1. Intel Digital Health Group
Ben Wilson, MBA, MPH
Health Information Technology:
Current trends, future opportunities
An informational hearing of the
Senate Committee on Health
March 13, 2009
Copyright © 2008, Intel Corporation. All rights reserved.

2. Intel’s Digital Health Focus Areas
Chronic Disease Management
Independent Living
Connected Healthcare
Backed by nearly a decade of ethnographic and health research Our investment in ethnographic research has lead us to these areas of focus.
The Digital Health Group will design products and services across four main areas.
The Digital Health Group is focused on the following areas:
In Chronic Disease Management, we are looking at ways to infuse technology in the home with a variety of solutions to manage care, communicate with family, physicians as well as a network of care providers. The vision is to enable someone to safely stay in their home longer and return to their home quicker after a standard hospital procedure.
Independent Living is about improving the quality of people’s lives by helping them manage their own health and wellness, broadening their lifestyle choices, and enabling people to live independently with greater confidence.
Third, Connected Healthcare will look at delivering IT solutions to large enterprise hospitals and fellow travelers. We’re focused in three areas: faster adoption of the technology they are already pursuing, removing barriers in the ecosystem, and helping the technology decision makers envision additional applications of technology they aren’t thinking about today.
And finally, our product and service development is backed by nearly a decade of ethnographic and health research. We explore research that drives the development of new healthcare technologies based on a deep understanding of people's needs, values, an practices. And, we help drive industry open standards and business and ecosystem policy improvement. This includes working with the world’s governments to apply logical and rational policy and standards, across a wide variety of opportunities.
Research & Innovation
Policy & Standards
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3. The Continuum of Care Cost of Care / Day Home Care Quality of Life
Independent, Healthy Living
Community Clinic
Chronic Disease Management
Doctor’s Office
Home Care
Quality of Life
Assisted Living
Skilled Nursing Facility
Residential Care
Specialty Clinic
Community Hospital
Emergency Department
Acute Care
ICU
On the Continuum of Care, people want to stay at home as long as possible. The home typically provides the highest quality of life, and the lowest cost of care.
This chart represents the continuum of care expressed in dollars versus quality of life.
The bottom right quadrant of the graph represents the acute care setting. Patient is in the hospital or a specialty clinic. The cost of that care is very high.
New models of care are focusing on “staying left” or “shifting left” to the upper left quadrant of the graph.
We all can agree that everyone would prefer to “Stay Left” on this chart. Not only is it better for people, but it also reduces the cost of care. Anything that care givers can do to help patients “shift left” not only improves the patient’s quality of life, but also reduces the cost of care.
While technology alone can’t make people better, it can clearly help healthcare professionals make better decisions, be more effective in their day, and monitor patients more intensively. We’ve got case studies of hospitals that have reduced their mortality rates, reduced medical errors, and reduced their average length of stays through use of technologies such as active RFID for patient/asset tracking, automated pharmacy dispensing, electronic ICU monitoring, and more.
On the personal side, there has been a lot of research demonstrating that people with a strong sense of connection to their support system (family, neighbors, community) get healthy faster and stay healthy longer. Technology to help people track their medical conditions automatically to create graphs, recommendations, and communicate to doctors/nurses can provide more effective treatment. We’re doing research around use of sensors, communications assistance, and other products to help people maintain their social networks. $1
$10
$100
$1,000
$10,000
Cost of Care / Day
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4. Research and Innovation
Explore how people deal with specific healthcare problems
Observe people in their own environments to assess unmet needs--on top of market research
Study
Understand
Design prototypes of new technology solutions
Develop
Field-test prototypes in everyday settings, everyday lives
Pilot
Turn prototypes into new platforms that meet people’s needs
Deliver
We study, understand, invent
Our diverse research teams include social scientists, designers, physicians and engineers. We begin with ethnographic fieldwork, observing and interviewing people where they live, work and play. We identify the key needs and values that motivate people to adopt technology and that shape the ways they might use it. We use the methods of social science to figure out appropriate action in response to trends and opportunities. For example, in exploring the implications of the age wave, we ask:
• What are the specific problems associated with aging?
• What are the challenges faced by aging seniors and their caregivers?
• What should our platforms do for people to help them meet these challenges?
We then develop concepts, prototypes, and designs that embody and address these needs and values. We conduct evidence-based research to show that our development produces measurable, beneficial outcomes. This research will fuel new products and new usage models for the healthcare technology industry.
Intel social science fieldwork in more than 1000 homes, 100 clinics, 20 countries, 12 pilots
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5. Intel® Health Care Management Suite
Intel® Health Guide
The Intel® Health Guide connects patients and their care teams
for personalized care management at home
Intel® Health Guide
Intel® Health Care Management Suite
Based on years of Intel’s ethnographic research and technological innovation, the Intel® Health Guide, a care management tool for healthcare professionals who manage patients with chronic conditions. The Intel Health Guide enables caregivers to provide their patients with more personalized care at home, while also engaging and empowering patients to take a more active and positive role in their own care.
Through personalized health sessions scheduled by their healthcare professional, patients answer surveys, take their vital sign measurements, as well as view multimedia educational materials or motivational messages from their healthcare professional. The more current, actionable data from the health session is used by the healthcare to assess each patient’s health status and prioritize their case load accordingly.
Integrated video conferencing provides healthcare professionals a tool for strengthening the personal interaction with their patients. Ultimately, by keeping patients and healthcare professionals connected, the Intel Health Guide helps the entire care team make the right care decisions by getting the right data to the right people at the right time.
Medical
Peripherals
Patient Educational
Content
Intel Confidential

6. Intel Employer Initiatives
Funds development of a web-based framework through which US employees, dependents, and retirees can maintain private, personal, and portable Personally Controlled Health Records
SVP4P
The Silicon Valley P4P Consortium (SVP4P) is a Northern California-based group of employers (Intel & Cisco) and physician organizations that became a Bridges to Excellence site in December 2006. 
Intel Confidential

7. Recommendations for Alternative Payment Approaches
Pay for remote chronic disease management in Medi-Cal
Telehealth and associated administrative costs must be a reimbursable cost
Eligibility needs to be wider among rural patients
Direct remote monitoring benefits to patients
VA study best example – expanding, to include psychiatry
25% reduction in bed days of care
19% reduction in hospital admissions
86% patient satisfaction score
Manage care of chronic disease patients with technology incentives
Medical home
Carve out a part of stimulus and drive the use progressive new care models
Intel Confidential

8. Back up
Intel Confidential

9. Silicon Valley Pay for Performance (SVP4P): An engine of innovation using P4P to improve health care
Intel and Cisco began the collaborative effort in 2005
7 multi-site medical groups accepted the challenge and continue to participate
Medical groups represent 25 practice sites with over 1,800 physicians
Each employer has paid up to $50,000 per year in awards to each group, starting in 2007
Intel Confidential

10. We’re paying the bill so we’re getting involved
Dossia is an employer-led non-profit organization dedicated to improving healthcare in the USA
We’re paying the bill so we’re getting involved 10

11. What Dossia Does
Funds development of a web-based framework through which US employees, dependents, and retirees (and later public-at-large) can maintain private, personal, and portable Personally Controlled Health Records (“PCHRs”) – personally controlled collected copies of health data
PCHRs will empower individuals to take control of their health and costs by:
Providing meaningful, user-centric, electronic access to vital data
Improving healthcare literacy for Americans
Reducing medical errors and waste from paper-based healthcare
Helping healthcare consumers be true partners in managing their health
Lowering costs for healthcare (e.g. avoidance of duplicative procedures/tests, generic medications, treatment adherence)
Improving access to healthcare – more affordable for more people
Electronic Medical Records (“EMRs”) are “provider-centric” (designed to help providers rather than empower patient access and control of their records).