1. Creating Value for Health IFA 2012 Global Conference on Aging Dr. John Tarrant 118 Old Lafayette Ave Lexington, Kentucky 40502 USA JTarrant@MedTechGlobal.com Video Remote Monitoring to Promote Better Health and Security

2. Our Aging Population

3. Global Cost of Health Care Based on GDP

4. Chronic Disease as the Main Cause of Death

5. Who Should Receive Video- Remote Monitoring

6. How Chronic Disease impacts Hospitalization

7. Projected Cost of Chronic Diseases By 2030 the Global cost of treating the 5 most common chronic diseases will surpass 47 trillion dollars That will be 75% of the predicted GDP in 2030 Reported by the World Economic Forum and the Harvard School of Public Health, September 2011

8. Changes to Current System which will Improve Chronic Care Management

9. Four Primary Types of Home Monitoring Telephone Follow up on past procedure Video Connectivity Behavior health Remote Monitoring Early stages of a chronic condition Video-Remote Monitoring Detailed monitoring of poorly controlled chronic condition or multiple chronic conditions

10. The Benefits of Video Remote Home Monitoring integration of external services: meals on wheels adult education appointment scheduling connecting with family members social interaction data collection: Health vital stats video communication

11. Intergration of Health Care Services Hospitals Community Services Home Monitoring Relatives Doctor Elder

12. Functionality of Video-Remote Monitoring

13. Medical Peripherals Blood Pressure Glucometer Spirometer Weight Scales Stethoscope EKG Blood Oxygen

14. Success is a factor of Simplicity Client Prospective: Non-threatening technology Easy to use Non-intrusive Clinicians Prospective: Availability of health vital stats Trend tracking Easy to use

15. Impact of Video-Remote Monitoring on Chronic Disease Management CHF Diabetes COPD Wound Ref HospERHospERHospERHospER 38%49%75%83%51%66% 1 73%67% 2 63% 3 60% 4 58% 5 1.F. Bryant. Acadian Telehealth Monitoring Strategic Healthcare Program, LLC 2.R.Rees, N. Bashshur. The Effects of teleWound management Use of Services and Financial Outcomes. TELEMEDICINE and e- HEALTH. Vol13.6 2007 3.Montefore Medical Center, Care Management Organization. Health IT News, Research, and Inteligence.at www.HealthITNewsDirect.com/?p=327 4.K.Dansky, K. Bowles, L. Palmer. Clinical Outcomes of Telehomecare for Diabetic Patients. The Journal on Information Technology in Healthcare 2003; 1(1):61-74 5.M. Domingo, J. Lupon, B. Gonzalez, E. Crespo, R. Lopez, A. Ramos, A. Urrutia, G. Pera, J. Verdu, A. Bayes-Genis Noninvasive Remote Telemonitoring for Ambulatory Patients with Heart Failure: Effects on Number of Hospitalizations, Days in Hospital, and Quality of Life, CARME study

16. Impact of Video-Remote Monitoring on Chronic Care Management Decrease in Hospitalizations 60% Decrease in Emergency Room Visits 66% Decrease in Hospital length of Stay 3-4 days Avoidable Nursing Home Admissions 67%

17. Return on Investment for Video- Remote Monitoring Individuals with 5 or more Chronic Conditions managed with care coordination and video-remote monitoring: $1,400.00 per Individual per month savings on decrease hospitalization and ER visits $600.00 per individual per month program cost $800.00 per individual per month net savings All values are represented in US dollars