The document discusses the transformation of healthcare through connected health technology, emphasizing the shift towards personalized and individual-controlled healthcare. It highlights the importance of technology, such as telehealth and mobile health apps, in enhancing patient engagement and managing health outcomes. Additionally, it addresses the need for healthcare to adapt to changing priorities, with a focus on efficiency, quality, and access to health information.

1. Transforming Healthcare Through Connected Health
Technology - A Story from the United States
Robert L. Jesse, MD, PhD
Professor, Internal Medicine – Cardiology
Virginia Commonwealth University Health System
and
Chief, Office of Academic Affiliations
Veterans Health Administration
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2. Disclosures
Robert L. Jesse, M.D., Ph.D.
Has no financial interest or relationships to disclose
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3. Healthcare Will Transform
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4. Why Healthcare Must Transform
• Priorities are changing:
– People will embrace health as a personal attribute
– Cost to the individual will be an important driver
– Commoditization will occur at multiple levels
– Quality will be a given – Efficiency will be the rule
– Individuals will own and manage all of their data
– Trusted health information will be the new currency
– Access will be defined through engagement
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5. Re-Envisioning Healthcare
• Health care becomes personalized according to an
individual’s needs and values – “Precision Health”
– Still evidence-based care… but individualized for me
– Quality for an ‘n of 1’ + safety and prevention of harm
• Control shifts from health systems to the individual
– Individuals own the entirety of their health information
• That record is agnostic to the source and inclusive of all
data generated by providers and by the individual
– Access is defined by whom patients choose to help:
• Support health promotion, prevention and well being
• Navigate complex healthcare decisions
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6. • Team-based care - PCMH (VA calls it PACT)
– Moving from encounters to sustained relationships
• Transactional coherent health information
• Health Management Platforms vs EMRs
• Data big and small
• Relationship-based care is Connected health
Innovations Driving Healthcare Change
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7. Connected Health
Connected Health is about sustaining the relationship
between patient and healthcare system beyond the
traditional bricks and mortar walls and thus
empowering patients to manage their own health
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8. VA Connected Health Technologies
Proudly Serving Veterans since 1984
Telehealth Services
• Clinical Video Telehealth
• Home Telehealth
• Store and Forward
Telehealth
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My HealtheVet Patient
Portal
• VA Secure Messaging
• VA Blue Button
• Veterans Health Library
• Rx Refill/TrackingVA Mobile Health
• Patient Mobile Apps
• Provider Mobile Apps/ Devices
• Annie – Text Messaging
The Phone
The Smart Phone
The Dumb Phone !
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9. Telehealth Services
Services Provided in 2014:
 2.1 million episodes of care to 717,000 VA patients
 45% of these patients live in rural areas
– 150,000 patients case-managed by home telehealth
– 250,000 patients used clinical video telehealth between
VA clinics
– 4,000+ received clinical video telehealth visits directly
into their homes
– 380,000 used store and forward telehealth technology
– 75,000 implanted devices monitored remotely
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10. Connected Health Technologies - FY14
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VA App Store http://mobile.va.gov/appstore
VA Mobile: There’s an App for That
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12. Telehealth Services - Impact
Travel Reduction Savings:
 Clinical Video Telehealth
$34.45 per consultation
 Store and Forward Telehealth
$38.81 per consultation
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Home Telehealth
 54% reduction in bed days of
care
 32% reduction in hospital
admissions
 $2,000 savings per annum
per patient
Video Tele-Mental Health
 35% reduction in acute
psychiatric bed days of care
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13. VA TeleMental Health Services
FY 2003-2014
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14. The Health Care Reality
Health care is an information business
• It’s increasing - and increasingly complicated
• Most of which patients can’t access
…or understand
The current Healthcare industry
thrives on information asymmetry
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15. • Patients engage (us) as partners in their care
– We focus on preventive health
– We focus on chronic disease management
– We focus on patient outcomes
– They demand convenient, local and timely care
– They demand complementary/alternative care
– They demand readily available information
• including the ability to contribute to that data set
Changing Dynamics of Healthcare
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16. What Will Healthcare of the Future Be?
Healthcare is an information business
Coherent and transactional - Logistics and scale
Data big and small – not just in the EMR
As information asymmetry is reduced then
Commoditization accelerates - the role of AI
Managing data and information exchange is the
new value proposition in healthcare
Connected Health is the platform for this
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17. Better Information
Better Decisions
Better Health
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18. END
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