connected health: care anywhere douglas j. mcclure corporate manager center for connected health...

Connected Health:Care Anywhere

Douglas J. McClure

Corporate Manager

Center for Connected Health

Partners HealthCare

3/23/2009

About Partners HealthCare: Founded in 1994 by BWH & MGH Hospitals

Range of Services

• Acute – Academic Medical Centers (2) Principal Harvard Teaching Hospitals– Community Hospitals (4)– Dana-Farber/Partners CancerCare Joint Venture

• Non-Acute Care– Mental Health/Psychiatric (1)– Long Term Rehabilitation (3)– Skilled Nursing– Home Care

• Physician/Ambulatory Services

• Research– $1 Billion

• Teaching– 4,400 Residents & Clinical & Research Fellows

Key Statistics FY06

• Operating Revenue $6 Billion

• Licensed Beds 3,500

• Admissions 146,000

• Outpatient Visits(1) 2,900,000

• Employees (FTEs) 35,000

• Physicians 6,300

(1) Outpatient Visits include ATOs, EDOBs, Day Surgery, Routine Visits, ER Visits, Significant Procedures, Major

Imaging, Therapies and Psychiatric Services.

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3 Benefits: Access, Quality, Efficiency

AccessContinuous monitoring of chronic conditionsAccess to Partners specialists in 48 states and internationally

QualityProviding care at the time of needMore accurate points of dataInformation feedback changes patient behavior

EfficiencyWorkflow changes improve efficiencyDelivery of care can be scaled without growth of the physical plant

Q U A L I T Y

A C

C E

S S

E F F I C I E N

C Y

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Three Delivery Models

Live Interactive Consultations

Asynchronous Consultations

Connected Health

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Connected Health is Patient Centered Care

Four Cornerstones of Connected Health

•Accurate physiologic information•Shared with the patient•Data-driven coaching•Optimized provider involvement

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CHF Remote-Monitoring

Research finds:

Patients using remote monitoring service required 40% fewer nursing visits to the home; Patients using remote monitoring service had a 33% reduction in hospital admissions

Patients reported improved quality of life and increased involvement in their care

Program:Expansion of services in Home Care for all homebound Medicare patients.

250 patients on service at any time.

FY08 growth +20%

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Connected Health - Diabetes

• Population: Diabetics – requiring daily glucose readings

• Technology: glucometer, gateway, web interface

• Coaching: diabetes educator

• Goal: improved control

• Business justification:• Meet P4P targets

• Decreased downstream complications

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Connected Health: Hypertension

• Population: Newly diagnosed or difficult to control hypertensives

• Technology: bp cuff, gateway, web interface

• Coaching: automated

• Goal: improved control

• Business justification:• Improved employee health• Decreased downstream

complications

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Initiative: Improving medication adherence with real-time reminders

A Unified Platform

RMDR

Transmission Connectivity

Database

CDR

EMR

EMPI

Enterprise Clinical Apps Integration

Devices/Sensors

Decision Support

Presentation & Messaging

Patients, Providers, CareGivers

PG

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Quality + Access + Efficiency

Salvatore, heart failure patient: “I noticed my weight was up – I knew you’d be calling”

Christina, E-visits patient: “I didn’t feel alone at all, which is surprising because you’re sitting at your desk alone…I was able to develop a nice rapport with my doctor.”

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Conclusions

• Connected health is evolving as a new dimension in HIT.

• Patient behavior change is a critical goal.

• Monitoring increases engagement and improves coaching.

• Quality, access and efficiency are improved.

• Visit us at www.connected-health.org to learn more.