The Expanding World of Telehealth

The Expanding World of TelehealthGreater Access to Greater Care

Who is IVCi

• 18 years providing collaboration solutions

• Video Conferencing

• Audio Visual Integration

• Cloud Video Services

• One of the first Avizia partners

• Deploy large scale telehealth solutions across the United States (University of California System)

• Based in New York with offices throughout the United States

• Visit our website at http://www.ivci.com

Agenda

• Avizia Introduction• Telemedicine Best Practices• Market demands/opportunity• Innovation• Use Cases• Resources• MC600 Room Control demo (optional)

Who is Avizia

• Avizia was founded in April 2013, started as a spin out of Cisco’s TelePresence Vertical Products team, a highly successful business unit that created products focused on the unique requirements of the rapidly growing healthcare and education industries.

• Avizia maintains a strong relationship with Cisco and is proud to exclusively feature Cisco TelePresence Technology in our products.

• The Avizia team has been creating telemedicine and distance learning products for over 15 years

• Avizia headquarters and demonstration center is based in Reston, Virginia – we welcome customers or partners for in person or virtual demonstrations over video any time.

• Visit our website at http://www.aviziatech.com

What Sets Us Apart

Our products “get it”

With our deep expertise in video and these industries, we deliver products that seem to just “get it” as they deliver an exceptional collaboration experience

Seamless integration

With strong roots in Cisco Technology, our products are tightly integrated solutions which means ease of use and consistent performance

World-class support

We know our products are mission critical to our customers, and we provide the support needed to ensure their success

Revolutionizing Healthcare, Education, and Defense by taking video conferencing out of the boardroom and into industry applications

Source: BusinessWeek: Telemedicine: Doctor Visits via Video Calls

Some Telemedicine Humor…

Source: BusinessWeek: Telemedicine: Doctor Visits via Video Calls

Some Telemedicine Humor…

Demand for Telemedicine is Rapidly Growing!

The ACA is adding 30M patients into a system…

…That by 2020 is estimated to have a shortage of 91,500 doctors

Source: Associate of America Medical Colleges

Thankfully, Telemedicine is becoming widespread with over 20 states now requiring private insurers to reimburse

The industry is growing because clinicians and patients are demanding it, and telemedicine is providing solutions for these challenges.

Barriers to Telemedicine

• State-by-state regulations (licensure of professionals and malpractice liability variations)

• Slow adoption born out of lack of information, fear and cost• Fragmented financing• Lack of aligned incentives between patients, providers and payors (where

clinicians might be responsible for implementing health IT and remote monitoring tech's, but payors reap the financial benefits)

• Clinical workflow challenges that prevent doctors and nurses from adopting and deeply implementing innovations due to (1) organizational inertia and (2) very real day-to-day work patterns that get ingrained in daily processes.

Highly Adopted Service Lines - Telemedicine

• Primary care• Telepsychiatry/mental health• Telestroke/neurology• Tele-emergency• Post-op follow-up• Interpreter services

• Tele-ICU• Teledermatology• High risk OB• Operating room• Prison health

Focus on rural outreach, connecting urban clinicians to remote areas

Primary care physicians Cardiologists Neurologists Psychiatrists Dermatologists Rehab therapists Pediatricians Hepatologists Oncologists Diabetes educators

Avizia Clinical Assistant = Gateway to an Ecosystem

It isn’t about the cart – but what it enables!

Medical devices

•AMD•GlobalMed•Firefly

• JEDMED•Cardionics•3M Littman

Patients and Medical Professional Remote Specialists and Telemedicine Providers

Avizia Clinical AssistantDemo

The Avizia Clinical Assistant can be equipped with a number of optional accessory modules

Scope hooks (CA-ACC-SH)

Scope hooks (CA-ACC-SH)

Laptop tray (CA-ACC-LT)

Storage pod (CA-ACC-SP)

Storage pod (CA-ACC-SP)

Retractable cord caddy -AC power option (CA-ACC-RPC) -Network cable option (CA-ACC-RNC)

Splash cover (CA-ACC-SC)

-Locking drawer (CA-ACC-DM) -Locking PC cabinet (CA-ACC-CM)

PC shelf (CA-ACC-SM)

Wireless mount (CA-ACC-WM)

Not Pictured:Dual Display arm (CA-ACC-DDA)

Lockable Drawer

Shelf Module

Clinical Assistant Accessories

Clinical Assistant Accessories

Laptop Tray Scope Hooks

Clinical Assistant Accessories

Wireless Module

Lockable PC Cabinet

Storage Pods

Clinical Assistant Overview

Mobile Safe Adaptable

• Battery powered for over 3 hours of use without needing to plugin

• Wireless Internet options available

Bringing video collaboration to the patient bed-side or wherever it’s needed

• FDA Class I registered device

• 5 wheel base is easier and safer to move

• Fits your needs with over a dozen accessories

• Compatible with nearly any input device with 3 S-video, 3 composite, 3 HDMI and, 2 DVI inputs

JedMed HorusScope Overview

User Friendly Scope Attachments Adaptable

• Still image capture & videos

• 3.5” full color LCD display

• Rechargeable battery

Easy-to-use hand-held video system used for capturing images of the body

• General viewing• Otoscope• Dermascope• Fundus

Ophthalmoscope• Anterior Chamber

Ophthalmoscope

• High definition stills (1080p)

Avizia Exam Camera Lenses and Sample Pictures

Fundus Ophthalmoscope

Anterior Chamber Lens

Dermascope

Otoscope

General Exam

Endoscopes

Cardionics Clinical E-Scope Overview

User Friendly Details Adaptable

• Intuitive set-up• 1 AAA battery• 2 digital filters• Remote participant

can hear ‘real-time’ sounds

Electronic Stethoscope that can amplify sounds up to 30 times louder than an acoustic scope.

• Standards based • Connects directly to

the CA• Analog audio

connection

• 64 possible volume positions

• Control filter for sound frequencies

• Control buttons on stethoscope head

Best Practices for Implementation & Adoption

• Develop service delivery model• Find and grow your champions • Clinical workflow/scheduling/billing• Begin with a small scope…master…expand• Policies, procedures, contingency plans• Regularly monitor, measure and evaluate• Communicate; sites, staff, patients, administration• Report• Celebrate your successes!

• Flexible platform of video endpoint solutions• Network of 175+ specialists and healthcare providers• On-call neurologists

• 50,000 + telemedicine consults annually• Reduced wait time for patients and drive time for physicians• Goal to provide specialty care to Georgians within 30 miles of their homes

Situation

Solutions

Results

• Lack of access to specialists in rural areas• Long drive times for patients & doctors• High emergency room usage for untreated conditions

We have doctors who used to drive 2 hours each way to see patients in rural communities. Now physicians can spend that same amount of time to see more patients in more places. Marty Nall, Director of Training & Education

Georgia Partnership for TelehealthComprehensive Network Delivers Care to Underserved Communities

Trends for Increase in Adoption & ‘Innovative’ Service Lines

• Teledental• Long-term care/assisted living• Teleautism• School based healthcare • Telehepatology (various sub-specialty focus)• Ambulatory care• Telepharmacology• PICU/NICU (population focus)

*Increase in urban areas adopting telemedicine, focus on specific populations & sub-specialities

• Investment in equipment, infrastructure, and training • E-consults at local clinics with Clinical Assistant telemedicine cart

• Mental health• Dermatology• Cardiology• TeleEmergency• TeleHospitalist• Teledietician

Situation

Solutions

Results

Essentia Health Connected Care

• 51% of their 50,990 miles is rural• 5 of their 14 hospitals and 27 of their 67 clinics are in Health Professional Shortage

areas• 42.5% of population lives in these shortage areas

Our vision is to improvehealthcare delivery in rural areas by helping patients overcome the barriers that stand between them and their optimal health and wellness.

Prevention-Based Telemedicine

• Chronic disease prevention• Transition care clinics• Patient education• Health ‘coaching’ • Pharmacology – medical management

Telemedicine Resources

• ATA• Telehealth Resource Centers• Hands on Telehealth Newsletter• MedCity publication

Our Products – inspired by Industry, applicable everywhere

Clinical Assistant Tactical Extended Height Cart Educator Synch

Healthcare providers can scale resources, increase patient access, and work more productively through remote face-to-face collaboration with our mobile video medical cart.

A rugged mobile telepresence product designed for military, emergency response, and other field-based industries

A mobile solution for the Cisco TelePresence MX200 and MX300 with height control for better viewing in larger audiences

Take control of your conferencing rooms with the Educator iPad app and manage video, multiple room displays and input devices with ease from a single device.

Merge the power of interactive whiteboards and video conferencing simultaneously on a single touch display.

Adam Kaiser631-707-7428

[email protected]