Extending care beyond the clinicwith patient-centric innovation

HIMSS NW Technology & Education SymposiumSean Nolan, @familyhealthguy

THE PATIENT-CENTRIC INFORMATION HUB

The Patient-Centric Information Hub

Enabling a connected ecosystem throughindividual- and family-mediated exchange

• “Patient portal” is key but not nearly enough– Don’t get the importance of consumer-mediated exchange– Don’t realize the value of ecosystem problem-solving– Don’t realize the leverage of automated data exchange

1

Getting StartedA mom leaving her PCP receives a care summary document and uses it to kick-start a HealthVault record.

PCP

1

Immediate ValueThe information can be used to update her emergency profile in the MedicAlert call center, and to drive a medication interaction and reminders service like MediGuard.

PCP

Emergency Prep Drug Interactions

1

Enriching the data setBy connecting to a national pharmacy like Walgreens, her medication data is updated each time she fills a script from any provider.

PCP

Emergency Prep Drug Interactions

Pharmacy

1

Network effects emergeThat new information is automatically sent to all relevant parts of the ecosystem, including her Medical Home! Each piece of the system plays its role.

PCP

Emergency Prep Drug Interactions

Pharmacy

1

Ubiquitous data becomes the normIn the Emergency Department, HealthVault automatically pre-populates registration forms and new information is broadcast to all relevant stakeholders.

PCP

Emergency Prep Drug Interactions

Pharmacy Hosptial

1

Patients become active partnersA new diagnosis causes mom to focus on weight loss, nutrition and exercise using mobile applications and self-monitoring devices … shared as first-class data!

PCP

Emergency Prep Drug Interactions

Pharmacy Hosptial

Mobile apps & devices

Clinical Trials SourcingOpt-in Research

Gaps in Care AnalysisTravel Services

Independent LivingMotivational Games

Physical Therapy…

1

The flywheel in placeMore and more “guardian angel” services emerge. Caregivers have the right information at the right time. We treat the whole life, not an isolated event.

PCP

Emergency Prep Drug Interactions

Pharmacy Hosptial

Mobile apps & devices

CARE BEYOND THE CLINIC

Direct-to-Epic Home BP Monitoring @ UMass

Hypertension Management @ Kaiser Colorado

“At six months, patients in the home monitoring group were 50 percent more likely to have their blood pressure controlled to healthy levels compared to the usual care group. Similarly, a significantly greater decrease in systolic blood pressure at six months occurred in the home monitoring group (-21 mm Hg) versus the usual care group (-9 mm Hg).”

http://xnet.kp.org/newscenter/pressreleases/co/2010/052110telehealthstudy.html

eHealth2Go @ MedStar Health

• Targeted at vulnerable and minority diabetics• All participants successfully set up their accounts• Significant improvement to blood glucose values• 86% intent to continue with tools beyond program

Mental Health @ NHS SLaM

http://youtu.be/jgHNQ8peCP0

MOBILE ACCELERATION

“Always-there” and unique capabilities drive innovation

Next-generation devices enabling new scenarios

THANK YOU!http://familyhealthguy.com

@familyhealthguy