1. Extending care beyond the clinic with patient-centric innovation HIMSS NW Technology & Education Symposium Sean Nolan, @familyhealthguy

2. THE PATIENT-CENTRIC INFORMATION HUB

3. The Patient-Centric Information Hub Enabling a connected ecosystem through individual- and family-mediated exchange “Patient portal” is key but not nearly enough – Don’t get the importance of consumer-mediated exchange – Don’t realize the value of ecosystem problem-solving – Don’t realize the leverage of automated data exchange

4. 1 Getting Started A mom leaving her PCP receives a care summary document and uses it to kick-start a HealthVault record. PCP

5. 1 Immediate Value The information can be used to update her emergency profile in the MedicAlert call center, and to drive a medication interaction and reminders service like MediGuard. PCP Emergency PrepDrug Interactions

6. 1 Enriching the data set By connecting to a national pharmacy like Walgreens, her medication data is updated each time she fills a script from any provider. PCP Emergency PrepDrug Interactions Pharmacy

7. 1 Network effects emerge That new information is automatically sent to all relevant parts of the ecosystem, including her Medical Home! Each piece of the system plays its role. PCP Emergency PrepDrug Interactions Pharmacy

8. 1 Ubiquitous data becomes the norm In the Emergency Department, HealthVault automatically pre-populates registration forms and new information is broadcast to all relevant stakeholders. PCP Emergency PrepDrug Interactions PharmacyHosptial

9. 1 Patients become active partners A new diagnosis causes mom to focus on weight loss, nutrition and exercise using mobile applications and self-monitoring devices … shared as first-class data! PCP Emergency PrepDrug Interactions PharmacyHosptial Mobile apps & devices

10. Clinical Trials Sourcing Opt-in Research Gaps in Care Analysis Travel Services Independent Living Motivational Games Physical Therapy … 1 The flywheel in place More and more “guardian angel” services emerge. Caregivers have the right information at the right time. We treat the whole life, not an isolated event. PCP Emergency PrepDrug Interactions PharmacyHosptial Mobile apps & devices

11. CARE BEYOND THE CLINIC

12. Direct-to-Epic Home BP Monitoring @ UMass

13. Hypertension Management @ Kaiser Colorado “At six months, patients in the home monitoring group were 50 percent more likely to have their blood pressure controlled to healthy levels compared to the usual care group. Similarly, a significantly greater decrease in systolic blood pressure at six months occurred in the home monitoring group (-21 mm Hg) versus the usual care group (-9 mm Hg).” http://xnet.kp.org/newscenter/pressreleases/co/2010/052110telehealthstudy.html

14. eHealth2Go @ MedStar Health Targeted at vulnerable and minority diabetics All participants successfully set up their accounts Significant improvement to blood glucose values 86% intent to continue with tools beyond program

15. Mental Health @ NHS SLaM http://youtu.be/jgHNQ8peCP0

16. MOBILE ACCELERATION

17. “Always-there” and unique capabilities drive innovation

18. Next-generation devices enabling new scenarios

19. THANK YOU! http://familyhealthguy.com @familyhealthguy