The Continua Health Alliance Mission 7/21/2010 1
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1 The Continua Health Alliance Mission 7/21/2010 1
2 Illness Pre-Illness Wellness Goal: Realize Peak Health Potential Goal Experience peak health potential throughout life for a high quality of life at minimal costs Reality Average individual is experiencing much less of full health potential than expected at a high financial & quality of life cost Cause Adverse health events such as stress, poor nutrition, inactivity are causing the population to fall away from their peak health potential 0 25 Age 65 Modifiable lifestyle Irreversible Disease state Unpredictable Health Predictable (Rules-based) Health 60-80% Lifestyle Management Happening earlier in life Higher $$ Costs to All Death Adapted from Oregon Medical Labs 7/21/2010 2
3 RPM market now: Current Segments Continua messaging focuses on five primary audiences that require specific messaging: Vendors Medical devices, Telecom, Application, integrators Government Policy and Regulatory Governmental Agencies Providers Health care providers ACO s, Clinicians Payers Health insurers Governmental Consumers 7/21/2010 3
4 Remote Patient Monitoring: Standards Continua founded to organize and push market in one direction. Structure (Working groups) is to model real-world Use Cases from industry and healthcare. Process then deconstructs requirements and selects best industry standards Then vet processes and fill holes either with direct work within SDO s or add definitions and refinements Ballot and then publish program and guidelines Strongest Value of Continua though is the Certification program for interoperability of devices And...as a single organizing voice of the industry 7/21/2010 4
5 Continua Domains To organize its work, Continua segmented the market in three large Domains: Aging Independently An adult child helping their elderly parents age gracefully in their own home. Basic life monitoring as appropriate (ADL) Health & Wellness Weight loss Fitness / chat / video Appt scheduling Personal Health Records Disease Management Vital sign monitoring (RPM) Medication reminders and compliance Trend analysis and alerts Connect with family care givers 7/21/2010 5
6 Interfaces & Standards Personal Device Thermometer Pulse Oximeter Pulse / Blood Pressure Aggregation Manager Telehealth Service Center Health Records Weight Scale Glucose Meter Cardio / Strength Independent Living Activity Peak Flow EHR Medication Adherence Physical Activity Electrocardiogram Insulin Pump Personal Area Network (PAN) Interface Version 2 (underway) Wide Area Network (WAN) Interface Health Record Network (HRN) Interface PHR 6
7 Copyright - Not for Public release 8/3/2009 Continua Design Guidelines: Basis of Testing Continua Technical Working Group main deliverable to manufacturers and Test and Certification Working Group. Define guidelines to ensure interoperability between devices in the Continua environment. Start with industry standards/ specifications Add profiling to: -Reduce options in standard / spec. -Add Continua functionality missing from the standard/ spec. Continua Design Guidelines -Point to industry standards/ specifications. -Profile on top of them to reduce options and add functionality. +
8 Interoperability in Three-tier Approach Continua constrains the outputs at the device level. (PAN interface) Reduces device overhead and intelligence requirements Reduces power requirements Reduces development time Reduces connection complexity Intelligence is at the Hub / Manager Understands what it is communicating with What data to expect May issue commands to send certain data 7/21/2010 8
9 V1 and 1.5 Interoperability - Semantic Use of HL7 and SNOMED CT for semantic understanding V 2 will have further implementation and conditional understanding 7/21/2010 9
10 End-to-end demo Vancouver Q Device Interface Device Manager WAN XHR Interface Sender Receiver Based upon proposed protocols for Continua WAN PHR EHR Glucose Meter Roche Accu-Chek 360 IP network xhr Web services Pulse Oximeter Wi-fi or 3G LNI Android-based G1 Cell phone manager Disease management platform
11 Ecosystem Development Developer Resources Web-based environment (repository, collaboration tools) Reference source code Certification Test and certification tools Right to use certified logo upon completion of successful certification Market Intelligence Access to market research data Access to pre-publication drafts of the design guidelines Internal and external education and training Collaboration Plugfests participation Participation in RFP MatchMaker program Unlimited participation in Continua quarterly summits, town hall meetings, and education seminars Wednesday, July 21, 2010
12 Latest Continua Certified Products Intel Manager Omron Blood Pressure Monitor Nonin Wireless Fingertip Pulse Oximeter Nonin Pulse Oximeter Roche Accu-Chek Smart Pix Device Reader Omron Pedometer Omron Body Composition Monitor A&D Medical Weight Scale Texas Instruments MSP430 USB Agent Platform A&D Medical Blood Pressure Monitor TB named HRN interface has been approved A&D Blood Pressure Monitor w/ CPX186 Converter Cable A&D Weight Scale w/ CYPAK Converter Cable
13 Building Awareness Around the World Vancouver June 2009 London January 2007 Ireland January 2008 Luxembourg April 2008 San Francisco June 2006, 2007, 2008 San Diego February 2010 Boston October 2006, 2007, 2008, 2009 Spain March 2009 Tokyo April 2007 Tokyo February 2009 Continua sponsored public symposiums and member summits 2010: San Diego, Belfast, South Korea
14 Thank You Thank You Chuck Parker 7/21/
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