Gpt conference presentation march 20 2014 final

© 2013 Intel-GE Care Innovations LLC. All rights reserved. *All other third-party trademarks are the properties of their respective owners.© 2013 Intel-GE Care Innovations, LLC. All rights reserved. * All other third-party trademarks are the properties of their respective owners.

Remote Patient Monitoring: Control costs, improve outcomes, avoid returns, and modify patient behavior

Georgia Partnership for TeleHealth Conference, Atlanta, Georgia - March 21, 2014 David Wellons, Intel-GE Care Innovations

February 13, 2014

© 2013 Intel-GE Care Innovations LLC. All rights reserved. *All other third-party trademarks are the properties of their respective owners.

Agenda

• The What: • Current issues in chronic care and short term

acute care management• The Ideas:

• Ways to Address these issues• The Overview of the Effort:

• Care Transitions to Self-Management (steps)• The Impact of Care Management programs

• real life examples• The How:

• A Four-Phased approach to achieving a successful care management program

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Issues We All Face in Providing Care

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The healthcare landscape is constantly changing.

Medical resources are stretched.

People are living longer with chronic conditions.

Seniors want to remain in their own homes as they age.

Even as the healthcare landscape continues to evolve, we envision millions of people, living healthy connected lives.

The right solutions connect people to their care teams and give them the confidence to live independently, wherever they call home.


THE GROWING PROBLEM

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PROVIDERS MUSTTO DRIVE TRUE CHANGE


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EASE-OF-USE

SO WHAT’S BEEN THE HOLD-UP?

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COSTDEPLOYABILITY

“Barriers to patient participation need to be low. To minimize any potential barriers to maximizing enrollment, patient participation should be at no or little financial cost and enrollment should be automatic for all eligible patients.”

—The Commonwealth Fund*, “Case Studies in Telehealth Adoption”

“To be successful in this marketplace, it has become highly essential for technology developers to roll out high-quality, low-cost solutions that are available worldwide.”

—Frost & Sullivan*, “Remote Patient Monitoring Technologies –

A Strategic Assessment”


Transition toSelf-Management

Phase 4

Care Transitions to Self-Management

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AcutePhysiologic

alMonitoring

Phase 1

AdherencePhase 2

BehaviorChangePhase 3

Learn and model self-management behaviorsLearn and demonstrate self-monitoring and response

Phase 1

Learn new medical regimenMedication management; adherence to orders

Disease process educationSupport for changing behaviors

Monitoring signs and symptomsIdentify resources needed

Phase 2

Phase 3

Phase 4


The Impact of Remote Care Management

Broader Clinical Reach = Greater Intervention Potential

• At least 9 patients avoided a potential hospitalization due to an “intervention”.

• “I believe the major item that defines success for (Payer) is lack of CHF hospitalization.”

• “I noted [via the technology] that a patient’s HR was elevated significantly over a couple of days…phone calls to member + physician… refill a Beta Blocker…member resumed med…HR normal…elevated HR would have likely gone unnoticed had she not been doing daily biometric measurement using her (vendor name) device.”


The Impact of Remote Care Management

Broader Clinical Reach = Greater Intervention Potential

• “Success can also be defined as improving quality of life and empowering patients to have more ownership in their health.”

• “We had one member … began program with very elevated BP…patient had never taken her BP daily…unaware…worked with medical team to adjust her meds… now consistently has a good BP within normal parameters...elevated BP could have done significant renal damage.”

• “I had a member whose weight was elevated by 5lbs overnight...excessive sodium intake…examined diet.. ID better nutrition choices and consequences…member verbalizes that he is trying to make better food choices and more aware of what choices he needs to make.”


How to Plan for Implementation: A Four-Phased Approach

A phased approach to successful implementation including change management, workflow transformation and virtual care program readiness.

• Clinical workflow readiness

• Technical readiness assessed

• Design customized implementation

• Develop a realistic and achievable project plan

• Complete preparation tasks

• Launch program: begin patient deployment and care delivery

• Monitor progress

• Track outcomes

• Extend to additional populations

Assess

Gather Information

Plan

Create a Blueprint

Deploy & Monitor

Grow & Maintain

Go Live Adjust for Efficiency

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Assessment Process

• Roles/Responsibilities: Identify team members and assign responsibilities

• Clinical Workflow Assessment: Analyze current clinician–to–member clinical workflow model(s)

• Technical Assessment: Study existing technical infrastructure and capability set to assess preparedness for a remote care delivery model

• Member Population Assessment: Assess the traits, characteristics, and specifics of the selected (and potentially second/third place contenders for selection) member population

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Assessment Deliverables

• Completed roles and responsibilities matrix

• Completed and documented analysis of clinician-to-member clinical workflow model(s)

• Completed and documented technical assessment from study of existing infrastructure

• Completed and documented member population assessment

• Documented clinical workflow assessment

Assess

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Plan

Planning Process

• Design and document customized implementation and project plans

• Address specific needs and requirements

• Staff

• Workflow models and support models,

• Technology needs

• Custom organizational characteristics

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Plan

Planning Deliverables

• Metrics: Define success criteria, measurement methods, frequencies, etc.

• Member Population: Define specific inclusion/ exclusion criteria, screening methods and tools, recruitment methods and tools, build collateral, etc.

• Workflow: Design, review, iterate and agree upon the new virtual care delivery program workflows. Centralized/localized operational models.

• Logistics: Select features, functionality (peripherals), prepare and design a plan for inventory management, define connectivity requirements, etc.

• Training: Define staff and member training models and accompanying plans, develop schedules and assign owners, prepare content, etc.

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Deployment Planning Process

• Disciplined execution is essential to success: Finalize changes to workflow Create operating procedures Define logistics roll-out Finalize clinical care model Train staff Map out population ID, enrollment

• Once all of these tasks are completed, it is time to identify and enroll care recipients.

Deploy

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Deployment Deliverables

Deploy

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Growth Planning Process

• Conduct a periodic review of metrics

• Focus on continuous process improvement

• Look for opportunities for expansion

• Real efficiencies only come with large-scale deployments

• Your new model should drive your staff interventions through management by exception and providing the right care at the right time.

Grow4


Growth Deliverables

• Identification of expansion opportunities

• A continuous process improvement blueprint

• Identification of efficiency and scalability opportunities

Grow4

© 2013 Intel-GE Care Innovations LLC. All rights reserved. *All other third-party trademarks referenced herein belong to their respective owners.

Care Innovations Confidential

Summary

• Assessment and planning is critical

• Defining Goals are important as the project starts

• Driving towards patient compliance self-administration

• Program can be designed in a tiered manner

• The right foundational platform provides opportunities for expansion

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© 2013 Intel-GE Care Innovations LLC. All rights reserved. *All other third-party trademarks referenced herein belong to their respective owners.

Care Innovations Confidential

Thank You!

David [email protected]

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mailto:[email protected]

Gpt conference presentation march 20 2014 final

Health & Medicine

intelge care innovations

respective owners

care transitions

chronic care

selfmanagement phase

monitoring phase

selfmanagement steps

adherence phase