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Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
Caring for People with Chronic Illness: The Role of Telehealth Technology
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Caring for People with Chronic Illness: The Role of Telehealth Technology

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Presentation from the plenary session of the Silver Economy Conference held in Maastricht, Netherlands in November 2006. …

Presentation from the plenary session of the Silver Economy Conference held in Maastricht, Netherlands in November 2006.
http://www.brown2020.com

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  • 1. Caring for People with Chronic Illness: The Role of Telehealth Technology Steve Brown CEO, Health Hero Network 29 November 2006
  • 2. Our Shared Vision <ul><li>A better model of care serving people who struggle with chronic conditions. </li></ul>
  • 3. What the world is thinking about right now:
  • 4. What the world is thinking about right now:
  • 5. What the world is thinking about right now:
  • 6. What the world is thinking about right now:
  • 7. What the world is thinking about right now:
  • 8. What do we want?
  • 9. What’s Telehealth Got To Do With It? <ul><li>A Better Model of Care </li></ul><ul><li>= </li></ul><ul><li>Change Behavior and </li></ul><ul><li>Moving Care to the Home </li></ul>
  • 10. How to Change Behavior and Move Care to the Home <ul><li>Personal Coaches for Everyone? </li></ul><ul><li>Nurses with Phones? </li></ul><ul><li>Nurses with Cars? </li></ul><ul><li>Doctors with Phones and Cars? </li></ul><ul><li>Remote Health Management Technology! </li></ul><ul><li>What Gets Measured Gets Done! </li></ul>
  • 11. The Market Has Arrived “ Mr. Bohana, an 82-year-old World War II veteran, has been able to move from living in hospice under round-the-clock medical supervision to a Brooklyn studio apartment with the help of a relatively simple monitoring system from Health Hero Network. The hand-held Health Buddy console, which plugs into his phone, delivers his blood pressure and weight readings to a Veterans Affairs nurse. It also prompts him to answer a series of qualitative questions about his lung and circulatory ailments, like whether his breathing is better or worse than the day before. “ This is so simple a 2-year-old could do it,” Mr. Bohana said.”
  • 12. Success Story: Veterans Administration <ul><li>Today </li></ul><ul><li>16,000+ patients enrolled in daily home telehealth with Health Buddy </li></ul><ul><li>Deployed in 120+ clinical sites </li></ul><ul><li>Over 100 programs for 30+ chronic conditions </li></ul>February 2006
  • 13. Care Management Process with the Health Buddy System Education, monitoring and feedback at home Personalized, remote care management and support. Scripted messaging, monitoring and reporting platform
  • 14. Technology Enabled Model of Care <ul><li>The Health Buddy System </li></ul>Patient Centric Technology Enabled Provider Directed
  • 15. Expanding the Reach of the Health Buddy System <ul><li>The Next Step: </li></ul><ul><li>Platform Independent Content Delivery Solutions </li></ul>
  • 16. Health Buddy Teleguidance <ul><li>Delivery of Health Buddy Program content through the television with IPTV </li></ul><ul><li>Pilot Program </li></ul><ul><ul><li>Available for Meavita customers in the Netherlands </li></ul></ul><ul><ul><li>Initial program for diabetes patients </li></ul></ul><ul><ul><li>Health Buddy Teleguidance will Launch in 2007 </li></ul></ul>Health Buddy Teleguidance Project Contributors: Health Hero Network Meavita Sananet B.V. Impact Media
  • 17. Care Management Process: Technology-enabled, Provider-directed Model <ul><li>Keeps care provider “in touch” with patient </li></ul><ul><ul><li>Monitor patient daily </li></ul></ul><ul><ul><li>Assess patient risk </li></ul></ul><ul><ul><li>Identify change in patient’s health </li></ul></ul><ul><ul><li>Intervene before crisis occurs </li></ul></ul><ul><li>Improves productivity </li></ul><ul><li>EMR Integration </li></ul><ul><li>Secure web application </li></ul>Health Buddy Desktop
  • 18. Health Buddy Desktop: Tools to Enable Management by Exception
  • 19. Health Buddy Programs <ul><li>Library of 100+ programs </li></ul><ul><li>Over 30 health conditions </li></ul><ul><li>English &amp; Spanish </li></ul><ul><li>Ready to deploy </li></ul><ul><li>Customizable </li></ul><ul><ul><li>Evidence based practice guidelines </li></ul></ul><ul><ul><li>Patient education </li></ul></ul><ul><ul><li>Care management </li></ul></ul><ul><li>Hyperlipidemia </li></ul><ul><li>Hypertension 1 </li></ul><ul><li>Med. Compliance </li></ul><ul><li>Myocardial Infarc. </li></ul><ul><li>Pain Mgt 2 </li></ul><ul><li>Pediatric Asthma 2 </li></ul><ul><li>Polypharmacy </li></ul><ul><li>PTSD </li></ul><ul><li>Pre-Diabetes </li></ul><ul><li>Schizophrenia </li></ul><ul><li>Sr. Wellness </li></ul><ul><li>Substance Abuse </li></ul><ul><li>Smoking Cessation </li></ul><ul><li>Spinal Cord Injury </li></ul><ul><li>Weight Mgt </li></ul><ul><li>Adult Asthma 2 </li></ul><ul><li>Advanced Illness / </li></ul><ul><li>Palliative Care </li></ul><ul><li>Anticoagulation </li></ul><ul><li>Bipolar Disorder </li></ul><ul><li>Cancer 2 </li></ul><ul><li>Caregiver </li></ul><ul><li>COPD 1 </li></ul><ul><li>Coronary Artery 2 </li></ul><ul><li>Cystic Fibrosis </li></ul><ul><li>Depression 2 </li></ul><ul><li>Diabetes 1 </li></ul><ul><li>Functional ADLs </li></ul><ul><li>Heart Failure 1 </li></ul><ul><li>Hepatitis C </li></ul><ul><li>HIV </li></ul>
  • 20. Care Management Process: Personalized Coaching and Monitoring <ul><li>Dynamic branching logic collects information on: </li></ul><ul><ul><li>Symptoms </li></ul></ul><ul><ul><li>Behavior </li></ul></ul><ul><ul><li>Knowledge </li></ul></ul><ul><li>Delivers unique reply to each patient response in the form of </li></ul><ul><ul><li>Call to action </li></ul></ul><ul><ul><li>Information / education </li></ul></ul><ul><ul><li>Further assessment </li></ul></ul><ul><ul><li>Reinforcement / reminder </li></ul></ul><ul><ul><li>Acknowledgement </li></ul></ul>
  • 21. Care Management Process: Creating Feedback Loops H M L K nowledge B ehavior S ymptoms Stabilize Patients Over Time <ul><li>Identify high risks &amp; potential problems </li></ul><ul><li>Address needs through dynamic content </li></ul><ul><li>Move risks to lower levels </li></ul><ul><li>Stabilize health status </li></ul><ul><li>Identify changes in status early on </li></ul><ul><li>Manage by exception </li></ul>H M L K nowledge B ehavior S ymptoms H M L K nowledge B ehavior S ymptoms
  • 22. VA Outcomes 2002: Telehealth Reduces Inpatient Utilization* <ul><li>40% reduction in ER visits </li></ul><ul><li>63% reduction in hospital admissions </li></ul><ul><li>63% reduction in hospital bed days of care </li></ul><ul><li>64% reduction in nursing home admissions </li></ul><ul><li>88% reduction in nursing home bed days </li></ul><ul><li>Significantly improved Quality of Life SF36V </li></ul>1-Year Telemedicine Care Coordination Demonstration * Published in Disease Management Volume 5, Number 2, 2002.
  • 23. VA Outcomes 2005: Telehealth Improves Clinical Outcomes* <ul><li>Hospitalizations declined from 630 inpatient days pre to 122 during intervention period </li></ul><ul><li>Bed Days Of Care fell from 8.63 to 1.65 (p &lt; 0.001) </li></ul><ul><li>Blood Pressure: 129/73 to 119/69 (p &lt; 0.05) </li></ul><ul><li>Weight: 196 to 192 (p &lt; 0.01) </li></ul><ul><li>Shortness of Breath 0-10 Scale: 4.0 to 2.7 (p = 0.02) </li></ul><ul><li>ACE Inhibitor Avg Daily Dose: 24mg/d to 35 (p &lt; 0.01) </li></ul><ul><li> -Blocker Avg Daily Dose: 84 mg/d to 94 (p = 0.05 ) </li></ul>1-Year Telemedicine Care Coordination Demonstration * Published in Telemedicine and e-Health Volume 11, Number 1, 2005.
  • 24. SPAN-CHF II Study 2005: Telehealth Reduces Hospital Readmissions* * Presented at American Heart Association Annual Meeting, Scientific Sessions, 2005. 72% Reduction (p=0.03) 63% Reduction (p=0.029) Heart Failure Re-Hospitalizations All Cardiac Hospitalizations Health Buddy Control Health Buddy Hospitalizations PPPY Control 3-Month CHF Study
  • 25. Mercy Study: Compliance Drives Outcomes Medication Compliance as Measured by Pharmacy Claims and Patient Self-reporting $25,013 $11,854 Hospitalization Costs for CHF patients decreased 52% PPPY Health Buddy Before Health Buddy Standard 1-Year Diabetes &amp; HF Study
  • 26. Patient Acceptance <ul><li>95% patient satisfaction 2 </li></ul><ul><li>86% better understand their treatment and are better able to manage their health condition </li></ul><ul><li>Patients feel more connected to their care provider 2 </li></ul>Patients enjoy significant improvements in quality of life 1 1 Diabetes Technology &amp; Therapeutics, Volume 4, Number 6, 2002. 2. Henry Ford Medical Center, CAD Study, 2004. (n=602)
  • 27. The People We Serve <ul><li>“ Health Buddy is the best thing to come down the pike. When I get up in the morning, I feel confident I am good for another day.” </li></ul>Wally Browning 1941-2006
  • 28. Contact Information: Steve Brown, CEO Health Hero Network, Inc. 2000 Seaport Blvd. Fourth Floor Redwood City, CA 94063 [email_address] 650-779-9101

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