NEXT-GENERATION VIDEO TELEMEDICINE TANIA ELLIOTT, MD ASSISTANT MEDICAL DIRECTOR NOVEMBER 6 TH 2015.

NEXT-GENERATION VIDEO TELEMEDICINE

TANIA ELLIOTT, MDASSISTANT MEDICAL DIRECTOR

NOVEMBER 6TH 2015

© 2015 Doctor On Demand | 2

I have the following financial relationships to disclose:

– Speakers Bureau: Mylan Pharmaceuticals– Stockholder in: Doctor on Demand, Inc– Employee of : Doctor on Demand, NYU Medical

Center

Disclosures


Background on Doctor on Demand

Integration Capabilities

Telehealth and Allergy, Asthma, Immunology Initiatives

How it works

Patient Centered Care

Objectives


2014Full B2BSuite of Features

2013Product Launch

2015+Healthcare Ecosystem Integration

New partnerships with health systems, retail clinics, and employers

#1 provider of video visits

High utilization and mobile usage vs legacy systems

Mental/behavioral health, lactation consulting

Nationwide consumer launch

Seamless patient experience

1,400 urgent care physicians trained and launched

Top-rated medical app

Robust TV presence

Doctor On Demand’s Trajectory

Hundreds of employer clients

Dozens of partnerships with largest health plans, health systems, and retail clinics

Fully-connected care- Doctor On Demand providers- Health system providers- EMR integration- Home diagnostics- Asynchronous capabilities

2012Founded & funded


Video: Required for ComplianceClearly established as a legal requisite

“Generally, telemedicine is not an audio-only, telephone conversation…it typically involves the application of secure videoconferencing or store-and-forward technology to provide or support healthcare delivery by replicating the interaction of a traditional encounter in person between a provider and a patient” (Federation of State Medical Boards, 2014)

Physicians must perform “face-to-face” evaluations, either in-person or virtually through “real-time audio and video technology” (AMA Reference Committee Report, 2014)


A Full Suite of Services

Board-certified MDs24/7 Urgent Care

PediatriciansInfants & Children

Psychologists & PsychiatristsMental Health

Maternity & Post-Partum SpecialistsPregnancy & Breastfeeding


Integrated with the Healthcare Ecosystem

Connected Devices At-home diagnostics to enhance

clinical decisions Partners: CliniCloud, iHealth,

CellScope

Retail Clinics In-store virtual clinics Partners: Regional & national

grocery/drug store chains

Health Systems Patients can see their own

providers Partners: Regional & national

health systems

Health Plans Straightforward integration in 6

weeks with any health plan carrier, such as UnitedHealthcare, Blue Cross and Blue Shield plans, Aetna, Anthem, Cigna, and all others


Board-Certified Physicians

Upper respiratory infection

Cold/flu/sinus Cough Urinary tract infection Lab interpretation Allergies Fever Athlete’s foot Sports injuries Rolled ankle Travel issues

Medical Primary Care/Urgent CareMedical Peace of Mind


Board-Certified Pediatricians Rash Allergies Lice Whooping cough Pink eye Measles and mumps Strains/sprains Vaccination questions Sleep issues Colds, flu Vomiting/diarrhea

Pediatric HealthTrusted Advice

© 2015 Doctor on Demand | 11

Allergic Rhinitis Flare– Ability to see into a patients

home environment Dermatitis Flare

– Easily review skin care regimen and personal products

Asthma – Real time advice in setting

of perceived exacerbation– Inhaler use education

PID screening– Recommend allergy testing

and/or PID screening for patients with recurrent sinusitis/pharyngitis

Urticaria– Evaluate allergic reaction in

“realtime” Insect Sting Reactions Cough

Allergic Disease Use Cases

© 2015 Doctor on Demand | 12

Asthma

• Increased access to asthma educators and respiratory therapists

• In-home trigger assessment

• Increased treating ability with use of peripherals for step up/down therapy

• Remote clinic monitoring

• Subspecialist opinion

Smoking Cessation

• Ease of follow up appointments

• Behavioral Health specialist input

Anaphylaxis

• Epinephrine autoinjector renewals

• Action plan review and practice in the home

Chronic Urticaria

• Step Up/Down Therapy

Chronic Care Potential in Allergic Disease


How It WorksWorks on any tablet, smartphone, or computer on demand or schedule in the future


Employer/Health Plan and Eligibility Verification

Real-time eligibility checks and claim submission


Registration


Pre-Call Questions


Additional Symptoms & Medical Conditions


Confirm Pharmacy and Payment


During the Call


Send a High-Resolution Photo


Rate the Provider

Average feedback Rating is 4.8


Email follow up In-app follow-up

instructions Resolution rate

tracking Integration with

health system and medical practice EMRs

Telephone follow up

Continuity of Care

Providers can be saved as “Favorites”


Short-term medications and refills– Antibiotics – Antivirals– Allergy medicine– Skin creams and ointments

Refills– For diabetes, hypertension, etc.

OTC advice No controlled substances

(Schedule I-IV)

When Appropriate, Medication is Prescribed



Available for live help by phone or text with: Phone or chat General questions Technical support Prescriptions Billing Eligibility Records/forms

24/7 Patient Concierge Line


80% - Phone calls answered within 30 seconds

- Emails answered within 2 hours- Chats answered within 30

seconds- Proactively identified issues

handled within 30 minutes

95% - 1-, 2-, and 3-star ratings addressed within 15 minutes

100% - Facebook and Twitter issues addressed within 2 hours


Full Reporting Capabilities


Provider Hiring Rigorous screening, interview, and vetting process

Provider Training and On Boarding Online training videos and mock cases >200 standardized, evidence-based clinical protocols

Quality Assurance Process 100% satisfaction guarantee and follow-up Peer review and random auditing Formal review committee following standardized process

Performance Accountability and Histogram Quarterly reporting, performance reviews, and benchmarking

Provider Quality Assurance and Improvement


Device and Lab IntegrationEnabling patients to share data from devices and labs

ALSO: Blood pressure, oxygen saturation, home monitor devices

Heart & lung sounds

Ear drum visualizatio

n

Glucose readings

Lab dataNational Lab

Provider


Provider Partnerships

PaidPractice Virtual Visits

After Hours MD

Coverage

Extra Shift with DODNetwork


2016 RoadmapIndustry-leading vision

Expanding our Cultural Reach

Supporting real-time language translation from Spanish and

>100 other languages

Coordinated, Easy-to-use HealthcareIncreasing activation by integrating with multiple single sign on (eg Aon, Jiff) and care coordination platforms (eg Accolade, Quantum Health)

Robust Clinical PlatformIntegrating with even more digital health devices and lab companies

Doctor On Demand

is pioneering next-generation

telemedicine

The Most Comprehensive Clinical Network

Connecting patients with Doctor On Demand’s and their own personal

providers Partnerships with health systems in

nearly every major region

NEXT-GENERATION VIDEO TELEMEDICINE

NEXT-GENERATION VIDEO TELEMEDICINE TANIA ELLIOTT, MD ASSISTANT MEDICAL DIRECTOR NOVEMBER 6 TH 2015.

Documents

connected care doctor

largest health plans

urgent care physicians

behavioral health issueswe

health plan carrier

centered care objectives

specialist providers

nyu medical centerdisclosures