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New Canaan Senior Health
Technology & Tele-Health Committee
Health Technology for Seniors In New Canaan:
Initial Inventory of Technology & Tele-Health Tools
September 30, 2011
1
Contents
Page
1. Introduction………….……………………………………………………………...2
2. Health and Wellness Management……………………………………….3
2.1 Educational Resources………………………………………………..5
2.2 Health & Medical Records (Self-kept)………………………...15
2.3 Home Safety……………………………………………………………….24
3. Home Health and Remote Monitor…..………………………………….33
3.1 Vital Sign Monitors……………………………………………………..35
3.2 Meds Dispensers………………………………………………………..50
3.3 Mobile Health Applications………………………………………..58
4. Medical Care Transitions………………………………………………………61
4.1 Video Care and Telehealth………………………………………….63
4.2 Care Plan Management………………………………………………86
5. Recommendations……………………………………………………………….98
Appendix A
2
Introduction
This report offers a comprehensive assessment of health care
technology solutions for seniors who seek to stay in their homes.
There are options for those who require minimal medical care as
well as turnkey systems for those needing more comprehensive
medical monitoring.
3
Health and Wellness Management
Preventive solutions to promote and manage good health
 Educational Resources
 Health and Medical Records (Self-kept)
Home Safety
4
 Educational Resources
Page
5
WebMD
The leading source
for trustworthy and
timely health and
medical news and
information
7 Mayo Clinic
A nonprofit worldwide
leader in medical care,
research and education
for people from all
walks of life.
 Health & Medical Records
Page
15
17
11 Healthline
18
20
A data-driven social networking
health site that enables its
members to share condition,
treatment, and symptom
information
Page
24
Microsoft Blue Button
Activ Doctors Online
A secure way to access your
Personal Health Records
and get Second Medical
Opinions from world-class
medical experts online
PinnacleCare
26
22
Lifecom
Online medical diagnosis
management and
prevention software
Life Alert
A medical system
specifically designed
to protect senior
and all family
members in a home
medical emergency
LifeStation
A medical alert system provides
24/7 monitoring for seniors living
home alone
28
Philips Lifeline
A secure personal medical alert
emergency response service for
seniors and caregivers
30
Freedom Alert
A secure personal medical alert
emergency response service for
seniors and caregivers
Enables secure and private
access to updated health
records twenty-four hours a
day, anywhere in the world
Trusted medical
information to
encourage healthy
living
13 Patients Like Me
A trusted place for
people to organize,
store, and share health
information online
An initiative that allows
veterans to download their
personal health information
from their My HealtheVet
account
9 MedHelp
Connects people with
the leading medical
experts and others who
have similar
experiences
Microsoft HealthVault
 Home Safety
32
Smart Slippers
Wirelessly monitor a patient's gait
to identify pressure signatures.
5
Health & Wellness Management: Educational Resources
WebMD has created an organization that we believe fulfills the promise of
health information on the Internet. We provide credible information,
supportive communities, and in-depth reference material about health subjects
that matter to you. We are a source for original and timely health information
as well as material from well known content providers.
webmd.com/about-webmd-policies/about-what-we-do-for-our-users
6
Health & Wellness Management: Educational Resources
Our Award Winning Content
The WebMD content staff blends award-winning
expertise in medicine, journalism, health
communication and content creation to bring you the
best health information possible. Our esteemed
colleagues at MedicineNet.com are frequent
contributors to WebMD and comprise our Medical
Editorial Board. Our Independent Medical Review
Board continuously reviews the site for accuracy and
timeliness.
WebMD offers credible and in-depth medical
news, features, reference material, and online
community programs. We are proud that
others in the fields of media and health have
recognized our efforts over the years.
7
Health & Wellness Management: Educational Resources
Mayo Clinic is a nonprofit worldwide leader in medical
care, research and education for people from all walks
of life. Doctors from every medical specialty work
together to care for patients, joined by common
systems and a philosophy of "the needs of the patient
come first”.
More than 3,300 physicians, scientists and researchers
from Mayo Clinic share their expertise to empower
you to manage your health.
mayoclinic.org/about/
8
Health & Wellness Management: Educational Resources
Diseases and Conditions
Comprehensive guides on hundreds of conditions
Symptoms
Explore possible causes for your symptoms
Drugs and Supplements
Look up prescription and over-the-counter drug information
Tests and Procedures
What it is, how its done, how to prepare, risks and results
mayoclinic.com/health-information/
9
Health & Wellness Management: Educational Resources
The World's Largest Health Community
MedHelp is the pioneer in online health communities.
The MedHelp site connects people with the leading
medical experts and others who have similar experiences.
Today, MedHelp empowers over 12 million people each
month to take control over their health and find answers
to their medical questions.
medhelp.org/aboutus.htm
10
Health & Wellness Management: Educational Resources
Health Tools
Ask one of our experts
MedHelp works with over 200 doctors and experts from the
top medical institutions. MedHelp experts help millions of
users each month by answering questions in Ask-an-Expert
forums, participating in conversations with members in free
live health chats, and sharing their knowledge and the latest
news in blogs.
Get support today
Real stories, shared experiences, good advice
Manage your health
Health tools, trackers, and apps
medhelp.org/doctor_profiles/expert_activity?personal_page_id=1862218
11
1
33521068
Health & Wellness Management: Educational Resources
Healthline Networks powers intelligent health search, advertising and
content services to a growing network of publishers, advertisers,
destination sites and health plans.
Today Healthline's product portfolio is used by leading consumer media
brands such as Yahoo! Health, AARP.org, MedHelp, and Ask.com to deliver
comprehensive online health search, content and decision support
applications, enabling consumers to quickly and easily get the most
contextually relevant information.
healthline.com/aboutus.jsp
12
1
33521068
Health & Wellness Management: Educational Resources
Healthy Living Directory
Family Health
Featured Healthy Living Content
Healthy Lifestyle
Living with Medical Conditions
healthline.com/directory/healthy-living
13
1
33521068
Health & Wellness Management: Educational Resources
Our Promise
PatientsLikeMe is committed to putting patients first. We do this by providing a better,
more effective way for you to share your real-world health experiences in order to
help yourself, other patients like you and organizations that focus on your conditions.
patientslikeme.com/
14
1
33521068
Health & Wellness Management: Educational Resources
PatientsLikeMe is a health information sharing website for patients. Only
here do patients like you have the opportunity to share both personal
stories and health data about your conditions to help uncover great ideas
and new knowledge.
By sharing information on our site, you can put your disease experiences in
context and find answers to the questions you have. You can:
• know detailed information about every medication, supplement, or
device used to treat patients like you and learn about what works;
• connect easily with patients that have the same conditions, experiencing
the same symptoms or using similar treatments; and
• learn from patients like you.
15
Health & Wellness Management – Health & Medical Records
(Self-Kept)
HealthVault helps you:
Control who uses
and sees the
information in
your account
Monitor chronic
conditions and
share data with
your doctor
Access all of your
family’s important
health information
microsoft.com/en-us/healthvault
Track your progress
and stay motivated
16
Health & Wellness Management – Health & Medical Records
(Self-Kept)
 HealthVault connects with a wealth of online health tools to help you manage
every aspect of your family’s health.
 Get access to your immunization records
 See medication allergies, and family history so that you’re prepared for every
doctor’s appointment and don’t have to waste time filling out the same old forms
 Monitor an aging parent’s health from wherever you are
Stay prepared for emergencies with access and notification tools that work with
your HealthVault records
17
Health & Wellness Management – Health & Medical Records
(Self-Kept)
Blue Button Initiative
An initiative that allows veterans to download their personal health
information from their My HealtheVet account
 Stay prepared and save time with all your records in one readilyavailable place every time you travel, visit a new doctor, or in case of
emergency.
 Track chronic conditions like high blood pressure or diabetes, manage
your numbers with helpful tools, and share your results with healthcare
providers, caregivers, or people you trust.
 Collect and manage valuable prescription information, then use it with
tools to check for interactions
healthvault.com/bluebutton.aspx?WT.mc_id=M11031501&WT.ad=NxN::VetAffairsBlueButton::VetAffairsBlueButton::HvBB::1501
18
Health & Wellness Management – Health & Medical Records
(Self-Kept)
A secure way to access your Personal Health Records
and get Second Medical Opinions from world-class
medical experts online
Use your complete, consolidated, online medical history to
consult with a worldwide network of leading physicians
without ever leaving home
Not sure about your current physician's treatment advice? Ask
our team of more than 1,000 Second Medical Opinion
specialists - and you'll receive advice in 48 hours
activdoctorsonline.com/individuals.php
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Health & Wellness Management – Health & Medical Records
(Self-Kept)
What's Included
 Online Personal Health Records A secure way to store your
personal health records - independently of your insurance
provider or physician's office
 Online Second Medical Opinion consultations Fast. Secure.
 Health History Profile Manager and Past & Current
 Medications Manager. Keep track of your medical history
 Health Calendar. Keep track of appointments, vaccinations,
and more
 Secure online access. 24/7 - from any location
Why choose Activ Doctors Online?
 Lower your medical expenses.
 Consolidate your medical records - and store them
independently of your healthcare provider or physician's office.
 Access your records anytime - from any location.
 Share your information with family members, caregivers, and
doctors simply and efficiently. Make switching insurance
companies a snap.
 Avoid unnecessary procedures and diagnostic tests.
 Avoid becoming the victim of a medical error.
20
Health & Wellness Management – Health & Medical Records
(Self-Kept)
Secure Electronic Health Records
PinnacleCare's secure Electronic Health Records is a tool exclusively for PinnacleCare
members that enables secure and private access to updated health records twenty-four
hours a day, anywhere in the world.
The Perfect Combination - Collection, Review and Immediate Access
PinnacleCare’s unique approach to secure electronic health records is distinct in that
PinnacleCare does the work for its members. All medical records are collected, updated,
reviewed by PinnacleCare Physicians and securely stored electronically for immediate
24/7/365 access.
No other company will manage your secure electronic health records this way.
pinnaclecare.com/
21
Health & Wellness Management – Health & Medical Records
(Self-Kept)
Comprehensive Health Records Collection
Upon becoming a PinnacleCare member we collect and update all of your health records
Physician Review
Once all health records are collected, they are reviewed by PinnacleCare Physicians to
identify any outstanding issues, concerns or risks
 Complete Secure Electronic Health Records Security and Privacy
PinnacleCare members can choose whether they want their secure electronic health
records available online or not
 Organization and Control
Members’ secure electronic health records are stored, organized for easy review and have
universal compatibility for printing or downloading
22
Health & Wellness Management – Health & Medical Records
(Self-Kept)
The Lifecom System brings the best available medical knowledge and judgment directly to the
point of care no matter whether the point of care is an individual’s home, a community outreach
facility or a medical clinic. The individual or medical practitioner uses an intuitive interface appropriate
to their role and training. The System “thinks” the way a medical practitioner does. Patient
information may be entered in any order or sequence and the system was designed to handle
situations where information is incomplete. A wide range of data types are used by the System
including past medical history, current complaint, symptoms, physical examination findings, laboratory
studies, and radiology results.
The built-in artificial intelligence provides diagnostic or management possibilities, based upon the
available data, then poses relevant questions needed to complete the clinical picture. Lifecom’s
artificial intelligence technology is unique in that both qualitative and quantitative analysis is
performed. Patterns of illness that can only be gleaned from observations over time, often from
seemingly unrelated variables, are identified. The entire “reasoning” process, including those
diagnoses that were ruled out, is automatically documented.
lifecomhealth.com/html/company_details/aboutlifecom.html
23
Health & Wellness Management – Health & Medical Records
(Self-Kept)
Lifecom's Clinical Features:
•Diagnostic recommendations to reduce the incidence of missed diagnosis
•Diagnostic refinement questions
•Intuitive, graphically-rich data entry interface
•Reduces cost and time required for documentation
•Improves communication between the clinician and patient through the use of graphics and multi-media
•Documentation of decision making process
•Integrated lifetime patient medical record
•Ability to integrate with traditional EHRs
•Disease management
24
Health & Wellness Management: Home Safety
Life Alert is the Only Company PROVEN to Save Lives From a Catastrophe
• Medical
• Emergencies
• Fire Emergencies
• CO Gas Emergencies
• Intrusion Emergencies
• 911 Direct Cell Phone
• Life Alert Mobile
Lifealert.com
Our Dispatcher talks to you,
whether you can reach a phone
or not and gets help to you fast
Fire
Medical
Police
25
Health & Wellness Management: Home Safety
 Life Alert Emergency Response is a medical system specifically designed to
protect senior and all family members in a home medical emergency
 Life Alert can help seniors remain independent and possibly avoid a
retirement home by sending help fast in the event of a fall, fire, CO gas poison,
and home invasion emergencies
 Senior health and longevity is as simple as a push of a button allowing
independent seniors to live alone without ever being alone
 With Life Alert Mobile Service, HELP is now available through your own cell
phone 24/7, nationwide
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Health & Wellness Management: Home Safety
Emergency services, family,
friends are notified
Press your waterproof
Medical Alert button
Get immediate assistance
from a Care Specialist
lifestation.com/
27
Health & Wellness Management: Home Safety
 Just plug in the console to a phone jack and power outlet and you’re ready to go
 Your medical Alert System includes:
-A waterproof help button so there’s no need to take it off when you’re in the
shower or bath
-necklace, bracklet, or belt clip attachments so you can wear your help button
however you like
 LifeStation offers a variety of other useful accessories and services including
lockboxes for easy and secure entry into your home in an emergency and
additional bathroom and hallway help buttons for protection where you need it
most
28
Health & Wellness Management: Home Safety
Philips Lifeline
Take comfort in knowing your button will call
for help, even if you can't
Summon help
Simply push your Lifeline Personal Help Button. If
you have our NEW Lifeline with AutoAlert*, you
will get an added layer of protection as it will
automatically place a call for help if it detects a fall
and you are unable to push your button
Get assistance
Hear a reassuring voice
No matter the time or day, a trained Lifeline
Response Associate will answer your call,
access your profile, and assess the situation
lifelinesys.com/content/lifeline-products/how-lifeline-works
After assessing the situation,
our associate will contact a
neighbor, family member, or
emergency services based on
your specific needs, and follow
up to confirm help has arrived.
29
Health & Wellness Management: Home Safety
Reliability
Philips Lifeline
Our Response Center is company-owned and supported with a back-up Call Center, so
you can count on us to be there and get you help quickly. At home, our equipment is selfchecking and notifies the response center if it detects a power failure or low battery.
Experience
For more than 35 years, we've focused on creating products to help seniors live
independently at home, including the original medical alert service.
Innovation
Lifeline's engineering team also focuses on purpose-built products. While other medical
alert services may attempt to incorporate less specific equipment, or equipment that's
been designed for other purposes, Philips Lifeline designs every product, interface, and
device to meet the needs of our customers and the reliable, high-quality response services
we offer.
Flexibility
Pay for service on a monthly basis, just while you need it. We won't ask you to sign
a long-term contract, confront hidden costs, or buy special equipment.
lifelinesys.com/content/lifeline-products/how-lifeline-works/why-choose-lifeline
30
Health & Wellness Management: Home Safety
Live independently and safely with peace of mind
The world’s first 2-way emergency pendant communicator
Even though most people strive to live independently, there are times when
living alone means that there is no one to assist you should you need help.
Whether you are a senior, a baby boomer or an adult with aging parents,
FreedomAlert will provide you and your family with the reliable safety and
security when it is most critical.
freedomalert-911.com/
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Health & Wellness Management: Home Safety
Program Up to 4 Numbers
Freedom Alert calls each number in sequence and can be programmed to dial 911
if you choose.
The FreedomAlert system allows you to contact family and friends at the click of a button. It
is the first programmable, 2-way voice communication pendant that quickly puts you in
contact with up to four relatives, neighbors or friends should you need it. All at the touch of
a button. And if your programmed contacts are unreachable, FreedomAlert can be
programmed to dial a 911 operator.
32
Health & Wellness Management: Home Safety
Smart Slippers
Called “smart slippers,” they have pressure sensors embedded in their
soles to transmit foot movement data over AT&T’s network. If something is
amiss in an elderly patient’s gait, the device will alert a doctor via e-mail or
text message, possibly preventing a fall and a costly trip to the emergency
room” Robert Miller, executive director of technical research.
mobihealthnews.com/5675/att-develops-smart-slippers-for-fall-prevention/
33
Home Health and Remote Monitors
Electronic medical devices that measure a patient's vital signs or aid
persons who take medications on a scheduled basis, which may or may
not be transmitted on a monitoring network
 Vital Sign Monitors
 Meds Dispensers
 Mobile Health Applications
34
 Vital Sign Monitors
Page
35
Criticare
nGenuity™ Series Stationary
monitor for patients requiring more
comprehensive monitoring
Page
50
MedSmart MD2 PLUS
Automatic Medication Pill
Dispenser. Never forget your
medications again
37 Welch Allyn
PropaqLT Highly deployable
continuous monitor/Spot Vital Signs®
Mobile monitor for active patients
requiring minimal monitoring
52
The only fully Automatic AED
currently available
Ambulatory physiological solutions
MedReady
Helps persons managing
multiple prescriptions adhere
more easily to their doctor’s
prescription regimen
41 PowerheartAED
42 Philips Equivital
54
MedMinder
Provides services that simplify
medication management and
improve medication adherence
utilizing a electronic pillbox or
pill dispenser
44 Laipac
Manufactures GPS tracking systems, S911
bracelet locator, S-911 personal locator,
Starfinder AVL for personal tracking
45 24eight
Manage and transmit physical activity
(motion and force) to applications and
web based services
47 HealthStats
BProManage Acquires highly reproducible
& accurate real time arterial pulse wave
data and 24-hr Ambulatory Blood
Pressure Monitoring [ABPM]
 Mobile Health
Applications
 Meds Dispensers
54
Vitality™
Glo Cap Through a wireless
chip, helps people stick with
their prescription regimen
Page
58
3D 4Medical
Build My Bod
Medeco’s My RX
Choices
iHealth BP Monitor
Fit Friendly
iManage Migraine
Bio Dictionary
WeightDate
Daily Calorie Counter
FitReach
iPhone Nutrition
WebMD
Pedometer 24/7
Diabetes Log
EmergenKey
Withings Blood Pressure
Monitor
Microsoft HealthVault
WellDoc’s DiabetesManager
35
Remote/Home Health Monitors: Vital Sign Monitors
csiusa.com/?page=vital-signs&section=8100e-ngenuity
36
Remote/Home Health Monitors: Vital Sign Monitors
 For use in hospitals and outpatient facilities but can also be used in homes
 Stationary monitor for patients requiring more comprehensive monitoring
 Monitors:
-Blood Pressure
-electrical activity of the heart (ECG)
-body temperature
-heart rate
-oxygen level in blood (SpO2)
 Optional ETCO2, INCO2, Arrhythmia and ST analysis
 Compatible with popular Electronic Medical Records (EMR) systems
Criticare 8100EP Monitor Base Unit w/ Printer
37
Remote/Home Health Monitors: Vital Sign Monitors
welchallyn.com/documents/Patient%20Monitoring/Continuous%20Monitoring/Propaq%20LT/SM2833EU%20RevE%20071808%20Propaq%20LT%20Spec.pdf
38
Remote/Home Health Monitors: Vital Sign Monitors
 For use in hospitals, outpatient facilities and homes
 Mobile monitor for patients requiring more comprehensive monitoring
 Monitors:
-Blood Pressure
-electrical activity of the heart (ECG)
-heart rate
-respiration
-oxygen level in blood (SpO2)
 Wireless connectivity option to Welch Allyn Acuity® Central Station via
FlexNet™ 802.11a
 The Protaq LT can communicate with any Windows® 2000/XP PC via USB port,
allowing the user to custom-configure the monitor and print or export the data
Welch Allyn Propaq LT with ECG, Resp, Nellcor SpO2, NIBP, Charging Cradle with USB
39
Remote/Home Health Monitors: Vital Sign Monitors
claflinequip.com/media/Catalog/Brochures/cess-9410-00.pdf
40
Remote/Home Health Monitors: Vital Sign Monitors
 For use in hospitals, outpatient facilities and homes
 Mobile monitor for active patients requiring minimal monitoring
Monitors:
-Blood Pressure
-body temperature
-oxygen level in blood (SpO2)
-weight (Connects to select Health o Meter or Tanita® digital scales)
Error messages give you descriptions and real solutions – not just error codes
Comes connectivity ready, allowing you to interface with the Electronic Health
Record System you have now or one you’ll get in the future
Welch Allyn Spot LXi (BP, Nellcor Sp02, Temp)
41
Remote/Home Health Monitors: Vital Sign Monitors
Features:
Rescue Ready defibrillator technology self-tests all
main components (battery, hardware, software, and
pads) daily. Powerheart Automatic and Semi-Automatic
Defibrillators complete a partial charge of the highvoltage electronics weekly, and a full charge monthly.
Calculates electrical impedance and if subsequent
shocks are necessary, our proprietary STAR biphasic
technology escalates the energy to deliver therapy at an
appropriate, higher level.
Benefits:
Reliability. Both Powerheart automatic and semiautomatic defibrillators are Rescue Ready when
needed.
Simplicity. Almost anyone can use these defibrillators.
Reassuring. The AED knows when to (and when not to)
deliver the defibrillation shock so users don't have to
worry about "doing it right."
Comprehensive. The text screen is helpful in noisy and
chaotic environments.
42
cardiacscience.com/cardiology-products/aed-defibrillator/portable-aed-machines-powerheart-aed-g3-automatic-semiautomatic-defibrillators.php
Remote/Home Health Monitors: Vital Sign Monitors
cpapaustralia.com.au/media_files/eq-research-brochure.pdf
43
Remote/Home Health Monitors: Vital Sign Monitors
The Dermal Patch:
XHR sensor is an innovative, compact device
that wirelessly transmits Heart Rate and
Respiration Rate
Jonah™: The Ingestible Capsule:
http://vitalsense.respironics.com/
Disposable, ingestible core temperature sensor
bmedical.com.au/shop/core-body-temperature-capsule-ingestable-jonah.html
44
Remote/Home Health Monitors: Vital Sign Monitors
S-911 Bracelet Locator - HealthCare
Monitoring Those With Cognitive Disorders
 Bracelet aimed at anyone with a cognitive
disorder that might cause them to wander off
 Real-time GPS tracking
 Ability to geo-fence, with the device sending
 Notification if the wearer leaves a certain area
 Two-way communication built in, including an
Auto-answer feature in case wearer cannot
 G Sensor shock alert Alert impact, accident or
tamper detection
 Weight: 0.5kg
Source: Circle Square HIT Trends, June 2011
45
Remote/Home Health Monitors: Vital Sign Monitors
24eight is a wireless sensor device
and network development company
that uses microelectronic sensing
materials, wireless communications
(cellular and local area
networks/body worn) and an analytic
engine of proprietary algorithms to
manage and transmit physical activity
(motion and force) to applications
and web based services
24eight.com/products.html
46
Remote/Home Health Monitors: Vital Sign Monitors
Shirts capture 3-D body-based
Insoles capture foot plantar
pressure distributions and 3-D foot
motion. The insoles are capable of
edge-based processing, such as
directional stride analysis, specific gait
monitoring, and other
pressure/motion patterns for event
processing
pressure and motion through sensory
nodes and capable of performing
edge-based processing, such as
respiratory motion analysis, specific
motion monitoring and event
processing. Shirts can also provide
wireless EKG, as well as skin surface
temperature-based heart rate analysis
Hand grips capture hand pressure
Bracelets capture 3-D wrist-based
distributions and 3-D hand motion.
The hand grips are capable of edgebased processing, such as directional
reach analysis, specific pressure and
motion exercise monitoring, and other
pressure/motion patterns for event
processing
motion and are capable of edge-based
processing, such as directional motion
analysis, specific motion monitoring
and event processing. Bracelets can
also provide wireless skin surface
temperature-based heart rate analysis
47
Remote/Home Health Monitors: Vital Sign Monitors
BPro® Radial Pulse Wave Acquisition Device
BPro® is a revolutionary device that provides the
medical practitioners and researchers alike with
unprecedented capabilities in acquiring highly
reproducible & accurate real time arterial pulse
wave data and 24-hr Ambulatory Blood Pressure
Monitoring [ABPM].
healthstats.com.sg/en/bpro-radial-pulse-wave-acquisition-device-2.html
48
Remote/Home Health Monitors: Vital Sign Monitors
BPro® EVBP® Technology
BPro® incorporated a patented technology termed as
Modified Applanation Tonometry. This technology is
coined as EVBP® technology.
EVBP® stands for Evidence-Based Blood Pressure.
HealthSTATS BPro® ABPM device implements the
measurement at the radial artery of the wrist.
The wrist strap system is specially designed to ensure
that the sensor system mounted comfortably on the
radial artery position. At the same time, together with
the sensor housing, it provides constant applanation to
the artery without compromising the comfort of the
wearer.
A 24-hr macroscopic view of BP patterns, including
blood pressure, heart rate, mean arterial pressure and
pulse pressure
 Real time microscopic arterial pulse waveform analysis.
healthstats.com.sg/en/bpro-evbp-technology.html
49
Remote/Home Health Monitors: Vital Sign Monitors
Monitor
Price Range
Vendor
Blood Pressure
$13 -$190
Walgreens/nextag.com
Cholesterol
$10 - $25
Walgreens/nextag.com
Pulse Oximeter
$15 - $165
Walgreens/nextag.com
Thermometer
$1 -$75
Walgreens/nextag.com
Urine Analyzer
$26 - $1,000+
www.nextag.com
Hemoglobin Analyzer
$575 - $1,110
www.nextag.com
$14 - $60
Walgreens/nextag.com
Diabetic
* out of scope
50
Remote/Home Health Monitors: Meds Dispensers
MedSmart MD2 PLUS
epill.com/medsmartplus.html
51
Remote/Home Health Monitors: Meds Dispensers
 e-pill MedSmart MD2 PLUS Monitored Automatic Pill
Dispenser (No Monthly Fees) will notify a remote caregiver if
meds have been missed. Medication Management Made Easy.
 This e-pill Organizes, Reminds, Dispenses and Notifies.
MedSmart PLUS will notify the caregiver if medications have
been missed by Phone, e-mail or Text Message
Locked Monitored Automatic Pill Dispenser. No Monthly Fees.
 Never forget to take your medications again! Feel Better.
Avoid Medication Errors. Right meds every time.
If meds are not taken, this e-pill will call you after sounding
the alarm for 60 minutes
52
Remote/Home Health Monitors: Meds Dispensers
MedReady Pill Dispenser
How it works…
Easily adhere to prescription regimens
1
3
Alarm sounds when dose
is ready, if not taken, unit
will contact Care Center
2
“Ed, this is the Care
Center. It’s time to take
your medication.”
“Oh, OK thanks for the
reminder, I guess I didn’t
hear the alarm. I was so busy
that I did not realize it was
time to take my pills. I will go
in and take them right now.”
monitoringcare.com/products/medication-management/index.asp
53
Remote/Home Health Monitors: Meds Dispensers
MedReady pill dispenser was designed to help persons managing multiple
prescriptions adhere more easily to their doctor’s prescription regimen
 easy-to-use pill dispensers can release 28 doses up to 4 times per day.
A client, caregiver, or medical professional can load the medications, set the clock,
program the alarm, close and lock the lid. When the time comes to take your next dose,
the alarm will sound and the dose will rotate into position. The alarm stops when the
dose is taken out.
 VRI’s medication dispensers are monitored by our Care Center which means if you or
your loved one misses a dose we can follow up and make sure that adherence occurs.
54
Remote/Home Health Monitors: Meds Dispensers
MedMinder Pill Dispenser System
medminder.com/Medication-Management-System
55
Remote/Home Health Monitors: Meds Dispensers
Easy to Set Up and Use
 Maya is equipped with wireless technology (internal cellular modem) that updates MedMinder's central computer
about the patient's dosage activity. This information is available, over the web, for caregivers who can also receive
immediate email or text messages notifications and weekly reports.
At the patient's home, there is no need for a computer, phone line, wireless router or any other form of Internet access.
Patient reminders: When it's time to take a medication, the appropriate compartment flashes. If the cup is not removed
within the assigned timeframe, the patient can get auditory prompts as well as optional automatic phone calls, text
message and emails.
Remote monitoring capabilities: Maya keeps records of patient activities. The caregiver can access this information via
the Internet or receive real-time email or text messages notifications. Weekly email reports are also available.
Two easy re-filling options:
Manual: Simply lifting Maya's lid opens all of the 28 compartments, allowing the caregiver or patient to place the
medications in the proper cups
Pre-filled tray: Maya also accepts MedMinder-supplied trays pre-filled by a pharmacist or caregiver. This feature greatly
reduces the risk of medications errors and ensures all compartments are correctly filled.
56
Remote/Home Health Monitors: Meds Dispensers
Simply the Best Way to take Your Medication
The wireless reminder light plugs
into a kitchen or bathroom outlet
and pulses orange when it is time
to take a pill.
About half of America is on at least one prescription medication, and
most are challenged to take their pills as prescribed.
GlowCaps help people stay healthy, independent, and vital.
rxvitality.com/glowcaps_howglowcapswork.html
57
Remote/Home Health Monitors: Meds Dispensers
GlowCaps fit popular prescription bottles available at Walgreens and other retail
pharmacies. Inside the GlowCap is a wireless chip that enables four services.
Collectively, the services help people stick with their prescription regimen.
1. Reminders Ramp from Subtle
to Insistent
GlowCaps use light and sound to
signal when it is time to take a
pill. GlowCaps sense when the
bottle is opened and wirelessly
relay their status to Vitality’s
secure network. If the bottle is
not opened two hours after a
scheduled dose, the user is
automatically reminded with a
telephone call that states: “It’s
time to take the pill in your green
GlowCap.”
3. Refill Coordination
GlowCaps can even call with
refill reminders and connect
the patient to their pharmacy
as pills deplete.
2. Social Support
Each week, a report
summarizing progress is
e-mailed to the GlowCap
user. If the user chooses, a
family member, friend or
care-giver may also
receive the report.
4. Doctor Accountability
Each month GlowCaps
mail you a printed report.
The report may also be
sent to your doctor.
58
Remote/Home Health Monitors: Mobile Health Applications
* out of scope
59
Remote/Home Health Monitors: Mobile Health Applications
Bio Dictionary
SAP EMR
Daily Calorie Counter
Platform: iPhone
Price: Free
Platform: iPhone Oct 2011
Android in 2012
Price: TBD
What it does: The EMR’s feature set
includes access to patient records,
medication history, radiology images,
medical allergies and a real-time view of
patient vital signs that alerts doctors to
abnormal levels.
Platform: iPhone
Price: Free
What it does: Bio Dictionary
covers most of general biological
terms. Two methods are offered
for searching. Terms and their
explanations are audible!
FitReach
Platform: iPhone
Price: Free
What it does: This program allows
you to view your gym training for
the day, track your diet and
manage your weight goals, all
from the iPhone interface.
What it does: Get an estimate of
how many calories you should be
eating each day with this calorie
intake calculator.
WebMD
iPhone Nutrition
Platform: iPhone
Price: Free
Platform: iPhone
Price: Free
What it does: This application
allows you to enter in a food and
get all the nutritional information
on it you’ll need.
What it does: WebMD helps you
with your decision-making and
health improvement efforts by
providing mobile access 24/7 to
mobile-optimized health
information and decision-support
tools
Pedometer 24/7
Diabetes Log
EmergenKey
Platform: iPhone
Price: Free
Platform: iPhone
Price: Free
Platform: iPhone
Price: Free
What it does: Pedometer 24/7 is a
pedometer for your iPhone. You
can use it 24 hours, 7 days per
week. Ideal for walking, jogging
and running.
What it does: The Diabetes Log
app allows diabetic patients to
keep track of all their vital
information--glucose readings,
food intake and medical records-all in one place. Patients can also
keep track of past records with
this app.
What it does: The EmergenKey
app allows patients to keep track
of important health information
wherever they go.
* out of scope
60
Remote/Home Health Monitors: Mobile Health Applications
Microsoft HealthVault
Platform: iPhone, Android
Price: Free
Withings Blood Pressure Monitor
What it does: users who visit
http://healthvault.com on their
mobile device will now automatically
see their information in a layout
specially-designed for quick access
during a health encounter. Filling out
that clipboard AGAIN? Just pop up
your browser and know exactly when
you had that last tetanus shot, what
year your knee surgery was, or how
to spell hydrochlorothiazide.
http://www.ditii.com/2011/06/07/healthvault-gets-mobile-phone-support-facebook-authentication/
Platform: iPhone
Price: $129.99 for hardware, App FREE
What it does: The only "BP cuff in the
world to connect directly into any iOS
device. Results are saved denoting
dates and time of day for each reading,
to help when comparing morning,
afternoon and evening readings. You
can share results with your doctor via
an integrated email link or sync with
personal health record sites like
Microsoft HealthVault that your doctor
can access.
CollabRX's Targeted Therapy Finder-Melanoma
Platform: iPhone
Price: Free
What it does: Helps cancer
patients and oncologists identify
the best tests, treatments, and
clinical trials for the type of skin
cancer a person has. The app was
created through collaboration
between software services firm
CollabRX and the American
Society of Clinical Oncology.
http://www.informationweek.com/news/galleries/healthcar
e/mobile-wireless/229402535?pgno=8
news.cnet.com/8301-17938_105-20072505-1/withings-releases-iphone-blood-pressure-monitor/
WellDoc's DiabetesManager
Platform: iPhone
Price: Free
What it does:A real-time virtual coach for
Type 2 diabetic patients. They log their
medication and carbohydrate intake,
blood glucose, and other readings into
mobile devices such as smartphones,
laptops, and tablets. Using the patient's
data, behavioral algorithms provide
automatic, real-time virtual coaching,
including reminders to patients about
testing, medicine, lifestyle adjustments,
and meal recommendations.
http://www.informationweek.com/news/galler
ies/healthcare/mobilewireless/229402535?pgno=5 61
Medical Care Transitions
The planned coordination and continuity of health care
from hospital to home
 Video Care and Telehealth
 Care Plan Management
* out of scope
62
 Video Care and Telehealth
Page
63
Philips
Telemonitoring devices enable
home care agencies and
healthcare providers to
remotely monitor chronic
disease patients in their homes
Page
73
76
An award-winning telehealth
services, telemonitoring
products, and chronic disease
management solutions provider
80
Robert Bosch Healthcare
Connects patients and care providers on
a regular basis providing individual
patient care
Advanced motion sensor technology
providing personalized care while
maintaining dignity and independence
Provides technology to assist care
providers in caring for at-risk
populations with a fully integrated
approach to Healthcare automation
Visiting Nurse & Hospice Ffld Cty
Combines sophisticated, leading
technology with sound clinical expertise
to develop easy-to-use systems for
patients and health care providers
68 GEQuietCare®
69 Healthsense/Verizon
Telehealth solutions that include
the necessary hardware, software,
and network infrastructure to
facilitate a turnkey application
78
67 Orcatech
Seeks to facilitate successful aging
and reduce the cost of healthcare
through development of key
independent living technologies
AT&T Partnership
Provides basic healthcare, monitoring, &
education to patients, enabling them to
remain safely at home, using
telecommunication technologies to
communicate directly with a nurse
65 Cardiocom
82
Boston LifeLabs
A healthcare technology company
dedicated to research and
development of Telehealth Systems
84
 Care Plan Management
Ideal Life
The first easy and affordable system to
remotely manage health and wellness,
especially for chronic conditions
Page
86
88
United Healthcare
Our proactive program offers
customized support, education,
and care management
Healthways
The Well-Being Improvement
Company, providing
comprehensive solutions to
millions across the globe
90
Health Dialog
A leading provider of care
management, healthcare
analytics, and decision support
92 Kaiser Permanante
Where health care professionals
and physicians work together to
deliver the best evidence-based
clinical approaches to improve
care delivery
94 McKesson
Integrated Health Solutions
transforms the process of Care for
Payors, Providers, Employers &
Patients
96 Aetna
Helps “at-risk” members achieve
better health through effective
63
patient management
Medical Care Transitions: Video Care/Telehealth
Comprehensive telehealth solutions for effective
remote patient monitoring and home care visits
Blood Pressure/ Pulse Unit
Scale
TeleStation
ECG
Steady Scale
Glucometer Connector Cable
healthcare.philips.com/main/products/telehealth/products/telehealth_solutions.wpd
64
Medical Care Transitions: Video Care/Telehealth
 Simple, convenient and wireless One-button, automatic operation for patient ease of use
 Large LCD screens, buttons and fonts for easier viewing
 Audible and visual prompts
Battery-operated for convenient location in the home
 Patients use wireless measurement devices to take their own vital signs and respond to
personalized, clinician-directed surveys using the TeleStation – the communication platform
that automatically transmits both subjective survey responses and objective measurement
results to Philips secure server
 Clinicians can access the web-based Clinical Review Application to view patient data,
customize health surveys and use decision-support tools that support effective chronic care
management
65
Medical Care Transitions: Video Care/Telehealth
The only telehealth company that offers a full line of telehealth software,
hardware, and peripheral devices designed and manufactured by a single company.
cardiocom.com/integrated_systems.asp
66
Medical Care Transitions: Video Care/Telehealth
GLUCOCOM
This innovative solution eliminates the need
for log books and provides daily remote
monitoring of blood glucose readings to help
healthcare providers improve patients’ glycemic
control, prevent or delay complications, and
reduce potential health risks by addressing
warning signs early
 Is easy to set-up and easy to use for both
patients and healthcare providers
COMMANDER FLEX
 Offers an unprecedented array of unique, telehealth features
such as: Active Voice, Branching Logic, Rotations, Two-Way
Messaging, Multi-Format Survey, Integrated Blood Pressure
with Smart Sensing, Integrated Cellular and Remote
Programming
 Modular design allows you to select vital sign measurement
devices that provide the most appropriate and cost-effective
care
 Simplifies home telehealth management and education for
patients with complex conditions such as: heart failure,
hypertension, COPD, asthma, diabetes, chronic kidney disease
and end stage renal disease
TELESCALE
 A proven, home telemonitoring system that
can reduce acute care hospital admissions for
Heart Failure
 Combines a fully interactive telehealth
system with precision electronic scale for
proactive management and
67
Medical Care Transitions: Video Care/Telehealth
68
Medical Care Transitions: Video Care/Telehealth
GE Quietcare: 24 x 7 camera-free, resident monitoring
 In the eldercare community, residents go about their daily routine with privacy and independence intact.
 Motion sensors are placed throughout apartment to track resident activity.
 Resident activity is relayed by the sensors to a data communicator.
 Data communicator transfers information to the off-site server of Intel-GE Care Innovations™.
 Software analyzes data looking for emergencies and significant changes in daily routine.
 Alerts for potential emergencies are sent to the staff so they can respond promptly.
 Password-protected, full resident reports are also available on-line.
careinnovations.com/Products/QuietCare/HowItWorks.aspx
69
Medical Care Transitions: Video Care/Telehealth
Alliance Will Promote Cost-Effective
Monitoring and Response Systems
Among the technologies offered by
Healthsense are:
• Healthcare alert systems to notify
caregivers of emergency medical needs
• Electronic health monitoring and
medication prompts
• Remote vital-sign monitoring systems
healthsense.com/images/stories/pdfs/eneighbor_pds.pdf
Verizon offers its advanced FiOS all-fiber-optic network
* out of scope
healthsense.com/images/stories/pdfs/verizon_press_release.pdf
healthsense.com/index.php/products/personal-emergency-response-system
70
Medical Care Transitions: Video Care/Telehealth
Healthsense will market its home health-monitoring and response systems
to those senior-living communities currently served by Verizon’s FiOS
network, as well as to prospective FiOS-served communities
The eNeighbor remote monitoring system uses a series of small,
unobtrusive sensors (no cameras, and no microphones are used)
that work together to monitor a resident's daily routine.
Sensors are placed strategically throughout the residence to detect
general activity, or "Activities of Daily Living."
The system looks for basic activities, such as movement in the living
room or bedroom or the opening and closing of the refrigerator or
front door, and establishes a normal range for these activities.
 Automatically detects need for assistance
 Integration with Vital Sign monitoring devices
 Custom monitors designed for wandering, falls or missed medication
 Custom voice prompts to remind staff or resident to complete a desired task or action
 Authorized users can review activities of daily living information through a secure web
portal and information can be sent to staff, family or a physician via email
 All events are logged, time-stamped and stored in the secure Healthsense Data Center
out of scope
Operates on a*secure
Wi-Fi platform
71
Medical Care Transitions: Video Care/Telehealth
Healthsense will market its home health-monitoring and response systems
to those senior-living communities currently served by Verizon’s FiOS
network, as well as to prospective FiOS-served communities
 Supports blood pressure monitor, glucometer, pulse oximeter and scale
 Custom voice prompts to remind staff or resident to complete a desired task
 Authorized users can review information through a secure web portal and information can be sent to
staff, family or a physician via email
 All events are logged, time-stamped and stored in the secure Healthsense Data Center
 Custom threshold settings can trigger phone calls or emails to a caregiver or physician if a reading is
out of the acceptable range
 Easy installation
 LEDs and tones indicate a successful reading
* out of scope
72
Medical Care Transitions: Video Care/Telehealth
Healthsense will market its home health-monitoring and response systems
to those senior-living communities currently served by Verizon’s FiOS
network, as well as to prospective FiOS-served communities
Personal Emergency Response System
PERs+ is a package for active seniors who communicate with others regularly, but would like the
added assurance of a monitoring system.
The PERs+ system goes beyond traditional emergency call systems by using both an emergency
call pendant and an additional wireless sensor that tracks a daily activity.
The additional Activity of Daily Living sensor, or ADL sensor, allows the PERs+ system to operate as
a passive check-in system. For example, the ADL sensor could be placed on the refrigerator and
monitor that the refrigerator is opened within a certain time frame each day.
If the ADL sensor does not detect the expected daily activity, a check-in call can be sent to the
senior, family member, neighbor, etc. The PERs+ system can also support custom check-in or task
reminder calls per individual needs.
* out of scope
73
Medical Care Transitions: Video Care/Telehealth
AT&T has engaged Cisco, Polycom, Avaya, and AMD Global Telemedicine
to deliver a variety of end-to-end Telehealth solutions that include the
necessary hardware, software, and network infrastructure to facilitate a
turnkey application. Telehealth Solutions from AT&T enable healthcare
providers to:
 Monitor and respond to patients’ key health indicators remotely
 Save money by eliminating the need for patient and caregiver travel
 Provide enhanced access to medical specialists
 Improve healthcare outcomes for patients
 Provide a cost-effective, convenient means for long-distance healthcare
training and continuing education.
* out of scope
corp.att.com/healthcare/telemedicine/
74
Medical Care Transitions: Video Care/Telehealth
 AT&T Unified Communications solutions and store-and-forwarding imaging capabilities provide the hardware and
software needed for real-time, voice, web & video collaboration
 AT&T Infrastructure solutions can respond to rapid changes in your networking requirements
 AT&T Mobility technologies and applications enable access and sharing of data from virtually any location
* out of scope
75
Medical Care Transitions: Video Care/Telehealth
AT&T’s role is communicating the sensor-collected health data securely through the broadband
network and allowing doctors and others to view and interpret it, making remote health monitoring
possible and shifting healthcare from expensive medical facilities to the home. The wealth of highquality medical data will also change the healthcare model from one of sickness treatment to one
of wellness maintenance.
One example of a needed standard is the choice of wireless protocol for transmitting sensor data
from devices to the AT&T broadband networks. Wi-Fi and Bluetooth are possibilities, but AT&T
Research is focusing on ZigBee, since its radios send small packets of data, such as temperature or
glucose readings, using much less battery power than point-to-point radios such as Bluetooth.
For device-makers, AT&T Research is demonstrating how ordinary, standalone health devices—
scales, pill dispensers, blood-pressure meters, pulse-oximeters, glucometers—can become wireless,
portable Personal Health Devices (PHDs) capable of storing and transmitting medical data.
* out of scope
76
Medical Care Transitions: Video Care/Telehealth
* out of scope
visitingnurse.net/
77
Medical Care Transitions: Video Care/Telehealth
 The Home TeleHealth system consists of two components: a patient station and a central
station. The patient station is a small, self-contained and easy-to-use device that is installed in
the patient's home. This system links directly with a central station at the main office of
Visiting Nurse & Hospice of Fairfield County.
 The two-way connection includes both audio and video components to facilitate a live patient visit with a
nurse. Through regular telephone lines, the patient and nurse engage in virtual check-ups using medical
instruments such as a telephonic stethoscope, vital sign equipment, glucose meter, pulse oximeter and digital
scale. The peripheral equipment connects to the patient station and readings are downloaded to Visiting Nurse
& Hospice of Fairfield County where a nurse monitors the patient's progress, assesses his or her condition and
make recommendations for the patient's care plan.
 The use of Home TeleHealth has resulted in a reduction in anxiety among patients, fewer hospitalizations
and a decreased number of visits to the Emergency Room. Patients report having greater peace-of-mind with
Home TeleHealth. Knowing that a nurse is readily available to check on them eases the patient's anguish about
their medical condition and gives them an added feeling of control over their situation.
* out of scope
visitingnurse.net/NHC-telehealth.html
78
Medical Care Transitions: Video Care/Telehealth
American TeleCare’s telehealth solutions combine sophisticated, leading technology with sound clinical
expertise to develop easy-to-use systems for patients and health care providers. American TeleCare
products incorporate live audio and video communication with integrated electronic medical peripherals
that enable health care professional to conduct remote patients assessments and monitoring.
* out of scope
americantelecare.com/
79
Medical Care Transitions: Video Care/Telehealth
A clinician at the Provider Station can
conduct an interactive video and audio
visit with a patient with the LifeView
Patient Station at home or alternative
sites outside the hospital at home or
alternative sites outside the hospital.
The inLife TMXP delivers critical
patient information and details in a
clinically advanced format that
enhances your practice efficiency and
results in superior patient outcomes
American TeleCare's® NX Server
Software is webbased and designed
to securely store and display
patient information using a SQL
type database platform
* out of scope
americantelecare.com/prod_main.html
This dynamic duo of patient monitoring and
interactive video enables clinicians to
monitor patient's health status, identify
instability, and provide real time remote
clinical intervention to re-stabilize patients.
American TeleCare's® patented
family of CareTone® Telephonic
Stethoscopes allows high-quality,
realtime heart, lung and bowel
sounds to transmit over a standard
analog or digital telephone line.
80
Medical Care Transitions: Video Care/Telehealth
The Health Buddy System serves as the interface between patients
at home and care providers, facilitating communication of historical
patient data of and self-management support for patients with
chronic conditions. The System includes telemedical technologies,
clinical information databases, Internet-enabled decision support
tools, health management programs and content development
tools. Through increased communication, behavior modification,
and prevention, the Health Buddy System improves the quality of
patient care.
* out of scope
bosch-telehealth.com/content/language1/html/5598_ENU_XHTML.aspx
81
Medical Care Transitions: Video Care/Telehealth
Health Management
Health Buddy Appliance
Push-Button Easy
The extensive health management
 Easy-to-use, patient centric design
programs within the Health Buddy
 Simple, intuitive four button operation
system cover more than 30 health
 Large, high-resolution color screen
conditions and are compiled into
 Support for multiple languages, including
programs that provide interactive
English, Spanish and Dutch
scripted content based on standard
 Multiple medical device ports
practice guidelines. The programs are
 Wireless Bluetooth and Infrared Support
delivered via our telemedical
Friendly tutorial preloaded on each appliance
technologies to educate patients,
 Uses remote configuration for patient
enhance medication compliance and
customization
* out of scope
improve patient behaviors.
bosch-telehealth.com/content/language1/html/5578_ENU_XHTML.aspx
Health Buddy Desktop
Analyze Responses and Take Action
The patient data, gathered by the
Health Buddy Appliance, is
transmitted to a secure data center
where it is available for review using
the Health Buddy Desktop
interface. The applications quickly
risk-stratifies and presents patient
results, giving proactive providers the
opportunity to intervene before the
patient’s condition becomes acute. 82
Medical Care Transitions: Video Care/Telehealth
* out of scope
bostonlifelabs.com/
83
Medical Care Transitions: Video Care/Telehealth
Using the latest in Bluetooth, WiFi, GPRS, and NFC
technology, the HBox hub allows for one step pairing of
Boston Life Labs vital sign sensors and transmits data to a
secure web-based server.
HPad
A fully customizable interactive patient
tablet that allows clinicians, caregivers,
and family members direct patient
communication. Medication compliance,
ADL follow up, and disease teaching can
all be addressed quickly and conveniently
with the HPad.
HBox
HPod
The HPod, using the latest in
Bluetooth technology, allows
you to make your existing
Glucometers and PT/INR
Machines wireless sending
your results directly to your
secure EHR or PHR.
The HBox hub securely
and reliably transmits
data from patient to
clinician, caregiver,
and/or family member.
* out of scope
84
Medical Care Transitions: Video Care/Telehealth
Founded by experts in software development and consumer
products, IDEAL LIFE takes a straight-forward approach to product
development: asking people what they need and devising innovative
ways to create it. The result: a system that finally delivers what
individuals, providers, and payers really want:
A wireless, easy-to-use, fully automated "plug 'n go" system; no
cables, computer, or extra steps necessary
Available for a fraction of the cost of competing products
An open technology platform that supports customization and
seamless integration with existing systems; no new software or data
reconfiguration required
* out of scope
ideallifeonline.com/aboutus/
85
Medical Care Transitions: Video Care/Telehealth
Consumer-Inspired Products for Better Health & Wellness
All IDEAL LIFE Managers™ - our patented, FDA-approved monitoring
devices - communicate through a wireless gateway known as the
IDEAL LIFE Pod™. Users simply plug the Pod into a regular telephone
jack and their home is instantly ready for integrated, automatic
communication with any of IDEAL LIFE's remote health management
products. IDEAL LIFE devices also communicate through other modes
of communication, including smartphones and the Internet.
The IDEAL LIFE Gluco-Manager™ is a convenient and userfriendly glucose meter, the first of its kind to automatically
and reliably store and send blood glucose readings without a
personal computer.
The IDEAL LIFE BP Manager™ is
an easy-to-use device that
quickly and accurately measures
upper arm blood pressure and
heart rate.
The IDEAL LIFE Body-Manager™ is a body
weight scale designed for both weightconscious consumers and congestive heart
failure (CHF) patients.
The IDEAL LIFE SpO2Manager™ allows for
convenient measuring of
a user’s oxygen saturation
and heart rate. The
elegant, compact and
small design makes it easy
to carry and store.
The IDEAL LIFE Kiosk is an elegant and
uniquely designed multi-user tool to allow
for quick and easy communication of
health readings and timely access to health
related information.
* out of scope
ideallifeonline.com/products/
86
Medical Care Transitions: Care Plan Management
Living With Illness
We treat the person—not just the disease.
If you’re living with a chronic illness, you can count on us to
make your life as simple and healthy as possible
throughout your treatment.
Our proactive care management program offers
individualized support, education and care management
customized to meet your unique needs.
* out of scope
uhc.com/health_and_wellness/living_with_illness.htm
87
Medical Care Transitions: Care Plan Management
Benefits Include
Assessment
Receive personalized risk assessments for 20+ chronic conditions including asthma,
diabetes, congestive heart failure and coronary artery disease.
Education
Learn self-care skills, get coaching on risk avoidance and find in-depth condition
information.
Care management
Our certified nurses will help identify potential gaps in your treatment plan and make
sure you understand your physician’s care instructions.
Care CoordinationSM
Let our nurses connect you with community agencies that can offer support or
assistance with your treatment option, or help you manage multiple diseases. We
also provide inpatient care advocacy and readmission prevention programs.
Longitudinal case management
If you have a severe condition, our dedicated team of nurses will provide
* out ofand
scope
individualized coaching
support over time.
88
Medical Care Transitions: Care Plan Management
Healthy change. Healthy savings. This is Healthways.
Healthways offers comprehensive solutions that improve wellbeing, decrease healthcare costs, enhance performance and
generate economic value for our customers
healthways.com/about/default.aspx?id=83
Our comprehensive solution for well-being improvement
optimizes care for those with chronic illness, reduces healthrelated risks, and keeps healthy people healthy. It's highly
flexible, dynamic, and compatible with customer systems and
programs. We configure your Well-Being Improvement Solution
to meet your specific objectives.
healthways.com/solution/default.aspx?id=91
* out of scope
89
Medical Care Transitions: Care Plan Management
Healthy change. Healthy savings. This is Healthways.
Specialized Programs and Expertise
We also bring recognized programs and unique expertise in areas of high value to organizational and individual
health.
» QuitNet® integrates phone, online, medication, and social support for the highest quit rates in tobacco
cessation.
» Prime Fitness provides access to more than 9,000 fitness centers, plus motivation and insight to raise activity
and fight obesity.
» SilverSneakers® boosts physical activity and social interaction for seniors, with proven benefits. (And people
love SilverSneakers.)
» Chiropractic Benefit Management reduces unnecessary claims and raises treatment value through
utilization review, oversight, and provider access.
» Healthways WholeHealth Living™ meets consumer demand for complementary and alternative medicine
with online education and affordable access to the nation's largest, most diverse network of providers.
» Medicare/Senior-Specific Support helps Medicare Advantage plans raise quality, trim costs, and attract and
keep members.
» Healthways for Hospitals helps achieve quality measures and certifications for diabetes care and other
chronic diseases.
» Patient-Centered Medical Home expertise allows us to partner with customers to effectively integrate
provider care and preventive outreach.
» Healthcare Reform Strategies help health plans and employers respond to reform and pursue high-impact
* out of scope
quality improvement (QI) opportunities.
90
healthways.com/solution/default.aspx?id=91
Medical Care Transitions: Care Plan Management
Health Dialog is a leading provider of care management, healthcare
analytics, and decision support.
Our mission is to improve healthcare quality and reduce rising
medical costs by addressing this variation in the healthcare
system. We achieve our mission through our integrated care
management offerings that are designed to help people reach
better decisions about their own health and healthcare.
* out of scope
healthdialog.com/Utility/Company
91
Medical Care Transitions: Care Plan Management
Comprehensive Solutions
Chronic condition programs
Analytic Solutions
Wellness programs
Patient decision programs
Senior programs
ASO solutions
POPULATIONInsight
healthdialog.com/Main/Solutions/ComprehensiveSolutions
Member tools and resources
Medicare Advantage Star Support
Shared Savings
92
Medical Care Transitions: Care Plan Management
CMI was created to help Kaiser Permanente improve quality
of care and health outcomes for members by developing
resources and programs that can be implemented throughout
the organization.
Our portfolio of care management programs has ranged from
improving health care delivery for the chronically ill to
integrated cardiovascular disease prevention. Each year we
select specific opportunities for concentration. Nationwide
networks originating with CMI then form a chain of care
delivery improvement.
* out of scope
kpcmi.org/how-we-work/
93
Medical Care Transitions: Care Plan Management
The Care Management Institute is a national organization within Kaiser
Permanente that synthesizes clinical practices and disseminates knowledge on
the best clinical approaches. We then work with regional care delivery teams
at Kaiser Permanente to implement those approaches to improve the care for
our members.
The major focus of CMI’s work is in the design, development and delivery of
successful clinical approaches with the aim of producing demonstrably
superior health outcomes.
Care management is coordinated health care developed in partnership with
physicians, health care professionals and patients. CMI implements its
programs and practices by working with physicians and health care
professionals throughout the eight Kaiser Permanente regions.
CMI draws together Kaiser Permanente’s internal experts in epidemiological
research, outcomes measurement, guidelines development, and care redesign
to develop and implement programs that are evidence-based and focused on
meeting the needs
of of
our
members.
* out
scope
kpcmi.org/about/quick-facts/
94
Medical Care Transitions: Care Plan Management
McKesson is dedicated to delivering the vital medicines, supplies
and information technologies that enable the health care industry
to provide patients better, safer care.
mckesson.com/en_us/McKesson.com/About%2BUs/About%2BUs.html
McKesson Specialty Care Solutions enables the best outcomes for
patients with complex diseases and advances specialty care by
facilitating collaboration among healthcare providers, drug
manufacturers and payors through our expertise in specialty drug
reimbursement, technology, distribution and clinical solutions.
* out of scope
Mckesson.com
95
Medical Care Transitions: Care Plan Management
Customized solutions for various specialty market segments include:
 Strategic reimbursement consulting and reimbursement hotline services
REMS support including strategic consultation, FDA submission assistance,
registries, clinical data collection and risk monitoring, rigorous program
reporting, and managed distribution
 State-of-the-art call center that delivers reimbursement, enrollment, triage,
and product ordering services
 Leading group purchasing organization (GPO) serving oncology and other
specialty providers
 Industry-leading inventory and practice management software and
technology for providers
 Specialty distribution services, including cold chain management and supply
and repacking solutions
* out of scope
Mckesson.com
96
Medical Care Transitions: Care Plan Management
Care Management
Care management includes case management, utilization management and
disease management. Care management can help “at-risk” members
achieve better health through effective patient management.
Effective patient management helps them stick with the behaviors and
clinical approaches that have been proven to work.
Care management is for patients on the “not well” end of the spectrum.
They need more help than those at the healthy end of the spectrum.
* out of scope
aetna.com/plans-services-health-insurance/detail/health-wellness-plans/care-management.html
97
Medical Care Transitions: Care Plan Management
Care Management
Coordinating care for members with special needs is more efficient and effective
because of these advantages.
Evidence-based decisions
Our actions and policies have strong foundations in research and clinical
experience. This helps members get access to the right care at the right time.
Integration and technology
Having systems that all work together helps us identify and reach more members
who need our help and support
Targeted outreach to members
Our clinical staff will contact members identified by our systems, who may need
extra help. Early identification and targeted outreach is one more way to help
members with complex medical needs.
* out of scope
98
Recommendations and Next Steps
 Decide whether you want to move forward with a turnkey system/infrastructure or
choose devices a la carte
Invite telecom representatives to speak at committee meeting to discuss options
 If moving forward with a turnkey system/infrastructure, choose a telecommunications
company that can support ever changing technology (wireless, etc.). The network is the
foundation of the project.
Determine whether to use all wireless, or combination of analog and wireless
 Choose a network that new devices can be easily assimilated into
Choose devices that are proactive, not reactive (e.g. ones that detect a fall versus
having to push a button)
 Explore OnStar technology for use with devices
99
Appendix A
Health and Wellness Management
Educational Resources
WedMD Contact: www.webmd.com Pricing: Free Comments: +Comprehensive resource, +free
service
Mayo Clinic Contact: www.mayoclinic.com Pricing: Free Comments: +Comprehensive resource,
+free service
MedHelp Contact: www.medhelp.org Pricing: Free Comments: +Comprehensive resource, +free
service
Healthline Contact: Tel: 1-917-720-4400 Pricing: Free Comments: +Comprehensive resource,
+free service
PatientsLikeMe Contact: 155 Second Street Cambridge, MA 02141
[email protected]
Pricing: Free Comments: +Comprehensive resource, +free service, -They sell your info to their partners
100
Health and Wellness Management
Health & Medical Records (Self-kept)
Microsoft HealthVault Contact: Tel: 1-800-Microsoft (642-7676)
Create an account: https://account.healthvault.com/signin?fsic=True Pricing: Free
Comments: + Leader in self-kept medical records, + Service is FREE
Microsoft HealthVault Blue Button Initiative
Create an account: http://www.healthvault.com/bluebutton.aspx?rmproc=true Pricing: Free
Comments: + Leader in self-kept medical records, + Allows veterans to download health records,
+ Service is FREE
Activ Doctors Online Contact: Tel: 1-305-913-7534 Pricing: ?? Comments:
2nd
store your medical records, + Offers
and was put into someone’s voicemail
+Collect and
opinions, - Called several times to get information and pricing
PinnacleCare Contact: Tel: 1-877-241-7041 Pricing: $7,000 - $30,000 annual membership fee +
$3-$5K set-up, Comments: +Professional, helpful service, +They collect your medical records and
make recommendations, -Expensive
Lifecom Contact: 2828 SW Corbett, Suite 122
Portland, OR 97201 Tel: 1-503-288-2393 Pricing:
Subscription fee $2+/month Comments: + Professional, informative service, + low cost per month,
- product not available for individual use on iPhone & Android until end of March 2012
101
Health and Wellness Management
Home Safety
Life Alert Contact: Sales Tel: 1-800-344-4533 Pricing:
Monthly monitoring ranges between $39 –
$69/month Comments: +waterproof (bracelet or necklace), +/- Service available through cell phone,
although not as reliable as landline, -Does not detect falls, -Informative but aggressive sales people
LifeStation Contact: Tel: 1-866-286-5161 Pricing:
Plans starting at $26.95 Comments:
+Courteous service, +Waterproof button, -Does not detect falls, -Must have landline to use
Philips Lifeline Contact: Tel: 1-800-587-5128 Pricing: Standard plan: $41.00/month, Auto Alert:
$54.00/month (both plans include monthly equipment rental) Comments: +Courteous, professional
service, +Automatically places call if fall is detected, +Waterproof, -Must have landline to use
Freedom Alert Contact: Tel: 1-800-953-5211 ext 1 Pricing: $279.95 for unit, no contracts, no
monthly charges Comments: +One flat fee for unit, +No contract or monthly charges, -There is no
central station to receive calls, -Additional charge for emergency wall communicator and extra pendant, Must have landline to use
AT&T Smart Slippers Contact: [email protected] Pricing: Approx. $100/month
102
Home Health and Remote Monitors
Vital Sign Monitors
Criticare nGenuity™ Series Contact: Justin Darby Dixie Medical Inc. Tel: 1-866-349-4363
Pricing: Approx. $ 2,495.00 Comments: +Monitors core vitals, ECG plus, +Interfaces with EHR
systems, +Mobile monitor, -Not wireless, -14 lbs
Welch Allyn Propaq LT Contact: Justin Darby Dixie Medical Inc. Tel: 1-866-349-4363 Pricing:
$ 3,750.00 Comments: +Monitors core vitals & ECG, +Lightweight 2.2 lbs, +interfaces with EHR
systems, +Wireless transmission to Central Station
Welch Allyn Vital Signs® LXi Contact: Justin Darby Dixie Medical Inc. Tel: 1-866-349-4363
Pricing: Approx. $ 2,695.00 Comments: +monitors core vitals, +interfaces with EHR systems,
+mobile monitor, -Not wireless, requires USB cable
Powerheart®AED G3 Contact: Justin Darby Dixie Medical Inc. Tel: 1-866-349-4363 Pricing:
Approx. $ 1,595.00
103
Home Health and Remote Monitors
Vital Sign Monitors cont.
Philips Respironics Equivital™ Wireless Physiological Monitor Contact: Richard
Rushton, D.V.M. Mini Mitter Co., Inc. 20300 Empire Avenue, Bldg. B-3 Bend, OR 97701 Tel: 1-541598-3822 Pricing: Equivital Sensor Electronics Module (SEM) $4,600, LifeMonitor $225, Dermal Patch
$50, Jonah $50 Comments: +professional, courteous service, +wireless data transmission, +portable
and lightweight, -sensors are disposable (patch battery cannot be recharged)
Laipac Tech Contact: Adiant Solutions Tel: 1-888-399-8226 Pricing: $450 for bracelet, service
contracts $39.99 - $44.95/month Comments: +Friendly, professional service, +Industry leader,
-Water resistant, not waterproof
24eight Wireless Sensor Devices Contact: Reed Simons
711 Third Avenue, 11th Floor New
York, NY 10017 Tel: 1-212-888-2248 Pricing: Pricing not available until Oct. 2011 Comments:
+Knowledegable, professional service, +Industry leader, +OnStar capability, +Proprietary products,
+Verizon will distribute product
HealthStats BPro® Contact: 6 New Industrial Road
#04-01/02/03, Hoe Huat Industrial Building
Singapore 536199 Tel: (65) 6858 3248
Vital Sign Monitors (Over the Counter) pricing and availability
104
Home Health and Remote Monitors
Meds Dispensers
MedSmart MD2 PLUS Contact: www.epill.com
Tel: 1-800-549-0095 Pricing: Units range from
$395.00 - $895.95 Comments: +no monthly fees, +locked dispenser, -large distributor, aggressive
sales, -must have landline for monitoring
MedReady Inc. Contact: VRI
Tel: 1-800-860-4230 Pricing: Unit rental and service ranges from
$34.95 - $54.95/month Comments: +Friendly, professional service , -Service plans not easy to
understand online, -Must have landline for monitoring
MedMinder Contact: Tel: 1-888-MED-MIND (1-888-633-6463) Pricing: Monthly subscription
$39.99/month Comments: +wireless data transmission, +keeps records of patient records, -call
answered by phone svc, could not respond to questions about product
Vitality™ GloCap Contact: 1 Broadway
Cambridge, MA 02142 Tel: 1-866-389-8686 Pricing: ??
Comments: +Weekly report of usage sent to contacts, monthly report sent to your doctor, -Does not
dispense a specific dose, - can only dispense one medication, - Customer service rep wanted detailed
personal information before any questions would be answered regarding pricing
105
Medical Care Transitions
Video Care and Telehealth
Philips Telehealth Contact: Philips Healthcare
3000 Minuteman Road Andover, MA 018101099 Megan Woodman Tel: 1-866 554-4776 Pricing: Monitors Approximately $300 - $500 each
Comments: +Wireless data transmission, +Compatible with EHR systems, +Comprehensive system
(product, data collection), -They do not sell to consumers
Cardiocom Contact: 7980 Century Blvd. Chanhassen, MN 55317
Toll-Free: 1-888-243-8881
Comments: +Comprehensive system (software, devices, client care )
Orcatech Contact: Tracy Zitzelberger or Shoshana Maxwell
3181 SW Sam Jackson Park Rd CR131
Portland, OR 97239 Tel: 1-503-494-7198
GE Quietcare Contact: 335 Madison Avenue
11th Floor, Suite 1110 New York, NY 10017
Healthsense and Verizon Telehealth partnership Contact: Bryan Fuhr, Healthsense
Tel: 1-952-400-7301 [email protected] Comments: +Comprehensive system
- Expensive fiber optic infrastructure
106
Medical Care Transitions
Video Care and Telehealth cont.
AT&T Telehealth Partnership Contact: Comments: +Comprehensive system (hardware,
software, infrastructure), -Many different players
Visiting Nurse and Hospice of Fairfield County Contact: Mary Warren
Tel: 1-800-898-4663 x260 P.O. Box 489, Wilton, CT 06897 Pricing: No charge for VNS Telehealth
system if you qualify for Medicare
Robert Bosch Healthcare Contact: 2400 Geng Road, Ste. 200 Palo Alto, CA 94303
Tel: 650-690-9100 Toll-Free: 1-888-947-8957
American Telecare Inc. Contact: Sharon Kustritz Tel: 1-800-323-6667 or 1-952-897-0000
Boston Life Labs Contact: Corporate Headquarters
One Broadway 14th floor Cambridge, MA
02142 Tel: 1-617-401-3374
Ideal Life Contact: 55 Eglinton Avenue East, Suite 808
Toronto, ON M4P 1G8 Canada
Tel: 1-888-433-2541
107
Medical Care Transitions
Care Plan Management
United Healthcare Care Management Contact: Carnall Insurance, Inc.
Tel: 1-203-438-0404 PO Box 969, Ridgefield, CT 06877
Healthways Contact: World Headquarters
701 Cool Springs Blvd Franklin, TN 37067
Tel: 1-800-327-3822
Health Dialog Contact: Headquarters
60 State Street Suite 1100 Boston, MA 02109
Tel: 1-617-406-5200
Kaiser Permanente Care Management Institute Contact: 1 Kaiser Plaza, 16L
Oakland,
CA 94612 kpcmi.org
McKesson Specialty Care Solutions Contact: Disease Management & Nurse Triage
Customer Support Tel: 1-800-782-1334 [email protected]
Aetna Care Management Contact: 151 Farmington Avenue
Hartford, CT 06156
Tel: 1-860-273-0123
108