Tackling the Global Challenge of Chronic Disease: Opportunities for Mobile Health
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1 Tackling the Global Challenge of Chronic Disease: Opportunities for Mobile Health Helen Figge, Pharm.D, MBA, CPHIMS, FHIMSS Six Sigma Black Belt & Sensei Vice President, Clinical Integrations Alere Accountable Care Solutions LLC HIMSS National Liaison, New York State May 12, 2014
2 About Alere Alere is a global leader in health information technology, diagnostics, and healthcare services, with over $3 Billion in annual revenues, 15,000 + employees, 2,200+ healthcare professionals, clients in the United States, offices in 36 countries, and solutions in use across over 100 countries globally. We offer vast health information technology solutions, integrated medical devices, health services, and population management programs. Our Vision: To empower individuals to take better control of their health under medical supervision and to improve outcomes in healthcare systems globally. 1
3 A Solution Approach to Health and Wellness Intensive Case Management Targeted Care Management Improved Care Standards Healthcare connected Health records activated Physicians and patients engaged Better outcomes achieved Intensity of Personalized Management
4 Alere s Solution Supporting Mobile Health Initiatives Devices: Available for most major chronic conditions: CHF COPD Anti-coagulation Diabetes Connected to call home with patient data Care Management: Rules identify and stratify patients by disease and severity that enable management of patient-specific alerts by ancillary care providers with direct patient follow up for appropriate chronic conditions. Decision Support: Provides physicians and patients with actionable recommendations from across the connected ecosystem driven by evidence-based rules and guidelines.
5 Mobile Devices Support Hospital to Home Program Point of Care Home Mobile Device Monitoring SHARED ACCOUNTABLITY MEDICATION RECONCILLIATION HEALTHCARE PROVIDER ENGAGEMENT TRANSITION PLANNING FOLLOW UP CARE PATIENT AND FAMILY ENGAGEMENT INFORMATION TRANSFER Alere offers a suite of services in care management, CDS, and diagnostics that transition in-patients to home
6 Mobile Devices Can Seamlessly.
7 Devices Can Manage and Support the Process that Leads to Health Behavior Change Comprehensively Biometric Devices Patient Health Status Data Exchange Data Interpretation-- Validated, Proprietary Algorithms Behavioral Change-- Coaching & Connectivity Healthy Outcomes 6
8 Example Alere Anticoagulation and Diabetes Solutions Biometric Device Wireless test value transmission, Behavioral Change Training & Coaching EQUALS Ability to Improve Health Outcomes 7
9 Home INR Monitoring Decreasing costs and optimizing outcomes via improving selfempowerment and Rx adherence PT-INR self testing with online automated management associated with improved quality of PT-INR control with a sizeable reduction in major events requiring hospitalization Weekly testing provides optimal testing reducing PT-INR variability associated with bleeding & stroke risk supporting chronic conditions in need of continuous management
10 Frequent INR Testing Reduces cost and Improves Outcomes Rose (2011). Circulation.
11 Monitoring is Easy Patient: After initial face-2-face training, performs home INR test weekly Patient Agreement Requires trainable, consenting patient and PST Rx from physician Patient ID Providers will identify patients based on suitability criteria Patient: Reports results via MobileLink, web, or phone to Alere Optimizi ng warfarin control Physician/Patient: Adjusts Patient medication &/or diet based on results received by Alere Alere: Automatically relays result to patient s physician via: Phone/Fax/ /CoagClin ic/ EMR Interface Alere: Offers provider/payer regular reporting on program enrollment, barriers, outcomes
12
13 Alere Example Representative Connectivity Success: Virtua Health, Southern New Jersey Virtua Imaging CHOP Imaging Virtua Voorhees Childrens Philly Memorial Hospital Atlanticare Atlantic City Marlton Hospital Berlin Hospital SureScripts Virtua Lab LabCorp Quest Larchmont Imaging AtlantiCare Lab CHOP Lab Care Providing Organizations 8 Hospitals and EDs 200+ Ambulatory Practices 6 Ambulatory Surgical Centers Trading Partners 4 Imaging Centers 4 Laboratories SureScripts Hospital Information Systems Cerner Epic McKesson Siemens Soarian Electronic Health Records Alere EHR Allscripts eclinicalworks GE HMS NextGen Practice Fusion Sage STI Affiliated Practices Atlanticare Galloway Atlantic Imaging South Jersey Radiology New Jersey mmuniz. Registry The vision: provide a central source for patient information. Clinician access to patient laboratory, radiology, pharmacy, and visit data from multiple different sources all in one place, allowing care coordination and value-driven care regardless of where data originates.
14 Mobile Devices Offer..Common Purpose, Potential for Better Care PATIENT Greater quality of life and satisfaction with care Improved therapy compliance and patient engagement INSTITUTION Lower re-hospitalization rates Reduced post-discharge complications Overall quality of care offered to patients PROVIDER Simple, high-quality care management Therapy adherence Patient education with increased patient satisfaction MOBILE DEVICE Need to be seamless and functional Need to deliver data relevant, meaningful, useful Need to support efforts not hinder them
15 QUESTIONS AND DISCUSSION.
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