This document summarizes trends and innovations in healthcare, as presented by Rick Cnossen of Intel. It outlines four major trends driving changes in healthcare: 1) big data and the need to manage exponentially growing data, 2) growth of cloud computing to improve cost, agility and access to healthcare, 3) increasing role of mobility and BYOD, and 4) need for improved security as cybercrime targets the healthcare industry. New technologies like personalized medicine, telehealth, and mobile care devices are helping connect and improve healthcare delivery across settings from home to hospitals.

1. Trends and Innovations in Healthcare
Rick Cnossen (rick.a.cnossen@intel.com)
Intel, Worldwide Director of Health IT
December 7, 2013

2. Intel's Vision
This decade we will create and extend computing technology
to connect and enrich the lives of every person on earth

3. Intel in Healthcare
Cloud/Datacenter
Desktops
Laptops
Ultrabook™
Tablets
Smartphones
Intelligent Systems
Single Architecture from Hospital to Home
Secure, High Performance, and Consistent User Experience
Research &
Innovation
Trusted
Advisor
Health IT
Solutions
Health
Initiatives
Standards &
Policy

4. Enterprise Board of Advisors
“Industry Shifts”
Pursuing Moore’s Law - We have
surpassed technical and economic
boundaries, opening the door to
pervasive compute and
communications
Industry shift: dramatic
structural change, or earth
changing transformation

5. 1. Big Data – Volume, Velocity, Variety & Value
“In God we trust, all others bring data” — NASA, Johnson Space Center
7.9 ZB by
2015 3x more bits
in digital universe
than stars in the
physical universe
$600 Bn
Potential value to
US healthcare
>5 Billion
People calling,
texting, tweeting &
browsing on cell
phones
450 Billion
Business
transactions per day
by 2020 (IDC)
90% of
Data
Therapies tailored to a persons genome
• From weeks to hours
• On track to hit <$1000 per person
• 800x cost reduction
In the world created
in the last 2 years.
100 years
Worth of video
uploaded to
YouTube every 10
days
Explosive growth, 30 TB/month billing data
Radical overhaul of custmer service:
• Self service, realtime access
• 30x performance increase
How Will Businesses Manage a 50x Data Growth by 2020
in an Affordable Way?

6. Compute for Personalized Medicine
1. Patient Information
2. Clinical Information
3. Genetic Information
History, PHRs, allergies,
demographics, etc.
Admission, discharge, radiology,
surgery, images, clinical notes,
diagnoses, etc.
Proteomics, SNPs, clinical trials,
publications, databanks, etc.
Personalized Diagnostics
4. Drug/Dose/Cure Design
Molecular docking, biosimulation, radiotherapy, etc.
Deliver personalized medicine at the touch of a button…
everywhere… everyday… for everyone…”
6

7. 2. Cloud Computing – “That Old Thing”
The Data Center Re-imagined - “Data Center as a System”
>3B
connected users by 20151
2X Growth
in information every two years2
15B
Private
Public
connected devices by 20153
>11x
increase in mobile data traffic by 20154
FEDERATED
AUTOMATED
CLIENT
AWARE
Up to 2x or $27B⁵
in additional data center power costs by
2015
Drivers: Cost, Agility, Availability, Expertise
Concerns: Security & Privacy, Data Sovereignty, Auditability, Vendor Lock-In

8. Care Coordination Across Continuum
Health Check Up
Self Check
& Control
Home
Emergency
Community
Hospital
Personal
Health
Record
Data
Exchange
Patient-centric Care
Electronic
Health
Record
Data
Exchange
GP / Clinic
Visiting
Care
Pharmacy
Remote
Diagnostic
Long Term
Care
Academic/Research
Hospital

9. Worldwide Telehealth Patients Growing
to 1.7 Million Visits by 2017
World Telehealth Patients (thousands) By Disease
2,000
1,800
1,600
1,400
Others
1,200
Mental Health
1,000
Hypertension
800
Diabetes
600
COPD
400
CHF
200
0
2010
2011
2012
2013
2014
2015
2016
2017
Access to Cloud Accelerates Access to Healthcare Worldwide
The World Market for Telehealth – An Analysis of Demand Dynamics – 2012 INMedica, IMS Research

10. 3. Mobility / BYOD
Link
Me
Wireless
Charging
Know
Me
Tablets
Perceptual
Free
Me
Express
Me
Facial
Analysis
Voice
Convert
ible
Touch
Augmented
Reality
Desktop PCs
Emerging
Technologies
from Device Centric to User Centric Computing
Ultrabook
Form Factor
Innovation

11. New 2-in-1 Devices with Windows* 8.1: Changes the Game
2-in-1 device has
the tablet and
laptop capabilities
in a single device
1Analysis
11
Uncompromised
Collaboration and
Productivity
Wherever You Are
Runs 3rd Party, Inhouse, and Modern
Apps on a Single
Device
on Intel® Core™ i5 processor vs. competition. Source: Principled
Technologies., report available at
http://www.principledtechnologies.com/Intel/Tablet_TCO_0113.pdf. Intel
does not control or audit the design or implementation of third party
benchmark data or Web sites referenced in this document. Intel
encourages all of its customers to visit the referenced Web sites or
others where similar performance benchmark data are reported and
confirm whether the referenced benchmark data are accurate and reflect
performance of systems available for purchase
Intel Confidential / NDA Only
Choice of Devices,
Battery Life, and
Performance
Compatible with
Existing
Infrastructure and
Lower TCO1
Intel®-based devices with Windows* 8.1 are ready
for business.
* Other names and brands may be claimed as the property of others.

12. Mobile Care Devices
Right Device for Right Task
Smart
Phone
Mobile
Clinical
Assistant
Tablet
PCs
2 in 1
Laptops,
Ultrabook™
Devices
Fixed
PCs
Mobility
Vital sign,
I & O entry
Medication
administration
Template
data entry
Free-format text
data entry
Large diagnostic
images
Data inquiry
Manageability
Ultrabook is a trademark of Intel Corporation in the U.S. and/or other countries.
12

13. Mobile Workflow: Doctor App Subscriptions
PC Magazine, April 7, 2013
•
Allergist- AllergyCast (Zyrtec); 4 day pollen forecast
•
Cardiologist- Quit Smoking (NHS); Support Messages, Tips, Helpline
•
Dentist- Time2Brush (Aquafresh); Where, Timer, Points
•
Dermatologist- LoveMySkin Mole Map; Track Moles, Education
•
Pregnancy- My Pregnancy Today; Education, Checklists, Birth Clubs
•
Pediatrician- Baby Connect; Monitor Activity (sleep, eating)
•
Nutritionist- Glucose Buddy; Track, Trend, Reminders
http://www.pcmag.com/slideshow/story/309765/doctor-recommended-7-top-health-apps
13

14. 4. SECURITY
Cybercrime is a ~$1 Trillion Industry
Big Data
SECURITY
Big Scale
attacks
Cloud
Client
Internet
of Things
Crime as a
Service
Ransomware
Below the OS
Mobile
Malware
>15Bn
Attack
Surfaces by
2020

15. Cyber Crime is Big Business in Healthcare
McAfee currently sees ~100,000 pieces of new malware every day
Medical record data is worth $50 on the black market (SSN $3)
Digital Health Conference - Digital Health Conference, December 1-2, 2011
Average cost per breached healthcare record is
24% higher than average.
In 2013,
$240 which is
Ponemon Institute—2011 U.S. Cost of a Data Breach Study¹
48% of reported data breaches in the U.S. have
been in the medical/healthcare industry.
ITRC Breach Report, Identity Theft Resource Center, May 2013²
608,087,870
Over
records exposed in
security breaches since 2005.
A Chronology of Data Breaches, Privacy Rights Clearinghouse, June 2013³

16. The Future of Security
Fast and Easy Login
Data Protection
from Malware
Transparent Security
Anytime Anywhere
Identity and
Attestation
(Voice, SSO)
Execution
Control
(White List)
Data and System
Recovery
(Data Loss Prevention)
(Remote Wipe)

17. Thank You
rick.a.cnossen@intel.com