Connected Health Market Development: Recent Results

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Connected Health Market DevelopmentRecent
Results
Connected Health Leadership Summit - 2009
Dr. Sascha Henke, Robert Bosch Healthcare
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Connected Health Leadership Summit - 2009
Agenda

• Situation
• Motivation
• Action

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Connected Health Leadership Summit - 2009
1. Situation

• Demographic shift, patient numbers, chronic
  diseases, long-term care (chronic disease
  treatment gt 70 of healthcare costs).
• Number of nurses and physicians will decrease (gt
  20).
• Policymakers have to perform balance improving
  quality, productivity, effectiveness and
  efficiency of healthcare delivery.
• Most promising approach integrated and
  preventive healthcare
• Telemedicine one of the fastest growing markets
  in the medical device business ? motor for job
  creation in the European Union.

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Connected Health Leadership Summit - 2009
1. Situation
What is Telemedicine/Telehealth?
Doc 2 Patient (RPM)
Doc2Doc
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Connected Health Leadership Summit - 2009
1. Situation
What is Remote Patient Monitoring? Remote
patient monitoring (RPM) uses devices to remotely
collect / send data (using DSL, broadband,
cellular, satellite networks or conventional
telephone lines) to a monitoring station for
interpretation. Such RPM applications include
morbidity relevant vital signs, knowledge and
behaviour as well as therapy management programs
to monitor and manage behaviour of patients
living at home or otherwise outside the expensive
infrastructure of a hospital. Such services can
be used to support any medical service providers
as physicians, hospitals, disease management
organizations and to supplement the use of
visiting nurses.
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Connected Health Leadership Summit - 2009
1. Situation / 2. Motivation

• Communication of EU Commission on Benefits of
  Telemedicine for EU citizens (11/2008)
• Statement Ilias Iakovidis, January 13th, 2009
• In 2009 our priorities are interoperability and
  telemedicine,
• Personal health systems have become a priority
  area,
• Current economic crisis could offer a huge
  opportunity to invest in e-health to stimulate
  jobs and economic growth.
• (Health is wealth)
• E-Health Europe

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Connected Health Leadership Summit - 2009
2. Motivation

• What can we expect from Telemedicine (benefits) ?
  
• Interactive flexible RPM solutions support
  individuals with chronic conditions, by
  telehealth and clinical-intelligence for
  physicians and nurses to make directed
  interventions.
• Fill a gap in the continuum of care
• Early detection of exacerbations / impairment of
  health
• Efficient, exception-based, individualized
  interventions
• Patient empowerment, education, behaviour change,
  motivation
• -gt
• Reduced Hospitalizations Improved Quality
  of Life

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Connected Health Leadership Summit - 2009
2. Motivation
What can we expect from Telemedicine Industry ?
Technology Invented for life, which
means reliable technology, designed to
last technology that accompanies people for a
good part of their lives intelligent,
innovative and beneficial technology to help
make peoples lives easier and more enjoyable
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Connected Health Leadership Summit - 2009
End-to-End Solution to provide a holistic Model
of Care
Patient empowerment
Effective clinical intervention

• System technology based on well established
  Appliance
• User friendly appliance base station and
  peripheral biometric devices,
• Clinical content designed to patient
  condition(s),
• Patient management software and secure IT/data
  infrastructure.
• Implementation and management support provided by
  TM suppliers
• Organisational support to build, integrate and
  operate clinical workflows,
• Management reporting and clinical trials/health
  economic outcomes.
• TM regions Local services provided by local
  partners
• 1st level technical and clinical triage,
• patient home installation, training and
  refurbishment.

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Connected Health Leadership Summit - 2009
System View
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Connected Health Leadership Summit - 2009
Patient empowerment by helping to understand
their Illness and motivate Change in Behaviour

• The start Understand health risk
• Identify potential problems and address causes
  (including co-morbidities and psycho-social
  factors)

• The training Strengthen behavioural change
• Identify change in health status

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Connected Health Leadership Summit - 2009
Effective Clinical Intervention via Clinical
Content and Workflows

• Technology, process and skills in place to adapt
  to customer needs
• Evidence-based content for CHF, Diabetes, COPD
  and co-morbidities available EU covered by 2009
• Key content elements Address vital signs and
  subjective symptoms, behaviour, knowledge rules
  to assess and alert to risks
• Knowledge from various customer projects on role
  of 1st level clinical support, communication flow
  to physicians, escalation procedures
• Address adoption barriers
• Enhance programme effectiveness with emphasis on
  consultative programme design

Therapy Programmes
Clinical Workflow
Other Key Services
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Connected Health Leadership Summit - 2009
Consistent and unparalleled Results

• New four-year VA study shows 19 drop in
  admissions, 25 decrease in bed days with
  population of gt17,000
• University of Colorado COPD study with Kaiser
  shows decreased symptoms, increased exercise
  tolerance, and decreased smoking rates
• Long-term unpublished controlled study shows
  continuously dropping health care costsQuarter
  10 of study showing 32 drop in costs on
  intent-to-treat basis
• 85 of patients in VA are using the Appliance
  daily
• 90 recommend use of System

Improved Clinical Outcomes
Reduced Health Care Cost
High Patient Acceptance
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Connected Health Leadership Summit - 2009
Consistent and unparalleled Results
Dr Darkins et al, 2008
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Connected Health Leadership Summit - 2009
Goal Telehealth Applications all across the
Continuum

• Motivation and instructionon active, healthy
  lifestyle

• Acute state monitoring and emergency interventions

Wellness
At Risk
Chronic Conditions
High-Risk / Complex
Fit healthy
Critically ill

• Guided training (depends on fitness level)
• Instruction on health- conscious behavior

• Monitoring of symptoms and self-assessment

Future
Today
Health management for individuals at any
location, at any time from multiple sources
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Connected Health Leadership Summit - 2009
3. Action

• Challenges in RPM calling for action
• Reimbursement
• Recognized IT/ interoperability standards (?
  scaling)
• Acceptance (physicians and patients medical
  content usability)
• Integrated end2end Solutions (industry
  cooperation with medical/ political)
• Cross EU regions activities/comittees