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Connected Health: Care Anywhere

Connected Health: Care Anywhere. Douglas J. McClure Corporate Manager Center for Connected Health Partners HealthCare 3/23/2009. About Partners HealthCare: Founded in 1994 by BWH & MGH Hospitals. Key Statistics FY06 Operating Revenue $6 Billion

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Connected Health: Care Anywhere

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  1. Connected Health:Care Anywhere Douglas J. McClure Corporate Manager Center for Connected Health Partners HealthCare 3/23/2009

  2. About Partners HealthCare: Founded in 1994 by BWH & MGH Hospitals • Key Statistics FY06 • Operating Revenue $6 Billion • Licensed Beds 3,500 • Admissions 146,000 • Outpatient Visits(1) 2,900,000 • Employees (FTEs) 35,000 • Physicians 6,300 • Range of Services • Acute • Academic Medical Centers (2) • Principal Harvard Teaching Hospitals • Community Hospitals (4) • Dana-Farber/Partners CancerCare Joint Venture • Non-Acute Care • Mental Health/Psychiatric (1) • Long Term Rehabilitation (3) • Skilled Nursing • Home Care • Physician/Ambulatory Services • Research • $1 Billion • Teaching • 4,400 Residents & Clinical & Research Fellows (1)Outpatient Visits include ATOs, EDOBs, Day Surgery, Routine Visits, ER Visits, Significant Procedures, Major Imaging, Therapies and Psychiatric Services.

  3. 3 Benefits: Access, Quality, Efficiency Access Continuous monitoring of chronic conditions Access to Partners specialists in 48 states and internationally Quality Providing care at the time of need More accurate points of data Information feedback changes patient behavior Efficiency Workflow changes improve efficiency Delivery of care can be scaled without growth of the physical plant A C C E S S E F F I C I E N C Y Q U A L I T Y

  4. Three Delivery Models Live Interactive Consultations Asynchronous Consultations Connected Health

  5. Connected Health is Patient Centered Care Four Cornerstones of Connected Health • Accurate physiologic information • Shared with the patient • Data-driven coaching • Optimized provider involvement

  6. CHF Remote-Monitoring Research finds: Patients using remote monitoring service required 40% fewer nursing visits to the home; Patients using remote monitoring service had a 33% reduction in hospital admissions Patients reported improved quality of life and increased involvement in their care Program: Expansion of services in Home Care for all homebound Medicare patients. 250 patients on service at any time. FY08 growth +20%

  7. Connected Health - Diabetes • Population: Diabetics – requiring daily glucose readings • Technology: glucometer, gateway, web interface • Coaching: diabetes educator • Goal: improved control • Business justification: • Meet P4P targets • Decreased downstream complications

  8. Connected Health: Hypertension • Population: Newly diagnosed or difficult to control hypertensives • Technology: bp cuff, gateway, web interface • Coaching: automated • Goal: improved control • Business justification: • Improved employee health • Decreased downstream complications

  9. Initiative: Improving medication adherence with real-time reminders

  10. A Unified Platform Patients, Providers, CareGivers Presentation & Messaging CDR EMPI Decision Support EMR PG Enterprise Clinical Apps Integration Database RMDR Connectivity Transmission Devices/Sensors

  11. Quality + Access + Efficiency Salvatore, heart failure patient: “I noticed my weight was up – I knew you’d be calling” Christina, E-visits patient: “I didn’t feel alone at all, which is surprising because you’re sitting at your desk alone…I was able to develop a nice rapport with my doctor.”

  12. Conclusions • Connected health is evolving as a new dimension in HIT. • Patient behavior change is a critical goal. • Monitoring increases engagement and improves coaching. • Quality, access and efficiency are improved. • Visit us at www.connected-health.org to learn more.

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