Leveraging Telehealth and Health Information Exchange to Improve

Leveraging Telehealth and Health Information Exchange to Improve Care

Telehealth Summit, Napa, CA

Katherine Kim April 16, 2013

Disclosures • This work was supported in by part by funding through the

University of California Davis under award No. 06-43-B10584 from the National Institute of Standards and Technology (NIST), U.S. Department of Commerce. The statements, findings, conclusions, and recommendations are those of the presenter(s) and do not necessarily reflect the views of NIST or the U.S. Department of Commerce.

• Paid consultant to CalHIPSO and UC Davis. • No financial relationship with companies mentioned in this

presentation

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Definitions Health Information Exchange: The electronic

movement of health-related information among unrelated organizations according to nationally recognized standards in an authorized and secure manner

Interoperability

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Definitions Integrated Care Coordination Framework • Coordinated within care team • Coordinated across care teams • Coordinated between care teams and community

resources • Continuous familiarity with patient across time • Continuous proactive and responsive action

between visits • Patient centered • Shared responsibility (Singer 2011)

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Care Coordination Challenge

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Health System

Community Resources

Care Team

Care Team

Patient and Family

Caregiver

Many touchpoints Silos of information

Unclear accountability

Care Coordinator

Patient-Centered Technology Ecosystem

Community Resources

Care Coordinator

Care Coordination Platform

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Patient and Family

Health System

Caregivers

Care Team

Care Team

Telehealth Universe

11/28/12 7

Patient-Use Telehealth Technology

Do Not Distribute 8

eIntensivist, eICU,

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Video Consults and Remote Monitoring

Honeywell

Your House is Calling

• Caregiver Alerts • Voice Prompts • Floor Sensors • Safety Features • Smart Beds • Video Monitors • Vital Sign Monitoring • Medical Condition Monitoring

Self-Tracking

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TheCarrot.com Funded by Robert Wood Johnson Foundation Project HealthDesign www.projecthealthdesign.org

13 Do Not Distribute

Viewed in EHR or in web portal

Patient-Centered Micro-Social Network

Do Not Distribute 14

tiatros

Health Information Exchange

Do Not Distribute 15

Death By 1000 Apps

Health Information Exchange • Collect data from many sources • Populate the EHR for analysis • EHR to EHR data sharing • Access to EHR data for decision making at

point of care and real life • Community-wide care plan • Comprehensive coordination of tasks,

workflow 16

Challenges • Optimization of EHRs • Educating providers, patients, families and

communities • Availability of HIE services • Ready availability of easy to use broadband

access • Upfront investment for equipment and

software • New cost of business

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Patient-Centered Medical Home

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HIE for Accountable Care Organizations

IDN

Captive HIE

Regional HIE

National HIE

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Learning Health Care System

Value = Superior Care at Lower Cost

Thank you

Contact [email protected] [email protected]

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