Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth1

European Connected Health AllianceMobile World Congress – March 3rd.

Panel session: mHealth for Chronic diseases and Active and Healthy Ageing

Scaling TeleHealth

Chris WesterteicherBusiness Director Hospital to Home International

Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth2

What is TeleHealth?�Vital Signs Monitoring

�Patient Empowerment

�mHealth Solutions

Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth3

Demonstrated Benefits (does it work?)�Reduces Hospital length of stay

�Reduces number of Hospital admissions

� Improves Patient‘s Quality of Life and Satisfaction

�Reduces mortality rates (Heart Failure patients)

Carme Study

9 73% reduction in hospital length of stay for HF patients

9 Reduction of re-admissions 52%9 Reduction of hospital length of stay 57%

Carme Study9 Improved QoL9 High grade of satisfaction9 High safety awareness and fear reduction

Whole System Demonstrator9 45% reduction in mortality of HF patients

Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth4

Changes in Healthcare

„That it will ever come into general use notwithstanding its value, I am doubtful....“

Sir John Forbes (1787 – 1861); Statement from the 1st edition of his book on the values of the Stethoscope.

Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth5

Concept Offering

Patient Assessment & Data Analysis9 Risk Stratification9 Proactive data analysis

of patient data sets

Monitoring and Compliance (M&C)9 Monitoring

¾ Automated Data Collection¾ Patient Reported Vitals

9 Compliance

Care Coordination (CC) 9 Guideline based management9 Liaison with local staff, family

& friends9 Patient appointment

Self-Management Support (SMS)9 Structured education programmes9 Patient coaching

Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth6

Monitoring & ComplianceTeleMonitoring TeleHealth

Vital Signs Monitoring

Subjective Assessment

Education& Guidelinemanagement

� Empower patients to actively manage their disease state and change their behaviourby providing appropriate coaching andeducation.

Confidential May 2009

Content elements

Monitoring

Stage 2:Medical

EdutainmentIntervention

Phases 1-4: Goal setting, Planning, Self-

monitoring and Feedback

12 weeks 12 weeks

Phase 5: Relapse prevention

12 weeks

Phase 6: Maintenance

12 weeks

Stage 1:Intro

(Medical didactics)

2 weeks

Stage 3: Coaching intervention

Tips

EducationalVideos

Quizzes/Surveys

MessagesVitals charts Interactive Recipes

� Care Planning – Guideline based planning,management and review, according to the individual needs of patients.

� Modular “Building Block” concept, allowing adaptation to a broad range of patient acuity levels and disease states.

Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth7

Advancing Care Coordination & TeleHealth (ACT)

Why is TeleHealth scaling slowly?� Difficulties in translating pilot results into

routine care� Health care needs to integrate CC & TH into

existing care delivery structures (workflow re-engineering)

Primary ACT Focus (Identify “Best Practice”)“Identify ‘best practice’ organisational and structural processes”

� Integrating CC & TH into care delivery systems� Patient stratification� Educating Care Providers� Improving patient adherence and empowerment

Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth8