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Model Telemedicine Program Shows
Improved Care and Cost Savings for
Congestive Heart Failure Patients
   Steve Brown
   President and CEO
   Health Hero Network Inc.

   Telemedicine in Care Delivery Conference
   Thursday, June 13, 2002
   Pisa, Italy
Health Hero Network


 •  Pioneer of health information and communications
    technology since 1988 with 55 patents issued.

 •  Developer of remote monitoring technology and web
    services to collect, analyze and report data.

 •  Proven reliability and results with Veterans Health
    Administration, Hospitals, and Medical Groups.




                           Telemedicine - Health Hero Network 2
Selected Customers




                 Telemedicine - Health Hero Network 3
Recent Recognition

   Health Hero Awards                                  Health Hero Customer Awards

       Health Hero Network, Inc. awarded                                        The Home & Community Care
       the Best Enabling Tool for Disease             Pfizer Health Solutions   (HCCSL) Service Line of VISN 8
       Management, 2001                                                         received the Pfizer Health Solutions
                                                                                e-Health Leadership Award at the
                                                                                DMAA Leadership Forum

       Health Hero Network, Inc. awarded the
       Best TeleHealth Vendor, 2001                                             The HCCSL of VISN 8 received the
                                                                                2001 Best Telehealth Provider
                                                                                Award at the Association of Telehealth
                                                                                Service Providers (ATSP) and the
                                                                                Healthcare Information Management
       The Health Hero® Health Buddy®                                           Systems Society (HIMSS) conference
       highlighted as one of the Best                                           for their program utilizing the Health
       Products of 2000                                                         Hero® platform


       The Health Hero® Health Buddy® won
       the Medical Design Excellence Award,
       2000, for collecting and transmitting
       patient data


                                               Telemedicine - Health Hero Network 4
Technology Platform




                 Telemedicine - Health Hero Network 5
Value Propositions

 Deliver high quality care at lower cost
       Eliminate or reduce ER & hospital utilizations by detecting patient problems before
        they become acute

 Improve patient education and compliance
       Improve self care and patient compliance with physician prescribed regimens by
        educating, motivating, and monitoring patients daily

 Increase organizational efficiency
       Standardize processes, monitor quality, and increase staff’s ability to manage more
        patients with existing resources

 Improve understanding of disease
       Research daily symptoms, behavior, drug response, disease progression, and
        environment




                                          Telemedicine - Health Hero Network 6
Health Buddy®




                Telemedicine - Health Hero Network 7
iCare Desktop™




                 Telemedicine - Health Hero Network 8
Home Page




            Telemedicine - Health Hero Network 9
Work List




            Telemedicine - Health Hero Network 10
Detailed Results




                   Telemedicine - Health Hero Network 11
Trends




         Telemedicine - Health Hero Network 12
Notes




        Telemedicine - Health Hero Network 13
Documentation




                Telemedicine - Health Hero Network 14
BuddyLink™




  Blood      Blood        Peak               Coagulation        Digital
 Glucose    Pressure      Flow                Meters*           Weight
 Monitors   Monitors*     Meters*                               Scale




                        Telemedicine - Health Hero Network 15
Platform Extensions




                 Telemedicine - Health Hero Network 16
Programs Currently Available


   •  Congestive Heart Failure                  •  Co-Morbid Diabetes and
   •  Coronary Artery Disease                      Hypertension

   •  Co-Morbid Congestive Heart                •  Co-Morbid CAD and Angina
      Failure and Diabetes                      •  Anti-Coagulation Therapy
   •  Co-Morbid Hypertension and                •  Pediatric Asthma
      Chronic Obstructive                       •  Adult Asthma
      Pulmonary Disease
                                                •  Depression
   •  Hypertension
                                                •  Bi-polar Disorder
   •  COPD
                                                •  Senior Wellness
   •  Type I Diabetes
                                                •  Cystic Fibrosis
   •  Type II Diabetes



                                   Telemedicine - Health Hero Network 17
Mercy Case Study

 •  Case study results as reported by customer, not a
    randomized control trial

 •  Hospital-based “Mercy Telemedicine Disease Management
    Program in Laredo Texas, funded by State of Texas

 •  57 patients enrolled in 2000 for 1 year: 36 Female, mean
    age 68; 21 Male, mean age 61

 •  Matched comparison group pulled from 1999 data before
    disease management program started

 •  Current enrollment: 440 patients, CHF and Diabetes

                             Telemedicine - Health Hero Network 18
Mercy Results




                Telemedicine - Health Hero Network 19
Mercy Results




                Telemedicine - Health Hero Network 20
Mercy Results




                Telemedicine - Health Hero Network 21
Mercy Results




                Telemedicine - Health Hero Network 22
Mercy Results




                Telemedicine - Health Hero Network 23
Veterans Affairs Results




                   Telemedicine - Health Hero Network 24
CHW Results




              Telemedicine - Health Hero Network 25
Productivity Analysis

           Measure                 Traditional                         Health Hero

  Patients Managed Per CM               133                                133

  Average # Calls/Day        27 (based on 1/wk/pt)                         10

  Average Length of Out               20 min                           2 min 41 sec
  Bound Call

  Total Time / Day for CM             9 hours                            53 min

  Estimated Nurse:Pt Ratio             1:100                              1:500

  Frequency of Monitoring           WEEKLY                                DAILY



                               Telemedicine - Health Hero Network 26
Conclusions

 •  Telemedicine can help clinicians improve patient
    education, improve patient compliance, and reduce
    hospital admissions by identifying problems early.

 •  Telemedicine can improve productivity in monitoring
    high risk patients by enabling clinicians to focus on
    targeted intervention rather than blind assessment.

 •  Telemedicine can enable disease management
    programs to be scaled and extended to multiple
    diseases while assuring quality processes.


                           Telemedicine - Health Hero Network 27

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Model Telemedicine Program Shows Improved Care and Cost Savings for Congestive Heart Failure Patients

  • 1. Model Telemedicine Program Shows Improved Care and Cost Savings for Congestive Heart Failure Patients Steve Brown President and CEO Health Hero Network Inc. Telemedicine in Care Delivery Conference Thursday, June 13, 2002 Pisa, Italy
  • 2. Health Hero Network •  Pioneer of health information and communications technology since 1988 with 55 patents issued. •  Developer of remote monitoring technology and web services to collect, analyze and report data. •  Proven reliability and results with Veterans Health Administration, Hospitals, and Medical Groups. Telemedicine - Health Hero Network 2
  • 3. Selected Customers Telemedicine - Health Hero Network 3
  • 4. Recent Recognition Health Hero Awards Health Hero Customer Awards Health Hero Network, Inc. awarded The Home & Community Care the Best Enabling Tool for Disease Pfizer Health Solutions (HCCSL) Service Line of VISN 8 Management, 2001 received the Pfizer Health Solutions e-Health Leadership Award at the DMAA Leadership Forum Health Hero Network, Inc. awarded the Best TeleHealth Vendor, 2001 The HCCSL of VISN 8 received the 2001 Best Telehealth Provider Award at the Association of Telehealth Service Providers (ATSP) and the Healthcare Information Management The Health Hero® Health Buddy® Systems Society (HIMSS) conference highlighted as one of the Best for their program utilizing the Health Products of 2000 Hero® platform The Health Hero® Health Buddy® won the Medical Design Excellence Award, 2000, for collecting and transmitting patient data Telemedicine - Health Hero Network 4
  • 5. Technology Platform Telemedicine - Health Hero Network 5
  • 6. Value Propositions Deliver high quality care at lower cost   Eliminate or reduce ER & hospital utilizations by detecting patient problems before they become acute Improve patient education and compliance   Improve self care and patient compliance with physician prescribed regimens by educating, motivating, and monitoring patients daily Increase organizational efficiency   Standardize processes, monitor quality, and increase staff’s ability to manage more patients with existing resources Improve understanding of disease   Research daily symptoms, behavior, drug response, disease progression, and environment Telemedicine - Health Hero Network 6
  • 7. Health Buddy® Telemedicine - Health Hero Network 7
  • 8. iCare Desktop™ Telemedicine - Health Hero Network 8
  • 9. Home Page Telemedicine - Health Hero Network 9
  • 10. Work List Telemedicine - Health Hero Network 10
  • 11. Detailed Results Telemedicine - Health Hero Network 11
  • 12. Trends Telemedicine - Health Hero Network 12
  • 13. Notes Telemedicine - Health Hero Network 13
  • 14. Documentation Telemedicine - Health Hero Network 14
  • 15. BuddyLink™ Blood Blood Peak Coagulation Digital Glucose Pressure Flow Meters* Weight Monitors Monitors* Meters* Scale Telemedicine - Health Hero Network 15
  • 16. Platform Extensions Telemedicine - Health Hero Network 16
  • 17. Programs Currently Available •  Congestive Heart Failure •  Co-Morbid Diabetes and •  Coronary Artery Disease Hypertension •  Co-Morbid Congestive Heart •  Co-Morbid CAD and Angina Failure and Diabetes •  Anti-Coagulation Therapy •  Co-Morbid Hypertension and •  Pediatric Asthma Chronic Obstructive •  Adult Asthma Pulmonary Disease •  Depression •  Hypertension •  Bi-polar Disorder •  COPD •  Senior Wellness •  Type I Diabetes •  Cystic Fibrosis •  Type II Diabetes Telemedicine - Health Hero Network 17
  • 18. Mercy Case Study •  Case study results as reported by customer, not a randomized control trial •  Hospital-based “Mercy Telemedicine Disease Management Program in Laredo Texas, funded by State of Texas •  57 patients enrolled in 2000 for 1 year: 36 Female, mean age 68; 21 Male, mean age 61 •  Matched comparison group pulled from 1999 data before disease management program started •  Current enrollment: 440 patients, CHF and Diabetes Telemedicine - Health Hero Network 18
  • 19. Mercy Results Telemedicine - Health Hero Network 19
  • 20. Mercy Results Telemedicine - Health Hero Network 20
  • 21. Mercy Results Telemedicine - Health Hero Network 21
  • 22. Mercy Results Telemedicine - Health Hero Network 22
  • 23. Mercy Results Telemedicine - Health Hero Network 23
  • 24. Veterans Affairs Results Telemedicine - Health Hero Network 24
  • 25. CHW Results Telemedicine - Health Hero Network 25
  • 26. Productivity Analysis Measure Traditional Health Hero Patients Managed Per CM 133 133 Average # Calls/Day 27 (based on 1/wk/pt) 10 Average Length of Out 20 min 2 min 41 sec Bound Call Total Time / Day for CM 9 hours 53 min Estimated Nurse:Pt Ratio 1:100 1:500 Frequency of Monitoring WEEKLY DAILY Telemedicine - Health Hero Network 26
  • 27. Conclusions •  Telemedicine can help clinicians improve patient education, improve patient compliance, and reduce hospital admissions by identifying problems early. •  Telemedicine can improve productivity in monitoring high risk patients by enabling clinicians to focus on targeted intervention rather than blind assessment. •  Telemedicine can enable disease management programs to be scaled and extended to multiple diseases while assuring quality processes. Telemedicine - Health Hero Network 27