Joseph C. Kvedar Director, Telemedicine Partners HealthCare Systems March 9, 2006

Telemedicine hits the medical device industry!

Agenda Who We Are: Partners Telemedicine Connected Health: Why it is an imperative Partnerships/Teamwork Lessons Learned

Who We Are: Partners Telemedicine Using consumer technologies and online resources to delivery quality care to patients outside the medical setting Helping to shape the future of healthcare by creating new ways to deliver care when and where it is needed Established in 1995, we are a division of Partners HealthCare with Harvard Medical School-affiliated teaching hospitals, Massachusetts General and Brigham and Women’s Hospitals

Who We Are: Strategic Focus Services connecting patients and their physicians with specialists at Partners: Remote Consultations: online second opinions with leading specialists available via the Internet Distance Education: Live, video- conference enabled physician-to- physician education Research and development initiatives to deliver care when and where it is needed: Physiologic monitoring: using sensors and consumer electronics to impact patient care and outcomes Connected communications: facilitating improved, trusting communications between patients and providers Data solutions: using patient data to drive treatment algorithms and protocols

Agenda Who We Are: Partners Telemedicine Connected Health: Why it is an imperative Partnerships/Teamwork Lessons Learned

Connected Health: Why it is an Imperative Supply and Demand Projections for Nurses: 2000 to 2020 Growth in Chronic Disease

Healthcare Today Doctor-centric Scheduled visits Patient goes to the medical facility

Connected Health Patient-centric On-going care Care when and where it is needed Patient has access to their own health data

Agenda Who We Are: Partners Telemedicine Connected Health: Why it is an imperative Partnerships/Teamwork Lessons Learned

How We Work: Partners Provider organizations Technology partners Payers Massachusetts General Hospital Brigham and Women’s Hospital Partners HomeCare CIMIT Motorola RelayHealth VitelNet MIT BCBSMA Large Employers Benefits Management Co’s

How We Work: Engaging Consumers Connected Communications Data Solutions Physiologic Monitoring Using sensors and consumer technologies to provide continuous care Using patient data to drive treatment algorithms, protocols, and user- friendly interfaces Facilitating trusting, caring communications between patients and providers Patient

How We Work: From R&D to Operations Pilot: Proof-of- concept Useability Needs assessment Clinical Trial: Technology and process research Evaluate value Operational Service: Permanent resources in place Ongoing evaluation

A Success Case: Heart Failure Monitoring

Agenda Who We Are: Partners Telemedicine Connected Health: Why it is an imperative Partnerships/Teamwork Lessons Learned

Accuracy: How accurate does the technology need to be? Regulatory issues scare people away Physicians are capricious customers The mobile phone industry is challenging as a health care technology Network reliability is a major obstacle

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