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Home Telehealth – Advancing Care for Chronic Disease Patients

Home Telehealth – Advancing Care for Chronic Disease Patients. Mia Millefoglie, Vice President Development & Marketing France Carrier, RN Telehealth Supervisor HomeHealth Visiting Nurses. Maine Demographics: A Profile.

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Home Telehealth – Advancing Care for Chronic Disease Patients

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  1. Home Telehealth – Advancing Care for Chronic Disease Patients Mia Millefoglie, Vice President Development & Marketing France Carrier, RN Telehealth Supervisor HomeHealth Visiting Nurses

  2. Maine Demographics: A Profile • Maine is aging rapidly and at a rate faster than that of the rest of the nation. • National studies indicate elders are most likely to experience one or more chronic illnesses. • Five chronic diseases—heart disease, cancer, stroke, chronic lung disease, and diabetes— account for more than two-thirds of all deaths in the United States.

  3. Maine Demographics: A Profile • Maine ranks fourth nationwide for deaths caused by chronic diseases • Healthcare costs are estimated at $1.5 billion a year for chronic disease groups. • Within this chronic disease group, cardiovascular disease is the leading cause of death among elders and accounts for over $437 million in hospital charges

  4. HomeHealth Visiting Nurses (HHVN)Agency Profile • Service area over 2,000 square miles • In FY 2007, HHVN clinicians traveled over 1.6 million miles providing over 114,335 home health visits to 7,357 patients. • 32% (N 1,415) of HHVN’s 4,379 Medicare patients had one or more chronic diseases • 28% hospitalization rate

  5. Home Telehealth – A Tool! Remote in-home monitoring over regular phone lines of an individual’s vital signs, blood pressure, weight, pulse/oxygen, symptoms indicating potential emergencies and medication compliance.

  6. Telehealth Research Results Veteran’s Administration study with video Telehealth • 6-month cost comparison of 600 patients showed total savings of $26M • Hospitalization rates reduced from 135 to 31 • High degree of satisfaction

  7. Telehealth Research Results Pennsylvania State University • 63.7% discharged to home compared to 39% • 10% hospitalized compared to 28% • Estimated hospital costs $87,327 versus $232,872

  8. Telehealth Research Results Philips Study compared nurse telephone support to home telemonitoring • Improved survival rates by 15% • 26% reduction in hospital days • 10% overall cost savings

  9. HHVN Telehealth Experience • Initiated pilot project in 2002 with 10 video based units • Project expansion in 2004 to 29 units • Funded through RUS (3 awards) • Findings consistent with reduced hospitalization & high satisfaction

  10. Telehealth at HHVN Telehealth Today • New vendor search in 2007 • Signed contract with VitelNet purchasing 49 telemonitoring units • Deployed units in March 2008 • Serving over 50 CHF/COPD patients

  11. Web based application Patient Home Monitor Call Center Server VitelNet Monitoring Program

  12. VitelNet Turtle 400 Features • Built–in carry handle • Easy equipment setup ‘Plug and Play’ • Icon or peripheral driven • Text with audio messaging • ‘On-unit’ disease specific information

  13. VitelNet Turtle 400 Features • 8” Color touch screen • Voice and visual prompts • Supports 4 vital sign devices • Optional manual entry screen • Weighs 2.3 lbs • Health assessment questions

  14. VitelNet Summary • Simple to use: patients and providers • Intuitive software supports clinical workflow • Unique clinical content model • Patient-centric focus • Interfaces to medical management systems

  15. Questions?

  16. HomeHealth Visiting Nurses Thank you very much for your attention!

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