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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 19 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 26 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/ 31 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§ion=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