Rock Report: Smart Seating - Opportunities at the intersection of automotive and healthcare by @Rock_Health

1. A ROCK REPORT BY AUTOMOTIVE MEETS HEALTHCARE SMART SEATING

2. About REPORT Healthcare is converging with multiple sectors, including telecommunications and consumer electronics, creating new opportunities for innovation. This report explores possibilities at the intersection of the automotive and healthcare sectors. This report was developed in collaboration with Faurecia, a Tier 1 automotive supplier that provided expertise on the future of the industry. Produced by Rock Health is a nonproﬁt foundation focused on the intersection of healthcare and technology. We support the next generation of health entrepreneurs through a startup accelerator, open-source research, and public events. Rock Health partners include Aberdare Ventures, Accel Partners, Fenwick & West, Genentech, Harvard Medical School, Kaiser Permanente, Kleiner Perkins Cauﬁeld & Byers, Mayo Clinic, Mohr Davidow Ventures, NEA, Nike, Qualcomm, Silicon Valley Bank, UnitedHealth Group, and UCSF. " " For more information, visit rockhealth.com this Malay Gandhi @mgxtro Dana Rosenberg @danarosenberg Leslie Ziegler @lesliejz

3. A growing number of people around the world purchase cars each year Global light vehicle sales—millions (2012 • / 2019 •) 17 20 6 8 23 29 26 37 7 12 Source: IHS

4. The majority of households now have " two or more cars 57% 34% 19% 38% 3% 20% 3+ 2 1 0 1960 2010 9% 22% 1.29 cars 2.03 cars Vehicles available in U.S. households Source: Census Bureau, Department of Transportation

5. We drive about three trillion miles a year in our cars 2.97 trillion miles driven per year 0 trillion 1 trillion 2 trillion 3 trillion 1960 65 70 75 80 85 90 95 00 05 2010 roughly equivalent to 16,000 round-trips to the Sun U.S. vehicle miles (2010) Source: Department of Transportation

6. Traditionally, all this time in the car has been considered a detriment to health Sitting increases the risk of diabetes and heart disease Only 3.4% of people walk or ride a bicycle to work Time spent commuting is negatively correlated with happiness 250 hours a year Source: KPMG, Census Bureau, The New York Times, University of Zurich

7. Future The car has evolved to address safety concerns, and now health concerns ACCIDENT SAFETY §  Seat belts §  Airbags CRASH PREVENTION §  Lane departure warning §  Adaptive cruise control §  Pedestrian detection §  Collision avoidance WELLNESS §  Lumbar adjustment §  Air ﬁltration §  Heated seats §  Massage §  Aromatherapy 1970s 2000s BEYOND WELLNESS §  Biosensor incorporation §  Condition monitoring §  Real-time alerts

8. Connecting the healthcare sector with automotive is a giant opportunity $2.7T $1.0T AUTO ECONOMY HEALTH ECONOMY Source: NPR, Centers for Medicare and Medicaid Services

9. Multiple trends are converging, creating an opportunity " to use cars to improve health

10. Connectivity and personalization are changing the car interface CONNECTIVITY PERSONALIZATION Cars can connect to proprietary service platforms, the internet and consumer devices The driver and passenger experience can be personalized to individual preferences SmartFit and MicroFit technologies allow occupants to tailor seating adjustments to their body based on photos and embedded pressure sensors

11. New types of sensors are being added to the many that already exist in the car RADAR • NIGHT VISION • LIGHT DETECTION • RAIN DETECTION GPS • OCCUPANCY • TEMPERATURE • HUMIDITY • INFRARED WEIGHT • HEART RATE • RESPIRATION • BLOOD PRESSURE BLOOD OXYGEN • GLUCOSE • ALERTNESS • SEAT PRESSURE

12. Consumer demand for health devices and apps is increasing 62% express interest in a " self-monitoring device to check their health condition 29% have downloaded an app " to help them track or manage their health Source: Deloitte Center for Health Solutions, Pew Internet & American Life Project

13. Smart Seating is a new concept to connect cars with healthcare services

14. Smart Seating works across the tech stack to enable new services Sensors can be embedded in the car or brought in by occupants Platforms can be open or closed or accessed through user devices Health apps and services can be developed or curated by the manufacturer or selected by the user Longitudinal data collected by apps and platforms can be shared or proprietary based on the owner INFRASTRUCTURE PLATFORM APPS & SERVICES DATA ANALYTICS

15. Integrating emerging car technologies " with digital health services has the potential to capture new data, improve well-being and lower healthcare costs

16. Ford incorporates multiple service providers into a diabetes solution Occupant-owned Medtronic glucose monitor is brought into the car Ford SYNC service displays real-time data, alerts and sounds warnings WellDoc Diabetes Manager iPhone app offers patient coaching and education Long-term diabetes management and health outcomes are tracked INFRASTRUCTURE PLATFORM APPS & SERVICES DATA ANALYTICS Source: Ford

17. BMW has demonstrated Nigel, an integrated stack for health monitoring INFRASTRUCTURE PLATFORM APPS & SERVICES DATA ANALYTICS Source: Technology Review Unknown provider Heart rate and blood pressure sensors are embedded in the steering wheel Proprietary platform collects bio-data for app and service integration iPhone app provides a real- time view of bio-response to driving Human response to stressors is tracked and reported

18. Cars have the potential to address a number of highly prevalent conditions Condition prevalence amongst car buyers (2011) Overweight or obese 65% Arthritis 24% Hypertension 27% Sleep disorder 12% Diabetes 10% Asthma 7% Heart disease 6% Back pain 48% Source: University of Michigan research

19. The future is embedded biosensors in the car that allow for a passive approach to data collection. This is not something the individual has to remember to put on, wear or sync— compliance is a non-issue. It is sitting in your car everyday and letting the data collect itself. —Dana Lowell, Faurecia ” “

20. Embedded weight sensors can enhance disease and wellness services Disease management Wellness ENABLING INFRASTRUCTURE SERVICES EXAMPLE/POTENTIAL SERVICE PROVIDERS Weight sensor Overweight or obese 65% Diabetes 10%

21. Back pain could potentially be treated using pressure sensors and services Chronic back pain management Posture ENABLING INFRASTRUCTURE SERVICES EXAMPLE/POTENTIAL SERVICE PROVIDERS Pressure sensor Back pain 48%

22. The ubiquity of the car allows for all consumers to engage with Smart Seating to improve their health

23. Smart Seating will enable digital health to reach new markets Motivated Unmotivated Unhealthy Healthy enormous untapped market quantiﬁed self movement incentives movement

24. Smart Seating has broad applications " for innovators

25. The Smart Seating concept can extend beyond cars NON-AUTO TRANSPORTATION HOME FURNITURE OFFICE FURNITURE Source: The New York Times, Census Bureau, Bureau of Labor Statistics INSTITUTIONAL FURNITURE 445M trips for U.S. business travelers 8+ hours a day in front of the computer for many workers 9 years of life in front of the TV 27% of the U.S. population >age 3 enrolled in school

26. Sources: •  Census Bureau, American Community Survey, •  Department of Transportation, Transportation Energy Data Book •  Department of Transportation, Summary of Miles Traveled •  KPMG, Self-driving cars: The next revolution •  The New York Times, Get Up. Get Out. Don’t Sit. (via Diabetologia Journal) •  The University of Zurch, Stress That Doesn’t Pay: The Commuting Paradox •  NPR, How Will The Gloomy World Economy Affect U.S. Exports? •  CMS, National Health Expenditures Projections •  Deloitte Center for Health Solutions, 2012 Survey of U.S. Health Care Consumers •  Pew Internet & American Life Project, Health Apps Downloaded •  Ford, In-Car Health & Wellness Solutions •  Technology Review, Car Could Check Your Heart Rate While You Drive •  The New York Times, Business Travel is Rising •  Census Bureau, Facts for Features (Back to School) •  Bureau of Labor and Statistics, American Time Use Survey GET IN TOUCH: Presentation copyright © 2012 Rock Health research@rockhealth.org @Rock_Health