Caring for People with Chronic Illness: The Role of Telehealth TechnologyPosted by admin on November 29, 2006 – 5:42 am - |
This is my presentation from the plenary session of Silver Economy, a conference held in Maastricht, Netherlands in November 2006.
Conference Programme
Tuesday 28 November 2006 |
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| 20.00 – 22.00 | Welcome Reception - Registration |
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| 08.00 – 09.30 | Registration with Coffee and Tea |
Plenary Session 1 |
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| 09.30 – 09.40 | Opening Jack van Gelder • Chairman of the day Well known Dutch TV Journalist, Announcer |
| 09.40 – 09.55 | Welcome address Martin Eurlings • Minister Economic Affairs Province of Limburg |
| 09.55 – 10.15 | Strengthening the regional silver economy Marion Gierden-Jülich • Secretary of State for Generations, Family, Women and Integration, North-Rhine Westphalia |
Trends 1 |
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| 10.15 – 10.45 | Turn Silver into Gold - creative entrepreneurship Mary Furlong • Professor Entrepreneurship, Santa Clara University California (USA) Mary Furlong was founder of Seniornet (1986), ThirdAge Media (1996) and Mary Furlong and Associates (2002). The 45- to 64-year-olds are among the fastest-growing population of Internet users, and they spend more time on the web than their college-aged kids. Marketers who want to reach this group have to learn the right code.  Download presentation (Powerpoint) |
| 10.45 – 11.15 | Coffee break |
Plenary Session 2 |
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| 11.15 – 12.45 | Towards a longer working life – ageing and the quality of work life Juhani Ilmarinen • Professor For Age Management and Work Ability Finnish, Institute of Occupational Health Thanks to the pioneering work of Juhani Ilmarinen Finland has won the Bertelsmann Prize this year for outstanding performance in the field of Active Ageing in the Economy and Society. Investments in the Work Ability of workers lead to a return of 12 to 30 times the original investment. Download presentation (Powerpoint)Remote health monitoring and management Stephen Brown • President, Health Hero Network (USA) Stephen Brown is the founder of Health Hero Network, a company now recognized as an industry leading innovator and solution provider for remote health monitoring and management in the USA with cost effectiveness for major healthcare institutions Download presentation (Powerpoint)Chances and choices in an ageing societyDolf van den Brink • former Member of the Board, ABN/AMRO Bank Co-author of the book ‘Vergrijzing Leeft’ on Ageing in The Netherlands – The ABN AMRO Bank is on the forefront of banks who invest in strong relationships with older clients by adapting and developing services. Download presentation (Powerpoint)Bayard: a winning publisher’s strategy targeted to the mature peopleMaxime de Jenlis • General Manager, Bayard Group Benelux De Jenlis developed six magazines for seniors in European countries, one of which is Plus Magazine in the Netherlands with a total circulation of nearly 1 million and a turnover of approx. 50 million Euros, including brand extension activities. Download presentation (Powerpoint) |
| 12.45 – 14.00 | Lunch at Rodahal |
Break Out Sessions 1 |
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| 14.00 – 15.15 |
Health and Lifestyle |
Trends in preventionChairman • Onno van Schayck, Professor Preventive Medicine, co-Director Research Institute CAPHRI Personalized Nutrition - Relevant for the silver generation Health creates wealth – meeting the legitimate demands of an ageing population for innovative and high quality health care Valueing the 50 plus consumer Prevention as a challenge for the health care sector |
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| 14.00 – 15.15 |
Living and Home Environment |
Living and Home EnvironmentChairman • Alex Sievers, Senior Consultant, INBO Advisors Real Estate Senior communities: are they the future? Sun City – recreation in the adult community To develop and build for seniors – challenge of the century Living together – intergenerational living forms |
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| 14.00 – 15.15 |
Work and Income |
| Chairman • Paul Staal, Arbo Unie, vice chairman BOA, chairman STECR, platform ReintegrationAge management and return on investment in older workers Juhani Ilmarinen • Professor For Age Management and Work Ability, Finnish Institute of Occupational Health Thanks to the pioneering work of Juhani Ilmarinen Finland has won the Bertelsmann Prize this year for outstanding performance in the field of Active Ageing in the Economy and Society (‘Towards a longer Worklife!’). Investments in the Work Ability of workers lead to a return of approx. 12 to 30 times the original investment. Download presentation 1(Powerpoint) Download presentation 2 (Powerpoint) |
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| 14.00 – 15.15 |
Tourism and Culture |
TravellingChairman • Dick Knook, Professor of gerontology emeritus, University of Leiden and ‘Senior’ Consultant The future (of tourism) belongs to the seniors: Challenges of a fast growing market A world to win Travelling with a handicap |
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| 14.00 – 15.15 |
Communication and Networking |
Media and CommunicationChairman • Jack van Gelder, Journalist, Announcer Effective communication – how to do it? Innovation in the media: the advance of seniors The ‘50PlusBeurs’ (50PlusFair): the world’s largest communication platform and market place |
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| 15.15 – 15.45 | Coffee Break |
Break Out Sessions 2 |
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| 15.45 – 17.00 |
Health and Lifestyle |
| Chairman • Onno van Schayck, Professor Preventive Medicine, co-Director Research Institute CAPHRICare technology for the silver century Maarten Janknegt • Member of the Board of Directors, Siemens Netherlands NV Arthur de Bos • Project Development, Siemens Siemens´ Medical Solutions division is one of the world’s largest suppliers of the health care industry. The company is reknown for linking innovative medical technology, health care information systems, management consulting, and support services to help customers achieve tangible, sustainable, clinical, and financial outcomes. Download presentation (Powerpoint)Technology as condition and driver for economic participation of senior citizens. Lessons from European comparative studiesLutz Kubitschke • Researcher, Empirica Ingo Meyer • Empirica Empirica is one of Europe’s leading research institutes in the field of technology and ageing. Lutz Kubitschke led programmes such as SeniorWatch which is at the base of many new developments. Scenarios for future independent living |
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| 15.45 – 17.00 |
Business development |
Master class EntrepreneurshipReaching out successfully to baby boomer and senior consumers |
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| 15.45 – 17.00 |
Work and Income |
Workplace InnovationChairman • Paul Staal, Arbo Unie, vice chairman BOA, chairman STECR, platform Reintegration Ireland’s National Workplace Strategy - supporting older workers Age as a part of diversity management: A business case Life course policies in organisations: a quick scan |
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| 15.45 – 17.00 |
Tourism and Culture |
Cultural EntrepreneurshipChairman • Conny Groot, Director of Catharsis Producties Amsterdam The silver economy from a film producers view Cultural entrepreneurs – exploring the silver market Bealtaine Festival Ireland: Celebrating creativity at an older age |
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| 15.45 – 17.00 |
Communication and Networking |
Older consumers in focusChairman • Jack van Gelder, Journalist, Announcer Adapting marketing and product strategies to the untapped silver potential Supermarket for all generations Matching staff and consumers: a winning team |
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| 19.00 – 22.00 | Dine Around Tour, Maastricht |
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| 08.00 – 09.00 | Registration with Coffee and Tea |
Plenary Session 3 |
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| 09.00 – 09.05 | Opening Jack van Gelder • Chairman of the day Well-known Dutch TV Journalist, Announcer |
Trends 2 |
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| 09.05 – 09.45 | Longevity and pension reform – the silver economic perspective Dick Sluimers • acting chairman of the Board of Directors of ABP ABP: the pension fund for employers and employees in service of the Dutch government and the educational sector. With an invested capital of EUR 160 billion and 2.4 million customers ABP is Europe’s largest and the world’s second largest pension fund. Download presentation (Powerpoint) |
| 09.45 – 10.30 | Do’s and dont’s in communicating to aging boomers and seniors – illustrated by TV campaigns from the world Jean-Paul Tréguer • CEO of Senioragency International, the 1st international advertising network dedicated to 50+ consumers, based in 12 countries. Jean-Paul Tréguer is one of the world’s top silver marketers and author of ‘50+ Marketing’ (Palgrave Publisher). |
| 10.30 – 11.00 | Coffee Break |
Plenary Session 4 |
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| 11.00 – 12.45 | The AARP global network on business development Ladan Manteghi • AARP (50 plus member organisation USA) AARP has 36 million 50 plus members, issues ‘AARP The Magazine’ with a circulation of 22 million households, offers its members numerous services. AARP launched the AARP Global Network this year as a business to business association aiming at ensuring the needs of the ever growing global ageing population. Download presentation (Powerpoint)Living in Sun City keeps you aliveDon Schordje • President, Recreation Centres of Sun City (RCSC) The RCSC manages the seven recreation centres in the first active adult community in the world: Sun City. RCSC is a non-profit organization that operates the Sun City recreational facilities for the benefit of its members.Ageing Society: New Opportunities? Peter van Leeuwen • Managing director, ING Bank, the Netherlands Are we to face a collapse of publicly financed pensions, or will a whole range of new arrangements arise to mitigate these financial problems and give way to new ventures? As Managing Director Institutions at ING Peter is responsible for service and product development for the public health sector and the public sector. Peter van Leeuwen also is Managing Director of ING Medinet, the centre of expertise for public health care. ING Medinet regulary publishes (sector related) research and organises events on various health care topics. Download presentation (Powerpoint)
Care technology for the silver century |
| 12.45 – 14.00 | Lunch Rodahal |
Break Out Sessions 3 |
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| 14.00 – 15.15 |
Health and Lifestyle |
HealthChairman • Paul Staal, Arbo Unie, vice chairman BOA, chairman STECR, platform Reintegration Healthy ageing – a consumers perspective The Funding factor: Vitality & Insurances Technology supporting Health & Lifestyle |
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| 14.00 – 15.15 |
Living and Home Environment |
| Chairman • Alex Sievers, Senior Consultant, INBO Advisors Real EstateKey values and senior living, silver power – stimulation program Kees Penninx • Senior Policy Officer, Netherlands Institute Care and Welfare Zilveren Kracht (Silver Power) is a national stimulation program on civil society and living environment. It supports organisations and persons in staying productive and use their skills, knowledge and experience of seniors for the benefit of the community.Regional planning and development Alex Sievers • Senior Consultant, INBO Advisors Real Estate Walter Brouwers • Province of Gelderland INBO is an independent agency for regional planning and development, future vision development for neighbourhood and local community strategies. Sievers took the initiative for the project Senior City. |
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| 14.00 – 15.15 |
Work and Income |
Financial ServicesChairman • Wil Foppen, Director of the Universiteit Maastricht Business School and Associate Dean of the Faculty of Economics & Business Administration of Universiteit Maastricht. Serving the silver economy Some building blocs for a sustainable solution of ageing in Belgium New financial arrangements for seniors |
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| 14.00 – 15.15 |
Tourism and Culture |
Health TourismChairman • Josef Hilbert, Director health Industries - Institute Work and Technology, Gelsenkirchen Creating a European network on health tourism Health and prevention – a new role for spa’s Dutch market for spa’s – a work in progress |
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| 14.00 – 15.15 |
Communication and Networking |
Doing business through seniors organisationsChairman • Jack van Gelder, Journalist, Announcer The AARP global network on business development The big deal Supporting the silver economy – not just for profit |
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Plenary Session 5 |
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| 15.30 – 16.00 | Closing Session Announcement of next conference Award: Winner of the Best Practice Competition Final Conclusions |
Transcript
Slide 1: Caring for People with Chronic Illness: The Role of Telehealth Technology Steve Brown CEO, Health Hero Network 29 November 2006
Slide 2: Our Shared Vision A better model of care serving people who struggle with chronic conditions.
Slide 3: What the world is thinking about right now:
Slide 4: What the world is thinking about right now:
Slide 5: What the world is thinking about right now:
Slide 6: What the world is thinking about right now:
Slide 7: What the world is thinking about right now:
Slide 8: What do we want?
Slide 9: What’s Telehealth Got To Do With It? A Better Model of Care = Change Behavior and Moving Care to the Home
Slide 10: How to Change Behavior and Move Care to the Home • Personal Coaches for Everyone? • Nurses with Phones? • Nurses with Cars? • Doctors with Phones and Cars? Remote Health Management Technology! What Gets Measured Gets Done!
Slide 11: The Market Has Arrived “ r. B ohana, an 82-year-ol W orl W arII M d d vet , has been abl t m ove from l vi i eran eo i ng n hospi underround-t -cl m edi ce he ock cal supervi on t a B rookl st o apart entw i h si o yn udi m t t hel ofa rel i y si pl m oni ori he p at vel m e t ng syst from H eal h H ero N et ork. em t w The hand-hel H eal h B uddy consol , w hi d t e ch pl i o hi phone, del vers hi bl ugs nt s i s ood pressure erans A ffai nurse. and w ei ghtreadi t a V et ngs o rs Ital prom pt hi t answ era seri of so smo es qual t i quest ons abouthi l i at ve i s ung and ci at ai m ent , l ke w het rcul ory l si herhi breat ng s hi i bet erorw orse t t day before. st han he “ s i so si pl a 2-year-ol coul do i , Thi s me d d t” M r. B ohana sai .” d
Slide 12: Success Story: Veterans Administration February 2006 Today • 16,000+ patients enrolled in daily home telehealth with Health Buddy • Deployed in 120+ clinical sites • Over 100 programs for 30+ chronic conditions
Slide 13: Care Management Process with the Health Buddy System Scripted messaging, monitoring and reporting platform Education, monitoring Personalized, remote care and feedback at home management and support.
Slide 14: Technology Enabled Model of Care The Health Buddy System Technology Provider Patient Enabled Directed Centric
Slide 15: Expanding the Reach of the Health Buddy System The Next Step: Platform Independent Content Delivery Solutions
Slide 16: Health Buddy Teleguidance Health Buddy Teleguidance Project Contributors: Health Hero Network • Delivery of Health Buddy Meavita Program content through the Sananet B.V. television with IPTV Impact Media • Pilot Program – Available for Meavita customers in the Netherlands – Initial program for diabetes patients – Health Buddy Teleguidance will Launch in 2007
Slide 17: Care Management Process: Technology-enabled, Provider-directed Model Health Buddy Desktop • Keeps care provider “in touch” with patient – Monitor patient daily – Assess patient risk – Identify change in patient’s health – Intervene before crisis occurs • Improves productivity • EMR Integration • Secure web application
Slide 18: Health Buddy Desktop: Tools to Enable Management by Exception
Slide 19: Health Buddy Programs Adult Asthma 2 Hyperlipidemia • Library of 100+ programs Advanced Illness / Hypertension 1 • Over 30 health conditions Med. Compliance Palliative Care Anticoagulation Myocardial Infarc. • English & Spanish Bipolar Disorder Pain Mgt 2 • Cancer 2 Pediatric Asthma 2 Ready to deploy Caregiver Polypharmacy • Customizable COPD 1 PTSD Coronary Artery 2 Pre-Diabetes Cystic Fibrosis Schizophrenia Depression 2 Sr. Wellness – Evidence based practice Diabetes 1 Substance Abuse guidelines Functional ADLs Smoking Cessation – Patient education Heart Failure 1 Spinal Cord Injury – Care management Hepatitis C Weight Mgt HIV
Slide 20: Care Management Process: Personalized Coaching and Monitoring • Dynamic branching logic collects information on: – Symptoms – Behavior – Knowledge • Delivers unique reply to each patient response in the form of – Call to action – Information / education – Further assessment – Reinforcement / reminder – Acknowledgement
Slide 21: Care Management Process: Creating Feedback Loops Knowledge • Identify high risks & potential problems Behavior • Address needs through dynamic content Symptoms H M L Knowledge • Move risks to lower levels Behavior • Stabilize health status Symptoms H M L • Identify changes in status Knowledge early on Behavior • Manage by exception Symptoms H M L Stabilize Patients Over Time
Slide 22: VA Outcomes 2002: Telehealth Reduces Inpatient Utilization* • 40% reduction in ER visits • 63% reduction in hospital admissions • 63% reduction in hospital bed days of care • 64% reduction in nursing home admissions • 88% reduction in nursing home bed days 1-Year Telemedicine Care Coordination • Significantly improved Quality of Life SF36V Demonstration * Published in Disease Management Volume 5, Number 2, 2002.
Slide 23: VA Outcomes 2005: Telehealth Improves Clinical Outcomes* • Hospitalizations declined from 630 inpatient days pre to 122 during intervention period • Bed Days Of Care fell from 8.63 to 1.65 (p < 0.001) • Blood Pressure: 129/73 to 119/69 (p < 0.05) • Weight: 196 to 192 (p < 0.01) • Shortness of Breath 0-10 Scale: 4.0 to 2.7 (p = 0.02) 1-Year Telemedicine • ACE Inhibitor Avg Daily Dose: 24mg/d to 35 (p < 0.01) Care Coordination -Blocker Avg Daily Dose: 84 mg/d to 94 (p = 0.05) Demonstration * Published in Telemedicine and e-Health Volume 11, Number 1, 2005.
Slide 24: SPAN-CHF II Study 2005: Telehealth Reduces Hospital Readmissions* All Cardiac 2.5 Heart Failure Hospitalizations Re-Hospitalizations 2.0 2.20 63% 1.82 Reduction 72% 1.5 (p=0.029) Reduction 1.0 (p=0.03) 3-Month CHF Study 0.81 0.5 0.51 Hospitalizations PPPY 0.0 Control Health Control Health Buddy Buddy * Presented at American Heart Association Annual Meeting, Scientific Sessions, 2005.
Slide 25: Mercy Study: Compliance Drives Outcomes Medication Compliance as Hospitalization Costs for CHF Measured by Pharmacy Claims patients decreased 52% PPPY and Patient Self-reporting 100% $25 80% $20 $25,013 94% 1-Year Diabetes & 60% $15 HF Study 40% $10 $11,854 34% 20% $5 0% $0 Before Health Buddy Standard Health Buddy
Slide 26: Patient Acceptance Patients enjoy significant improvements in quality of life1 • 95% patient satisfaction2 • 86% better understand their treatment and are better able to manage their health condition • Patients feel more connected to their care provider2 1 Diabetes Technology & Therapeutics, Volume 4, Number 6, 2002. 2. Henry Ford Medical Center, CAD Study, 2004. (n=602)
Slide 27: The People We Serve “Health Buddy is the best thing to come down the pike. When I get up in the morning, I feel confident I am good for another day.” Wally Browning 1941-2006
Slide 28: Contact Information: Steve Brown, CEO Health Hero Network, Inc. 2000 Seaport Blvd. Fourth Floor Redwood City, CA 94063 stevebrown@healthhero.com 650-779-9101
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