PDHCA - March 18th, 2013- Alere Presentation.ppt · 2017-10-31 · 3/13/2013 4 Health & Wellness Condition Mgmt. Case Mgmt. • Complex ChildrenCare Women’s & Children’s Healthcare

3/13/2013

1

March 18th, 2013

“TeleHealth Solutions in a Private Duty Home Care Network”

© 2013 ALERE CONNECT

AGENDA

Alere Introduction

1.) Opportunities to Improve Care with Remote Patient Monitoring

2.) Challenges of Adoption and Implementation

3 ) C O3.) Potential Costs, Returns, and Marketing Options


3/13/2013

2

Alere’s Mission

“To empower individuals toTo empower individuals to take greater control of their health under the supervision of their healthcare providers.”

Ron Zwanziger – CEOAlere


- Primary focus is to provide solutions and a connection between the patient at home and his or her healthcare provider.

- Alere collectively has the largest remote monitored population in the U.S.

Alere Home MonitoringAlere HealthAlere ConnectAlere Connect

- Alere is a market leader in chronic care management (Heart Disease, COPD Hypertension, Diabetes) Infectious Disease, Women’s Health, Oncology, and Toxicology.


3/13/2013

3

- Recently awarded a $21.6 million dollar grant from the Gates Foundation for POC Testing for tuberculosis and HIV. g

- Diagnostic platforms represent the foundation of our chronic care solutions.

- Our programs are developed around proprietary biomarkers.

O l ti id t ti l d ti bl i f ti- Our solutions provide accurate, timely, and actionable information.

- All diagnostic data is integrated into an electronic health record via a secure, cloud-based information exchange.


- Interface can be accessed by patients, physicians, and payers. (Alere Wellogic – Accountable Care Solutions)

- Rules-engine triggers tailored clinical workflows that place key data in the hands of physicians helping them risk stratifydata in the hands of physicians, helping them risk-stratify patients, administer treatment, and avoid errors.(D1)

3/13/2013

4

Health & Health & WellnessWellness

Condition Condition Mgmt.Mgmt.

Case Mgmt.Case Mgmt.• Complex Care

WomenWomen’’s & s & ChildrenChildren’’ss

Healthcare Healthcare TechnologyTechnology

DiagnosticsDiagnostics• Lipids

Support Across Continuum of HealthComprehensive, Integrated Approach to Improving Population Health

IntegrationIntegration Personal DataPersonal Data Health SupportHealth Support TechnologyTechnology

• Health Portal• HRA• Online Education• Telephonic Coaching• Tobacco Cessation• Screenings• Wt/Fitness• Concierge Svcs

• Asthma

• Diabetes• CAD• Heart Failure• COPD• ESRD / CKD• Anticoag Mgt

• Chronic Pain• Nurse Consult / Triage

• Oncology• Catastrophic Cases • Intensive Care• Transitional Care Post‐Discharge

• Readmission Avoidance

• Home visits

ChildrenChildren s s HealthHealth• Preconception• OB Risk Assmt / Education

• OB Case Mgmt. / Homecare

• Perinatal Screening• NICU Case Mgmt

TechnologyTechnology• Communication• Data Exchange• Clinical Registry• EMR• Care Plans• Physician Portal• Patient Portal• Telemonitoring• Decision Support

• Glucose, A1C• Coagulation• Blood gases

BiometricsBiometrics• Wt., activity• Symptoms• Blood pressure• Glucose•Pulse ox

U.S. Government spends approximately $500 Billion on Medicare and States spend over $400 Billion on Medicaid

Connected Health Connected Health EcosystemEcosystem

Point of Care Health Point of Care Health Decision SupportDecision Support

Personal Health Personal Health Support ServicesSupport Services


Store & Distribute Data / Manage & Maintain Equipment

What We Do at a Glance

Care of the Patient / Care of the Device

HealthCom

C t Wi l & Wi d ‘Off th Sh lf’ M di l

Alere ServersEnables Health Information Exchange;

Industry Standard Security & Co-Located Back-up

Alere Hub Devices

COLLECT DATA

Medical Monitors

TRANSMIT DATA

ACCESS DATA

STORE DATA

ApolloWellogicDISTRIBUTE DATA

Connect Wireless & Wired ‘Off-the-Shelf’ Medical Monitors to EMRs via the CloudCare™ Platform

Electronic Medical RecordsHIPAA Compliant Integration to EHR / PHR Systems

for Clinicians & Patients to Store / Access Health Data Online

Integration with FDA Cleared Health Monitors

Medical Monitors


Care of Patient / Care of Data Integration

3/13/2013

5

One Solution Does Not Fit All

U.S. Government spends approximately $500 Billion on Medicare and States spend over $400 Billion on Medicaid


Affordable, flexible Remote Patient Monitoring Solutions are needed by organizations who:• Are financially responsible for the healthcare of individuals and need to avoid costly care utilization;• Need to gather or access timely, accurate biometric data.

Hospitalization Accountable Care Home Healthcare Clinical Medical Device

Target Markets: Demonstrated Immediate Need for RPM

CMS will no longer reimburse for hospital readmissions within 30

days, if originally admitted for CHF, myocardial infarction or Pneumonia;

Cost effective easily deployable

As CMS shifts from “Fee for Service” (individual services)

reimbursement model – to allocation of lump sum payment

Home Health Agencies and Monitoring Centers are starting to

provide monitoring services for patients. Critical for physicians,

healthcare nurses family

Research facilities must increase clinical trial capacity which is not

currently meeting demand; Researchers need to efficiently

obtain more consistent and

pAvoidance Organizations Agencies Research

Device manufacturers of devices intended for clinical use need to deploy to remote locations with

connectivity limitations (no computer internet WiFi etc ); &

Manufacturers

Cost-effective, easily deployable solutions needed to address

policy changes.

per patient, ACOs need affordable connectivity with patients to avoid

more costly stages of care.

healthcare nurses, family members to be engaged in the

process

obtain more consistent and accurate data from a larger

volume of subjects.

PHARMCEUTICAL COMPANIESUNIVERSITIES

CLINICAL PILOT PROGRAMSGRANT RECIPIENTS

PROVIDERSPAYERS

CAPITATED COST PROGRAMSMANAGED CARE

PRIVATE PAYCAPITATED COST PROGRAMS

PROVIDERSPAYERS

CAPITATED COST PROGRAMS

WHO WILL PAY WHO WILL PAYWHO WILL PAY WHO WILL PAY

computer, internet, WiFi, etc.); & integrate with EMRs simply,

seamlessly & affordably.

WHO WILL PAY

Payers, ACO’s. Providers


3/13/2013

6

Opportunities to Improve Care with Remote Patient Monitoring

Devices and solutions available in the market- Devices and solutions available in the market

- Patient involvement

- Agency involvement in monitoring

- Medication Compliance


Complete Remote Healthcare

Smart Connectivity, Robust Features, Friendly and Easy to Use.Part of Your Care. Part of Your Home.

© 2012 ALERE CONNECT – CONTENTS CONFIDENTIAL

HomeLink© 2013 ALERE CONNECT

3/13/2013

7

Introducing MobileLinkThe Simplest and Quickest Connectivity of Alere Devices to the Cloud.

“Plug &Play”Send it Home. Plug it in. Use it.

g y


Patient Involvement

- Simplicity is best.

- Training, encouragement, and follow-up from nursing staff is key.

- Alert stratification is critical.

- Calls to confirm well being, proper equipment utilization,Calls to confirm well being, proper equipment utilization,and client questions are crucial to success.

- Constant follow-up and engagement with client.


3/13/2013

8

Opportunities to Improve Care with Remote Patient Monitoring

- Effect on Readmissions

- Impact on improved care, lowering costs, and improved patient satisfaction.


Initial pilot produced savings from reduced rates of hospitalization / ER incidents as well as related costs in deploying / maintaining equipment

Patient Self-Testing Pilot

incidents, as well as related costs in deploying / maintaining equipment. Results suggest enabling patients to manage their conditions promotes accountability and self-compliance

Diabetic patients were able to increase the number of days between their appointments by 71 percent

Hypertension patients were able to increase the number of days between their appointments by 26 percent

Heart failure patients participating in the program were more engaged in their health management, and care providers were able to detect changes in condition earlier – the program’s CHF patients visited their doctor more often g- decreasing the number of days between appointments by 27 percent

“Ease of Use” was a major factor contributing to increasing and maintaining adherence – improving on the results of computer and smart-phone based telehealth solutions.


3/13/2013

9

Challenges of Adoption and Implementation

- How are physical, mental, and cognitive issues addressed ?

- What specific diseases should be targeted ?

- How does medication compliance compliment a program ?

- Deployment – Timing and Approach- Deployment – Timing and Approach


Potential Costs, Returns, and Marketing Options

Typical Costs for products and solutions in the market today ?- Typical Costs for products and solutions in the market today ?

- Can remote monitoring provide an additional revenue stream ?

- Can remote monitoring be sold as a “stand-alone” service?

- Ideas for marketing a teleHealth program in a Private Duty Agency


3/13/2013

10

Tier 1 / Tier 2 Telehealth Comparison

Transformation of Technology Platforms

Market Description Wired Stationary (Static) Wireless Mobile / Portable (Dynamic)

Market Level Tier 1 Tier 2

Market Served Fixed Location (Typically Home) Point of Care, Home & Beyond

Market Size 100,000 Patients Per Day (US) Millions of Patients Per Day (US)

Cost of Systems (Hardware / Service) $4000‐$6000 $1000 ‐ $2000

Use by Healthcare System Today Reactive Mode (Stabilize the Most Ill) Proactive Mode (Prevent & Stabilize)

Peripheral Medical Devices (Sensors) (Typically) Proprietary / Expensive Off the Shelf OEM Devices

Clinical Backend System Yes Yes

Feed to External Electronic Health Records (EHR) / Clients Systems Typically No Yes

Ease of Deployment / Maintenance in the Field Onsite Installation / Maintenance Installed / Maintained Over the Air

Cloud‐Based Platform / Remote Delivery of Drivers, Profiles, etc. No Yes


Devices today transmit “near-real time” biometric readings to the Home Care clinician

- Cost Can range based upon service level needed.

- Complexity Technology can be simply a transmission hub or bi-directional communication devices.

- Functionality Ability to integrate into a HomeCare HomeBase type system, or proprietary back-end system.


3/13/2013

11

Automated Data Transmission, Question SAMPLESComplete Remote Care Management

1) 2)

5)

3) 4)

6)


7)

Responsibility for Monitoring

Inherent Liabilities

- Typical clinical protocols are followed to the point of readmission.

- Protocols can stratify the patients condition to improve accuracy of the evaluation.y


3/13/2013

12

Responsibility for Monitoring

- Systems today allow for home care clinicians to have near- Systems today allow for home care clinicians to have near real-time access to their patients at home.

- Gives the home care clinician time to intervene to address issues.


HealthCom Overview

- Collected Data Efficiently Passed to Clients.

- Rapid Integration to Existing Systems.

- Remotely Manages Firmware on Devices.

Mi i i T h i i I t ti t I t ll / M i t i


- Minimizes Technician Interaction to Install / Maintain Devices in Field.

3/13/2013

13

What is Health Com? HealthCom is a web portal for healthcare organizations and their clinicians to manage and maintain patient data collected with assigned Alere™ devices.

Assign.Connect.Monitor


Monitor.Manage.

- Increased Browser Support

HealthCom Going Forward

- Increased Browser Support

- International Language Localization

- Optimized for Future Mobile OS Integration


3/13/2013

14

Does remote monitoring impact d i i ?readmissions ?

Yes – IF


Adopting the right delivery model

1. Proper training from the manufacturer is provided to the p g pagency staff.

2. Training by clinicians of patients.

3. Participant adherence to monitoring, and medication dosagesdosages.


3/13/2013

15

Adopting the right delivery model

4. Equipment service and replacement.4. Equipment service and replacement.

5. Constant monitoring of co-morbid conditions.

6. Reporting to clinicians and physicians.

7 R f i t d l t7. Recovery of equipment and reployment.


Patient Compliance CardiacDisease

Management Protocols (DMPs)

Vid / S t Ph

PatientCompliance

Patient Centered Care: Building Out the Eco-System

Education

AnalyticsWellness

Loyalty / Rewards

Social Networking

Interactive Voice

Response (IVR)

Medication Compliance

Point of Care Kiosk

Video / Tele-presence

Smart Phone Apps / Gaming

Video / Tele-presence

Clinical Trials / Data Mining

(IVR)

Patient Monitoring /

Care

Medical Devices

Disease Management Health Records


Documents

PDHCA - March 18th, 2013- Alere Presentation.ppt · 2017-10-31 · 3/13/2013 4 Health & Wellness Condition Mgmt. Case Mgmt. • Complex ChildrenCare Women’s & Children’s Healthcare