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IFA 2012
Global Conference on Aging

Video Remote Monitoring to
Promote Better Health and
Security

Dr. John Tarrant
118 Old Lafayette Ave
Lexington, Kentucky 40502 USA
JTarrant@MedTechGlobal.com      Creating Value for Health
Our Aging Population
Global Cost of Health Care
        Based on GDP
Chronic Disease as the Main Cause
            of Death
Who Should Receive Video-
         Remote Monitoring
                           Medicare Expendure/Beneficiaries



Expenditures        11,2           18,4                            43,1




Beneficiaries                       50                                         25        5        5




                0    10       20          30   40             50          60        70       80       90
                                                    Percent
How Chronic Disease impacts
      Hospitalization
                                                                         Unnecessary Hospitalizations
                                                   800
Hospitalizations per 1000 Medicare Beneficiaries




                                                   700                                                                                                       697

                                                   600

                                                   500
                                                                                                                                                  455
                     Age 65+




                                                   400
                                                                                                                                       359
                                                   300
                                                                                                                             269
                                                   200                                                             191
                                                                                                         123
                                                   100
                                                                                                71
                                                                                       38
                                                     0               8        19
                                                             1
                                                         1       2        3        4        5        6         7         8         9         10         11

                                                                                   Number of Chronic Conditions
Projected Cost of Chronic Diseases

 By 2030 the Global cost of treating the 5
 most common chronic diseases will surpass
 47 trillion dollars

 That will be 75% of the predicted GDP in
 2030
Reported by the World Economic Forum and the Harvard School of Public
Health, September 2011
Changes to Current System which will
 Improve Chronic Care Management
Four Primary Types of Home
           Monitoring
Telephone
      Follow up on past procedure

Video Connectivity
      Behavior health

Remote Monitoring
      Early stages of a chronic condition

Video-Remote Monitoring
      Detailed monitoring of poorly controlled chronic condition
      or multiple chronic conditions
The Benefits of Video Remote
     Home Monitoring
            video communication

            data collection: Health vital stats

            social interaction
            connecting with family members
            integration of external services:
            meals on wheels
            adult education
            appointment scheduling
Intergration of Health Care
          Services
                       Hospitals




  Relatives                               Community
                                            Services
                         Elder




              Doctor                 Home
                                   Monitoring
Functionality of Video-Remote
         Monitoring
Medical Peripherals

Blood Pressure

Glucometer

Spirometer

Weight Scales

Stethoscope

EKG

Blood Oxygen
Success is a factor of Simplicity

Client Prospective:
      Non-threatening technology
      Easy to use
      Non-intrusive


Clinicians Prospective:
      Availability of health vital stats
      Trend tracking
      Easy to use
Impact of Video-Remote Monitoring
  on Chronic Disease Management
     CHF            CHF         Diabetes        Diabetes         COPD           COPD           Wound          Wound           Ref

    Hosp            ER            Hosp             ER             Hosp            ER            Hosp            ER

    38%             49%            75%             83%            51%            66%                                           1

                                                                                                73%            67%             2

    63%                                                                                                                        3

                                   60%                                                                                         4

    58%                                                                                                                        5


1. F. Bryant. Acadian Telehealth Monitoring Strategic Healthcare Program, LLC
2. R.Rees, N. Bashshur. The Effects of teleWound management Use of Services and Financial Outcomes. TELEMEDICINE and e-
   HEALTH. Vol13.6 2007
3. Montefore Medical Center, Care Management Organization. Health IT News, Research, and Inteligence.at
   www.HealthITNewsDirect.com/?p=327
4. K.Dansky, K. Bowles, L. Palmer. Clinical Outcomes of Telehomecare for Diabetic Patients. The Journal on Information Technology in
   Healthcare 2003; 1(1):61-74
5. M. Domingo, J. Lupon, B. Gonzalez, E. Crespo, R. Lopez, A. Ramos, A. Urrutia, G. Pera, J. Verdu, A. Bayes-Genis Noninvasive
   Remote Telemonitoring for Ambulatory Patients with Heart Failure: Effects on Number of Hospitalizations, Days in Hospital, and
   Quality of Life, CARME study
Impact of Video-Remote Monitoring
   on Chronic Care Management

Decrease in Hospitalizations          60%

Decrease in Emergency Room Visits     66%

Decrease in Hospital length of Stay   3-4 days

Avoidable Nursing Home Admissions     67%
Return on Investment for Video-
          Remote Monitoring
Individuals with 5 or more Chronic Conditions managed with
care coordination and video-remote monitoring:

$1,400.00 per Individual per month savings on decrease
          hospitalization and ER visits

   $600.00 per individual per month program cost

   $800.00 per individual per month net savings
All values are represented in US dollars
IFA 2012: Video Remote Monitoring Promotes Better Health & Security

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IFA 2012: Video Remote Monitoring Promotes Better Health & Security

  • 1. IFA 2012 Global Conference on Aging Video Remote Monitoring to Promote Better Health and Security Dr. John Tarrant 118 Old Lafayette Ave Lexington, Kentucky 40502 USA JTarrant@MedTechGlobal.com Creating Value for Health
  • 3. Global Cost of Health Care Based on GDP
  • 4. Chronic Disease as the Main Cause of Death
  • 5. Who Should Receive Video- Remote Monitoring Medicare Expendure/Beneficiaries Expenditures 11,2 18,4 43,1 Beneficiaries 50 25 5 5 0 10 20 30 40 50 60 70 80 90 Percent
  • 6. How Chronic Disease impacts Hospitalization Unnecessary Hospitalizations 800 Hospitalizations per 1000 Medicare Beneficiaries 700 697 600 500 455 Age 65+ 400 359 300 269 200 191 123 100 71 38 0 8 19 1 1 2 3 4 5 6 7 8 9 10 11 Number of Chronic Conditions
  • 7. Projected Cost of Chronic Diseases By 2030 the Global cost of treating the 5 most common chronic diseases will surpass 47 trillion dollars That will be 75% of the predicted GDP in 2030 Reported by the World Economic Forum and the Harvard School of Public Health, September 2011
  • 8. Changes to Current System which will Improve Chronic Care Management
  • 9. Four Primary Types of Home Monitoring Telephone Follow up on past procedure Video Connectivity Behavior health Remote Monitoring Early stages of a chronic condition Video-Remote Monitoring Detailed monitoring of poorly controlled chronic condition or multiple chronic conditions
  • 10. The Benefits of Video Remote Home Monitoring video communication data collection: Health vital stats social interaction connecting with family members integration of external services: meals on wheels adult education appointment scheduling
  • 11. Intergration of Health Care Services Hospitals Relatives Community Services Elder Doctor Home Monitoring
  • 14. Success is a factor of Simplicity Client Prospective: Non-threatening technology Easy to use Non-intrusive Clinicians Prospective: Availability of health vital stats Trend tracking Easy to use
  • 15. Impact of Video-Remote Monitoring on Chronic Disease Management CHF CHF Diabetes Diabetes COPD COPD Wound Wound Ref Hosp ER Hosp ER Hosp ER Hosp ER 38% 49% 75% 83% 51% 66% 1 73% 67% 2 63% 3 60% 4 58% 5 1. F. Bryant. Acadian Telehealth Monitoring Strategic Healthcare Program, LLC 2. R.Rees, N. Bashshur. The Effects of teleWound management Use of Services and Financial Outcomes. TELEMEDICINE and e- HEALTH. Vol13.6 2007 3. Montefore Medical Center, Care Management Organization. Health IT News, Research, and Inteligence.at www.HealthITNewsDirect.com/?p=327 4. K.Dansky, K. Bowles, L. Palmer. Clinical Outcomes of Telehomecare for Diabetic Patients. The Journal on Information Technology in Healthcare 2003; 1(1):61-74 5. M. Domingo, J. Lupon, B. Gonzalez, E. Crespo, R. Lopez, A. Ramos, A. Urrutia, G. Pera, J. Verdu, A. Bayes-Genis Noninvasive Remote Telemonitoring for Ambulatory Patients with Heart Failure: Effects on Number of Hospitalizations, Days in Hospital, and Quality of Life, CARME study
  • 16. Impact of Video-Remote Monitoring on Chronic Care Management Decrease in Hospitalizations 60% Decrease in Emergency Room Visits 66% Decrease in Hospital length of Stay 3-4 days Avoidable Nursing Home Admissions 67%
  • 17. Return on Investment for Video- Remote Monitoring Individuals with 5 or more Chronic Conditions managed with care coordination and video-remote monitoring: $1,400.00 per Individual per month savings on decrease hospitalization and ER visits $600.00 per individual per month program cost $800.00 per individual per month net savings All values are represented in US dollars