Embed Size (px)
Citation preview
Managing Data with Integrated
Interoperable Mobile Devices
bull Thank you for joining us at this FierceLive Webinar We will
begin momentarily
bull The audio will be streamed live over the Internet so please
make sure your computer speakers or headphones are
turned on and your volume is turned up
bull During the presentations you can submit your questions in
the ldquoQampArdquo widget to the right of this screen The speakers
will answer questions at the end of the webinar
Enjoy the presentationSponsor
The Hospital of TomorrowHealthcare Information Technology
Shafiq Rab MD MPH
Vice President Chief Information Officer
Hackensack University Medical Center
A nonprofit teaching and research hospital located in Bergen County NJ
The largest provider of inpatient and outpatient services in the state
The flagship hospital of the Hackensack University Health Network one of the largest
health networks in the state comprised of 1140 beds nearly 10000 employees and
2200 credentialed physicians
1 hospital in New Jersey and one of the top four New York metro area by the US
News amp World
Healthgradesreg Americarsquos Best 100 Hospitals in 10 different areas ndash more than any other
hospital in the nation
Healthgrades Americas 50 Best Hospitalstrade for seven years in a row
Healthgrades Distinguished Hospital Award for Clinical Excellencetrade 11 years in a row
Leapfrog Top Hospital
19 Gold Seals of Approvaltrade by the Joint Commission ndash more than any other hospital in
the country
First hospital in New Jersey and second in the nation to become a Magnetreg recognized
HackensackUMC is the Hometown Hospital of the New York Giants and the New York
Red Bulls wwwHackensackUMCorg
About Hackensack University Medical Center
Since Time Immemorialhellip Information Has Existed
Previously only feasible for governments to collect analyze and control
Big Data in HealthcareImproving Medicine
At one time physicians
made decisions based on
nothing more than
experience and hunches
the shift to the use of data
best practice alert to
predictive modelling and
now genotyping has
improved medicine
The Quest for Customer Loyalty is On
Convenience is REQUIRED
Whenever ACCESS is Guaranteed
High Quality is a Given
Other Benefits to Distinguish
The Stage is SetA New Stack of Forces are at Play
Economic Drive (90 Million Participate in Exchange)
Political Drive (Rising Cost of Healthcare)
Transparency Drive ( Quality is a Given)
Consumer Drive (Increased Access)
The Shift Towards
Prevention
Primary Care
Ambulatory Setting
Home
Give Me My Moneyrsquos Worth
Give the value of healthcare
delivered to me as perceived by me
Because
I am paying for it
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
The Hospital of TomorrowHealthcare Information Technology
Shafiq Rab MD MPH
Vice President Chief Information Officer
Hackensack University Medical Center
A nonprofit teaching and research hospital located in Bergen County NJ
The largest provider of inpatient and outpatient services in the state
The flagship hospital of the Hackensack University Health Network one of the largest
health networks in the state comprised of 1140 beds nearly 10000 employees and
2200 credentialed physicians
1 hospital in New Jersey and one of the top four New York metro area by the US
News amp World
Healthgradesreg Americarsquos Best 100 Hospitals in 10 different areas ndash more than any other
hospital in the nation
Healthgrades Americas 50 Best Hospitalstrade for seven years in a row
Healthgrades Distinguished Hospital Award for Clinical Excellencetrade 11 years in a row
Leapfrog Top Hospital
19 Gold Seals of Approvaltrade by the Joint Commission ndash more than any other hospital in
the country
First hospital in New Jersey and second in the nation to become a Magnetreg recognized
HackensackUMC is the Hometown Hospital of the New York Giants and the New York
Red Bulls wwwHackensackUMCorg
About Hackensack University Medical Center
Since Time Immemorialhellip Information Has Existed
Previously only feasible for governments to collect analyze and control
Big Data in HealthcareImproving Medicine
At one time physicians
made decisions based on
nothing more than
experience and hunches
the shift to the use of data
best practice alert to
predictive modelling and
now genotyping has
improved medicine
The Quest for Customer Loyalty is On
Convenience is REQUIRED
Whenever ACCESS is Guaranteed
High Quality is a Given
Other Benefits to Distinguish
The Stage is SetA New Stack of Forces are at Play
Economic Drive (90 Million Participate in Exchange)
Political Drive (Rising Cost of Healthcare)
Transparency Drive ( Quality is a Given)
Consumer Drive (Increased Access)
The Shift Towards
Prevention
Primary Care
Ambulatory Setting
Home
Give Me My Moneyrsquos Worth
Give the value of healthcare
delivered to me as perceived by me
Because
I am paying for it
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
A nonprofit teaching and research hospital located in Bergen County NJ
The largest provider of inpatient and outpatient services in the state
The flagship hospital of the Hackensack University Health Network one of the largest
health networks in the state comprised of 1140 beds nearly 10000 employees and
2200 credentialed physicians
1 hospital in New Jersey and one of the top four New York metro area by the US
News amp World
Healthgradesreg Americarsquos Best 100 Hospitals in 10 different areas ndash more than any other
hospital in the nation
Healthgrades Americas 50 Best Hospitalstrade for seven years in a row
Healthgrades Distinguished Hospital Award for Clinical Excellencetrade 11 years in a row
Leapfrog Top Hospital
19 Gold Seals of Approvaltrade by the Joint Commission ndash more than any other hospital in
the country
First hospital in New Jersey and second in the nation to become a Magnetreg recognized
HackensackUMC is the Hometown Hospital of the New York Giants and the New York
Red Bulls wwwHackensackUMCorg
About Hackensack University Medical Center
Since Time Immemorialhellip Information Has Existed
Previously only feasible for governments to collect analyze and control
Big Data in HealthcareImproving Medicine
At one time physicians
made decisions based on
nothing more than
experience and hunches
the shift to the use of data
best practice alert to
predictive modelling and
now genotyping has
improved medicine
The Quest for Customer Loyalty is On
Convenience is REQUIRED
Whenever ACCESS is Guaranteed
High Quality is a Given
Other Benefits to Distinguish
The Stage is SetA New Stack of Forces are at Play
Economic Drive (90 Million Participate in Exchange)
Political Drive (Rising Cost of Healthcare)
Transparency Drive ( Quality is a Given)
Consumer Drive (Increased Access)
The Shift Towards
Prevention
Primary Care
Ambulatory Setting
Home
Give Me My Moneyrsquos Worth
Give the value of healthcare
delivered to me as perceived by me
Because
I am paying for it
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Since Time Immemorialhellip Information Has Existed
Previously only feasible for governments to collect analyze and control
Big Data in HealthcareImproving Medicine
At one time physicians
made decisions based on
nothing more than
experience and hunches
the shift to the use of data
best practice alert to
predictive modelling and
now genotyping has
improved medicine
The Quest for Customer Loyalty is On
Convenience is REQUIRED
Whenever ACCESS is Guaranteed
High Quality is a Given
Other Benefits to Distinguish
The Stage is SetA New Stack of Forces are at Play
Economic Drive (90 Million Participate in Exchange)
Political Drive (Rising Cost of Healthcare)
Transparency Drive ( Quality is a Given)
Consumer Drive (Increased Access)
The Shift Towards
Prevention
Primary Care
Ambulatory Setting
Home
Give Me My Moneyrsquos Worth
Give the value of healthcare
delivered to me as perceived by me
Because
I am paying for it
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Big Data in HealthcareImproving Medicine
At one time physicians
made decisions based on
nothing more than
experience and hunches
the shift to the use of data
best practice alert to
predictive modelling and
now genotyping has
improved medicine
The Quest for Customer Loyalty is On
Convenience is REQUIRED
Whenever ACCESS is Guaranteed
High Quality is a Given
Other Benefits to Distinguish
The Stage is SetA New Stack of Forces are at Play
Economic Drive (90 Million Participate in Exchange)
Political Drive (Rising Cost of Healthcare)
Transparency Drive ( Quality is a Given)
Consumer Drive (Increased Access)
The Shift Towards
Prevention
Primary Care
Ambulatory Setting
Home
Give Me My Moneyrsquos Worth
Give the value of healthcare
delivered to me as perceived by me
Because
I am paying for it
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
The Quest for Customer Loyalty is On
Convenience is REQUIRED
Whenever ACCESS is Guaranteed
High Quality is a Given
Other Benefits to Distinguish
The Stage is SetA New Stack of Forces are at Play
Economic Drive (90 Million Participate in Exchange)
Political Drive (Rising Cost of Healthcare)
Transparency Drive ( Quality is a Given)
Consumer Drive (Increased Access)
The Shift Towards
Prevention
Primary Care
Ambulatory Setting
Home
Give Me My Moneyrsquos Worth
Give the value of healthcare
delivered to me as perceived by me
Because
I am paying for it
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
The Stage is SetA New Stack of Forces are at Play
Economic Drive (90 Million Participate in Exchange)
Political Drive (Rising Cost of Healthcare)
Transparency Drive ( Quality is a Given)
Consumer Drive (Increased Access)
The Shift Towards
Prevention
Primary Care
Ambulatory Setting
Home
Give Me My Moneyrsquos Worth
Give the value of healthcare
delivered to me as perceived by me
Because
I am paying for it
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
The Shift Towards
Prevention
Primary Care
Ambulatory Setting
Home
Give Me My Moneyrsquos Worth
Give the value of healthcare
delivered to me as perceived by me
Because
I am paying for it
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Give Me My Moneyrsquos Worth
Give the value of healthcare
delivered to me as perceived by me
Because
I am paying for it
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Enabling Information
Technology Platform
bull The key enabler in delivering value
based healthcare is IT
bull It allows access convenience and the
right information to make informed
decisions
bull It also allows Efficient Delivery of Care
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
The Transformation A New Stack Supporting Patient Driven Healthcare
Predictive - Preventative - Personalized - Participatory
Mobility
Analytics (Descriptive-Predictive-Prescriptive)
Cloud Computing
Internet of Things (Always Connected)
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Mobility Becomes the Norm
Rank Country or Region Mobile phones Population of population Last Updated
- World Over 6 billion 7012000000[1] 8700 2011[2][3]
1 China 1046510000 1341000000[4] 7532 June 2012[5]
2 India 861660000 1220200000[6] 7042 28 Feb 2013[7]
3 United States 327577529 310866000[8] 10390 June 2012[9]
4 Brazil 263040000 192379287[10] 13670 February 2013[11]
5 Russia 256117000 142905200[10] 15550 July 2011[12]
6 Indonesia 236800000 237556363 10928 September 2012[10]
7 Pakistan 122060799 178854781[13] 6883 Dec 2012[14][15]
8 Japan 121246700 127628095 9510 June 2011[16]
9 Germany 107000000 81882342 13010 2009[17]
10 Philippines 106987098 94013200 9150 October 2011[18]
11 Nigeria 101271578 140000000 7230 May 2012[19]
12 Bangladesh 98470000 148090000 6800 July 2012[20]
13 Iran 96165000 73973000 13000 February 2012[21]
14 Mexico 92900000 112322757 8270 Dec 2011[22]
15 Italy 88580000 60090400 14740 Dec 2008[23]
16 United Kingdom 75750000 61612300 12290 Dec 2008[24]
17 Vietnam 72300000 90549390 7900 October 2010[25]
18 France 72180000 63573842 11420 Dec 2008[26]
19 Egypt 92640000 82120000 11281 August 2012[27]
20 Thailand 69000000 65001021 10500 2010[28]
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
The InternetFuel for the fire
Source Internet World Stats ndash
wwwinternetworldstatscomstatshtm
2405518376 Internet users estimated for June 302012
Copyright copy 2012 Miniwatts Marketing Group
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Getting the Right Information
At the Right Time
For the Right Person
In the Right Format
Securely
Every Time
To Make the Right Informed Decision
Complete Information
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
AnalyticsBig Value
As Gary Gokins said it is about Big Value
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic amp Tactical)
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Big Data in HealthcareUse Case
bull Wearable Devices Enabling Seniors to live at Home
bull Ingestible markers (measures and tracks heart rate respiration body posture even sleeping patterns Physician remotely monitoring will be quickly change dosage or even substitute a new medication)
bull Understanding the enormous EKG data can help detect a babyrsquos infection at least a day before it became symptomatic
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
The Patient Will See You NowhellipDiagnostic Devices
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
The Patient Will See You NowhellipThe Future
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Thank You
SrabHackensackUMCorg CIOSHAFIQ551-996-3669
Contact or Follow Dr Shafiq Rab
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Remote Patient CareWays to Control Costs Improve Outcomes
Avoid Readmissions amp Modify Patient Behavior
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Why is TelehealthRPM important
National State Challenges
Health Care Workforce
bull Shortage
bull CMEEBP
bull Lack of Coordination
Hospital Viability
bull Financial crisis
bull Pay for Performance
bull Penalties
Poor Health Status
bull High consumers high cost
bull Half $ spent on 5 population
bull Patient disengagedcopy 2014 University of Mississippi Medical Center
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Patient-Centric Approach
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Bringing the Health Care Team
to the Patient
Itrsquos health care
whenwhereamp
you need it
68Of Mississippi
physicians are
located in
urbanmetropolitan
areas
60Of Mississippians
live in rural areas
64Of Mississippians
drive at least
40 minutes for
specialty care
copy 2014 University of Mississippi Medical Center
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Telehealth in Mississippi
copy 2014 University of Mississippi Medical Center
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
bull 165 telehealth sites of service (non-affiliated)
bull 34 medical specialties
bull 8 types of locations
bull Nearly 100000 telehealth visitsyear
bull Over frac12 million telehealth visits completed
bull Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth(September 2014)
copy 2014 University of Mississippi Medical Center
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
bull Bringing the health care team to the patient
bull Specialty consults ancillary serviceshellip
bull Remote Patient Monitoringbull Chronic disease managementbull Care at Homebull Avoid Readmissions amp ER visits
bull Personalized Healthbull Wellnessbull Wearables
bull Analytics- Predictive modeling
bull Population Health- Intelligence PlatformHIN
Technology in Healthcare
copy 2014 University of Mississippi Medical Center
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Tiered Health IT Approach
Tier 1 Tier 2 Tier 3
Post DischargeAcute Setting
Remote Patient MonitoringAcute or Outpt Setting
RPM Med Adherence and Video Home Visits
IVR RPM IVR RPM IVR Med Adherence RPM video visits
ReadmissionPreventionAvoid ERReactive
ReadmissionPreventionAvoid ERProactiveReactive
Chronic disease mgt ^ follow-upmonitoringReadmissionPreventionAvoid ERProactiveReactive
Post DC Service Chronic Disease Mgt Population Health
Personalized Health Care
copy 2014 University of Mississippi Medical Center
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Telehealth Call Center
247 Operation with clinical amp technical support
copy 2014 University of Mississippi Medical Center
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
The doctor will see you now
Saving
reducing coststime and
copy 2014 University of Mississippi Medical Center
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
How It Works in Healthcare
HealthCare
Need
Appointment Scheduled
eVisit done in
convenient
location
Treatment Plan
provided
How it Works
copy 2014 University of Mississippi Medical Center
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Telehealth amp RPM in Coordinated Care
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Quality Efficiency Safety
bull Safety in Transitions of care
bull Improved outcomes o early recognition o earlier intervention o minimized complicationso decreased LOS
bull Better Coordination of Care
bull Improved Patient Management at Home
(prevent readmissionER visits)
bull Patient Empowerment
What does RPM offer
copy 2014 University of Mississippi Medical Center
Internal amp External Application
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Diabetes Project in Mississippi
copy 2014 University of Mississippi Medical Center
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Target Population Defined
INITIAL VISIT (ONSITE)
PCP Pharmacist (MTM) Registered Dietician ndash self management goals established
Retinopathy Screening
Technology Equipment Training (Chronic Dz Program Coordinator or PharmD)
Referral to UMMC Telehealth
Referrals
Primary Care Provider
Discharge Provider
Nurse
EHR Reports
Self
Other
Follow-up
Pharmacy
MTM
PCPMedical Home Established
Comprehensive Medication Review
Medication Action Plan
Diabetes Education
Standards of Care Referrals
Technology Training amp Orientation
Documentation amp Referrals
Target Population
Age gt 18 years
High Risk (HbA1c gt 7)
Referrals (PCP Self Others)
Multiple medications or multiple disease states
Recent transition in care
Benefit from SpecialistMTM management
Follow-up
Nutrition
Specialist
Initial
Ophthalmology
Initial
Endocrinology Technology
Monitoring amp
Education
Follow-up
Diabetes
Education
ENROLLMENT (Chronic Dz Program Coordinator or
PharmD)Patient Identification Screening Consent amp Enrollment
Required Project Informational Session (Video or Live)
Baseline Lab Data Drawn (ordered by initial visit PCP)
Clinical Team Weekly Meeting
Providers ndash endo ophthalmology
Chronic Dz Program Coordinator (NSMC)
PharmDOffice designee (IFMG)
Telehealth RN
Dietician
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
CDM Project in Mississippi
A remote care management (RCM) platform provides remote access to wellness education amp health care
bullDaily Health SessionsbullPersonalized InterventionsbullTargeted EducationbullHealth CoachingbullBehavior ModificationbullPatient Empowerment
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
How can we engage patients
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Population Health
bull Predictive Modeling
bull Risk Stratification to customize care management service
bull Target high impact patients
bull Personalized care plans interventions and patient education
Prevention
Well
Members
Prevention amp Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
bull EMR ndash Health Information
NetworkExchange
bull Pharmacy data
bull Claims Data
bull Remote Monitoring devices
bull ldquoWearablerdquo data
bull Patient Reported data
The Whole Picture
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Translate to Meaningful amp
Actionable Data
Intervention
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Seldom heard
Mississippi receives A in health careThe Clarion-Ledger September 9 2014
copy 2014 University of Mississippi Medical Center
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Bridging the gaps in quality healthcare
copy 2014 University of Mississippi Medical Center
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Steve FallinSr Product ManagerNetMotion Wireless
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
43
bull
bull
bull
bull
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
44
Royal BankOf Scotland
Pennsylvania
HealthcareLife Sciences
EnterpriseUtilities Energy
PublicSafety
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
45
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Where Are The Mobility Challenges
46
Visibility Into Whatrsquos Really Going On
bull Troubleshooting in the dark
bull Always reactivehellipnever ahead of curve
Controlling Complex Environments
bull Multiple applications over multiple networks
bull Managing business applications on personal devices
Productivity of Mobile Workforce amp IT Support Team
bull Application performance not what it should be
bull Connectivity problems drive high volume of trouble tickets
Keeping It Secure AND User Friendly
Gartner Top 10 Strategic
Technology Trends 2014
bull Mobile Device Diversity amp
Management
bull Mobile Apps amp Applications
bull The Internet of Everything
bull Hybrid Cloud amp IT as Service Broker
bull CloudClient Architecture
bull The Era of Personal Cloud
bull Software Defined Anything
bull Web-Scale IT
bull Smart Machines
bull 3-D Printing
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
47
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
48
Source Rsyavy Research Trends in Enterprise Cellular Network Data Usage March 2013
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
49
Before the Mobility pilot
we were facing 90bull plus trouble
tickets a month At the end of
six months we were down to
almost nothing
- Clyde Daisley
Systems Engineer
Allina Hospitals amp Clinics
bull Clinicians use wireless laptopstablets
bull Frequent dropped connections
bull Frustrated staff were quitting
Challenge
bull Deployed Mobility VPN Policy Management amp Analytics
Solution
bull Patient visits increased 50
bull Help Desk tickets dropped from 90+mo to virtually nothing
bull Faster time-to-treatment in emergency room
bull Lower staff turnover
bull Hands-off management via policiesnotificationsanalytics
Results
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Questions
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
Thank you for joining us
bull Thank you for joining us at this FierceLive Webinar
bull This webinar has been recorded and will be available on-
demand within 24 hours You will receive a notice when
the recording is up
Sponsor
