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Barcelona Mobile World Congress February 2014
Tackling the Global Challenge of Chronic
Disease: Opportunities for Mobile Health
Helen Figge, PharmD, MBA, CPHIMS, FHIMSS
Six Sigma Black Belt & Sensei
Vice President, Clinical Integrations
Alere Accountable Care Solutions LLC
HIMSS National Liaison, New York State
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, 800 +
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.
3
A Solution Approach to Health and
Wellness
High Risk Patients
Moderate Risk Patients
Low Risk Patients
Intensity of Personalized Management
Improved
Care Standards
Targeted
Care Management
Intensive
Case Management
Barcelona Mobile World Congress February 2014
• Healthcare connected
• Health records activated
• Physicians and patients
engaged
• Better outcomes achieved
4
Alere’s Solution Supporting Mobile
Health Initiatives
Barcelona Mobile World Congress February 2014
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.
Devices:
Available for most major chronic conditions:
●
CHF
●
COPD
●
Anti-coagulation
●
Diabetes
Connected to “call home” with patient data
5
Mobile
Device
Monitoring
MEDICATION
RECONCILLIATION
TRANSITION
PLANNING
PATIENT AND
FAMILY
ENGAGEMENT
INFORMATION
TRANSFER
FOLLOW UP
CARE
HEALTHCARE
PROVIDER
ENGAGEMENT
SHARED
ACCOUNTABLITY
Mobile Devices Support Hospital to
Home Program
Alere offers a suite of services in care management, CDS, and diagnostics
that transition in-patients to home
Barcelona Mobile World Congress February 2014
Point of Care Home
6
Mobile Devices Can Seamlessly….
Barcelona Mobile World Congress February 2014
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--Coachi
ng &
Connectivity
7
Healthy
Outcomes
Barcelona Mobile World Congress February 2014
8
Example Alere Anticoagulation and Diabetes
Solutions
Biometric
Device Wireless test value
transmission,
Behavioral
Change—
Training &
Coaching
Ability to Improve Health Outcomes
8
EQUALS
Barcelona Mobile World Congress February 2014
9
Weekly testing provides optimal testing
reducing PT-INR variability associated with
bleeding & stroke risk supporting chronic
conditions in need of continuous management
Decreasing costs and optimizing
outcomes via improving
self-empowerment 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
Home INR Monitoring
Barcelona Mobile World Congress February 2014
10
Rose (2011). Circulation.
Frequent INR Testing Reduces
cost and Improves Outcomes
Barcelona Mobile World Congress February 2014
11
Patient:
After initial face-2-face
training, performs home
INR test weekly
Patient ID
Providers will
identify patients
based on
suitability criteria
Patient
Agreement
Requires trainable,
consenting patient and
PST Rx from physician
Physician/Patient:
Adjusts Patient medication
&/or diet based on results
received by Alere
Alere:
Automatically relays result to
patient’s physician via:
●
Phone/Fax/Email/CoagClinic/
EMR Interface
Alere:
Offers
provider/payer
regular reporting on
program
enrollment,
Patient:
Reports results
via MobileLink,
web, or phone to
Alere
Optimizing
warfarin
control
Monitoring is Easy…
Barcelona Mobile World Congress February 2014
12
Barcelona Mobile World Congress February 2014
13
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
Berlin
Hospital
Atlanticare
Atlantic
City
Virtua
Voorhees
Quest
Larchmon
t Imaging
Atlanticare
Galloway
South
Jersey
RadiologyAtlantic
Imaging
Memorial
Hospital
Marlton
Hospital
SureScripts
LabCorp
Alere Example Representative
Connectivity Success:
Virtua Health, Southern New Jersey
Childrens
Philly
New Jersey
mmuniz.
Registry
Affiliated
Practices
Virtua
Lab
AtlantiCare
Lab
CHOP
Lab
Virtua
Imaging
CHOP
Imaging
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.
Electronic Health Records
• Alere EHR
• Allscripts
• eClinicalWorks
• GE
• HMS
• NextGen
• Practice Fusion
• Sage
• STI
Barcelona Mobile World Congress February 2014
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
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
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
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
MOBILE DEVICE
Need to be seamless and functional
Need to deliver data relevant, meaningful, useful
Need to support efforts not hinder them
Barcelona Mobile World Congress February 2014
15
Questions and Discussion…….

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Helen Figge Alere #MWC14 #mHealth

  • 1. Barcelona Mobile World Congress February 2014 Tackling the Global Challenge of Chronic Disease: Opportunities for Mobile Health Helen Figge, PharmD, MBA, CPHIMS, FHIMSS Six Sigma Black Belt & Sensei Vice President, Clinical Integrations Alere Accountable Care Solutions LLC HIMSS National Liaison, New York State
  • 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, 800 + 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.
  • 3. 3 A Solution Approach to Health and Wellness High Risk Patients Moderate Risk Patients Low Risk Patients Intensity of Personalized Management Improved Care Standards Targeted Care Management Intensive Case Management Barcelona Mobile World Congress February 2014 • Healthcare connected • Health records activated • Physicians and patients engaged • Better outcomes achieved
  • 4. 4 Alere’s Solution Supporting Mobile Health Initiatives Barcelona Mobile World Congress February 2014 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. Devices: Available for most major chronic conditions: ● CHF ● COPD ● Anti-coagulation ● Diabetes Connected to “call home” with patient data
  • 5. 5 Mobile Device Monitoring MEDICATION RECONCILLIATION TRANSITION PLANNING PATIENT AND FAMILY ENGAGEMENT INFORMATION TRANSFER FOLLOW UP CARE HEALTHCARE PROVIDER ENGAGEMENT SHARED ACCOUNTABLITY Mobile Devices Support Hospital to Home Program Alere offers a suite of services in care management, CDS, and diagnostics that transition in-patients to home Barcelona Mobile World Congress February 2014 Point of Care Home
  • 6. 6 Mobile Devices Can Seamlessly…. Barcelona Mobile World Congress February 2014
  • 7. 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--Coachi ng & Connectivity 7 Healthy Outcomes Barcelona Mobile World Congress February 2014
  • 8. 8 Example Alere Anticoagulation and Diabetes Solutions Biometric Device Wireless test value transmission, Behavioral Change— Training & Coaching Ability to Improve Health Outcomes 8 EQUALS Barcelona Mobile World Congress February 2014
  • 9. 9 Weekly testing provides optimal testing reducing PT-INR variability associated with bleeding & stroke risk supporting chronic conditions in need of continuous management Decreasing costs and optimizing outcomes via improving self-empowerment 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 Home INR Monitoring Barcelona Mobile World Congress February 2014
  • 10. 10 Rose (2011). Circulation. Frequent INR Testing Reduces cost and Improves Outcomes Barcelona Mobile World Congress February 2014
  • 11. 11 Patient: After initial face-2-face training, performs home INR test weekly Patient ID Providers will identify patients based on suitability criteria Patient Agreement Requires trainable, consenting patient and PST Rx from physician Physician/Patient: Adjusts Patient medication &/or diet based on results received by Alere Alere: Automatically relays result to patient’s physician via: ● Phone/Fax/Email/CoagClinic/ EMR Interface Alere: Offers provider/payer regular reporting on program enrollment, Patient: Reports results via MobileLink, web, or phone to Alere Optimizing warfarin control Monitoring is Easy… Barcelona Mobile World Congress February 2014
  • 12. 12 Barcelona Mobile World Congress February 2014
  • 13. 13 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 Berlin Hospital Atlanticare Atlantic City Virtua Voorhees Quest Larchmon t Imaging Atlanticare Galloway South Jersey RadiologyAtlantic Imaging Memorial Hospital Marlton Hospital SureScripts LabCorp Alere Example Representative Connectivity Success: Virtua Health, Southern New Jersey Childrens Philly New Jersey mmuniz. Registry Affiliated Practices Virtua Lab AtlantiCare Lab CHOP Lab Virtua Imaging CHOP Imaging 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. Electronic Health Records • Alere EHR • Allscripts • eClinicalWorks • GE • HMS • NextGen • Practice Fusion • Sage • STI Barcelona Mobile World Congress February 2014
  • 14. 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 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 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 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 MOBILE DEVICE Need to be seamless and functional Need to deliver data relevant, meaningful, useful Need to support efforts not hinder them Barcelona Mobile World Congress February 2014