1.
Utilizing wearable technology
in remote patient monitoring
with aging populations
A conversation with OneCare
Jake Levy, Managing Partner
© 2020 Valencell Inc.

2.
INDEPENDENCE, SAFETY & CAREGIVER
ENGAGEMENT FOR SENIORS
JAKE LEVY
OneCare, Inc. - Managing Partner, Healthcare
jlevy@onecaresaves.com 678-481-0278
Jake is a serial entrepreneur and thought-leader with 25+ years
of healthcare technology innovation. His passion for enabling
better care for patients outside the hospital has been a career-
long focus. He pioneered software for the homecare and
hospice industry in 1991, creating the first EMR system
designed around scheduling and telephony technology. After a
successful exit in 2006, Jake continued to develop telehealth
and mobile health solutions for remote patient care. He is the
Managing Partner for Healthcare at OneCare, the first-to-
market independently cellular connected Carewatch for seniors
enabling greater independence and safety while enhancing
caregiver engagement and providing clinical data analytics.

3.
HEALTHCARE CHALLENGES
 56 million Americans over the age of 65,
growing to over 80 million by 2050.
Growth in Senior
Population
 10% of physicians work in rural health whereas
25% of the population lives in rural areas.
Access to Care
 2583 hospitals (83%) paid nearly $563M in
penalties. New payment models leave hospitals
at-risk for readmissions. 2020
Hospital
Readmission
Rates
Caregiver Burden
 Approximately 32.4 million caregivers have
provided unpaid care to an adult 50+ years old with
an estimated $470B of economic value. 2018
Cost of
Healthcare
 Chronic Disease Patients comprise 71% of the $3.5
trillion US healthcare cost 2017.

4.
PEACE OF MIND
WHAT CAREGIVERS RANK AS #1 CHALLENGE
Coping w/ Impact of Memory Loss 25%
Handling Emotional Toll on Self 20%
Having Patience w/ Loved One 17%
Handling Mood Swings & Behavior 12%
Daily Activities ADLs 11%
Keeping Loved One Positive 8%
Bills, Finances, Admin 4%
Managing Medications 3%
Study: Center to Advance Palliative Care (CAPC) 500 Caregivers

5.
ADOPTION OF TECHNOLOGY
IoT &
Connectivity
 Internet of Things: Advancements in cellular
technology vastly improve speed for connected
care devices.
Physician
Adoption
 Telehealth adoption, interest increased 340%
among physicians since 2015
 Global wearable market is forecasted to reach
$70B by 2022Wearables
 New CPT Codes for Remote Monitoring &
Equipment; average $165 per month per patient
Reimbursement
 US annual growth of 19% from $38B in 2018 to
$130B in 2025
Telehealth
Market

6.
ADVANCEMENTS IN CONNECTIVITY
HOW 5G & LTE-M NARROW BAND IMPACTS DEVICES
LTE-M a.k.a Narrow Band
 Makes use of existing LTE infrastructure for rapid deployment
 Lower power requirements provides extended battery life, signal provides deeper penetration in to buildings
 Lower cost with single-digit megabyte data plans vs. multi-digit gigabyte plans
 Ideal uses include sensors for sweating, respiratory rate, body temperature, heart rate, blood pressure, SpO2, etc.
5G
 Requires infrastructure upgrades of $1 trillion
 Provides download speeds 10 to 100 times faster than 4G
 Reduces latency to milliseconds, 10 times decrease compared to 4G
 Ideal uses include physician video consults, intra-hospital networks, imaging CT & MRI, remote robotic
surgery, emergency response (5G vehicles).

7.
ADVANCEMENTS IN CONNECTIVITY
MORE CONNECTED DEVICES CREATE MORE SECURITY RISKS
AHA Cybersecurity Recommendations:
1. Ensure devices have strong security features; passwords & encryption
2. Segment the work so that non-critical devices aren’t connected to core systems
3. Inventory all devices and map how they are connected on the network
4. Monitor network abnormalities
Microsoft Azure IoT Hub

8.
8
ONECARE CARE PLATFORM
ALWAYS CONNECTED – REMOTE CARE MOBILE MONITORING
First AT&T LTE-M Certified Wearable

9.
9
WHO DO WE SERVE?
Seniors
 Health self-management
 Sense of security and
safety
 Greater independence
 Improved quality of life
Caregivers
 Participation in their
loved ones’ outcomes
 Peace of mind
 Reduced burden & strain
 Enhanced Family
Engagement
Clinicians
 Improved caregiver
efficiency
 Access to Actionable
Data
 Revenue generation
 Chronic disease
management

10.
ONECARE CARE PLATFORM
ALWAYS CONNECTED – REMOTE CARE MOBILE MONITORING
TECHNOLOGY STACK
 Microsoft Azure IoT Cloud
⁎ Build-With Lab Partner
 LTE-M Narrow Band
⁎ AT&T, Verizon*, Global SIM
 WiFi
 BLE-Hub
 GPS
 Audio Speaker*
FEATURE SET
 Heart Rate
 Activity
 Sleep Quality
 Fall Detection
 Geo-Fencing
 SOS
 Alerts/Notifications
 Mobile APPs
 Voice*
DATA
 Analytics
 FHIR Integration
 Ecosystem API
 24/7 Emergency Call Center
*Coming 2Q2020

11.
11
ONECARE CAREWATCH
SIMPLE – FRICTIONLESS - TRANSPARENT

12.
INTERPRETING SENSOR DATA
FALL DETECTION
Accelerometer Sensors
 Collect acceleration data in 3 dimensions in G-force
 Vertical axis is G-force 2.5G = 24.5meters
 Horizonal axis collects data at a rate of 50 times per
second measuring acceleration
Fall Detection
 Shown are two simplistic features as an example
that differentiate an actual fall
 Sophisticated features can be extracted from the data
and used with machine learning to classify falls high
levels of specificity
 Accelerometry data can be used to determine false
positives
Large Impact
Free Fall

13.
BLUETOOTH CONNECTED HUB
BLOOD PRESSURE DATA CAPTURED VIA BLUETOOTH
Monitor Connected Carewatch Clinician/Caregiver
APP

14.
ONECARE GUARDIAN APP
CLINICAL APP DESIGNED FOR MULTIPLE PATIENT MANAGEMENT
Patient Record
1. Data is pulled near real-time from the Carewatch
and any other paired monitoring devices such as
a Blood Pressure Monitor, PulsOx, Glucometer,
and other devices.
2. Clinicians have secure access to patient
Information via their mobile device or web interface.
3. Data can also transfer to the hospital’s
electronic health record via our documented API.

15.
Blood Pressure Alerts
ONECARE GUARDIAN APP
CLINICAL WORKFLOW
Detailed Information
1. Blood Pressure screen (left) shows:
- Trends including daily, weekly, monthly and yearly
- Historical measurements
- Highs, lows and averages
2. Health Alert screen (right) shows:
- Readings that are outside of normal range
- Falls
- SOS emergencies
- Several other alerts
3. Alerts follow preconfigured workflow to direct text
messages and emails.

16.
Heart Rate Sleep Quality GPS Geo-Fencing
ONECARE GUARDIAN APP
ADITIONAL DATAANALYSIS

17.
17
ONECARE CARE PLATFORM
THE MOST ADVANCED CAREWATCH TO IMPROVE SENIOR CARE
Clinicians
Family Members
Device Hub
Population Health

18.
Q&A
© 2020 Valencell Inc.