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Qualcomm
              Wireless Health
              SMARTSM Innovation & Partnership




 02.14.2008

QUALCOMM PROPRIETARY                                             1
                                        Health & Life Sciences
Worldwide Healthcare Shortage




QUALCOMM PROPRIETARY       Health & Life Sciences   2
The Current State Health Services
                                                     The Healthcare System is
                                                     Imploding While Spending
                                                     Rises
                                                     Worldwide Today
                                                     –   1 billion overweight
                                                     –   860 million chronic disease
                                                     –   600 million elders
                                                     –   75-85% chronic disease spending
                                                     –   200K hospitals, 18 million hospital
                                                         beds
                                                     Healthcare Spending
                                                     – US: $2.1 trillion in 2006
                                                          • Home Health care is the fastest
                                                            growing segment
                                                     – World: $4.1 trillion in 2004



               * http://ucatlas.ucsc.edu/spend.php

QUALCOMM PROPRIETARY                                         Health & Life Sciences           3
The US Health Care Opportunity
 • Employers are willing to
   pay for solutions that will
   reduce healthcare costs
   and enhance employee
   wellness
       – Intel is paying over $1 billion this
         year in related costs*
 • There is an established
   consumer market for
   personalized healthcare,
   consumer health, and
   fitness services
      * David Whitlinger, Continua President and Chair of the Board of Directors

QUALCOMM PROPRIETARY                                                               Health & Life Sciences   4
Growth Area - CDHP




QUALCOMM PROPRIETARY     Health & Life Sciences   5
SMART Wireless HealthSM Vision
Smart Medical Applied Radio Technologies
•   Consumers will Manage Their Own Wellness


•   Bio-sensors and Mobile Devices
    Provide Health Feedback


        Wireless Band AId      Mobile Phones
          ECG Sensor

•   Mobile Networks             Gateways for Remote Care
    For consumers, caregivers, healthcare providers, family members, health and fitness coaches




QUALCOMM PROPRIETARY                                                     Health & Life Sciences   6
Connectivity




QUALCOMM PROPRIETARY   Health & Life Sciences   7
•   The Alliance focuses on wireless cellular technologies enabling new
    business models and business process improvements in all sectors of
    the life sciences industries.
•   San Diego is at the heart of the world's wireless and life sciences
    technology markets - over 1200 companies; a great focal point for the
    convergence of wireless technologies, the life sciences and consumers.




QUALCOMM PROPRIETARY                                 Health & Life Sciences   8
Continua Health Alliance




QUALCOMM PROPRIETARY                   Health & Life Sciences   9
Wireless Health Innovation & Partnering
                                      Body
                         EKG                     Blood                    Peak
                                                              Activi
• SMART Devices                       Weigh
                         monit                  Pressure                  Flow
                                                               ty
                                        t
                          or
• SMART Pills
• SMART Band-AidsTM      Auscu                                           Inhalation
• SMART Body Sensors     ltation                                        Registration
• SMART Implanted
  Sensors
• SMART Health Mobiles         Pill                                 Body
• SMART Tele-Presence          Box                                 Temperat
                                           Blood                     ure
• SMART Collaboration                                      Heart
                                          Glucose
                                                           Rate




QUALCOMM PROPRIETARY                           Health & Life Sciences                  10
Qualcomm’s Wireless Health Portfolio
New Devices and Services
•   SMART Wireless Health
      – SMART Medical Devices
           • CardioNet
      – Smart Band-Aids™
           • Triage Wireless
      – SMART In Vivo Body Networks
           • CardioMems
•   SMART Managed Wireless Services
      – Hobson: Collaboration Service
      – QConnect: Managed Services
      – LifeCOMM: Personal Health
        Management ‘Converged’ Wireless
        Medical Devices, Biosensors in
        Consumer Mobile Handsets
      – Myca & InTouch Health: Co-
        development in Virtual Tele-Presence


QUALCOMM PROPRIETARY                           Health & Life Sciences   11
Bodies & Organs as ‘Nodes on the Net’ – Body Area
Networks (BAN) - Ultimate Network for Diagnostics
•   SMART Band-Aids™
    Make measurements from skin or read
    in vivo sensors
•   SMART Implanted Sensors
    Provide the ultimate bio-physiological
    feedback
     – CardioMEMS monitors Blood
        Pressure inside the aorta today
     – Biotronik monitors Pacemakers
     – Nano technology will allow tracking
        of chemical bio-markers in the future
•   SMART Mobile Devices
    Relay information from SMART Band
    Aids™ and Implanted SMART Sensors
    to remote servers via the Internet

QUALCOMM PROPRIETARY                            Health & Life Sciences   12
CardioNet - Built on SMART Services




                       AT HOME         OR AWAY                               DAILY,
HEARTBEAT BY                                          24/7/365
                                                                           URGENT AND
 HEARTBEAT
                                                                            SUMMARY
                                                    PROPRIETARY
                       AUTOMATED EVENT DETECTION
SURVEILLANCE                                                                REPORTS
                                                     SOFTWARE
                          SYMPTOMATIC EVENTS
RATE, RHYTHM,                                                                INTERNET,
                                                       IDTF                 PHONE, FAX
MORPHOLOGY             AUTOMATIC CELL OR LANDLINE
                                                                              REPORT
 ALGORITHM                                           ECG FETCH
                        TRANSMISSION-NO PATIENT                              DELIVERY
                             INTERVENTION
MD NOTIFICATION                                        TEXT
   CRITERIA                                          MESSAGES
                        96 HOURS OF ECG STORAGE

QUALCOMM PROPRIETARY                                     Health & Life Sciences          13
Life service package
                                                                       Healthcare
        Lease health communication devices
                                                                        devices
        Cellular communication service
        ASP information management service.
                                                           Pedometer (Omron Healthcare Co.)

                                                                                 HJ-710IT
    Wireless communication device
                                                           Body composition meter
                                                                         (Omron Healthcare Co.)
  KDDI                                                                            HBF-354IT
 Network
                                                           Blood pressure monitor
                                                                          (Omron Healthcare Co.)
                                                                                 HEM-7080IC
                                                 USB
  CDMA1X
Module inside
                                              connection

                                                           Glucose meter
    Data Management Service                                              Johnson & Johnson
                                                                           One Touch UltraTM



QUALCOMM PROPRIETARY                                         Health & Life Sciences                14
New Business Model - Server-Based Diagnostics

                                      N
                                    WA
                                   W

                                                          Server-based Computing
             Leads                 WLAN


  Patients


             Wireless Diagnostic
                    Sensors
                                   In-Room or On-
                                   Sensor Display EMR SMART Fax       Printer    PC
                                                       Mobile




QUALCOMM PROPRIETARY                                    Health & Life Sciences        15
HOBSON: Solving the ‘healthcare asynchronous
        communication problem’
•   Patient care involves the interaction of many healthcare professionals
    who rely on unreliable, cumbersome communication tools including:
     –   Paging
     –   Fax
     –   Voice Mail
     –   Text Messaging
     –   E-mail
     –   Phone calls
•   Time lost dealing with
    delays of outmoded systems
•   Missed or idle messages go
    unanswered delaying care

            HOBSON is a intelligent, prioritized, multi-media messaging
         service, optimized for care team communication and responsive to
                the preferences of the individual care team member.
QUALCOMM PROPRIETARY                                   Health & Life Sciences   16
LifeCOMM Virtual & Live Assistance
                                                                                            Solution Specific
                       Solution Specific Handsets                                            Live Assistants
     Subscriber
                                                  Consultation




                             Consultation                             Escalation
                                                                  by Virtual Assistant
                                                                 or Subscriber Request

                                                                                               Subscriber data
                                                                                             access and updates
                         Personal health
                         information and
                               data




              Educational info, test
             reminders, food intake,
                                                                           Subscriber data
               suggested therapy
                                                                         access (incl. logbook)
                  actions, etc.
                                             Solution Specific          & personal info updates
                                            ‘Virtual Assistant’’
                                                                                   User, Caregiver and Provider Portals
                                              Expert System
QUALCOMM PROPRIETARY                                                                 Health & Life Sciences               17
Virtual Tele-Presence Today
 Leveraging Wireless Systems to Improve Health

• Wireless Industry Is In
  a Unique Position to
  Revolutionize Health
  Services

• 3G Networks Provide
  High Throughput &
  High Capacity
  Connectivity



QUALCOMM PROPRIETARY                     Health & Life Sciences   18
SMART Health is Mobile




QUALCOMM PROPRIETARY      Health & Life Sciences   19
Qualcomm
              Wireless Health
              SMARTSM Innovation & Partnership




 02.14.2008

QUALCOMM PROPRIETARY                                             20
                                        Health & Life Sciences

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InTouch Telehealth

  • 1. Qualcomm Wireless Health SMARTSM Innovation & Partnership 02.14.2008 QUALCOMM PROPRIETARY 1 Health & Life Sciences
  • 2. Worldwide Healthcare Shortage QUALCOMM PROPRIETARY Health & Life Sciences 2
  • 3. The Current State Health Services The Healthcare System is Imploding While Spending Rises Worldwide Today – 1 billion overweight – 860 million chronic disease – 600 million elders – 75-85% chronic disease spending – 200K hospitals, 18 million hospital beds Healthcare Spending – US: $2.1 trillion in 2006 • Home Health care is the fastest growing segment – World: $4.1 trillion in 2004 * http://ucatlas.ucsc.edu/spend.php QUALCOMM PROPRIETARY Health & Life Sciences 3
  • 4. The US Health Care Opportunity • Employers are willing to pay for solutions that will reduce healthcare costs and enhance employee wellness – Intel is paying over $1 billion this year in related costs* • There is an established consumer market for personalized healthcare, consumer health, and fitness services * David Whitlinger, Continua President and Chair of the Board of Directors QUALCOMM PROPRIETARY Health & Life Sciences 4
  • 5. Growth Area - CDHP QUALCOMM PROPRIETARY Health & Life Sciences 5
  • 6. SMART Wireless HealthSM Vision Smart Medical Applied Radio Technologies • Consumers will Manage Their Own Wellness • Bio-sensors and Mobile Devices Provide Health Feedback Wireless Band AId Mobile Phones ECG Sensor • Mobile Networks Gateways for Remote Care For consumers, caregivers, healthcare providers, family members, health and fitness coaches QUALCOMM PROPRIETARY Health & Life Sciences 6
  • 7. Connectivity QUALCOMM PROPRIETARY Health & Life Sciences 7
  • 8. The Alliance focuses on wireless cellular technologies enabling new business models and business process improvements in all sectors of the life sciences industries. • San Diego is at the heart of the world's wireless and life sciences technology markets - over 1200 companies; a great focal point for the convergence of wireless technologies, the life sciences and consumers. QUALCOMM PROPRIETARY Health & Life Sciences 8
  • 9. Continua Health Alliance QUALCOMM PROPRIETARY Health & Life Sciences 9
  • 10. Wireless Health Innovation & Partnering Body EKG Blood Peak Activi • SMART Devices Weigh monit Pressure Flow ty t or • SMART Pills • SMART Band-AidsTM Auscu Inhalation • SMART Body Sensors ltation Registration • SMART Implanted Sensors • SMART Health Mobiles Pill Body • SMART Tele-Presence Box Temperat Blood ure • SMART Collaboration Heart Glucose Rate QUALCOMM PROPRIETARY Health & Life Sciences 10
  • 11. Qualcomm’s Wireless Health Portfolio New Devices and Services • SMART Wireless Health – SMART Medical Devices • CardioNet – Smart Band-Aids™ • Triage Wireless – SMART In Vivo Body Networks • CardioMems • SMART Managed Wireless Services – Hobson: Collaboration Service – QConnect: Managed Services – LifeCOMM: Personal Health Management ‘Converged’ Wireless Medical Devices, Biosensors in Consumer Mobile Handsets – Myca & InTouch Health: Co- development in Virtual Tele-Presence QUALCOMM PROPRIETARY Health & Life Sciences 11
  • 12. Bodies & Organs as ‘Nodes on the Net’ – Body Area Networks (BAN) - Ultimate Network for Diagnostics • SMART Band-Aids™ Make measurements from skin or read in vivo sensors • SMART Implanted Sensors Provide the ultimate bio-physiological feedback – CardioMEMS monitors Blood Pressure inside the aorta today – Biotronik monitors Pacemakers – Nano technology will allow tracking of chemical bio-markers in the future • SMART Mobile Devices Relay information from SMART Band Aids™ and Implanted SMART Sensors to remote servers via the Internet QUALCOMM PROPRIETARY Health & Life Sciences 12
  • 13. CardioNet - Built on SMART Services AT HOME OR AWAY DAILY, HEARTBEAT BY 24/7/365 URGENT AND HEARTBEAT SUMMARY PROPRIETARY AUTOMATED EVENT DETECTION SURVEILLANCE REPORTS SOFTWARE SYMPTOMATIC EVENTS RATE, RHYTHM, INTERNET, IDTF PHONE, FAX MORPHOLOGY AUTOMATIC CELL OR LANDLINE REPORT ALGORITHM ECG FETCH TRANSMISSION-NO PATIENT DELIVERY INTERVENTION MD NOTIFICATION TEXT CRITERIA MESSAGES 96 HOURS OF ECG STORAGE QUALCOMM PROPRIETARY Health & Life Sciences 13
  • 14. Life service package Healthcare Lease health communication devices devices Cellular communication service ASP information management service. Pedometer (Omron Healthcare Co.) HJ-710IT Wireless communication device Body composition meter (Omron Healthcare Co.) KDDI HBF-354IT Network Blood pressure monitor (Omron Healthcare Co.) HEM-7080IC USB CDMA1X Module inside connection Glucose meter Data Management Service Johnson & Johnson One Touch UltraTM QUALCOMM PROPRIETARY Health & Life Sciences 14
  • 15. New Business Model - Server-Based Diagnostics N WA W Server-based Computing Leads WLAN Patients Wireless Diagnostic Sensors In-Room or On- Sensor Display EMR SMART Fax Printer PC Mobile QUALCOMM PROPRIETARY Health & Life Sciences 15
  • 16. HOBSON: Solving the ‘healthcare asynchronous communication problem’ • Patient care involves the interaction of many healthcare professionals who rely on unreliable, cumbersome communication tools including: – Paging – Fax – Voice Mail – Text Messaging – E-mail – Phone calls • Time lost dealing with delays of outmoded systems • Missed or idle messages go unanswered delaying care HOBSON is a intelligent, prioritized, multi-media messaging service, optimized for care team communication and responsive to the preferences of the individual care team member. QUALCOMM PROPRIETARY Health & Life Sciences 16
  • 17. LifeCOMM Virtual & Live Assistance Solution Specific Solution Specific Handsets Live Assistants Subscriber Consultation Consultation Escalation by Virtual Assistant or Subscriber Request Subscriber data access and updates Personal health information and data Educational info, test reminders, food intake, Subscriber data suggested therapy access (incl. logbook) actions, etc. Solution Specific & personal info updates ‘Virtual Assistant’’ User, Caregiver and Provider Portals Expert System QUALCOMM PROPRIETARY Health & Life Sciences 17
  • 18. Virtual Tele-Presence Today Leveraging Wireless Systems to Improve Health • Wireless Industry Is In a Unique Position to Revolutionize Health Services • 3G Networks Provide High Throughput & High Capacity Connectivity QUALCOMM PROPRIETARY Health & Life Sciences 18
  • 19. SMART Health is Mobile QUALCOMM PROPRIETARY Health & Life Sciences 19
  • 20. Qualcomm Wireless Health SMARTSM Innovation & Partnership 02.14.2008 QUALCOMM PROPRIETARY 20 Health & Life Sciences