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MEDTRONIC CONFIDENTIAL AND PROPRIETARY INFORMATION (INCLUDING KNOW-HOW)

© 2016 Medtronic MiniMed, Inc. Do not copy or distribute

October 12th, 2017

OUTREACH TO OUTCOMES:DIGITAL PATIENT ACTIVATION TO LOWER COSTS OF DIABETES CARE

Presented by:

&

OUTLINE

This webinar will focus on…

✓Techniques to increase program awareness and enrollment

✓The key elements that activate patients

✓The fundamentals of driving patient engagement

✓How to ensure successful outcomes by instilling long-term behavior change

2

3

INTERACT WITH US…

Use the chat feature to submit your questions

4

TODAY’S PANELISTS & MODERATOR…

Moderator

Pre-DiabetesNon-Intensive NOT on Insulin

Non-Intensive on Insulin

IntensiveInsulin

Primary Care Primary Care | Endo

Pa

tie

nt

Se

gm

en

t1

1) Illustrative representation of sample population2) CDC, National Diabetes Statistics Report 2017, cdc.gov3) Kirkman S et al. Diab Care 2015; 38:604-6094) Peyrot M et al. Diab Care 2010; 33: 240-245

SEGMENTS OF DYSGLYCEMIC STATES, THERAPY TYPES AND ADHERENCE TO THERAPY

84.1 million2 23.0 million2

69% adherence3 50% adherence4

6

DESPITE DRUG AND DEVICE INNOVATION, MORE IS NEEDED…

COPE WELL0

5

10

15

20

25

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Diagnosed Diabetes

On Medication

Heart Failure & Stroke

# Hospital Discharges

% Fair or Poor Health49%

Metformin

Fast actingInsulin

UKPDSDCCT

PrediabetesDefined

GLP-1

DPP-4

SLGT-2

mill

ion

InsulinPumps

ConnectedBGM

1.Source: Centers for Disease Control & Prevention

0102030405060708090

% A1C ˂7% % A1C ˂8% % A1C ˂7%; BP ˂130/80mmHg; LDL

˂100 mg/dL

Pe

rce

nta

ge

1988-1994 1999-2002 2003-2006 2007-2010

Casagrande SS et al., Diabetes Care 2013 Aug; 36 (8): 2271-2279

PERCENT OF PATIENTS MEETING A1C GOAL & ABC IN NHANES

7

CARING FOR THE UNENGAGED CHRONIC WITH T2DMTHE PATIENT DILEMMA: PRIORITIZING + MANAGING

77%hyperlipidemia

65% hypertension

UNENGAGED CHRONIC

(Type 2 Diabetic)

11%coronary artery disease

7% arthritis

As a patient’s condition worsens, he loses the ability to self-manage

Most patients have at least one comorbidity1

PRIORITIZATIONof condition management

SELF-MANAGEMENT of multiple conditionsPATIENTS NEED A

PERSONALIZED PROGRAM THAT WORKS WITHIN

THEIR COMORBIDITIES

1. Lin PJ, Kent DM, Winn AN, et al. Multiple chronic conditions in type 2 diabetes mellitus: prevalence and consequences. The American Journal of Managed Care. 2015;21(1):e23-e34.

8

THE DOCTOR/PATIENT DILEMMAPATIENTS MANAGE MOST OF THEIR OWN CARE

>90% of diabetes care is left up to the patient1

DOCTOR VISIT:~10 min every 90 days2

1. Azaid, A. There is a Missing Ingredient in Diabetes Care Today. Diabetes Technology & Therapeutics. 2014:16.

2. Medscape Physician Compensation report, 2011

DOCTOR VISIT:~10 min every 90 days2



Oct 12 2017

PATIENT CENTERED-DESIGN

Louis Dias

Medtronic Chief Patient Officer



PATIENT-CENTERED DESIGNPATIENT’S HEALTH & PERSON’S LIFE

10

Cancer

Kidney Disease

Heart Disease

Stroke

Diabetes

Injuries

Alzheimer

Respiratory Disease

LIFE

Disease

Stress at

work

Caring for

parents

Feeling blueNeedy

friends

Debt

Demanding family

Spirituality at sea

3rd

glass wine

No time to

exercise

PATIENT’s Health

PERSON’s Life



PATIENT-CENTERED DESIGNHEALTH REDEFINED

11

Basic Needs

(Survival)

Safety Needs

(Comfort)

Psychological Needs

Peak Experiences

Low Cholesterol

8hrs sleep/day

Blood Pressure < 140/90

Low Fat, High Fiber Diet

Exercise 30 min/day

When LIFE goes wrong,

HEALTH goes wrong

Troubled marriage

Uncaring boss

Sleeplessness

Money …

Safety, food, clothing, heat, electricity…

HEALTHY Redefined…

PE

RS

ON

’s L

ife

Gap in HUMAN BEHAVIOR

GAP



PATIENT-CENTERED DESIGNDEFINITION

12

PATIENT & PERSON DESIGN SOLUTION

DISEASE

Life Obstacles Life BuffersLife Magnifiers

LIFE

(Pains & Gains)

EMPATHY

The single biggest MISSING ingredient

in Health Care

Better understanding of patients’ needs,

concerns, motivations,

dreams…

&



PATIENT-CENTERED DESIGNPROCESS: SOLUTION DESIGN

13

WHO: SEGMENTATION & PERSONAS

WHAT: EXPERIENCE DESIGN

HOW & WHY: EMPATHY

PERSONALIZE the customer

Design: BROADLY IDEATE & TEST

Brainstorm, Create a touchpoint Framework, Concept, Test, Iterate…Iterate

WIDEN THE PERSPECTIVE

Talk, ask Why, Observe, find Need…

PATIENT & PERSON

(& other stakeholders: family, HCPs)

1

2

3



PATIENT-CENTERED DESIGNHOW & WHY: EMPATHY

14

Getting to know the PATIENT & PERSON

QUALITATIVE Research (Hypothesis)

Ethnography

Story Telling

Focus Groups

Video Diaries

QUANTITATIVE Research (Validation)

Habits

Attitudes

Satisfaction

Conjoint

Joanie



PATIENT-CENTERED DESIGNWHO: SEGMENTATION & PERSONAS

15

Clustering the PATIENT & PERSON

SEGMENTATION

(Cohorts)PERSONAS

Segment Vectors:

Disease Stage

Therapy

Lifestage

Motivation

Engagement

Self/HCP

Segment:

Size, Stable, Reachable



PATIENT-CENTERED DESIGNWHAT: DESIGN THE PATIENT EXPERIENCE (SOLUTION)

16

Designing a holistic EXPERIENCE

Current Behavior DESIRED BEHAVIORDESIGN transformation

Framework Behavior Change:

Outcome: <A1C

Behavior: >TherapyCompliance

Segment “Joanie”

Motivation = ?

Easy = ?

Trigger = ?

THE CHALLENGE…

Your population with chronic conditions is becoming sicker, because they are not engaged and empowered to direct their

health.

CANARY HEALTH INSIGHTS…

Directing health in one’s life story is critical to health improvement

Most with chronic conditions don’t direct

their health

Stories of others who changed their narrative

arc resonate and are powerful

Successful self-management leads to

owning the direction of one’s health and life

ENGAGEMENT THROUGH STORY-TELLING: OUTREACH TO OUTCOMES

OutreachEducateActivate

Sign-upShow-up

Participate Succeed

Prioritize, segment, develop personas, stories re changing

life, getting motivated

Stories re: chronic diseases, worsening

trajectories, prevention possible

Stories re: intervention success,

overcoming inertia, optimizing future

Stories re: others who overcame barriers,

solved problems, provided and received

support

Authentic stories re: long-term behavior

change with positive outcomes;

Sometimes we can help our patients to re-write their stories.

For instance, we might be able to help people with chronic

illness to move from a chaos story [of fear and powerlessness]

to a transcendent story [of hope], allowing them to see

themselves as people who have a manageable disease, not as

people who are in the process of dying.

Jeffrey Borkan

20

STORYTELLING HELPS CANARY HEALTH…

Impact participants

▪ Outreach and recruitment

▪ Discussion board

▪ Notes to participants

▪ Encouragement and motivation

Support and educate Canary Health staff

Market and Sell services and supports

24

MURIEL'S STORYA PATIENT WITH TYPE 2 DIABETES

25

MEDTRONIC SOLUTIONS ACROSS THE CARE CONTINUUMPATIENT AND PROVIDER SOLUTIONS TO IMPROVE OUTCOMES AND LOWER COST

Personal CGM

Pump therapy

TYPE 1PRE-DIABETES TYPE 2

Professional CGM - Therapy optimization & patient engagement

Digital Self-Management Programs

Diabetes-Specific Coaching Programs

Value Based Health Care

Supplies

1) Pre-diabetes population number includes undiagnosed patients

Medtronic Turning Point

MEDTRONIC CONFIDENTIAL AND PROPRIETARY INFORMATION (INCLUDING KNOW-HOW) © 2016 Medtronic MiniMed, Inc.

Clinic Models

TRANSFORMING DIABETES CARE TOGETHER, FOR GREATER FREEDOM AND BETTER HEALTH

“WE’RE DEVELOPING MEDICAL TECHNOLOGY AND SOLUTIONS THAT NOT ONLY IMPROVE HEALTHCARE, BUT DO SO WHILE DELIVERING BETTER ECONOMIC VALUE.”

Omar IshrakChief Executive

Officer

27

INTERACT WITH US…

Use the chat feature to submit your questions

28

CONTACT US VIA E-MAIL…

Moderator

[email protected] [email protected] [email protected]@Medtronic.com



August 8th, 2017

MANAGING DIABETES ACROSS THE CARE CONTINUUM: DIGITAL SELF-MANAGEMENT SOLUTIONS

Presented by:

&

digital patient activation to lower costs of … › wp-content › uploads › ...oct 12, 2017 ·...

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