About us Healthphone Solutions Limited is a global

About us Healthphone Solutions Limited is a global provider of software for the community and population health industries Founded in 2004 in Auckland, NZ – Global HQ in Seattle Teams in Australia, Canada, NZ, UK, USA and Singapore Healthphone software is delivered as Software-as-a-Service through major global and regional partners Healthphone’s integrated solutions platform is designed to improve outcomes for people with chronic conditions – especially those involving behavior modification Healthphone’s goal is to become the platform standard for personal health management, chronic disease management and long term condition management worldwide

What is HME-STOMP? HME-STOMP is a second-generation SMS-based smoking cessation program built on the Healthphone Messaging Engine STOMP is clinically proven: – Random-controlled trial of 1, 705 New Zealand smokers over age of 15 years conducted by the Clinical Trials Research Unit at The University of Auckland, New Zealand – Clinical trials showed a two-fold increase in self reported quit rates at 6 months (28% vs 13%) with results consistent across age, income, sex, and geographical location

What does STOMP do? Personalized smoking cessation service – Creates a text message based program for a participant based on their demographic and smoking cessation information – Automatically sends smoking cessation messages to participants – Automatically processes and sends responses to text messages received from participants Text messages processed and responded to as part of the core STOMP Program : – – – Join Opt-In Slip Up Crave Relapse Opt-Out

What Does HME do? HME is Healthphone’s Messaging Engine that supports Clinical Interventions and Programs: – Interactive SMS/Text messaging – Participant Management – Message Scheduling – Multi Lingual – Time Zone Aware – Blackout – Demographic Tags – – Ad Hoc Messaging Able to incorporate external Program content Admin reporting and analytics Benchmark data for research Roadmap Programs and Interventions include: – – – Depression/Anxiety Diabetes Management Fitness/Nutrition Medications Management Obesity/Weight Management

The Portals STOMP Administration Portal: – – – – Participant Management Program Management Text Message Content Website User Management Demographic Tags Polls Ad Hoc Messages Reports STOMP Participant Portal: – – Self -Enrollment Profile Management Program Management Linked to your website

Why is it important? – Key influences Public Health Impact = Efficacy x Reach Smoking is the number one preventable cause of premature death ~80% of the world's population had mobile phone coverage as of 2006. ~90% estimated by 2010. 100 million smoking deaths in the 20 th Century More than 85% of young New Zealand adults now have a mobile phone Smoking typically begins in adolescence STOMP showed twofold increase in reported quit rates ~70% of smokers want to quit

Healthphone – Enabling Productive Interactions Clinical Interactions Consumer Interactions Acute Care HIS Community Care Public / Health CCMS Primary Care EMR Patient and/or Caregiver Interactions Wagner EH. Chronic disease management: What will it take to improve care for chronic illness? Effective Clinical Practice. 1998; 1(1): 2 -4

High Level Processes Referral Assessment Admission Measurements & Results (e. g. lab orders) Multi Disciplinary care plan Education & Consumer interaction Remote (home based) monitoring Exception Management

Supporting Chronic Disease Management Referral Assessment Admission Measurements & Results (e. g. lab orders) Multi Disciplinary care plan Education & Consumer interaction Remote (home based) monitoring Exception Management Patient Education and consumer interaction via Patient Portal (www) or intelligent SMS messaging 9

High-Level Architecture (Now)

HME-STOMP - Stand-Alone 11

HME (Future)

Healthphone Platform - Vision 13

Supporting Assessments at point of care Referral Assessment Customer configurable assessments using CCMS (via desktop www) or on-line or store/forward off-line PDA. Including specialized Wound Management mobile assessment 14 Admission Measurements & Results (e. g. lab orders)

Supporting Care Planning & Delivery Create Protocolised (configurable) care Plans for each patient. Assign track and update tasks to internal staff, external specialists and directly to the patent and their familiies. Track via www, PDA (real time or offline store/forward) or via patient portal Multi Disciplinary care plan 15 Education & Consumer interaction Remote (home based) monitoring Exception Management

PDA Clinical Note 2. 2. 0

PDA My Tasks 2. 2. 2

Conclusion We see mobility and mobile devices as having increasing utility in the healthcare sector User interface considerations range from …. – – creating/ factoring text content into usable chunks (160 characters) creating MMS and downloadable content for mobile devices Creating WAP Sites optimised for mobile viewing Developing downloadable apps across a range of mobile platforms (Symbian, Android, Windows Mobile, RIM etc) – Optimising UI components for healthcare specific requirements – Optimising mobile UI to allow better patient interaction (eg traumatic brain injury)