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Research Day. Sustainable TeleHealthcare delivery model for diverse socio -economic communities in New York City. Pilot Objectives. Secondary Train future Healthcare IT professionals at University level Enable medical technology in homes for aging in place - PowerPoint PPT Presentation
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Research DaySustainable TeleHealthcare delivery model for diverse
socio-economic communities in New York City
Pilot Objectives
Primary Manage chronic diseases and
prevent hospitalization
Improve patient engagement and health education
Reduce healthcare costs with evidence based interventions
Secondary Train future Healthcare IT
professionals at University level
Enable medical technology in homes for aging in place
Expand healthcare access to low income communities
Washington Heights, Manhattan (NORC)
32 patients1 student technician
2 Remote TeleHealth
Nurses
Populations Served
Bay Ridge. Brooklyn (Low Income Housing)
33 patients2 student technicians
Battery Park, Manhattan (IL/AL)
25 patients1 student associate
Lower East Side, Manhattan (NORC)
25 patients1 student associate
TeleHealth System
TeleHealth is the delivery of health related information via telecommunication technology.
Conditions Covered: Arthritis Asthma CHF COPD Diabetes Hypertension Obesity Mental Health Much More
Clinical Monitoring: Risk Level Alerts Early Interventions Individualized Reports Site Reports Two-way Messaging Medication Adherence Health Questionnaires Nurse Log Tracking HIPAA Compliant
Clinician Dashboard
Pilot Design
Training
• Train Pace University student technicians and graduate RN’s• Enroll participants in community partner locations
Monitoring
• Collect health data 2 times a week at community locations• Provide individual health assessments remotely
Analysis
• Evaluate Health outcomes, Patient engagement, and Adherence• Report three and six month research analysis to NYCEDC
August 2013
August 2013 – January 2014
January 2014
Research Methodology
Team Selection
- TeleHealth Technicians- TeleHealth Nurses- TeleHealth Admins
Team Training
- HIPAA Compliance- Healthcare Protocol- Web + Tablet Apps
Participant Selection
- Live Product Demo- Qualification Selection- Health Education
Pre-Assessment
- Demographics- Health Conditions- Healthcare Attitude
Weekly Monitoring
- Twice a week visits- RN Clinical Interventions- Site Care Coordination
Post-Assessment
- Data Analytics- Patient Testimonials- Research Publication
Pilot Summary
Number of participants: 122 older adultsFrequency:- 2 visits per week- 3 hours per dayTeleHealth Staff: - 5 Technicians- 2 Remote Nurse- 2 Site AdministratorsQualifications: - 65+ years of age- at least one chronic health condition- lives incongregate living facility in NYCIncome Level: - 2 low income communities- 1 mid income community- 1 high income community
Average Age: 82 Sex: 88% Female / 12% MaleEthnicity: - 47% White/Caucasian- 29% Hispanic- 16% Asian- 4 % African American- 4% RussianPrimary Language: - 59% English- 25% Spanish- 15% Chinese (Mandarin/Cantonese)- 1% RussianNumber of Health Conditions Reported: - 62 Cardiovascular- 36 Diabetes- 29 Respiratory, Asthma, Obesity
Design Demographics
Case Study 1
Age: 93Sex: FemaleHealth: Dementia and HypertensionMedication: Blood Pressure Management
Telehealth Monitoring:1. Initial Reading > 200 systolic blood pressure > 100 diastolic.2. On-site program manager notified and transportation was arranged to
ER. 3. Collaborative approach between the telehealth team, staff at her
residence, and her family to help manage her blood pressure and medication compliance.
4. As a result, the son calls his mother every morning and reminds her to take her medication.
5. Importance of taking prescribed medication and the son’s caretaker role to follow up regularly.
Case Study 2
Age: 65Sex: FemaleHealth: Hypertension, Diabetes, Asthma and COPDMedication: Oxygen by Inhaler
Telehealth Monitoring:1. Low oxygen saturation2. Nurse followed up with the company providing oxygen tank3. Patient brought into an intervention and was hospitalized on
11/15/13. 4. Patient attended asthma workshop and obtained a new oxygen
tank. 5. Due to early recognition of the deteriorating oxygen saturation, the
patient received early intervention and had her oxygen tanks replaced.
6. After continued telehealth monitoring, the participant’s oxygen levels improved significantly to stabilized normal range.
Next Steps
Sustain TeleHealth service at pilot community sites and scale proven Assisted TeleHealth Model in New York City
Seek public and private funding for Assisted TeleHealth and other pilot programs in New York City and beyond
Publish and present data from pilot to national and international audiences
Maintain and expand strong partnership with the City of New York and NYCEDC to continue high impact TeleHealth solutions
Produce larger scale TeleHealth research concerning healthcare cost reduction and integration with hospitals and physician practices
Contact Us
Mary Stanford, Pace University • Email: [email protected]• Phone: (516) 754-0606
Dr. Jean F. Coppola, Pace University • Email: [email protected]• Phone: (914) 773-3755
Chris Gaur, Co-Founder• Email: [email protected]• Phone: (914) 886-8801
Dave Gaur, Co-Founder• Email: [email protected]• Phone: (914) 275-7675
www.myvics.com www.pace.edu
