The document discusses scaling telehealth and summarizes some of its benefits. It was presented at Mobile World Congress on March 3rd, 2015. Telehealth/telemonitoring can reduce hospital length of stay and admissions, improve quality of life, and reduce mortality rates for heart failure patients based on studies. However, telehealth has been slow to scale due to difficulties translating pilot results into routine care and integrating care coordination and telehealth into existing healthcare workflows and structures. The ACT initiative aims to identify best practices for integrating these technologies and coordinating care through patient stratification, educating providers, and improving patient adherence.

1. Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth1
European Connected Health Alliance
Mobile World Congress – March 3rd.
Panel session: mHealth for Chronic diseases and Active and Healthy Ageing
Scaling TeleHealth
Chris Westerteicher
Business Director
Hospital to Home
International

2. Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth2
What is TeleHealth?
Vital Signs Monitoring
Patient Empowerment
mHealth Solutions

3. Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth3
Demonstrated Benefits (does it work?)
Reduces Hospital length of stay
Reduces number of Hospital
admissions
Improves Patient‘s Quality of Life
and Satisfaction
Reduces mortality rates
(Heart Failure patients)
Carme Study
73% reduction in
hospital length of
stay for HF patients
Reduction of re-admissions 52%
Reduction of hospital length of stay 57%
Carme Study
Improved QoL
High grade of satisfaction
High safety awareness and fear reduction
Whole System Demonstrator
45% reduction in mortality of HF patients

4. Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth4
Changes in Healthcare
„That it will ever come into general use notwithstanding its value, I am doubtful....“
Sir John Forbes (1787 – 1861); Statement from the 1st edition of his book on the
values of the Stethoscope.

5. Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth5
Concept Offering
Patient Assessment & Data Analysis
Risk Stratification
Proactive data analysis
of patient data sets
Monitoring and Compliance (M&C)
Monitoring
Automated Data Collection
Patient Reported Vitals
Compliance
Care Coordination (CC)
Guideline based management
Liaison with local staff, family
& friends
Patient appointment
Self-Management Support (SMS)
Structured education programmes
Patient coaching

6. Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth6
Monitoring & Compliance
TeleMonitoring TeleHealth
Vital Signs
Monitoring
Subjective
Assessment
Education
& Guideline
management
Empower patients to actively manage their
disease state and change their behaviour
by providing appropriate coaching and
education.
Confidential May 2009
Content elements
Monitoring
Stage 2:
Medical
Edutainment
Intervention
Phases 1-4: Goal
setting, Planning, Self-
monitoring and
Feedback
12 weeks 12 weeks
Phase 5: Relapse
prevention
12 weeks
Phase 6:
Maintenance
12 weeks
Stage 1:
Intro
(Medical
didactics)
2 weeks
Stage 3: Coaching intervention
Tips
Educational
Videos
Quizzes/
Surveys
MessagesVitals
charts Interactive Recipes
Care Planning – Guideline based planning,
management and review, according to the
individual needs of patients.
Modular “Building Block” concept,
allowing adaptation to a broad range of
patient acuity levels and disease states.

7. Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth7
Advancing Care Coordination & TeleHealth (ACT)
Why is TeleHealth scaling slowly?
Difficulties in translating pilot results into
routine care
Health care needs to integrate CC & TH into
existing care delivery structures (workflow
re-engineering)
Primary ACT Focus (Identify “Best Practice”)
“Identify ‘best practice’ organisational and structural processes”
Integrating CC & TH into care delivery systems
Patient stratification
Educating Care Providers
Improving patient adherence and empowerment

8. Mobile World Congress – Barcelona, March 3rd, 2015 – Scaling TeleHealth8