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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!

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Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Device GroupPresentation