1. Chris Gaur, Co-Founder Vital Care Services TeleHealth Research : Assistive Remote Patient Monitoring – Effective e-Health Intervention Pace University January 17 th, 2014

2. Background: Healthcare Today Seniors are the fastest growing population in the world 1 of every 2 adults has at least one chronic condition About 1 in 3 U.S. adults has high blood pressure – an estimated 68 million $1.1 trillion is spent annually in the U.S. on unnecessary medical tests, treatments, and doctors’ visits

3. What is TeleHealth What is TeleHealth?  The delivery of health-related services and information via telecommunications technologies

4. TeleHealth Objectives Increase quality of care Expand healthcare access Reduce healthcare costs

5. Research Questions Can seniors learn TeleHealth? Are they willing to do it? Does it help patient education? Can they learn to do it themselves?

6. Methodology

7. Wellness for Older Adults Usability and Benefits of TeleHealth

8. Early Intervention Case Study

9. TeleHealth System Health Data Inputs TeleHealth Monitor Weight Blood Pressure Blood Oxygen Temperature Pain Levels MedicationsBlood Glucose Questions

10. Clinician Dashboard

11. Health Data Security and Privacy  Tablet/Web Portal: Secure Login/HTTPS  Privacy: HIPAA Training and Certification  Consent: Participant Enrollment Forms  Data: Anonymous Participant Names  Protection: Three Layer Firewalls I.Watchguard Enterprise Firewall II.VMware Firewall III.Windows Firewall

12. NYC Pilot Program 250+ Applicants Vital Care partners with Pace University Winner of funded 6 month pilot study

13. Pilot Objectives Reduce healthcare costs with evidence based interventions Manage chronic diseases and prevent hospitalization Enable medical technology in homes for aging in place Train future working professionals at University level

14. Pilot Design Training Train Pace University student technicians and graduate RN’s Enroll participants in community partner locations Monitoring Collect health data 2 times a week at community locations Provide individual health assessments remotely Analysis Evaluate Health outcomes, Patient engagement, and Adherence Report three and six month research analysis to NYCEDC July -> August August -> December

15. Washington Heights, Manhattan (NORC) 32 patients 1 student technician Populations Served Bay Ridge. Brooklyn (Low Income Housing) 33 patients 2 student technicians Battery Park, Manhattan (IL/AL) 22 patients 1 student technician Lower East Side, Manhattan (NORC) 38 patients 1 student technician

16. NYC PILOT VIDEO Summary of Findings

17. Shore Hill Summary

18. Future Research  Healthcare Coverage & Costs  Hospital Re-admissions & ER  mHealth & Telemedicine  Caregiver & Patient Education / Multiple Chronic Diseases (Westchester & Scranton, PA)

19. Comments / Questions? Dr. David Sachs, Pace University Email: dsachs@pace.edu Phone: (914) 471-0852 Dr. Jean F. Coppola, Pace University Email: jcoppola@pace.edu Phone: (914) 773-3755 Chris Gaur, Co-Founder Email: chris@myvics.com Phone: (914) 886-8801 Dave Gaur, Co-Founder Email: dave@myvics.com Phone: (914) 275-7675 www.myvics.comwww.pace.edu