AT&T Healthcare Community Online January 30, 2012 HCO empowers health care professionals to reduce re-admissions, increase care coordination and provide seamless care transitions while improving patient and caregiver satisfaction. 2011 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. AT&T ForHealth SM Solution Areas mhealth Cloud-Based Solutions Healthcare Community Online Telehealth Harnessing the power of innovative mobile technologies and carrier neutral solutions Enabling access to medical data and information virtually anywhere, anytime Connecting the industry with a leading cloud-based Health Information Exchange Extending the reach of health care providers with remote access solutions 2 1
Between today s challenges and tomorrow s opportunities Costs Access to Care Disparate Systems Proprietary Systems Reimbursement Issues Personalized Healthcare Remote Monitoring Mobile Health Information Exchanges Reform Requirements Technology will be the differentiator 3 AT&T mhealth Using mobility to help drive down medical costs and improve patient outcomes Mobile Patient Care Enterprise Mobilization Disease Management Medication Adherence Remote Care Wellness Tools for Clinical Trials Healthcare Communications Managed Devices Managed Security mhealth Platform Improved outcomes and efficiencies *mhealth is a future capability that may be modified, delayed or canceled. 4 2
AT&T mhealth Solutions presents Diabetes Manager The fourth largest health insurer in the U.S. Wanted to improve employee care and control costs associated with disease management Wanted to assess clinical efficacy of a mobile solution Informed Care Nurse Case Manager Historical Reports & Analysis Patient Instant Feedback & Coaching Mobile Solution Real-time Patient Data Potential Benefits Launching program with 200 employees with Type 2 diabetes AT&T will deliver and scale an end-to-end mhealth solution utilizing the WellDoc DiabetesManager application Expect positive changes in employee behavior through disease selfmanagement Expect to Increase case worker reach and efficiency with data driven decision support Expert System *mhealth is a future capability that may be modified, delayed or canceled. 5 2011 AT&T Intellectual Property. All rights reserved. AT&T and the AT&T logo are trademarks of AT&T WellDoc, Intellectual the Property. WellDoc logo, DiabetesManager and the DiabetesManager logo are trademarks of WellDoc, Inc Our Telehealth Technology Solutions Enable Healthcare Professionals To Evaluate, Diagnose And Treat Patients In Remote Locations Market Needs AT&T Functionality Customer Benefits Extend the reach of clinicians beyond metro clinics/hospitals Make specialty medical care available across a wider geographical area Accelerate critical medical interventions AT&T Virtual Care Custom solution with Polycom or Cisco video conferencing CPE, AMD medical peripherals and management options AT&T Telepresence Clinic Fully managed solution with Cisco HealthPresence CPE, AT&T Business Exchange and AMD medical peripherals Expands the reach of scarce specialty care Reduces time and cost associated with travel for medical care Creates an efficient means to deliver continuing medical education and grand rounds Promotes decreased hospital readmission rates 6 3
AT&T Telepresence Clinic Integrated healthcare provider with care facilities in California, Texas, and New Mexico Wanted to extend care to patients with geographic, financial, social, or other barriers AT&T Telepresence for virtual patient visits. Out-patient center Out-patient center Hospital Clinic AT&T Business Exchange highly-secure, links multiple locations. Clinic Customer Benefits Creates seven interactive wellness stations at clinics and standalone kiosks Connects physicians and patients via immersive video for virtual visits Extends the reach and access of specialty care, urgent care, wellness, and health improvement services Clinic Kiosk 7 Healthcare Community Online Nationally available, highly secure, cloud-based health information exchange and collaboration platform Market Needs AT&T Functionality Customer Benefits Simple, value added solutions that support quality of care Access to actionable, timely data to manage workflow processes Aggregate patient health information from disparate data sources Meet incentive/reimbursement requirements (e.g., Meaningful Use, ACO, PCMH, P4P) Comply with privacy and security regulatory requirements (e.g. HIPAA, HITECH) Platform-as-a-Service with advanced clinical applications, data analytics, decision support and core HIE services Highly secure, single-sign-on access to patient information, collaboration tools and certified Meaningful Use applications Clinical Messaging for order entry and results reporting for secure providerto-provider exchange of clinical documents and administrative data Forum for provider collaboration, single source view of patients consolidated health records and single sign-on access to applications for meaningful use Simplified, highly secure access to patient information, data analytics, decision support, and online patientcentric registry Enables providers to use evidencebased medicine to improve care processes and outcomes Management, tracking and reporting on chronic, complex and preventive health needs for individual patients or entire patient populations to meet Meaningful Use & ACO requirements 8 4
Modular Approach to Care Management Collaborative Care & HIE Clinical Message Exchange Portal & Clinical Applications econnect Converting Paperbased Workflows To Electronic Any-to-any Messaging To Automate Point-to-point Communication Longitudinal Patient Record, Clinical Apps For Value-add Community-wide Data Exchange, Analytics, Care Coordination 9 HCO Supports Aligning Forces for Quality Initiatives: Lift the overall quality of health care in targeted communities, reduce racial and ethnic disparities and provide models for national reform Deliver Quality Reporting Empower Providers and Patients HCO Reduce Hospital Readmissions Increase Emergency Department Throughput 10 5
HCO Web-Based Portal 11 HCO Solution Clinical Messaging HCO 12 6
Clinical Messaging Inbox A highly secure inbox linked to current facilities and contacts- a customizable solution to meet your needs Communication as your fingertips Refer to another provider Receive test results View diagnostic reports Order tests Refer to labs, specialist, etc. Provider directory offers robust indices or directories for both clinicians and facilities Organization/facility index is a scalable directory for appropriate routing of clinical messages Proper identification of endpoints connected to the Healthcare Community Online platform 13 Fast, Efficient Referrals Easy to use, pre-populated referral forms, including: Order for diagnostic Referral Form Referral Letter Specialist Referral Form Pre-populated forms allow less time on paperwork and more time where you want iton service delivery 14 7
HCO Single Sign-on Federated access to third-party applications with patient context 58 Pre-integrated, best-of-breed applications Cloud-computing environment provides near real-time access 15 AppCloud : Efficient, Connected, Supported Single Sign-on Your Healthcare Ecosystem Healthcare sponsor branded solutions that are easy for physicians and providers to adopt Physicians and providers access to relevant healthcare information to support high quality of care Federated access to applications with patient context in a highly secure environment, HCO 16 8
HCO Data Analytics: Sharing Care Information with All Constituents Sharing the right care information at the right time Guideline-driven point-of-care decision support Hospitals and Ancillary Providers Population management Care opportunity ID Patient outreach Pay-for-performance tools HCO Data Analytics Delivering Superior Outcomes: Measurably improved patient care Improved care coordination Increased profitability Increased adherence to evidence based medicine Physician Patient and Care Givers 17 HCO Care Coordination & Care Management Engaging patients and extended care teams Strategic agreement with Healthy Circles to offer as a component of the HCO platform, facilitate patient engagement Pre-integrated into HCO for SSO, patient context, and messaging (CCD exchange) Consumer portal including full PHR, ability to create individualized care teams, and connect via secure messaging Professional portal including a shared patient record and triage dashboard for quantifiable measurement of patients status Authoring Tool to build interactive health programs for patients and care givers; outreach for targeting specific populations and increasing adoption 18 9
HCO s Services Meaningful Use Bundles Component Vendor EHR-M PMS Integration HCO Disease Management/PQRI WellCentive, Healthy Circles, DocSite Eligibility First Data, Navinet, InfinEDI. Allscripts PayerPath Physician Referral/CCD HCO, My Health Direct, Revelation MD eprescribing DrFirst, Allscripts, MedPlus CPOE (Labs, Rads) Quest, LifePoint, LabSoft, Covisint Physician-to-Patient HealthVault, Healthy Circles, DocSite Immunizations State Databases, HCO Security HCO HCO Preliminary Solution Design Augment existing community technologies 20 10
Healthcare Community Online (HCO): Connecting to healthcare providers where they want, when they want and how they want 21 Questions and Next Steps 22 2011 AT&T Intellectual Property. All rights reserved. AT&T, and the the AT&T AT&T logo logo and are all other trademarks AT&T of AT&T Intellectual Property. marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. 11
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