Beruflich Dokumente
Kultur Dokumente
Chuck Parker
Executive Director
The Continua Health Alliance
6/11/2009
RPM Market : enablers and drivers
Health Cost Burden
National Action
Increasing costs of the
old model of health care Economic pressures force
become a national crisis nations to demand new
health solutions
Connected
Personal Health
New Knowledge
A new path to personal
Modifiable lifestyles are key wellness, citizen
drivers for population productivity, and
health and disease sustainable health costs
Enabling Technology
Telehealth devices,
personalized biometrics,
Perspective Shift device interoperability
From treatment of disease
to proactive nurturing
of personal wellness
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RPM Market: The Need
• The challenge:
– In England 15.4 million people, including 60 percent of those over age 60,
suffer from a long-term condition. LTCs account for 72 percent of all
inpatient bed days, 65 percent of all outpatient appointments and 52
percent of all GP appointments. LTCs consume 69 percent of England’s
primary and acute care budget (NHS England)
– Up to 60% of all medication prescribed is taken incorrectly, or not at all
(National Council on Patient Information & Education).
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RPM Market: the Need for Transformation
Aging Independently
• An adult child helping their elderly parents
age gracefully in their own home.
• Basic life monitoring as appropriate (ADL)
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Continua Use Cases
• Disease management market:
– evolve the current models of care; chronic and post-acute
– connect patients, families and healthcare providers to the right
information at the right time
– more informed decision-making
– empowering people to take a more active role in their own care
– e.g.: Northern Ireland, West Lothian (UK); AOK Cardio Integral (DE)
– mostly led by public healthcare administrations; statutory health insurers
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Continua Use Cases
• Health and wellness market:
– health conscious and worried well
– fitness and lifestyle trackers, PHRs
– employer programs and occupational health (HRA)
– national public health programs, screening
– e.g.: Diabetes Prevention DEHKO (FI); metabolic syndrome – mandatory
HRA (JP); 10K Steps a Day; Nike Plus; Google Health; MS HealthVault;
Dossia
– mostly privately driven; a few national programs
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Continua Use Cases
• Ageing independently market:
– residential care, independent living facilities, individual homes
– support ADL, fall detectors, bed occupancy, medical reminders, …
– personal emergency response services
– e.g.: Tunstall, Philips Lifeline, GE Quiet Care
– driven by a mix of social care providers, group housing, individual
subscribers
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RPM market now: Current Participants
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RPM market in the future
CONTINUUM of LIFE
The Continua Health Alliance “connected health and care” vision blurs the frontiers
across solutions for healthcare, wellness and ageing independently. The individual
truly becomes the hub for wellness and health management.
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Address 60-80% modifiable Adverse Health
• Modifiable contributors
– Lifestyle choices
Actual Goal
• Today, poor lifestyle choices
increasingly are the largest
contributors to common
adverse health outcomes Non-modifiable Contributors to Disease
Modifiable Contributors to Disease
Hu et al. Diet, lifestyle and the risk of type 2 Diabetes in women. NEJM 2001
Sep 13;345(11):790-7.
Stampfer MJ, Hu FB, Manson JE, Rimm EB, Willett WC. Primary prevention of
coronary heart disease in women through diet and lifestyle. N Engl J Med.
6/11/2009 2000; 343: 16–22 12
Goal: Realize Peak Health Potential
• Goal
– Experience peak health potential throughout life for a high quality of life at minimal
costs
• Reality
– Average individual is experiencing much less of full health potential than expected
at a high financial & quality of life cost
• Cause
– Adverse health events such as stress, poor nutrition, inactivity… are causing the
population to fall away from their peak health potential
Min
Max
Unpredictable Health
Event/Accident Expectations
Health
Costs
Poor nutrition, Actual Health
inactivity, Experience
Stress…
Max
Min
Person Fitness
Lung Air
Pulse
Centered Volume
Equipment
Healthcare
provider Oximeter
Wellness
Resting Body Fat Center
Disease Heart Rate %
Gait
management
Pedometer analysis Body Fat
service
Information Analyzer
Systems
Medication
Activity
Tracking
Hub
PHR/PHA
Classes
Elderly Family
monitoring care
services givers
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Thank You
Thank you!
www.continuaalliance.org
Chuck.parker@continuaalliance.org
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