mobile point of care: digital transformationof...

Mobile Point of Care: Digital Transformation of Healthcare

Pavel Kubů MDDigital Health Group

Digital Health Group

2

Healthcare Low IT Adoption RatePercent of Revenues Spent on IT

0% 2% 4% 6% 8% 10% 12%

Financial Services

Insurance

Consumer Services

Wholesale Trade

Business Services

Utilities

North America Overall

Primary Production

Retail

High-Tech

Intermediate Mfg

Finished Goods Mfg

Chemicals and Pertoleum

Hospitals

Physicians

Source: Lewin Group, Forrester Research, LEK analysis

� IT too expensive and ROI not well understood � Cultural resistance� IT capital competes with other options

� Late 1900’s most industries spending about $8,000 per worker compared to $1,000 for the healthcare industry


3

Healthcare Value Drivers

Industry Concerns

•Medical error prevention

• Clinical outcomes

• Patient access

• Process improvement• Clinical vs. admin activities

• High labor costs, turnover, shortage• Physician referrals

• Improved revenue from existing operations• New services or sources of revenue• Revenue management cycle

• Rising costs of delivery care• Costs of quality and regulatory reporting

Value Drivers

Patient Safety

Quality of Care

Patient Satisfaction

Staff Productivity

Staff Satisfaction

Revenue Enhancement

Cost Optimization

Develop tangible and

intangible measurable units

Impact of Technology solutions

ROI of Healthcare IT


4

Example Solutions

ROI 150%+

Improve LOS and OR utilization

Other benefits: Fewer instances of ED LWBS

Revenue enhancement

Staff productivityPatient Tracking

System

Staff productivity

Cost optimization

Revenue enhancement

Staff productivity

Cost optimization

Staff productivity

Cost optimization

Revenue enhancement

Value Driver Impact

ROI 150%+

Patient data easily accessible to staff

Other benefits: Improved patient satisfaction

Mobile Point of Care (MPOC) Solutions

ROI 150%+

Can enhance facility utilization

Other benefits: Fewer blood transfusion errors

RFID

ROI 140%+

Patient data easily accessible to staff

Other benefits: Fewer medical errors

EMR

ROISolution

� Intel case studies show:

– Primary value derived from new revenue opportunities as well as productivity improvements

– Information at the right time and the right place enables safer care with less waiting


5

Mobile Clinical Assistant


6

Mobile Clinical Assistant

Desktop /Desktop /Countertop UseCountertop Use

NurseNurse ’’ssStationStation

WallWallMountMount

WallWallCabinetCabinet

CartCartOnOn

WheelsWheels

ArmArmMountMount

WallWallandandBedBed

HooksHooks


7

Global Challenges & Needs

HospitalsHospitals Med. StaffMed. Staff PatientPatient

Quality of Care•Optimized work flows•Effective diagnoses

Financial•Cost reduction•Staff productivity•New revenues

Satisfaction•Employee satisfaction•Attract (new) patients•Patient advocacy

Quality of Care•Data redundancy•Eliminate transcription errors•Real Time information•Avoid double entry

Financial•Capturing of Services•Increased productivity

Satisfaction•Employee moral•More time for patients

Connected with•Family•Outside World•Loved ones•GP

Informed-Educated•Health Status•Treatments•Methods•Procedures

Entertainment•Satisfaction•Relaxing / personal•Peace of mind

The Conclusion

Extend Access to Care

Reduce Costs & investments

Increase Patient Satisfaction

Improve Quality of Care

Extend Access to CareExtend Access to Care

Reduce Costs & investmentsReduce Costs & investments

Increase Patient SatisfactionIncrease Patient Satisfaction

Improve Quality of CareImprove Quality of Care


8

Patient Bedside Terminal

8

Patient Entertainment Terminal

Product features include:

- 15”~ 19” shatterproof, touchscreen displays

- Standard RJ45 network interface with VOIP

- WiFi and Bluetooth capabilities

- Telephone handset and call indicator light

- IP65 front sealed

- IP54 rear fanless

Optional features:

- Attention lights

- Remote Control

- Barcode Scanner / RFID Reader

- Swipe Card Reader / Membrane Keypads

- Camera and much more


9

MedMedicalical StaffStaff�� Information Information exchangeexchange�� MPoCMPoC, Lab results, Lab results�� ReadRead & Comment& Comment�� AnalyseAnalyse , Collaborate, Collaborate�� Access to CIS, EPR, EMRAccess to CIS, EPR, EMR�� Medication, Meal Medication, Meal OrdOrd ....

Solution & Services

Financial / HospitalFinancial / Hospital�� Up to 100% Up to 100% costcost freefree

integrationintegration�� New New revenuerevenue streamsstreams�� No No CapExCapEx & open book& open book�� Built, operate & transferBuilt, operate & transfer�� Surveys&InformationSurveys&Information

PatientPatient�� EE--MailMail , , MoviesMovies , Phone, Audio.., Phone, Audio..�� Internet, TV, Internet, TV, GamesGames , Radio.., Radio..�� EducationEducation , Information, E, Information, E --BooksBooks ....

Connect TreatDocument Inform

CConnectonnect TreatTreatDDocumentocument IInformnform


10

Financials

� Investment– No CapEx investment by Hospital

– Open book proposal

– Risk-Reward model

�New revenues– Share patient revenues once above 10€ in general rooms and 7,50€ in VIP Rooms (inc. in room fee).

�Operating Cost– eMedys bears operating cost 24X7

– Build Operate and Transfer (BOT) option

7,5€

per day

through

Patient

Services

inclusion to

room charge

100%

Investof PBT

by

eMedys

7,5€

per day

through

Patient

Services

2,5€

Pro-Service

General Rooms

VIP Rooms

by eMedys

by Hospital

Overall invest


11

$1 $10 $100 $1,000 $10,0000%

100% Healthy, Healthy, Independent LivingIndependent Living

Chronic Chronic Disease ManagementDisease Management

DoctorDoctor ’’s s OfficeOffice

Community Community ClinicClinic

HOME CARE

Assisted LivingAssisted Living

Skilled Skilled Nursing FacilityNursing Facility

RESIDENTIAL CARE

Community Community HospitalHospital

ICUICU

Specialty Specialty ClinicClinic

ACUTE CARE

COST of CARE/DAY

QUALITYof LIFE

The Continuum of Care


12

LIF

ES

TY

LELI

FE

ST

YLE

LIFE

CR

ITIC

AL

LIFE

CR

ITIC

AL

Fitness Wellness FamilyCaregiver

ChronicPatient

RemotePatient

Personal Health System

PC SolutionsPC SolutionsHealth and Fitness

Management

“Empowering you to lead a healthy lifestyle”

“Stay connected and care for your family”

Personal Health SystemPersonal Health SystemChronic Disease

Management and Ok-ness Checking

TelemedicineTelemedicineExtending Healthcare to

the Community

“Healthcare availability to all”

E c o s y s t e m E n a b l e m e n t

RemoteCommunities

*Other names, images and brands may be claimed as the property of others


13

Personal Health System


14

Remote Diagnostic Software


15

DigitalHome

Disease Management860 million chronic disease patients world wide

GlucoseSensor

Pedometer

Blood-pressure

Cuff

MedicationTracking

PersonalHealthSystem

Fitnessequipment

Disease Management• Vital sign monitoring (RPM)• Medication reminders and

compliance• Utilize home network to

locate devices in logical places:

• Scale in bathroom• Pill minder in kitchen• BP cuff in living room

• Trend analysis and alerts• Email, chat, video • Appointment scheduling

CellPhone

PulseOx

Weight

PC

• Chronic disease

• Post trauma

• Pre-op

Internet

FamilyFamilycarecaregiversgivers

DiseaseDiseasemanagementmanagement

serviceservice

PersonalPersonalHealthHealthRecordRecord

Implant

HealthcareHealthcareproviderprovider


16

DigitalHome

GlucoseSensor

Pedometer

Blood-pressure

Cuff

MedicationTracking

PersonalHealthSystem

Fitnessequipment

CellPhone

PulseOx

Weight

PC

Internet

FamilyFamilycarecaregiversgivers

ElderlyElderlymonitoringmonitoringserviceservice

DietDiet&&

wellnesswellnessservicesservices

Implant

DiseaseDiseasemanagementmanagementservice, service, healthcarehealthcareproviderprovider

Elderly Monitoring260 million elderly individuals world wide

Aging Independently• An adult child helping their

elderly parents age gracefully in their own home.

• Basic life monitoring as appropriate (ADL):

• Bed pressure (sleep)• Bathroom sensor• Gas / water sensor• Emergency sensor

• Vital sign monitoring (RPM)• Medication reminders and

compliance• Trend analysis and alerts• Email, chat, video • Appointment scheduling

• Independentliving

• Chronic disease

HomeAutomation& Control


17

Health & WellnessOne billion adults overweight world wide

Healthy family

Glucosemeter

Pedometer

Blood-pressure

Cuff

Cholesterol Monitor

MedicationTracking

DigitalHome

Fitnessequipment

Baby Monitor

In the future…• Extension of healthcare

system into the home• Initial triage of conditions

• Vital signs• Images• Email / chat / video

• Appointment scheduling

Health & Wellness• Weight loss• Fitness• “Worried Well” vital sign

monitoring:• Weight• Blood pressure• Glucose• Cholesterol• Activity level

• Personal Health Records

Internet

Weight lossWeight lossand fitnessand fitnesscoachingcoaching

HealthcareHealthcareProfessionalsProfessionals

PersonalPersonalHealthHealthRecordRecord

[email protected]

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