1. Connected Health – What is it?
Navneet Kathuria, MD, MPA, MBA
Executive Director and Chief Medical Officer
Premier Healthcare
Carolyn Driscoll, LMSW
Research Associate
YAI Network
PHC is a member of the YAI network.

2. Premier HealthCare Connected Health Platform
Connected HealthCare
Tele-medicine
Tele-Health
e-Medicine
Social Media
Premier HealthCare Connected Health Platform
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3. Premier HealthCare: Virtual Care Rounds
Hospital at Home
Virtual Care Visit
Residential Services
(Over a 100 residential sites housing ~ 700 individuals)
Virtual Platform for Patient Management and Referral
Premier HealthCare
(Five Onsite Clinics)
Nurse Visits
Treatment Coordinators
Social support infrastructure
V-consult (automated and standardized workflow templates)
V-medical information exchange
V-Group Visits
Serving the needs of complex patients
Providers Dedicated to needs of complex patients
Access to comprehensive Health Care
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4. Telemedicine
Telemedicine is the use of technology to remotely deliver health services to patients
Consultations
Health assessments
Diagnosis
Treatment
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5. Telemedicine was Predicted in 1924!
Current Methods:
Real-time Techniques
Store and Forward
Remote Monitoring
Current Applications:
Two-way video
Smart phones
Wireless tools
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6. Telehealth
Telehealth services allow patients to access health education and support through their home computers or wireless devices to help manage their health. It also creates a virtual medical community for providers.
Personalized education materials and coaching
Online discussions and support groups
Provider trainings and continuing medical education
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7. Case Study: At-home Telehealth Program for Veterans
VHA’s Care Coordination/Home Telehealth Program supports the care of veterans with chronic conditions in their home
Patients are assigned a care coordinator who selects appropriate telehealth technology
Care coordinators receive daily vital signs, messaging results, and other disease mgmt data
Alerts indicate significant changes and care coordinators intervene
Program Outcomes Source: VHA Taking Home Telehealth Services to Scale Nationally: Commonwealth Fund
25% decrease in nursing home bed days of care
20% decrease in hospital readmissions
85% patient satisfaction
Annual savings of $1,999 per patient
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8. Case Study: Connecting Patients to Specialists
e-Referrals developed by San Francisco General Hospital
Structured secure exchange between primary care doctors and specialists
Covers more than 40 specialties and services
Others adopting – LA County Dept of Health Services, the Mayo Clinic, UCSF, and UCLA
Connecting Patients to Specialists
Program Outcomes Source: Connected Health: A Review – Healthy Affairs 2014
50% decrease in wait time for most SF General specialty clinics
20% decrease of in-person specialty visits
Improved preparation for specialty visits
Stronger collaboration and satisfaction between primary care and specialists
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9. Benefits of Telemedicine/Telehealth
Increased access to healthcare services
Enhanced access to specialists
Improved quality of care
Reduced hospitalizations/ER visits
Cost-effective method of service delivery
Patient and provider satisfaction

10. e-Medicine
e-Medicine refers to health services and information delivered or enhanced through the Internet.
87% of U.S. adults use the Internet
Looking for health information is the 3rd most popular online activity
Most Popular Searches
Specific Diseases
66%
Medical Treatments & Procedures
56%
Doctors
Hospital & other Medical Facilities
36%
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11. Social Media
People separated by time and space can create, share, and exchange information and ideas.
Tools used in social media
Blogs
Microblogs (e.g. Twitter)
Content Communities (e.g. Youtube)
Social Networking Sites (e.g. Facebook)
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12. Surprise! Who’s friending you on Facebook?
FACTS:
6 out of 10 internet users aged use social networking sites
Adoption rates for those 65 and older have tripled over the last 4 years (13% in 2009 to 43% in 2013)
Fastest growing groups:
Twitter (55-64) up 79%
Facebook (45-54) up 46%
Google+ (45-54) up 56%
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13. Social Media and HealthCare Case Studies:
Dave deBronkart “e-patient Dave”
Diagnosed with advanced kidney cancer given 6 months
Found successful treatment from online patient support community
38 Year-old woman diagnosed with Spontaneous Coronary Artery Dissection (SCAD)
Mother of two young children diagnosed with rare condition offered little guidance
Online support group advocated for and got a doctor from the Mayo Clinic to conduct a research study on their behalf
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14. Social Media and Healthcare – What’s Next?
The possibilities of using the internet and other technologies as tools in healthcare is limitless!
What does research show?
Patients are using it and making important decisions
What’s needed? More healthcare organizations & doctors becoming a part of it!
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