mcclure~masstlc~11~3~09
DESCRIPTION
Partners Center for Connected Health overview presented at MassTLC HealthCare cluster meeting on 11/3/09TRANSCRIPT
Patient Centered Care: The Programs and
Platform to Support It
Douglas J. McClure Corporate Manager
Center for Connected Health Partners HealthCare
November 3rd 2009
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Three Delivery Models
Live Interactive Consultations
Asynchronous Consultations
Connected Health
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Connected Health is Patient Centered Care
Four Cornerstones of Connected Health
• Accurate physiologic information • Shared with the patient • Data-driven coaching • Optimized provider involvement
Connected Health Growth
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• Programs have transitioned from “research” to self supporting
• New research programs are developing the programs of the future – example medication adherence.
• Some programs are being turned into business offerings outside of Partners.
• Programs incubated and supported by CEO, CFO and COO.
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500
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FY05 FY06 FY07 FY08 FY09(pro) FY10(pro)
Diabetes Self Monitoring
SmartBeat
E-visits
Adherence
Connected Cardiac Care
Heart failure - homebound
Heart failure - Motorola trial
Heart failure - clinical trial
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Center for Connected Health Pipeline
Research
& Development
Program
Development
Self Sustaining Programs
• Founded in 1995
• 35 Full time Staff
• 12 projects and programs at any time
• Move ideas to programs
• Sustained and diverse funding strategy
Care Models
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CHF Remote-Monitoring Research finds: Patients using remote monitoring service
required 40% fewer nursing visits to the home; Patients using remote monitoring service had a 33% reduction in hospital admissions
Patients reported improved quality of life and increased involvement in their care
Program: Expansion of services in Home Care for all
homebound Medicare patients. 270 patients on service at any time.
FY09 growth +20%
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Connected Health - Diabetes
• Population: Diabetics – requiring daily glucose readings
• Technology: glucometer, gateway, web interface
• Coaching: diabetes educator
• Goal: improved control
• Business justification: • Meet P4P targets • Decreased downstream
complications
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Connected Health: Hypertension
• Population: Newly diagnosed or difficult to control hypertensives
• Technology: bp cuff, gateway, web interface
• Coaching: automated
• Goal: improved control
• Business justification: • Improved employee health • Decreased downstream
complications
Connected Health: Activity & Weight
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• Population: Wellness, cross-over
• Technology: activity monitor, weight scale, upload software, web interface
• Coaching: Automated
• Goal: Increased activity, weight loss
• Business justification: • Employee benefit • Productivity, decreased
care costs
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Research : Programs and Components of the Future
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You’ve done a great job this week! Let’s review
the calories you’ve burned.
1. Wearable monitor records subject’s activity levels
2. Activity data sent wirelessly to central server
3. Personalized coaching to improve adherence to activity regime
Good adherence Poor adherence
I’m sorry you’ve found it tough to
meet your targets this week. Let’s try
and work out a solution
Virtual Coach
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Imperative: Improving medication adherence
Inventors of Tomorrow
The Patriot Ledger May 7th 2007
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The Platform
Connected Health Platform
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Provider Intervention
Coaching motivation
Monitoring
Communications
Opportunity Knocking
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Hypertension Diabetes Heart Failure
Db
Transmission Transmission Transmission
Db Db
Chaos Following
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Db
Transmission
Data
Decision Support
Presentation & Messaging
Devices/Sensors
Hypertension
Db
Transmission
Diabetes
Transmission Transmission
Db
Heart Failure
A Unified Platform
RMDR
Transmission Connectivity
Database
CDR
EMR
EMPI
Enterprise Clinical Apps Integration
Devices/Sensors
Decision Support
Presentation & Messaging
Patients, Providers, CareGivers
PG
Connected Health Care Suite
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Connected Health Care Suite
Care Portals (Diabetes, HF, etc.)
Patients Care Givers Care Providers Physicians
CCH Apps • Asset & Patient Mgmt
• Program Mgmt & Evaluation
Partners Enterprise Clinical Apps
• LMR, CDR, EMPI
Remote Monitoring Services
• RMDR, Internet
Partners Entity Apps • Care Registries, PtCT, 4Next
Services
Decision Support
Common Clinical Mgmt System
Services
Services Services
Data Providers & Consumers of the RMDR
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RMDR
Diabetes Connect Application (Consumer)
Patient Weight Profile Application (Consumer)
Weight Scale Data
Glucometer Data
Partners Healthcare
Environment
Companies &
Integration
Pedometer
Blood Pressure
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Conclusions
• Connected health is evolving as a new dimension in HIT.
• Patient behavior change is a critical goal.
• Monitoring increases engagement and improves coaching.
• Quality, access and efficiency are improved.
• Visit us at www.connected-health.org to learn more.