virtual house calls: technology-enabled care

© 2015 Wind River. All Rights Reserved

Virtual House Calls: Technology-Enabled Care

Neil McLellan Senior Product Manager, Medical

Tim Skutt Director of Product Management, Security Portfolio

2 © 2015 Wind River. All Rights Reserved.

“We shall require a substantially new manner of thinking if mankind is to

survive…”

—Albert Einstein

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2014: A Thrilling Ride

© 2015 Wind River. All Rights Reserved

Reimbursements

Chronic Diseases

Aging Population

Increasing Population

Doctor Shortages

Malpractice Lawsuits

Misuse of Healthcare

Longer Lifespans

Regulatory Requirements

Drug Trials Federal Subsidies Hospital Consolidations


Unsustainable Trajectory


Where Are the Costs?

We spend $750 billion on unnecessary

healthcare every year.

Reasons range from poorly delivered

services to unnecessary services to missed

opportunities.

These three reasons alone equate to almost

$400 billion in spending.


The Era of the Virtual House Call

Achieving Better Care

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Achieving Better Care


Actionable and Meaningful Data

Conformance to Safety Standards

Key Issues for Medical Device Customers

Total Cost of Ownership

Accuracy and Reliability

Connectivity and interoperability irrespective of the age of the device

Compliant, safe, and effective

Optimum operation without failure

Keep overall cost of ownership lower


Key Business Issues for Device Manufacturers

Reduction in cost of development

Scalable standardized platforms with common skills, tools, certification Affordability

Cycle time is total time from beginning to end of the project

Reduction achieved by reuse of software, test assets, simulation, …

Save Time and Resources

Customer expectation for projects to be at higher TRLs (Technology Readiness Levels)

Tested and Validated

Conformance to common safety and security standards across various projects

Drive to expand market overseas, creating various regulatory pressures Time-to-Market


An Alternate Universe


Modern Medicine: A Practical Study

7 p.m. on a Thursday night

Winding down family dinner



Little Ricky complains he’s not well

Fever, aches, chills…


7:30 p.m. before symptoms are verified

Little Ricky becomes progressively more uncomfortable


Meetings and schedules cannot be interrupted


Family physician is part of a new network

Provides diagnosis for non-emergency cases via telepresence at nearly half the cost to the patient and payor



Rapid POC test is needed

Prescriptions and tests available in the same location



Little Ricky is diagnosed with severe strep

Confirmed by a rapid POC test at the local pharmacy

Proper meds are prescribed, no guessing



Leverage common technology to connect patients and doctors

Connected, reliable, and secure platforms at the heart of POC technologies

Cooperation is the new competition - leverage expertise beyond your core area of expertise



Real-World Challenges

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Connectivity Manageability Security

Firewalls

Port-blocking

Sparse link layer

EM interference

Heterogeneous hardware

End-user expertise

Intermittent connections

Update delivery mechanism

High availability requirements

Rights management

Encryption

Malware

Remote Technical

Support

Maintenance

Event

Efficiency Gain

(Perhaps?)


Neil McLellan

Senior Product Manager, Medical

Wind River

[email protected]


Threats


The Way Forward

Secure Devices

Secure Communications

Secure Systems

Secure Processes


Secure Devices

Deploy Operation Disposal Design

• Trusted delivery • Secure development

lifecycle • Process certification

• Secure boot/load • Trusted content • Digital certificates/PKI • Secure updates

• Cryptography • Identity and

authentication • Network security • Auditing/logging

• Encrypted storage • Sanitization


Embedded Security Deployment Models

Security in the foundation

Separate concerns to enable security functions while preserving operational functions

27

Operational

Functions

Security

Functions


LAN

Sensor Hub

Device Device IoT Devices

Sensors

Actuators

Controllers

Gateways

INTERNET

Big Data

The Data Center

Generic

Network Topology

for Connected Devices

Private

Cloud

GATEWAY

Sensor Hub

Brownfield


Greenfield

Edge Management System Account

Management

Device

Management

Analytics

Secure

Connectivity

Event

Triggers

Cloud

API

Data

Visualization

Agent

Agent

Data

Acquisition

Data

Aggregation

Data

Interpretation


Secure Systems Secure OS

VxWorks Linux

Secure Virtualization

Secure OS Secure Virtualization

Agents Secure Boot/TPM Remote Attestation

SDN/NFV (Network Security)

Security Management

SDx/xFV OVP Titanium Server/Cloud

SDx/xFV OVP Titanium Server/Cloud

SDx/xFV (Secure Enterprise Virtualization)


Security Processes

Safety Critical Security

Assess & Review Requirements

Design Implement Deploy Architect

Define Dev/Test

Plan

Wind River Product Development Lifecycle Framework

Propose Launch Sustain

Management Process

Development Process

+


Security Development Process

• Selection and

review of process

standards

• Selection and

review of process

checklists

• Establishment

and review of

requirements

baseline

• Architecture

definition

• Architecture

review

Assess & Review Requirements

Design Implement Deploy Architect

Wind River Confidential

• Design definition

• Design review

• Test plan

preparation

• Static analysis

• Manual code

review

• Test execution

• Process

compliance

analysis

• Security

validation

• Final release

review

• PSIRT

Coverity Achilles TAHI Nessus CVE Checker

Anti-Virus

32 © 2015 Wind River. All Rights Reserved. 32 | © 2014 Wind River. All Rights Reserved. 32

Connected Remote access

as allowed

Fragmented information

Reactive response to issues

Serviceable Remote access

as needed

Some proactive monitoring

Service cost avoidance

Electronic software delivery

Predictive maintenance

Services monitoring and reporting

Product data viewing and analysis

New product enhancements by leveraging usage data

Intelligent

Optimized

Enterprise integration

Configuration and warranty management

Pay-per-use models/billing integration

Track and locate/inventory management

Differentiated

New revenue- generating capabilities

Cloud-delivered customer applications

Replenishment management

Remotely controlled products

Compliance and audit reporting

Mobile integration

Cloud-to-cloud-to-mobile mashups

Level 2 Level 3

Level 4

Level 5

Level 6+

Level 1

CONNECT

MANAGE

BUILD

Integrate

Reinvent the Product

Experience

Analyze

Service

Unconnected

Fighting fires

Limited product feedback

High cost of service

IoT Solutions

virtual house calls: technology-enabled care

Health & Medicine

wind river

total time

practical study little

payor modern medicine

uncomfortable modern

practical study meetings

better care

common safety