The Potential of Person Centric Wireless Mobile Devices and Telehealth Solutions By Ahmad Jubbawey Vensa Health Sustaining rising healthcare costs and providing quality care

Healthcare Spend Trends... Healthcare spending has been growing twice as fast as the economy over a decade… From 1996-2006, four leading causes of growth account for 70% of the Growth: ≈ 10% Ageing Population ≈ 20% Front-line labour costs ≈ 20% Increase in availability of treatments ≈ 20% Population Growth

Healthcare spending has been growing twice as fast as the economy over a decade…

From 1996-2006, four leading causes of growth account for 70% of the Growth:

Government Spending Currently 20% By 2026 ≈40% Unsustainable …

Currently 20%

By 2026 ≈40%

Unsustainable …

Challenges 1 Patients missing their scheduled appointments In hospitals, average of 9% missed attendance rates Amounts for $60 million in lose of service Applicable in Primary Sector Traditional Media Communication is increasingly becoming ineffective

Patients missing their scheduled appointments

In hospitals, average of 9% missed attendance rates

Amounts for $60 million in lose of service

Applicable in Primary Sector

Traditional Media Communication is increasingly becoming ineffective

Challenges 2 Ageing Population and People with long term conditions – Emergency & Hospitalizations Medication compliance…Oh gosh!!!

Ageing Population and People with long term conditions – Emergency & Hospitalizations

Medication compliance…Oh gosh!!!

So where to from here Throwing money at the problem ??? Fundamental changes to what we deliver and how we deliver it – Needs to be reviewed… Opportunities to Innovate!!!

Throwing money at the problem ???

Fundamental changes to what we deliver and how we deliver it – Needs to be reviewed…

Leverage of Basic Mobile Phone Basic Mobile Phone adoption is nearly 100% - Leverage Streamline appointment reminders via text-messages Day to day communication in GP: Lab result notifications, recalls… Opportunities to introduce Medication reminders

Basic Mobile Phone adoption is nearly 100% - Leverage

Streamline appointment reminders via text-messages

Day to day communication in GP: Lab result notifications, recalls…

Opportunities to introduce Medication reminders

Case Study 1 – Text-messaging in GP Surgeries Measuring the effectiveness of TXT2Remind interface with PMS Survey focused on appointment reminders and communication with high-needs Mail out sent to 200 selected practice, 27 responded to the questionnaire.

Measuring the effectiveness of TXT2Remind interface with PMS

Survey focused on appointment reminders and communication with high-needs

Mail out sent to 200 selected practice, 27 responded to the questionnaire.

Case Studies 1- Mobile Messaging Primary Healthcare Has the service reduced your missed appointments? 15 Yes 2 No 3 Don’t know 7 N/A

Has the service reduced your missed appointments?

Case Studies 1- Mobile Messaging Primary Healthcare Has the service increased the recall response rates for high-needs patients? 17 Yes 0 No 5 Don’t know 5 N/A

Has the service increased the recall response rates for high-needs patients?

CMDHB Trial Introduction of mobile messaging in outpatient services DNA’s reduced by 5% 5000 more patients are seen per year!

Introduction of mobile messaging in outpatient services

DNA’s reduced by 5%

5000 more patients are seen per year!

Telehealth – What is it? Health providers remotely monitoring long term conditions COPD, Congestive Heart Failure and Diabetes Potential to allow Primary providers establish if an intervention is necessary.

Health providers remotely monitoring long term conditions

COPD, Congestive Heart Failure and Diabetes

Potential to allow Primary providers establish if an intervention is necessary.

Telehealth – Next Gen Mobiles

Telehealth – Store & Forward Units COPD CHF Diabetes Blood pressure, pulse rate and blood oxygen levels monitoring blood pressure, pulse rate, blood oxygen and weight monitoring blood pressure, pulse rate and blood oxygen level monitoring and Glucose meter

COPD

CHF

Diabetes

Telehealth Trials in the UK U.K. Department of Health National Telehealth Trial – 6000 Patients Nottingham City PCT 40% hospital activity relates to long term conditions Trial showed reductions in hospital admissions, GP and community nurse visits PCT Mainstreamed service to 800 patients now.

U.K. Department of Health National Telehealth Trial – 6000 Patients

Nottingham City PCT

40% hospital activity relates to long term conditions

Trial showed reductions in hospital admissions, GP and community nurse visits

PCT Mainstreamed service to 800 patients now.

Telehealth Trials in the UK Sheffield PCT COPD Trial Prevalence of COPD in community is high 8% Telehealth reduced COPD related hospital visits by 50% Freeing up secondary providers Home visits by COPD nurses reduced by 80%

Sheffield PCT COPD Trial

Prevalence of COPD in community is high 8%

Telehealth reduced COPD related hospital visits by 50%

Freeing up secondary providers

Home visits by COPD nurses reduced by 80%

Telehealth Trials in the UK From the Telehealth trials undertaken in the UK, it has the potential to allow patient to: Medication Compliant Increase understanding of their condition Reassurance Patients stays at home where they prefer to be Geography

From the Telehealth trials undertaken in the UK, it has the potential to allow patient to:

Medication Compliant

Increase understanding of their condition

Reassurance

Patients stays at home where they prefer to be

Geography

myHealth Network Vensa is currently developing the myHealth network: Two way electronic message exchange between health providers and patients Support different media, Text-message, Clinical measurements generated from medical device… HL7 complaint Adheres to the ISO/IEEE 11073 family of health informatics standards Auckland PHO Trial …

Vensa is currently developing the myHealth network:

Two way electronic message exchange between health providers and patients

Support different media, Text-message, Clinical measurements generated from medical device…

HL7 complaint

Adheres to the ISO/IEEE 11073 family of health informatics standards

Auckland PHO Trial …

About Vensa Focused on providing person centric communications We currently support over 300 primary healthcare providers through TXT2Remind Looking at a number of DHB trials for outpatient services Company is passionate about healthcare and making a difference

Focused on providing person centric communications

We currently support over 300 primary healthcare providers through TXT2Remind

Looking at a number of DHB trials for outpatient services

Company is passionate about healthcare and making a difference

Thank You Thank you…

Thank you…