Creating Value for Health

IFA 2012

Global Conference on Aging

Dr. John Tarrant

118 Old Lafayette Ave

Lexington, Kentucky 40502 USA

JTarrant@MedTechGlobal.com

Video Remote Monitoring to

Promote Better Health and

Security

Our Aging Population

Global Cost of Health Care Based on GDP

Chronic Disease as the Main Cause of Death

Who Should Receive Video-Remote Monitoring

50 25

11,2

5

18,4

5

43,1

0 10 20 30 40 50 60 70 80 90

Beneficiaries

Expenditures

Percent

Medicare Expendure/Beneficiaries

How Chronic Disease impacts Hospitalization

1 8 19 38

71

123

191

269

359

455

697

0

100

200

300

400

500

600

700

800

1 2 3 4 5 6 7 8 9 10 11

Ho

spit

aliz

atio

ns

per

10

00

Med

icar

e B

enef

icia

ries

A

ge 6

5+

Number of Chronic Conditions

Unnecessary Hospitalizations

Projected Cost of Chronic Diseases

By 2030 the Global cost of treating the 5

most common chronic diseases will surpass

47 trillion dollars

That will be 75% of the predicted GDP in

2030

Reported by the World Economic Forum and the Harvard School of Public

Health, September 2011

Changes to Current System which will Improve Chronic Care Management

Four Primary Types of Home Monitoring

Telephone Follow up on past procedure

Video Connectivity Behavior health

Remote Monitoring Early stages of a chronic condition

Video-Remote Monitoring Detailed monitoring of poorly controlled chronic condition

or multiple chronic conditions

The Benefits of Video Remote Home Monitoring

integration of external services: meals on wheels adult education appointment scheduling

connecting with family members

social interaction

data collection: Health vital stats

video communication

Intergration of Health Care Services

Hospitals

Community

Services

Home

Monitoring

Relatives

Doctor

Elder

Functionality of Video-Remote Monitoring

Medical Peripherals

Blood Pressure

Glucometer

Spirometer

Weight Scales

Stethoscope

EKG

Blood Oxygen

Success is a factor of Simplicity

Client Prospective: Non-threatening technology

Easy to use

Non-intrusive

Clinicians Prospective: Availability of health vital stats

Trend tracking

Easy to use

Impact of Video-Remote Monitoring on Chronic Disease Management CHF CHF Diabetes Diabetes COPD COPD Wound Wound Ref

Hosp ER Hosp ER Hosp ER Hosp ER

38% 49% 75% 83% 51% 66% 1

73% 67% 2

63% 3

60% 4

58% 5

1. F. Bryant. Acadian Telehealth Monitoring Strategic Healthcare Program, LLC

2. R.Rees, N. Bashshur. The Effects of teleWound management Use of Services and Financial Outcomes. TELEMEDICINE and e-

HEALTH. Vol13.6 2007

3. Montefore Medical Center, Care Management Organization. Health IT News, Research, and Inteligence.at

www.HealthITNewsDirect.com/?p=327

4. K.Dansky, K. Bowles, L. Palmer. Clinical Outcomes of Telehomecare for Diabetic Patients. The Journal on Information Technology in

Healthcare 2003; 1(1):61-74

5. M. Domingo, J. Lupon, B. Gonzalez, E. Crespo, R. Lopez, A. Ramos, A. Urrutia, G. Pera, J. Verdu, A. Bayes-Genis Noninvasive

Remote Telemonitoring for Ambulatory Patients with Heart Failure: Effects on Number of Hospitalizations, Days in Hospital, and

Quality of Life, CARME study

Impact of Video-Remote Monitoring on Chronic Care Management

Decrease in Hospitalizations 60%

Decrease in Emergency Room Visits 66%

Decrease in Hospital length of Stay 3-4 days

Avoidable Nursing Home Admissions 67%

Return on Investment for Video-Remote Monitoring

Individuals with 5 or more Chronic Conditions managed with

care coordination and video-remote monitoring:

$1,400.00 per Individual per month savings on decrease

hospitalization and ER visits

$600.00 per individual per month program cost

$800.00 per individual per month net savings

All values are represented in US dollars