Svetlana Karpova Digital Health Assembly 2015

Remote presence technology as a form of assistive robotics and its

application in health care

Digital Health Assembly: Open Innovation Conference

10 – 12 February 2015 • SWALEC Stadium • Cardiff • UK

Dr. Lana Karpova, MD, MBA, MA (Healthcare Management) Business Development Consultant, InTouch Health Inc. (USA)

Content

• Introduction tele-health

• InTouch Health remote presence devices

• Case studies

• Easy to deploy, easy to scale

• Care across the continuum

2

RP-VITA - Assisting Care Delivery by InTouch Health

U.C. Davis, California to Shanghai East Hospital Congenital Heart Disease Pre-op Rounds

4

Copyright 2011 InTouch Health

Positioning

Home

Minute Clinic

Primary Care

EMS Vehicle Acute Care Facility

Long Term Care

Home

Step Down – Rehab Units

1. Acute Care Specialist Access -Hospital revenue growth

-Hospital throughput

2. Routine Care Access -ED throughput

-Avoid bounce backs

3. Chronic Disease Integrated Mgmt Improve bundle mgmt

Reduce acute care episodes

Increasing Acuity

2

A Global Presence

International Collaboration

Global Network & Brand Affiliations

Physicians /Nurses Exchange Program

Surgical and Procedure Mentoring

Telemedicine Network Know-how

Distance Learning

Copyright 2011 InTouch Health

Remote Presence Devices

Customized to suit clinical program and workflow needs -- one size does not fit all

RP-VITA™ Robot

RP-Lite® Cart

RP-Vantage® Cart

Clinician’s degree of independent control and mobility in acute care environment

Highest

3

RP-Lite

Designed for Emergency Rooms Provides physicians immediate access to a designated patient location • Natural, Interactive Telemedicine experience • Privacy handset • 10x Remote zoom / Autofocus • 2 way audio/video communication • Integrated stethoscope • Video inputs: C-Video, S-Video, USB ports (x2) • Ethernet port and Wifi available

3

RP-Vantage

Designed for Procedure rooms • Natural, Interactive Telemedicine experience • 10x Remote zoom / Autofocus • 2 way audio/video communication • Video inputs: C-Video, S-Video, USB ports (x2) • Audio in/out • Ethernet port and Wifi available • 3 section, 2.7m extendable boom arm with Pan/Tilt/Zoom camera (18x zoom/autofocus) • Improve supervision in the OR, procedure rooms, trauma bays

3

RP-VITA

Provides physicians mobility and autonomy • Autodrive / manual driving – Mapping • Natural, Interactive Telemedicine experience • Privacy handset • 120x Remote zoom / Autofocus • 2 way audio/video communication • Integrated stethoscope • Video output: VGA • Video inputs: C-Video, S-Video, USB ports (x3) • Audio in/out • Ethernet port and Wifi available

3 1,68m

79.4kg

58cm

• ESP program

• Neonatology

• Neurology

• Cardiology

• Trauma

• Burn Center

• Transport Triage

• ICU Medicine

• Surgical Mentoring

• Perinetology

• Psychiatry

• CHF

• Pacemaker Clinic

• Dermatology

• Pharmacy

• Outreach Education

• Ambassador Program

• Language translation

6 Case Study: Multi-Specialty Idaho/Oregon network

Spoke hospital: Grande Ronde Hospital (Critical Access Hospital)

Idaho/Oregon network testimonial 6

Doug Romer, RN, BSN Executive Director of Patient Care La Grande, OR

“We are not doing risky new procedures via remote presence but rather a continued expansion of services that have shown to benefit patients, Benefit the community and provide a standard of care consistent with Other on-site care services. We will ensure access to high-quality health In a safe and patient-friendly environment for all those in need of our Services”

Value Creation Case Study: Michigan Stroke Network

Network

• 32 hospitals throughout Michigan

• St. Joseph, the hub, acquires and places robots in spoke hospitals

• Provides 24x7x365 neuro-stroke care

Hub Hospital Benefits

• Rapidly aggregates complex cases for its neuro-stroke specialists

• Improves treatment for stroke across large underserved areas of Michigan

• Neurosciences service line revenue grew from $5M to $15

Spoke Hospital Benefits

• Provides timely, best practice treatment for stroke

• Avoids unnecessary patient transfers

• Addresses critical need

2

4

6 1

Gogebic

Ontonagon

Houghton

Keweenaw

Iron

Baraga

Marquette

Dickinson

Alger

Delta

Menominee

Schoolcraft

Luce

Mackinac

Chippewa

Cheboygan

Presque

Isle

Charlevoix

Antrim OtsegoLeelanau

BenzieGrand

Traverse Kalkaska

Crawford

Oscoda

Alcona

Manistee Wexford Ogemaw

Iosco

Mason Lake Osceola Clare Gladwin

Arenac

Newaygo

Mecosta IsabellaMidland

Bay

Huron

MuskegonMontcalm

Gratiot Saginaw

TuscolaSanilac

St.

ClairLapeer

ShiawasseeClintonIoniaKentOttawa

Allegan Barry Eaton InghamLivingston Oakland

Macomb

Van

Buren KalamazooCalhoun

Jackson Washtenaw

Wayne

Berrien CassHillsdale Lenawee

Monroe

Missaukee

Alpena

Emmet

Genesee

Oceana

St. Joseph

Branch

SJMO – Origin of Stroke

Patients Prior to MSN

3

6 1

Gogebic

Ontonagon

Houghton

Keweenaw

Iron

Baraga

Marquette

Dickinson

Alger

Delta

Menominee

Schoolcraft

Luce

Mackinac

Chippewa

Cheboygan

Presque

Isle

Charlevoix

Antrim OtsegoLeelanau

BenzieGrand

Traverse Kalkaska

Crawford

Oscoda

Alcona

Manistee Wexford Ogemaw

Iosco

Mason Lake Osceola Clare Gladwin

Arenac

Newaygo

Mecosta IsabellaMidland

Bay

Huron

MuskegonMontcalm

Gratiot Saginaw

TuscolaSanilac

St. ClairLapeer

ClintonIoniaKentOttawa

Allegan Barry Eaton InghamLivingston Oakland

Macomb

Van

Buren KalamazooCalhoun

Jackson Washtenaw

Wayne

Berrien CassHillsdale Lenawee

Monroe

Missaukee

Alpena

Emmet

Genesee

Oceana

St. Joseph

Branch

MSN – Origin of Patients

11/1/06 – 6/22/09

3

144

204 206

277

43

72 7289

0

50

100

150

200

250

300

2007 2008 2009 2010

Calls

Transfers

144

204 206

277

43

72 7289

0

50

100

150

200

250

300

2007 2008 2009 2010

Calls

Transfers

MSN Calls & Transfers for Advanced Care

Peer-to-peer mentoring

Preoperative planning

Unscheduled case observation/broadcasting

Seamless access to key opinion leaders

Showcase of training expertise & resources

Applications and Use Cases:

2-way audio and video communications

9’ articulating boom w/ P-T-Z camera

Multiple video-input ports integrating additional data sources

Live telestration and collaboration tools

Key Features:

Surgical Tele-mentoring Platform

16

EASY TO DEPLOY, EASY TO SCALE

1 Strategy

Development

2 Physician Planning

3 Clinical

Planning

4 Technology Implemen-

tation

5 Program

Expansion

6 Program

Marketing

Business Intelligence

17

EASY TO DEPLOY, EASY TO SCALE

1 Strategy Development

2 Physician Planning

3 Clinical Planning

4 Technology Implementation

5 Program Expansion

6 Program Marketing

18