Measuring the Business Value of Telehealth Technologies Dr George Margelis [email_address] * Other names and brands may be the property of others

New models of care forced to emerge Double # of seniors by 2025, boomer effect in long term care 2/3 rd of workforce caregiving part time Shortage of care professionals Disruptive Economy Healthcare costs rise to 20% of GDP or $4T in 8 years Lack of pensions, insurance, savings Globalization of markets Wearable, wireless sensor networks Web 2.0 personal software/services Powerful, affordable microprocessors Disruptive Demography Disruptive Technology $$$

Double # of seniors by 2025, boomer effect in long term care

2/3 rd of workforce caregiving part time

Shortage of care professionals

Healthcare costs rise to 20% of GDP or $4T in 8 years

Lack of pensions, insurance, savings

Globalization of markets

Wearable, wireless sensor networks

Web 2.0 personal software/services

Powerful, affordable microprocessors

What is Personal Telehealth?

Technologies to Facilitate Disease Management Smart Devices Video Conferencing Messaging IVR Telephone Monitors

Limitations with Current Methods Lost or Outdated information Risk of Misdiagnosis Patient Non-participation Lack of Coordination of Care Barriers • Deliver accurate, relevant, and timely information to all members of the care team • Give patients an intuitive, enjoyable, and educational means of communication with their care team • Provide self-management tools for patients to take a more active role in their own care • Offer communication tools that connect the patient's entire care team for better coordination of care Telehealth and Telecare Technologies Goals Improve Chronic Disease Management Reduce Costly Complications Patient Active Involvement IS IT WORTH ALL THE TROUBLE?

Evolution of Remote Patient Monitoring Information Sharing Independence Connection to Healthcare Advice Safe and Friendly Environment Friendly Check-in Mechanisms Connection to Friends and Caregivers Physician Caregiver Monitor standard vital signs Monitor and manage standard vital signs Data-rich Health management systems Quality of Care and Social Connection ONE-WAY COMMUNICATION REAL-TIME TWO-WAY COMMUNICATION

Home with Basic Remote Patient Monitoring Entry Fridge Medication Dispenser Computer Blood pressure Monitor Scale Living Room Kitchen Bedroom Bathroom Oximeter Blood Glucose Monitor TV Phone

Home of Tomorrow Secure Entry Smart Fridge Medication Dispenser Personal Health System Blood pressure Monitor Scale Living Room Kitchen Bedroom Bathroom Camera Oximeter Blood Glucose Monitor TV Phone

Home Connected to the Community Payors / Insurers Pharmacy Hospital Community Support Networks Disease Management Organization Home Nurses Specialists Clinical Nurses Lab Technicians Health Educators Other Clinical Staff Patient Primary Provider Family Caregiver Secure Entry Smart Fridge Medication Dispenser Personal Health System Blood pressure Monitor Scale Living Room Kitchen Bedroom Bathroom Camera Oximeter Blood Glucose Monitor TV Phone

Telehealth Value Model

Business Value is the benefit in monetary terms that results from IT products or services It is the contribution IT makes to helping a an organization achieve their strategic objectives (what matters most) There is no such thing as an IT investment, there are only IT enabled “business” investments Defining IT Business Value = Business Value Increased Revenue (Growth) Lower Costs/ Better (Efficiency) Better Use of Assets (Productivity) Risk (Continuity) Solve Customer Business Needs

Business Value is the benefit in monetary terms that results from IT products or services

It is the contribution IT makes to helping a an organization achieve their strategic objectives (what matters most)

There is no such thing as an IT investment, there are only IT enabled “business” investments

“ A test of a people is how it behaves toward the old. It is easy to love children. Even tyrants and dictators make a point of being fond of children. But the affection and care for the old, the incurable, the helpless are the true gold mines of a culture.” Abraham J. Heschel

“ A test of a people is how it behaves toward the old. It is easy to love children. Even tyrants and dictators make a point of being fond of children. But the affection and care for the old, the incurable, the helpless are the true gold mines of a culture.”

Abraham J. Heschel

Applying the Value Dial Concept Develop tangible and intangible metrics ROI of Healthcare IT Industry Concerns Value Dials Medical error prevention Patient Safety Clinical outcomes Quality of Care Patient access Patient Satisfaction Process improvement Clinical vs. admin activities Staff Productivity High labor costs, turnover, shortage Physician referrals Staff Satisfaction Improved revenue from existing operations New services or sources of revenue Revenue management cycle Revenue Enhancement Rising costs of delivery care Costs of quality & regulatory reporting Cost Optimization Impact of technology solutions

Medical error prevention

Clinical outcomes

Patient access

Process improvement

Clinical vs. admin activities

High labor costs, turnover, shortage

Physician referrals

Improved revenue from existing operations

New services or sources of revenue

Revenue management cycle

Rising costs of delivery care

Costs of quality & regulatory reporting

Dr George Margelis [email_address] +61 409 744 351