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q  This webinar will be available afterwards at www.medicaldesignandoutsourcing.com & email

q  Q&A at the end of the presentation q  Hashtag for this webinar: #MDOWebinar

Before We Start

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Introducing the Featured Speakers

MODERATOR

FEATURED SPEAKER FEATURED SPEAKER

Yechiel Engelhard Founder & CEO Gecko Health

Heather Thompson Senior Editor Medical Design & Outsourcing

Bill Evans SVP of Innovation Bridge Design

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Disease Management Connected Platform for Asthma and COPD

(formerly GeckoCap)

www.CARETRX.com info@caretrx.com

617.871.0746 4

A company by Teva Pharmaceuticals

#MDOWebinar 1. Roebuck MC et. al. Medication adherence leads to lower health care use and costs despite increased drug spending. 2011 Jan; 30(1):91–9

30% Decrease in Cost of Care $1-2K reduction per asthma patient $2-3K reduction per COPD patient

20% Increase in Compliance

Reduction in ER and hospitalization visits 20% Increase in Disease Control

Disease Care Coordinate treatment with patients & HCPs

Medication Management Medication logs, reminders for scheduled doses

Patient Management Individualized feedback before emergencies occur

While previous interventions have been resource intensive and costly, technology-enabled solutions offer the potential for scalability and increased cost savings

Proven Successful Interventions (industry) Results1

Asthma Management Interventions Previous respiratory disease programs have reported improved outcomes, but more sustainable and cost effective approaches are still needed

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CareTRx is a complete disease management platform with tools for patient engagement, remote monitoring, and real-time adherence control

Sensor for Inhalers Asthma & COPD Journal App Case Management Health Dashboard

Chronic Disease Management Solution for Respiratory

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Asthma & COPD Journal App Automatically track use and get reminders for scheduled doses

Track & Record Track and record all asthma and COPD medications, symptoms, triggers, peak flow measurements, and flare-ups in one place

Receive Notifications Receive timely notifications based on medication use and disease events

View Stats View stats and trends over time, while earning motivational badges for achieving goals

Invite & Share Invite caregivers and share summary reports with doctors and care teams

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Case Management Dashboard Healthcare professionals can identify high-risk and poorly control patients using real-time data

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Analytics Dashboard Healthcare professionals can gain insight from population data to measure success of program and identify opportunities for future improvements

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Battery Life

Secondary Sensor

Interchangeable Color Band

Universal Design Automatic Tracking Easily monitors multiple medications and glows to provide dose reminders.

Wireless Syncing Wirelessly and automatically syncs to your smartphone using Bluetooth Low Energy

Secure Fit Human factor design that ensures secure fit on most metered-dose inhalers (MDIs)

Sensor The CareTRx Sensor uses Bluetooth technology to record and send medication use to the CareTRx App and Dashboard.

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Packaging We keep our packaging simple so that users are easily able to remove the sensor and seamlessly access the instructions for use

Instructions for Use Extra Color Band

Replaceable Battery

CareTRx Sensor (inhaler not included)

Setup & Sensor Packaging The CareTRx Sensor comes packaged with instructions for use, a battery and an interchangeable color band. Additional tutorials are available in the CareTRx App and FAQs are available online

Online Support In-App Tutorials

Getting started and pairing sensors.

Included in the Sensor Packaging

Sensor, battery, color band, and instructions included.

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•  Regulatory: FDA registered, CE mark (class I)

•  Patents: Issued US0235548A1: devices, systems, and methods for adherence monitoring and patient

interaction

•  Manufacturer Partner: Ximedica (RI, US), FDA registered, ISO 13485, ISO 14971 standards

•  Supplier Partner: Bluegiga, a global module manufacturer and system integrator (Bluetooth, Wi-Fi)

•  Software infrastructure and cloud servers: Hosted on AWS, HIPPA/ HITECH compliant

Manufacturing partner in RI, US (Ximedica)

Designed and operated in

Cambridge, US

Tools, assembly, QA in China

Distribution through Pharma & Health

System

Support asthma and COPD patient market

Children

Adults

COPD

Operations

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Early Design Research (Oct-Dec 2013)

•  44 participants involved in asthma management: 20 healthcare providers and 24 adults or caregivers

•  Market research goals included understanding the overall reaction, where the system can offer the greatest utility, and how it should be made available to end users

•  Conducted by an independent 3rd party

Usability Testing (April 2014)

•  9 participants: 5 adult patients, 2 adult caregivers, 2 patients and caregivers

•  Participants were given the CareTRx Cap, instructions for use, and a phone with the mobile application

•  Research goals included understanding the intuitiveness and usability of the CareTRx System

•  Conducted by an independent 3rd party

Market Research & Usability User testing was completing validating the use of the system and highlighting the ease of use

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Prototype: Proof of Concept

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Product Development: Timeline

2015

Improve medication adherence for kids with asthma

Focus Groups

Early Prototypes, Ongoing R&D

Platform Expand to Adults & Self-Management

Market Research

Usability Testing

Rebrand & Dev for Game App

Launch Product

Sensor Manufacturing & Testing

Since 2012, Gecko’s mission has been to design and develop the highest quality devices and user-friendly apps for managing chronic respiratory diseases.

June ’12 Sept ’12 Sept ’12 – June ’03 Oct-Nov ’13 March ’14 Nov ‘ 14

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Partners

Disease Management

CareTRx enhances disease management programs

using digital platforms and drives member engagement

through timely remote support, enabling the

collection of more information directly from

partners.

Insurance CareTRx can support cost

reduction efforts by improving administrative

efficiencies, helping to more accurately assess risk and

engage members using interactive mobile health

tools.

ACO’s & Providers A solution for the home with remote access and patient engagement tools can help reduce readmissions and

provide effective solutions after discharge.

Pharma & PBMs Access objective medication

use data to directly target members for recurring refills

and reduce loss revenue from non-adherence.

Our platform aims to help providers, payers, and pharmacies improve quality of care and delivery of services while reducing costs. Objective medication use data and data from patients is combined with clinical algorithms and data visualizations to provide real-time information to our partners for improved decision making and increased operating efficiencies.

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Bill Evans SVP Innovation

Bridge Design, a Ximedica Company

Providence   |   Minneapolis   |   San Francisco  |  Hong Kong

FIX LAYOUT

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product development

ecosystems defining your value in the digital age

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it’s all about ecosystems

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“as a nation, we spend 86% of our health care dollars on the treatment of chronic diseases"

CDC February 2015

author: Andrea Clark, Nov 2014 HRAA

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not only: - reduced costs and improved outcomes

but also: - your competitiveness and customer loyalty

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4 critical areas

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first critical area: understand needs of stakeholders and the broad context of disease to see where you can add value

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adding value through user centered design: - determine where users want and need info - be relevant and brief - make it actionable - draw them in with the help of elegance

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second critical area: cut through the hype of engagement use the evidence-based research

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ask “Will my users use it?” not simply “Can they use it?”   

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behavioral psychology and economics suggest: - reduce obstacles to making choice - know what rewards and when - familiar feels better

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be aware of what you are asking users to give up,

not just what they’ll gain

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third critical area: choose your technology and design to make your product get used - not just be cool and new

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siemens’ pacemaker 1958 fitbit flex 2013

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cannibalize your own products, expand your

team’s skill sets

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fourth critical area: understand how the FDA affects your product and the way you’ll need to develop it

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bill evans

SVP innovation bill@bridgedesign.com

@bridgedesignSF @ximedica

Design Research & Strategy | User Experience | Industrial Design | Product Engineering

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Questions?

MODERATOR

FEATURED SPEAKER FEATURED SPEAKER

Yechiel Engelhard Founder & CEO Gecko Health engelhard@caretrx.com

Heather Thompson Senior Editor Medical Design & Outsourcing hthompson@wtwhmedia.com

Bill Evans SVP of Innovation Bridge Design bill@bridgedesign.com

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q  This webinar will be available at www.medicaldesignandoutsourcing.com & email

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