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Research Day

Research Day. Sustainable TeleHealthcare delivery model for diverse socio -economic communities in New York City. Pilot Objectives. Secondary Train future Healthcare IT professionals at University level Enable medical technology in homes for aging in place

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Research Day

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  1. Research Day Sustainable TeleHealthcare delivery model for diverse socio-economic communities in New York City

  2. Pilot Objectives Secondary • Train future Healthcare IT professionals at University level • Enable medical technology in homes for aging in place • Expand healthcare access to low income communities Primary • Manage chronic diseases and prevent hospitalization • Improve patient engagement and health education • Reduce healthcare costs with evidence based interventions

  3. Populations Served Battery Park, Manhattan (IL/AL) 25 patients 1 student associate Lower East Side, Manhattan (NORC) 25 patients 1 student associate 2 Remote TeleHealth Nurses Bay Ridge. Brooklyn (Low Income Housing) 33 patients 2student technicians Washington Heights, Manhattan (NORC) 32 patients 1 student technician

  4. TeleHealth System TeleHealth is the delivery of health related information via telecommunication technology. Conditions Covered: • Arthritis • Asthma • CHF • COPD • Diabetes • Hypertension • Obesity • Mental Health • Much More Clinical Monitoring: • Risk Level Alerts • Early Interventions • Individualized Reports • Site Reports • Two-way Messaging • Medication Adherence • Health Questionnaires • Nurse Log Tracking • HIPAA Compliant

  5. Clinician Dashboard

  6. Pilot Design August 2013 August 2013 – January 2014 January 2014

  7. Research Methodology Team Selection - TeleHealthTechnicians - TeleHealth Nurses - TeleHealth Admins Team Training - HIPAA Compliance - Healthcare Protocol - Web + Tablet Apps • Participant Selection • - Live Product Demo • - Qualification Selection • - Health Education Pre-Assessment - Demographics - Health Conditions - Healthcare Attitude Weekly Monitoring - Twice a week visits - RN Clinical Interventions - Site Care Coordination Post-Assessment - Data Analytics - Patient Testimonials - Research Publication

  8. Pilot Summary • Average Age: 82 • Sex: 88% Female / 12% Male • Ethnicity: • 47% White/Caucasian • 29% Hispanic • 16% Asian • 4 % African American • 4% Russian • Primary Language: • 59% English • 25% Spanish • 15% Chinese (Mandarin/Cantonese) • 1% Russian • Number of Health Conditions Reported: • 62 Cardiovascular • 36 Diabetes • 29 Respiratory, Asthma, Obesity • Number of participants: 122 older adults • Frequency: • 2 visits per week • 3 hours per day • TeleHealth Staff: • 5 Technicians • 2 Remote Nurse • 2 Site Administrators • Qualifications: • 65+ years of age • at least one chronic health condition • lives incongregateliving facility in NYC • Income Level: • 2 low income communities • 1 mid income community • 1 high income community

  9. Case Study 1 Age: 93 Sex: Female Health: Dementia and Hypertension Medication: Blood Pressure Management Telehealth Monitoring: Initial Reading > 200 systolic blood pressure > 100 diastolic. On-site program manager notified and transportation was arranged to ER. Collaborative approach between the telehealth team, staff at her residence, and her family to help manage her blood pressure and medication compliance. As a result, the son calls his mother every morning and reminds her to take her medication. Importance of taking prescribed medication and the son’s caretaker role to follow up regularly. 

  10. Case Study 2 Age: 65 Sex: Female Health: Hypertension, Diabetes, Asthma and COPD Medication: Oxygen by Inhaler Telehealth Monitoring: Low oxygen saturation Nurse followed up with the company providing oxygen tank Patient brought into an intervention and was hospitalized on 11/15/13. Patient attended asthma workshop and obtained a new oxygen tank. Due to early recognition of the deteriorating oxygen saturation, the patient received early intervention and had her oxygen tanks replaced. After continued telehealth monitoring, the participant’s oxygen levels improved significantly to stabilized normal range.

  11. Next Steps • Sustain TeleHealth service at pilot community sites and scale proven Assisted TeleHealth Model in New York City • Seek public and private funding for Assisted TeleHealth and other pilot programs in New York City and beyond • Publish and present data from pilot to national and international audiences • Maintain and expand strong partnership with the City of New York and NYCEDC to continue high impact TeleHealth solutions • Produce larger scale TeleHealth research concerning healthcare cost reduction and integration with hospitals and physician practices

  12. Contact Us • Chris Gaur, Co-Founder • Email: chris@myvics.com • Phone: (914) 886-8801 • Dave Gaur, Co-Founder • Email: dave@myvics.com • Phone: (914) 275-7675 • Mary Stanford, Pace University • Email: maryjstanford@gmail.com • Phone: (516) 754-0606 • Dr. Jean F. Coppola, Pace University • Email: jcoppola@pace.edu • Phone: (914) 773-3755 www.myvics.com www.pace.edu

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