mx 2009 be there! ivisit mx remote care & assistance solutions/ services mx confidential 1
TRANSCRIPT
Mx
2009
Be There!
iVisitMx Remote Care & Assistance Solutions/ Services
Mx
http://www.iVisit.com/ CONFIDENTIAL 1
Mx
04/18/23
Mission Statement
Create a national and state of the art Telemedicine and Mobile Healthcare Practice offering personalized end-to-end solutions for chronic disease and acute care
Offer non-invasive vital sign monitoring devices and data collection on a monthly
subscription basis
Deliver technology and media to interact, remind and support behaviors critical to patient health and treatment efficacy
Launch services leveraging the benefit of 8 years of telemedicine practice, and validated with objective and quantifiable outcomes
2http://www.iVisit.com/ CONFIDENTIAL
Mx
04/18/23 Page 3http://www.iVisit.com CONFIDENTIAL
iVisitiVisitMxMx enables healthcare organizations to deploy scalable enables healthcare organizations to deploy scalable
telehealth and assisted living solutionstelehealth and assisted living solutions
Mx
Less the Inclusion of Universal Access to Healthcare (which will add 47M Uninsured Americans), U.S. Healthcare Spending Levels and Annual Growth
Rate are Unsustainable to the National Economy
Billions
http://www.iVisit.com/ CONFIDENTIAL 4
Mx
What are the Major Healthcare Cost Drivers?Aging of the Population and Major Chronic Disease States
5
Chronic Disease Prevalence in 2007
http://www.iVisit.com/ CONFIDENTIAL
Mx
6http://www.iVisit.com/ CONFIDENTIAL
Sources of Excess Cost Growth
Chronic diseases are non-communicable illnesses prolonged in duration, do not resolve spontaneously, and are rarely cured completely (e.g., diabetes, heart disease, stroke, cancer, and arthritis).
Cause 7 in 10 deaths each year in the United States
About 133 million Americans—nearly 1 in 2 adults—live with at least one chronic illness
More than 75% of health care costs are due to chronic conditions
Approximately one-fourth of persons living with a chronic illness experience significant limitations in daily activities
The percentage of U.S. children and adolescents with a chronic health condition has increased from 1.8% in the 1960s to more than 7% in 2004
Source: CDC
Mx
7http://www.iVisit.com/ CONFIDENTIAL
NIH Summary and Conclusions: Lifestyle Change Can Bring Diabetes and Other Chronic Diseases Under Control
The Metabolic Syndrome and Type 2 Diabetes
The Metabolic Syndrome is upon us
The Metabolic Syndrome predicts a higher risk of CHD, CVA and type 2 diabetes
Lifestyle should be the initial and sustained therapy
Some drug therapies appear to work
• Metformin, TZDs, ACE inhibitors, ARBs
A variety of therapeutic options appear forthcoming
Mx
http://www.iVisit.com/ CONFIDENTIAL
Healthcare Problems Addressed with Mobile Healthcare Solutions and Services
Hospitals and physician practices do not have enough resources to provide face-to-face treatment and management for everyone with chronic diseases
Effective disease management requires more frequent intervention, coaching, and patient monitoring and this is only affordable and feasible utilizing a virtual medical practice
Prevention and management of such conditions also requires new disruptive ways for caregiver-patient interactions, and the implementation of the most advanced and current protocols
Reducing the length of hospital stays, the rate of readmissions or emergency room visits can save the healthcare system significant costs.
Remotely managed assisted living for elderly and patients with disabilities requires solutions that increase functional independence, empower friends/family and other care givers to collaborate.
8
Mx
http://www.iVisit.com/ CONFIDENTIAL
Solutions & Services
9
Accessible Desktop-Mobile Communications Nurse and NP Telecare
Diabetes and Metabolic Syndrome Chronic Obstructive Pulmonary Disease (COPD) Congestive Heart Failure Asthma Aids, TB, and Hepatitis Wound Management (Chronic or post operative) Remote Medication intake monitoring and
compliance Behavioral Therapy
– Stress Management– Depression– Tele-Psychiatry
Wellness Care– Obesity– Smoking Cessation– Pregnancy and Prenatal Care
iVisit Vitanet Remote Vital Signs Monitoring
Integrated Remote Patient Monitoring
•Blood Glucose•Weight Scale•Blood Pressure•Heart Rate•Pulse Oximetry•Respiration Rate
Mx
04/18/23
Laptops and DesktopsLaptops and Desktops
Mobile & Desktop Unified Communication Solutions Enable a New Generation of Accessible Audio-Video-Text and Data Communications on Any Device and Network
Mobile DevicesMobile Devices
HIPAA Compliant, Scalable Platform for Multiparty Audio/Video Conferencing, Collaboration, Location-Based Services, Push-to-Talk+, Messaging, and WEB Conferencing Across IP and 3G Networks and Devices.
10
Live, Face-to-Face Medical Encounters
Anywhere
Live, Face-to-Face Medical Encounters
Anywhere
http://www.iVisit.com/ CONFIDENTIAL
Mx
11http://www.iVisit.com/ CONFIDENTIAL
Vitanet – “Connected or Store and Forward” Remote Patient Monitoring National Institute of Aging SBIR Extension to Include Vital Sign Monitoring
Connected remote healthcare with practitioner in the loop for vital sign monitoring, disease management, medication intake and compliance
– Blood Pressure– Pulse Ox– Glucose-Meter – Weight and Temperature
– FDA approved requires home hub– Portable version using PDA as the data network
under development– Hosted SAAS– Partnering with SoC experts developing the next
generation of low power wireless sensors
Supplied by Carematix,Off-the-Shelf FDA approved
Integrated Remote Patient Monitoring
•Blood Glucose•Weight Scale•Blood Pressure•Heart Rate•Pulse Oximetry•Respiration Rate
Mx
Lifecycle of Diabetes and Co-morbid Conditions
12
04/18/23
12
iVisitDisease ManagementiVisit Wellness
Vitanet Vital Sign Monitoring
http://www.iVisit.com/ CONFIDENTIAL
Metabolic Syndrome
Diabetic
Vascular Neuropathy
Chronic Wounds Amputations
Diabetic Retinopathy
CHF, CVA
Mx
04/18/23
Proven Outcomes of iVisit Mx for Managing Diabetes and Co-morbid Conditions
Remote intervention and coaching by a Nurse Practitioners has been provided by iVisitMx team using video conferencing. A randomized outcome study based on CMS data will outline the results.
Wound Technology Network (WTN) an iVisit MX partner specializing in treatment of chronic wounds remotely is using iVisit Mx solutions. A Microsoft sponsored case study summarizes the outcomes.
Diabetic retinopathy causes significant number of visual impairments. A significant percentage of the 11 mil + visually impairments in the U.S. is caused by Diabetic retinopathy. Visual assistance solutions developed under NIH (NEI and NIA) provide us with a strong set of assistance solutions for users with communication disorders.
CHF, CVA, High blood pressure are other co-morbid conditions of diabetes.
Page 13http://www.iVisit.com CONFIDENTIAL
Mx
Proven Diabetes Cost Savings & Clinical Improvements*
Proved that the use of home-based Tele-monitoring… Using 2-way video, reduced the number of hospital days by 26% Led to an overall cost savings of 20+% (compared to nurse telephone support)
Increased both patient survival and patient satisfaction
iVisitMx has outcome data from the team’s prior projects including a large-scale (516 Patients) , randomized prospective video-based Tele-monitoring trial.
Medicare savings 29% for Part A7% for Part B
Medicare savings 29% for Part A7% for Part B
CUCI
* Cost data supplied by Medicare 2002-2004, including costs of Telemedicine sessions
14http://www.iVisit.com/ CONFIDENTIAL
Mx
Reduction in Emergency Room Visits
iVisitMx case study showed 50% reduction in Emergency Room visits
Reduction of Blood Glucose LevelsClinical Outcomes show 20% reduction of blood glucose levels; blood glucose stabilization is a major indicator for improved health and co-morbid complications.
Clinical Outcomes show 20% reduction of blood glucose levels; blood glucose stabilization is a major indicator for improved health and co-morbid complications.
15http://www.iVisit.com/ CONFIDENTIAL
Mx
Reduction of Catastrophic Events
Clinical Outcomes show 25% reduction of catastrophic events. Readings in the danger zone increases damage to other organs in the body.
Clinical Outcomes show 25% reduction of catastrophic events. Readings in the danger zone increases damage to other organs in the body.
Sample Patient ReportSample Patient Report
Percentage of Monthly tests in danger zone
16http://www.iVisit.com/ CONFIDENTIAL
Mx
Proven Clinical Outcomes for some Telecare ApplicationsWound Technology Network (WTN)
Improved Patient Outcomes WTN patients experience many benefits from the company’s mobile treatment program, including
at-home care and improved continuity of care. – Based on a case study from one of WTN’s health plan partners, WTN cites a wound-healing rate of 90 percent
without surgical intervention, and estimates that time-to-heal is reduced by 50 percent or more compared with traditional in-hospital care.
Reduced Healthcare Costs WTN is using its mobile wound management solution to help reduce the number of expensive
hospital stays. “We are able to decrease hospitalizations by 90 percent,” says Galitz. Other benefits for payers include:
– Hospitalization readmissions reduced by up to 90 percent. – Extensive data and report generation. – Risk reduction compared with hospital treatment. – Continuity of care and complete case management.
2-page Partner Case Study Wound Technology NetworkVideo (next slide)
17
04/18/23
http://www.iVisit.com/ CONFIDENTIAL
Mx
Wound Technology Network Video
18http://www.iVisit.com/ CONFIDENTIAL
MxNIH Sponsored SeeStar & SeeScan Technologies
Accessibility and assistance solutions for visually impaired and aging population 11 million+ visually impaired users in the US
SeeStar: Remote Assistance for improved quality of life and telehealth services– Virtual "pair of eyes" via the use of a cell phone camera and data link to a remote assistant– Assistant views the live images and then describes the person's surroundings including the
location of landmarks, and finds pathways to destinations using the mobile user’s GPS position and Google Maps
– Facilitates mobile healthcare for visually impaired and elderly using accessible PDA mobile devices
SeeScan: Mobile Object Recognition & Real Time Augmented Reality– Mobile system that can quickly and easily detect and recognize specific objects including
consumer goods, currency, compact discs, etc.– Users can easily add new items to private and public online databases
Development and testing through: NEI-1R43EY016953-01, NIA-2R44EY016953-02 and collaboration with the VA Atlanta Research Education Foundation (AREF)
19
04/18/23
19http://www.iVisit.com/ CONFIDENTIAL
Mx
LookingAid - Healthcare Services Integrator and Reseller The First Automated Visual Recognition System for Visually Impaired
Demo video: http://www.youtube.com/watch?v=lUUxGvDqok4 (next slide)National Institute of Health Sponsored:
NEI-1R43EY016953-01, NIA-2R44EY016953-02
2020http://www.iVisit.com/ CONFIDENTIAL
Mx
LookingAide – Demo Video
2121http://www.iVisit.com/ CONFIDENTIAL
Mx Mobile Healthcare Services
iVisitDM, iVisitPsychiatry, iVisitMD, iVisitRx, iVisitLookingAid
Health Services & Solutions Product Development
Phase 1 Trials & Protocol Development
Phase 2 Trials Pilot Roll Out
Diabetes and Metabolic Syndrome (proven by CelluCare)
Large NIH Grant Pending ($3.0mil 500 + patients)
Wound Management (Chronic or post operative)
deployed Deployed by WTN Accessibility & Assistance Solutions for Elderly and users with disabilities
NIA Phase 2 Grant in progress
Pilot trials pending
Automated Vision Aid Looking Aid
Phase 2 NIH Grant Pending
Service Launch is planned in 2009
Chronic Obstructive Pulmonary Disease (COPD)
Under development
NIH Grant Pending
Congestive Heart Failure
Under development
NIH Grant Pending
Obesity, Depression, TelePsychiatry, Stress Management, Smoking Cessation
Seeking trial partners
Seeking trial partners
Seeking trial partners
Shortening length o f hospital Stays
NIH Grant Spet 2009
NIH Grant Spet 2009
NIH Grant Spet 2009
Noninvasive Heart Rate, Respiration Rate Sensor, Wireless vital sign R&D
NIH Grant Sept 2009 Seeking partners
Home Assisted Living Solutions
NIH Grant Sept 2009 Seeking partners
http://www.iVisit.com/ CONFIDENTIAL 22
Mx
04/18/23
Management Orang Dialameh, Founder and CEO (25 years of advance technology development and commercialization)– Currently founder and CEO of iVisit and IPPlex, past CEO and co-founder of Eyematic Interfaces, Inc., a leader
in face recognition and rich-media communications– An Eyematic spinoff in machine vision, (i.e., NevenVision) was acquired by Google in 2006
Carolyn Kerouac, President (30+ Years in healthcare/technology)– CEO and founder of cellUcare, early innovator in the use of videophone technology and the
management of Diabetes with 80,000+ encounters– Recognized leader in using camera phone technology for the treatment of patients with chronic illness– Experience includes physician office, insurance billing, PACS and telemedicine technology sales, training
and support
Tim Dorcey, CTO (20+ years of innovation in video communications)– Created CU-SeeMe, the first video conferencing solution for PCs and Macs– Innovative work received worldwide recognition, including a 1996 profile in the Wall Street Journal, a "Best
of What's New" award from Popular Science, and several appearances in the Wired/Tired column of Wired Magazine (on the Wired side)
Joel A. Balbien, CFA, Ph.D., Chief Strategy Officer (+25 Years in Strategic and Business Planning) – Accomplished and visionary executive with a proven success in managing the commercialization of
CleanTech and Life Sciences Technologies in both Fortune 500 and Hi-Tech startup companies– Senior advisor to the Larta Institute– Served on the board of directors of several successful startups including Transilica, Sonics, Clean Energy
Systems, and was a Board Advisor for Continuous Computing Corporation and Clinical Microsensors
http://www.iVisit.com/ CONFIDENTIAL 23
Mx
04/18/23
Steve Anderson, Vice President (30+ Years in healthcare sales)– Broadly experienced in all elements of high technology and consultative sales to every organizational
level within a hospital and healthcare system– Conceptualized and marketed nationally picture phone-based healthcare applications for My Food
Phone– Held a successful position in sales for a bedside platform at Cardinal Health.
Shelley Hawkins, Clinical Director, DSN, CFNP, CGNP, FAANP (25 Years in nursing)– Post Doctoral Fellow at the University of South Carolina at Chapel Hill, Shelley is engaged in the study
of Preventing and Managing Chronic Illness – As part of her nursing leadership, Shelley has 3 years experience using videophones to positively affect
the lives of hundreds of diabetic patients under her care. She also was a nursing instructor at University of Virginia (UVA) and University of Alabama Birmingham (UAB)
Cy Evans, Chief Information Officer (25+ Years in hospital telemedicine networks) – Involved in selection of technology partners and system design and integration leading to oversight of
implementation– Actively produced large scale broadcast-grade two-way interactive teleconference events for
healthcare and telemedicine networks at a large East coast hospital system
Mike Kerouac, Managing Director (30+ Years in health/technology, and sales)
http://www.iVisit.com/ CONFIDENTIAL 24
Management
Mx
04/18/23
Contact Information:2043 Colorado Ave - Suite 4
Santa Monica, California 90404Tel: 310-857-6547x2
iVisitMx
25http://www.iVisit.com/ CONFIDENTIAL