1. 5/3/2015 Connected Health: Opportunities Ahead for Primary Care Joseph L. Ternullo, JD, MPH Associate Director, Partners Center for Connected Health Associate Director, Northeast Telehealth Resource Center Vice President, Continua Health Alliance Adjunct Faculty, Northeastern University 4th Annual Weitzman Symposium

2. Challenges

3. Aging population will become increase utilization burden on healthcare system Increased need to maintain independent living for the elderly Primary care and other healthcare workforce shortages Mismatch between financial resources available to deliver care and demand for that care Patterns of disease changing- moved into a period of an epidemic of chronic disease Aggregation of specialists in urban networks while care delivered in local community and primary care settings Patients well informed and demand “convenient care” and equal access to high quality best-practice care where the live and work Healthcare Challenges

4. Organizations

5. 5/3/20155 The Continua Health Alliance

6. 5/3/2015 6 Continua: Overview Worldwide industry alliance formed in June 2006 by Cisco, Intel, Kaiser, Medtronic, Motorola, Panasonic, Partners, Philips, Samsung, Sharp, and Welch Allyn. Today, Continua is 191 organizations strong and growing. It is dedicated to making personal telehealth a reality by: Developing design guidelines enabling vendors to build interoperable sensors, home networks, telehealth platforms, and health and wellness services. Establishing a product certification program with a consumer-recognizable logo signifying the promise of interoperability across certified products. Collaborating with government regulatory agencies to provide methods for safe and effective management of vendor solutions. Working with leaders in the health care industries to develop new ways to address the costs of providing personal telehealth systems

7. Northeastern University Northeastern is a large Boston-based institution of higher learning. Its leadership assessed the need for new educational programs. Feedback: Unprecedented demand for systematic improvement in healthcare quality and efficiency across all settings (ambulatory to inpatient). Requests from external agencies for measurement and reporting of healthcare performance is at a height and increasing. Hospitals and clinics are significantly increasing their investment in: (a) computerized physician order entry, (b) inpatient and ambulatory electronic medical records, (c) E-prescribing platforms, (d) personal health web sites, (e) enterprise data warehousing for enhanced reporting and analytics, (f) remote patient monitoring devices. New interdisciplinary programs are needed. NEU Masters in HealthCare informatics launched. Will be online within 12 months. www.healthinformatics.neu.edu

8. “Use Cases”

9. 5/3/20159 Continua Use Cases To organize its work, Continua segmented the market in three large use cases: Health & Wellness Weight loss Fitness Email / chat / video Appt scheduling Personal Health Records Disease Management Vital sign monitoring (RPM) Medication reminders and compliance Trend analysis and alerts Connect with family care givers Aging Independently An adult child helping their elderly parents age gracefully in their own home. Basic life monitoring as appropriate (ADL)

10. 5/3/201510 Continua Use Cases Disease management market: –evolve the current models of care; chronic and post-acute –connect patients, families and healthcare providers to the right information at the right time –more informed decision-making –empowering people to take a more active role in their own care

11. 5/3/201511 Continua Use Cases Health and wellness market: –health conscious and worried well –fitness and lifestyle trackers, PHRs

12. 5/3/201512 Continua Use Cases Aging independently market: –residential care, independent living facilities, individual homes –support ADL, fall detectors, bed occupancy, medical reminders, … –personal emergency response services

13. Resources

14. The Center for Connected Health Division of Partners IS organization –Research and evaluation –Program development and rollout –Operational systems and support –Education and advisory services –Formalized relationships around the globe Our interest is in the use of technology to deliver care remotely: –Heart failure monitoring –Diabetic monitoring and coaching –Blood pressure self-management for large employer Benefits include: –Increased patient engagement –Improved health outcomes –Improved patient-provider communications –All leading to improved lives and lower costs

15. Northeast Telehealth Resource Center Federally Funded through the Office for the Advancement of Telehealth www. Northeasttrc.org Foster the development, expansion and sustainability of telehealth programs throughout the Northeast. Develop and maintain an online database of the status of telehealth in the Northeast. Identify opportunities to improve policies for greater access to care through telehealth. Connect knowledgeable and experienced telehealth mentors with organizations that are building their telehealth capabilities. Serve as a key resource for helping to catalyze the introduction of telehealth technologies into the care delivery process.

16. Critical Questions

17. Questions How can we work together? What unique attributes do we possess that can accelerate our success as a region? How will the economic stimulus package funds alter the landscape here? What efforts in the region are underway currently in the area of connected health, telehealth, remote monitoring, etc and are they catalogued? When you think of Connected Health, Telemedicine, Telehealth, e- health, remote monitoring, etc. who in the region comes to mind as the local champion? Can we stay in contact and find ways to organize and get involved to help shape policy rather than respond to policy shaped by others? How do we best prepare for the future?

18. Ways to Learn More… Join our discussion at www.connected-health.org Recently published: Home Telehealth Attend the Partners 2009 annual Symposium on October 21-22 in Boston

19. Thank you Joseph L. Ternullo, JD, MPH jternullo@partners.org 617-726-4207 (office) jternullo@partners.org