Agenda: Created By Healthcare Professionals For Healthcare Professionals

DAY 1: MEASURING THE VALUE AND PREPARING FOR SUCCESSFUL IMPLEMENTATION OF RPM

EXAMINING HOW TO ENSURE RPM IMPLEMENTATION IS SUPPORTED BY BOTH REIMBURSEMENT AND PATIENT BUY-IN

9:00 Chair's Opening Remarks

Jim Lancaster, Medical Director, Cigna-HealthSpring

KEYNOTE PRESENTATION: THE CONNECTED MEDICAL HOME- AND PATIENT : MEASURING THE VALUE OF RPM

9:10 The Partners Healthcare And Massachusetts General Hospital Experience : Examining The Correlation Between Remote Patient Monitoring And Reduced Readmissions

  • Quantifying the exact impact of RPM by: Investigating whether RPM has the potential for significant impact on readmission rates, readmission penalties and financial risk to quantify incremental cost saving opportunities + Examining whether RPM can provide long term cost savings to health services by enabling higher quality patient care to help justify the business case for implementation
  • The PHS and MGH experience - Examining clinical data integration, discharge planning, cardiac care, diabetes and blood pressure, and mobile apps to:  Contrast the incremental value of bio monitoring with case management and determine both the financial and patient care benefits of choosing one over the other + Measure how implementing RPM technology can improve reach to the costliest patients
  • Whats next: Determining the future of RPM in healthcare

Sarah Sossong, Director of Telehealth, Massachusetts General Hospital

9:40 Question & Answer Session

REIMBURSEMENT - MULTI-STAKEHOLDER PANEL

BRINGING TOGETHER HEALTHCARE PROVIDERS, INSURANCE COMPANIES AND TECHNOLOGY PROVIDERS ON ONE PLATFORM TO DISCUSS STRATEGIES FOR WORKING WITHIN THE CONFINES OF THE U.S. REIMBURSEMENT LANDSCAPE

This extended briefing will set the context for working within the fast changing reimbursement landscape in which this summit takes place, by breaking down what every healthcare provider, insurance company and technology providers
needs to know about the U.S. reimbursement landscape. The ensuing  question and answer discussion has been specifically designed to allow stakeholders the opportunity to debate, discuss and understand the basis and concept, as well as the case for and against reimbursement and how it will impact the U.S. healthcare systems

KEYNOTE PANEL: REIMBURSEMENT

9:50  Discussing Strategies For Overcoming Reimbursement Barriers To:

a) Assure Support For Healthcare And Insurance Providers

b) Expedite Investment in Wireless Remote Patient Monitoring To Better Align With Traditional Telemedicine Payments

  • Investigating the case for and against reimbursement from the insurance perspective to determine payer support for RPM: Private VS Medicare
  • Identifying where RPM is being reimbursed and examining the factors which justified the reimbursement to draw lessons on how to widen coverage
  • Examining what is being done at the federal level to make RPM more appealing for each state to incorporate it into in their state Medicaid and Medicare plan
  • Understanding if and when a CPT code for RPM technologies will be available from Medicare to gauge when reimbursement will be available
  • Determining where funds can be attained for RPM if the method is not reimbursed
  • Investigating the extent to which RPM implementation could be hindered by reimbursement barriers to mitigate financial risk

Healthcare Provider Perspective: Sarah Sossong, Director of Telehealth, Massachusetts General Hospital

Technology Provider Perspective: Dan Nacey, Vice President of Healthcare Alliances, Philips Healthcare

10:20 Morning Refreshments In Exhibition Showcase Area

CASE STUDY
DRAWING LESSONS ON REAL LIFE, CONDITION SPECIFIC CASE STUDIES AND UNDERSTATING HOW TO SUPPORT POPULATION HEALTH MANAGEMENT

MULTIPLE CHRONIC DISEASES CASE STUDIES

10:50 Reviewing The Latest RPM Case Studies Specific To Patients with Multiple Chronic Diseases To Identify Where The Most Immediate Opportunities Lie For Improving Care To The Chronically Ill

  • Investigating trends in chronic disease patients developing multiple chronic diseases to quantify need to optimize RPM programs and devices to monitor complex patients
  • Looking at research which measures the quality of life of multiple chronic disease patients to justify the importance of developing a program optimized for the care of patients with multiple chronic diseases
  • Examining best practices to manage patients with multiple complex chronic conditions to draw lessons on optimizing application of RPM on the most prominent conditions in the US
  • Investigating where RPM technology has successfully alerted service providers to complications to measure the viability of RPM as a preventative measure: Multiple chronic illness patient case study
  • How to incorporate the variables of disease type and lifestyle into device selection decisions to ensure the most appropriate technology is used for each patient
  • Examining how health providers and vendors have partnered to deliver optimized RPM services and quality of care in a way that was previously impossible due to technology limitations

Deb Dahl, Vice President Clinical Innovation, Banner Health

11:20 Question & Answer Session

HEART DISEASE: CONDITION-SPECIFIC CASE STUDY

11:30 Reviewing The Latest Heart Disease RPM Case Studies To Identify Where The Most Immediate Opportunities Lie For Improving Care To The Chronically Ill

  • Examining the Impact of RPM and Measuring the success rate of programs on monitoring, managing and diagnosing patients with Heart related conditions
  • Examining heart disease-specific best practices to draw lessons on optimizing application of RPM on the most prominent conditions in the US
  • Examining how the wearables trend has affected perception of RPM as a valid method of tracking health and identifying successful monitoring apps
  • Studying health apps such as apples health kit service to identify characteristics for success
  • Determining whether physiologic data from wearable devices, when analyzed using a disease modeling tool and machine learning system, can detect heart failure decompensation earlier and with greater specificity and sensitivity than existing alternatives

Raj Khandwalla, Director, Cardiovascular Education, Cedars - Sinai Medical Care Foundation

12:00 Question & Answer Session

12:10 Networking Lunch In Exhibition Showcase Area

POPULATION HEALTH

1:10 Understanding How RPM Can Support Population Health Management As Healthcare Providers Transition From A Volume To A Value Based Model

  • Understanding the ramifications on healthcare providers of a transition from a volume, fee for service (FFS) model to a value based model
  • Quantifying risk associated with accountable care organizations (ACO) with patient care quotas and examining how merging health plans with care delivery models using RPM can significantly reduce risk
  • Assessing best practices for using RPM as a cost effective population health management tool to draw lessons on optimal application

Randall Krakauer, Vice President National MD Medical Strategy, Aetna

1:40 Question & Answer Session

PATIENT BUY-IN

EXAMINING HOW INTELLIGENT MARKETING PROGRAMS CAN BE USED TO OVERCOME BARRIERS TO PATIENT BUY-IN

PATIENT BUY IN

1:50 Identifying Barriers To Patient Buy In And Devising Actionable Plans To Encourage Healthier Choice and Maximize RPM Reach And Adoption

  • Reimbursement: Identifying how lack of reimbursement reduces viability of program and acts as a barrier to patient buy-in
  • Direct Contact Preference: Investigating how to get a chronically ill patient to put their trust in technology instead of through direct contact
  • Data Security Concerns: Understanding patient concerns over data security and information leak risk to determine best practices for alleviating them
  • Incentives For Preventative RPM: Developing a strategy to encourage RPM patient buy as a preventative measure before they become ill/ are critical
  • Education: Assessing how to educate patients on traditional care vs. RPM to demonstrate that better care can be provided without physical interaction with a doctor

Michael McGarry, Director, Transformational Development, Ascension health

2:20 Question & Answer Session

2:30 Afternoon Refreshments In Exhibition Showcase Area

MARKETING PROGRAMS

3:00 Understanding How To Develop A Strategic Marketing Plan To Educate The Public And Users On The Value Of RPM And Encourage Critical Patient Buy-In

  • Examining how health providers are educating the public on available RPM services and medical devices to encourage patient buy-in and improve reach
  • Analyzing how health providers are educating patients on the use of RPM technologies to improve patient ability to use the device and reporting accuracy
  • Defining a integrated RPM educational curriculum which improves patients ability to manage their own health
  • Examining which buzz phrases or words have proven most effective in engaging patients
  • Hearing best practices on how social media can be used to help patients overcome psychological barriers to RPM
  • Examining how to simplify RPM tools to ensure the technologically illiterate segment of population can still develop the technical knowledge required to use the products
  • Developing a strategy to encourage RPM patient buy-in as a preventative measure before they become ill

Jim Lancaster, Medical Director, Cigna-HealthSpring

3:30 Question & Answer Session

INNOVATION

3:40 Examining The Extent To Which Innovative RPM Solutions Such As Video Conferencing And App Integration Can Overcome Patient Barriers To Adoption And Enhance Engagement

  • Evaluating how RPM innovations such as video conferencing can enhance customer engagement and improve remote conversation to determine viability for investment
  • Examining correlation between use of smartphones and patient adoption to determine the viability of leveraging the proliferation of smartphones to expand RPM reach
  • Investigating how to integrate educational messages in to RPM systems to monitor patient engagement and understanding of disease cycles to improve self management
  • Examining how the wearables trend has affected perception of RPM as a valid method of tracking health and identifying successful monitoring apps
  • Studying health apps such as apples health kit service to identify characteristics for success

Katherine Steinberg, Director at Institute for Innovation in Health, UCLA Health

Peter Kung, System Vice President, Virtual Health, SCL Health

4:10 Question & Answer Session

4:20 Chair's Closing Remarks

4:30 - 5:30 Networking Drinks In The Exhibition Area

DAY 2: SUCCESSFUL IMPLEMENTATION

INVESTIGATING THE MOST COST AND TIME EFFECTIVE TOOLS FOR AGGREGATING, SORTING AND PRIORITIZING REMOTE PATIENT DATA AND HOW TO SUCCESSFULLY INTEGRATE IT INTO EXISTING SYSTEMS

9:00 Chair's Opening Remarks

Jim Lancaster, Medical Director, Cigna-HealthSpring

KEYNOTE PRESENTATION: MAKING SURE IT WORKS AND REDUCING UNPLANNED READMISSIONS - A PEDIATRICS PERSPECTIVE

9:10 Identifying Critical Implementation Criteria To Ensure RPM Programs Successfully Reduce Unplanned Readmission's While Mitigating Financial Risk

  • Overcoming Barriers: Identifying barriers to successful implementation and how to plan a realistic and low risk road map for adoption
  • Data Optimization: Collating trial-based evidence on data optimization best practices to identify success criteria for RPM program development
  • Patient Prioritization: Identifying patient selection criteria to ensure RPM technologies are offered to the patients it will benefit most
  • When Not To Use RPM: Exploring conditions where traditional in-clinic monitoring is more effective than RPM to identify patients for whom RPM will not work
  • Integration: Understanding how to seamlessly integrate RPM into existing health plans to optimize service across all health care operations
  • Balancing Objectives: Analyzing how providers can align commercial and operational goals to ensure program and device standards are maintained to mitigate risk

Richard Stroup, Director, Informatics, Ward Family Heart Center at Children's Mercy Hospitals & Clinics

Lisa J. Large, Telemedicine Manager, Department of Medical Informatics & Telemedicine, Children's Mercy Hospitals & Clinics

Lori Erickson, MSN, APRN, Fetal Cardiac and Cardiac High Acuity Monitoring APRN, Ward Family Heart Center at Children's Mercy Hospitals & Clinics

DATA OPTIMIZATION

OPTIMIZING DATA COLLECTION, REPORTING,  ANALYSIS TOOLS AND TECHNIQUES 

DATA TRANSMISSION & REPORTING: DEVICES PANEL

9:40 Scrutinizing RPM Data Gathering And Selection Technologies To Identify Which Can Deliver The Quality Of Data Necessary For A Responsive Program

  • Comparing the very latest bio-monitoring technologies on the market and comparing their effectiveness in measuring patient health:

o    Vital sign monitoring
o    Weight management monitoring devices
o    Diabetes monitoring
o    Manual and automated technologies

  • Understanding how to develop actionable, real time, automated reporting for RPM programs to mitigate risk of re-admissions
  • Examining the criteria for measuring data quality to ensure useable, high quality patient data is channeled into the system
  • Developing a method to assess the efficiency of reporting systems to identify where modifications could optimize the program
  • Examining industry best practices for aggregating data to ensure you have the right type and amount of information required for a responsive program
  • Comparing automated and manual reporting tools to determine the optimal method for gathering fast, actionable quality data
  • Comparing case studies for clinical sensors in the market to select the perfect fit analytic tool capable of closing care gaps
  • Investigating the importance of device standardization in maximizing compatibility, guaranteeing quality and improving safety
  • Examining the device characteristics critical to patient adoption of the technology
  • Examining the legislative processes on national (FDA) and state levels to forecast potential for adoption across states

Panelist: Lisa J. Large, Telemedicine Manager, Department of Medical Informatics & Telemedicine, Children's Mercy Hospitals & Clinics

Panelist: Lori Erickson, MSN, APRN, Fetal Cardiac and Cardiac High Acuity Monitoring APRN, Ward Family Heart Center at Children's Mercy Hospitals & Clinics

Panelist: Richard Stroup, Director, Informatics, Ward Family Heart Center at Children's Mercy Hospitals & Clinics

10:10 Morning Refreshments In Exhibition Showcase Area

INTEGRATION OF TECHNOLOGIES

10:40 Scrutinizing The Integratability Of RPM Technologies And Data Gathering Devices To Determine Which Can Be Seamlessly Synthesized With Existing Systems

  • Taking an evidence based approach to determining which RPM tools can be integrated into traditional care delivery settings to ensure transparency and visibility across operations
  • Developing a strategy with suppliers to automate integration of RPM devices in to existing EHR systems to create a single up to date platform to aid accurate evaluations on patient health
  • Examining IT requirement for systems to be integrated to promote data sharing and improve communication and visibility across service
  • Developing a seamless technology and device integration strategy to improve reporting and communication

John Kornak, Director, Office of Telehealth, University of Maryland Medical Center

11:10 Question & Answer Session

CASE STUDY
DRAWING LESSONS ON A REAL LIFE, CONDITION SPECIFIC CASE STUDY

HEART DISEASE: CONDITION-SPECIFIC CASE STUDY

11:20 Reviewing The Latest Heart Disease RPM Case Studies To Identify Where The Most Immediate Opportunities Lie For Improving Care To The Chronically Ill

  • Examining the Impact of RPM and Measuring the success rate of programs on monitoring, managing and diagnosing patients with Heart related conditions
  • Examining heart disease-specific best practices to draw lessons on optimizing application of RPM on the most prominent conditions in the US

Liviu Klein, Director, Mechanical Circulatory Support & Heart Failure Device Programs, University of California San Francisco / UCSF Heart and Vascular Center

11:40 Question & Answer Session

11:50 Lunch In Exhibition Showcase Area

OPTIMIZING DATA COLLECTION, REPORTING,  ANALYSIS TOOLS AND TECHNIQUES

DATA ANALYTICS

12:50 How To Rapidly Draw Conclusions From Huge Volumes Of Incoming Patient Data To Optimize Response Rates And Keep People Out Of The Emergency Rooms

  • Examining the very latest highly intelligent analytical tools that recognize the type of data and determining how to prioritize it to reduce lead time for patients at risk
  • Developing criteria for selecting data analysis vendors and scrutinizing services to ensure internal requirements are met
  • Comparing the latest data displays being applied in health care systems to identify which interfaces are most easy to use for clinicians
  • Identifying variables and collating biometrics available to establish trends in disease cycles so anomalies can be easily identified

Debra Philpot, Neuroscience Administrator, HCA, TriStar

1:20 Question & Answer Session

APPLICATIONS OF WEARABLE MONITORS
IDENTIFYING STRATEGIES FOR IMPROVING THE MANAGEMENT OF CARDIOVASCULAR PHARMACOTHERAPY

WEARABLE MONITORS

1.30 Exploring Potential Applications of Wearable Monitors in the Management of Cardiovascular Pharmacotherapy

Kade Birkeland, Cardiology Clinical Pharmacist, Cedars - Sinai Medical 

2:00 Question & Answer Session

2:10 Afternoon Refreshments In Exhibition Showcase Area

RPM IN THE NEAR FUTURE
EXAMINING METHODS FOR ENSURING THE SUSTAINED OPTIMIZATION OF RPM AND FORECASTING HOW RPM IS LIKELY TO EVOLVE U.S. HEALTHCARE SERVICE PROVISION IN THE FUTURE

MEASURING PERFORMANCE

2:40 Developing Criteria For Measuring The Performance Of RPM Programs To Ensure Both Healthcare Service And ROI Are Optimized At Every Stage

  • Establishing reliable clinical metric processes for measuring the efficiency, quality and performance of RPM technologies and services
  • Evaluating how to develop a responsive business which rapidly identifies low performing service areas and improvement opportunities
  • How to monitor individual patient progress whilst also reviewing the big picture of disease cycles and the whole program quarterly to quantify the success of clinical outcomes
  • Understanding how to perform commercial look-backs during and after an RPM program has been completed to measure the success and quantify return on investment
  • Developing a strategy to use data extracted from RPM reports as a method for measuring model performance and identifying gaps of opportunity

Liviu Klein, Director, Mechanical Circulatory Support & Heart Failure Device Programs, University of California San Francisco/ UCSF Heart and Vascular Center

3:10 Question & Answer Session

SHORT-TERM ROAD MAP

3:20 Identifying Key Action Points And Takeaways For US Remote Patient Monitoring - Steps Towards A Favourable Reimbursement Scenario to Drive US Healthcare Growth

  • Forecasting the full extent of remote monitoring once barriers such as reimbursement are overcome to determine the potential impact RPM may one day have on existing traditional monitoring programs within US Healthcare
  • Looking at the long term impact of an implemented RPM plan across states and understanding the trends and correlations we can expect to see in US health care systems, health insurance providers and patient requirements
  • Understanding the importance of long term planning to ensure a sustainable healthcare system model that can successfully transition from volume to value model-improving quality of care while reducing cost
  • Understanding how the provider quantified the need for RPM in rural communities versus metropolitan areas to ensure optimal RPM device distribution

Healthcare Provider Perspective: Liviu Klein, Director, Mechanical Circulatory Support & Heart Failure Device Programs, University of California San Francisco / UCSF Heart and Vascular Center

Insurance Provider Perspective: Jim Lancaster, Medical Director, Cigna-HealthSpring

Technology Provider Perspective: Bryan Pruden, Sr. Director of Healthcare Markets, Care Innovation, Intel-GE Joint Venture

3:50 Chair's Closing Remarks

4:00 End Of Summit

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