1. Technology Transformation of the
Exam Room to Connected Health
Daniel Abdul - Chief Information Officer
Minnesota Department of Veteran Affairs
Vishal Gupta, VP & GM, Global Health Solutions
Cisco

2. Point of Discussion
 Enablers of Mobile Health and Connected Health
 EHR and PHR
 Mobile and Remote Technology
 TeleHealth
 Required and Emerging Technologies
 Connected Health
 The Virtual Exam Room
 Demonstration
 Pushing the limits of mobile health
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3. Connected Health
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Patient
Care
Providers
Payers
PHR
EHR
Home
Devices
Implanted
Devices
Monitoring
Devices
Portable
Health
Information
Ancillary
Data

4. Today’s Exam Room
• How can I help you
today?
• Describe your
symptoms of x
number of months.
• What input do we
have from other
health care
professionals.
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5. Enablers of Mobile Health and
Connected Health
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Home DevicesRemote Devices
Broadband & Wireless
Clinical TeleHealth
Electronic Health Records
Personal Health Records
Patient TeleHealth
Mobile Devices

6. EHR and PHR
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Electronic Health Records
Personal Health Records
Qualities
 Interoperable
 Portable
 Patient Driven
 Patient Centered
 Value
 Cost effective
 Quality
 Efficiency

7. Mobile and Remote Technology
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Broadband & WirelessMobile Devices
Qualities
 High market saturation
 mobile
 Low cost
 Value
 Real-time information and monitoring
 Patient driven (Apps, PHR, etc.)
 Efficiency
Remote Devices

8. TeleHealth
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Home Devices
Clinical TeleHealth
Patient TeleHealth
Qualities
 Accessible
 Collaborative
 Timely
 Value
 Cost effective
 Reduce social inequalities
 Improved monitoring

9. Required Technologies
• Health Information Communication Standards
(ICD10 and HL7)
• Information security standards and framework
(NIST- 66, ISO27001, and 27002, etc.)
• Broad access to high speed internet
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10. Emerging Technologies
• Big Data
• Data Analytics - Google flu predictive
modeling
• HIE and health information portability
• Personal Health Records
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11. Trust in TeleHealth
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12. Trust in Mobile Health
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13. Emerging Trends in Technology
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14. Telehealth Building Blocks
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15. MDVA’s mHealth Initiative
1. Mobile Applications
2. PatientCaregiver engagement
3. Telehealth
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16. TeleHealth Video
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17. Workflow
Tools
Video Endpoint
Flexibility
Medical Device
Integration
Healthcare IT
Integrations
Cisco Infrastructure
Telehealth with Cisco HealthPresence
Cisco HealthPresence transforms the delivery of healthcare to enhance care at a
distance between patients, clinicians and specialists. Using the network as a platform,
it integrates high-definition video, advanced audio, medical devices, and collaboration
tools to deliver convenient access to high-quality patient care.

18. Minnesota
Veterans Homes -
Hastings
Community Clinic #2
(Future)
Cisco
HealthPresence
EMR (Future) Medical Devices
HealthPresence at Veterans Affairs
Enabling Tele-health at MN State Department of Veterans Affairs
MN VA HCS
Hospital
Currently working on finalizing specialties for Telehealth. Pilot includes 2 end points at Veterans home @ Hastings and 2 end
points at MNVA HCS. Medical devices shall also be used in addition to workflow .
Community Clinic #2
(Future)

19. EDCS-1206502
Cisco Extended Care is a personal health and
wellness collaboration platform, enabling
patient engagement and care team
interactions at any time and from
anywhere.
The solution provides:
• Enhanced and efficient care
coordination
• Secure messaging
• Appointment calendar and scheduling
• Questionnaires
• Real time video collaboration
• Anywhere access to care team
• Browser based
• Personalized content sharing
• Video platform to drive health and
wellness awareness and education
• Open APIs to embed into and enable
3rd party applications and
environments
Cisco Extended Care and Mobile Health
Driving Health and Wellness

20. Pushing the limits of mobile health
Real-time patient information
Information prioritization
Easy patient access
Predictive analysis
Epidemic and Pandemic Prediction
Cost reduction
Patient Centered Quality Care
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