ECH Campus: Dr Sascha Henke (Bosch)

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  • 1. Connected Health Market Development: Recent Results Connected Health Leadership Summit - 2009 Dr. Sascha Henke, Robert Bosch Healthcare
  • 2. Connected Health Leadership Summit - 2009
    • Situation
    • Motivation
    • Action
    Agenda
  • 3. Connected Health Leadership Summit - 2009 1. Situation
    • Demographic shift, patient numbers, chronic diseases, long-term care (chronic disease treatment > 70% of healthcare costs) .
    • Number of nurses and physicians will decrease (> 20%).
    • Policymakers have to perform balance: improving quality, productivity, effectiveness and efficiency of healthcare delivery.
    • Most promising approach: integrated and preventive healthcare
    • Telemedicine one of the fastest growing markets in the medical device business ⇒ motor for job creation in the European Union.
  • 4. Connected Health Leadership Summit - 2009 1. Situation What is Telemedicine/Telehealth? Doc 2 Patient (RPM) Doc2Doc
  • 5. Connected Health Leadership Summit - 2009 1. Situation What is Remote Patient Monitoring? Remote patient monitoring (RPM) uses devices to remotely collect / send data (using DSL, broadband, cellular, satellite networks or conventional telephone lines) to a monitoring station for interpretation. Such RPM applications include morbidity relevant vital signs, knowledge and behaviour as well as therapy management programs to monitor and manage behaviour of patients living at home or otherwise outside the expensive infrastructure of a hospital. Such services can be used to support any medical service providers as physicians, hospitals, disease management organizations and to supplement the use of visiting nurses.
  • 6. Connected Health Leadership Summit - 2009 1. Situation / 2. Motivation
    • Communication of EU Commission on Benefits of Telemedicine for EU citizens (11/2008)
    • Statement Ilias Iakovidis, January 13th, 2009:
    • “ In 2009 our priorities are interoperability and telemedicine”,
    • “ Personal health systems have become a priority area“,
    • “ Current economic crisis could offer a huge opportunity to invest in e-health to stimulate jobs and economic growth“.
    • („Health is wealth“)
    • E-Health Europe
  • 7. Connected Health Leadership Summit - 2009 2. Motivation
    • What can we expect from Telemedicine (benefits) ?
    • Interactive flexible RPM solutions support individuals with chronic conditions, by telehealth and clinical-intelligence for physicians and nurses to make directed interventions.
    • Fill a gap in the continuum of care
    • Early detection of exacerbations / impairment of health
    • Efficient, exception-based, individualized interventions
    • Patient empowerment, education, behaviour change, motivation
    • ->
    • Reduced Hospitalizations + Improved Quality of Life
  • 8. Connected Health Leadership Summit - 2009 2. Motivation
    • What can we expect from Telemedicine Industry ?
    • Technology ` Invented for life `, which means
      • … reliable technology, designed to last
      • … technology that accompanies people for a good part of their lives
      • … intelligent, innovative and beneficial technology to help make peoples lives easier and more enjoyable
  • 9. Connected Health Leadership Summit - 2009 End-to-End Solution to provide a holistic Model of Care
    • System technology based on well established Appliance
      • User friendly appliance base station and peripheral biometric devices,
      • Clinical content designed to patient condition(s),
      • Patient management software and secure IT/data infrastructure.
    • Implementation and management support provided by TM suppliers
      • Organisational support to build, integrate and operate clinical workflows,
      • Management reporting and clinical trials/health economic outcomes.
    • TM regions: Local services provided by local partners
      • 1st level technical and clinical triage,
      • patient home installation, training and refurbishment.
    Patient empowerment Effective clinical intervention
  • 10. Connected Health Leadership Summit - 2009 System View
  • 11. Connected Health Leadership Summit - 2009 Patient empowerment by helping to understand their Illness and motivate Change in Behaviour
    • ‘ The start’: Understand health risk
    • Identify potential problems and address causes (including co-morbidities and psycho-social factors)
    • ‘ The training’: Strengthen behavioural change
    • Identify change in health status
    Knowledge Behaviour Symptoms Knowledge Behaviour Symptoms Knowledge Behaviour Symptoms
  • 12. Connected Health Leadership Summit - 2009 Effective Clinical Intervention via Clinical Content and Workflows Other Key Services Therapy Programmes Clinical Workflow
    • Technology, process and skills in place to adapt to customer needs
    • Evidence-based content for CHF, Diabetes, COPD and co-morbidities available – EU covered by 2009
    • Key content elements: Address vital signs and subjective symptoms, behaviour, knowledge – rules to assess and alert to risks
    • Knowledge from various customer projects on role of 1st level clinical support, communication flow to physicians, escalation procedures
    • Address adoption barriers
    • Enhance programme effectiveness with emphasis on consultative programme design
  • 13. Connected Health Leadership Summit - 2009 Consistent and unparalleled Results High Patient Acceptance Improved Clinical Outcomes Reduced Health Care Cost
    • New four-year VA study shows 19% drop in admissions, 25% decrease in bed days with population of >17,000
    • University of Colorado COPD study with Kaiser shows decreased symptoms, increased exercise tolerance, and decreased smoking rates
    • Long-term unpublished controlled study shows continuously dropping health care costs: Quarter 10 of study showing 32% drop in costs on intent-to-treat basis
    • 85% of patients in VA are using the Appliance daily
    • 90% recommend use of System
  • 14. Connected Health Leadership Summit - 2009 Consistent and unparalleled Results Dr Darkins et al, 2008 Condition # of Patients % Decrease Utilization Diabetes 8,954 20.4 Hypertension 7,447 30.3 CHF 4,089 25.9 COPD 1,963 20.7 PTSD (Post Traumatic Stress Disorder) 129 45.1 Depression 337 56.4 Mental Health, other 653 40.9 Single Condition 10,885 24.8 Multiple Conditions 6,140 26.0
  • 15. Connected Health Leadership Summit - 2009 Goal: Telehealth Applications all across the Continuum Fit & healthy Critically ill
    • Guided training (depends on fitness level)
    • Instruction on health- conscious behavior
    • Motivation and instruction on active, healthy lifestyle
    • Monitoring of symptoms and self-assessment
    • Acute state monitoring and emergency interventions
    Wellness At Risk Chronic Conditions High-Risk / Complex Future Today Health management for individuals at any location, at any time from multiple sources
  • 16. Connected Health Leadership Summit - 2009 3. Action
    • Challenges in RPM calling for action:
    • Reimbursement
    • Recognized IT/ interoperability standards ( ⇒ scaling)
    • Acceptance (physicians and patients; medical content; usability)
    • Integrated end2end Solutions (industry cooperation with medical/ political)
    • Cross EU – regions activities/comittees