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#MITFORUM #NFCClusterBos NFC In Smartphones Transforms Healthcare February 6, 2012 6:00-8:30pm Sponsored by:

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Page 1: Slides for nfc cluster feb 6 v3

#MITFORUM#NFCClusterBos

NFC In Smartphones Transforms Healthcare

February 6, 20126:00-8:30pm

Sponsored by:

Page 2: Slides for nfc cluster feb 6 v3

#MITFORUM#NFCClusterBos

Agenda• Welcome

• Perspective from Asia: NFC in JapanNational Project of Telehealth in Home HealthcareProf. Masanori Akiyama M.D., Ph.D.

• Technology PresentationsSandra Eliott, Director, Meridian Health/IMPakHajo Hanse, CTO, QolpacJohn Peeters, CEO, Gentag

• Panel DiscussionNick Holland, Senior Analyst, Yankee GroupCharles Walton, Chief Operating Officer, INSIDE SecureGagan Puranik, Assocaite Director, Verizon Moderator: Joseph Ternullo, JD, MPH, Director, Partners

• Reception sponsored by INSIDE Secure (plus raffles!)

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#MITFORUM#NFCClusterBos

Thank you to tonight’s sponsor

Reception8:30pm – 9:30 pm

Catalyst Restaurant, 300 Technology Square5 minute walk!

Right on Vassar street to Main Street, left on Main for one block,cross the street to Catalyst

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#MITFORUM#NFCClusterBos

EducateEducate

InspireInspire

ConnectConnect

AssistAssist

AdviseAdvise

Twitter: #mitforumTwitter: #nfcclusterbos

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#MITFORUM#NFCClusterBos

Forum Program TracksConcept &

Start-up ClinicsInnovation Series Special Interest GroupsCEO Series

8-10 events/ year

Once/month Present SIGs• Auto-ID & Sensing• Digital Media • Energy• Games • Life Sciences &

Healthcare• Software

Highlights Markets for

Entrepreneurial Opportunities

Panel & Audience

Feedback on Biz Plan

• Sector Specific Topics• Connect Community• Strengthen

Collaboration

Senior Exec Training

Three Options• Get Smart – 1

topic, 2 hours• Start Smart –

8 week workshop

• Lead Smart – One Year Program

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#MITFORUM#NFCClusterBos

Upcoming Programs

Date Event

Feb. 6 NFC In Smartphones Transforms Healthcare

Feb. 8 Innovation Series Event: The Future of the Personal Genome

Feb. 15 Forum Members After Work Networking Reception

Feb. 16 Concept Clinic with Mosec

Feb. 16 Energy SIG Event: Sustainable Transportation in our Lifetime?

Register at www.mitforumcambridge.org

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#MITFORUM#NFCClusterBos

Forum Members

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#MITFORUM#NFCClusterBos

Annual Sponsors

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NFC Cluster Boston• Stimulate innovation using NFC• Host educational programs, workshops,

activities, and exhibits (4–6 / year)• Over 50 supporting groups• Looking for program team volunteers• Next event is March 28• Bookmark our home page

@nfcclusterbos#nfcclusterbos

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#MITFORUM#NFCClusterBos

Follow the NFC Cluster Boston

@nfcclusterbos, #nfcclusterbos

Like us on Facebook

Join our LinkedIn group

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#MITFORUM#NFCClusterBos

Thank You

• Program Committee (Volunteers)

• Speakers

• MIT Enterprise Forum staff

• Attendees

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Photos: courtesy Gentag, Meridian Health, Quolpac, Boston Life Labs

Explosion in NFC Uses for Health Care

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#MITFORUM#NFCClusterBos

Perspective from Asia

NFC in Japan:

National Project of Telehealth in

Home Healthcare

at Ministry of Internal Affairs and Communications

Professor Masanori Akiyama

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Masanori Akiyama M.D., Ph.D.

Policy Alternatives Research Institute

The University of Tokyo

February 6, 2012 @MIT

NFC in Japan: National Project of Telehealth in Home Healthcare at Ministry of Internal Affairs and Communications”

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15

Agenda

Aging Issue and Crisis in Healthcare SystemHealthcare System Reform in Japan˗ Average of hospital admission stay; about

17days to 7-10days, Shortening of 7 daysfrom Hospital wards to Home˗ Tele-healthcare

Insufficient trustworthiness of IT and Expensive cost of initial investment for IT introduction˗ Protect impersonator˗ Cloud computing

© 2012 Masanori Akiyama. All Rights Reserved

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16

Agenda

Aging Issue and Crisis in Healthcare SystemHealthcare System Reform in Japan˗ Average of hospital admission stay; about

17days to 7-10days, Shortening of 7 daysfrom Hospital wards to Home˗ Tele-healthcare

Insufficient trustworthiness of IT and Expensive cost of initial investment for IT introduction˗ Protect impersonator˗ Cloud computing

© 2012 Masanori Akiyama. All Rights Reserved

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17

1899190819171926193519471956196519741983199220010

20

40

60

80

100

120

140

160

180

200

Infant Mortality Rate (%, of thousand birth)

infant mortality rate(% of thousand birth)

the rate to total death

Improving the Health Condition

1947

1952

1957

1962

1967

1972

1977

1982

1987

1992

1997

2002

2007

0

20

40

60

80

100

120

140

160

180

200

Transition of Mortality Rate by Cause of Disease

(% ,of 100 thousands person)

tuberculosis

hypertensive disorder

cerebrovascular disease

asthma

gastric ulcer& duodenal ulcer

Source: Vital statistics(2009)© 2012 Masanori Akiyama. All Rights Reserved

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18

Life Expectancy at Birth, Both Sexes Combined (years)

1950-1955

1955-1960

1960-1965

1965-1970

1970-1975

1975-1980

1980-1985

1985-1990

1990-1995

1995-2000

2000-2005

2005-2010

30

40

50

60

70

80

90

Japan

China

Indoneshia

Philippines

Australia

Malaysia

Republic of Korea

Singapore

Thailand

Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects: The 2008 Revision, http://esa.un.org/unpp, Wednesday, August 25, 2010; 4:28:54 AM.  

© 2012 Masanori Akiyama. All Rights Reserved

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19

Aging and Crisis in Healthcare System (1)

• Population age structure has rapidly changed toward a large older generation since 1990 (especially over 65 years old). In Japan, aging has been accelerated by universal public healthcare insurance, progress of healthcare technology and downward trend in the birthrate with modernization.

• With populations aging, growth rate of healthcare cost exceeds economic growth rate and existing healthcare system is at risk of failure.

• Components of Crisis 1)More people in aging - Structural change in disease from infectious to chronic Living for longer time with complicated diseases thanks to advanced medicine

2)Population decline - Local healthcare became weak because of gap between demand and supply to

healthcare service in thinly populated rural areas, advanced medical technology and hospitals aggregated for affording the technology.

- In rural areas, physicians are shortly supplied because burden for physicians working in hospitals has been increased in delivering high advanced medical technology.

© 2012 Masanori Akiyama. All Rights Reserved

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20

Percentage aged 65 or over (%)

1950195519601965197019751980198519901995200020052010201520202025203020352040204520500

5

10

15

20

25

30

35

40

Japan

China

Indoneshia

Philippines

Australia

Malaysia

Republic of Korea

Singapore

Thailand

2010 Population Projec-tion

Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects: The 2008 Revision, http://esa.un.org/unpp, Wednesday, August 25, 2010; 4:28:54 AM.  

© 2012 Masanori Akiyama. All Rights Reserved

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21

Population Decline in Japan

2005

2007

2009

2011

2013

2015

2017

2019

2021

2023

2025

2027

2029

2031

2033

2035

2037

2039

2041

2043

2045

2047

2049

2051

2053

2055

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

Population Projections by age groups(2006)

over75

65~ 74

20~ 64

0~ 19

year

popu

latio

n(yh

ousa

nd)

Source: National Institute of Population and Social Security Research Population Projection for Japan: 2006-2050

© 2012 Masanori Akiyama. All Rights Reserved

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22

Aging and Crisis in Healthcare System (2)

3)Increasing Medical Cost - Absolute amount of cost grows; $350 billion in 2009 and 6.62% of GDP (2007) - Rapid increasing cost in recent years; growth rate impossible to cover in the near

future - Financing ratio between out of pocket and public spending (including both

insurance and the other public expenditure) is around 20% to 80%.

4)Crisis in healthcare insurance - Extreme difficulty of National Health Insurance (managed by municipal

governments for unemployed and self-employed including increasing retired, less paid, and poor health elders)

- Much public fund has been used for covering the deficits of the National Health Insurance. The other insurance such as Government Managed Health Insurance, Union Managed Insurance and Mutual Aid Insurance also faces heavy deficits for increasing insured elders. In addition, budget restraint became more heavier than before.

© 2012 Masanori Akiyama. All Rights Reserved

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23

Increasing Healthcare Cost

1980

1982

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

0.04

0.045

0.05

0.055

0.06

0.065

0.07

Total expenditure on health as % of gross domestic product in

JAPAN

Austra

lia

Canad

aChin

a

Japa

n

Mala

ysia

New Z

ealan

dPer

u

Russia

n Fed

erat

ion

Thaila

nd

Vietna

m0

10

20

30

40

50

60

70

80

90

Health expenditure, public (% of total health expenditure)

Source: World Health Organization National Health Account database 2010

Source:Estimates of National Medical Care Expenditure(2007) and System of National Accounts(2007)

© 2012 Masanori Akiyama. All Rights Reserved

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24

Agenda

Aging Issue and Crisis in Healthcare SystemHealthcare System Reform in Japan˗ Average of hospital admission stay; about

17days to 7-10days, Shortening of 7 daysfrom Hospital wards to Home˗ Tele-healthcare

Insufficient trustworthiness of IT and Expensive cost of initial investment for IT introduction˗ Protect impersonator˗ Cloud computing

© 2012 Masanori Akiyama. All Rights Reserved

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25

Direction for needed Reforms (1)

efficient allocation of limited healthcare resources - Patients’ choice to hospitals and clinics is unlimited throughout the state but

resources are not efficiently allocated such as personnel and material contributions needed for healthcare. For example, disparity in doctors, and hospitals/clinics, excessive purchase and use of medical devices, and unconnected healthcare between clinics and advanced hospitals, among clinics and among hospitals etc.

From Hospital wards to Home (Average of hospital admission stay; about 17days) - One of the main reasons in inefficiency and the least used resource is medical

information. To make meaningful use of medical information was not practical at all because of huge financial cost and much time for its introduction. However, recent IT progress has already become a promising solution to the problems on cost.

- We lag behind in the statewide application of IT as a reasonably alternative resource because:

- First, privacy concern is big about establishing core infrastructure of patient ID. - Second, trustworthiness of IT is insufficient and cost of initial investment is very high for IT introduction. - Third, hospitals and clinics are inactive for IT introduction. 17days.

© 2012 Masanori Akiyama. All Rights Reserved

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Direction for needed Reforms (2)

• Recently, it is seriously discussed to introduce ID system. We find trend toward meaningful use of IT based on ID infrastructure enable to (1) keep tabs on patients, hospitals/clinics, allied health professional, and healthcare resources, (2) record all medical practices, and (3) deliver effectively all needed information for optimal resource allocation.

• Positive Effects by Healthcare IT: 1)Sharing personal health information by hospitals and clinics for enhanced quality

of care. 2)Researching comparative cost effectiveness of healthcare by all patient’s clinical

data through realtime statistical procedure. 3)Using effectively resources by understanding allocation of resources and operating

rates. 4)Managing optimally for hospitals and clinics • Total effect by use of IT in healthcare is uncertain because higher quality of healthcare

causes increasing healthcare demand though the IT accomplishes enhanced quality and effective allocation of healthcare resources. However, cost introducing IT in healthcare must bring us the biggest benefit if it is optimally used.

© 2012 Masanori Akiyama. All Rights Reserved

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27

Positive Effects by Healthcare IT

②Research①Quality

④Optimality③Efficiency

Sharing personal health information by hospitals and clinics for enhanced

quality of care

Researching comparative cost effectiveness of

healthcare by all patient’s clinical data through realtime statistical

procedure.

Using effectively resources by

understanding allocation of resources and operating rates.

Managing optimally for

hospitals and clinics

Healthcare IT

© 2012 Masanori Akiyama. All Rights Reserved

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© 2010 Masanori AKIYAMA. All Rights Reserved

Agenda

• Aging Issue and Crisis in Healthcare System• Healthcare System Reform in Japan

– Average of hospital admission stay; about 17days to 7-10days, Shortening of 7 days

• from Hospital wards to Home– Tele-healthcare

• Insufficient trustworthiness of IT and Expensive cost of initial investment for IT introduction– Protect impersonator– Cloud computing

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© 2010 Masanori AKIYAMA. All Rights Reserved

National Project at Ministry of Internal Affairs and Communications for Telehealth for home-healthcare

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Copyright © Policy Alternatives Research Institute

From Hospital wards to Home

Sharing personal health information by hospitals, clinics and home for enhanced quality of care.

HOME

Ward

【 Check point】• Vital signs

• Body Temperature• Body Pressure• Pulse

• Body Weight• Cooking and Eating• Excretion• Taking bath• Going out

【 Features】• In real time• Sequential records

Hospital

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© 2010 Masanori AKIYAMA. All Rights Reserved

• We had a survey of system requirements in home-healthcare field with the cooperation of “Niihama Medical Consumers' Cooperative Society” (Niihama Medical Coop) which is one of home healthcare service facilities in Niihama city, Ehime prefecture in Japan.

• Specifically, the hearing survey were conducted in patients home, group home, shared house, and clinic with nursing home care services.

2012/2/6

Niihama Medical Coop

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© 2010 Masanori AKIYAMA. All Rights Reserved

• Niihama Medical Coop was founded in March 1974, as an organization for home medical care and home nursing care services.

• It runs a business such as ambulatory rehabilitation, ambulatory care, home nursing care, group home, clinic for acupuncture and finger-pressure treatment, including the three clinics.

• Currently, about 380 people engaged in business as doctors, nurses, careworkers, nursing staff, occupational therapists, physiotherapists.

2012/2/6

Niihama Medical Consumers' Cooperative Society

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© 2010 Masanori AKIYAMA. All Rights Reserved

Pedometer

• Used originally by sports and physical fitness enthusiasts, pedometers are now becoming popular as an everyday exercise measurer and motivator. Often worn on the belt and kept on all day, it can record how many steps the wearer has walked that day, and thus the kilometers or miles (distance = number of steps × step length). Some pedometers will also erroneously record movements other than walking, such as bending to tie one's shoes, or road bumps incurred while riding a vehicle, though the most advanced devices record fewer of these 'false steps'. Step counters can give encouragement to compete with oneself in getting fit and losing weight. A total of 10,000 steps per day, equivalent to 5 miles (8.0 km), is recommended by some to be the benchmark for an active lifestyle, although this point is debated among experts. Step counters are being integrated into an increasing number of portable consumer electronic devices such as music players and mobile phones.

A pedometer is a device, usually portable and electronic or electromechanical, that counts each step a person takes by detecting the motion of the person's hips. Because the distance of each person's step varies, an informal calibration, performed by the user, is required if presentation of the distance covered in a unit of length (such as in kilometers or miles) is desired.

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© 2010 Masanori AKIYAMA. All Rights Reserved

Motion detector

• A motion detector is a device for motion detection. That is, it is a device that contains a physical mechanism or electronic sensor that quantifies motion that can be either integrated with or connected to other devices that alert the user of the presence of a moving object within the field of view.

• They form a vital component of comprehensive security systems, for both homes and businesses.

Cell Phone(2) Send Mail

(1) Motion sensor reacts when the person

approaches.

© 2012 Masanori Akiyama. All Rights Reserved

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© 2010 Masanori AKIYAMA. All Rights Reserved

Cooking

Excretion

Living

Taking Bath

Smart meter

HOME

Going out

RFIDRFID

Cloud computing Infrastructure

Servers

PC

motion detector

Automated acquisition at Home

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© 2010 Masanori AKIYAMA. All Rights Reserved

Automated acquisition

NFC: Near Field Communication

3G

Scales

Sphygmomanometer

Pedometer

Energy calculator

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© 2010 Masanori AKIYAMA. All Rights Reserved

Personal Health Record with NFC

Daily record

• Body Pressure– Time– Max– Min

• Pulse• Body Weight• Pedometer

– The number of steps

• Drug administration

B P(mmHg)

Date

BW(kg)

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© 2010 Masanori AKIYAMA. All Rights Reserved

PHR by automated acquisition

• BP• BW

• 30days view

• 180days view

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39

© 2012 Masanori Akiyama. All Rights Reserved

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40

VPN; Virtual Private Network

© 2012 Masanori Akiyama. All Rights Reserved

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41

Name

Excretion

Food

Assessment

© 2012 Masanori Akiyama. All Rights Reserved

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Excretion

Food

Assessment

Excretion

Food

Assessment

Start time

Finish time

Before

After

© 2012 Masanori Akiyama. All Rights Reserved

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© 2010 Masanori AKIYAMA. All Rights Reserved

PROTECT IMPERSONATOR

An impersonator is someone who imitates or copies the behavior or actions of another.

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© 2010 Masanori AKIYAMA. All Rights Reserved

Personal identification with SIM

• SIM: Subscriber Identity Module Card – IMSI (International Mobile Subscriber Identity)

• High personal authentication with high security has been secured by carrier; NTT DoCoMo, au and Softbank.

• SIM card that can be obtained in Japan is usually a loan from the carrier, and when a contract is canceled, it is necessary to return it.

• Personal identification with NFC

Device Tool Server

VPN (Virtual Private Network)

NFCContactless

authentication

NFCContactless

authentication

3G Network

SIMCard

SIMcard

Internet

EX. ) Drug support device, MEs

EX. ) Smartphone, Tablet PC

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© 2010 Masanori AKIYAMA. All Rights Reserved

IMSI (International Mobile Subscriber Identity)

• SIM cards are identified on their individual operator networks by a unique IMSI.

• Mobile operators connect mobile phone calls and communicate with their market SIM cards using their IMSIs.

• The format is:– The first 3 digits represent the Mobile Country Code (MCC).– The next 2 or 3 digits represent the mobile network code (MNC).

3-digit MNC codes are allowed by E.212 but are mainly used in the United States and Canada.

– The next digits represent the mobile station identification number. Normally there will be 10 digits but would be fewer in the case of a 3-digit MNC or if national regulations indicate that the total length of the IMSI should be less than 15 digits.

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© 2010 Masanori AKIYAMA. All Rights Reserved

Authentication key (Ki)

• The Ki is a 128-bit value used in authenticating the SIMs on the mobile network. Each SIM holds a unique Ki assigned to it by the operator during the personalization process. The Ki is also stored in a database (termed authentication center or AuC) on the carrier's network.

• The SIM card is designed not to allow the Ki to be obtained using the smart-card interface. Instead, the SIM card provides a function, Run GSM Algorithm, that allows the phone to pass data to the SIM card to be signed with the Ki. This, by design, makes usage of the SIM card mandatory unless the Ki can be extracted from the SIM card, or the carrier is willing to reveal the Ki.

• In practice, the GSM cryptographic algorithm for computing SRES_2 from the Ki has certain vulnerabilities that can allow the extraction of the Ki from a SIM card and the making of a duplicate SIM card.

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© 2010 Masanori AKIYAMA. All Rights Reserved

THE OSAIFU-KEITAI SYSTEM (LITERAL TRANSLATION: "WALLET-PHONE")

Why Japan’s Cellphones Haven’t Gone Global

Japan’s cellphones are like the endemic species that Darwin encountered on the Galápagos Islands — fantastically evolved and divergent from their mainland cousins

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© 2010 Masanori AKIYAMA. All Rights Reserved

Suica is a rechargeable contactless smart card used as a fare card on train lines in Japan.

• Launched in November 2001, the card is usable currently in the Kantō region, at JR East. The card can also be used interchangeably with JR West's, and also with JR Central starting from spring of 2008, JR Kyushu starting from spring of 2010.

• The card is also increasingly being accepted as a form of electronic money for purchases at stores and kiosks, especially within train stations. As of October 2009, 30.01 million Suica cards are in circulation.

Since Suica is completely interchangeable with the Pasmo card (see for the complete listing of companies and lines that accept Suica) in the greater Tokyo area, it is supported on virtually any train, tramway, and bus system (excluding various limited and shinkansen trains, as well as a few local buses as the system is still in the process of being extended to all routes).

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© 2010 Masanori AKIYAMA. All Rights Reserved

From the Osaifu-Keitai system to NFC

• Japan’s cellphones have to adapt NFC in healthcare IT.

• We will use smart phones in healthcare.

• More NFC….

Page 50: Slides for nfc cluster feb 6 v3

© 2010 Masanori AKIYAMA. All Rights Reserved

Mobile FeliCa• Mobile FeliCa is a modification of FeliCa for use in mobile phones by

FeliCa Networks, a subsidiary company of both NTT DoCoMo and Sony. DoCoMo has developed a wallet phone concept based on Mobile.

• The Osaifu-Keitai system (literal translation: "wallet-phone") was developed by NTT DoCoMo, and introduced in July 2004 and later licensed to Vodafone and au, which introduced the product in their own mobile phone ranges under the same name.

• FeliCa, developed by Sony, is the de facto standard technology used for Japanese smart cards. Many of these cards accept Osaifu-Keitai (Mobile FeliCa) system as well, or plan to accept it in future. Osaifu-Keitai can provide more convenient services than plastic FeliCa cards. For instance, it can automatically recharge itself via the Internet, or provide the latest information.

• It can also be used as a ticket for an airplane or an event, by downloading an electronic ticket. Unlike plastic cards, a single Osaifu-Keitai phone may accept multiple applications, each equivalent to different cards.

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© 2010 Masanori AKIYAMA. All Rights Reserved

FeliCa is a contactless RFID smart card system from Sony in Japan,

• primarily used in electronic money cards. The name stands for Felicity Card. First utilized in the Octopus card system in Hong Kong, the technology is used in a variety of cards also in countries such as Singapore, Japan and the United States.

• FeliCa's encryption key is dynamically generated each time mutual authentication is performed, preventing fraud such as impersonation.

• FeliCa is externally powered, i.e. it does not need a battery to operate. The card uses power supplied from the special FeliCa card reader when the card comes in range. When the data transfer is complete, the reader will stop the supply of power.

• FeliCa was proposed for ISO/IEC 14443 Type C but was rejected. However, ISO/IEC 18092 (Near Field Communication) uses some similar modulation methods. It uses Manchester coding at 212 kbit/s in the 13.56 MHz range. A proximity of 10 centimeters or less is required for communication.

Page 52: Slides for nfc cluster feb 6 v3

© 2010 Masanori AKIYAMA. All Rights Reserved

Conclusion

• Our future challenge is to validate the effectiveness and impact of this system and clarify the features for improvement.

• One of requirements for smart phone application is the simple interface design which is easier enough for all of care-workers and elderly people, that there is no keyboard only to touch the panel for operation.

• The user-familiar interface is needed to be used by not only care-workers but also patient’s families.

Page 53: Slides for nfc cluster feb 6 v3

© 2010 Masanori AKIYAMA. All Rights Reserved

Outcome by applying the system in home health

• take advantage of that objective information for evidence-based management and quality control of home care service.

• Systematic effect can be the practical use of aggregated information to properly evaluate the care services.

• The system helps to make an effective use of information stored in the system for appropriate assessment according to realistically job analysis, by aggregating and managing information that was recorded in the notebook traditionally.

• Information recorded in real time can be used as an objective data of patients and users of home care, it is possible to accurately grasp the reality of health care workers also. Revealed by the current situation, it is possible to make the quality of nursing care.

• You can visualize the process of care services, conduct business analysis. By objective evidence-based analysis is expected to make use of the management of regional alliance between hospitals and nursing homes.

Page 54: Slides for nfc cluster feb 6 v3

© 2010 Masanori AKIYAMA. All Rights Reserved

• Secondly, the whole data can be useful for medical practice collected by the system because it helps to understand the long-term changes of the patient condition.

• Information recorded in real time data can be used as an objective data; it is possible to accurately grasp the reality of patients and users of home health care. It can be used effectively to better medical practice, utilizing the information stored as a database can show the aging of the patient to understand for a long time about 10 to 20 years.

• Next challenge is to verify the effectiveness of these two points above, and to make further investigation necessary features.

Outcome by applying the system in home health

Page 55: Slides for nfc cluster feb 6 v3

© 2010 Masanori AKIYAMA. All Rights Reserved

Thank you for your attention.Any Questions?

• Imagine !• What kind of system do you want,

if your son or daughter were a patient?

E-mail: [email protected] [email protected]

Page 56: Slides for nfc cluster feb 6 v3

#MITFORUM#NFCClusterBos

Technology Presentations

NFC in sleep monitoring

Sandra Eliott, Director, Meridian Health / IMPak

Smart NFC sensors

John Peeters, CEO,Gentag

Pill monitoring / Smart

packaging

Hajo Hanse, CTO, Qolpac

Page 57: Slides for nfc cluster feb 6 v3

Not for distribution without permission. © 2011 iMPak Health, Inc.

www.iMPakhealth.com

Contact us at:

Page 59: Slides for nfc cluster feb 6 v3

Confidential information

Sleep Pattern Monitoring Card

• Monitoring sleep activity to give the user feedback on how well he/she is sleeping; give hints for improvements

• Time to sleep, REM sleep periods etc can be monitored – analysis done in mobile app– Analysis tool yet to be understood and developed

• Features (tbd)– Data display as actigraph– Start / stop button + auto

stop after e.g.12 hrs (battery saving)

– Programmable to record data each night for a certain period

• We are discussing details with our partner Meridian Health toget the functionality & app as attractive and relevant as possible

Page 60: Slides for nfc cluster feb 6 v3

Connected Healthcare CardsPersonalized Health Products & Solutions

An OverviewFebruary 6, 2012

Not for distribution without permission. © 2011 iMPak Health, Inc.

Page 61: Slides for nfc cluster feb 6 v3

Key Healthcare System Statistics

95 Convenient locations$1.6 Billion in Annual system Revenues11,800 Team Members2,100 Physicians on Staff

Partner Companies$300+ million in Annual Revenue

Post Acute Care: 5 facilities, 728 bedsAt Home Nursing, Hospice, & Rehab: Serving all of Central New Jersey

Ambulatory Care: 12 facilitiesPrimary Care Network: 20+ physician practicesAmbulance/Medical transport: 100+ vehicles

Occupational Health: 6 centersRehabilitation and Fitness: 9 facilities, 2 inpatient facilities

Behavioral Health: 5 outpatient, 2 inpatient facilities

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Val

ue A

dd (

$)

TimeProduction

Distribution

Source: “The Smile Curve”, Stan Shih, Acer Computers

Technology

From Partnership to Product

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Our Technology Partner

About Cypak• Founded 1999• 20 Engineers• Personal connected health market• Innovative technology platforms enable principal products

in a range of applications for high-volume markets: • Intelligent, low cost, consumable medication

packaging• Wireless interconnectivity solutions

• Proven technology solutions• Key strategic position with a patented product portfolio• Authority on industry standards (Continua, etc.)• Strong customer, partner and advisory network:

• packaging, devices, pc managers, system integrators, healthcare providers

Not for distribution without permission. © 2012 iMPak Health, Inc.

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iMPak Health NFC – Based Product Lines

Not for distribution without permission. © 2012 iMPak Health, Inc.

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Multiple COPD tools bundled together for a more complete picture of an individual’s health. Sample Kits include: Pulse Ox Card, Spirometry Card, COPD Symptom Journal, Medication Manager, and Educational Booklet

Not for distribution without permission. © 2012 iMPak Health, Inc.

Sample Post Discharge Home Management KitsCOPD

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Not for distribution without permission. © 2012 iMPak Health, Inc.

Sample Post Discharge Home Management KitsAdult Asthma

Multiple Asthma tools bundled together for a more complete picture of an individual’s health. Sample Kits include: Pulse Ox Card, Spirometry Card, SleepTrak, Asthma symptom Journal, and Educational Booklet

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Features: • Targets the challenge of non-

adherence & compliance• Tracks medication adherence with

real time data• Reminds patients to take

medication increasing patient compliance

• Designed in convenient, pocket-worthy form factor for easy travel and mobility

Not for distribution without permission. © 2012 iMPak Health, Inc.

NFC Enabled Medication Manager/Solution

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www.impakhealth.com/health-solutions

.Click on the most appropriate link to view some sample use cases for your industry:

Insurance CompanyHospital / Health System Pharmacy Benefit Management Pharmaceutical Company Employer Benefits Management Retail Pharmacy

Visit our Website to Explore a Different Solutions

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Qolpac

NFC In Smartphones Transforms Healthcare @ MIT Enterprice Forum

Cambridge

Property of Qolpac - All Rights Reserved - Confidential

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W.H.O. Statement

"Poor adherence to treatment of chronic diseases is a worldwide problem of striking

magnitude“

-World Health Organization 2003

Property of Qolpac - All Rights Reserved - Confidential

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W.H.O Recommendations

• “Increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvement in specific medical treatments”

• "Adherence is a dynamic process that needs to be followed up“

• Adherence is an important modifier of health system effectiveness

Property of Qolpac - All Rights Reserved - Confidential

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Mission Statement

“To Create an easy to use environment that helps people to improve their quality of life by providing knowledge, information and support by the means of E-communicative packaging.”

Property of Qolpac - All Rights Reserved - Confidential

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Schedules

• Schedule Intake, Gluco & Blood Pressure• Create timeslots, Alerts & Reminders• Register scheduled & Incidental Events• Link events to timeslots

Property of Qolpac - All Rights Reserved - Confidential

Healtheness

• User profile & Social media support• Order Refills• NFC support for easy event Registration• I.C.E Support via NFC

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Schedules• Health community• Positive enforcement • Personal Medical Dossier• Health Summery

Property of Qolpac - All Rights Reserved - Confidential

Healtheness

• Extensive health overview• Cross-reference outcomes• Graphs and Statistics• Advice and Recommendations

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OtCMtm-Tag

Property of Qolpac - All Rights Reserved - Confidential

• Auto launch Application• Can Store Medication name and Prescription• Can Launch url to download application• Allows Branding

• Register intake by tap• Various form factors• Suited for all kinds of packaging

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OtCMtm-Firefly

Property of Qolpac - All Rights Reserved - Confidential

• All parts that can touch medication are made of pharma grades PP and TPE• Electronics, batteries and metal parts cannot touch the medication • Has custom child resistance mechanism in dispenser• Records date and time of each open event in memory• Records Removal events event in memory• Readable with NFC enabled mobile phone or EventTaker (NFC reader on PC)• Compatible with standard Rexam bottles

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OtCMtm-Blixtertm

Property of Qolpac - All Rights Reserved - Confidential

• Supports any blister package by using self-adhesive blister labels• Records the Date, Time & Cavity ID of a removed pill• Compatible with Qolpac mobile application interface• Standard up to 28 cavity blister packages (more cavities are optional)• Readable with NFC enabled mobile phone or EventTaker (NFC reader on PC)• Available in 2 models: Reusable and disposable

Ultra Thin single Chip

Glued Electronic

Components

Capacitor Printed CarbonCapacitor

Blixtertm-STUMO 4 Blixtertm-STUMO 5 GOALBlixtertm-STUMO 6 (current development)

Glued Electronic

Components(Outside)

Printed circuitry

Blixtertm-Clip

Electronic components

in Casing

Printed circuitry

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Property of Qolpac - All Rights Reserved - Confidential

Blixtertm - Some InsightsThin Die Handling

Thin Assembly Solution

Single Chip Solution 1 mm2

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Partners for OtCMtm-Blixtertm

Property of Qolpac - All Rights Reserved - Confidential

Supported by:

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Property of Qolpac - All Rights Reserved - Confidential

Qolpac B.V.

Rigtersbeek-Aalten 47521 RB EnschedeNetherlands

Qolpac GmbH

Bahnhofstrasse 4048599 GronauGermany

[email protected]

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NFC SENSORS FOR

PERSONALIZED HEALTH

MIT PRESENTATION

GENTAG, INC.3299 K Street, Suite 100Washington, DC 20007

FEBRUARY 6, 2012

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NFC Diagnostic Skin Patches(Over 20 Major Markets)

83

10 ISSUED PATENTS, 61 PENDING

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Custom NFC Sensors: Cystic Fibrosis Example

84

INDIVIDUALIZING MEDICINE

RECENT BOSTON SUCCESS STORY (VERTEX):G551D MUTATION - 1 DRUG

1,200 patients in USA

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Disposable NFC Biomarker & Genetic Tests for Consumers

85

http://siliconinvestor.advfn.com/readmsg.aspx?msgid=27035270 

APPLICATIONS INCLUDE:

DRUG TOXICITY PATHOGENS ALLERGENS OTC TESTS CANCER DETECTION BIOMARKERS

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Revolutionizing Personal Diagnostics with NFC

THREE GOLDEN RULES

SIMPLE TO USE(PAINLESS DIABETES PATCHES)

LOW COST DEPLOYMENT(SENSORS AND PHONES)

INDIVIDUALIZED SENSORS(1 MUTATION – 1 SENSOR – 1 APP)

86

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#MITFORUM#NFCClusterBos

Moderator for Panel Discussion

Joe Ternullo, JD, MPH

Director, Partners Center for Connected

Health

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#MITFORUM#NFCClusterBos

Panel Discussion

Nick Holland, Senior Analyst

Gagan Puranik,Assoc. Director

Charles Walton, COO

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#MITFORUM#NFCClusterBos

Thank you to tonight’s sponsor

Reception8:30pm – 9:30 pm

Catalyst Restaurant, 300 Technology Square5 minute walk!

Right on Vassar street to Main Street, left on Main for one block,cross the street to Catalyst

Page 89: Slides for nfc cluster feb 6 v3

#MITFORUM#NFCClusterBos

NFC In Smartphones Transforms Healthcare

February 6, 20126:00-8:30pm

Sponsored by: