Bridging Disparities in Healthcare
Dismantling global disparities in healthcare and creating lasting solutions
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Medtronic, Inc. (“Medtronic”) offers RemoteView, which permits a user (“Programmer User”) of the Medtronic CareLink® 2090 Programmer (“Programmer”) to allow the viewing of information presently displayed on the Programmer screen with one or more individuals in remote locations anywhere in the world (“Remote Viewer”), including remote health care professionals or Medtronic representatives.
Limited License Grant. You are hereby granted a nonexclusive, nontransferable, terminable, nonassignable, nonsublicensable, limited license to install and use a copy of the Licensed Software solely for authorized and legitimate purposes. You may not otherwise copy, use, modify, reverse engineer, decompile, disassemble, create derivative works based on, or integrate with other systems or programs the Licensed Software without the prior written consent of Medtronic. You shall have sole responsibility for any fees or charges, including service or data charges, incurred by you in connection with your use of the Licensed Software. You shall not remove any proprietary or other legend or restrictive notice contained or included in the Licensed Software or other documentation associated with such Licensed Software. You agree to maintain any and all copyright, trademark, and other notices on the Licensed Software and any associated documentation.
Licensed Software Functionality and Data Use, Collection, Viewing, and Transfer.
“Active Remote Viewer” as referred to herein shall mean a Remote Viewer that has installed the Licensed Software and has at the relevant point in time an active network connection to a Medtronic server via the Licensed Software.
By installing or using the Licensed Software or clicking any acceptance button in connection with this Agreement, you acknowledge, understand, agree to, and consent to all of the following, including when you are an Active Remoter User:
) Registration. To obtain access to the Licensed Software, you must register at the Medtronic RemoteView website and establish a user name and password. All information that you provide in connection with such registration must be complete, accurate, and truthful. The user name and password are personal to you and must not be shared with anyone else. You will also not attempt, directly or indirectly, to disable, bypass, or defeat any password protection associated with the Licensed Software. Medtronic reserves the right to deny or disable any user name or password or request for any user name or password.
) Your Personal Information. Medtronic will collect information in connection with your registration and installation and use of the Licensed Software, including your first and last name, your email address, a selected security question(s) and your corresponding answer(s), your address, and your telephone number. You agree that Medtronic may store this personal information about you on a Medtronic server, including a server located in the United States of America.
) Session Key. To view the information on the Programmer, the Remote Viewer must generate a Session Key that must be shared with and entered by the Programmer User. “Session Key” as used herein means a unique token active for a limited period of time generated by the Remote Viewer. You agree not to share this Session Key with anyone other than the Programmer User who has initiated the specific session.
) Logging of Session Activity. Each time you log in to the Licensed Software, Medtronic will collect information about your activity, including in an aggregated log or database, regarding you and your session, including your name, username, computer name, IP address, operating system details, and session details (including transferring and sharing activity, start and end times, view only or control activity, and any chat messages between or among any Active Remote Viewers. You agree that Medtronic may store any personal information about you on a Medtronic server, including a server located in the United States of America.
) Active Remote Users. When you are an Active Remote Viewer: (1) you will be able to view the name and/or user name of any other Active Remote Viewer who is logged into the same Medtronic server; and (2) any other Active Remote Viewer who is actively logged into the same Medtronic server will be able to view your name and/or user name. The Licensed Software also permits one Active Remote Viewer to share the information being viewed to any other Active Remote Viewer. You must not share any information from the Medtronic programmer, including with any other Active Remote Viewer, absent the express permission from the Programmer User that is allowing you to view the information.
) Availability. Medtronic has limitations on the number of users that can concurrently log in to the Licensed Software at any given time. Thus, installation of or accessing the Licensed Software does not guarantee that it will be available to you for use at any time.
Permissions. By installing and using the Licensed Software, you represent that you have permission to do so from any associated clinic, hospital, or medical practice and that your use of the Licensed Software complies with any policies or requirements of such associated clinic, hospital, or medical practice. You are also responsible for confirming that the Programmer User has obtained any necessary patient consent before allowing you to view any patient information via the Licensed Software.
Your Acknowledgements. You acknowledge that the Licensed Software is not the exclusive method of viewing information from the Programmer and that the Licensed Software is not the exclusive method by which to obtain a patient’s implanted cardiac device data, including any data on the Programmer. You also acknowledge that the Licensed Software is not intended to be used as a life-sustaining or interventional tool during medical emergencies. You further acknowledge that Medtronic is not, and shall not be deemed to be, a provider of patient health care services by virtue of its provision of access to the Programmer screen information via the Licensed Software. You also acknowledge that information from the Licensed Software is not an electronic medical record and use of the Licensed Software does not in any way relieve you from using your best medical judgment to determine a proper course of treatment for patients.
Security/Privacy of Patient Data. Your use of the Licensed Software and any Session Keys shall be solely for legitimate and lawful purposes and not for any malicious purpose. You are solely responsible for and will use your best efforts in maintaining the confidentiality and security of any copies of the Licensed Software as well as any user name, password credentials, and any Session Keys that can be used in accessing the Licensed Software, a Medtronic server, or any information from a Programmer. You are solely responsible for and will use your best efforts in keeping any patient information you may receive or view in connection with the Licensed Software confidential and secure, and you will not attempt to capture or copy any patient information you view in any electronic or hard copy format without the express permission of the Programmer User. You will be responsible for any obligations or liabilities associated with any lost, stolen, or otherwise compromised patient information.
Reporting Issues and Feedback. You agree that you will report any issues or questions, technical or otherwise, regarding the Licensed Software promptly and directly to Medtronic. If you submit any comments or ideas to Medtronic, in the absence of a separate agreement regarding such submissions, you grant to Medtronic an unrestricted, royalty-free, irrevocable license to use, reproduce, display, perform, modify, transmit, and distribute such ideas in any medium and agree that Medtronic is free to use them for any purpose. In addition, Medtronic has no obligation to provide continued maintenance and support to you in connection with the Licensed Software. Any maintenance and support services provided by Medtronic shall be at Medtronic’s sole discretion.
Limitations of Liability.
THE LICENSED SOFTWARE IS PROVIDED TO YOU “AS IS,” AND MEDTRONIC EXPRESSLY DISCLAIMS ANY AND ALL WARRANTIES WITH RESPECT TO THE LICENSED SOFTWARE AND YOUR USE THEREOF, INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NONINFRINGEMENT. MEDTRONIC DOES NOT WARRANT THAT THE USE OF THE LICENSED SOFTWARE WILL BE UNINTERRUPTED OR ERROR-FREE.
Legal Compliance. You shall at all times use the Licensed Software in compliance with all applicable laws. You shall ensure that your installation and use of the Licensed Software complies with all applicable export and import laws, regulations, orders, and policies of the United States of America and any other applicable jurisdiction. You represent and warrant that (i) you are not located in a country that is subject to a U.S. Government embargo, or that has been designated by the U.S. Government as a “terrorist supporting” country, and (ii) you are not listed on any U.S. Government list of prohibited or restricted parties.
Term, Termination, Modifications, and Support. This Agreement shall be in effect from the date when you first install or use the Licensed Software. Medtronic may modify, amend, or terminate this Agreement at any time, including by providing notices or an updated version of this Agreement on a Medtronic website. Medtronic may modify, disable, or terminate your use or Medtronic’s support of the Licensed Software at any time, including by providing notices on a Medtronic website. All obligations which are ongoing in nature shall survive termination or expiration of this Agreement. At any time upon Medtronic’s request (including via a notice on a Medtronic website), you agree to promptly delete and terminate use of any and all copies of the Licensed Software. In addition, upon Medtronic’s request, you agree to provide written verification that you have destroyed all copies of the Licensed Software together with the manner, date, and time of such destruction.
NayaMed International Sárl Customers: Whether the RemoteView feature shall be used in connection with NayaMed customers or devices shall be solely within the discretion of NayaMed International Sárl. If the Licensed Software is used connection with NayaMed customers or devices, this Agreement shall be directly between you and NayaMed with respect to those uses.
Dismantling global disparities in healthcare and creating lasting solutions
It is 1992 in Mexico City, and Dr. Luis Molina is struggling to help his cardiovascular patients. Thirty percent of his neighbors lack money to pay for basic needs1, and with other socioeconomic factors at play, some patients are left on a seemingly endless pacemaker waitlist. When a Medtronic representative heard Dr. Molina’s story, a product donation and medical training opportunity blossomed into a 25-plus year program that has served more than 3,000 patients. Product donations are one way to bridge access barriers, but our approach to dismantling global disparities in healthcare goes much deeper. By increasing diverse representation and reducing bias in how we develop, distribute, and connect patients to our technologies, we can help create global, lasting solutions.
Medical teams that understand the nuances surrounding a patient’s health and life circumstances are critical. According to the Harvard Business Review, Black Americans make up 13 percent of the U.S. population but only 4 percent of U.S. doctors and less than 7 percent of U.S. medical students.4 Studies show closing this representation gap, along with many others, could save lives.
As an industry, we must prioritize promoting equal career advancement, educating physicians and patients everywhere, and increasing access to science, technology, math, and engineering (STEM) and healthcare education for women and people of color. We work to make an impact through programs and initiatives like:
Thurgood Marshall College Fund: This partnership brings together both the Medtronic Foundation’s financial resources directed at scholarships for low-income students pursuing STEM degrees at historically Black colleges and universities and the time and skills of our passionate Medtronic employees – deepening its impact.
STEM Outreach for Kids: To help bring more diversity into STEM fields, we share knowledge, experiences, and expertise and host programs that inspire youth interest in science, technology, math, and engineering careers. These programs are hosted around the world, from Australia to America.
Addressing Disparities in Cardiovascular Care: Black, Latinx, and Asian patients are less likely to get transcatheter aortic valve replacements — a procedure for heart valve disease — and are offered this minimally invasive option at abysmally lower rates. In response, we created a pilot program to engage health care and community leaders in four U.S. cities to identify and address barriers to access for these underserved patient groups.
Diverse Representation in Global Clinical Trials: With a focus on both gender and racial and ethnic diversity, we’re increasing trial representations around the world and across the board to ensure our products benefit everyone who needs them.
“We want clinicals trials and medical science to represent everyone. That means we'll understand what works across the spectrum of people who reflect our diverse society, and deliver treatments address the needs of underrepresented groups.”
–Laura Mauri, SVP, Chief Clinical & Regulatory Officer, Medtronic
In underserved communities, the path to an insulin pump can be riddled with misinformation, sometimes leaving a patient’s care to guesswork. Is an insulin pump only the last option for severe cases? I’ve heard it’s better than shots, but how come my doctor didn’t recommend it? Because of this lack of understanding, Hispanic and Black people with diabetes have been shown to use technology at rates that are two times and three times less than their white counterparts.5
As one action to address these disparities in health, Medtronic focuses on reducing bias through interventions in the diabetes care pathway. We are developing unconscious bias trainings to help doctors become better advocates for their patients — many of whom might speak a different language. This includes checklists for appointments that make sure all treatment options are clearly shared. We partner with diabetes centers that serve mostly Spanish-speaking patients and provide access to education, support materials, and classes in their language to help patients properly set up their technology.
In China, children with diabetes can be subject to restrictions in academics and employment, which can put the children at a disadvantage in terms of education and career opportunities. Through a program called “Flying Dreams,” we aim to dismantle those generational disparities in healthcare. That’s why we’ve offered scientific disease management, life guidance, and counseling to more than 12,000 families in order to help them do more than just survive.
“As a medical-device manufacturer, we have the responsibility to help reduce disparities in healthcare within communities of color by ensuring they’re granted the same access to technologies that may help patients better manage their disease.”
–Sean Salmon, Executive Vice President and President of Medtronic Diabetes
Navigating healthcare systems, knowing how to identify health problems, and understanding available treatment options shouldn’t be a luxury based on zip code. By uncovering disparities in healthcare, mitigating biases in research, and empowering health workforces around the world, Medtronic is committed to continuously identifying what we have the power to change — and then acting upon it.
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