1. Copyright MCL 20061 Global Forum 11/06 Measuring Benefits of Home Health/Elderly Monitoring- Global Forum Paris November 2006

2. Copyright MCL 20062 When “Home” Tele Care? For recovering adults/children For chronically ill patients For Elderly For Elderly with health monitoring For special illnesses (specialists monitoring) For communication (Deaf/non-national languages) For special small clinic/home groups Selected longer term monitoring (eg early Alzheimer’s) For remote locations

3. Copyright MCL 20063 Why Home Telecare? Maintain Patient Independence with contact capability Provide more specialised contact with patient/elderly For better patient/doctor, elderly/carer 2 way service To make visits more effective by pre-screening/priority To reduce costs and improve quality time for all parties Improve life style for both patients and providers To visibly extend life expectancy

4. Copyright MCL 20064 Beneficiaries of Home Telecare The Doctor (who spends 80% of time on Long Term monitoring) The Nurse (who has to prepare, prioritise and visit) The Hospital (who needs 60% of beds for LT conditions) The Public Sector (who often pays for the total service) The Private Sector (whose quality and costs are critical) The Family (who are involved, assisting or supporting) The Patient or the Elderly being cared for The ability to manage “The Way things are” in the future

5. Copyright MCL 20065 The Way Things Are (Today) Companies-3.1% lost to illness (stress-76%; back-63%; depression-57%; LT chronic-46%); key HR issues- attracting and keeping staff; absence leaves 68% teams overstretched and 48% lost leadership – UK statistics Average life expectancy rising=more elderly have illnesses=more chronic illnesses= insufficient number of doctors/nurses per patient (1990-10.7/doctor; 2005-19.5/doctor) = more demand for hospital beds=higher waiting time to see doctors

6. Copyright MCL 20066 The Way Things Are (Today) Over 65s in 1990=12.5, in 2005=30% means not enough doctors/ carers/ nurses/ specialists to assist aging patient growth More elderly moving to country= increased rural demand Total healthcare costs rising for Primary Care Services, Local Health Authorities, Regional (hospital) services

7. Copyright MCL 20067 Tele Healthcare Benefits Benefit costs levels vary dependent upon time, location and provider, but the following all apply Heart patients- 1 in 4 re-hospitalised in 12 weeks following an attack. Telecare at home (4 vital signs tested per day) with more frequent monitoring increases life expectancy (lower mortality) and decreases second attacks for heart attack patients; total costs lowered, decrease hospital bed use for re-hospitalization. Larger range of medications possible. Patient pleased to be involved with own care

8. Copyright MCL 20068 Tele Healthcare Benefits Home healthcare monitoring decreases A&E admissions, hospitalisation and clinic visits for test group Home health monitoring and visit costs for 1 year equals 50 hospital bed days Comparison (UK): hospital bed=£300-500/day Telehealth (high dependency)=£25000/yr Telehealth (low dependency) =£15000/yr GP visit=£60-80 TH visit= £25

9. Copyright MCL 20069 Remote Testing Telehealth Benefits Video/voice-Regime compliance Visible condition of patient, home environment Body language assessment Status for action- Dressed, Made up, room tidy Capabilities Home monitoring (via telemonitor)- Electrocardiogram Pulse flow; Blood Pressure, Temperature, Blood Oxygen, Blood glucose, Weight, etc

10. Copyright MCL 200610 AN EXAMPLE- Sensire, Groningen (NL)- Kuola Group – in conjunction with Insurance Company- Menzies Largest homecare provider in Netherlands. Grown from 70-700 home elderly (many with health conditions, like diabetes/ heart/etc), monitored regularly. 15000 employees; 24x7 service bidirectional; facility for patient to connect to family members

11. Copyright MCL 200611 AN EXAMPLE- Sensire, Groningen (NL)- Kuola Group – in conjunction with Insurance Company- Menzies Key results: 50% patients being treated for medical conditions 40% had suffered from loneliness High majority of patients liked more contacts and concern of staff, mortality rates lowered, video could replace some home visits, better prioritisation of patient care, better satisfaction for all involved

12. Copyright MCL 200612 Other Home Tele Care Benefits Doctor/Nurse- saves average of 15 min/visit. Pre-screening allows better prioritisation and visit preparation, better quality visits, reduced confusion over phone calls, record keeping faster and more automatic, more visits per day

13. Copyright MCL 200613 Other Home Tele Care Benefits Hospital- More effective staffing to handle critical cases, fewer readmissions, better satisfaction levels, reduced mortality, audit trails automatic

14. Copyright MCL 200614 Other Home Tele Care Benefits Public Sector- More patients handled, lower costs, higher quality services, greater staff flexibility, higher satisfaction all levels

15. Copyright MCL 200615 Other Home Tele Care Benefits Private Sector- same as public sector plus improved competitiveness and increased profitability

16. Copyright MCL 200616 Other Home Tele Care Benefits The Family- Family cohesiveness remains, greater ability of family at home to assist patient, improved social value

17. Copyright MCL 200617 Other Home Tele Care Benefits The Patient- Reduced stress from travel and concerns; ability to remain in familiar surroundings, near friends; more immediate and accurate help (vs. the Button); can now see a specialist at home; resolves language difficulties; continuous awareness of own status; secure patient information

18. Copyright MCL 200618 Summary of Home Telecare Benefits Home Telecare, when implemented correctly, prolongs life, quality of life, comfort, time, and money. Everybody benefits. As we get older, the availability of a home telecare service should be high personal criteria in selecting a retirement location

19. Copyright MCL 200619 For further information or assistance in developing the implementation of Telecare services, contact Allen Porter at allenport@aol.com or phone or write to:allenport@aol.com Pliny Allen Porter MaceCorp Ltd Westerhouse, Madeira Road West Byfleet, Surrey, KT146DF United Kingdom Telephone (+44) 7768 506306 or (+44) 1932 346811