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Telehealth, Medical Devices and Future Patient Care

Telehealth, Medical Devices and Future Patient Care. Institute for Athletic Medicine IZEX Technologies, Inc. Introductions. Institute for Athletic Medicine Leading physical therapy network in the Twin Cities Fairview Health Services & North Memorial Health Care

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Telehealth, Medical Devices and Future Patient Care

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  1. Telehealth, Medical Devices and Future Patient Care Institute for Athletic Medicine IZEX Technologies, Inc.

  2. Introductions Institute for Athletic Medicine • Leading physical therapy network in the Twin Cities • Fairview Health Services & North Memorial Health Care • 200 professionals, 24 locations, 40,000 patients per year IZEX Technologies, Inc. • Medical information services company • Development stage • Patented products for distance rehabilitation

  3. Third Party Payer Interests • Third Party Payers are seeking breakthrough change and improvement • Costs • Outcomes • Accountability

  4. Provider Interests • Providers are seeking breakthrough opportunities to improve delivery • Treatment frequency and duration • Compliance • Methods • Recurrence

  5. Ideal – Send therapist home with patient • Continue coaching • Gather measurements

  6. Technology Being Trialed at IAM • “Rehabilitation at a Distance” clinical trial currently under way at University of Minnesota and IAM • Study question “Can physical therapists determine when patients are ready to transition between phases of ACL rehabilitation using data retrieved from a PDA and sensor-enabled orthosis over the Internet?”

  7. The NetRehab® Telehealth Solution Therapist manages the patient’s in-home activity using on-line tools PDA coaches patient and gathers information for therapist Sensored device gathers objective data

  8. Preliminary Clinical Results Are Promising • 50% fewer in-clinic visits • Reduction in therapy length • Outcomes same as control group

  9. Rehabilitation at a Distance Patient Testimonials from Exit Surveys "I exercised more because I knew that my physical therapist had continual access to my exercise information and progress." "The PDA and modem worked very well and getting feedback from my therapist gave me an incentive to work hard." "I enjoyed exercising when and where I wanted to."

  10. Rehabilitation at a Distance Participating Clinician Feedback “NetRehab is a patient support system that helps me keep in touch with my patients” “NetRehab assists the physical therapist in working with their patient, either in the role of ‘whip cracker’ or ‘rein puller’” “The value of the NetRehab system is in the following areas: compliance monitoring, follow-up and prove outcomes, accessibility and context with the status monitoring ability, and ability to progress a patient’s program on a more timely basis”

  11. Anticipated Clinical Benefits • Large data pool for research • Treatment protocol development • Better patient compliance • Long-term impact on treatment outcomes

  12. ‘Tele’ Solutions • Telehealth, telemedicine, telepractice – Using communications and computing technology to deliver patient care • Telehealth – between medical professional and patient • Fast growing segment of healthcare

  13. Orthopedic Rehabilitation • Second largest area of healthcare devices, behind cardiovascular • 10 million physical therapy patients annually • Favorable demographic trends Physical Therapy 10 Million patients $15 Billion revenues Orthopedics $10 Billion Orthopedic Bracing & Supplies $800 Million

  14. Technical Configuration Healthcare Professional Production Operations Internet Application Database Firewall Network Backup Patient Web Private Dial-up Network

  15. NetRehab Components — Inbox The Inbox shows the clinician’s caseload

  16. NetRehab Components — Regimen Editor The clinician uses drag-and-drop tools to set exercise program and goals

  17. NetRehab Components — Reporting Drill-down reporting accurately shows patient progress

  18. Vision for the Future of Patient Management Interactive Patient Management System Shoulder Enterprise Data Management Systems - Electronic Medical Record - Scheduling - Case Manager Spine Knee

  19. Future Capabilities — Patient Viewpoint Exercise 2 of 8: Oswestry Index Question 7 of 10: Sleeping Quadratus Lumborum Stretch I have no pain while in bed I have pain in bed, but it does not prevent me from sleeping well Because of pain I sleep only 3/4 of normal time Because of pain I sleep only 1/2 of normal time Because of pain I sleep only 1/4 of normal time Pain prevents me from sleeping at all Cross the left leg over the right. Slowly drop both legs toward the left  Hold 30 sec Perform 10 reps ? ?

  20. Implementation Challenges • Reimbursement • Regulations • Training and acceptance • Integration with other systems

  21. Conclusion — The Future Is Bright!

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