Brown2020

From: www.ehealthinternational.org/pdfs/Brown.pdf

London, England and Mountain View, CA - October 15, 2003 – Health Hero Network, Inc. Chief Executive Officer Steve Brown will speak tomorrow at the eHealth 2003 Conference in London, England. Mr. Brown is participating in the “eHealth and Patient Centred Care” session at 11:30 am on October 16.

In a presentation entitled “Networks for Patient Centred Care in Chronic Disease,” Mr. Brown will describe how health care providers can help patients prevent the worsening of chronic disease by proactively monitoring and educating patients in a model of care enabled by eHealth networks and technologies. Mr. Brown will review chronic care programs in the United States that have resulted in improved quality of care, increased patient and provider satisfaction, and reduced cost. Mr. Brown also will discuss policy initiatives that will encourage wider adoption of patient centred chronic care by emphasizing continuity of care for patients with chronic illness rather than episodic, crisis-driven care.

Health Hero Network Ltd, the European subsidiary of Health Hero Network Inc, also will exhibit the Health Hero® technology solutions for chronic care, including the Health Buddy® appliance for in-home monitoring and communications and the iCare Desktop™ application, a web-based care management tool for care providers. The Health Hero Network approach has been demonstrated to improve chronic care by guiding patients through the exchange of clinical information with their care coordinator, including vital signs and health self-assessment, resulting in improved medication compliance and self-care behaviors. Care coordinators receive timely, actionable information in order to detect and prevent problems before they become acute for a range of chronic conditions including congestive heart failure, diabetes, hypertension, chronic obstructive pulmonary disease, and asthma.

About Health Hero Network

Health Hero Network, Inc., founded in 1988, develops and licenses technology solutions for health monitoring and management. The Health Hero® technology platform offers Internet-enabled care management tools, multiple patient interfaces, and a secure environment for data communications. The Company’s products include the Health Buddy® appliance, featuring Buddylink™ device connectivity, Health Buddy® Web, other licensee devices for data collection and communications with patients, and iCare Desktop™, an Internet-based care management and research tool for health care professionals. Health Hero Network offers over a dozen standard health management programs delivering daily monitoring & education, and promoting positive behavioral change for better chronic care with lower costs to the health care system. Buddylink connectivity allows patients to upload device-reported data from a variety of peripherals. The Health Hero technology platform is protected by over 50 issued U.S. patents. Company headquarters are in Mountain View, California. On the Net: http://www.healthhero.com.

Presentation Transcript

• Slide 1: Steve Brown, CEO Health Hero Network, October 16, 2003
• Slide 2: Health Hero Network Inc. q 5 years of experience in implementing chronic care improvement programs in 50 medical centers and 2 languages q Patient education and management content for 15 of the most expensive and prevalent chronic diseases q Secure, robust systems and monitoring technologies adaptable to each client’s best practices and medical knowledge q Fundamental chronic care and remote monitoring patents dating back to 1992
• Slide 3: Networks for Patient Centered Care in Chronic Disease 3. Why this is important 4. How to do it 5. Success stories and results 6. Why it is good business today 7. Incremental policy changes to inspire adoption
• Slide 4: 2001 U.S. Hospital Stays By Condition Condition Discharges Expenditure • Congestive heart failure 1,049,818 $17.6 Billion • Chronic obstructive pulmonary disease 603,352 $8.2 Billion • Diabetes mellitus with complications 461,161 $7.2 Billion • Hypertension with complications 244,320 $4.6 Billion • Asthma 389,530 $3.3 Billion Source: Healthcare Cost and Utilization Project, US Agency for Healthcare Research and Quality
• Slide 6: 2001 California hospital costs for ambulatory care sensitive chronic diseases ($) Commercia Uninsure Medicare Medicaid l d Other Total Congestive Heart Failure 2,337,745,702 1,617,662,367 317,364,720 317,125,495 31,921,050 53,672,070 Chronic obstructive pulmonary disease 1,164,626,294 796,343,340 175,002,632 152,248,368 14,498,748 26,533,206 Diabetes with complications 1,126,010,626 529,606,510 249,102,139 238,704,453 40,560,566 68,036,958 Hypertension with complications 826,010,222 512,530,192 159,665,770 116,031,548 12,953,115 24,829,597 Asthma 495,632,558 141,085,020 160,507,413 149,895,954 16,945,280 27,198,891 200,270,72 Total 3,597,227,429 1,061,642,674 974,005,818 116,878,759 2 ,950,025,402 Source: Healthcare Cost and Utilization Project, US Agency for Healthcare Research and Quality
• Slide 7: Why the current model must change: the age wave is a tidal wave 73% 80% U.S.2000-2020 70% Source: U.S. Census, 2000; Age Wave, 2003 60% 54% 50% 40% 30% 20% 10% 8% 7% 7% 3% 0% -10% -20% -10% Under 14 15-24 25-34 35-44 45-54 55-64 65+
• Slide 8: How to do it #1 Focus your attention on chronic patients at risk of being hospitalized • Diagnosis of congestive heart failure, chronic obstructive pulmonary disease, diabetes, hypertension, asthma • Hospitalized in the past 12 months for a complication related to their chronic illness • Over $25,000 in claims in the past 12 months
• Slide 9: How to do it #2 Change your behavior so your high risk patients can change theirs q Provide chronic patients with a support network that includes a care coordinator  break the cycle of isolation and crisis q Guide patients in daily health self-assessment while collecting timely, relevant, actionable data  before the next crisis starts q Use a systems approach to embed your best knowledge into decision support tools  continuously improve quality
• Slide 10: Networks for Patient Centered Care enabled by eHealth Technologies
• Slide 11: Guided Self-Assessment: the key to patient self-improvement
• Slide 12: Additional Data Collection Options Health Buddy® Personal Telehealth Appliance Blood Blood Peak Coagulation Digital Glucose Pressure Flow Meters* Weight Monitors Monitors* Meters* Scale
• Slide 13: Informed Caregivers: Decision Support Systems iCare Desktop™ Risk Stratified View of Daily Patient Status
• Slide 14: Informed Caregivers: Detailed Results Detailed View of Patient Results
• Slide 15: Informed Caregivers: Trend Reports View of Key Clinical Indicators Over Time, and Many Other Reports
• Slide 16: Veterans Administration Demonstration • Veterans Health Administration Community Care Coordination Office, Florida • Telemedicine-based care coordination demonstration project • 791 chronically ill veterans enrolled for 1 year, compared to comparison group data
• Slide 17: VA – Patient Selection • “High Cost (>$25,000) and High Use” patients • High Use is defined as: • Two or more hospital admissions or • Frequent emergency room visits and/or walk in visits or • 10 or more prescriptions • Most common diagnoses: Congestive Heart Failure, COPD, Diabetes, Hypertension
• Slide 18: Veterans Administration Clinical Outcomes • 40% reduction in emergency room visits • 63% reduction in hospital admissions • 60% reduction in hospital bed days of care • 64% reduction in nursing home admissions • 88% reduction in nursing home bed days of care • Significant improvement in Quality of Life (SF36V) Published in: Disease Management, Volume 5, Number 2, 2002
• Slide 19: VA - Patient Satisfaction • 96% of the population said “Yes” to the following questions: • Do you think the Health Buddy technology has helped you stay healthy? • Has having staff monitor you make you feel more comfortable? • Would you recommend this project to other Veterans? • Questions aggregated over multiple locations and disease states
• Slide 20: VA - Provider Satisfaction • 90% of providers reported that communication between themselves and the care coordinators was timely and appropriate • 92% of providers believed the program was beneficial to their patients • 95% of providers would refer patients to the program Published in: Telemedicine Journal and e-Health, Volume 9, Number 2, 2003
• Slide 21: VA – Project Growth • Currently over 1000 patients using the technology platform in Florida alone • VISN 8 renewed program for addition 3 years • Program has been expanded to the Midwest (VISN 19), West (VISN 21), Great Lakes (VISN 10) and upstate New York (VISN 2), with several other sites joining in next sixty days • National VA Office for Care Coordination established in Washington, D.C.
• Slide 22: Chronic Care is Good Business Today q Treat chronic patients in an outpatient setting, freeing hospital beds for higher DRG patients q Informed caregivers can be more effective with their time and focus on the right patients at the right time q Reduce liabilities: failure to monitor known high risk patients is starting to be viewed as a patient safety issue q Increase revenues: Chronic care improvement programs are starting to be paid for by public health agencies and insurance q Provide higher quality care in your community
• Slide 23: Small incremental policy changes can alter the behavior of the entire system Hospital Admissions Over Time
• Slide 24: Small incremental policy changes can alter the behavior of the entire system Hospital Admissions Over Time Diagnostic Related Group (DRG) includes 30 day readmission
• Slide 25: Small incremental policy changes can alter the behavior of the entire system Hospital Admissions Over Time Diagnostic Related Group (DRG) includes 30 day readmission #1 Extend existing DRG to 60 or 90 days
• Slide 26: Small incremental policy changes can alter the behavior of the entire system Hospital Admissions Over Time Diagnostic Related Group (DRG) includes 30 day readmission #1 Extend existing DRG to 60 or 90 days #2 Offer monthly care coordination fee
• Slide 27: Small incremental policy changes can alter the behavior of the entire system Hospital Admissions Over Time Diagnostic Related Group (DRG) includes 30 day readmission #1 Extend existing DRG to 60 or 90 days #2 Offer monthly care coordination fee #3 Redefine patient safety issues and medical errors to include preventable complications in unmonitored high risk patients
• Slide 28: Why are all we here today? • We are dedicated to transforming our healthcare systems for the better while facing one of the greatest challenges of our century • We know that the current crisis driven models of care are no longer sustainable and must change to models that offer continuity of care and prevention • We believe eHealth Networks and Technologies are a key enabler of the modernization of this vital public service
• Slide 29: Empowering eHealth Patients and Innovations Caregivers
• Slide 30: Contact Information Steve Brown, CEO Health Hero Network, Inc. 2570 West El Camino Real, Suite 111 Mountain View, CA 94040 Web: www.healthhero.com