Navneet Kathuria, MD, MPA, MBA Executive Director and Chief Medical Officer Premier Healthcare Carolyn Driscoll, LMSW Research Associate YAI Network PHC is a member of the YAI network. Connected Health – What is it?

Telemedicine Telemedicine is the use of technology to remotely deliver health services to patients  Consultations  Health assessments  Diagnosis  Treatment 9/13/20152

Telemedicine was Predicted in 1924! 9/13/20153 Current Methods:  Real-time Techniques  Store and Forward  Remote Monitoring Current Applications:  Two-way video   Smart phones  Wireless tools

Telehealth 9/13/20154 Telehealth services allow patients to access health education and support through their home computers or wireless devices to help manage their health. It also creates a virtual medical community for providers.  Personalized education materials and coaching  Online discussions and support groups  Provider trainings and continuing medical education

VHA’s Care Coordination/Home Telehealth Program supports the care of veterans with chronic conditions in their home  Patients are assigned a care coordinator who selects appropriate telehealth technology  Care coordinators receive daily vital signs, messaging results, and other disease mgmt data  Alerts indicate significant changes and care coordinators intervene 59/13/2015 Case Study: Program Outcomes Source: VHA Taking Home Telehealth Services to Scale Nationally: Commonwealth Fund 25% decrease in nursing home bed days of care 20% decrease in hospital readmissions 85% patient satisfaction Annual savings of $1,999 per patient At-home Telehealth Program for Veterans

e-Referrals developed by San Francisco General Hospital  Structured secure exchange between primary care doctors and specialists  Covers more than 40 specialties and services  Others adopting – LA County Dept of Health Services, the Mayo Clinic, UCSF, and UCLA 9/13/20156 Case Study: Program Outcomes Source: Connected Health: A Review – Healthy Affairs % decrease in wait time for most SF General specialty clinics 20% decrease of in-person specialty visits Improved preparation for specialty visits Stronger collaboration and satisfaction between primary care and specialists Connecting Patients to Specialists

Benefits of Telemedicine/Telehealth  Increased access to healthcare services  Enhanced access to specialists  Improved quality of care  Reduced hospitalizations/ER visits  Cost-effective method of service delivery  Patient and provider satisfaction

e-Medicine e-Medicine refers to health services and information delivered or enhanced through the Internet.  87% of U.S. adults use the Internet  Looking for health information is the 3 rd most popular online activity 9/13/20158 Most Popular Searches Specific Diseases66% Medical Treatments & Procedures56% Doctors56% Hospital & other Medical Facilities36%

Social Media People separated by time and space can create, share, and exchange information and ideas. Tools used in social media  Blogs  Microblogs (e.g. Twitter)  Content Communities (e.g. Youtube)  Social Networking Sites (e.g. Facebook) 9/13/20159

Social Media and HealthCare Case Studies: Dave deBronkart “e-patient Dave”  Diagnosed with advanced kidney cancer given 6 months  Found successful treatment from online patient support community 38 Year-old woman diagnosed with Spontaneous Coronary Artery Dissection (SCAD)  Mother of two young children diagnosed with rare condition offered little guidance  Online support group advocated for and got a doctor from the Mayo Clinic to conduct a research study on their behalf 9/13/201510

The possibilities of using the internet and other technologies as tools in healthcare is limitless! What does research show? Patients are using it and making important decisions What’s needed? More healthcare organizations & doctors becoming a part of it! 119/13/2015 Social Media and Healthcare – What’s Next?