Connected Health: Care Anywhere Douglas J. McClure Corporate Manager Center for Connected Health Partners HealthCare 3/23/2009

About Partners HealthCare: Founded in 1994 by BWH & MGH Hospitals Range of Services Acute – Academic Medical Centers (2) Principal Harvard Teaching Hospitals – Community Hospitals (4) – Dana-Farber/Partners CancerCare Joint Venture Non-Acute Care – Mental Health/Psychiatric (1) – Long Term Rehabilitation (3) – Skilled Nursing – Home Care Physician/Ambulatory Services Research – $1 Billion Teaching – 4,400 Residents & Clinical & Research Fellows Key Statistics FY06 Operating Revenue $6 Billion Licensed Beds 3,500 Admissions 146,000 Outpatient Visits (1) 2,900,000 Employees (FTEs) 35,000 Physicians 6,300 (1) Outpatient Visits include ATOs, EDOBs, Day Surgery, Routine Visits, ER Visits, Significant Procedures, Major Imaging, Therapies and Psychiatric Services.

3 3 Benefits: Access, Quality, Efficiency Access Continuous monitoring of chronic conditions Access to Partners specialists in 48 states and internationally Quality Providing care at the time of need More accurate points of data Information feedback changes patient behavior Efficiency Workflow changes improve efficiency Delivery of care can be scaled without growth of the physical plant Q U A L I T Y A C C E S S E F F I C I E N C Y

4 Three Delivery Models Live Interactive Consultations Asynchronous Consultations Connected Health

5 Connected Health is Patient Centered Care Four Cornerstones of Connected Health Accurate physiologic information Shared with the patient Data-driven coaching Optimized provider involvement

6 CHF Remote-Monitoring Research finds: Patients using remote monitoring service required 40% fewer nursing visits to the home; Patients using remote monitoring service had a 33% reduction in hospital admissions Patients reported improved quality of life and increased involvement in their care Program : Expansion of services in Home Care for all homebound Medicare patients. 250 patients on service at any time. FY08 growth +20%

7 Connected Health - Diabetes Population: Diabetics – requiring daily glucose readings Technology: glucometer, gateway, web interface Coaching: diabetes educator Goal: improved control Business justification: Meet P4P targets Decreased downstream complications

8 Connected Health: Hypertension Population: Newly diagnosed or difficult to control hypertensives Technology: bp cuff, gateway, web interface Coaching: automated Goal: improved control Business justification: Improved employee health Decreased downstream complications

9 Initiative: Improving medication adherence with real-time reminders

A Unified Platform RMDR Transmission Connectivity Database CDR EMR EMPI Enterprise Clinical Apps Integration Devices/Sensors Decision Support Presentation & Messaging Patients, Providers, CareGivers PG

11 Quality + Access + Efficiency Salvatore, heart failure patient: I noticed my weight was up – I knew youd be calling Christina, E-visits patient: I didnt feel alone at all, which is surprising because youre sitting at your desk alone…I was able to develop a nice rapport with my doctor.

12 Conclusions Connected health is evolving as a new dimension in HIT. Patient behavior change is a critical goal. Monitoring increases engagement and improves coaching. Quality, access and efficiency are improved. Visit us at to learn more.