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Joseph C. KvedarDirector, Telemedicine
Partners HealthCare Systems
March 9, 2006
Telemedicine hits the medical device industry!
Agenda
• Who We Are: Partners Telemedicine
• Connected Health: Why it is an imperative
• Partnerships/Teamwork
• Lessons Learned
Who We Are: Partners Telemedicine
• Using consumer technologies and online resources to delivery quality care to patients outside the medical setting
• Helping to shape the future of healthcare by creating new ways to deliver care when and where it is needed
• Established in 1995, we are a division of Partners HealthCare with Harvard Medical School-affiliated teaching hospitals, Massachusetts General and Brigham and Women’s Hospitals
Who We Are: Strategic Focus
Services connecting patients and their physicians with specialists at Partners:
• Remote Consultations: online second opinions with leading specialists available via the Internet
• Distance Education: Live, video-conference enabled physician-to-physician education
Research and development initiatives to deliver care when and where it is needed:
• Physiologic monitoring: using sensors and consumer electronics to impact patient care and outcomes
• Connected communications: facilitating improved, trusting communications between patients and providers
• Data solutions: using patient data to drive treatment algorithms and protocols
Agenda
• Who We Are: Partners Telemedicine
• Connected Health: Why it is an imperative
• Partnerships/Teamwork
• Lessons Learned
Connected Health: Why it is an Imperative
Supply and Demand Projections for Nurses: 2000 to 2020
Growth in Chronic Disease
Healthcare Today
Doctor-centric• Scheduled visits
• Patient goes to the medical facility
Connected Health
Patient-centric
• On-going care
• Care when and where it is needed
• Patient has access to their own health data
Agenda
• Who We Are: Partners Telemedicine
• Connected Health: Why it is an imperative
• Partnerships/Teamwork
• Lessons Learned
How We Work: Partners
Provider organizations
Technologypartners
Payers
MassachusettsGeneral Hospital
Brigham and Women’sHospital
Partners HomeCare
CIMIT
Motorola
RelayHealth
VitelNet
MIT
BCBSMA
Large Employers
Benefits Management Co’s
How We Work: Engaging Consumers
Connected Communications
DataSolutions
PhysiologicMonitoring
Usingsensors andconsumertechnologiesto providecontinuouscare
Usingpatient data to drive treatment algorithms, protocols, and user-friendly interfaces
Facilitating trusting, caring communications between patients and providers
Patient
How We Work: From R&D to Operations
Pilot:
• Proof-of-concept
• Useability
• Needs assessment
Clinical Trial:
• Technology and process research
• Evaluate value
Operational Service:
• Permanent resources in place
• Ongoing evaluation
A Success Case: Heart Failure Monitoring
Reimbursement per 60 day episode CHF-primary dx (Medicare): $ 2500. (Patients with Class 3 or 4 CHF)
Home Visits w/out telehealth 2 visits per week x 8 weeks ($110/visit) 1760. (patients in this category normally receive 1-4 visits per week) TeleMonitoring Requirement-5 nursing -home visits 550. Telemonitoring equipment and ASP charge (60 days) 300. Nursing Support ½ hour per week x 8 weeks 120. Tech Support 30. Overhead 50. Telemonitoring Cost 1050. Cost Savings w/ telemonitoring $710./patient
Agenda
• Who We Are: Partners Telemedicine
• Connected Health: Why it is an imperative
• Partnerships/Teamwork
• Lessons Learned
Lessons Learned
• Accuracy: How accurate does the technology need to be?
• Regulatory issues scare people away
• Physicians are capricious customers
• The mobile phone industry is challenging as a health care technology
• Network reliability is a major obstacle
Join the Discussion:http://www.connected-health.org
