1. Metronome Overview January 12, 2014

2. In every industry but one, technology makes things better and cheaper. 2

3. Insurance only wants to cut my benefits. Every day, my ability to deliver good care is compromised by change. I have no way of knowing whether a patient is compliant or a caregiver is competent. Everyone is out to increase our costs. I’m afraid and overwhelmed. “Personalized medicine” is a radically different business model. Independent thought can’t be monitored. 3 We all live in a world where more expectations and fewer resources are the rule. It’s in everyone’s best interest to be affordably accountable to each other, but without a mechanism to trust each other, they don’t. Fundamentally, we have a system that no amount of data helps

4. 4 Each produces more and more data over time as the cost to produce it drops. The data could reveal what happens when a patient is away from a caregiver, what’s working and what isn’t, and when an early intervention could save time, money or most importantly, lives. Tech should help – we have a lot of innovation

5. 5 110111010010001111101 110100100011100111110 111010010001111101110 111010010001111101011 011101001001101101001 Data ends up just producing confusion and noise, driving us further apart. But because there’s nothing to align the data with outcomes, there’s nothing in it but risk.

6. We need trust to bring the stakeholders together 6 1 sided data transactions have to become two-sided to get cooperation. Only by increasing trust and accountability between all stakeholders can risk be reduced to bring health costs and outcomes back together

7. Metronome Builds Ecosystems: Trust and Economic Value 7 Three components that provide a personal, private, secure data exchange engine for each consumer – to the benefit of all the other stakeholders. Data collection, authentication and UI Personal Data Exchange

8. Continuous data collection 8 Caregiver/insurer/p ayer sensor networks/services Device sensors Location aware apps/services Device and other sensors can offer data that the user can accept or reject via Metronome rules. 3 rd party sensors Data collection, authentication and UI Personal Data Exchange

9. That other stakeholders can issue queries on. 9 Payers and providers can ask questions that help them deliver better care and lower risk. Is the patient taking their medication as prescribed? Can we have access to user’s raw data? Does a caregiver get better results than her peers? Is the patient getting the expected results from a caregiver’s intervention? Personal Data Exchange

10. Only receiving an answer when the user agrees to provide it. 10 ✔ Via Metronome rules and simple language agreements, providers, payers, insurers and others can get authenticated answers to their questions via encrypted communication, providing the request benefits the user. Is the patient taking their medication as prescribed? Can we have access to user’s raw data? Does a caregiver get better results than her peers? Is the patient getting the expected results from a caregiver’s intervention? ✔ ✔ ✖ Personal Data Exchange

11. Feeding population dataset(s) 11 CDC is looking for anonymous self- reporting of flu symptoms in this area Vetted researcher is looking for anonymized diabetes/lifestyle correlations. While vetted and audited researchers have access to customizable population-wide data. Data collection, authentication and UI Personal Data Exchange

12. Metronome will prove its humble value on a highly visible stage. We aren’t going to fix healthcare all at once, but via the Qualcomm Tricorder X PRIZE’s incentives and structure, we can provide a trusted data interchange to the best, brightest, up-and-coming talent in digital health and health transformation very efficiently. 12

13. 13 ? ? ? ? ? ? ? ? ? ? ? Qualcomm Tricorder X PRIZE Team Our first step is to use crowdfunding to build a broad coalition of stakeholders and get a “minimally viable product” into the hands of potential users, entrepreneurs, caregivers, insurers and influencers. Why will they do this? Because they want first access to the tools, insights and benefits of a system like Metronome, and we’ll give it to them for free while letting them guide it’s future. First, we start serving customers – using the QTXP to narrow the field and feature set

14. We rapidly iterate, each product cycle being better, plus having it in the hands 14 Qualcomm Tricorder X PRIZE Team Next, we’ll be able to use our crowdfunding backers, the Qualcomm Tricorder X PRIZE teams, and advocacy and industry groups as our customers – using lean and agile product development to rapidly evolve and integrate the support of their products, services and perspectives. Meanwhile, we’ll raise additional development resources from people that can start to see that we aren’t a competitor but we are taking problems off their plate while giving them new capabilities.

15. Phase 3 – broader in-market iterations starting in 2015 15 Finally, all the code, IP and insights created and gathered will be turned over to a governing independent non-profit. This non- profit will producize it, manage testing it, release it and maintain it under a simple and low cost open source license. It will let all the other stakeholders focus on what they do best, by making trust non-threatening. Qualcomm Tricorder X PRIZE Team

16. A platform for ecosystem innovation and risk reduction Metronome solves the data exchange problem for everyone equally. It enables stakeholders to develop collaborations and innovations while maintaining the flexibility to change them without changing technology. Behavior based incentives Niche providers and insurers Sensors and other hardware Coaching, maintenance and other apps Validated personalized therapies 16 Data collection, authentication and UI Personal Data Exchange

17. 17 We and our caregivers, regulators and insurers are already producing the data that can make health better, less risky and lower cost. Metronome will help us and the marketplace, researchers and advocates that support us come together to get it done.

18. Metronome. The least technology to synch the most players. Now you know: What’s ailing healthcare, and why it’s so hard to fix What we intend to do about it Why it matters to you, and what you can do about it 18

19. The Ask Join us to be part of the first truly integrated approach to healthcare Collaborate with us to get your product, service, or insight in front of influencers and buyers. Support us to get the first look at how much cost and risk can be removed by addressing trust, accountability and incentives. Join us to be part of the first truly integrated approach to healthcare Collaborate with us to get your product, service, or insight in front of influencers and buyers. Support us to get the first look at how much cost and risk can be removed by addressing trust, accountability and incentives. Invest your: Money Time IP In something that grows for all 19

20. Realize (y)our potential at OpenMetronome.com 20