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Innovations in Mobile Health and the Connected Patient

New Jersey and Delaware Valley HIMSS Chapter

November, 2014Peter Preziosi, PhD, RNGlobal Healthcare Strategist

2Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.

Agenda1. State of Healthcare2. Mobile Health Overview3. Mobile Health and Lifestyle4. Cybersecurity Issues5. The Digital Dividend: First-Mover Advantage

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1. CMS2. Centers for Disease Control and Prevention (CDC)3. Census.gov 2012 Report4. Institute of Medicine Report

The State of Healthcare in the U.S.At a Critical Juncture

Annual healthcare-related spending is projected to surpass $4 trillion by 2019.1$4.5TMore than 75% of healthcare costs are due to chronic conditions.275%

48M Number of people living without health insurance.3

$750BEstimated costs wasted on unnecessary care, inefficient systems, administration, and fraud.4

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A “perfect storm” of factors is creating an unprecedented need for change:

Costs continue to rise—CMS expects health spending to rise to 6.1% from nearly 4% in 2013.

Use and access—Aging and chronic disease are increasing use, as well as MD and RN shortages.

Technology—Advancements in technology are enhancing diagnosis, treatment, and care.

Industry Drivers Impacting Healthcare Organizations

Healthcare consumerism—Mobile devices are enabling access to health information, costs, and more choices.

Affordable Care Act (ACA)—More and more uninsured Americans are getting coverage.

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Key Challenges Facing U.S. Healthcare Organizations

Manage security requirements

Control escalating costs

Improvepatient care

Increase access to quality care

Secure sensitive patient data

Healthcare ecosystem confronting serious change at all levels:

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MOBILE HEALTH AND LIFESTYLE

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The 50+ Population

• The spending power of consumers over 60 yrs will hit $15 Trillion by the end of this decade

• By 2017, people over 50 will control 70% of the disposable income

• The number of Chinese over 60 yrs old (and other countries as well) will double by 2050

• Today, people over 50 spend $3tn dollars in the US alone

• 8000 Americans turn 65 every day

Source: http://i.telegraph.co.uk/multimedia/archive/01453/fifty_1453942c.jpg

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Factors Influencing Patient Decision Making Rapidly Expanding

Key Drivers of Consumers’ Health Care Decisions

Advisory Board

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• Reliable connectivity

• Security and privacy of sensitive health information

• Ability to integrate and interoperate biometric devices

• User relevance to their lifestyle

• Social networking and feedback

• Gaming techniques to make it fun and enjoyable

• Predictive analytics to synthesize data into useable/actionable displays

Important Elements of Mobile Health Solutions

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Technology plays a minor role – only 14% of trackers living with chronic conditions use a medical device like a glucometer and a handful use an app, a spreadsheet or website to keep track of symptoms and other health indicators.*

- Pew Research Center

* Pew Research Center surveyed 3,104 U.S. adults released Nov. 26, 2013

People Who Are Actually Sick Don't Use High-Tech Health Tracking Devices

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The biggest reasons for low-usage are:

1) Clinicians don't prescribe trackers or personal devices

2) Data from trackers and personal devices does not flow back into clinicians' electronic health records

3) Until data flows back from trackers and personal devices, clinicians unlikely to prescribe them

Barriers to health apps and wearable's by individuals with chronic diseases

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HapptiqueYour Prescription for Mobile Health

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By 2018 Most Sensors Could Be Implanted

PSFK Labs, iQ by Intel, MobiHealthNews, Jan 20, 2014

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• Americans send or receive 41.5 messages per day

• 326.4 million mobile subscribers send over 6 billion messages per day

• Households under $30,000 send 58 texts per day and 2X as many texts as households over $75,000

• Hispanics text 1.56X more than Caucasians

• African Americans text 2.24X more than Caucasians

* Mobile Commons Inc., 2014

Trends in Mobile Texting*

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MOBILE PROJECTS UNDERWAY

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• Reduce total cost of care

• Increase independence and safety

• Improve the patient experience

Sensors

VideoVirtual Care

Remote HealthMonitoring

Virtual Care & Remote Patient Monitoring Solutions

Kiosk / Retail

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WHO & ITU Initiative:“Be Healthy, Be Mobile”

WHO-ITU ROLEDeveloping best practice for mHealth at scale

VALUE IN SCALABLE SOLUTIONSEnsuring national level commitment

Investment / Sustainability Models

Reusing IP Assets

Training of Healthcare Professionals

Adaptation to National/ Regional Health Systems

Promotion of Innovation

Partnership Models with Private Sector and NGOs

Government Involvement

& Ownership

Sustainability

Capacity

Quality Assurance

Collaboration

Cost-effectiveness

Scalability

Implementation Experiences in 8+ Countries

Tested Content: Toolkits & Operational Guides

Monitoring & Evaluation Frameworks

NCD Research, Health Standards

Authority on ICT Standards / Interoperability

Private & Public Sector involvement pharma, tech, insurance, telcomm,

development banks

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Community & Partner Projects

• ETHAN Project– Use of 3000 video-enabled 4G LTE

tablets to triage patients with non-life threatening, mild or moderate illnesses via telemedicine connecting first-responder paramedics with an emergency physician at the City of Houston EMS base station

• Wellness Texting Campaign– Partner with Clinton Health

Matters Initiative and Care Message to develop a texting campaign that would engage individuals living in Coachella Valley, CA, Houston, TX, Jacksonville, FL, and Little Rock, AR around healthy lifestyle practices that could include, restful sleep, diet, exercise, and water intake.

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CYBERSECURITY ISSUES

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2014 Data Breach Investigations Report

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Data Breach Investigations

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2014 DBIR: Healthcare

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2014 DBIR: Healthcare

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85% Misuse Corporate Network

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Simple Everyday Errors – Key Problem

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THE DIGITAL DIVIDEND: FIRST-MOVER ADVANTAGE

A Report by Harvard Business Review Analytic Services sponsored by Verizon

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What kind of company are you?

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Measuring Growth

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Cultural Shift

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QUESTIONS

Contact Information:

Peter Preziosi, PhD, RNVerizon Global Healthcare Strategist

peter.preziosi@verizon.comCell: 443-462-0753