Technology Transformation of the Exam Room to Connected Health

Daniel Abdul - Chief Information OfficerMinnesota Department of Veteran Affairs

Vishal Gupta, VP & GM, Global Health SolutionsCisco

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Point of Discussion Enablers of Mobile Health and Connected Health EHR and PHR Mobile and Remote Technology TeleHealth Required and Emerging Technologies Connected Health The Virtual Exam Room Demonstration Pushing the limits of mobile health

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Connected Health

Patient

Care Providers

Payers

PHR

EHR

Home Devices

Implanted Devices

Monitoring Devices

Portable Health

Information

Ancillary Data

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Today’s Exam Room

• How can I help you today?

• Describe your symptoms of x number of months.

• What input do we have from other health care professionals.

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Enablers of Mobile Health and Connected Health

Home DevicesRemote Devices

Broadband & Wireless

Clinical TeleHealth

Electronic Health Records

PHRPersonal Health Records

Patient TeleHealth

Mobile Devices

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EHR and PHR

Electronic Health Records

PHRPersonal Health Records

Qualities Interoperable Portable Patient Driven Patient Centered

Value Cost effective Quality Efficiency

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Mobile and Remote Technology

Broadband & WirelessMobile Devices

Qualities High market saturation mobile Low cost

Value Real-time information and monitoring Patient driven (Apps, PHR, etc.) Efficiency

Remote Devices

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TeleHealth

Home Devices

Clinical TeleHealth

Patient TeleHealth

Qualities Accessible Collaborative Timely

Value Cost effective Reduce social inequalities Improved monitoring

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Required Technologies

• Health Information Communication Standards (ICD10 and HL7)

• Information security standards and framework (NIST- 66, ISO27001, and 27002, etc.)

• Broad access to high speed internet

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Emerging Technologies

• Big Data• Data Analytics - Google flu predictive

modeling• HIE and health information portability• Personal Health Records

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Trust in TeleHealth

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Trust in Mobile Health

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Emerging Trends in Technology

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Telehealth Building Blocks

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MDVA’s mHealth Initiative

1. Mobile Applications2. Patient\Caregiver engagement3. Telehealth

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TeleHealth Video

Workflow Tools

Video Endpoint Flexibility

Medical Device Integration

Healthcare IT Integrations

Cisco Infrastructure

Telehealth with Cisco HealthPresence

Cisco HealthPresence transforms the delivery of healthcare to enhance care at a distance between patients, clinicians and specialists. Using the network as a platform, it integrates high-definition video, advanced audio, medical devices, and collaboration tools to deliver convenient access to high-quality patient care.

Minnesota Veterans Homes -

Hastings

Community Clinic #2 (Future)

Cisco HealthPresence

EMR (Future) Medical Devices

HealthPresence at Veterans AffairsEnabling Tele-health at MN State Department of Veterans Affairs

MN VA HCS Hospital

Currently working on finalizing specialties for Telehealth. Pilot includes 2 end points at Veterans home @ Hastings and 2 end points at MNVA HCS. Medical devices shall also be used in addition to workflow .

Community Clinic #2 (Future)

EDCS-1206502

Cisco Extended Care is a personal health and wellness collaboration platform, enabling patient engagement and care team interactions at any time and from anywhere.

The solution provides:• Enhanced and efficient care coordination• Secure messaging• Appointment calendar and scheduling• Questionnaires• Real time video collaboration• Anywhere access to care team• Browser based • Personalized content sharing• Video platform to drive health and

wellness awareness and education• Open APIs to embed into and enable 3rd

party applications and environments

Cisco Extended Care and Mobile HealthDriving Health and Wellness

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Pushing the limits of mobile health

Real-time patient informationInformation prioritizationEasy patient accessPredictive analysisEpidemic and Pandemic PredictionCost reductionPatient Centered Quality Care