Nemours Anytime, Anywhere

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1 Nemours Anytime, Anywhere Digital technologies that consumers embrace and value to manage their children s health Natalina Zisa, MPH, MT Telemedicine Operations Manager

2

3 Anytime, Anywhere Our aim is to expand a more accessible continuum of care within our communities in order to be a more proactive partner in guiding and empowering parents throughout their children s development.

4 Nemours at a Glance Nemours.org Nonprofit devoted to children s health, providing care, research, and education Enduring legacy of Alfred I. dupont Patient care by the numbers: 410,000 3,800 1, Patients/1.3 million annual encounters Trainees annually Residents, fellows & students Employed physicians Researchers Pediatric care locations in five states Specialties and subspecialties Employed hospitalists Collaborating hospitals Wilmington, Delaware Orlando, Florida

5 Strategically aligning our consumer-facing digital properties Expand access channels and digital health capabilities Invest in Nemours brand to increase consumer preference Establish commodity services 5

6 Digital Tools in Schools

7 Nemours Consumer Digital Properties Merged Under Corporate Services Umbrella (CHDI) MyNemours Nemours (Nemours Link) Reading Brightstart! KidsHealth (KH in the Classroom) CareConnect Center for Health Delivery Innovation

8 KidsHealth from Nemours 260 million+ visits annually to KidsHealth.org # 1 licensor of pediatric health education to 200+ hospitals and health systems Largest library of pediatric videos, including the animated How The Body Works series for kids Helping parents with practical guidance in plain language Preventative, acute and chronic issues Simple instructions KidsHealth.org Informative illustrations Distributed by clinicians via the EHR Created exclusively for pediatrics Center for Health Delivery Innovation

9 Literacy is the single, strongest predictor of adult health.

10 Nemours Reading BrightStart! Putting children on the road to reading success Online program to identify and teach young children at risk for reading failure Now, with our proprietary online screener, parents can accurately evaluate their child s reading readiness allowing us to identify and intervene with every child Nemours Prevention & Population Health 23 states impacting 1,000,000+ children Childhood obesity Asthma management Parents can choose to utilize our telemedicine portal to connect with a Nemours Literacy Counselors to review their child s scores and discuss the Literacy plan ReadingBrightStart.org Center for Health Delivery Innovation

11 Digital Asset Integration Smart Patient Portal - Digital backbone Building on MyNemours Online scheduling Telehealth (Nemours CareConnect) Connected devices & apps Fully-integrated KidsHealth content

12 Nemours CareConnect Multi-use telehealth platform Clinician-to-Partner Facility Clinician-to-Family 24/7 On-Demand Visits (DTC) Store & Forward Reads Center for Health Delivery Innovation

13 24/7 On-demand Urgent Care Board certified Nemours employed Pediatricians 6 States (FL, GA, MD, DE, PA & NJ) Real-time eligibility with Payers (Medicaid and Private) Records sent to Patient + PCP Education information, KidsHealth School Based Telemedicine Discharge/Follow Up Visits 64% of visits, avoided UC/ER 97% patient satisfaction

14 Nemours CareConnect in Schools Better and faster access to care, meeting (keeping) children where they are in schools Use of peripheral devices (Tytocare/Cart) Invite parent feature Notes sent to parent and PCP, continuity of care Return to classroom rate is higher and sooner Less absenteeism for students, parents and siblings Cost saving by focusing on prevention and early intervention

15 Nemours CareConnect in Schools: Implementation Co tract (Term, Equipme t, Fees) Equipme t De ivery & Staff Trai i g I itia Pare t Commu icatio (Letter & Porta ) Ope Houses & Pare t Packets E ro me t/mrn Creatio Parent Packets (annual): Parent Letter Patient and Family Intake Forms Consent to Treat via Telemedicine Patient Presents without Legal Guardian Form Financial Responsibility Form Notice of Privacy Practice MyNemours Parent Portal Setup Surveys Pharmacies *

16 School Based Telehealth Barriers & Learnings Private vs Public Schools (current status) Need vs Want Expectations vs Reality Constant contact & reminders Reimbursement & the different models Buy-In: School Champions, Parents, Community PCPs Relationships Value What s in it for me Patience

17 Pilots, Concepts and Near Future

18 Tytocare & Remote Monitoring Devices Pilots

19 Nemours Asthma App Nemours.org MyNemours Launched Nov 3 rd, 2017 For Families: Improve control, Remove friction For Clinicians: Support patient care, Improve patient visibility in between visits Nemours CareConnect Nemours KidsHealth.org Reading BrightStart

20 Center for Health Delivery Innovation

21 Thoughts?

Minutes June 20, 2017 Telehealth Advisory Council WellCare 8328 Florida Ave. Tampa, FL 32604

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