fitness Equipment11073-10471 = Independent Living Activity11073-10472 = Medication Monitor

11073-20601 = Base Framework Protocol

Thermometer

Version One Healthcare Record Standards

Home-based Remote Patient Monitoring

(RPM) System

Vital Sign Devices

Patient

Healthcare Provider

Electronic Health Record

System

EHR

Labs

Disease ManagementService Provider

Disease management

nurse or home care nurse

Remote Patient

Monitoring (RPM) Server

Personal Health Monitoring (PHM) [based on CDA / CCD]

Cross-Enterprise Document Reliable Interchange (XDR)

PersonalHealth Record

15

Service (WA

N) Interface

Netw

ork (LAN

) Interface

Device (PA

N)

Interface

Electric Health Record (XH

R) InterfaceApplication

Hosting Device

Version Two Use Cases Underway

New PAN Devices

WAN DeviceHealthRecordDevice

Final link in end-end connectivity XHR Extension- Portable Media

Physical Activity Monitor

Medication Adherence

Electrocardiogram (ECG)

Insulin Pump

Peak Flow

Low Power Radio

Plugfests participationParticipation in RFP MatchMaker programUnlimited participation in Continua quarterly summits, town hall meetings, and education seminars

Access to market research dataAccess to pre-publication drafts of the design guidelinesInternal and external education and training

Test and certification toolsRight to use certified logo upon completion of successful certification

Web-based environment (repository, collaboration tools)Reference source code

Ecosystem Development

Wednesday, October 14, 2009

Developer Resources

Market Intelligence Collaboration

Certification

500 modules of member-written source code already available in our library…downloaded by dozens of companiesWe are paying contractors to write the rest. Currently investing over $800k…will add more code to the library each yearStructured as library of modules w/ APIReference code only—use at your own risk (disclaimer)

Free Reference Source Code Save $800K Save $800K on Producton Product

Development!Development!

Source Code Library

Operating system: Windows XPHardware: X86-basedLanguage: Object Oriented C++ | C for embedded components

Generic Reference Platform

Implement Mandatory Features of Guidelines

Common Source for Certification Test Tool, Plugfest System Simulator, Member Implementations

Help healthcare providers find world class vendors who are developing the next generation of personal telehealth devices and servicesCome to our website, fill out a simple RFP-like form and submit it. Our Continua vendor community will receive notification and contact youhttp://www.continuaalliance.org/match_program

Let Continua Let Continua help you help you

find partners!find partners!Continua Matchmaking

The Continua Matchmaking Program: Helping members and non-members find solutions for new health and chronic disease management programs

First Public Interoperability DemonstrationHarvard Medical Amphitheater | October, 2008

Weighing Scale

Wireless Pulse Oximeter

Blood Pressure Monitor

Device Interface XHR Interface

EHR

Heart Failure & COPD

EHR

PHR

TelehealthService

TelehealthService

TelehealthService

Obesity & Diabetes

Tokyo Metabolic Syndrome DemonstrationBluetooth-enabled devices | February 2009

• A&D Weigh scale, BP-cuff • Omron Weigh sale, BP-cuff, Pedometer• Panasonic Tough book• Tanita Weight scale • Toshiba- STB and UMPC

Latest Continua™ Certified Products

Nonin Onyx® II, Model 9560 Wireless Fingertip Pulse Oximeter

Nonin 2500 PalmSAT® Pulse Oximeter

Roche Accu-Chek® Smart Pix Device Reader

A&D Medical UA-767PBT-C Blood Pressure Monitor

A&D Medical UC-321PBT-C Weight Scale

Building Awareness Around the World…

Continua sponsored public symposiums and member summits

2009: Tokyo, Barcelona, Vancouver B.C., BostonTentative 2010: TBD

San FranciscoJune 2006

BostonOctober 2006

LondonJanuary 2007

San FranciscoJune 2007

BostonOctober 2007

IrelandJanuary 2008

LuxembourgApril 2008

San FranciscoJune 2008

BostonOctober 2008

TokyoFebruary 2009

Spain March 2009

TokyoApril 2007

Thank You

Thank you!