1. Remote Patient Monitoring Ways to Control Costs, Improve
Outcomes, Avoid Readmissions & Modify Patient Behavior
2. Long Ago, People Danced @ Concerts, Now They Video / Click /
Share / Tweet Source: Left image 123RF.com. Right image
amadarose.co.uk.
3. Smart Home
4. Telehealth & RPM in Coordinated Care
5. Why is Telehealth/RPM important? National/ State Challenges
Health Care Workforce Shortage CME/EBP Lack of Coordination
Hospital Viability Financial crisis Pay for Performance Penalties
Poor Health Status High consumers, high cost Half $ spent on 5%
population Patient disengaged
6. Patient-Centric Approach
7. Transforming Healthcare
8. Bringing the Health Care Team to the Patient
9. Telehealth in Mississippi
10. 165 telehealth sites of service (non-affiliated) 34 medical
specialties 8 types of locations 7,669 telehealth encounters/month
Continued growth in primary & specialty care services Community
based partnerships have led to our success UMMC Center for
Telehealth (September, 2014)
11. Analytics Bringing the health care team to the patient
Specialty consults, ancillary services Remote Patient Monitoring
Chronic disease management Care at Home Avoid Readmissions Avoid ER
visits Personalized Health Wellness Wearables Health IT in Care
Coordination
12. Tiered Health IT Approach Tier 1 Tier 2 Tier 3 Post
Discharge Acute Setting Remote Patient Monitoring Acute or Outpt
Setting RPM, Med Adherence and Video Home Visits IVR, RPM IVR, RPM
IVR, Med Adherence, RPM, video visits Readmission Prevention Avoid
ER Reactive Readmission Prevention Avoid ER Proactive/Reactive
Chronic disease mgt, ^ follow-up/monitoring Readmission Prevention
Avoid ER Proactive/Reactive Post D/C Pilot Diabetes RPM Pilot
Population Health Personalized Health Care
13. Post Discharge Pilot Program 180 patients enrolled in IVR
program (3 month period) 364 alerts (308 resolved by nurse) 56
(15.4%) alerted with intervention required 45 non-urgent 11 urgent
Cost avoidance from 11 urgent alerts resolved ~$98,791 (based on
$8,981 average admission) As readmission penalties increase, cost
avoidance and savings increase
14. Improved Quality, Efficiency, Safety in hospital Safety in
Transitions of care Improved outcomes- early recognition earlier
intervention minimized complications decreased LOS Better
Coordination of Care Improved Patient Management at Home to prevent
readmission/ER visits Patient Empowerment What does RPM offer?
15. Population Health Diabetes Project in Mississippi
16. Access to Health Care, Education & Support Improve
access to care for Mississippians with Diabetes Limited Access to
Diabetes Specialists Limited Access to education/support for
community physicians in the treatment of Diabetes Inconsistent use
of evidence-based treatment guidelines Limited access for patient
and family support
17. Population Health Diabetes Project in Mississippi
18. Integration of RPM, Telehealth & Care Coordination
19. How can we engage patients?
20. How does it work? Acute Physiologica l Monitoring Phase 1
Adherence Phase 2 Behavior Change Phase 3 Transition to
Self-Management Phase 4 Phase 1 Monitoring signs and symptoms Phase
3 Disease process education Identify resources needed Support for
changing behavior Phase 2 Learn new medical regimen Phase 4 Learn
and model self-management behaviors Medication management;
adherence to orders Demonstrate self-monitoring and response
21. Individualized Patient Care
22. Population Health Diabetes Project in Mississippi Using a
remote care management (RCM) platform, participants have remote
access to education and a team of specialists over a 12 month
period. Daily Health Sessions Personalized Interventions Targeted
Education Health Coaching Behavior Modification Patient
Empowerment
23. Care Innovations Guide Virtual Care Suite Population
Stratified by Risk
24. Empowering Patients
25. Mississippi Diabetes Telehealth Network 10-10-2014 Current
Number of Enrolled Current Number of Active Guide Tablets Current
Number of Scheduled Enrollments 24 19 6 Number of Scheduled Health
Sessions Number of Health Sessions Completed 592 569 Number of ER
visit Number of Hospitalizations Impacts 0 0 (1) A1C Down 8.8 to
8.0 % 96 Compliance 3-Eyes Identified with Retinopathy
26. Population Health Predictive Modeling Risk Stratification
to customize care management service Target high impact patients
Personalized care plans, interventions, and patient education
Prevention Well Members Prevention & Disease Management Low
Risk Members Disease Management Moderate Risk Members Episodic Case
Management High Risk Multiple Disease States Complex Care Inpatient
LTC
27. If you focus only on risk and cost, many individuals will
look the same. Ruth 50 years old diabetes and hypertension
Forecasted Annual Cost of Care: $15,245 3 inpatient days 1 ER Visit
$1,528 for medications Maria 50 years old diabetes and hypertension
Forecasted Annual Cost of Care: $14,993 3 inpatient days 1 ER Visit
$1,568 for medications
28. Predictions empower you to see each patient as an
individual in terms of risks.
29. The Whole Picture EMR Health Information Network/Exchange
Pharmacy data Claims Data Remote Monitoring devices Wearable data
Patient Reported data
30. Translate to Meaningful and Actionable Data
Intervention
31. mHealth on the Rise The global mHealth market is poised to
exceed $49.1 billion by 2020. Source: Healthcare IT News, mHealth
Market scales to new heights based On a market report, March 4,
2104
32. Mobile technology Key to widespread adoption Studies show
that people check their phones more than75 times a day* Leverage
the addictive nature of smartphones and technology as a tool to
engage people in their health and outcomes. Kleiner Perkins
Caufield & Byerss annual Internet Trends report. 5/29/2013
33. Future Innovation Ideas Wearable technology Wellness
initiatives will be the key and wearable technology can assist us
in managing population health Wearable Technology
34. Home-based connected health to overtake hospital-based by
2019 By: Aditi Pai | Oct 14, 2014 The telemedicine market, which
according to BCC Research is comprised of telehospital and telehome
technologies, is expected to reach $43.4 billion by 2019 with a
compound annual growth rate of 17.7 percent, according to a recent
report from the firm.