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1
Connected LivingThe next wave of mobile devices
Ton Brand, Programme DirectorConnected Living Programme
Monday 27th February 2012
2
Our agenda
Overview of GSMA programmeTon Brand,
16.15 How can regulatory policy accelerate or impede market growth?Jeanine Vos, mHealth Executive Director, Connected Living Programme
16.30 Ericsson Mobile Health Remote Patient Monitoring SystemPeter Håkansson, Manager Sustainability Research, Ericsson
16.40 mHealth Demonstration – Vitality and Blue Libris Remote MonitoringClay Owen, AT&T, Senior Director of Communications
16.50 Ericsson cloud orchestration - ICT Solution for Connect to LearnPaul Landers, Programme Manager, Ericsson
17.00 Planning For Data Growth: L-band Supplemental Downlink SpectrumOpportunityWassim Chourbaji, Senior Director Government Affairs, Qualcomm
17.15 Audience Q&A
© GSM Association 2011
Connected Living Programme structure
mHealth mAutomotive mEducation
Smart Cities Demonstrator(Mobile World Capital)
Connected Life Campaign
Service Awareness in Roaming
© GSM Association 2011
More examples…..
Ministerial Tour, Wednesday between 11.00 and 12.00
Connected House 2012
© GSM Association 2011
Valuing the market opportunity
Global Revenues & Impact ofthe Connected Life
Revenue Opportunity ForMobile Network Operators in 2020
$1.2Trillion
7x increase on 2011 expected revenues
NorthAmerica
$241 Billion
Health
$69 BillionAutomotive
$202 BillionConsumer electronics
$445 Billion
Latin America$92 Billion
Middle EastAfrica
$87 BillionAsia
Pacific$447BillionUtilities
$36 Billion
2020
12 BillionMobile ConnectedDevices
The Connected Life by 2020
Europe$305 Billion
2011
6 BillionMobile Connected Devices
Revenue opportunity for connected devices in verticalsectors
2020
24 BillionTotal ConnectedDevices2011
9 BillionTotal ConnectedDevices
© GSM Association 2011
Connected Life: a USD4.5 trillion global impact
Machina Research
© GSM Association 2011
Programme Objectives
Acceleratethedevelopmentof ConnectedLivingservices inagreedadjacentverticalmarkets
Stimulatetrials,launchesanddemonstrat-ions inAutomotiveEducationand Healthverticalmarkets
Stimulateoperators tochallenge theexistingserviceawarenessand roamingmodel toreflect verticalmarketrequirements
Collect andpublishmarketanalysis andstatistics onthe globaladoption ofConnectedLiving
Stimulatecrossindustrycollaboration
© GSM Association 2011
Market Barriers Net Neutrality
– Some services might requireshigher SLA than others
National SIM Card registration– Global market roll-outs,
embedded SIM Privacy and Security
– Not all devices requires samelevels as consumer devices
Numbering and addressing– Some devices do not require a
MSISDN
Market Drivers Automotive
– eCall Regulation (EU)– Stolen Vehicle Tracking
Utilities– Smart Metering– Smart Grid developments
Education– Governments are the biggest
spenders on educationworldwide
– Developing regions will leadthe growth
Regulation can add value….
11
Connected LivingJeanine Vos
Executive Director, mHealthConnected Living Programme
Monday 27th February 2012
© GSM Association 2011
Per Capita Health Expenditure (PPP Int. USD)and % of Population Aged above 65, 2009/2010
Source: WHO. The World Bank. OECD. PwC analysis
Healthcare systems are under pressure
ArgentinaBrazilChina
Ethiopia
France Germany
IndiaIndonesia
Japan
KenyaMalaysia
Nigeria
Romania
RussianFederation
SouthAfrica
Sweden
Thailand
UnitedKingdom
UnitedStates ofAmerica
R² = 0.6863
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
- 5.0 10.0 15.0 20.0 25.0
Number of Physicians, Nurses per 10,000population and GDP per Capita (USD) , 2010
UnitedStates ofAmerica
UnitedKingdom
SwedenGermany
France
Romania Japan
Argentina
Brazil
South Africa
KenyaNigeria
EthiopiaTanzaniaIndia
United ArabEmirates
Malaysia
Viet Nam
Indonesia
ThailandChina
RussianFederation
0
20
40
60
80
100
120
140
160
- 10,000 20,000 30,000 40,000 50,000
© GSM Association 2011
Comparison of Penetrations of Improved Sanitation Facilities and Mobile Phones inSelected African and APAC Countries, 2014E
38
59
91
32 33
81
58
70
100
5258
100
India China Vietnam Nigeria Kenya South Africa
Access to Improved Sanitation Facilities - 2014E
Mobile Subscriber Penetration - 2014E
Mobile provides ubiquitous technology platform
Source: UN. PwC analysis
© GSM Association 2011
To reduce costs, increase access, improve care
Prevention Diagnosis Treatment Monitoring
© GSM Association 2011
4.56.9
10.2
15.4
23.0
2013 2014 2015 2016 2017
Global Mobile Health Revenue,2013E-2017E, in USD billion
Mobile Health Revenue by Region,2017E, in USD Billion and % Share
Europe6.9bn, 30%
Africa1.2bn, 5%
Latin America1.6bn, 7%
USA/Canada6.5bn, 28%
Asia Pacific6.8bn, 30%
Source: PwC analysis
Significant growth in mobile health is foreseen
BUT CAN ONLY BE REALISED WITH GOVERNMENT AND REGULATOR SUPPORT
© GSM Association 2011
Different motivations in healthcare and telecoms
Patient Centric Market Centric
Maximize consumer value
Foster competition
‘Just enough’
Safety first
Demonstrate efficacy
‘At least, do no harm’
© GSM Association 2011
Policy and regulatory touch points
© GSM Association 2011
Ensuring safety and effectiveness
PPT presentation templateV1-11.ppt
© GSM Association 2011
Healthcare policies and regulation for growth
Patientempowerment
Develop policies that promote user autonomy,which will in turn drive mHealth adoption
ReimbursementMove towards reimbursement schemes thatreward positive health outcomes and support theadoption of innovation
DevicesIntroduce a proportionate approach to whatconstitutes a medical device and how it isclassified
Systems andinterfaces
Promote interoperability and common standardsto enable scale and plug-and-play experience
Regulatory themes
Policy themes
© GSM Association 2011
Telecoms government and regulator engagement
– Raise awareness of the benefits ofmobile health
– Educate healthcare stakeholderson mobile capabilities
– Promote interoperability andcommon standards
– Provide spectrum for growth– Support cross-industry initiatives
Realising scalable and sustainable mobile health deployments
21
Ericsson Mobile Health RemotePatient Monitoring System
Peter Håkansson,Manager Sustainability Research,
Ericsson
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Modern Healthcare systems- challenges and Pain points
Provide goodcare at an
affordable cost
Increase theavailability of
care for all
+ +Help peoplestay healthy
+ +Demographic
shiftSharp rise in
chronic diseases
= ?
mHealth is part of the solution
• Higher efficiency in care delivery• Enabler for distributed care• Mature technology
Healthcare mega trends
• Distributed healthcare• Patient centric, personalized healthcare• Higher demands from patients
Mobile Health, mHealth is a term for medical and public health practice supported bymobile connected devices, such as mobile phones, patient monitoring devices, etc
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Healthcare: a complex ecosystem- under constant pressure
Physicians Ambulatory Home careNurses Admin staff
System integrators
Medtech
Pharmacies
Biotech
Telecom sector
Regulatory
Government
Suppliers
Payers
Caregivers
Regulators
Government Employees Patients Insurancecompanies
Patients
Stakeholders
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Market segmentation
Improve efficiencyand availability
New efficient ways totreat patients
Help people stayhealthy
Productivitytools
Curative caretools
Preventive caretools
Behavioral change
Compliance
Community communication
Remote monitoring
Assisted living Back office services
Professional communication
Tele-consultations
Wellness
Electronic Health Records
Remote monitoring
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Ericsson Healthcare offerings-high level overview
Remote Patient Monitoring
Communication services
Ericsson has both horizontal and health specific solutions for the healthcare market.Mainly indirect market channels like through operators and other enterprises
Service Enablement for health
Sensor data andcommunication servicesaggregated, provisionedand exposed
EMH is a remote patientmonitoring solution usedfor measurement andtransfer of a patientsvital signs
Health Information Systems
Health Information Exchangeplatforms that supporthealthcare delivery processeson national, regional orhospital level
Horizontal communicationservices such as BCS, voiceand SMS to be adapted andused in telehealth applications
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Ericsson Mobile HealthRemote monitoring using mobile networks
› Ericsson Mobile Health (EMH 3.0)› Remote monitoring system that is measuring body values and
transmitting the data over mobile networks from patients to healthcareproviders
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Web interface
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Web interface
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Health Service Integration
› The mHealth integration challenge:– mHealth systems uses often
proprietary communicationinterfaces and protocols
– This complicates for a caregiver toget a useful overview of data for apatient using multiple systems
Integrated services
Caregiver viewMortality (Heart failure)
-12%
-34%
* *
* Structured telephone support or telemonitoringprogrammes for patients with chronic heart failure– Cochrane Meta Study 2010
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Use Case ExampleHigh Risk Heart Failure patients
Treatment components
›Lifestyle changes ›Medication ›Hospital care ›mHealth
›Measurement of weight, heart rateand blood pressure (daily)
›ECG measurement(when required)
›Medication compliancemonitoring + reminders
› Patient communication (phoneor videoconference)
›Subjective datagathering
mHealth objective: early detection of medical complicationsby home monitoring and regular communication
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ServiceEnablement
Target Architecture, Ericsson Health &Service Enablement
Service Bus (Brokering/Choreography)
Audit Logs
Security
Telc
o do
mai
n
ServiceComposition
Charging
Serv
ice
Laye
r do
mai
n
Healthcare Users Logic(Backend) Node
User tomeasurements
relations
Userauthorization
User(Patient/Doctor/Nurse)
management
Web UI
UserDatabase
EMHR
Policy/RulesFramework
MeasurementstorageH
ealth
dat
aE
xpos
ure
(AP
Is)
Context Mgmt /Analytics
Data Collection/Telemetry nodeConnectors/APIs
Network operator services
Notifications SchedulerPolicy/RuleFramework
Identitymapping
BCS WebClient Enabler
CommunicationConnectors/APIs
BCSConferencing
Web Portal
BCSCollaboration
BCSVoice
BCSMobility Conf. Mgmt
ServiceExposure& SLAs
Unified Web Framework(OpenSocial/OpenTelco APIs) B2B Service APIs Backend APIs
Health ...
SLA handling
mHealth applications
Service enablement node
Hea
lth D
omai
n
Communication services
Health Networked Information SystemeBooking
ePrescription eRefferal
Charging Statistics
...
PatientRegister
EMHR
Hospital Information SystemReporting
PatientMedical Record
PatientCare ...
PatientRegister
ResourceMgmteBooking
ePrescription
Health Information System Hospital Information System
Multiple sensors
(PAN:s, embedded modules, Apps, etc)
33
AT&T Emerging DevicesClay Owen,
Director of Communications,AT&T
© 2012 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained hereinare trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein arethe property of their respective owners.
Rapid Growth ofConnected Devices
34
Our vision is that by 2020,we will have 50 billionconnected devices
- Ericsson CEO, Mar 2010
There will be 1 trilliondevices connected to theInternet by 2013
- Cisco CTO, Mar 2010
20 Billion connecteddevices by 2020
-telecomseurope.net, Feb 2010
Available market for embeddedCE devices is projected to growat a 41% compound annualgrowth rate (CAGR) in theUS, through 2014.
- Strategy Analytics, Sep 20102008 2009 2010 2011 2012 2013 2014
U.S. Sales of WWAN EmbeddedPortable CE Devices(in millions)
~1.7M
~60M
*Source: Strategy Analytics, WAN Enabled CE Devices US Market Forecast, Sept. 2010
© 2012 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained hereinare trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein arethe property of their respective owners.
A New Generation of Connected Devices
35
Computing
Automotive
ConnectedHome
The AT&TNetworksWireless + BroadbandWi-Fi + International
Tracking
Healthcare &Fitness
ConsumerElectronics
© 2012 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained hereinare trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein arethe property of their respective owners.
2010-2011 Contracts and Launches
© 2012 AT&T Intellectual Property. All rights reserved. AT&T and the AT&T logo are trademarks of AT&T Intellectual Property.
36
• Acer AS1830T notebook
• Acer AO532h netbook
• Amazon Kindle 3G with Special Offers
• Amazon Kindle 3G Touch
• American Security Logistics Pallet Tracker
• Apple iPad 3G
• Apple iPad2
• Automotive – Ford
• Dell Inspiron 1012 Mini 10
• Garmin GTU-10 - Tracking Device
• Garmin GDL40 - marine navigation device
• Garmin 1695 Connected PND
• Healthcare –
• Exmovere – Connected Baby PJs
• BlueLibris – mobile health and safetymonitoring
• Zephyr - connected Bio-Harness
• Amber Alert GPS
• Vitality GloCaps
• Isabella Vizit Photo Frame
• PanDigital Photo Frame
• Sony PlayStation Vita
• Sony Reader (Gen2)
• Tablets –
• Samsung 8.9” Tab P5
• Acer Iconia
• HTC Jetstream
• TVtextbook
© 2012 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained hereinare trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein arethe property of their respective owners.
Flexible Business Models
37
Providing Options to Meet Customer Demand
Wholesale DataAmazon Kindle
Transport includedwith the book
No subscription No device subsidy No connection
between customerand carrier
Prepaid DataApple iPad
Buy monthly 3Gsessions as needed
No contract No device subsidy Carrier distributes
and connects withAT&T experience
Postpaid DataSamsung Galaxy Tab 8.9
Subsidized device 2-year contract 5 GB data per month Direct customer
relationship with AT&T
© 2012 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained hereinare trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein arethe property of their respective owners.
What’s going to be bigin 2012…
38
2012 – New Opportunities for Growth
39
ComputingTablet Proliferation• New options to meet evolving needs(entry level, laptop replacement)
• Leverage LTE networks for optimalstreaming experience
HealthcareZephyr Bioharness• Remote monitoring of human performance• Enables capture of vital signs – heart rate,breathing rate, skin temperature, etc.
• Transmits data over the network to electronichealth records and applications
AutomotiveFord Focus EV• Remote start• Search for charging stations• Stream content
GamingSony Vita• Mobile game downloads• Multi-player connectivity anywhere• Augmented reality experiences
© 2012 AT&T Intellectual Property. All rights reserved. AT&T and the AT&T logo are trademarks of AT&T Intellectual Property.
40
Ericsson cloud orchestration - ICTSolution for Connect to Learn
Paul Landers,Programme Manager,
Ericsson
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CONNECT TO LEARN70% of African girls don’tget a secondaryeducation.
When a girl is educated,she can earn 25% moreincome, 90% of whichshe’ll invest in her familyand community.
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CONNECT TO LEARNPROVIDES
Quality learningresourcesthroughbroadbandconnectivity
A globaladvocacyplatform for theimportance ofgirls’ education
Access tosecondaryeducationthroughscholarships
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ACCESS TO QUALITYLEARNING
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SIMPLICITY WITH CLOUDSERVICES
COMPLEXITYREMOVED FROMSCHOOLS TOSERVERS IN THECLOUD
LOWCOMPETENCETHRESHOLD
TEACHERS CANQUICKLY STARTAPPLYING ICT INTHECLASSROOM
ENERGY EFFICIENT,LOW RUNNINGCOSTS
NO INSTALLATION,NO SOFTWAREUPDATES VIRUS FREE
CONTENTCONTROLCAPABILITIES FORSAFE INTERNETBROWSING
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THIS IS EDUCATION-IN-THE CLOUD
› Simple, manageable & safe for students› Cost-effective, scalable accurate usage information for
schools
Educationapps and
support fromthe cloud
+ =21st century
learningsolution
Connectedschools(MBB)
AccessDevice:
Laptop/Tabletetc
+
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SCHOOL TO SCHOOLCONNECTIONS
School-To-SchoolConnections Programsconnect teachers to teachersand students to students forshared learning experiencesand cultural exchange
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CONTENT SERVICES
MDG Curriculum
EnabledbyEricssoncloudtechnology
AGGREGRATINGPACKAGING
PROFILING DELIVERINGDISTRIBUTING
CACHING
MIRRORING
LOCAL HOSTING MANAGINGSUBSCRIBING
UPDATING
SECURING
FILTERING
REPORTING
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MONITORING &EVALUATION
Commonmethodology forimplementationof M&E activities
Focus on socio-economicfactors andbusiness factors
Baseline formonitoring andevaluationacross allglobal sites
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GLOBAL DEPLOYMENT
GHANA (2011)
2 schools, 1070students
NIGERIA (2012)
2 schools, 600students
SENEGAL (2012)
2 schools, 600students*
UGANDA (2011)
2 schools, 970students
KENYA (2011)
2 schools, 620students
RWANDA (2012)
2 schools, 600students
TANZANIA (2011)
2 schools, 550students
MALAWI (2012)
2 schools, 600studentsCHILE (2011)
4 schools, 700students
JAMAICA (2011)
1 school, 200 students
DJIBOUTI (Planned2012)
2 schools, 600students
INDIA (Planned 2012)
1 school, 200 students
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MOBILE BROADBANDMAKES IT POSSIBLE› xxx
› xx› xx› xxx
Broadbandconnectivity inschoolsprovides accessto qualityresources
ICT partnerssupport byenablingmobilebroadbandconnectivity inschools
By 2016 therewill be 5 billionmobilebroadbandsubscriptions
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FOUNDING PARTNERS
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Planning For Data Growth: L-bandSupplemental Downlink Spectrum
OpportunityWassim Chourbaji,
Senior Director Government Affairs,Qualcomm
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The Internet of EverythingWHERE EVERYTHING IS INTELLIGENTLY CONNECTED
PLANNING FOR 1000X DATA GROWTH
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Data Traffic Growth By 2015
MOBILE DATATRAFFIC GREW
IN 2010
AND IS PROJECTEDTO GROW
FROM 2010–2015
Source: Strategy Analytics (March 2011).
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Current Efforts to Meet Growing DataDemand
HETNETSNEW TECHNIQUES
NETWORK OFFLOADSPECTRUM
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Spectrum Opportunity — L-bandSupplemental Downlink (SDL)
L-Band (1452-1492 MHz)Key Opportunity2
Harmonization ongoing inEurope and beyond, with40 MHz of unpairedspectrum
Other opportunities such as700 MHz in the US withAT&T4, are country specific
LEVERAGES HSPA+ MULTICARRIERACROSS BANDS2, OR LTE-ADVANCED
F2’ F1 F1F1’ F2 F2
FDD Paired1
(Downlink)FDD Paired1
(Uplink)1452-1492 MHz
(Supplemental Downlink)
1e.g. 800 MHz, 1800 MHz or 2.1 GHz. 2HSPA+ aggregation across bands already supported in 3GPP R9, but each additional band combination has to be defined in3GPP. LTE Advanced (3GPP R10) introduces carrier aggregation. 3L-Band 1452 MHz to 1492 MHz. 4AT&T is planning to deploy supplemental downlink in lower 700 MHz
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L-Band SDL Enables Faster Downloads, MoreUsers & Enhances the User Experience
Qualcomm simulations. 16 R99 users on anchor carrier and varying data users on 5MHz single or on 10MHz SDL carrier 1km ISD, PA3, Pilot Power = 10% Other Overhead Power = 20%. R99 user powerconsumption = 20%. Lower control overhead on the SDL carrier: 10%. The bursty nature means that a multicarrier can support more users at the same burst rate for partially loaded carriers. The gain depends on theload and can exceed 100% for fewer users (less loaded carrier) but less for many users (starting to resemble full buffer).
Bursty Data Applications
Data bursts
Idle time
More than Double the Performancewith Supplemental DL (HSPA+ R9) configuration
Capacity (Number of Bursty Application Users)
Dow
nlin
k B
urst
Dat
a R
ate
(Mbp
s)
Partiallyloadedcarriers
0 10 20 30 40 50 60
Fully loadedcarriers
Single carrier (5 MHz)
Supplemental DL (10 MHz)
0
4
3
5
6
7
8
9
2
1
Burst Rates can besignificantly
more than doubled
Number of supported userscan be significantlymore than doubled
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L-Band SDL Live Demo With HSPA+H
SPA
+ HS
PA+H
SPA
+ HS
PA+
MWCBarcelona
Equipment RoomSan Diego
ChannelEmulator
MDM8220Based UE
MDM8220Based UE
TestNodeB
Test NodeB(for Geometry)
Test RNC& SGSN
TestGGSN
Test UEs
Real Time Display andControl of System
Performance
Test Channel Test Radio / Core Network
ControlComputer
ContentServer
Single Carrier (SC) UE
SupplementalDownlink (SDL) UE
Cabled RF: Downlinksare L-Band and
2.1GHz
lub Gn Gi
Display Tablet
WiFiInternet
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Thank [email protected]