How Interconnectivity Is Enabling The Future Of Patient-Driven Health
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1) Connected health technologies like wearables, home devices, and remote patient monitoring apps have the potential to transform chronic disease management by allowing patients to manage conditions at home independently. 2) Remote patient monitoring is increasingly being used to monitor chronic conditions like congestive heart failure and is showing success in reducing hospital admissions. Technologies also support healthy aging by enabling aging in place. 3) While connectivity offers opportunities, deploying and managing these systems poses challenges for providers and patients regarding technical support, data security and privacy, and maintaining remote monitoring equipment.
How Interconnectivity Is Enabling The Future Of Patient-Driven Health
- 1. How Interconnectivity Is Enabling The Future Of Patient-Driven Health John Sharp, Senior Manager Personal Connected Health Alliance
- 2. 2 Connected health and Remote patient monitoring Connected health and remote patient monitoring, combined with interactive patient engagement apps, have a tremendous potential to transform chronic disease management for patients to manage at home allowing them to live their lives with independence. But deploying such programs, and managing the IoT assets they often depend on, can pose a host of challenges at both the provider and the patient level.
- 3. 3 Outline for this Webinar Growing availability of consumer wearables, home IoT smart devices and smart homes create an opportunity for a connected life which supports health Consumers are increasingly aware of how technology and apps can engage them in healthier lifestyles Remote patient monitoring is increasingly being used to monitor chronic conditions and showing success in reducing hospital admissions for some (KLAS Report). I may add something on new reimbursement becoming available. For the elderly population, aging in place and more generally, healthy aging, can be supported by this new pervasive technology Challenges to deploying, maintaining and scaling this technology existing but can be addressed successfully as providers and patients use them more routinely
- 4. 4 How close are we to a connected life?
- 5. 5 Connected Devices We Use Every Day When Mobile • Phone • Tablet • Wearables • Smart Clothing At Home • Voice enabled devices • Smart TVs • Smart thermostats • Smart security systems • Smart appliances
- 6. 6 Smart Health Devices Wearables/mobile • Activity monitors including heart rate • Continuous Glucose Monitor • Digital asthma inhalers Wireless devices • Scale • BP monitor Apps • Coaching for wellness, chronic conditions • Weight loss apps • Monitoring conditions using mobile phone tools – accelerometer, camera, etc.
- 7. 7 How Networks Facilitate Health Wireless networks High availability but extra cost and maintenance in the home Cellular Broadly available with some exceptions in remote areas. Useful for home health nurses and community health workers when clients don’t have broadband 5G The future high speed network. Will likely have many benefits for remote monitoring and telehealth.
- 8. 8 Consumer Awareness Smartwatches • 40 million in 2018 • 90 million in 2022 Employers and health plans incentivizing use
- 9. 9 Consumer Awareness Through fitness devices, are learning how to use health dashboards
- 10. 10 Consumer Awareness Voice devices – personal assistants
- 11. 11 Alexa Health and Fitness Skills Over 1000 available • Medication reminders • Meditation apps • 5 minute workout • Health information (WebMD, others) • Sleep assistance • Diabetes support
- 13. 13 Monitoring Chronic Conditions Remote Patient Monitoring Data from Glucose monitors, Blood Pressure monitors, CPAP, scales, apps, etc. • Sending Data to medical team • Presenting Data to patient – health dashboard concept Example – monitoring Congestive Heart Failure patients recently discharged with a blood pressure monitor and scale Rise in blood pressure and weight (due to fluid retention) key indicators of deterioration.
- 14. 14 Managing Chronic Conditions Asthma – monitoring with digital inhaler Includes information on location, air pollution, number of puffs at what time of day, use of rescue inhaler One study found that use of the digital inhaler provided better control of asthma and reduced cost by $930 per year
- 15. 15 Chronic Condition Management Putting digital tools into the hands of visiting nurses and community health workers BehaveCare provides services to Medicaid recipients in Rhode Island. As part of their home visits, the care provider can use their device to initiate a video consult over cellular to a physician. They can also share medical information during the visit
- 16. 16 Example of new CPT reimbursement codes for Remote Patient Monitoring
- 18. 18 Healthy Aging through Digital Aging in Place Made Easier – from AARP Technologies allow older adults to remain active and independent 1. Ride-booking apps 2. Videoconferencing 3. Telemedicine 4. Nutrition tracking 5. Immediate delivery
- 19. 19 Healthy Aging through Digital Remote Monitoring to Keep Older Adults Independent and Safe • Safety and security-monitoring • Assured Living program, which uses sensors to track activities such as opening a refrigerator or medicine cabinet • Location-tracking devices Family caregivers can monitor from afar However, deploying these can be daunting • Needs to be simple to set up and have tech support available • Need to include the elderly relative in the decision to use
- 20. 20 Healthy Aging through Digital Reducing Social Isolation • Robotic pet • Voice-enabled smart speakers • “tell me a story” • Bots who answer you • Caregiver apps and online communities
- 21. 21 Healthy Aging through Digital What about smart homes? • Include multiple sensors • Temperature control • Lighting control • Cameras • Locks control • Fall detection/prevention • Can be monitored/controlled remotely • Still in early adoption • More common in senior communities in the future?
- 23. 23 Challenges to deploying Health IoT Network reliability Are the tools reliant on a home wireless network What if the network goes down Is it dependent on cellular service – coverage available in most of the US except for some remote rural areas Some urban areas underserved
- 24. 24 Challenges to deploying Health IoT Setup of devices and apps • Has become simpler, videos often available • Some more reliant on training, e.g., are you attaching the blood pressure cuff correctly? • Use of multiple devices can add to complexity
- 25. 25 Challenges to deploying Health IoT Technical support Need to know the technology they are supporting Need to understand the customer (chronically ill, elderly) Need to trouble shoot in basic terms for the non-tech savvy Need to be available 24/7 Need to detect equipment malfunction based on data transmitted Need to have a delivery service for replacing equipment Video calls may be helpful
- 26. 26 Challenges to deploying Health IoT Privacy and Security Is the data encrypted on the device and in transit? Where is the data stored? Does the manufacturer own the data? Is the patient aware of this? How is the data secured when it is received by the provider? Is the data securely transmitted to an app? Stored on the mobile device?
- 27. 27 Challenges to deploying Health IoT Maintaining Remote Monitoring Equipment o Cleaning instructions o Supplies needed? o Example – Continuous Glucose monitor o Trouble shooting o Replacement o Costs
- 28. 28 Summary How Interconnectivity Is Enabling The Future Of Patient-Driven Health
- 29. 29 Summary - Interconnectivity and Patient Care 1) We are approaching a pervasively connected life 2) Consumer awareness of digital health tools is growing exponentially 3) Monitoring chronic conditions is in its initial stages but will quickly become more common to devices, apps and networks enable it. Even routine prescribing of apps and devices will ramp up
- 30. 30 Summary - Interconnectivity and Patient Care 4) Health aging through digital – tools available for consumers and caregivers, smart homes with IoT devices focused on health being adopted to enhance aging in place 5) Challenges to deploying, maintaining and scaling exist but can be successfully addressed