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Enabling New Models of Care  in the Patient’s Home Tuesday, 15 December 2009   Margaret Scott OAM, Nursing Director, Hunter Nursing Anthony Fanning, RPM Program Director, Healthe
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who we are – Healthe Group ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who we are – Hunter Nursing ,[object Object],[object Object]
Trial Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trial Framework
Key Aims and Objectives of the Trial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Remote Patient Monitoring
Telehealth Business Drivers & Benchmarks
Benchmarking – eg Home Visit Rate
Evidence-based Approach & Analysis of 56 Studies
ROI Modelling & Business Case
Study Design Consent Patients for CHF and COPD Arms  ,[object Object],[object Object],[object Object],[object Object],[object Object],CHF Intervention Group 25 pts COPD Intervention Group 25 pts Deploy HGS to Patients Monitor patients with HGS for 6 month time period Evaluate Healthe Claims Data for 12 + 6 month period for both intervention groups Deploy HGS to Patients Monitor patients with HGS for 6 month time period Retrospective analysis of two matched cohorts as control groups. Evaluate Healthe Claims Data for 18 month period for both control groups Report out cost savings found in intervention group and calculate Return on Investment (ROI)
Approach and Feedback Loop Data Aggregation /  Standardisation Risk  Profiling  Stratification Targeting Recruitment Engagement Outcome Measurement Monitoring
Stratification & Patient Cohort Selection ,[object Object],Remote Patient Monitoring
Longitudinal Baseline Data (12 months) Remote Patient Monitoring
Inclusion and Exclusion Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
End to end system Remote Patient Monitoring Secure Data Centre Intel®  Health  Guide Weight Scale Pulse Oximeter Blood  Pressure Monitor Clinical Information Databases Intel® Health  Care Management  Suite Monitoring Tools Patient  End User Clinician Clinician
Intel® Health Guide Deployment ,[object Object]
Vital Signs Monitoring and Peripherals ,[object Object]
Intel® Health Guide Connectivity
Monitoring Centre and Staffing Clinical Monitoring by Registered Nurse or Clinical Nurse Specialist ,[object Object],[object Object],[object Object],[object Object]
Care Protocols and Personalised Care Plans COPD sample protocol
 
Community Nursing and Patient Interaction
Intel® Health Care Management Suite
Video Conferencing and Connectivity
Video Conference usage information (from actual project in the US) – RAW DATA Number of Care Managers (CM) = 3 Number of Patients = 16 with 12 using VC
Video Conference usage information (from actual project in the US) – RAW DATA
Video Conference usage information (from actual project in the US) – RAW DATA
Learnings so far
Program and Evaluation Process Reduced number of face-to-face community visits between patients and healthcare clinicians Alert intervention summary  Reduced number of hospital bed days Alert types and frequency Reduced emergency room visits Video Conferencing interventions Reduced re-hospitalisation rates (all cause) Video Conferencing satisfaction of patients. Video Conferencing frequency Claims data IHGS patient satisfaction score IHGS clinician satisfaction score ROI PQOL pre/post Patient adherence to vital signs monitoring and daily sessions. Cost Effectiveness Patient Utilisation Financial / Clinical
Learnings so far - Financial ,[object Object],[object Object],[object Object],[object Object],[object Object],To date there have been no re-hospitalisations of patients in the trial
Learnings so far - Utilisation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Learnings so far – Patient Adherence Early signs of positive patient compliance and participation
Learnings so far - Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Learnings so far - Carer ,[object Object],[object Object],[object Object],[object Object],[object Object]
Learnings so far – Nurse  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Learnings so far - Organisation ,[object Object],[object Object],[object Object],[object Object],[object Object],Early signs of improved Nurse-Patient ratio
Thank you & Questions

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Remote Patient Monitoring (RPM) - Enabling New Models of Care

  • 1. Enabling New Models of Care in the Patient’s Home Tuesday, 15 December 2009 Margaret Scott OAM, Nursing Director, Hunter Nursing Anthony Fanning, RPM Program Director, Healthe
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  • 9. Benchmarking – eg Home Visit Rate
  • 10. Evidence-based Approach & Analysis of 56 Studies
  • 11. ROI Modelling & Business Case
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  • 13. Approach and Feedback Loop Data Aggregation / Standardisation Risk Profiling Stratification Targeting Recruitment Engagement Outcome Measurement Monitoring
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  • 15. Longitudinal Baseline Data (12 months) Remote Patient Monitoring
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  • 17. End to end system Remote Patient Monitoring Secure Data Centre Intel® Health Guide Weight Scale Pulse Oximeter Blood Pressure Monitor Clinical Information Databases Intel® Health Care Management Suite Monitoring Tools Patient End User Clinician Clinician
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  • 20. Intel® Health Guide Connectivity
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  • 22. Care Protocols and Personalised Care Plans COPD sample protocol
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  • 24. Community Nursing and Patient Interaction
  • 25. Intel® Health Care Management Suite
  • 26. Video Conferencing and Connectivity
  • 27. Video Conference usage information (from actual project in the US) – RAW DATA Number of Care Managers (CM) = 3 Number of Patients = 16 with 12 using VC
  • 28. Video Conference usage information (from actual project in the US) – RAW DATA
  • 29. Video Conference usage information (from actual project in the US) – RAW DATA
  • 31. Program and Evaluation Process Reduced number of face-to-face community visits between patients and healthcare clinicians Alert intervention summary Reduced number of hospital bed days Alert types and frequency Reduced emergency room visits Video Conferencing interventions Reduced re-hospitalisation rates (all cause) Video Conferencing satisfaction of patients. Video Conferencing frequency Claims data IHGS patient satisfaction score IHGS clinician satisfaction score ROI PQOL pre/post Patient adherence to vital signs monitoring and daily sessions. Cost Effectiveness Patient Utilisation Financial / Clinical
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  • 34. Learnings so far – Patient Adherence Early signs of positive patient compliance and participation
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  • 39. Thank you & Questions