Connected health as a tool to improve patient engagement & patient empowerment

1. Connected health as a tool to improve patient engagement & patient empowerment Joseph C. Kvedar, MDDirectorCenter for Connected HealthPartners HealthCare

2. Our World is being turned upside down

3. About the Center for Connected Health Mission is to facilitate the adoption of Connected Health Technology is an enabler to provide care remotely Benefits include improved engagement, outcomes, and efficiencies

4. Connected Health Consulting Services Harnessing technology to transform care Advisory Services Feasibility Trials Clinical Trials Product Evaluations And Expert Reviews

5. Come network with 1,300 health technology leaders • Sessions Include: • 20 minute keynotes • Debates • Interviews • Expert Panels October 25-26, 2012 http://bit.ly/eoKOK2 - last year’s event

6. Connected Health Goal Integrate care into the day-to-day lives of our patients

7. Connected Health Benefits 1 Improved self-care 2 Just-in-time care

8. Program Design for Enhanced Self Care Awareness, Insight, Motivation, Goals Motivational Tools • Social networking • Gamification • Coaching/reminders • Rewards/punishments

9. Visual Rendering to Support Just-in-Time Care

10. Visual Rendering to Support Just-in-Time Care

11. Connected Health Platform Overview Providersaccess data and information to manage patient’s care Automated rules and alerts also help patients understand their health. Patientsends blood pressure, blood glucose, step counts or weight readings to a secure website. Patients provide contextual information.

12. Diabetes Connect

13. Diabetes Connect:Greater engagement is associated with greater pre-post HbA1c change • Practice engagement correlates strongly with better patient outcomes • • Patients with greater than 15 uploads had average 1.5 pre-post HbA1c change • • P< 0.03 between no uploads and uploads groups

14. Diabetes Connect:Patients had fewer adverse events (hyper & hypoglycemic) over time

15. Diabetes Connect Patient Perspective “It keeps me aware of what I’m doing and gives me a betterframe of mind about my condition.” Leo Jabotte Diabetes Connect patient

16. Blood Pressure Connect

17. Blood Pressure Connect : Impact on Systolic Blood Pressure Significantly improves systolic blood pressure (SBP)

18. Similar trends observed in Diastolic Blood Pressure

19. Blood Pressure Connect Provider Perspective “The program is a gem. Our patients don’t have to travel in to the office to have their blood pressure monitored, and the equipment is easy to use.” Donna Leone, RNMass General’s Everett Family Care

20. Who Are We?|Connected Personalized Health Engagement Nature is not normative, neither are human beings . . . combines wireless biometric sensors, dynamic personalization computing and inspirational support to help individuals change and maintain the health habits that result in optimal health and wellbeing. Healthrageous is building the dynamic personalization platform for better health.

21. Value Proposition|Proven Solution: Book of Business Results Effective Engaging Sticky Hypertension Physical Activity • 98%Enroll • 99%Engage • 98%Enroll • 99%Engage • 98%Enroll • 98%Engage • 59% • 69% • 60% • 24% • 32% • 12% Engaged onWeek 12 Engaged onWeek 12 Engaged onWeek 12 Lost any weight ClinicallySignificant Improvement Walk additional 2k steps per day Weight loss • 4% Lost 5% of baseline weight Clinically significant improvement in Hypertension Systolic Improvement of >10 mmHg; Diastolic Improvement of >5 mmHg

22. Texting for Health Reminder group No Reminder Group Medication Reminders Encouraging Prenatal Care Tues. Sunny. High 68, Low 53. Please apply your sunscreen today. Diabetes Patient Education Weekly Adherence Rates (mean +/- SEM) 100 90 80 70 60 50 40 30 20 10 0 Percent Adherence

23. Mobile Technology Supports Diverse Patient Populations • Suboxone Treatment: • 88% — Helped to remember their medical appointments • 75% — Felt supported by their nurse • Prenatal Care for at-risk pregnant women: • 74% — Helped to learn to take care of themselves and their babies • 85% — Felt supported by the OB team

24. Potential to positively affect patient loyalty • Of all hospital services, obsterics holds the most promise for developing favorable client relationships resulting in: • Increased market share • Repeat purchase behavior • Patient referrals • Each loyal patient may refer 5 patients • Dissatisfied patient may influence 20 patients to switch to another Ob/Gyn Sources:Bradley LD, Amir L. Loyalty and informed patients contribute to a healthy bottom line: Can we talk? OBG Management, 2008 Reichheld FF, Thomas T. The loyalty effect: The hidden force behind growth, profits and lasting value. Harvard Business School Press, 2001 Marshall BS, Javalgi RG, Gombeski WR. Providing services to obstetrical patients: An overview and implications. Health Marketing Quarterly, 1995.

25. The Power of Activity and Coaching 1. Wearable monitor records subject’s activity levels 2. Activity data sent wirelessly to central server Poor adherence Good adherence I’m sorry you’ve found it tough to meet your targets this week. Let’s try and work out a solution. You’ve done a great job this week! Let’s review the calories you’ve burned. 3. Personalized coaching to improve adherenceto activity regime

26. Activity Monitoring as a Public Health Application • Activity tracking using a pedometer • Automatic data upload • Incorporates educational feedback • Gaming and competitions

27. Text 2 Move Readiness to change Analytic Engine Step counts Customized messaging Location/practice

28. Connected Health Benefits 1 Improved self-care 2 Just-in-time care

29. Ways to “Connect” The cHealth Blog: chealthblog.connected-health.org www.connected-health.org Annual Symposium: Oct 2012; Boston LinkedIn Group: Connected Health Community Twitter: @connectedhealth @jkvedar Contact Me: jkvedar@partners.org