Svetlana Karpova - Remote presence technology as a form of assistive robotics and its application in health care Digital Health Assembly: Open Innovation 2015

1. Remote presence technology as a
form of assistive robotics and its
application in health care
Digital Health Assembly:
Open Innovation Conference
10 – 12 February 2015 • SWALEC Stadium •
Cardiff • UK
Dr. Lana Karpova, MD, MBA, MA (Healthcare Management)
Business Development Consultant, InTouch Health Inc. (USA)

2. Content
• Introduction tele-health
• InTouch Health remote presence devices
• Case studies
• Easy to deploy, easy to scale
• Care across the continuum
2

3. RP-VITA - Assisting Care Delivery by
InTouch Health

4. U.C. Davis, California to Shanghai East Hospital
Congenital Heart Disease Pre-op Rounds
4
Copyright 2011 InTouch Health

5. Positioning
Home
Minute Clinic
Primary Care
EMS Vehicle Acute Care Facility
Long Term Care
Home
Step Down – Rehab Units
1. Acute Care Specialist Access
-Hospital revenue growth
-Hospital throughput
2. Routine Care Access
-ED throughput
-Avoid bounce backs
3. Chronic Disease Integrated Mgmt
Improve bundle mgmt
Reduce acute care episodes
Increasing
Acuity
2

6. A Global Presence
International Collaboration
Global Network & Brand Affiliations
Physicians /Nurses Exchange Program
Surgical and Procedure Mentoring
Telemedicine Network Know-how
Distance Learning
Copyright 2011 InTouch Health

7. Remote Presence Devices
Customized to suit clinical program and workflow needs -- one size does not fit all
RP-VITA™
Robot
RP-Lite®
Cart
RP-Vantage®
Cart
Clinician’s degree of independent control and mobility in acute care environment
Highest
3

8. RP-Lite
Designed for Emergency Rooms
Provides physicians immediate
access to a designated patient
location
• Natural, Interactive Telemedicine experience
• Privacy handset
• 10x Remote zoom / Autofocus
• 2 way audio/video communication
• Integrated stethoscope
• Video inputs: C-Video, S-Video, USB ports
(x2)
• Ethernet port and Wifi available
3

9. RP-Vantage
Designed for Procedure rooms
• Natural, Interactive Telemedicine experience
• 10x Remote zoom / Autofocus
• 2 way audio/video communication
• Video inputs: C-Video, S-Video, USB ports (x2)
• Audio in/out
• Ethernet port and Wifi available
• 3 section, 2.7m extendable boom arm with
Pan/Tilt/Zoom camera (18x zoom/autofocus)
• Improve supervision in the OR,
procedure rooms, trauma bays
3

10. RP-VITA
Provides physicians mobility and
autonomy
• Autodrive / manual driving – Mapping
• Natural, Interactive Telemedicine experience
• Privacy handset
• 120x Remote zoom / Autofocus
• 2 way audio/video communication
• Integrated stethoscope
• Video output: VGA
• Video inputs: C-Video, S-Video, USB ports
(x3)
• Audio in/out
• Ethernet port and Wifi available
3
1,68m
79.4kg
58cm

11. • ESP program
• Neonatology
• Neurology
• Cardiology
• Trauma
• Burn Center
• Transport Triage
• ICU Medicine
• Surgical
Mentoring
• Perinetology
• Psychiatry
• CHF
• Pacemaker
Clinic
• Dermatology
• Pharmacy
• Outreach
Education
• Ambassador
Program
• Language
translation
6 Case Study: Multi-Specialty Idaho/Oregon network

12. Spoke hospital: Grande Ronde Hospital (Critical Access Hospital)
Idaho/Oregon network testimonial6
Doug Romer, RN, BSN
Executive Director of Patient Care
La Grande, OR
“We are not doing risky new procedures via remote presence but rather
a continued expansion of services that have shown to benefit patients,
Benefit the community and provide a standard of care consistent with
Other on-site care services. We will ensure access to high-quality health
In a safe and patient-friendly environment for all those in need of our
Services”

13. Value Creation Case Study: Michigan
Stroke Network
Network
• 32 hospitals throughout Michigan
• St. Joseph, the hub, acquires and places robots in spoke hospitals
• Provides 24x7x365 neuro-stroke care
Hub Hospital Benefits
• Rapidly aggregates complex cases for its neuro-stroke specialists
• Improves treatment for stroke across large underserved areas of
Michigan
• Neurosciences service line revenue grew from $5M to $15
Spoke Hospital Benefits
• Provides timely, best practice treatment for stroke
• Avoids unnecessary patient transfers
• Addresses critical need
2
4
6 1
Gogebic
Ontonagon
Houghton
Keweenaw
Iron
Baraga
Marquette
Dickinson
Alger
Delta
Menominee
Schoolcraft
Luce
Mackinac
Chippewa
Cheboygan
Presque
Isle
Charlevoix
Antrim Otsego
Leelanau
Benzie
Grand
Traverse Kalkaska
Crawford
Oscoda
Alcona
Manistee Wexford Ogemaw
Iosco
Mason Lake Osceola Clare Gladwin
Arenac
Newaygo
Mecosta Isabella
Midland
Bay
Huron
Muskegon
Montcalm
Gratiot Saginaw
Tuscola
Sanilac
St.
ClairLapeer
ShiawasseeClintonIonia
KentOttawa
Allegan Barry Eaton Ingham
Livingston Oakland
Macomb
Van
Buren Kalamazoo
Calhoun
Jackson Washtenaw
Wayne
Berrien Cass
Hillsdale Lenawee
Monroe
Missaukee
Alpena
Emmet
Genesee
Oceana
St. Joseph
Branch
SJMO – Origin of Stroke
Patients Prior to MSN
3
6 1
Gogebic
Ontonagon
Houghton
Keweenaw
Iron
Baraga
Marquette
Dickinson
Alger
Delta
Menominee
Schoolcraft
Luce
Mackinac
Chippewa
Cheboygan
Presque
Isle
Charlevoix
Antrim Otsego
Leelanau
Benzie
Grand
Traverse Kalkaska
Crawford
Oscoda
Alcona
Manistee Wexford Ogemaw
Iosco
Mason Lake Osceola Clare Gladwin
Arenac
Newaygo
Mecosta Isabella
Midland
Bay
Huron
Muskegon
Montcalm
Gratiot Saginaw
Tuscola
Sanilac
St.
ClairLapeer
ClintonIonia
KentOttawa
Allegan Barry Eaton Ingham
Livingston Oakland
Macomb
Van
Buren Kalamazoo
Calhoun
Jackson Washtenaw
Wayne
Berrien Cass
Hillsdale Lenawee
Monroe
Missaukee
Alpena
Emmet
Genesee
Oceana
St. Joseph
Branch
MSN – Origin of Patients
11/1/06 – 6/22/09
3
144
204 206
277
43
72 72
89
0
50
100
150
200
250
300
2007 2008 2009 2010
C
T
144
204 206
277
43
72 72
89
0
50
100
150
200
250
300
2007 2008 2009 2010
Calls
Transfers
MSN Calls & Transfers for Advanced Care

14.  Peer-to-peer mentoring
 Preoperative planning
 Unscheduled case observation/broadcasting
 Seamless access to key opinion leaders
 Showcase of training expertise & resources
Applications and Use Cases:
 2-way audio and video
communications
 9’ articulating boom w/ P-T-Z camera
 Multiple video-input ports integrating
additional data sources
 Live telestration and collaboration tools
Key Features:
Surgical Tele-mentoring Platform

15. 16
EASY TO DEPLOY,
EASY TO SCALE
1
Strategy
Development
2
Physician
Planning
3
Clinical
Planning
4
Technology
Implemen-
tation
5
Program
Expansion
6
Program
Marketing
Business
Intelligence

16. 17
EASY TO DEPLOY,
EASY TO SCALE
1 Strategy Development
2 Physician Planning
3 Clinical Planning
4 Technology Implementation
5 Program Expansion
6 Program Marketing

17. 18