1. Health Care Trends Biotechnology Council Meeting Michael J. Rozen M.D. Chair, MTPC IEEE-USA Washington, D.C. 19 March 2005

2. I. U.S. Healthcare Expenditure 1.8 Trillion (Traditional) 14.6% GNP What Do we Get? Life span: Uninsured Americans: 45 M Population 295,650,000 (net gain 1 person -12 sec) Uninsured add 1 person every 32 secs.

3. http://www.oecd.org/dataoecd/7/58/31785551.pdf

7. http://www.post-gazette.com/pg/05055/462144.stm 18.7 % 14.6% _______

8. CountryMS %GNPMD/1000 Res. F LEM LE USA 14.6 2.4 79.8 74.7 Australia 9.1 2.5 82.6 77.4 Austria 7.7 3.3 81.1 75.1 Canada 9.6 2.1 82.2 77.1 Czech Rep. 7.4 3.4 78.7 72.1 France 9.7 3.3 82.9 75.6 Germany 10.9 3.3 81.3 75.6 Ireland 7.3 2.4 80.3 75.2 Italy 8.5 4.3 82.9 76.8 Japan 7.8 1.9 85.2 78.3 Norway 8.7 3.4 81.5 76.4 Spain 7.6 2.9 83.1 75.7 Sweden 9.2 3.0 82.1 77.7 UK 7.7 2.1 80.4 75.7 How Long We Live, How Long They Live

9. Fifteen illnesses account for 56% of $200B increase in health spending 1987-2000

10. II. MTPC-IEEE-USA Voluntary Universal H/C Identifiers –http://www.ieeeusa.org/policy/positions/healthc areidentifier.htmlhttp://www.ieeeusa.org/policy/positions/healthc areidentifier.html Geriatric Symposium –http://www.ieeeusa.org/calendar/conferences/ge riatrictech/index.htmlhttp://www.ieeeusa.org/calendar/conferences/ge riatrictech/index.html Tissue Engineering/Stem Cell EMR and Interoperability

11. VOLUNTARY HEALTHCARE IDENTIFIER Approved by the IEEE-USA Board of Directors, 17 June 2004 IEEE-USA believes the use of voluntary healthcare identifiers can significantly enhance healthcare efficiency and patient safety. Consistent with the framework of the HIPAA legislation, IEEE-USA recommends that legislators and regulators develop and implement policies to create a Voluntary Healthcare Identifier Program and establish demonstration projects to document these benefits. Policies needed to facilitate adoption include: Congressional authority and resources for the Department of Health and Human Services and the National Committee on Health and Vital Statistics to develop and maintain a Voluntary Healthcare Identifier System Strong penalties, including monetary, civil and criminal for privacy and security abuses Safeguards against current or future unintended use of the information, and Incentives for healthcare stakeholders to encourage adoption of Voluntary Healthcare Identifiers This statement was developed by IEEE-USA's Medical Technology Policy Committee and represents the considered judgment of a group of U.S. IEEE members with expertise in the subject field. IEEE-USA is an organizational unit of the IEEE. It was created in 1973 to advance the public good and promote the careers and public-policy interests of the more than 225,000 technology professionals who are U.S. members of the IEEE. The IEEE is the world's largest technical professional society. For more information, go to http://www.ieeeusa.org. http://www.ieeeusa.org

12. Addressing the Healthcare Needs of Our Aging Population With Technology 4 June 2004 This report summarizes the findings and recommendations provided by a leading group of geriatric care and scientific scholars at a one-day symposium on June 4, 2004. The symposium goal was to address the healthcare needs of our aging population and to review current technology and recent advancements in geriatric care. The general recommendations of the symposium are to: Provide new incentives to encourage physicians to specialize in geriatric care, including financial incentives, regulatory changes and access to technology-based efficiencies Incorporate information technologies with enhanced communication capabilities into patient care management Utilize remote sensing to promote efficient and effective patient management between office visits and encourage adoption of home self-care management programs Make payment methodologies and staff training more effective and more focused on geriatric healthcare needs through the incorporation of innovative technological enhancements The symposium also developed specific recommendations from the perspectives of the geriatric population, caregivers, medical professionals, and other medical support areas including medical facility and insurance providers and IT system and device makers. Included under these areas are recommendations to: …

13. III. OECD Biotechnology Primary Focus-Agriculture –Upgraded to full division of OECD –Projects on Prevention of Biotech research abuse –Creating Int. inventory of biotech tools –Developing best practices and guideline re genetics research –Prioritizing biotech innovation activities –Collection biostatistics from members http://www.oecd.org/dataoecd/54/45/34512603.pdf

14. IV. Opportunities for Us Collaboration & Synergistic Alliances Voluntary Universal Healthcare Identifier National Health Information Infrastructure Adoption of Electronic Medical Records Geriatric Healthcare Medical Device Identification and Tracking

15. Thank You Michael J. Rozen M.D. Chair, MTPC IEEE-USA