Artemis Innovation Pilot Project (AIPP2): “Innovative Care Cycles”

1. Artemis Innovation Pilot Project (AIPP2): “Innovative Care Cycles” • Philips Healthcare, Casper Garos Paris-February 3, 2013 ARTEMIS Joint Undertaking The public private partnership for R&D in embedded systems

2. AIPP2: Innovative Care CyclesVision, Mission, Strategy Vision: • A world where keeping people healthy is central to Healthcare solutions, and where hospitals provide the least-invasive interventions with the shortest length-of-stay for any condition, and where recovery is extra-mural Mission: • Strengthen the European eco-system (care providers, payers, research institutes and industry) in healthcare embedded systems by bringing people-centric innovations to market faster Strategy: • Build integral solutions for people-centric healthcare tailored to individual needs, bridging care settings, and based on novel embedded technologies

3. HOME CARE Healthy, Independent Living 100% Community Clinic Chronic Disease Management Doctor’s Office QUALITYof LIFE RESIDENTIAL CARE ACUTE CARE Assisted Living Skilled Nursing Facility Community Hospital ICU 0% $1 $10 $100 $1,000 $10,000 COST of CARE/DAY AIPP2: Innovative Care CyclesReducing Cost and improving Quality of Life through Technology ICC: Rationale Specialty Clinic Source: Intel, and Center for Aging Services Technologies (CAST) • Philips Research Europe July 2010 3

4. AIPP2: Innovative Care Cycles The current approach in Healthcare Prevention Diagnosis Treatment Mgt. & Surveillance … to care pathways, team coordination, and connected workflow solutions … from episodic care using isolated equipment

5. AIPP2: Innovative Care CyclesInnovation areas covered by a Care Cycle according to AWP Chronic disease management & surveillance Prevention and screening Early detection & diagnosis Minimally invasive interventions Enabling people to stay healthy longer, by uncovering risk early on, and finding effective (lifestyle) interventions. Reducing time to treatment for acute patients. Providing crucial decision support to diagnose each unique condition, early on. Innovating minimally invasive procedures for an ever-expanding range of care conditions. Enabling management of chronic conditions in care settings outside the hospital, through home monitoring and home support.

6. ICC: Project concept • Cardiology: prevention & early detection, minimally-invasive treatment, chronic disease management • Neurology: early diagnosis, effective treatment and chronic disease management • Oncology: early diagnosis, effective treatment, chronic disease management Screening for cancer, atherosclerosis, genetic pre-disposition Use Case In vivo diagnosis: ECG, US, NM, CT, MR In vitro: biomarkers, genetics Use Case Embedded Systems Embedded Systems CDS (Clinical Decision Support) Reference design & tool platform Life style management Embedded Systems Use Case Image Guided Interventional Therapy • X-Ray, US, MR • Minimal invasive diagnosis & interventions technology bricks Home cardiac & implant monitoring Embedded Systems Embedded Systems Use Case Use Case Embedded Systems Hospital-to-home & chronic disease management Hospital-to-home & chronic disease management – eICU, … Use Case Specialty clinics: entire care cycle under 1 roof, e.g. cardio care center, oncology care center

8. ICC: Embedded systems & technology bricks Sensors and detectors for in vivo and in vitro diagnostics Screening technologies at point of care: • In vitro – biomarkers, genetic testing • In vivo – ECG, imaging Sensor development, implantables Staying healthy – risk stratification Integrated decision support system Reference Design: Data management and Communication technology throughout the care cycle(secure network and communication protocols) Bricks: Wireless charging technologies Sensor i/f standardization Continua standardization Advanced imaging and detection technology (X-Ray, MR, US) COPD Chemo monitoring Data & image fusion, multi-sensor Advanced notification systems - Cardiac monitoring Interoperability standard for devices, system & data Ambient healing environments Home monitoring • Connection to hospital network • Hospital to Home

9. AIPP2: Innovative Care Cycles Project Approach ICC: ProjectApproach Prevention Screening Prevention Diagnosis Pilot in coutry z Screening Prevention Treatment Diagnosis Screening Management Pilot in country y Treatment Diagnosis Surveillance Pilot in country x Management Treatment Surveillance Management Surveillance Oncology Neurology Cardiology

10. Artemis will provide everyone with the best healthcare possible

11. Thank you for your attention! Casper Garos casper.garos@philips.com ARTEMIS Joint Undertaking

12. Societal needs Quality of Life Cost of care per day reduction Extramural recovery Faster system innovation Stay healthy longer Improved medical result Medical IT infrastructure Medical equipment Home monitoring Health services Market Challenges Fixed information flows Poor depth info during CV ablation Diagnosis mostly hospital based (€!) Solutions Improved navigation for CV ablation Create simple diagnosis tools for GP Dynamic semantic ICT infrastructure Brick: Image fusion for XR and US Brick: Statistical risk stratification Brick: Interface builder tool State of the art Today: … Today: … Today: … Today: … Project organisation WP x WP y WP z WP xx