Barcelona Mobile World Congress February 2014 Tackling the Global Challenge of Chronic Disease: Opportunities for Mobile Health Helen Figge, PharmD, MBA, CPHIMS, FHIMSS Six Sigma Black Belt & Sensei Vice President, Clinical Integrations Alere Accountable Care Solutions LLC HIMSS National Liaison, New York State
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Barcelona Mobile World Congress February 2014
Tackling the Global Challenge of Chronic Disease: Opportunities for Mobile Health
Helen Figge, PharmD, MBA, CPHIMS, FHIMSS
Six Sigma Black Belt & Sensei
Vice President, Clinical Integrations
Alere Accountable Care Solutions LLC
HIMSS National Liaison, New York State
About AlereAlere is a global leader in health information technology, diagnostics, and healthcare services, with
over $3 Billion in annual revenues, 15,000 + employees, 2,200+ healthcare professionals, 800 +
clients in the United States, offices in 36 countries, and solutions in use across over 100 countries
globally. We offer vast health information technology solutions, integrated medical devices, health
services, and population management programs.
Our Vision: To empower individuals to take better control of their health under
medical supervision and to improve outcomes in healthcare systems globally.
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A Solution Approach to Health and Wellness
High Risk PatientsModerate Risk Patients
Low Risk Patients
Intensity of Personalized Management
Improved
Care Standards
Targeted
Care Management
Intensive
Case Management
Barcelona Mobile World Congress February 2014
• Healthcare connected
• Health records activated
• Physicians and patients
engaged
• Better outcomes achieved
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Alere’s Solution Supporting Mobile Health Initiatives
Barcelona Mobile World Congress February 2014
Care Management:
Rules identify and stratify patients by disease
and severity that enable management of patient-specific alerts by ancillary care providers
with direct patient follow up for appropriate
chronic conditions.
Decision Support:
Provides physicians and patients with actionable recommendations from across the
connected ecosystem driven by
evidence-based rules and guidelines.
Devices:
Available for most major chronic conditions:
● CHF
● COPD
● Anti-coagulation
● Diabetes
Connected to “call home” with patient data
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Mobile Device
Monitoring
MEDICATION
RECONCILLIATION
TRANSITION PLANNING
PATIENT AND FAMILY
ENGAGEMENT
INFORMATION TRANSFER
FOLLOW UP CARE
HEALTHCARE PROVIDER
ENGAGEMENT
SHARED ACCOUNTABLITY
Mobile Devices Support Hospital to Home Program
Alere offers a suite of services in care management, CDS, and diagnostics that transition in-patients to home
Barcelona Mobile World Congress February 2014
Point of Care Home
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Mobile Devices Can Seamlessly….
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Devices Can Manage and Support the Process that Leads to Health Behavior Change Comprehensively
Biometric
Devices
Patient Health
Status Data
Exchange
Data
Interpretation--
Validated,
Proprietary
Algorithms
Behavioral
Change--Coachi
ng &
Connectivity
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Healthy
Outcomes
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Example Alere Anticoagulation and Diabetes Solutions
Biometric
Device Wireless test value
transmission,
Behavioral
Change—
Training &
Coaching
Ability to Improve Health Outcomes
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EQUALS
Barcelona Mobile World Congress February 2014
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Weekly testing provides optimal testing
reducing PT-INR variability associated with
bleeding & stroke risk supporting chronic
conditions in need of continuous management
Decreasing costs and optimizing
outcomes via improving
self-empowerment and Rx
adherence
PT-INR self testing with online automated
management associated with improved
quality of PT-INR control with a sizeable
reduction in major events requiring
hospitalization
Home INR Monitoring
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Rose (2011). Circulation.
Frequent INR Testing Reduces cost and Improves Outcomes
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Patient:
After initial face-2-face
training, performs home
INR test weekly
Patient ID
Providers will
identify patients based on
suitability criteria
Patient
Agreement
Requires trainable, consenting patient and
PST Rx from physician
Physician/Patient:
Adjusts Patient medication &/or diet based on results
received by Alere
Alere:
Automatically relays result to
patient’s physician via:
● Phone/Fax/Email/CoagClinic/ EMR Interface
Alere:
Offers
provider/payer
regular reporting on
program enrollment,
barriers, outcomes
Patient:
Reports results
via MobileLink, web, or phone to
Alere
Optimizing
warfarin
control
Monitoring is Easy…
Barcelona Mobile World Congress February 2014
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Care Providing Organizations• 8 Hospitals and EDs• 200+ Ambulatory Practices• 6 Ambulatory Surgical