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Technology Enabled Behavior
Changes for Diabetic Patients

           Presentation to Health STAT
                           May 12 2011
About Patient Engagement Systems
Our Mission



              To improve care by offering
                technology that engages
              primary care providers and
                their patients to improve
              the management of chronic
               conditions in primary care
                        settings.



2
Behavioral Economics in Healthcare
What’s it mean?


                                  • How attributes are presented relatively (80% vs
         Framing
                                    20% fat)


           Free                   • Higher worth placed on “free” stuff


                                  • Making decisions and changes are always
         Default
                                    harder that doing nothing


      Loss Aversion               • Rather “not win” than lose


     Social Influences            • Peer pressure is stronger than we believe




                   Sources:   Dan Ariely, Predictably Irrational
Behavioral Economics in Healthcare
So What?


                          Death         • 2.4m/year


                      Non adherence
                                                • $290b/year
                         to Meds


               No show for MD appt                      • $150b/year



                         Obesity                                • $148b/year


           Sources:    Personal Decisions Are the Leading Cause of Death, Duke University Study
                       New England Healthcare Institute
                       National Health Statistic Report
                       National Center for Health Statistics
Market Opportunity
Emerging Market Segment

            Patient engagement is a core aspect of every major
                       initiative in health care today




       Patient Center     Accountable Care      Reimbursement &
       Medical Homes       Organizations           Incentives
PATIENT ENGAGEMENT PLATFORM
A Structured Flow                                            Labs ordered by
                                                                Provider
1. Provider orders labs
2. Test results gathered in central data repository
3. Proprietary algorithms analyze data for chronic           Timely, secure
                                                              transmission
   condition-specific factors
    • Diabetes (a1C, lipid profile, urine
        microalbumin)
    • Chronic Kidney Disease (createnine,
        eGFR, BUN, hemoglobin, electrolytes)
4. Results modeled
5. PCP receives analytics
    • flow sheets
    • treatment reminders                                                       Analytics for
                                          Patient Alerts &        PES
    • population reports & disease          Reminders           PLATFORM
                                                                               Practice / EMR
        registry
6. Patient receives
    • alerts                                 Activated
                                                                                 Prepared
    • care reminders                          Patient
                                                                                 Provider
7. Reports sent to case managers
                                                              Ideal Clinical
                                                                Encounter
Our Platform
Solutions for Customer Problems


     Overdue for      • Automated reminders for patient and provider
    recommended       • Connects patient and practice
         test         • Increases recommended testing up to 74%


                      • Automated patient alerts
      Lab results     • Provider flow sheets
     require action   • Supports best practices


      Population      • Population “report cards” and roster
        health        • Reduce “lost to follow ups”
     management       • Manage to incentive and P4P objectives
PATIENT ENGAGEMENT PLATFORM
Demonstrated Reductions in Utilization and Charges

 0%                                                               0%

-5%                                                              -5%

-10%                                                            -10%
                      -11%                                                -11%          -10%
-15%               -13%                                         -15%                                  -13%
       -15%                                                                                 -15%
-20%                                                            -20%                                                 Total IP
                                 -22%        Admissions                                                              Charges
-25%                                                   -25%
                                             ER Visits                        -27%                                   Total ER
-30%     -28%                                                   -30%
                                                                                                                     Charges
-35%                                                            -35%

-40%                                                            -40%
                                                                                                          -39%
-45%                                 -42%                       -45%
         All         < 65           65>                                       All         < 65           65>


        From Khan S, et al. The Effect of the Vermont Diabetes Information System on Inpatient and Emergency Department Use:
                           Results from a Randomized Trial. Health Outcomes Research in Medicine 2010 1:61-66.
PATIENT ENGAGEMENT PLATFORM
Lower Overall Costs

                                                               Effect of PES Platform on Claims Paid
                                                                          Lowess Smoothing

                            500
   Claims Paid per Member




                                                                                                                                                    Validated
                            400                                                                                                                      in NIH
        per Month ($)




                                                                                                                                                     Clinical
                                                                                                                                                      Trials
                            300




                            200

                                                                                                                  Control
                                                                                                                  PES Group
                            100
                                     -48            -36            -24            -12             0             12             24              36       48

                                                                                            Months
                              Vertical line represents the start date for PES group patients and a randomly chosen date for control patients
Summary Points



            Patient Engagement is at the root of
            major changes in healthcare today

        Medical groups will need to adopt Patient
        Engagement as a core business strategy

          Actively engaging patients and providers
          in the care process results in improved
          finances, operations, and outcomes




10
Thank You


For more information:

Jim Rose
Senior Vice President, Business Development
Email: jim.rose@ptengage.com
Telephone: (703) 537-5050

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Technology enabled behavior changes for diabetic patients

  • 1. Technology Enabled Behavior Changes for Diabetic Patients Presentation to Health STAT May 12 2011
  • 2. About Patient Engagement Systems Our Mission To improve care by offering technology that engages primary care providers and their patients to improve the management of chronic conditions in primary care settings. 2
  • 3. Behavioral Economics in Healthcare What’s it mean? • How attributes are presented relatively (80% vs Framing 20% fat) Free • Higher worth placed on “free” stuff • Making decisions and changes are always Default harder that doing nothing Loss Aversion • Rather “not win” than lose Social Influences • Peer pressure is stronger than we believe Sources: Dan Ariely, Predictably Irrational
  • 4. Behavioral Economics in Healthcare So What? Death • 2.4m/year Non adherence • $290b/year to Meds No show for MD appt • $150b/year Obesity • $148b/year Sources: Personal Decisions Are the Leading Cause of Death, Duke University Study New England Healthcare Institute National Health Statistic Report National Center for Health Statistics
  • 5. Market Opportunity Emerging Market Segment Patient engagement is a core aspect of every major initiative in health care today Patient Center Accountable Care Reimbursement & Medical Homes Organizations Incentives
  • 6. PATIENT ENGAGEMENT PLATFORM A Structured Flow Labs ordered by Provider 1. Provider orders labs 2. Test results gathered in central data repository 3. Proprietary algorithms analyze data for chronic Timely, secure transmission condition-specific factors • Diabetes (a1C, lipid profile, urine microalbumin) • Chronic Kidney Disease (createnine, eGFR, BUN, hemoglobin, electrolytes) 4. Results modeled 5. PCP receives analytics • flow sheets • treatment reminders Analytics for Patient Alerts & PES • population reports & disease Reminders PLATFORM Practice / EMR registry 6. Patient receives • alerts Activated Prepared • care reminders Patient Provider 7. Reports sent to case managers Ideal Clinical Encounter
  • 7. Our Platform Solutions for Customer Problems Overdue for • Automated reminders for patient and provider recommended • Connects patient and practice test • Increases recommended testing up to 74% • Automated patient alerts Lab results • Provider flow sheets require action • Supports best practices Population • Population “report cards” and roster health • Reduce “lost to follow ups” management • Manage to incentive and P4P objectives
  • 8. PATIENT ENGAGEMENT PLATFORM Demonstrated Reductions in Utilization and Charges 0% 0% -5% -5% -10% -10% -11% -11% -10% -15% -13% -15% -13% -15% -15% -20% -20% Total IP -22% Admissions Charges -25% -25% ER Visits -27% Total ER -30% -28% -30% Charges -35% -35% -40% -40% -39% -45% -42% -45% All < 65 65> All < 65 65> From Khan S, et al. The Effect of the Vermont Diabetes Information System on Inpatient and Emergency Department Use: Results from a Randomized Trial. Health Outcomes Research in Medicine 2010 1:61-66.
  • 9. PATIENT ENGAGEMENT PLATFORM Lower Overall Costs Effect of PES Platform on Claims Paid Lowess Smoothing 500 Claims Paid per Member Validated 400 in NIH per Month ($) Clinical Trials 300 200 Control PES Group 100 -48 -36 -24 -12 0 12 24 36 48 Months Vertical line represents the start date for PES group patients and a randomly chosen date for control patients
  • 10. Summary Points Patient Engagement is at the root of major changes in healthcare today Medical groups will need to adopt Patient Engagement as a core business strategy Actively engaging patients and providers in the care process results in improved finances, operations, and outcomes 10
  • 11. Thank You For more information: Jim Rose Senior Vice President, Business Development Email: jim.rose@ptengage.com Telephone: (703) 537-5050