next-generation video telemedicine tania elliott, md assistant medical director november 6 th 2015
TRANSCRIPT
NEXT-GENERATION VIDEO TELEMEDICINE
TANIA ELLIOTT, MDASSISTANT MEDICAL DIRECTOR
NOVEMBER 6TH 2015
© 2015 Doctor On Demand | 2
I have the following financial relationships to disclose:
– Speakers Bureau: Mylan Pharmaceuticals– Stockholder in: Doctor on Demand, Inc– Employee of : Doctor on Demand, NYU Medical
Center
Disclosures
© 2015 Doctor On Demand | 3
Background on Doctor on Demand
Integration Capabilities
Telehealth and Allergy, Asthma, Immunology Initiatives
How it works
Patient Centered Care
Objectives
© 2015 Doctor On Demand | 4
2014Full B2BSuite of Features
2013Product Launch
2015+Healthcare Ecosystem Integration
New partnerships with health systems, retail clinics, and employers
#1 provider of video visits
High utilization and mobile usage vs legacy systems
Mental/behavioral health, lactation consulting
Nationwide consumer launch
Seamless patient experience
1,400 urgent care physicians trained and launched
Top-rated medical app
Robust TV presence
Doctor On Demand’s Trajectory
Hundreds of employer clients
Dozens of partnerships with largest health plans, health systems, and retail clinics
Fully-connected care- Doctor On Demand providers- Health system providers- EMR integration- Home diagnostics- Asynchronous capabilities
2012Founded & funded
© 2015 Doctor On Demand | 5
Video: Required for ComplianceClearly established as a legal requisite
“Generally, telemedicine is not an audio-only, telephone conversation…it typically involves the application of secure videoconferencing or store-and-forward technology to provide or support healthcare delivery by replicating the interaction of a traditional encounter in person between a provider and a patient” (Federation of State Medical Boards, 2014)
Physicians must perform “face-to-face” evaluations, either in-person or virtually through “real-time audio and video technology” (AMA Reference Committee Report, 2014)
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A Full Suite of Services
Board-certified MDs24/7 Urgent Care
PediatriciansInfants & Children
Psychologists & PsychiatristsMental Health
Maternity & Post-Partum SpecialistsPregnancy & Breastfeeding
© 2015 Doctor On Demand | 7
Integrated with the Healthcare Ecosystem
Connected Devices At-home diagnostics to enhance
clinical decisions Partners: CliniCloud, iHealth,
CellScope
Retail Clinics In-store virtual clinics Partners: Regional & national
grocery/drug store chains
Health Systems Patients can see their own
providers Partners: Regional & national
health systems
Health Plans Straightforward integration in 6
weeks with any health plan carrier, such as UnitedHealthcare, Blue Cross and Blue Shield plans, Aetna, Anthem, Cigna, and all others
© 2015 Doctor On Demand | 9
Board-Certified Physicians
Upper respiratory infection
Cold/flu/sinus Cough Urinary tract infection Lab interpretation Allergies Fever Athlete’s foot Sports injuries Rolled ankle Travel issues
Medical Primary Care/Urgent CareMedical Peace of Mind
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Board-Certified Pediatricians Rash Allergies Lice Whooping cough Pink eye Measles and mumps Strains/sprains Vaccination questions Sleep issues Colds, flu Vomiting/diarrhea
Pediatric HealthTrusted Advice
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Allergic Rhinitis Flare– Ability to see into a patients
home environment Dermatitis Flare
– Easily review skin care regimen and personal products
Asthma – Real time advice in setting
of perceived exacerbation– Inhaler use education
PID screening– Recommend allergy testing
and/or PID screening for patients with recurrent sinusitis/pharyngitis
Urticaria– Evaluate allergic reaction in
“realtime” Insect Sting Reactions Cough
Allergic Disease Use Cases
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Asthma
• Increased access to asthma educators and respiratory therapists
• In-home trigger assessment
• Increased treating ability with use of peripherals for step up/down therapy
• Remote clinic monitoring
• Subspecialist opinion
Smoking Cessation
• Ease of follow up appointments
• Behavioral Health specialist input
Anaphylaxis
• Epinephrine autoinjector renewals
• Action plan review and practice in the home
Chronic Urticaria
• Step Up/Down Therapy
Chronic Care Potential in Allergic Disease
© 2015 Doctor On Demand | 13
How It WorksWorks on any tablet, smartphone, or computer on demand or schedule in the future
© 2015 Doctor On Demand | 14
Employer/Health Plan and Eligibility Verification
Real-time eligibility checks and claim submission
© 2015 Doctor On Demand | 15
Registration
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Pre-Call Questions
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Additional Symptoms & Medical Conditions
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Confirm Pharmacy and Payment
© 2015 Doctor On Demand | 19
During the Call
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Send a High-Resolution Photo
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Rate the Provider
Average feedback Rating is 4.8
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Email follow up In-app follow-up
instructions Resolution rate
tracking Integration with
health system and medical practice EMRs
Telephone follow up
Continuity of Care
Providers can be saved as “Favorites”
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Short-term medications and refills– Antibiotics – Antivirals– Allergy medicine– Skin creams and ointments
Refills– For diabetes, hypertension, etc.
OTC advice No controlled substances
(Schedule I-IV)
When Appropriate, Medication is Prescribed
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© 2015 Doctor On Demand | 24
Available for live help by phone or text with: Phone or chat General questions Technical support Prescriptions Billing Eligibility Records/forms
24/7 Patient Concierge Line
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80% - Phone calls answered within 30 seconds
- Emails answered within 2 hours- Chats answered within 30
seconds- Proactively identified issues
handled within 30 minutes
95% - 1-, 2-, and 3-star ratings addressed within 15 minutes
100% - Facebook and Twitter issues addressed within 2 hours
© 2015 Doctor On Demand | 25
Full Reporting Capabilities
© 2015 Doctor On Demand | 27
Provider Hiring Rigorous screening, interview, and vetting process
Provider Training and On Boarding Online training videos and mock cases >200 standardized, evidence-based clinical protocols
Quality Assurance Process 100% satisfaction guarantee and follow-up Peer review and random auditing Formal review committee following standardized process
Performance Accountability and Histogram Quarterly reporting, performance reviews, and benchmarking
Provider Quality Assurance and Improvement
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Device and Lab IntegrationEnabling patients to share data from devices and labs
ALSO: Blood pressure, oxygen saturation, home monitor devices
Heart & lung sounds
Ear drum visualizatio
n
Glucose readings
Lab dataNational Lab
Provider
© 2015 Doctor On Demand | 30
Provider Partnerships
PaidPractice Virtual Visits
After Hours MD
Coverage
Extra Shift with DODNetwork
© 2015 Doctor On Demand | 31
2016 RoadmapIndustry-leading vision
Expanding our Cultural Reach
Supporting real-time language translation from Spanish and
>100 other languages
Coordinated, Easy-to-use HealthcareIncreasing activation by integrating with multiple single sign on (eg Aon, Jiff) and care coordination platforms (eg Accolade, Quantum Health)
Robust Clinical PlatformIntegrating with even more digital health devices and lab companies
Doctor On Demand
is pioneering next-generation
telemedicine
The Most Comprehensive Clinical Network
Connecting patients with Doctor On Demand’s and their own personal
providers Partnerships with health systems in
nearly every major region
NEXT-GENERATION VIDEO TELEMEDICINE