Research Day Sustainable TeleHealthcare delivery model for diverse socio-economic communities in New York City

Pilot Objectives Primary Manage chronic diseases and prevent hospitalization Improve patient engagement and health education Reduce healthcare costs with evidence based interventions Secondary Train future Healthcare IT professionals at University level Enable medical technology in homes for aging in place Expand healthcare access to low income communities

Washington Heights, Manhattan (NORC) 32 patients 1 student technician Populations Served Bay Ridge. Brooklyn (Low Income Housing) 33 patients 2 student technicians Battery Park, Manhattan (IL/AL) 25 patients 1 student associate Lower East Side, Manhattan (NORC) 25 patients 1 student associate

TeleHealth System TeleHealth is the delivery of health related information via telecommunication technology. Conditions Covered: Arthritis Asthma CHF COPD Diabetes Hypertension Obesity Mental Health Much More Clinical Monitoring: Risk Level Alerts Early Interventions Individualized Reports Site Reports Two-way Messaging Medication Adherence Health Questionnaires Nurse Log Tracking HIPAA Compliant

Clinician Dashboard

Pilot Design Training Train Pace University student technicians and graduate RN’s Enroll participants in community partner locations Monitoring Collect health data 2 times a week at community locations Provide individual health assessments remotely Analysis Evaluate Health outcomes, Patient engagement, and Adherence Report three and six month research analysis to NYCEDC August 2013 August 2013 – January 2014 January 2014

Research Methodology

Pilot Summary Number of participants: 122 older adults Frequency: -2 visits per week -3 hours per day TeleHealth Staff: -5 Technicians -2 Remote Nurse -2 Site Administrators Qualifications: -65+ years of age -at least one chronic health condition -lives incongregate living facility in NYC Income Level: -2 low income communities -1 mid income community -1 high income community Average Age: 82 Sex: 88% Female / 12% Male Ethnicity: -47% White/Caucasian -29% Hispanic -16% Asian -4 % African American -4% Russian Primary Language: -59% English -25% Spanish -15% Chinese (Mandarin/Cantonese) -1% Russian Number of Health Conditions Reported: -62 Cardiovascular -36 Diabetes -29 Respiratory, Asthma, Obesity DesignDemographics

Case Study 1 Age: 93 Sex: Female Health: Dementia and Hypertension Medication: Blood Pressure Management Telehealth Monitoring: 1.Initial Reading > 200 systolic blood pressure > 100 diastolic. 2.On-site program manager notified and transportation was arranged to ER. 3.Collaborative approach between the telehealth team, staff at her residence, and her family to help manage her blood pressure and medication compliance. 4.As a result, the son calls his mother every morning and reminds her to take her medication. 5.Importance of taking prescribed medication and the son’s caretaker role to follow up regularly.

Case Study 2 Age: 65 Sex: Female Health: Hypertension, Diabetes, Asthma and COPD Medication: Oxygen by Inhaler Telehealth Monitoring: 1.Low oxygen saturation 2.Nurse followed up with the company providing oxygen tank 3.Patient brought into an intervention and was hospitalized on 11/15/13. 4.Patient attended asthma workshop and obtained a new oxygen tank. 5.Due to early recognition of the deteriorating oxygen saturation, the patient received early intervention and had her oxygen tanks replaced. 6.After continued telehealth monitoring, the participant’s oxygen levels improved significantly to stabilized normal range.

Next Steps Sustain TeleHealth service at pilot community sites and scale proven Assisted TeleHealth Model in New York City Seek public and private funding for Assisted TeleHealth and other pilot programs in New York City and beyond Publish and present data from pilot to national and international audiences Maintain and expand strong partnership with the City of New York and NYCEDC to continue high impact TeleHealth solutions Produce larger scale TeleHealth research concerning healthcare cost reduction and integration with hospitals and physician practices

Contact Us Mary Stanford, Pace University Phone: (516) Dr. Jean F. Coppola, Pace University Phone: (914) Chris Gaur, Co-Founder Phone: (914) Dave Gaur, Co-Founder Phone: (914)