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The Patient Engagement Gap
Patient Engagement

 Improving patient engagement with their care can
 significantly reduce costs and improve outcomes



 Individuals that engage with their care plans achieve a
 higher level of health or recovery than those who do not




                                                            2
The Patient Engagement Gap

  This “Patient Engagement Gap” represents one
  of the world’s largest opportunities to achieve a
  higher level of care effectiveness. The New
  England Healthcare Institute recently published
  a major research piece that calculated this
  opportunity at over $290 billion of cost savings
  for the U.S. alone.




                                                      3
The Patient Engagement Gap

     Base Level                                            Potential
      Outcome                                              Outcome




                             The Engagement Gap
                                  $290 Billion
 •   Unengaged patients                           •   Fully engaged patients
 •   Average adherence                            •   Optimal adherence
 •   Subjective feedback                          •   Objective feedback
 •   Infrequent biometric data                    •   Frequent biometric data


                                                                                4
Putting it in Perspective




     Ref: Centers for Disease Control and American Heart Association.




                                                                        5
US Health Care Trends
                 Economy Size                                               US Healthcare               % of People Over 653
                  (Trillions $)1                                                                                                   20%
                                                                             Spending2                                       19%
                                                                                                    20%
    16 14.7
    14                                                                       Other                                     13%
                                                                            25%                     15%
    12     9.9
    10
     8                                                                                              10%
     6         4.3 4                                                          Chronic Diseases
                     3 2.6                                                                                        4%
     4                                                                                                5%
     2                                                                                75%
     0
                                                                                                      0%
                                                                                                                 1900 2000 2030 2050
                                                                            US Population2


                                                                                                   310

                                                    133M (45%) with at                           310M total US
                                                  least 1 chronic disease                          population


1: CIA World Fact Book
2: Centers for Disease Control                                                                                                           6
3: Department of Health & Human Services, Administration on Aging
Contributors to the Gap

 Patients forget to take their drugs



 Patients fail to complete rehabilitation



 Patients show up for surgery or other critical care
 procedures without proper preparation


 Historically the health care system has been built
 around services rather than outcomes

                                                       7
mHealth Solutions Can Help
Mobile devices have become pervasive, and they allow patients to take their care plans with
 them. 72% of physicians use smart phones, tablets or other mobile devices. Over 5 billion
                            people now use mobile devices.

      Integrate into life of patient                Integrate with physician
                                                    systems
      Personalized care plans
                                                     EMR integration connects mobile health
      Track behaviors via patient input or           data to back end systems
                                                      (EMR, PHR, etc.)
       through remote sensors
                                                     Web based interfaces and dashboards
      Perform assessments, deliver
       education, set alerts and                     Social media integration
       thresholds, establish goals and
                                                     Provide health analytics
       incentives & more


                            “Listen” to patient
                            Personalize care
                            Monitor and respond to abnormal events
                            Send reminders
                            Deliver customized patient education


                                                                                               8
Conclusions
 Closing the Patient Engagement Gap can save more money
 than our global community spends on cardiac care and
 three times as much as we spend on cancer.

 This one trillion dollar (globally) upside represents the
 biggest opportunity for mHealth solutions to impact the cost
 and effectiveness of care.

 The key is to quickly move beyond simple consumer grade
 “reminder” applications and deliver a product that entices
 the patient into changing their behavior.



                                                                9
www.preventice.com

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The Patient Engagement Gap

  • 2. Patient Engagement Improving patient engagement with their care can significantly reduce costs and improve outcomes Individuals that engage with their care plans achieve a higher level of health or recovery than those who do not 2
  • 3. The Patient Engagement Gap This “Patient Engagement Gap” represents one of the world’s largest opportunities to achieve a higher level of care effectiveness. The New England Healthcare Institute recently published a major research piece that calculated this opportunity at over $290 billion of cost savings for the U.S. alone. 3
  • 4. The Patient Engagement Gap Base Level Potential Outcome Outcome The Engagement Gap $290 Billion • Unengaged patients • Fully engaged patients • Average adherence • Optimal adherence • Subjective feedback • Objective feedback • Infrequent biometric data • Frequent biometric data 4
  • 5. Putting it in Perspective Ref: Centers for Disease Control and American Heart Association. 5
  • 6. US Health Care Trends Economy Size US Healthcare % of People Over 653 (Trillions $)1 20% Spending2 19% 20% 16 14.7 14 Other 13% 25% 15% 12 9.9 10 8 10% 6 4.3 4 Chronic Diseases 3 2.6 4% 4 5% 2 75% 0 0% 1900 2000 2030 2050 US Population2 310 133M (45%) with at 310M total US least 1 chronic disease population 1: CIA World Fact Book 2: Centers for Disease Control 6 3: Department of Health & Human Services, Administration on Aging
  • 7. Contributors to the Gap Patients forget to take their drugs Patients fail to complete rehabilitation Patients show up for surgery or other critical care procedures without proper preparation Historically the health care system has been built around services rather than outcomes 7
  • 8. mHealth Solutions Can Help Mobile devices have become pervasive, and they allow patients to take their care plans with them. 72% of physicians use smart phones, tablets or other mobile devices. Over 5 billion people now use mobile devices. Integrate into life of patient Integrate with physician systems  Personalized care plans  EMR integration connects mobile health  Track behaviors via patient input or data to back end systems (EMR, PHR, etc.) through remote sensors  Web based interfaces and dashboards  Perform assessments, deliver education, set alerts and  Social media integration thresholds, establish goals and  Provide health analytics incentives & more “Listen” to patient  Personalize care  Monitor and respond to abnormal events  Send reminders  Deliver customized patient education 8
  • 9. Conclusions Closing the Patient Engagement Gap can save more money than our global community spends on cardiac care and three times as much as we spend on cancer. This one trillion dollar (globally) upside represents the biggest opportunity for mHealth solutions to impact the cost and effectiveness of care. The key is to quickly move beyond simple consumer grade “reminder” applications and deliver a product that entices the patient into changing their behavior. 9