This webinar discusses the growth of mobile technologies and their increasing use in healthcare. Some key points: - Mobile device usage and connectivity is growing tremendously globally, including smartphones, tablets, and connected devices. This growth is opening opportunities to leverage mobility in healthcare. - Mobility is being used across the healthcare spectrum from education and awareness to disease tracking, hospital systems, clinical solutions, and remote patient monitoring. Applications are available across various mobile platforms. - Examples of innovative mobile healthcare solutions were presented, including remote diagnosis apps, hospital management systems, clinical reference apps, and disease management platforms. - Regulatory practices and requirements must be considered when developing mobile healthcare solutions, including HIPAA

1. mHealth and Mobility in Healthcare
A Webinar
By Endeavour Software Technologies
March 02, 2011
Presenters : Jayaraman Raghuraman (Raghu),
VP - Americas
www.techendeavour.com
(512) 275-6105
Image Credits: Gasshead, LLC, WellDoc, Inc

2. Copyrights and Ownership - Disclaimer
All ownership of ideas, products and solutions referenced in this presentation belong
to the people and companies who have created and have the rights and copyrights to
the solutions and ideas. This session is educational and the speaker and Endeavour
does not own rights to this incredible work being done across the world. Material has
been derived from the internet, articles and journals as well as experiences of
Endeavour in Healthcare

3. Vision and Agenda
• Vision
– Explore the immense increase of mobile
technologies and it’s increasing use in
healthcare
• Agenda
– Growth in Mobile Technologies and Devices
– Leveraging Mobility in Healthcare – Trends
– mHealth initiatives around the world
– The Tablet and impact of the iPAD in the
healthcare industry
– Examples of Innovative Healthcare Mobile
Solutions
– About Endeavour
• Value to You as Participants
– Help in generating ideas of use of mobile
solutions in your domain in healthcare
– Evaluate Endeavour’s work in mobility and it’s
applicability to your organization as partners or
vendors

4. Section 1:
The Tremendous Global Growth in
Mobile Technologies and Devices

5. Incredible Growth of Mobile Users and Phones
• 5.25 billion mobile phones worldwide (4
80%
66%
75%
70%
64%
billion users). 1.6 billion just in 2010.
70% 62%
60%
50%
48% • 100% US mobile subscriber penetration
40%
30% as of Q4 2010
20%
10% • Half of US mobile handsets sold in Q4
0%
2010 were Smartphones.
• Explosive growth in connected devices
Age
(Tablets and eReaders)
• 91% of Americans keep their handset
near them 24 hours a day
Age Wise Cell Phone Ownership

6. Growth is Global and not just here in the USA!
• Exploding growth in developing countries
– 752 million users in India (Jan 2011)
– 842 million users in China
– 96 million new users in Africa in 1 year
– Adding 30 mm subscribers monthly in India,
China
• Worldwide penetration – 76% in 2010 to
grow to 85% in 2013
• 500 mm PC, 5.25 billion cell phones, 50+
billion devices with data ports
• Smartphones : 1 billion in use globally by
2014. 296 million sold in 2010
• 10% increase in mobile phone adoption
results in 0.8% increase in GDP per person

7. Growth in Internet, SMS, Broadband and Data
• Portables (Laptops, Netbooks, Tablets) account for 60% of sales
– More than 15 million iPADs sold in 9 months
• Total Mobile Broadband users : Grow to 2 billion by 2014.
• Broadband Households: 429 million (2009). 88 million (China), 84 million
(USA)
• Average US consumer was consuming approximately 350 MB/mth in 2010
• Text Messaging exploding
– 4.1 billion messages sent daily in USA
– 2.1 Trillion in 2010 in Asia-Pacific
• More people will access the Web by phone than PC by 2013 - Gartner
• 5000% data increase in 5 yrs
• Mobile data including SMS contribute 34% of mobile revenue

8. Growth of mobile devices in Healthcare
• 72 percent of U.S. physicians use Smartphones
– Up from 50 percent in 2007
• The number of physicians using Smartphones in
2009 doubled
• Physicians access some medical apps 15 to 20
times a day
• 53% of chronic disease patients have cell phone
access
• 60 million people to be benefited using remote
Patient Monitoring devices by 2013
• 75-80% of adult internet users seek medical data
online
• Healthcare, Retail and Education fast growing
industry users of Tablet devices

9. Section 2:
Leveraging Mobility in Healthcare –
Advances and Opportunities

10. Mobile Solutions for Healthcare – Changing Environment
Until Now Progressing To
• Independent Medical Devices for • Better Connectivity and communication
each function
– Between healthcare providers and their
• Not fully integrated with hospital and patients
healthcare information systems to – As well as their devices
share data
• Seamless Device Integration,
• Manual Data collection and Analysis Interoperable with consumer devices
• Care limited to hospitals, clinics and • Platform enabling
healthcare providers
• Transition of care beyond hospitals and
• Limited wireless availability in doctors’ care to patient’s home and
hospitals but growing beyond
• Leverage 3G and 4G network
• Disease Management and Monitoring
• Lifestyle management
• mHealth and Telemedicine
Fact : 8 in 10 Americans expressed interest in • Analytical Tools for Healthcare
mHealth Solutions (CTIA Survey – Oct 09)

11. Adoption of Mobility in Healthcare
Biometric
Data
Monitoring
Education Chronic
and Disease and
Reference Wellness
Health and Areas Home
Epidemic
Telecare for
data
the elderly
collection
Provider Hospital
and Patient and Clinical
Apps Solutions

12. Mobility in Health Care – Hospitals and Clinics
Medical Event Alerts
Calendars and Appointments
Patient History
Metabolic Standards
Up-to-date Medical Reference
Tests/Medication Alerts
Tests/Medication Alerts Physician Patient History
Patient History
Job Schedule
Physician Instructions
Raise Drug Requisition
Real time Coaching
Metabolic Standards
Appointments
Patient Caregiver
HIS
Asset Tracking
Physician Instructions Demand & Capacity Management
Ready Reckoner Job Scheduling & Tracking
Real time Coaching People Tracking
Business Analytics
Lab Admin Integration with Insurance providers
Technicians
Pharmacist
Stock Check
Stock Level Alerts
Fulfill Drug Requisition

13. Mobile Health (mHealth) Defined
mHealth (n) – the delivery of health care services
via mobile communication devices
Health Electronic Health
mHealth Services
Services
Slide Owner and Courtesy : Vital Wave Consulting Photo: UN and UN Foundation
13

14. Solutions Across the Healthcare Spectrum
Data Collection and Monitoring and
Education and Awareness Record Access Medication Compliance
SMS/Text Messaging in Applications to enter and Maintain care-giver
support of health programs access patient data appointments, Medication
regime
Analysis, Diagnosis and
Disease and Emergency Health and
Consultation
Tracking Administrative Systems
Access to staff or
Use mobile devices to send Allow access to mHealth
information via mobile
and receive disease incidence and public health systems
devices for diagnosis
Credits: UN Foundation, Vital Wave Consulting

15. The Application Store – Healthcare Applications
• iPhone has simplified the discovery of applications for variety of uses, to help developers bring
them to consumers
– Fitness and Wellness, Healthcare, Education
• Trend towards healthcare business applications - new organizations and established players
• Cross Platform – iOS (iPhone/ iPAD)Blackberry, Google Android, Windows, Symbian
• Use Of Features - Location, Camera, Video, Voice and phone
• Top Healthcare Applications include Fitness and Diet
• Trend towards Hospital applications and then Home

16. Multiple Vendor Application Store Fronts

17. iPAD and Tablets – Exciting Times for Healthcare
Truly Connected Feature Rich for
Device Content and Offline Capability
Workflow
Enables a
Ability to Secure Healthcare
Information Mobile Worker

18. Section 3:
Examples of Innovations in
Healthcare Using Mobile Solutions

19. WellDoc,Inc – Mobile Health Platform
WellDoc's system includes three core components: Patient
Coach, Decision Support Tools and an Expert System.
Credits : WellDoc,Inc - www.welldocinc.com

20. MedApps – Health Anywhere Using
Personal Health Devices (PHD)
Credits : MedApps – www.medapps.net

21. Smartphone Healthcare Applications - Reference
Epocrates for Medical New England Medical Journal
Reference for Education and Research
Credits : Epocrates,Inc , Massachusetts Medical Society

22. Smartphone Healthcare Application - Diagnostics
Airstrip OB for Diagnosis Allscripts for PHR
Credits : Airstrip Technologies, AllScripts Solutions

23. Smartphone Healthcare Applications – Patient Care
RxMindMe Pedi Safe Instant ECG myFitnessPal
Credits : RxMindMe,,iAnethesia,myFitnessPal

24. Applications – Medical Record Capture
Digipen technology manipulates and converts the handwritten medical
records into any digital format, bringing in control and efficiency to
“daily” on the move reporting for medical staff.
Once the form is handwritten and
completed, it only takes a few minutes for
the information to be converted and sent
to medical servers securely while mobile
user is on move.
Digipen technology reduces operating
cost, speeds up processes, prevents
valuable data being lost or altered giving
medical records as a true reflection of what
is being captured at the site.
Credits : Digipen Benelux BV

25. Case Study - Project Masiluleke
Disease Awareness Health Objective
Build awareness of HIV status, encourage
HIV/AIDS testing and treatment and halt the
disease’s spread
Country
South Africa
Techniques Used
‘Please Call Me’ service - free text messages
Impact Partners
• 365 Million text messages – one MM per Praekelt Foundation, iTeach, National
day – being sent (2008-2009) Geographic, Nokia Siemens
• Encourage people to be tested and treated Networks, MTN, Ghetto Ruff, Children of South
for HIV/AIDS and TB African Legacies, Aricent, PopTech!, frog design
and National AIDS Helpline
Photo: Praekelt Foundation
Slides Owner and Courtesy : Vital Wave Consulting 25

26. Case Study - Data Gathering
Data Gathering Health Objective
Containing the spread of the Dengue virus
Country
Brazil
Impact Techniques Used
• Data collection times dramatically reduced Customized questionnaires distributed to field
(from months to days) health agents’ mobile phones. Health data and
GPS location information are integrated to enable
• 400 test results gathered by 20 field immediate analysis and identification of areas
professionals in two days, all with GPS with high infection levels.
information (paper-based system
would have taken 2-3 months for
lesser information)
Partners
• End-user acceptance very high Nokia, Amazonas State Health Ministry
Photo: Wikimedia Commons
Slides Owner and Courtesy : Vital Wave Consulting 26

27. Other mHealth Initiatives
Sana Project – Remote diagnosis
Remote electrocardiogram Ultrasound probe technology

28. Endeavour Case Study:
ACOMS – Hospital Management System
Business Imperative
Endeavour’s mandate was to develop a BlackBerry based mobile application to assist
healthcare service providers in real time resource planning and scheduling using sophisticated
demand and capacity management procedures.
Solution Features
• Complete mobile solution for demand and
capacity management Reports
• Alerts and notifications on BlackBerry
• Alerts based on census, staffing, acuity
• Actions based on workflow defined in the system
• Integration with Enterprise database
User Benefits
The BlackBerry enabled solution provided
healthcare unit real-time access to demand and
capacity information of the facility / department in
the hospital.
Credits : Vistaar Health Solutions

29. Endeavour Case Study:
Anesthesia Clinical Tutor and Calculator (AcTC)
This application was developed to bridge the gap between clinical anesthesia & reference books &
practical functioning. This guides anesthetists by assembling easy to use interactive tools, performs all
complex calculations & gives instant results with guided explanations.
Credits : Gasshead LLC.

30. Endeavour Case Study: Orthopedics' Hyperguide
The CME Mobile Application for doctors and healthcare providers. Audio, Video, White
papers of relevant Orthopaedic field along with quiz taking ability on the iPhone and
BlackBerry.
Credits : Vindico Medical Education

31. Endeavour Case Study:
HemOnc Today and Infectious Disease News
•Mobile Applications enabling various Medical News
• Hematology and Oncology News - HemOnc
• Infectious Disease News
• Cardiology Today, Pediatric
•iPhone, iPAD and iPod Touch

32. Endeavour Case Study: Diabetes and Asthma Manager
Credits – WellDoc, Inc. Development by
Endeavour Software

33. Mobile EMR - Mobilizing Healthcare Records
Business Imperative
Endeavour’s mandate was to mobile enable the EMR- EHR-Practice Management Software. The application
would help the physician, Nurses or Physician’s aid to view the patient details, past visit records, health
summary and also would help to manage medication refills and orders.
Solution Features
• Manage Patient Schedules
• Manage Patient Demographics
• Maintain Patient Health Summary
• Maintain Patient Visit Notes
• Quick access to Lab Results
• Manage Medication refill requests
• Maintain orders
• Facilitate internal Messaging
• Spell check on all the text
• Complete Audit trails
• Reports and Dashboards
Customer: Leader in EMR-Practice Management Software
Solution: Mobile Enabling Healthcare and Medical Records

34. Regulatory Practices and Requirements for the Mobile
Healthcare Industry
• Specific Compliance Needs for Healthcare Applications
– HIPPA Compliance
– CIA, HITECH Compliance and GXP
• FDA Approval for medical applications
– Disease Management, Patient Care
– eHealth and mHealth applications
• Accessibility to disabled, visually impaired, other users
– Section 508 compatibility
– Using Device Settings (iPhone Voiceover, Blackberry)
– Text phones for the deaf and 100 Voiceover Apps
• Servers, web sites and mobile devices are HIPPA
compliant and employees certified on HIPAA
• Personal information protected using Secure
Sockets Layer (SSL) technology.
• Messaging Center Content Privacy
– The company will not read or disclose to third parties private
messaging center communications that are transmitted using
Application Services.

35. Healthcare Mobile Solutions – Emerging Trends
• West Wireless Institute • Investments by large wireless and
– Dr. Eric Topol, Gary and Mary West semiconductor organizations
– Qualcomm, Scripps Health – Healthcare Mobility Devices
– Mission - advance health and wellbeing around the world – Healthcare Mobile Solution – driving growth of data
by identifying, validating and accelerating the use of services
innovative and cost-effective wireless solutions to critical,
unmet medical and community needs • Healthcare Investments for Productivity
– Disease Management and Chronic Care
– www.westwirelesshealth.org
– Clincial Trials for new drugs
• Opportunities for Healthcare Technology
• Bringing Healthcare to the masses in
Professionals
developing world
– Extend enterprise healthcare solutions to leverage the
power of mobility – UN Foundation
– Connect HIS with eHealth and mHealth solutions – mHealth initiatives – Government, NGO, Private
– Measurement is the Key – What is the VALUE ADDITION? – Huge Opportunities for Software Applications

36. Section 4:
About Endeavour

37. Who We Are
Enterprise Mobility Strategic Consulting. Product Delivery
We are a specialist Mobility company since 2002
We Analyze, Recommend and Execute Mobility Roadmaps
“What would be the best mobile platform to launch our latest software product.
What should be our Enterprise-wide Mobile strategy for the next 2 years.
Should we plan on re-developing our Mobile Applications? Can you help us develop those.”
“We have 250 senior deal makers traveling world wide.
How can we get them to access their corporate data systems securely on the mobile.
How do we secure mobile data. Data in transit.”

38. Our Offerings
We undertake mobile test
strategy, device and application
porting, test planning, design and
execution via a dedicated QA Lab
– EQuAL**
We
analyze, recommend
and execute Mobile Quality
Mobility Roadmaps Opportunity Assurance
Assessment
(MOA)
We architect, design, develop
and deploy mobile enterprise
solutions through dedicated
RDE* teams
*RDE – Research and Development Centre
**EQuAL – Endeavour Quality Assurance Lab

39. Thank You
• Contact Information
– Jayaraman Raghuraman (Raghu), VP – North America
– Email: Raghu@techendeavour.com
– Phone : (512) 275-6105
– Company: www.techendeavour.com (Endeavour Software Technologies, Inc –
THE MOBILITY COMPANY)
– Follow us on Twitter : @EndeavourTech, @mobilitycompany

40. Thank You
+91 80 4288 5500 (IND)
+44 20 7193 0986 (UK)
+1 214 306 6848 (US)
info@techendeavour.com
www.techendeavour.com

41. Technology Adaption by Chronic Condition People
89%
90%
81%
76%
80%
70%
68%
70%
60%
60% 52%
50% No Condition
1 Condition
40% 32% 2+ Conditions
30% 23%
20%
10%
0%
Go Online Have a Cell Phone Send/ Receive text messages
Source: Chronic diseases and the Internet, Few Internet and American Life Project, March 2010

42. Endeavour Case Study: Surgical Equipment
Supply Chain
The application was created for Windows Mobile handheld devices for
meeting the needs of the sales agents for both Inventory assignment / Order
Capture as well as Marketing / Merchandizing / Sales activities.
Credits : Surgisoft Inc.

43. Endeavour Case Study:
Pediatric Super Site

44. HIV/AIDS prevention and care initiative
Mobile care, Support & treatment (MCST) – India
A pioneering initiative to provide effective management of HIV/AIDS
To address logistic challenges in developing countries such as
- Provision and distribution of Anti-Retroviral Treatments (ART)
- Continuous patient monitoring and
- Communication of relevant data