Navneet Kathuria, MD, MPA, MBAExecutive Director and Chief Medical OfficerPremier Healthcare

Carolyn Driscoll, LMSWResearch AssociateYAI Network

PHC is a member of the YAI network.

Connected Health – What is it?

Connected HealthCare

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Premier HealthCare: Virtual Care Rounds Hospital at Home Virtual Care Visit

Telemedicine

Telemedicine is the use of technology to remotely deliver health services to patients

Consultations Health assessments Diagnosis Treatment

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Telemedicine was Predicted in 1924!

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Current Methods: Real-time Techniques Store and Forward Remote Monitoring

Current Applications: Two-way video Email Smart phones Wireless tools

Telehealth

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Telehealth services allow patients to access health education and support through their home computers or wireless devices to help manage their health. It also creates a virtual medical community for providers.

Personalized education materials and coaching Online discussions and support groups Provider trainings and continuing medical

education

VHA’s Care Coordination/Home Telehealth Program supports the care of veterans with chronic conditions in their home

Patients are assigned a care coordinator who selects appropriate telehealth technology

Care coordinators receive daily vital signs, messaging results, and other disease mgmt data

Alerts indicate significant changes and care coordinators intervene

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Case Study:

Program Outcomes Source: VHA Taking Home Telehealth Services to Scale Nationally: Commonwealth Fund

• 25% decrease in nursing home bed days of care

• 20% decrease in hospital readmissions

• 85% patient satisfaction

• Annual savings of $1,999 per patient

At-home Telehealth Program for Veterans

e-Referrals developed by San Francisco General Hospital

Structured secure email exchange between primary care doctors and specialists

Covers more than 40 specialties and services Others adopting – LA County Dept of Health Services, the Mayo

Clinic, UCSF, and UCLA

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Case Study:

Program Outcomes Source: Connected Health: A Review – Healthy Affairs 2014

• 50% decrease in wait time for most SF General specialty clinics

• 20% decrease of in-person specialty visits

• Improved preparation for specialty visits

• Stronger collaboration and satisfaction between primary care and specialists

Connecting Patients to Specialists

Benefits of Telemedicine/Telehealth

Increased access to healthcare services Enhanced access to specialists Improved quality of care Reduced hospitalizations/ER visits Cost-effective method of service delivery Patient and provider satisfaction

e-Medicine e-Medicine refers to health services and

information delivered or enhanced through the Internet.

87% of U.S. adults use the Internet Looking for health information is the 3rd most popular online

activity

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Most Popular Searches

Specific Diseases 66%

Medical Treatments & Procedures 56%

Doctors 56%

Hospital & other Medical Facilities 36%

Social Media

People separated by time and space can create, share, and exchange information and ideas.

Tools used in social media Blogs Microblogs (e.g. Twitter) Content Communities (e.g. Youtube) Social Networking Sites (e.g. Facebook)

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FACTS: 6 out of 10 internet users

aged 50-64 use social networking sites

Adoption rates for those 65 and older have tripled over the last 4 years (13% in 2009 to 43% in 2013)

Fastest growing groups:

Twitter (55-64) up 79%

Facebook (45-54) up 46%

Google+ (45-54) up 56%

Surprise! Who’s friending you on Facebook?

Social Media and HealthCare Case Studies:

Dave deBronkart “e-patient Dave” Diagnosed with advanced kidney cancer given 6 months Found successful treatment from online patient support

community

38 Year-old woman diagnosed with Spontaneous Coronary Artery Dissection (SCAD)

Mother of two young children diagnosed with rare condition offered little guidance

Online support group advocated for and got a doctor from the Mayo Clinic to conduct a research study on their behalf

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The possibilities of using the internet and other technologies as tools in healthcare is limitless!

What does research show?

Patients are using it and making important decisions

What’s needed? More healthcare organizations & doctors becoming a part of it!

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Social Media and Healthcare – What’s Next?