This document summarizes a trial using remote patient monitoring technologies to provide care for patients with congestive heart failure and chronic obstructive pulmonary disease in their homes. The trial aims to validate cost savings, reduce hospital admissions and visits, improve patient self-management, and evaluate the technology solution. Early results show reduced hospitalizations and home visits. Patients reported increased support and management of their conditions, while nurses found increased access to patient data and flexibility in care.

1. Enabling New Models of Care in the Patient’s Home Tuesday, 15 December 2009 Margaret Scott OAM, Nursing Director, Hunter Nursing Anthony Fanning, RPM Program Director, Healthe

6. Trial Framework

8. Telehealth Business Drivers & Benchmarks

9. Benchmarking – eg Home Visit Rate

10. Evidence-based Approach & Analysis of 56 Studies

11. ROI Modelling & Business Case

13. Approach and Feedback Loop Data Aggregation / Standardisation Risk Profiling Stratification Targeting Recruitment Engagement Outcome Measurement Monitoring

15. Longitudinal Baseline Data (12 months) Remote Patient Monitoring

17. End to end system Remote Patient Monitoring Secure Data Centre Intel® Health Guide Weight Scale Pulse Oximeter Blood Pressure Monitor Clinical Information Databases Intel® Health Care Management Suite Monitoring Tools Patient End User Clinician Clinician

20. Intel® Health Guide Connectivity

22. Care Protocols and Personalised Care Plans COPD sample protocol

24. Community Nursing and Patient Interaction

25. Intel® Health Care Management Suite

26. Video Conferencing and Connectivity

27. Video Conference usage information (from actual project in the US) – RAW DATA Number of Care Managers (CM) = 3 Number of Patients = 16 with 12 using VC

28. Video Conference usage information (from actual project in the US) – RAW DATA

29. Video Conference usage information (from actual project in the US) – RAW DATA

30. Learnings so far

31. Program and Evaluation Process Reduced number of face-to-face community visits between patients and healthcare clinicians Alert intervention summary Reduced number of hospital bed days Alert types and frequency Reduced emergency room visits Video Conferencing interventions Reduced re-hospitalisation rates (all cause) Video Conferencing satisfaction of patients. Video Conferencing frequency Claims data IHGS patient satisfaction score IHGS clinician satisfaction score ROI PQOL pre/post Patient adherence to vital signs monitoring and daily sessions. Cost Effectiveness Patient Utilisation Financial / Clinical

34. Learnings so far – Patient Adherence Early signs of positive patient compliance and participation

39. Thank you & Questions