Scaling Remote Patient Monitoring to over 60,000 Patients, Where One Device Does Not Fit All

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Scaling Remote Patient Monitoring to over 60,000 Patients, Where One Device Does Not Fit All Don t Move The Patient, Move The Data Presented by: RALPH HAMZO

SAVVY PATIENTS: Technology means independence can be maintained for longer, providing a higher quality of life for the retiree and lower care costs for the state and family.

AGENDA: MOBILE TELEHEALTH IS HERE! - Introduction to Portal 724 - RPM Environment - Successes and Case Study - How we create an RPM program - Our Tools

INTRODUCTION TO PORTAL724 Provider of a Turnkey Remote Patient Monitoring Solution Empowering Patients, Nurses and Clinicians since 2008 Manufacturer of Bluetooth 4.0 Medical Sensors Developer of TeleHealth Applications Provider of Secure Private Cloud Provider of 24x7x365 Service and Maintenance for TeleHealth Clients Pleasure to share our experience!

Remote Patient Monitoring Environment Ref: DIGITAL HEALTH BLUEPRINT Enabling Coordinated & Collaborative Health Care Canada Health Infoway pg. 58

MOBILE TELEHEALTH TODAY Administration Pulse oximeter Wearables Glucometer Weight Scale Medication Event Monitoring System (MEMS) Transmission Hospital Network Analytics Healthcare Server Data Collection Secure Network Storage Clinician Hardened Tablet Monitoring Home Patient Transmission Support Stethoscope Blood Pressure Spirometer EKG Monitor Coagulometer Intervention

Portal 724 Successes Founder former executive with Panasonic in US started first pilot between the VA and Panasonic in 1999 Telehealth pioneers in the US Went through a rigorous vendor approval process HIPAA and ISO compliant Pyramid Analytics Business Intelligence Reports, best-in-class BI on the market Multi-language software platform Handle the logistics to deliver quality assured hardware to the patients home Provide a patient contact centre option Flexible business models

What Makes us different Canadian Company The founder of the company is a Canadian Citizen Serve over 60,000 patients Fortune 100 clients such as Optum, AMC Health, Panasonic Secured hardened tablet to collect clinical data One suitcase provides an easy to use mobile RPM solution Interactive Response Technology (IRT) systems that automate patient and drug management, reduce errors and increase efficiency. Option to white label to provide branding opportunities for our clients New and innovative solutions such as MEMS and IoT devices

How we create an RPM program for our clients Provide a pilot questionnaire to help target which patient population and disease is to be managed Create a project plan with milestones We train the clinicians/doctors through online tutorials or can send one of our trainers to train our client s face to face. We make 2 customizations on our software platform to white label the client s logo and branding to make the appearance in the mobile app and on the online portal look like their companies website. Can develop and setup a small scale pilot of minimum 50 patients in 1 month. Capable to have deployments and scale up to 10,000 or more kits/patients in 3 months. We can handle the logistics our selves to deliver the kits directly to the patient and ready to use or work with our clients who have their own logistics department and deliver the kits to them. Start with a Pilot for 3 months and can collect enough data to prove a successful program and deploy and scale to a larger patient population

Our RPM can help manage many chronic illnesses Congestive Heart Failure (CHF) Chronic Obstructive Pulmonary Disease (COPD) Diabetes Hypertension Acute Weight Loss Acute Weight Gain Atherosclerosis High Risk Pregnancy Asthma Chemotherapy Wound Management

USE CASE FROM OUR CLIENT: U.S. INSURANCE COMPANY (Patient Support System for Chronically ill 25,000 Patients} Based on a trial that included 3,030 people with diabetes, heart failure or chronic obstructive pulmonary disease: 45% reduction in mortality rates 20% reduction in emergency admissions 15% reduction in Accident & Emergency visits 14% reduction in elective admissions, and 14% reduction in bed days in hospital Investment has paid off, with 91 percent of care cases resolved after the first virtual intervention.

BENEFITS TO PATIENTS - COOPERATING PATIENTS MAKE GREAT CLIENTS! Proactive Event Management Access to Care Consistency of Care Reassurance Self-Learning (An Enlightened Patient) Accountability RPM Alters the Patient Pathway Positively RPM Clinical Data Equals Data Collected at Doctor s

BENEFITS TO CARE PROVIDERS: Significant Increase of Health Informatics, Significantly Increase Professional Knowledge Benefits to Patients also Apply to Care providers Resource Optimization Improved Roster Management Visit Efficacy Reliable Clinical Data Better Decision Making Attract / Retain Patients / Differentiator

WHY & HOW OF INFORMATION SECURITY? HIPAA COMPLIANCE, HITRUST & ISO27001 CERTIFICATIONS Common Security Framework (CSF) Mobile Security Safeguards & Best Practices. Ensure the confidentiality, integrity, and security of electronic PHI. Create, Access, Store or Exchange Sensitive and/or Regulated Data. Access and Audit Controls Harmonized requirements Integrity, Authentication and Transmission Security Set of Specifications, Codes of Conduct Best Practice Guidelines Strong Information Security Management

OUR TOOLS

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CONCLUSION: PROVEN CASE FOR RPM PATIENT FIRST! Reduction of post op admissions Improve utilization of resources Post Hospitalization Proper assessment and prioritization of patients Direct consultations by specialists Medical Information includes treatment and outcome Patient records are stored and accessible for future care and throughout patient treatment cycle Quality care while cost is reduced Technology is key to effective treatment programs