Explains about how information is being exchanged , dynamics of healthcare and future of healthcare. For more information visit: http://www.transformhealth-it.org/
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Transforming Healthcare Through Connected Health Technology - A story from The United States
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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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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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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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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Clinical Video Telehealth (CVT)
Real-time video consultation that covers over 45 clinical specialties including: Tele-Intensive Care, TeleMental Health, TeleCardiology, TeleNeurology, TeleSurgery, Women’s Telehealth, Tele-Primary Care, TeleSCI care, TeleAmputation Care, TeleAudiology, TeleSpeech, Remote Nursing Home Consultation, TelePathology, etc. (45 specialties)
Home Telehealth (HT)
Care and case management of chronic conditions and provision of non-institutional care support to patients. Uses in-home and mobile technologies to manage diabetes, chronic heart failure, hypertension, obesity, traumatic brain injury, depression, etc.
Store and Forward Telehealth (SFT)
TeleRetinal Imaging, TeleDermatology, TeleWound Care, TeleSpirometry, Tele-Sleep Studies
Clinical Video Telehealth (CVT)
Real-time video consultation that covers over 45 clinical specialties including: Tele-Intensive Care, TeleMental Health, TeleCardiology, TeleNeurology, TeleSurgery, Women’s Telehealth, Tele-Primary Care, TeleSCI care, TeleAmputation Care, TeleAudiology, TeleSpeech, Remote Nursing Home Consultation, TelePathology, etc. (45 specialties)
Home Telehealth (HT)
Care and case management of chronic conditions and provision of non-institutional care support to patients. Uses in-home and mobile technologies to manage diabetes, chronic heart failure, hypertension, obesity, traumatic brain injury, depression, etc.
Store and Forward Telehealth (SFT)
TeleRetinal Imaging, TeleDermatology, TeleWound Care, TeleSpirometry, Tele-Sleep Studies
highly rural areas - Alaska – western states
This drives our investment in technology –
“80% don’t need to be physically touched” Dr Grossman