Joseph C. KvedarDirector, Telemedicine

Partners HealthCare Systems

March 9, 2006

Telemedicine hits the medical device industry!

Agenda

• Who We Are: Partners Telemedicine

• Connected Health: Why it is an imperative

• Partnerships/Teamwork

• Lessons Learned

Who We Are: Partners Telemedicine

• Using consumer technologies and online resources to delivery quality care to patients outside the medical setting

• Helping to shape the future of healthcare by creating new ways to deliver care when and where it is needed

• Established in 1995, we are a division of Partners HealthCare with Harvard Medical School-affiliated teaching hospitals, Massachusetts General and Brigham and Women’s Hospitals

Who We Are: Strategic Focus

Services connecting patients and their physicians with specialists at Partners:

• Remote Consultations: online second opinions with leading specialists available via the Internet

• Distance Education: Live, video-conference enabled physician-to-physician education

Research and development initiatives to deliver care when and where it is needed:

• Physiologic monitoring: using sensors and consumer electronics to impact patient care and outcomes

• Connected communications: facilitating improved, trusting communications between patients and providers

• Data solutions: using patient data to drive treatment algorithms and protocols

Agenda

• Who We Are: Partners Telemedicine

• Connected Health: Why it is an imperative

• Partnerships/Teamwork

• Lessons Learned

Connected Health: Why it is an Imperative

Supply and Demand Projections for Nurses: 2000 to 2020

Growth in Chronic Disease

Healthcare Today

Doctor-centric• Scheduled visits

• Patient goes to the medical facility

Connected Health

Patient-centric

• On-going care

• Care when and where it is needed

• Patient has access to their own health data

Agenda

• Who We Are: Partners Telemedicine

• Connected Health: Why it is an imperative

• Partnerships/Teamwork

• Lessons Learned

How We Work: Partners

Provider organizations

Technologypartners

Payers

MassachusettsGeneral Hospital

Brigham and Women’sHospital

Partners HomeCare

CIMIT

Motorola

RelayHealth

VitelNet

MIT

BCBSMA

Large Employers

Benefits Management Co’s

How We Work: Engaging Consumers

Connected Communications

DataSolutions

PhysiologicMonitoring

Usingsensors andconsumertechnologiesto providecontinuouscare

Usingpatient data to drive treatment algorithms, protocols, and user-friendly interfaces

Facilitating trusting, caring communications between patients and providers

Patient

How We Work: From R&D to Operations

Pilot:

• Proof-of-concept

• Useability

• Needs assessment

Clinical Trial:

• Technology and process research

• Evaluate value

Operational Service:

• Permanent resources in place

• Ongoing evaluation

A Success Case: Heart Failure Monitoring

Reimbursement per 60 day episode CHF-primary dx (Medicare): $ 2500. (Patients with Class 3 or 4 CHF)

Home Visits w/out telehealth 2 visits per week x 8 weeks ($110/visit) 1760. (patients in this category normally receive 1-4 visits per week) TeleMonitoring Requirement-5 nursing -home visits 550. Telemonitoring equipment and ASP charge (60 days) 300. Nursing Support ½ hour per week x 8 weeks 120. Tech Support 30. Overhead 50. Telemonitoring Cost 1050. Cost Savings w/ telemonitoring $710./patient

Agenda

• Who We Are: Partners Telemedicine

• Connected Health: Why it is an imperative

• Partnerships/Teamwork

• Lessons Learned

Lessons Learned

• Accuracy: How accurate does the technology need to be?

• Regulatory issues scare people away

• Physicians are capricious customers

• The mobile phone industry is challenging as a health care technology

• Network reliability is a major obstacle

Join the Discussion:http://www.connected-health.org

Thank You

Jkvedar@partners.org