Published on March 14, 2014
Barcelona Mobile World Congress February 2014 Tackling the Global Challenge of Chronic Disease: Opportunities for Mobile Health Helen Figge, PharmD, MBA, CPHIMS, FHIMSS Six Sigma Black Belt & Sensei Vice President, Clinical Integrations Alere Accountable Care Solutions LLC HIMSS National Liaison, New York State
About Alere Alere is a global leader in health information technology, diagnostics, and healthcare services, with over $3 Billion in annual revenues, 15,000 + employees, 2,200+ healthcare professionals, 800 + clients in the United States, offices in 36 countries, and solutions in use across over 100 countries globally. We offer vast health information technology solutions, integrated medical devices, health services, and population management programs. Our Vision: To empower individuals to take better control of their health under medical supervision and to improve outcomes in healthcare systems globally.
3 A Solution Approach to Health and Wellness High Risk Patients Moderate Risk Patients Low Risk Patients Intensity of Personalized Management Improved Care Standards Targeted Care Management Intensive Case Management Barcelona Mobile World Congress February 2014 • Healthcare connected • Health records activated • Physicians and patients engaged • Better outcomes achieved
4 Alere’s Solution Supporting Mobile Health Initiatives Barcelona Mobile World Congress February 2014 Care Management: Rules identify and stratify patients by disease and severity that enable management of patient-specific alerts by ancillary care providers with direct patient follow up for appropriate chronic conditions. Decision Support: Provides physicians and patients with actionable recommendations from across the connected ecosystem driven by evidence-based rules and guidelines. Devices: Available for most major chronic conditions: ● CHF ● COPD ● Anti-coagulation ● Diabetes Connected to “call home” with patient data
5 Mobile Device Monitoring MEDICATION RECONCILLIATION TRANSITION PLANNING PATIENT AND FAMILY ENGAGEMENT INFORMATION TRANSFER FOLLOW UP CARE HEALTHCARE PROVIDER ENGAGEMENT SHARED ACCOUNTABLITY Mobile Devices Support Hospital to Home Program Alere offers a suite of services in care management, CDS, and diagnostics that transition in-patients to home Barcelona Mobile World Congress February 2014 Point of Care Home
6 Mobile Devices Can Seamlessly…. Barcelona Mobile World Congress February 2014
7 Devices Can Manage and Support the Process that Leads to Health Behavior Change Comprehensively Biometric Devices Patient Health Status Data Exchange Data Interpretation-- Validated, Proprietary Algorithms Behavioral Change--Coachi ng & Connectivity 7 Healthy Outcomes Barcelona Mobile World Congress February 2014
8 Example Alere Anticoagulation and Diabetes Solutions Biometric Device Wireless test value transmission, Behavioral Change— Training & Coaching Ability to Improve Health Outcomes 8 EQUALS Barcelona Mobile World Congress February 2014
9 Weekly testing provides optimal testing reducing PT-INR variability associated with bleeding & stroke risk supporting chronic conditions in need of continuous management Decreasing costs and optimizing outcomes via improving self-empowerment and Rx adherence PT-INR self testing with online automated management associated with improved quality of PT-INR control with a sizeable reduction in major events requiring hospitalization Home INR Monitoring Barcelona Mobile World Congress February 2014
10 Rose (2011). Circulation. Frequent INR Testing Reduces cost and Improves Outcomes Barcelona Mobile World Congress February 2014
11 Patient: After initial face-2-face training, performs home INR test weekly Patient ID Providers will identify patients based on suitability criteria Patient Agreement Requires trainable, consenting patient and PST Rx from physician Physician/Patient: Adjusts Patient medication &/or diet based on results received by Alere Alere: Automatically relays result to patient’s physician via: ● Phone/Fax/Email/CoagClinic/ EMR Interface Alere: Offers provider/payer regular reporting on program enrollment, Patient: Reports results via MobileLink, web, or phone to Alere Optimizing warfarin control Monitoring is Easy… Barcelona Mobile World Congress February 2014
12 Barcelona Mobile World Congress February 2014
13 Care Providing Organizations • 8 Hospitals and EDs • 200+ Ambulatory Practices • 6 Ambulatory Surgical Centers Trading Partners • 4 Imaging Centers • 4 Laboratories • SureScripts Hospital Information Systems • Cerner • Epic • McKesson • Siemens Soarian Berlin Hospital Atlanticare Atlantic City Virtua Voorhees Quest Larchmon t Imaging Atlanticare Galloway South Jersey RadiologyAtlantic Imaging Memorial Hospital Marlton Hospital SureScripts LabCorp Alere Example Representative Connectivity Success: Virtua Health, Southern New Jersey Childrens Philly New Jersey mmuniz. Registry Affiliated Practices Virtua Lab AtlantiCare Lab CHOP Lab Virtua Imaging CHOP Imaging The vision: provide a central source for patient information. Clinician access to patient laboratory, radiology, pharmacy, and visit data from multiple different sources all in one place, allowing care coordination and value-driven care regardless of where data originates. Electronic Health Records • Alere EHR • Allscripts • eClinicalWorks • GE • HMS • NextGen • Practice Fusion • Sage • STI Barcelona Mobile World Congress February 2014
14 Mobile Devices Offer……. ….Common Purpose, Potential for Better Care PATIENT Greater quality of life and satisfaction with care Improved therapy compliance and patient engagement PATIENT Greater quality of life and satisfaction with care Improved therapy compliance and patient engagement INSTITUTION Lower re-hospitalization rates Reduced post-discharge complications Overall quality of care offered to patients INSTITUTION Lower re-hospitalization rates Reduced post-discharge complications Overall quality of care offered to patients PROVIDER Simple, high-quality care management Therapy adherence Patient education with increased patient satisfaction PROVIDER Simple, high-quality care management Therapy adherence Patient education with increased patient satisfaction MOBILE DEVICE Need to be seamless and functional Need to deliver data relevant, meaningful, useful Need to support efforts not hinder them MOBILE DEVICE Need to be seamless and functional Need to deliver data relevant, meaningful, useful Need to support efforts not hinder them Barcelona Mobile World Congress February 2014
15 Questions and Discussion…….
Calcification Inhibitors in CKD and Dialysis Patients
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