Partners Center for Connected Health overview presented at MassTLC HealthCare cluster meeting on 11/3/09

1. Patient Centered Care:
The Programs and
Platform to Support It
Douglas J. McClure
Corporate Manager
Center for Connected Health
Partners HealthCare
November 3rd 2009

2. Three Delivery Models
Live Interactive Asynchronous Connected
Consultations Consultations Health
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3. Connected Health is Patient Centered Care
Four Cornerstones of Connected Health
• Accurate physiologic information
• Shared with the patient
• Data-driven coaching
• Optimized provider involvement
3

4. Connected Health Growth
4000 • Programs have transitioned
from “research” to self
3500 supporting
3000 Diabetes Self Monitoring
• New research programs are
2500 SmartBeat developing the programs of the
E-visits
future – example medication
2000 adherence.
Adherence
1500
Connected Cardiac Care • Some programs are being
1000 Heart failure - homebound
turned into business offerings
outside of Partners.
Heart failure - Motorola trial
500
Heart failure - clinical trial • Programs incubated and
0
supported by CEO, CFO and
FY05 FY06 FY07 FY08 FY09(pro)
FY10(pro)
COO.
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5. Center for Connected Health Pipeline
Research Program Self Sustaining
& Development Programs
Development
• Founded in 1995
• 35 Full time Staff
• 12 projects and programs at any time
• Move ideas to programs
• Sustained and diverse funding strategy
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6. Care Models
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7. CHF Remote-Monitoring
Research finds:
Patients using remote monitoring service
required 40% fewer nursing visits to the
home; Patients using remote monitoring
service had a 33% reduction in hospital
admissions
Patients reported improved quality of life
and increased involvement in their care
Program:
Expansion of services in Home Care for all
homebound Medicare patients.
270 patients on service at any time.
FY09 growth +20%
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8. Connected Health - Diabetes
• Population: Diabetics –
requiring daily glucose readings
• Technology: glucometer,
gateway, web interface
• Coaching: diabetes educator
• Goal: improved control
• Business justification:
• Meet P4P targets
• Decreased downstream
complications
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9. Connected Health: Hypertension
• Population: Newly diagnosed
or difficult to control
hypertensives
• Technology: bp cuff, gateway,
web interface
• Coaching: automated
• Goal: improved control
• Business justification:
• Improved employee health
• Decreased downstream
complications
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10. Connected Health: Activity & Weight
• Population: Wellness, cross-
over
• Technology: activity monitor,
weight scale, upload software,
web interface
• Coaching: Automated
• Goal: Increased activity, weight
loss
• Business justification:
• Employee benefit
• Productivity, decreased
care costs
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11. Research :
Programs and
Components of the
Future
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12. Virtual Coach
1. Wearable
monitor records
subject’s
activity levels
2. Activity data
sent wirelessly
to central
server Poor adherence Good adherence
3. Personalized You’ve done a great job
this week! Let’s review
coaching to the calories you’ve
improve burned.
adherence to
activity regime I’m sorry you’ve
found it tough to
meet your targets
this week. Let’s try
and work out a
solution
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13. Imperative: Improving medication adherence
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14. Inventors of Tomorrow
The Patriot Ledger May 7th 2007

15. The Platform
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16. Connected Health Platform
Monitoring
Communications
Coaching
motivation
Provider
Intervention
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17. Opportunity Knocking
Hypertension Diabetes Heart Failure
Db Db Db
Transmission Transmission Transmission
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18. Chaos Following
Hypertension Diabetes Heart Failure
Presentation &
Messaging
Decision
Support
Db Db Db Data
Transmission Transmission Transmission
Devices/Sensors
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19. A Unified Platform Patients, Providers, CareGivers
Presentation &
Messaging
CDR EMPI
Decision
Support
EMR PG
Enterprise Clinical Apps Integration
RMDR Database
Transmission Connectivity
Devices/Sensors

20. Connected Health Care Suite

21. Connected Health Care Suite
Physicians Care Providers
Patients Care Givers
Care Portals
(Diabetes, HF, etc.)
CCH Apps Services Common Clinical Services Partners Enterprise
• Asset & Patient Mgmt Mgmt System Clinical Apps
• Program Mgmt & Evaluation
• LMR, CDR, EMPI
Decision Support
Services Services
Remote Monitoring Partners Entity Apps
Services • Care Registries, PtCT, 4Next
• RMDR, Internet
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22. Data Providers & Consumers of the RMDR
Partners Diabetes Connect Application (Consumer)
Healthcare
Environment
Blood
Pressure
Companies
&
Integration
Glucometer
Data
RMDR Patient Weight Profile Application (Consumer)
Weight Scale
Data
Pedometer
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23. Conclusions
• Connected health is evolving as a new
dimension in HIT.
• Patient behavior change is a critical goal.
• Monitoring increases engagement and
improves coaching.
• Quality, access and efficiency are improved.
• Visit us at www.connected-health.org to
learn more.
• dmcclure@partners.org
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