helen figge alere #mwc14 #mhealth

Barcelona Mobile World Congress February 2014

Tackling the Global Challenge of Chronic Disease: Opportunities for Mobile Health

Helen Figge, PharmD, MBA, CPHIMS, FHIMSS

Six Sigma Black Belt & Sensei

Vice President, Clinical Integrations

Alere Accountable Care Solutions LLC

HIMSS National Liaison, New York State

About AlereAlere is a global leader in health information technology, diagnostics, and healthcare services, with

over $3 Billion in annual revenues, 15,000 + employees, 2,200+ healthcare professionals, 800 +

clients in the United States, offices in 36 countries, and solutions in use across over 100 countries

globally. We offer vast health information technology solutions, integrated medical devices, health

services, and population management programs.

Our Vision: To empower individuals to take better control of their health under

medical supervision and to improve outcomes in healthcare systems globally.

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A Solution Approach to Health and Wellness

High Risk PatientsModerate Risk Patients

Low Risk Patients

Intensity of Personalized Management

Improved

Care Standards

Targeted

Care Management

Intensive

Case Management


• Healthcare connected

• Health records activated

• Physicians and patients

engaged

• Better outcomes achieved

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Alere’s Solution Supporting Mobile Health Initiatives


Care Management:

Rules identify and stratify patients by disease

and severity that enable management of patient-specific alerts by ancillary care providers

with direct patient follow up for appropriate

chronic conditions.

Decision Support:

Provides physicians and patients with actionable recommendations from across the

connected ecosystem driven by

evidence-based rules and guidelines.

Devices:

Available for most major chronic conditions:

● CHF

● COPD

● Anti-coagulation

● Diabetes

Connected to “call home” with patient data

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Mobile Device

Monitoring

MEDICATION

RECONCILLIATION

TRANSITION PLANNING

PATIENT AND FAMILY

ENGAGEMENT

INFORMATION TRANSFER

FOLLOW UP CARE

HEALTHCARE PROVIDER

ENGAGEMENT

SHARED ACCOUNTABLITY

Mobile Devices Support Hospital to Home Program

Alere offers a suite of services in care management, CDS, and diagnostics that transition in-patients to home


Point of Care Home

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Mobile Devices Can Seamlessly….


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Devices Can Manage and Support the Process that Leads to Health Behavior Change Comprehensively

Biometric

Devices

Patient Health

Status Data

Exchange

Data

Interpretation--

Validated,

Proprietary

Algorithms

Behavioral

Change--Coachi

ng &

Connectivity

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Healthy

Outcomes


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Example Alere Anticoagulation and Diabetes Solutions

Biometric

Device Wireless test value

transmission,

Behavioral

Change—

Training &

Coaching

Ability to Improve Health Outcomes

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EQUALS


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Weekly testing provides optimal testing

reducing PT-INR variability associated with

bleeding & stroke risk supporting chronic

conditions in need of continuous management

Decreasing costs and optimizing

outcomes via improving

self-empowerment and Rx

adherence

PT-INR self testing with online automated

management associated with improved

quality of PT-INR control with a sizeable

reduction in major events requiring

hospitalization

Home INR Monitoring


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Rose (2011). Circulation.

Frequent INR Testing Reduces cost and Improves Outcomes


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Patient:

After initial face-2-face

training, performs home

INR test weekly

Patient ID

Providers will

identify patients based on

suitability criteria

Patient

Agreement

Requires trainable, consenting patient and

PST Rx from physician

Physician/Patient:

Adjusts Patient medication &/or diet based on results

received by Alere

Alere:

Automatically relays result to

patient’s physician via:

● Phone/Fax/Email/CoagClinic/ EMR Interface

Alere:

Offers

provider/payer

regular reporting on

program enrollment,

barriers, outcomes

Patient:

Reports results

via MobileLink, web, or phone to

Alere

Optimizing

warfarin

control

Monitoring is Easy…


12Barcelona Mobile World Congress February 2014

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Care Providing Organizations• 8 Hospitals and EDs• 200+ Ambulatory Practices• 6 Ambulatory Surgical

Centers

Trading Partners• 4 Imaging Centers• 4 Laboratories• SureScripts

Hospital Information Systems• Cerner• Epic• McKesson• Siemens Soarian

Berlin

Hospital

AtlanticareAtlantic

City

Virtua Voorhees Quest

Larchmont Imaging

Atlanticare Galloway

South Jersey

RadiologyAtlantic Imaging

Memorial Hospital

Marlton Hospital SureScripts

LabCorp

Alere Example Representative Connectivity Success:

Virtua Health, Southern New Jersey

Childrens

Philly

New Jerseymmuniz.Registry

Affiliated

Practices

Virtua Lab

AtlantiCare Lab

CHOP

Lab

Virtua Imaging

CHOP

Imaging

The vision: provide a central source for patient

information. Clinician access to patient

laboratory, radiology, pharmacy, and visit data

from multiple different sources all in one place,

allowing care coordination and value-driven

care regardless of where data originates.

Electronic Health Records• Alere EHR• Allscripts• eClinicalWorks• GE• HMS• NextGen• Practice Fusion• Sage• STI


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Mobile Devices Offer…….….Common Purpose, Potential for Better Care

PATIENTGreater quality of life and satisfaction with care

Improved therapy compliance and patient

engagement

PATIENTGreater quality of life and satisfaction with care

Improved therapy compliance and patient

engagement

INSTITUTIONLower re-hospitalization rates

Reduced post-discharge complications

Overall quality of care offered to patients

INSTITUTIONLower re-hospitalization rates

Reduced post-discharge complications

Overall quality of care offered to patients

PROVIDERSimple, high-quality care management

Therapy adherence Patient education with increased patient

satisfaction

PROVIDERSimple, high-quality care management

Therapy adherence Patient education with increased patient

satisfaction

MOBILE DEVICE Need to be seamless and functional

Need to deliver data relevant, meaningful, useful

Need to support efforts not hinder them

MOBILE DEVICE Need to be seamless and functional

Need to deliver data relevant, meaningful, useful

Need to support efforts not hinder them


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Questions and Discussion…….

helen figge alere #mwc14 #mhealth

Health & Medicine