These slides were part of the presentation by Napier Healthcare Solutions at one of HiMSS Asia Pacific's first webinars of 2018. Speaking on January 24, 2018, Anil Kumar, VP of Product Management, Napier Healthcare, guided the audience through the complex of technological, regulatory and commercial issues surrounding the often misunderstood concept of Connected Health, and shared strategies that healthcare providers can adopt to kickstart initiatives toward delivering connected healthcare. PRESENTATION OVERVIEW Extending healthcare services and management across the continuum of care seamlessly and effectively has been a major challenge facing healthcare systems across the globe. But applying new technologies and business models can make it a reality – making it possible to setup and run an integrated system of care that takes each patient through the entire range of health services covering acute care all the way to ambulatory care, extended care and home care. This presentation is a discussion of how they all come together on a single connected platform to deliver on the promises of true connected health: cost savings; heightened efficiencies; superior standards of care; and, enhanced quality of life for people everywhere. TECHNOLOGY TALKING POINTS:- • Cloud • Mobility • Internet of Things, Advanced Connectivity • Telemedicine and Telehealth • AI and Cognition–Chatbots and Voice Assistance • Data Analytics and Business Intelligence APPLICATION CONTEXTS:- • Hospitals (Acute and Ambulatory Care) • Long-term Care (including Nursing Homes and Remote Patient Monitoring) • Home Care • Hospices/Palliative Care • Corporate & Community Wellness • Population Health Management • Care Coordination

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Presented By
(24th Jan 2018)
Making
Connected
Healthcare a Reality

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Agenda
Breaking down “Connected Health” (5 mins)
Review the different aspects that connected health represents
Unlocking the Potential of Connected Health (10 mins)
See example scenarios, benefits to stakeholders
Products and Technology Enablers (10 mins)
Advances in technology such as mobility, devices, data exchanges,
cognition & AI
Connected Health Business Opportunities (10 mins)
For hospitals, aged care centres and healthcare providers, payers

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Key Considerations to make it a Reality
Right Use Cases & User Adoption
Technology & Process Readiness
Right Business Models

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Different Aspects of “Connected Health”
Personal Connected
health & devices
Wearables (traditional, new
advancements) and Apps that
connect & measure
Connected
systems & EHRs
Data exchange to sync data
between different systems and
services
Connected
health services
Seamless access to various
services at any place and any
time
Connected
healthcare ecosystem
National or regional data
exchanges that connect all the
care entities

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Early Diagnosis
Monitor
Alerts Course Correct
Monitor Closely
Unlocking Potential of “Connected Health”
Hospital Care à Care Anywhere Slio-ed Care à Coordinated Care
Chasing Disease à Monitor & Prevent

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Connected Healthcare Scenario : 1
One day he experiences mild chest
discomfort, he alerts his sister Mary, son
who is abroad and Dr. Albert. A Tele-
Consult (review) is done very quickly by his
GP.
2
Steve Andrew, about 10 years ago was diagnosed by
Dr. Albert (GP) to have diabetes and recommended a
monitoring program.
Recently he started using Care Management App. So
he could measure blood sugar regularly and connect
with his GP
1
Dr. Albert evaluates and concludes that
there could be some cardiac complications
and refers Steve to Dr. Williams (Cardiac
Specialist) through Referral System which
allows the records to be transferred to the
EMR Dr. Williams is using.
3
Dr. Williams checks the records through his
Mobile EMR App and advises Steve to get
some tests done.
Steve’s son schedules the tests through the
Patient Portal, while Steve starts on his
way to the hospital. Dr Williams and team
receive the arrival notification and the tests
are completed promptly.
4
Dr Williams, after checking all
the test reports on his Mobile
EMR, recommends that Steve
undergo an angiogram as a
precaution.
5
The results from the Hospital
are shared to patient UHID
which auto populates to all the
systems through Lab Connect.
6
The angiography results show
arteriosclerosis, Dr Williams suggests
angioplasty.
Steve is admitted to Hospital and the
angioplasty procedure is completed. Steve’s
son could check on his health updates
using the Portal for next-of-kin.
7

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Connected Healthcare Scenario : 2
After a couple of day’s observation,
Steve is discharged and decides to get
some rest at a long-term care facility,
to ensure he gets continuous
supervision, while his son makes his
way back home from work overseas.
8
Steve is enrolled into a nursing home
facility closest to his home. Dr.
Williams is able to provide the
discharge plan and care instructions
on Referral Management in
Nursing Home solution.
9
Steve’s health records are retrieved. The nurse
does her pre-admission assessment on Nursing
App and ensures his health vitals are recorded
automatically; while the doctor keeps an update on
his health through Mobile EMR updates
10
Steve is assigned with Care Plans
and other activities based on his
assessed category. His family
keeps track of his health status at
all times through family portal and
settles the bills online.
11
Steve is discharged from the nursing home
after a couple of months and then enrolls for
Home Care from the nursing home partner. So
the medical staff schedule regular home visits
and provide home personal care. And he
continues with his Home Monitoring App.
12

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Technologies Making it Possible
Doctor connect
• Live video
• Phone
Home monitoring
• Connected devices
• Care protocols
Triage & first response
• Triage protocols
• Location mapping
• Emergency assistance
Personal devices
• BP Monitor, Glucometer,
Pulse, Oximeter
Wearables
• Fitness Bands
• Glasses, Tattoos
Sensors
• Sleep monitors
• Fall detection
New devices
• Smart patches
• Smart pills
• Digital mirror
Communications
• Messaging options
• Alert management
EMR Apps
• Tablet EMRs
• Context-aware
Nursing Apps
• Care protocols
• Assistants, Chat bots
Patient Apps
• Care Management
• Support

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Connected Systems & EHRs
Closed Systems
Transition from traditional,
closed HIS, nursing home
applications without
interoperability and external
interfaces
Modernize Solution
• Cloud-enabled IT architecture
• HL7 (v2, v3, FHIR) interfaces over
HTTP
• Integration with national/regional
healthcare cloud (where available)
• Integration with health monitoring,
IoT devices and applications
• Mobility interfaces
• Imagining holistic service model
with care extensions
Reference architecture for connected health

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Adoption reaching “inflection point”
Up from < 5%—THREE YEARS AGO!

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Extended Care Ecosystem
Acute Care
> EMR Connectivity
> Referral Management
> Integration with HIS
> Lab connect
Primary Care
Transitional Care
> Resident Management
> Pre-Admission Management
> Care Management
> Rehab
Home Care
> Vitals Collection & Monitoring
> Tele Consultation
> Tele Alerts
> Chronic Care Management
Acute Care
> Hospital Information System
> Electronic Medical Record
> Enterprise Appointment Scheduling
> Revenue Cycle Management
> Material Management
> Clinical Management
> Pharmacy Management

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Business Models with Connected Services
Healthcare institutions can generate revenue through new business lines, partnerships that provide a set
of connected services
Tele Health Service
Doctor or nurse connect to help triage,
do quick follow-ups. Increases
referrals.
Add-on offering via portal, Apps
Patient
Monitoring Service
Pioneering monitoring solution with a
dedicated team of clinical staff
providing peace of mind.
Leverage existing infrastructure to
provide value-add services
Long Term Care
Range of care services and support
With Partners w/ Referral Mgmt.
Home Care
Supportive care provided at home by
existing staff or new staff
With Partner or Own Service using
Connected EMR; Home Care Apps
Referral
Management
Streamline communication among
primary care physicians & specialists
Referral mgmt. systems to increase
referrals and streamline
CRM/Patient Portal
Connect patients, next of kin with
information and booking options.
Pay per use model or Free with
increased bookings

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Connected Networks
• Optimize referrals and appointment
scheduling through a connected network
of GP’s, specialists
• Eliminate missing referrals and network
leakage
• Improve patient care and clinical
outcomes
• Facilitate collaboration between GP’s,
specialists, hospitals, partner service
providers
Connected Networks and ecosystems driven and managed by Governments
Connected Networks by private hospitals, healthcare groups

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Summary
• Identify “Connected Health” strategy
• Technology readiness & adoption
• Inflection point in terms of devices, IoT, tele-health
• Integrated technology stack
• Transformation of legacy systems
• Use cases
• Care extensions
• Interoperability
• Business models
• New business lines
• Add-on services
• Partnerships
• Connected ecosystem
In the next 5 years – Connected Health will transform care. A single drop of blood at home will
monitor several conditions; the results would be fed to a healthcare network. The right specialists
could provide interventions which are delivered at hospitals, clinics, at work, and at home.

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