telemedicine comes of age (yulun wang)

Evolving Healthcare at Internet Speeds

Yulun Wang, PhD Founder, Chairman & CIO, InTouch Health

Past President, American Telemedicine Association

OurHealthcareImpera/ve

IncreasingSpecializa/on&FewerPhysicians

Sources: Left: National Research Council. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Washington, DC: The National Academies Press, 2013. / American Board of Medical Specialists Right: Association of Medical Colleges (AAMC) (2006). Help Wanted: More Use Doctors – Projections Indicate America Will Face Shortage of M.D.s by 2020 [Brochure]. AAMC.

0

200000

400000

600000

800000

20

66 84

145

1970 1980 1990 2000 2010

NumberofSpecial/es

2015 InTouch Telehealth Innovation Forum

TheHealthcareDeliveryBoDleneck

ELECTRONICHEALTHRECORDS$HEALTHCAREINFORMATIONEXCHANGE$

PERSONALIZEDMEDICINE$REMOTEMONITORING$

BIGDATA$

ACAEnablingTelemedicineSenateRequestsTelemedicineHearing,April2015

•  Reimbursement

•  Licensure

•  Creden/aling

•  Privileging

•  Legal/Regulatory

•  PayforVolumeàPayforValue•  PayforPerformance•  BundledPayments•  ACOs•  Penal/esforRe-admits

•  ReducingLicensureBarriers•  Fed&StateMandatedReimbursement•  InterstateMedicalLicensureCompact

•  MinimizingLegal&RegulatoryBarriers•  OIGAdvisoryOpinionregardingTelemedicine

TelemedicineHistoricBarriers

HealthcareReform

HealthcareReformisAccelera/ngTelehealthAdop/on

TelehealthMarketSegments

Segment AcuteCare Post-Acute PrimaryCare

AcuityLevel High Moderate Low

CareManagement PhysicianDirected PhysicianDirected ConsumerDirected

Customers•  HealthSystems•  Hospitals

•  HealthSystems•  Hospitals•  Retail

•  Consumers•  Payers•  LargeEmployers

OfferingOpportunity

•  TechnologyPlaZorm•  ClinicalServices



~1.5milonlinepa/entconsulta/ons

~150,000pa/entsdiagnosed

viatelestroke

~600,000ICUpa/entsremotelymonitored

ImprovingPa/entLives

Tele-Stroke

HubCustomer #ofSites

ThomasJefferson 29

WakeForestBap/st 10

DignityHealth 18

MichiganStrokeNetwork 31

ProvidenceOregon 19

MissionHospital 11

6HealthSystemAvg. 20

2,2062,754

3,331

683 840 1,007

0

500

1,000

1,500

2,000

2,500

3,000

3,500

Year1 Year2 Year3

6HealthSystemCompositeAvg.ConsultsandTransfers–Years1,2&3

NetworkTeleStrokeConsults #Pa/entTransfers

$972$1,728

$2,160$1,564$1,968

$2,39674

95

117

-

20.0

40.0

60.0

80.0

100.0

120.0

140.0

$-

$500

$1,000

$1,500

$2,000

$2,500

$3,000

Year1 Year2 Year3

Thou

sand

s

20SpokeSitesAverage

BaselineMarginProjected AverageMarginAchieved($$)

Avg.#EndovascularProcedures

Measure InTouchCustomers

Na/onalGoal/Avg.

DoortoNeurologyEval. 8min. 20min.

DoortoCTFirstSlice 18min. 25min.

DoortoIVt-PAStarted 43min. <60min.

t-PAAdministra/onRate 19% 5%

*Basedon20,000strokepa/entsover110hospitalsusingInTouchTeleHealthNetwork

HealthSystemsexperience19%tPAadmin.rate

TeleStrokeOutcomes

11

EXPANDINGACCESSEXPANDINGACCESSTOCAREANYWHERE

2015 InTouch Telehealth Innovation Forum

EnhancedVisualiza/onThroughThermalImaging

13

VisualSearchforTeleDermorWound