Bosch Tele-health Plus
 

Bosch Tele-health Plus

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Ileana Welte, Bosch Healthcare

Ileana Welte, Bosch Healthcare

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  • Long-History; From the very beginning of Bosch, the company’s history has been characterized by innovative drive and social commitment. Financial Stability; privately held – not subject to whims of market Core Businesses Leading telemedical studies in Germany – Partnership for the Heart One of the largest privately held companies in the year… Social Mission; Through the acquisition of HHN and ViTel Net Bosch is returning the company to it’s public health roots, building on the ideals of founder Robert Bosch who established his namesake hospital in Stuttgart, German more than 60 years ago. Remote Patient Monitoring – Bosch entered this market through the acquisition of Health Hero Network, Inc. (founded in 1991) and Visual Telecommunications, Inc. (founded in XXXX) Healthcare Technology Alternative Energies Solar cell technologies Bosch regards innovation as something more than exceptional product quality, functionality and design. Not only our technical developments, but also our commitment to society has an effect on the world of tomorrow.” Commitment to new technology areas; Commitment to new technology areas;
  • Some of our competitors holds licenses our technology with Bosch Healthcare: Supports the coordination of care by healthcare providers; strongest IP/portfolio
  • Let’s review the value RFP brings to MA SNPS for management of Complex and Chronic Care Mgt.
  • Models drawn from our own experience plus Randall Brown / Mathematica paper on Medicare demonstrations (March 2009 ) Telehealth to support patients through post-acute transitions of care a combination of telehealth-based care coordination and home-based services Telehealth to facilitate patient self-management (automated behavioral coaching and education) Telehealth to facilitate medium-term care coordination for individuals with complex conditions and needs Telehealth to facilitate longer-term models of support for the frail elderly
  • This illustrates that the outcomes were achieved for multiple conditions, and that the reduction in bed days utilization was substantial across all conditions.

Bosch Tele-health Plus Bosch Tele-health Plus Presentation Transcript

  • Strategy – Remote Patient Monitoring System PDS Meeting (Summit I) May 2009 Strictly Confidential
    • ........25 - Operational MarketingPicturesTMplus811_BOSCH_TM_1700_sm.jpg
    Confidential | HCTM/BUD | 01/12/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. Robert Bosch Healthcare September 2010
  • Robert Bosch Healthcare: Overview HCTM | 1/14/2009 | © 2009 Robert Bosch LLC and affiliates. All rights reserved. “ Innovative Drive and Social Commitment”
    • Founded in 1886 and still privately held
    • 92% owned by Robert Bosch Foundation, which is a Charitable Foundation
    • Global corporation
      • 2008 revenues of 45.2 billion Euros/59.7B US; 270,000+ employees
    • Over 100,000 patients deployed globally over the past 10 years
      • Deployed over 150K units since our beginning
      • Over 30K patients connected and monitored daily
  • Robert Bosch Healthcare: Unique Aspects HCTM | 1/14/2009 | © 2009 Robert Bosch LLC and affiliates. All rights reserved.
    • Experience in multiple healthcare delivery systems
    • Largest installed base of patients globally.
      • Deployed over 150K units since our beginning
      • Over 30K patients connected and monitored daily in the US and EU
      • Largest installation of technology in Physician practices
    • Proven results in GP Practice Environments
    • 30+ C linically validated outcome studies with consistently demonstrated quality improvement and cost savings based on :
      • Populations that range in size to 43,000K
      • CE-approved technology that drives sustainable behavior change
      • Integration of PERS (Telecare) and Telehealth for the past 8 years
  • What Do Assistive Living Technologies Support? 9/16/2009 | © 2009 Robert Bosch LLC and affiliates. All rights reserved.
    • Early intervention – by detecting early clinical deterioration and intervening before unscheduled and preventable services are needed
    • Integration of care – by the exchange of “actionable” data and communication about multiple co-morbidities and complex disease states to various providers
    • Coaching – through mot i vational interviewing and other techniques to encourage patient behavioral change and self-management activities
    • Trust – by improving the patient’s feeling of “connectedness” and satisfaction with Care Team
    • Increased efficiency and effectiveness – through automated documentation, systematic review of alerts and more efficient use of resources
  • Robert Bosch Healthcare
    • Focus on managing chronic and complex chronic condition(s) that drive disproportionate share of hospitalizations and moves out of home
    • Support and monitor high risk individuals:
        • Keep them healthier - less need to use healthcare resources, including the long-term care system; promote adherence to medications and treatment plan
        • Monitor to ensure we can catch complications early
        • Refer to appropriate health and social/nutrition support providers
        • Provide post-acute support to ensure patient returns home as quickly as possible – and stays there.
    • Improve independence of older adults:
        • Maintain “connectedness”
        • Increase self-management
        • Proactively address potential exacerbations.
    Confidential | 11/17/2009 | © 2009 Robert Bosch LLC and affiliates. All rights reserved.
  • What Do Assistive Living Technologies Support? HCTM/PRM-E | 04/02/2010 | © Robert Bosch Healthcare GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. A Transformative Model
    • Person Centred Care
    • Empowering people to self manage
    • Reducing unnecessary hospital admissions
    • Promoting early discharge
    At Home Technical Triage Clinical Triage
    • Blood Pressure
    • Blood Sugar
    • Blood Oxygen
    • Spirometry
    • ECG
    Bosch Clinical Environments Local Response
  • VA Care Coordination Model
    • VA over past two decades has moved from hospital-based to outpatient- and home-based care
    • Initial trials in Florida focusing on telehealth-based care coordination
      • top 4 percent of population driving 40 percent of costs
    • Usual parameters for inclusion of patients in these trials/programs: high resource utilization, high cost and chronic diseases +/- comorbid conditions
    Concept: Move care from the hospital to the clinic – and to the home Confidential | 11/17/2009 | © 2009 Robert Bosch LLC and affiliates. All rights reserved.
  • Darkins A, Ryan P, Kobb, R, et al* Results of National Home Telehealth Program: July 2003 – December 2007 * Darkins A, Ryan P, Kobb R, et al: Care Coordination/Home Telehealth: The Systematic Implementation of Health Informatics, Home Telehealth, and Disease Management to Support the Care of Veteran Patients with Chronic Diseases. Telemed & e-Health, Dec 2008, vol 14 (10), pp 1118 -1126
    • Veteran patients with DM, CHF, HTN, PTSD, COPD and depression
    • Care coordination including the use of HIT (CCHT) to support both care across the continuum from hospital to home and the promotion of patient self-management
    • N= 43,430 patients:
      • Mean age = 66.5 yrs
      • Patients ≥ 85 yrs = 16.5%
    • Urban areas = 58%; rural areas = 40%
    • Explicit enrollment criteria
    • 75%-80% of patients used the Health Buddy System
    Confidential | 11/17/2009 | © 2009 Robert Bosch LLC and affiliates. All rights reserved.
  • Koff PB, Jones RH, Cashman JM, et al*
    • Single center, randomized, controlled clinical trial
    • Objective: Determine whether proactive integrated care (PIC) improved QoL (SGRQ) compared to usual care
      • PIC intervention: disease-specific education; teaching of self-mgmt techniques; enhanced communication with study coordinators; remote home monitoring using the Health Buddy System
    • Population: GOLD Stage 3 or 4 for COPD
    • Duration of intervention: 3 months
    • N= 20 per arm (sample size based on a 2 unit improvement with a SD of 1.9 and an α of 0.05)
    *Koff PB, Jones RH, Cashman JM, et al: Proactive integrated care improves quality of life in patients with COPD. 2009, vol 33 (5), pp 1031 - 1038 Study Design: Confidential | 11/17/2009 | © 2009 Robert Bosch LLC and affiliates. All rights reserved.
  • What Do Assistive Living Technologies Promote? HCTM/PRM-E | 04/02/2010 | © Robert Bosch Healthcare GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. A System of Care:
    • to connect patients and their clinical teams
    • to extend the time people can live in their preferred environment by increasing their autonomy, self-confidence and mobility
    • to support maintaining health and functional capability of the elderly individuals
    • to promote a better and healthier lifestyle for individuals at risk
    • to enhance the security, to prevent social isolation and to support maintaining the multifunctional network around the individual
    • to support carers, families and care organisations