HARNESSING THE POWER

OF REMOTE PATIENT MONITORING

HARNESSING THE POWER OF REMOTE PATIENT MONITORING

877.776.1746 infogov@AMCHealth.com

Copyright: © 2014 AMC Health. All Rights Reserved.

LISA J. ROBERTS, PHD

SVP, AMC HEALTH

State of Reform Alaska

October 9, 2014

OVERVIEW OF AMC HEALTH

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Harnessing the Power of Remote Patient Monitoring

Founded in 2003

Created to solve the problem of non-integrated healthcare

Technology agnostic (hardware, EMR, cellular)

Platform that maximizes clinical workflow to manage large caseloads of patients

Unique in that the offerings include a la carte hardware, software, business intelligence, logistics, clinical call center, EMR integration, all cellular providers

60KPATIENTS

75IMPLEMENTATIONS

100KDEVICES

PUBLISHED OUTCOMES

REAL-TIME

PATIENT MANAGEMENT SOLUTIONS

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WHAT WE DO

Proven Real Time Patient Management Solutions

We guide and empower each patient to take a more active role in managing their health and improving their quality of life.

With “real time visibility” into each patient’s health status,we connect them with the “right care at the right time”

to prevent or mitigate illness or adverse events.

CARING AND TECHNOLOGY

We Improve

Quality

Of Life

We Prevent

ER Visits

Hospital Admissions

Readmissions

We Reduce

Medical

Costs

REAL-TIME

PATIENT MANAGEMENT SOLUTIONS

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DISRUPTIVE INNOVATION THROUGH STRATEGIC INTEGRATION OF TECHNOLOGIES AND SERVICESHOME THIRD LOCUS OF CARE

Integrate the Patient Home Into the Healthcare Delivery System

Leverage Technology To Achieve Meaningful Outcomes

AMC Health Integration Platform

RPM TechnologiesPowered by

AMC Health Web Portal

Clinical ServicesPowered by

AMC Health Business Systems

Journal of Managed Care Medicine

Nov 2012

NYC HEALTH & HOSPITALS CORP Diabetes Program

Reduced HbA1c of populationDigital Glucose Meter, BP Cuff, Scale, IVR

For Uncontrolled Diabetics & Hi Cardio Risk Patients

ReducedHbA1c (Grads)

3.3 pts

Reduced HbA1c (Avg)

1.8 pts

HEALTH PARTNERS OF MINNESOTA Hypertensive BP Management

Improved Blood Pressure Control

Digital Blood Pressure Monitor in HomeFor Patients with Elevated Blood Pressure

ReducedBlood Pressure

11/6 mm Hg

Well ControlledPatients

72%

Improved Care of Patients with Chronic Disease by Educating, Modifying Behavior

Journal of The American Medical Association July 2013

OUR PROOF

Medical CareJanuary 2012

GEISINGER HEALTH PLAN Post Discharge Program

Reduced All Cause 30-Day Hospital ReadmissionsIVR Calls added to Care Management Outreach

For “High Risk for Readmission” Patients

ReducedReadmission Risk

44%

ReducedActual Readmits

20%

Journal of Population Health ManagementJune 2014

GEISINGER HEALTH PLANComplex Care Mgt for Heart Failure

Reduced Utilization for Patients on Program > 1 yearDigital Weight Scale, IVR

For Patients with Confirmed Heart Failure

HospitalizationCost Avoidance

$2.8 M$4,000 / Pt

Savings Delivered

3.3 to 1ROI

Reduced Hospital Readmissions by Identifying and Addressing Gaps in Care

Reduced Medical Costs (Hospitalization) for Patients with Chronic Disease

PEER-REVIEWED, PUBLISHED STUDIES

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Jan 2012

July 2014

REAL-TIME

PATIENT MANAGEMENT SOLUTIONS

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OUR PROOFSEVEN ADDITIONAL CUSTOMER-REPORTED CASE STUDIES

HOW IT WORKS

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Self-reported symptom & behavior info via IVR

“Live” virtual diagnosticassessment via televideo/steth

Biometric information via telemonitoring devices

Medication compliance information via smart dispensers PERS Data

Data is collected, sorted and verified and presented as critical, actionable information on a secure web portal.

Care Manager Patient’s Physician

BENEFITS OF HOME TELEHEALTH

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Condition # of Patients% Decrease in

Ultilization

Diabetes 8,954 20.4

Hypertension 7,447 30.3

Chronic heart failure 4,089 25.9

Chronic obstruction pulimonary disease

1,963 20.7

Posttramatic stressdisorder

129 45.1

Drepession 337 56.4

Other mental health condition

653 40.9

Single conditions 10,885 24.8

Multiple conditions 6,140 26.0

The cost of CCHT was $1,600 per patient per annum. This compares very favorably to the direct cost of VHA’s home-base primary care services of $13,121 per annum and market nursing home care rates that average $77,745 per patient per annum. CCHT is therefore a flexible and cost-effective adjunct to VHS’s existing NIC services

VA CCHT largest telehealth program worldwide

Significant reduction in costs and utilization

High satisfaction rates

90K veterans actively enrolled as of 2014

VA PUBLISHED STUDIES

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Santa Ana, Elizabeth J., Deidre L. Stallings, Bruce J. Rounsaville, & Steve Martino. “Development of an In-home Telehealth Program for Outpatient Veterans with Substance Use Disorders.” Psychological Services, Vol. 10(3), 304-314. August 2013. Print http://psycnet.apa.org/journals/ser/10/3/304

Gabrielian, Sonya, Anita Yuan, Ronald M. Andersen, James Mcguire, Lisa Rubenstein, Negar Sapir, & Lillian Gelberg. “Chronic Disease Management for Recently Homeless Veterans.” Medical Care 51(2013): S44-51. Print. http://www.ncbi.nlm.nih.gov/pubmed/23407011

Cruickshank, J. & Winpenny, E. (2012). “Telehealth: what can the NHS learn from experience at the US Veterans Health Administration?” 2020health, January 2012. Web http://www.2020health.org/2020health/Publications/publications-2012/Telehealth.html

Lindeman, David. “Interview: Lessons from a Leader in Telehealth Diffusion: A Conversation with Adam Darkins of the Veterans Health Administration.” Ageing International 36.1 (2011): 146-54. Web. www.techandaging.org/AgeingInternational_DarkinsInterview.pdf

Luptak, M., Dailey, N., Juretic, M., Rupper, R., Hill, RD., Hicken, BL., & Bair, BD. “The Care Coordination Home Telehealth (CCHT) rural demonstration project: a symptom-based approach for serving older veterans in remote geographical settings.” Rural Remote Health (2010). Print.

www.rrh.org.au/publishedarticles/article_print_1375.pdf

Darkins, Adam, Patricia Ryan, Rita Kobb, Linda Foster, Ellen Edmonson, Bonnie Wakefield & Anne E. Lancaster. "Care Coordination/Home Telehealth: The Systematic Implementation of Health Informatics, Home Telehealth, and Disease Management to Support the Care of Veteran Patients with Chronic Conditions." Telemedicine and E-Health 14.10 (2008): 1118-126 Print.

http://www.ncbi.nlm.nih.gov/pubmed/19119835

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Thank You Corporate Headquarters

39 Broadway, Suite 540

New York, NY 10006

Lisa J. Roberts

877.776.1746

govinfo@amchealth.com

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