1. Viterion and the VA—What We’ve Learned
Paul Costello, VP Sales & Marketing

2. • Founded 2003 by Bayer HealthCare
and Panasonic Corporation
• Since 2003, an authorized supplier to
the Veterans Health Administration
• Now part of NSD Co., Ltd.
• A leading, publicly traded
international IT services organization
• 3,500 employees
• Impacting healthcare globally
The Viterion Story
Viterion Vitacast 1000
Not for active patient monitoring
Viterion V100

3. VA Telehealth Services Scope
Serves 690,000 patients…12% of veteran population (FY2014)
 2 million visits annually
 Almost 50 percent live in rural areas with limited access
Home Telehealth
• Care and case management of
chronic conditions
• Delivered primarily at home or in the
local community
• Uses commercially available remote
monitoring technology
Store & Forward
•Clinical Imaging review
•Teleretinal,
teledermatology,
wound care specialty
areas
Clinical Video
Telehealth
•Real-time video
conferencing
•Between VA medical
centers and CBOCs
•44 clinical specialties

4. The VA=Proof of Telehealth Concept
• VISN 8 regional pilot 2000-2003 demonstrated value
 Reduced days of care
 Reduced hospital readmissions
 Reduced hemoglobin A1C levels
 Maintained high levels of patient satisfaction
• Became model for national CCHT (Care
Coordination/Home Telehealth) program 2003
• Major challenge at time: aging veteran population

5. Home Telehealth Growth
In-home care
increasingly
attractive
option for
veterans,
especially
those living in
rural areas

6. HT Improves Outcomes,
Saves Money
• Bed days  42%
• Hospital admissions  34%
• Saved $1,999 per year, per
patient
• Maintained patient satisfaction
at 85%
• HT supported 28% of patients in
VA. The Goal………….to live
independently at home versus
LT institutional care

7. VA and Viterion:
Developing Home Telehealth from 2003
• Optimizing care coordination of large populations
 1 VA coordinator can handle up to 150 patients in chronic or transitional care
 Multiple conditions including hypertension, diabetes, obesity, COPD, heart failure
 Provide the right care at the right time
• Vital signs monitoring via the V100 + commercial off
the shelf monitoring devices + qualitative
information capture
 Customized health questions based on DMPs, patient education tips
 Medication and appointment reminders

8. VA and Viterion:
Developing Home Telehealth from 2003
• VISNET platform evolved to facilitate patient reporting,
analytics
 Equipment setup and management
 Alerts, population reports, analysis, risk stratification
 Integration into VistA EHR
• Achieve goals in health promotion, disease prevention
(HPDP)
 Patient self-management
 Veterans remaining at home and in community, not moved to institutional care
 Enhance patient health, prevent decompensation

9. What’s Next?
• Changing veteran population—younger veterans from
Cold War through Iraq/Afghanistan entering VA care
 More mobile and technologically sophisticated
 Many are young, partially disabled, with TBI and PTSD
 Adjunct to mental health
• Changing technology: new Viterion Vitacast 1000 is portable
tablet, cellular/Wi-Fi, touchscreen, Bluetooth LE/USB-A ports
• Changing capabilities: piloting a digital wound management
system that permits home imaging and uploading to patient
record for clinician review

10. What’s Next?
• Applying lessons learned with the VA in private
organization collaborations
 ACOs, hospitals, health systems, LTC organizations and health plans
• CMS’ reimbursement for Chronic Care Management
 Telehealth integration into care plans for Medicare FFS patients
 Two or more chronic conditions—often the sickest, most costly to manage, but
greatest benefit
 Rigorous and complex integration, documentation and implementation
requirements
• An opportunity for private CCM/TCM providers to work with
experienced companies to integrate telehealth

11. Improve
The Care Experience
Affordability
Population Health