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 Accountable	
  Healthcare	
  Pla0orm	
  for	
  Pa3ent	
  Engagement	
  Solu3ons	
  
Pharmacist	
  Counseling	
  |	
  Mobile	
  Applica3ons	
  |	
  Remote	
  Monitoring	
  
	
  Confiden'al	
  Do	
  Not	
  Distribute	
  
 Accountable	
  Healthcare	
  Pla0orm	
  for	
  Pa3ent	
  Engagement	
  Solu3ons	
  
Pharmacist	
  Counseling	
  |	
  Mobile	
  Applica3ons	
  |	
  Remote	
  Monitoring	
  
Partners	
  
• APhA	
  Founda3on	
  
• Texas	
  Pharmacy	
  Assoc.	
  
• Dallas	
  Nephrology	
  
Associates	
  
• APhA	
  Project	
  IMPACT	
  
Nephrology	
  	
  (begin	
  summer	
  
2013)	
  
• The	
  Camron	
  Group	
  
• Interna3onal	
  Health	
  
Informa3on	
  Exchange	
  
• Health	
  2.0	
  Silicon	
  Valley	
  
In	
  Discussion	
  
• Harvard	
  Medical	
  School	
  
• NY	
  Presbyterian	
  
• Rogosin	
  Ins'tute,	
  
Rothschild	
  University	
  
• Lucile	
  Packard-­‐Transplant	
  
• Santa	
  Clara	
  Valley	
  Health	
  
System	
  
• Wellmark	
  Blue	
  Cross	
  
• SeeChange	
  Health	
  
• Fresenius	
  
• Kroger,	
  Safeway	
  &	
  
Walgreens	
  
• Global	
  Telco’s	
  
• Heritage	
  Health	
  Prize	
  
Leading	
  Teams	
  
• Tiani-­‐Spirit	
  (HIE)	
  
• Hitachi	
  
Awards	
  
•  Finalist	
  Wellmark	
  
BlueCross	
  Blue	
  Shield	
  
Igni'on	
  Compe''on	
  
•  Semi-­‐Finalist	
  	
  	
  
HITLAB’s	
  Healthcare	
  
Innova'on	
  World	
  Cup	
  
•  Data	
  Design	
  Diabetes	
  
US	
  Innova'on	
  
Challenge	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Semi-­‐Finalist	
  	
  
•  Palo	
  Alto	
  Medical	
  
Founda'on	
  Developer	
  
Kickoff–	
  First	
  Place	
  	
  
Source:	
  SHADAC	
  analysis	
  of	
  2009	
  Healthcare	
  Cost	
  and	
  U'liza'on	
  Project	
  
Preventable Hospitalization
Canary Monitoring System
Predicts Hospitalization & Readmission,
Alerts Care Team,
Influences Positive Actions and
Eliminates Preventable Costs
Confiden'al	
  Do	
  Not	
  Distribute	
  
DOCTORS
PROVIDERS
CONSUMERS
CASE
MANAGERS
IMPACTMEDS	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
Hospitalization Risk Indicators
4	
  1	
   8	
  
4	
   8	
  1	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
Raise Awareness for Doctors
by alerting to risk factors affecting outcomes
Doctors
“I	
  think	
  Canary	
  will	
  be	
  very	
  useful	
  to	
  
raise	
  doctor	
  and	
  staff	
  awareness	
  and	
  
improve	
  care.”	
  	
  	
  
	
  
“We	
  can	
  train	
  the	
  staff	
  to	
  
schedule	
  Red	
  right	
  away”	
  
	
  
Canary	
  Design	
  Partner	
  Geoffrey	
  Walker,	
  MD,	
  Dallas	
  
Nephrology	
  Associates	
  
	
  
	
  
“I	
  like	
  it.	
  This	
  could	
  provide	
  
opera'onal	
  support	
  to	
  doctors”	
  
	
  
Canary	
  Design	
  Advisor	
  Albert	
  Lam,	
  MD,	
  Geriatrician	
  Palo	
  
Alto	
  Medical	
  Founda'on	
  
	
  
8	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
CASE
MANAGERS
•  Hospitaliza'on	
  risk	
  alert	
  is	
  
added	
  to	
  the	
  dashboard	
  
•  Overlay	
  or	
  integrated	
  with	
  	
  
case	
  management	
  soeware	
  
•  Here	
  is	
  an	
  example	
  of	
  
Canary	
  integrated	
  into	
  the	
  
Eclipsys	
  case	
  management	
  
plagorm	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
Preemptive Intervention Not Reactive
Joan	
  Archibald 	
   	
   	
   	
  F	
  
Jason	
  Anderson 	
   	
   	
   	
  M	
  
Polo	
  Branch 	
   	
   	
   	
  M 	
  	
  
Pam	
  Bracknell 	
   	
   	
   	
  F	
  
Paul	
  Bamberly 	
   	
   	
   	
  M	
  
Mary	
  Cardinal 	
   	
   	
   	
  F	
  
June	
  Campoly 	
   	
   	
   	
  F	
  
Jay	
  Copeland 	
   	
   	
   	
  M	
  
Ta'ana	
  Docherty 	
   	
   	
   	
  F	
  
Pamela	
  Drummell 	
   	
   	
   	
  F	
  
Yvonne	
  Energi 	
   	
   	
   	
  F	
  
Paula	
  Ebert 	
   	
   	
   	
  F	
  
Ranch	
  Foberly	
   	
   	
   	
   	
  M	
  
Paula	
  Fracknell 	
   	
   	
   	
  F	
  
Pa'ent	
  Name 	
  Hospitaliza'on	
  Risk 	
   	
  Gender	
  
25	
  52	
  
38	
  
12	
  
7	
  
22	
  
8	
  
25	
  9	
  
7	
  
23	
  
32	
  
7	
  
21	
  
25	
  29	
  
16	
  
Pa'ents	
  
Pa'ents	
  
Pa'ent	
  name	
  
Gender	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
52	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
52	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
52	
  
Fred’s	
  Risk	
  of	
  admission	
  is	
  52%	
  in	
  the	
  next	
  30	
  
days.	
  	
  Confidence	
  (0.31,	
  0.76)	
  
	
  
Important	
  Factors	
  
	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
SELF
MONITORING
MEDICATION
NUTRITION
EXERCISE
CONSUMERS
Web:	
  Pa'ent	
  clicks	
  a	
  bumon	
  on	
  
Wellmark’s	
  site	
  to	
  download	
  their	
  
risk	
  report	
  or	
  share	
  it	
  with	
  doctor	
  
Mobile:	
  Pa'ent	
  installs	
  Wellmark	
  
app	
  with	
  Canary	
  to	
  self-­‐monitor	
  
on	
  their	
  phone	
  or	
  share	
  risk	
  
report	
  with	
  doctors:	
  
–  Alerts	
  when	
  hospitaliza'on	
  
risk	
  is	
  high	
  
–  ‘Caring’	
  reinforcement	
  of	
  
posi've	
  behaviors	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
Useful Feedback for Patients
by alerting to real-time risk of hospitalization and missing work
35	
  
	
  Get	
  a	
  Flu	
  shot	
  to	
  Reduce	
  Risk	
  
Canary	
  Monitor	
  
Simple	
  
Visual	
  	
  
Socially	
  Inclusive	
  
Support	
  Care	
  Plan	
  
	
  
Canary	
  Design	
  Partner	
  Jon	
  
Yon,	
  World’s	
  leading	
  Social	
  
Inclusion	
  and	
  Engagement	
  
strategist,	
  University	
  of	
  
Sussex,	
  Victoria	
  Real	
  
	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
35	
  
Contact	
  Doctor	
  Immediately	
  	
  
Canary	
  Monitor	
  
Customize	
  
Rules	
  	
  
Clear	
  Next	
  Steps	
  
	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
35	
  
Contact	
  Doctor	
  Immediately	
  	
  
Canary	
  Monitor	
  
Self-­‐Management	
  
Track	
  Personal	
  Data	
  
Self-­‐Monitoring	
  
Medica'on	
  	
  
Diet	
  
Exercise	
  
Appointments	
  
	
  
Community	
  Pharmacy	
  
Pa'ent	
  Self-­‐Management	
  
Creden'aling	
  Program	
  	
  
	
  
Ben	
  Bluml,	
  VP	
  of	
  Research	
  
APhA	
  Founda'on	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
19	
  
Congratula'ons	
  on	
  your	
  success	
  
Canary	
  Monitor	
  
“Caring”	
  
Messages	
  
	
  
	
  
	
  
Canary	
  Design	
  Partner	
  
Prof.	
  David	
  Paul,	
  Cal	
  State	
  
Doctoral	
  Research	
  on	
  the	
  
Effects	
  of	
  Respect,	
  Regard	
  
and	
  Reward	
  on	
  Outcomes	
  	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
26	
  
Contact	
  Doctor	
  Immediately	
  	
  
Canary	
  Monitor	
  
	
  	
  David,	
  we	
  care	
  about	
  you.	
  	
  
	
  	
  Your	
  health	
  is	
  important.	
  
	
  
	
  
Share	
  with	
  Your	
  Doctor	
  
“Caring”	
  
Messages	
  
	
  
	
  
	
  
Canary	
  Design	
  Partner	
  
Prof.	
  David	
  Paul,	
  Cal	
  State	
  
Doctoral	
  Research	
  on	
  the	
  
Effects	
  of	
  Respect,	
  Regard	
  
and	
  Reward	
  on	
  Outcomes	
  	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  
“Insurance companies are always surveying me and asking me questions….It
seems like they are only interesting in identifying the type of group they have
vs. helping me really improve my health situation.”
Greg Holsen, Media Designer
“They are always pushing me. Its kinda creepy. I might share more with them,
if they gave me something back and I could control who saw it”
Cheryl Vinia, Good Daughter and Flight Attendant, Delta
Contact	
  informa3on:	
  	
  
	
  
Benjamin	
  Bluml,	
  R.Ph.	
  
VP	
  Research	
  &	
  Innova'on	
  
APhA	
  Founda'on	
  
www.APhAFounda'on.org	
  
2215	
  Cons'tu'on	
  Ave.	
  NW	
  
Washington,	
  DC	
  20037	
  
202-­‐429-­‐7571	
  
bbluml@aphanet.org	
  
	
  
David	
  Parpart,	
  D.C.	
  	
  
CEO	
  	
  
Socially	
  Relevant	
  Technology	
  
www.IMPACTMeds.com	
  
440	
  N	
  Wolfe	
  Rd.	
  
Sunnyvale,	
  CA	
  94085	
  
408-­‐421-­‐9508	
  
drparpart@IMPACTMeds.com	
  
	
  
Confiden'al	
  Do	
  Not	
  Distribute	
  

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ImpactMeds Canary Monitoring System

  • 1.  Accountable  Healthcare  Pla0orm  for  Pa3ent  Engagement  Solu3ons   Pharmacist  Counseling  |  Mobile  Applica3ons  |  Remote  Monitoring    Confiden'al  Do  Not  Distribute  
  • 2.  Accountable  Healthcare  Pla0orm  for  Pa3ent  Engagement  Solu3ons   Pharmacist  Counseling  |  Mobile  Applica3ons  |  Remote  Monitoring   Partners   • APhA  Founda3on   • Texas  Pharmacy  Assoc.   • Dallas  Nephrology   Associates   • APhA  Project  IMPACT   Nephrology    (begin  summer   2013)   • The  Camron  Group   • Interna3onal  Health   Informa3on  Exchange   • Health  2.0  Silicon  Valley   In  Discussion   • Harvard  Medical  School   • NY  Presbyterian   • Rogosin  Ins'tute,   Rothschild  University   • Lucile  Packard-­‐Transplant   • Santa  Clara  Valley  Health   System   • Wellmark  Blue  Cross   • SeeChange  Health   • Fresenius   • Kroger,  Safeway  &   Walgreens   • Global  Telco’s   • Heritage  Health  Prize   Leading  Teams   • Tiani-­‐Spirit  (HIE)   • Hitachi   Awards   •  Finalist  Wellmark   BlueCross  Blue  Shield   Igni'on  Compe''on   •  Semi-­‐Finalist       HITLAB’s  Healthcare   Innova'on  World  Cup   •  Data  Design  Diabetes   US  Innova'on   Challenge                             Semi-­‐Finalist     •  Palo  Alto  Medical   Founda'on  Developer   Kickoff–  First  Place    
  • 3. Source:  SHADAC  analysis  of  2009  Healthcare  Cost  and  U'liza'on  Project   Preventable Hospitalization
  • 4. Canary Monitoring System Predicts Hospitalization & Readmission, Alerts Care Team, Influences Positive Actions and Eliminates Preventable Costs Confiden'al  Do  Not  Distribute  
  • 6. Hospitalization Risk Indicators 4  1   8   4   8  1   Confiden'al  Do  Not  Distribute  
  • 7. Raise Awareness for Doctors by alerting to risk factors affecting outcomes Doctors “I  think  Canary  will  be  very  useful  to   raise  doctor  and  staff  awareness  and   improve  care.”         “We  can  train  the  staff  to   schedule  Red  right  away”     Canary  Design  Partner  Geoffrey  Walker,  MD,  Dallas   Nephrology  Associates       “I  like  it.  This  could  provide   opera'onal  support  to  doctors”     Canary  Design  Advisor  Albert  Lam,  MD,  Geriatrician  Palo   Alto  Medical  Founda'on     8   Confiden'al  Do  Not  Distribute  
  • 8. CASE MANAGERS •  Hospitaliza'on  risk  alert  is   added  to  the  dashboard   •  Overlay  or  integrated  with     case  management  soeware   •  Here  is  an  example  of   Canary  integrated  into  the   Eclipsys  case  management   plagorm   Confiden'al  Do  Not  Distribute   Preemptive Intervention Not Reactive
  • 9. Joan  Archibald        F   Jason  Anderson        M   Polo  Branch        M     Pam  Bracknell        F   Paul  Bamberly        M   Mary  Cardinal        F   June  Campoly        F   Jay  Copeland        M   Ta'ana  Docherty        F   Pamela  Drummell        F   Yvonne  Energi        F   Paula  Ebert        F   Ranch  Foberly          M   Paula  Fracknell        F   Pa'ent  Name  Hospitaliza'on  Risk    Gender   25  52   38   12   7   22   8   25  9   7   23   32   7   21   25  29   16   Pa'ents   Pa'ents   Pa'ent  name   Gender   Confiden'al  Do  Not  Distribute  
  • 10. 52   Confiden'al  Do  Not  Distribute  
  • 11. 52   Confiden'al  Do  Not  Distribute  
  • 12. 52   Fred’s  Risk  of  admission  is  52%  in  the  next  30   days.    Confidence  (0.31,  0.76)     Important  Factors     Confiden'al  Do  Not  Distribute  
  • 13. SELF MONITORING MEDICATION NUTRITION EXERCISE CONSUMERS Web:  Pa'ent  clicks  a  bumon  on   Wellmark’s  site  to  download  their   risk  report  or  share  it  with  doctor   Mobile:  Pa'ent  installs  Wellmark   app  with  Canary  to  self-­‐monitor   on  their  phone  or  share  risk   report  with  doctors:   –  Alerts  when  hospitaliza'on   risk  is  high   –  ‘Caring’  reinforcement  of   posi've  behaviors   Confiden'al  Do  Not  Distribute   Useful Feedback for Patients by alerting to real-time risk of hospitalization and missing work
  • 14. 35    Get  a  Flu  shot  to  Reduce  Risk   Canary  Monitor   Simple   Visual     Socially  Inclusive   Support  Care  Plan     Canary  Design  Partner  Jon   Yon,  World’s  leading  Social   Inclusion  and  Engagement   strategist,  University  of   Sussex,  Victoria  Real     Confiden'al  Do  Not  Distribute  
  • 15. 35   Contact  Doctor  Immediately     Canary  Monitor   Customize   Rules     Clear  Next  Steps     Confiden'al  Do  Not  Distribute  
  • 16. 35   Contact  Doctor  Immediately     Canary  Monitor   Self-­‐Management   Track  Personal  Data   Self-­‐Monitoring   Medica'on     Diet   Exercise   Appointments     Community  Pharmacy   Pa'ent  Self-­‐Management   Creden'aling  Program       Ben  Bluml,  VP  of  Research   APhA  Founda'on   Confiden'al  Do  Not  Distribute  
  • 17. 19   Congratula'ons  on  your  success   Canary  Monitor   “Caring”   Messages         Canary  Design  Partner   Prof.  David  Paul,  Cal  State   Doctoral  Research  on  the   Effects  of  Respect,  Regard   and  Reward  on  Outcomes     Confiden'al  Do  Not  Distribute  
  • 18. 26   Contact  Doctor  Immediately     Canary  Monitor      David,  we  care  about  you.        Your  health  is  important.       Share  with  Your  Doctor   “Caring”   Messages         Canary  Design  Partner   Prof.  David  Paul,  Cal  State   Doctoral  Research  on  the   Effects  of  Respect,  Regard   and  Reward  on  Outcomes     Confiden'al  Do  Not  Distribute  
  • 19. “Insurance companies are always surveying me and asking me questions….It seems like they are only interesting in identifying the type of group they have vs. helping me really improve my health situation.” Greg Holsen, Media Designer “They are always pushing me. Its kinda creepy. I might share more with them, if they gave me something back and I could control who saw it” Cheryl Vinia, Good Daughter and Flight Attendant, Delta
  • 20. Contact  informa3on:       Benjamin  Bluml,  R.Ph.   VP  Research  &  Innova'on   APhA  Founda'on   www.APhAFounda'on.org   2215  Cons'tu'on  Ave.  NW   Washington,  DC  20037   202-­‐429-­‐7571   bbluml@aphanet.org     David  Parpart,  D.C.     CEO     Socially  Relevant  Technology   www.IMPACTMeds.com   440  N  Wolfe  Rd.   Sunnyvale,  CA  94085   408-­‐421-­‐9508   drparpart@IMPACTMeds.com     Confiden'al  Do  Not  Distribute