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HPE TeleHealthcareService
13th April 2016
Enda Curran
HPE Mobility & Workplace Practice
Agenda
qContext
qHP TeleHealthcare
qCase studies
qTeleHealthcare & Defense Health
qHPE iOT Healthcare Solution
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Healthcare, an increasing burdenHealthcare budgets are under unyielding pressures primarily arising from ageing populations and the increasing prevalence of chronic disease. q80% of heart disease, stroke and type 2 diabetes and 40% of cancer can be prevented by better lifestyle choices — exercise, diet, smoking
q44% of patients did not receive recommended preventive treatments, such as cholesterol treatment, because they did not present in the early stages of their illness
qPatients with a single chronic condition are more expensive to treat than those without, by a factor of 2 – this factor rises to 14 for those with five or more chronic conditions
q50% of patients do not effectively adhere to their post-discharge care management plans, leading to increases in cost of care by a factor of between 2 and 4 (http://apps.who.int/medicinedocs/en/d/Js4883e/6.2.html)
q15% of health spending is directed at primary healthcare in the USA, about half of that spent in other developed nations
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Care closer to home and telehealth
Health care providers must become more engaged with populations at a lower cost. At least 7% of the entire healthcare budget can be saved by the use of efficient primary care solutions, underpinned by high-tech ITC.
qPatient data: Patient information is often scattered among various physician offices and hospitals, leading to an increased chance of repeated tests, medical errors and lower quality of care.
qPatient engagement: Usually, the only meaningful engagements with health systems by patients occurs in person when they are unwell, and the opportunity to preserve wellness has passed.
qCollaborative care: Decisions are often taken by carers in sequential consultations, often without full information. This leads to later, less effective diagnosis and decisions, as well as errors.
qData analytics: Patient data is rarely exploited for its predictive qualities, missing an opportunity risk stratify healthy and ill persons alike.
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The innovation mandateDriven to provide better patient experiences while reducing costs, healthcare organizations need to innovate.
Innovate patient experiences
• Patients want access to providers in new ways, including online chat (49%) and texting (45%). – PricewaterhouseCoopers, 2013
Innovate to drive provider productivity
• On average, physicians use 2.7 devices above and beyond their multiuser workstations. -IDC Health Insights, 2013
Cloud and mobility technologies are driving innovation and streamlining care
• 83% of healthcare organizations are using cloud-based apps. - 2014 HIMSS Analytics Cloud Survey
Enable – high quality care – lower costs– promote healthy populations of engaged citizens
Improve – health– well-being of communities
through technology and health information that is accessible when and where it matters most.
Vision Mission
Addressing Real Challenges, HPE Help Turn Complex Healthcare IT into an Agile, Interoperable Whole
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Deliver new patient experiences
Untether care providers
Streamline and accelerate care
Protect data and patient privacy
Aging population
Escalating costs
Disconnected services
Security Concerns
Deliver New Patient Experiences
Have more satisfied patients and improve patient care
Patients are empowered to…q Self monitor from the comfort of their home with family
q Send nurse a message using a tablet to let them know what is needed
q Chat online with their caregiverq Access online patient communities for a rich source of information and emotional support
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“Technology has changed the way I practice medicine. With the power and mobility of Surface, we’re making a huge difference. We’re saving lives. Surface is a game-changer.”
- DR. NICK PATELMedical Director, Palmetto Health
Untether Care Providers
Improve responsiveness and reduce errors with mobile access
Medical teams can…q Have immediate access to lab results, radiology reports and other vital information
q See real-time diagnostics as a patient is in routeq Review patient’s chart, IM colleagues securely, and provide recommendations from home
q Collaborate via video conferenceq Use “presence” to customize when and how they are available
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“We are seeing an incredible amount of creativity and innovation around the unified communication tools that come with Office 365 and Lync 2013…. We have found that once we put the tools out there, usage grows organically.”
- MARK DUNKERLEYManager of Messaging, Mobile and Video Services
Adventis Health System
Streamline and Accelerate Care
Diminish complexity and costs, streamline decision-making
IT Administrators can…q Have efficient, consistent, centralized management of employee identities, devices and technologies
q Streamline processes with intuitive, easy-to-use apps and services
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“We are projecting about a $1 million savings per year by transitioning to the cloud.”
- RANCE CLOUSER Vice President of Support Services and Communication,
Advocate Health Care
Protect Data and Patient Privacy
Be fanatical about security and boost it at every layer
Healthcare organizations can…q Implement biometric authentication, like palm identification or face recognition, for seamless and secure data access or reliable patient identification
q Offer secure and compliant communications via Skype IM and text
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“For physicians, every second counts. If they need to get into an application right away to view an x-ray, for example, they can do that quickly and securely with Azure Multi-Factor Authentication.”
- Mike BaranSystem Director, Technology, Presence Health
‒ Mobile health
Value Proposition for promoting care close to home
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Quality of life
Cost of care
Healthy living
Home care
Residential care
Acute care
‒ Chronic disease self-management
‒ Telemedicine
‒ Step up / down‒ Nursing home
‒ Specialty clinic
‒ Hospital
‒ ICU
‒ Independent healthy living
‒ Disease prevention
How we are doing it: HPEs TeleHealthcare Service
qTeleHealthcare Service provides an out of the box fully managed service that provides care to people through mobile solutions through integrated data, medical devices, clinical data repository and telecommunication service that is fully managed and hosted in the cloud
qTeleHealthcare Service provides an opportunity to support primary care centers, nursing homes, emergency services, disaster sites, enterprise customers and is extending to monitor people in the home.
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Integrated Care Platform (ICP)
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Data Integration
Data QualityManagement
Clinic Data Repository(CDR)
Secondary and primary care Residential care Home PersonalHospital and ambulancePolicy and planning
Data analytics Tele-consultation
Home and communityHealthcare system
Community Social care Hospital Pharmacy
HL 7 Other data types
Master Data Management
Data QualityManagement
Taxonomy Management
MessageManagement
Data IntegrationServices
Home
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Clinical DataManagement
Clinical portal
Personal portal
Analytical portal
Integrated Care Platform (ICP)
HPE TeleHealthcare Services Use Cases
Remote clinic services
qPrimary care service to remote location confined areas with insufficient medical set-up
qSpecialist, e.g., diabetes or general practice clinic
qFast provision of access to healthcare in remote areas
Community access
qProvides access to patients in homes
qWork offline, integration with EMR and/or to integrated platform
qAmbulance/emergency services qBrings equality of healthcare to the patients regardless of location or circumstances
Integration of care delivery
– Integration of data from multiple sources giving integrated data record
– Gives ability to do full teleconsultation on data multi-disciplinary teams who are not co-located
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Case studies
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Outreach clinical service Narayana Health
Current implementationsqThis private healthcare organization operates 7500 hospital beds in 29 hospitals in 17 cities across Asia and the Caribbean. Its telemedicine practice extends its reach to another 130 facilities and primary care locations, including 53 in Africa. It was ranked 36th among World's 50 Most Innovative Companies by Fast Company in 2012.
qThe company partnered with HPE TeleHealthcare Service (THS) to extend the reach of its primary care delivery to remote and isolated locations. The first THS instance was rolled out in 2012. Today, April 2016, there are 63 clinics with 170,000 registered patients.
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“Partnering with HPE THS allows us to leverage technologies, such as telemedicine and cloud capabilities to deliver early detection and diagnosis to patients, while maintaining manageable costs”. Specifically, on the topic of costs, he believes “this is the way the cost of healthcare is going to become manageable worldwide. We are very, very excited about this time we are living in”.Dr. Ashutosh Raghvanshi, CEO of Narayana Health
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TeleHealthcare Service impact
qReduction in visits to hospital by 30%
qReduction in delivery of cost of primary care delivery by 60%
qChronic Illness patients identified earlier thus less complications
qDisease sources identified based on data analysis
qPatterns in medical data correlation in health and environment to predict future diseases
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Extending access: Community/Home access
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Taking healthcare to the doorstep:q Mobility Apps ‒ Android, iOS and Windowsq An inside-out approach to enable healthcare at doorstepq Connected devices and communication via Blue Tooth/Wired USB
q Auto data upload in WiFi zoneq Data structure built on data repositoryq Workflows to manage
q Registrationq Vital and prelim checksq Review q Auto/manual uploadq Analytics
Situation Emergency healthcare teams need to work together and share vital data quickly while on the go.
Hospital Doctors Connect With Ambulance Personnel To Improve Patient Survival Rates
Solution HPE’s Telemedicine and mobile apps delivered on Windows 10 devices let emergency doctors assist paramedics during the ambulance trip.
Outcome Earlier start of treatment leads to increased patient survival rates.Fit-for-purpose O.R. prep and formation of medical teams helps decrease healthcare costs.
Ehospitals
Now [our staff] can send out data in advance to the emergency room….Patients get a better sense of comfort if the ER is set for their arrival and the doctor is notified in advance.
Peter Krebbekx, Team Manager, Ambulancezorg Limburg-Noord
Video: Digital Healthcare Revolution Delivers E-Hospitals and Patient Confidentiality
Nursing Home Project IrelandTLC, Integrated careTLC provide residential care to 800 elderly clients, with differing health care needs, including routine health monitoring, chronic illness management and frailty management. Safety, dignity, respect and quality of life are the guiding values that the company are guided by when delivering their service.
Integrated care project:q Integration of data from pharma, care system, GPs
and hospital results and behavioural gamification data sources
q Integrated medical devices (Glucometer, ECG, INR, Urinary, Vitals)
q Hosted data repositoryq Tele-consultation
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Nursing Home ProjectBetter outcomes and cost savings.The organisation are in persuit of the following benefits:q Facilitating the GPs decision making earlier
(better outcome)q Reduction of hospital transfer (efficiency)q Reduced doctor time on site at care homes
(cost and efficiency)q Reduction in admin activities for nursing staff (cost)q Less disturbance to residents life (better outcomes)
This organization financial target is to reduce the costs of care in two (main) areas:q 25% reduction of residents’ transfers to emergency
department, saving $180/patient,q 35% reduction in duplicate and paper recording of
data and documents, saving €155/patient
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Self recording of medical dataMedical Digital Coach
Outcome• Self-recording of medical data like seizures and related events, e.g. stress, medication …
• Review and trend over time, compare it to related events, etc.
• Share with social network and medical professional to build up a more detailed picture and help manage their condition
• Developed for Epilepsy but can be adapted e.g. for asthma, diabetes,
It is transforming care by cleverly using mobile technology to stem the cost of the tsunami of chronic diseases like diabetes and heart diseases that are challenging not just us clinicians but also four aging patients.
Dr Tom O’Callaghan, General Practitioner & CEO iHeed
THS & Defence Healthcare
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Integrated Care Platform – Collaboration & Integration
qExisting systems in the healthcare environment, e.g. EMR.
qNew data sources in the healthcare environment, e.g. integrated medical devices.
qAssimilation of other specialists partner services and/or products, e.g. NeuroAtHome, AMD Telemedicine…
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The power of ICP lies in its ability to leverage and combine existing and new data, systems, products and services from all or selected parts of the healthcare system, delivering a truly unified view of the patient from which to base care decisions.
Integrated Medical Device Partners, e.g. AMD TelemedicineICP can accommodate all HL7 (and most non-HL7) compliant devices from a range of partner Medical Device partners.
qMultipurpose HD cameras & scopes for remote visual medical examinations – general imaging lens, otoscope lens, dermascope lens, ophthalmoscope lens.
qDental examination HD cameras.
qAbdominal and vascular ultrasound probes for remote internal medicine examinations.
qSample use cases for the military.
qRoutine screening and preventative care delivery to all soldiers and staff at bases, leveraging consolidated healthcare facility.
qInitial screening & preventative care for all soldiers and new arrivals on deployments and transient/temporary, remote locations.
qEmergency and first response care to soldiers and staff in on deployments and transient/temporary, remote locations.
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Integrated Service Partners, e.g. Neuro at Home
Benefits of NeuroAtHome
qImproves efficiency – delivers up to 30% more physical therapy sessions and 15% more cognitive therapy sessions with the same resources.
qImproves outcomes in physical and cognitive functions compared to traditional therapy delivery techniques.
q85% of remote sessions completed, with average treatment time of 8 hours
qOn average, patients are discharged 3 days earlier
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NeuroAtHome allows clinicians to prescribe cognitive and physical exercise to remote patients, provides real time guidance for the exercising patient and records results for later analysis by the clinician.
Mental Health - Digital equivalent of face to face therapy
HPE Partner with ‘SilverCloud’:
qPrograms around Depression, mood problems, sleep, self-esteem.
qBlended delivery available - self-directed only or self-directed with support.
Outcomes & Benefits:qReal world clinical outcomes (recovery rates of 57% to 62% v traditional face to face service at 45% to 49%)
qClient engagement rates: 3 fold increase in client engagement at session 8 vs competing solutions in the market.
qSignificantly reduced costs – Cost reduction of over 85%
qService capacity improvements – 6 to 10 fold increase in client throughput vs face to face, email therapy or video conferencing
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➢
Partner with Full Health Medical to:
q Gather and monitor medical data from ICP Platform.
q Data transformed into individualized easy-to-read medical reports.
q Immediate results, accessible on any device.
q Clinical sign-off.
Outcomes & Benefits:
q 37% cut in nurse delivery time.
q 95% cut in doctor reporting time.
q Instant population statistics.
Automated Clinical Reporting
HPE iOT Healthcare Solution
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Glucometer
Location Sensors
ECG MonitorAccelerometer / Gyrometer
Heath band
Home
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Home Network
Home
Bedroom Bath
Living room Kitchen
Integrated platform
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Home
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Home NetworkAruba
3G
Clinical setting
Physician contacts patient for teleconsultation
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HPE TeleHealthcare and analytics
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Post discharge serviceRisk stratification and co-ordinated patient care
qHPE partner with post discharge care providers to improve follow-up healthcare management and reduce readmissions.
qHPE remote patient monitoring and analytics:q Facilitate earlier discharge to step-down facilities
q Identify readmission red flagsq Allow earlier interventions when required
– Resulting in:q Increased patient autonomyq Reduced costs and readmissionsq Better management of diseaseq Patient center care
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Problem:qApproximately 7% of all patients in typically are readmitted within 30 days of discharge
qReadmissions can be reduced by improving discharge planning, transition processes out of hospital and after-care services
qAlso very stressful for patients and families
Diabetes 30-day readmission
Solution: Analytics Modelling
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HPE partner ecosystem in the healthcare
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Solutions Preferred partners Other partners (per deal “product” basis)
Health IT foundation
Integrated care
Population and public management
Mobility and telehealth
Health analytics
VisionWare
VisionWare Apelon
HPE HCIS
HPE HAVEn
HPE HAVEn
HPEs TeleHealthcare Service in action
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https://www.youtube.com/watch?v=AnKAT2-Y-QI&feature=iv&src_vid=tLtllu69TwM&annotation_id=annotation_1559886041
Call To Action
qIf you have opportunities or require further support please contact me at: [email protected]
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Thank you
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Other examples of TeleHealthcare, and enabling technology solutions that we have deployed
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Gen Youth – wellness solution for US public sector schools
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HPE Global Authentication Service (GPAS)Features and functionality
Printer is enabled to download
codes for printing Activate batch in portal
6Products Enter Supply Chain
Business Process Capability
Integration with either HPE or Client Printer Network
Reporting/Analytics: Full visibility of Authentication code lifecycle – Ordered, Assigned to Printer, Activation Status, Authentication Attempts, Breakdown by Product/Region (based on final intended destination of product).
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‒ Authentication Codes Ordering‒ Printer Network Setup and mgt.‒ Payload Messaging Setup process‒ Manage Authentication Parameters‒ Enable Activation or De-Activation of codes
‒ Volume Order Codes and Assign Codes to products/printer/region‒ Assign and manage who can access codes for printing‒ Define Std. or customized msgs. for consumer to receive during authentication process‒ Chose Std. or custom rules to define quantity of auth. attempts allowed‒ Manage lifecycle of code batches from ordering to point of use
Affixing of labels to package before dispatch
53 Batch id Auth. Code
Barcode
Printed labels with scratch-off covered auth. code,
batch id and optional barcode
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Mobile Vaccine Tracking Solution
– Mobile tracking solution to help track vaccines from the early stages of manufacturing to the end stage of usage and disposal of the vials
‒ Using next generation labelling and Mobile technology to track and assisting in reducing the levels of vaccine wastage worldwide ‒ Helps eliminate or reduce wastage levels‒ Consistent labelling on all medicines helps make vaccine tracking to be more effective as it is inexistent today
‒ Administrators can use the app to record vital information on the vaccines including the type of vaccine, batch number, box number, and central store location
‒ If a patient has been immunised with the vaccine, this is recorded on a cloud based database which can help determine the demand for vaccines in the near future
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Epilepsy Diary AppSeizure diary
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User can add to options in seizure diary
User can record seizures in diary
The application will allow users to see seizure activity over time and compare it to changes in medication and missed medication.
A user can share this data with their medical professional to build up a more detailed picture of their seizure events and help manage their condition.
Family Nurse Partnership (BSO N. Ireland)
‒ Family Nurse Partnership program to support nursesvisit first time mothers regularly from early in pregnancy until the child is two years old
‒ The program aims to enable young mums to:‒ Have a healthy pregnancy‒ Improve their child’s health and development‒ Plan their own futures and achieve their aspirations
‒ Mobile Solution integrated with Microsoft Dynamics provides:‒ Digital forms that automates the business processes via workflow
‒ Ease of data sharing, reporting and analysis‒ A secure platform‒ Single development for multiple platforms: Android, iOS, Windows8
‒ Built the 20 FNP forms for Windows 8 (touch)‒ Provides an off-line client
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District nurse vaccine tracking mobile solution for Clinton Health
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mothers2mothers
Developed Mobile solution for mothers2mothers to help prevent mother-to-child transmission of HIV (PMTCT).‒ Over 400 sites in seven countries in Africa
‒ Employs over 1100 people
‒ Mentoring program delivered by HIV+ positive mothers
‒ Over 240,000 mothers enrolled in m2m program last year
‒ Using ICT systems to improve data collection to retain Mothers on PMTCT program. System delivered with HPE partners Hyland Inc.
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