TELUS health space September 10, 2009 Luc Sirois (luc.sirois@telus.com) Corinne Campney (corinne.campney@telus.com)
The pressure on healthcare drives consumer ehealth LOWER cost HIGHER quality of life Quality of Life HOME/CONSUMER CARE Healthy, Independent Living Chronic Disease Mgmt Specialty Pharmacy COMMUNITY CARE Assisted Living Skilled Nursing Facility SHIFT LEFT PRIMARY CARE Community Clinic Doctor s Office ACUTE CARE Specialty Clinic Hospital ICU Consumers forced to get involved Less beds, less access, missing info, more wait Public policies towards prevention & self care Technology enabling self-care Cost reduction imperatives $1 $10 $100 $1,000 $10,000 Cost of Care per Day 2
Moving Toward a Consumer-Centric Era CONSUMER CONSUMER CONSUMER FACILITY CONSUMER CONSUMER + Transactional Health Facility-Centric Era + Collaborative Health Provider-Centric Era Preventative-Health Consumer-Centric Era 1990 2008 2020 Wellness programs Patient portals Data for prevention Physicians & pharmacists connected to EHR Homecare Treatment plans with many professionals Government EHR initiatives Local clinical and administrative applications Transaction payment focus 3
Technology key to the emergence of consumer ehealth Patient/Consumer Personal Information Interface & Connectivity The Care Providers Sensors Continuous, Real Time Monitoring Personalized suggestions and advices from Health Professionals Fast interventions in case of emergency Heart rate Energy expended Distance walked Movement acceleration Weight bmi Respiration cycle Blood pressure Blood glucose Oxygen saturation Etc. Technology now Ubiquitous, powerful, interactive, visual, portable, continuous network connection, capability to interact with applications, connecting to multiple systems Lifestyle (food and exercise) advise of a virtual Health Coach Peace of mind for the Patient s families through live monitoring Personalized & Contextualized Assistance & Coaching 4
What is TELUS? Collect, store, and share health information Allows multiple applications to work with a person s health data to improve health management and outcomes 5
TELUS is connecting the consumer Health organizations will have clinical systems that connect to the platform Various application developers will have consumer systems that connect to the platform Various device manufacturers will have consumer devices that connect to the platform The platform could also be used as the base of prevention programs in the workplace 6
Where and how can it make a difference for consumers? Example of Value for consumer Achieve Goals Achieve fitness goals / reach target weight Track progress and get personalized coaching Generate self-adapting routines/ programs on video Get support from friends online Play life-size simulations Stay on top Access the kids or parents medical data at critical moments / Always bring complete medical history to doctor s appointments Obtain advices and suggestions from trusted care providers Obtain appointments online / get reminders & instructions Interact with the doctor online when no visits are needed Pay the pharmacy w/ phoneembeded Emergis cards Remain in the zone Monitor condition and effectiveness of treatment plans Calculate dosage / adjustments based on daily conditions Remain in the zone : Keep glucose level, asthma, blood pressure under control Get real-time alerts to anticipate & prevent attacks,, Obtain on the spot diet advice Peace of mind for the Peace of mind for the patient s families from live monitoring Remotely monitor and help medication compliance Control overall health condition and trends Provide timely advice and suggestions to the senior or their care giver Follow medical protocols 7
Healthcare, enterprises and consumers: everybody wins Example of value for Consumers Government Sponsor Enterprise Sponsors Achieve Goals Stay on top Remain in the zone Stay healthy at home Lower incidence of chronic disease Increased stickiness Reduced use on Reduction in primary care physicians emergency admissions Service positioning Everybody wins Product differentiation Lower costs of healthcare per citizen Market extension / expansion
Goals for TELUS Vision Providing real-time, portable, personal & family health management services that empowers individuals and their care provider Work with physicians and professional care givers to build here in Canada the best self-care solutions in the world Provide most Canadians a platform for easy, private storage and exchange of their health information Assemble an ecosystem of application providers to help patients manage their own health Connect consumers to their care givers and primary care providers in the most efficient ways Launch smart tools to provide personalized guidance in a timely manner, automatically 9
Our vision: Connected self-care Consumers Primary and acute care WWW IPTV Self-Management and prevention for the consumers and their loved ones with the appropriate application, information and guidance through the most appropriate tool for the appropriate time and place in link with professionals care providers 10
Thank you! 11
Appendices 12
TELUS is connecting the consumer Health organizations will have clinical systems that connect to the platform Various application developers will have consumer systems that connect to the platform Clinic Software Application EMR SDK API SDK API Provider Lab Lab Info System SDK API Data Model Various device manufacturers will have consumer devices that connect to the platform Hospital Clinical System SDK API Connection Centre 13
Positioning vs the HIAL architecture Provincial iehr (Infoway Architecture) PROVINCIAL EHR SOLUTION EHR INFOSTRUCTURE (EHRi) TELUS Platform Partner Ecosystem Ancillary Data & Services Health Information Data Warehouse EHR Data & Services Registries Data & Services Partner Applications Longitudinal Record Services Health Information Access Layer Point of Service Application Point of Service Application EHR Viewer 14 14