Webinar Presentation - Center for Technology and Aging
Contents
1. Patient Load FTE the amount of patients variable staffing will be able to care for at any given point in time CENTER FOR HEALTHCARE CONNECTED HEALTH 14 Step 4 Other Costs Download User Manual PDF CFlanagan2 partners org ROI CALCULATOR Temporary Scen Temporary Scen HCP Centura rr SAVE Introduction Step 4 Other No other costs to Step 1 Patient Enroliment Every RPM program is slightly different Here is an area for you to enter other costs that your organization include may incur for implementing your RPM intervention Step 2 Technology Step 3 Staffing Enter all applicable information Step 4 Other Types Q Cost Frequency Billed Step 5 Outcomes Cost Summary G j Savings Summary ROI Sensitivity Analysis ga CLEAR Center for A PARTNERS CENTER FOR Technology and Aging HEALTHCARE CONNECTED HEALTH 1S Step 5 Outcomes ROI CALCULATOR z z Temporary Scen Temporary Scen HCP Centura Savi n Inpatient Hospitalizations Introduction Step 5 Outcomes change 16 62 8 05 A 8 57 Step 1 Patient Enrollment This step will help you estimate the savings from your program In this tool savings are estimated through change in utilization Choose from in patient out patient and home care utilization The tool also Step 2 Technology allows you to enter 30 day utilization separately Year data Step 32. Categories Introducti ROI S Total Costs Step 1 Patient Enrollment The ROI Evaluation compares the financial gains to financial costs and has been calculated as follows Total Returns Step 2 Technology Outcomes Program Cost ROI Program Cost OPR Year1 5 An ROI greater than 1 means that your RPM intervention will generate greater savings than costs An ROI Step 4 Other less than 0 means that your RPM intervention will not generate any positive returns An ROI between 0 and 1 means that your RPM intervention will generate some savings however they will not be enough to Step 5 0 a cover the cost of the program Cost Summary Cost Categories Year 1 Year 2 Year3 Year 4 Year5 Savings Summary Total Costs 794477 S1mil S2mil S2mil S3mil ROI Total Returns S3mil SSmil S8mil Smil 13mil Sensitivity Analysis Return on Investment 2 66 3 25 3 52 3 67 3 77 621 21 421 321 ae SS 22 121 ozi Year 1 Year 2 Year 3 Year4 Year5 WS A Center for PARTNE CENTER FOR JK Technology and Aging RS CONNECTED HEALTH HEALTHCARE 18 Step 7 Sensitivity Analysis a a Temporary Sc Introduction Step 1 Patient Enroliment Step 2 Technology Step 3 Staffing Step 4 Other Step 5 Outcomes Cost Summary Savings Summary ROI Sensitivity Analysis Center for Technology and Aging Sensitivity Analysis The sensitivity analysis component allows you to run simple scenarios to see how your ROI at year 5 would chang
3. Tool Use and How to Participate in the Study W CALIFORNIA HEALTHCARE FOUNDATION SUPPORTING IDEAS amp INNOVATIONS TO IMPROVE HEALTH CARE FOR ALL CALIFORNIANS NY n Center for PARTNE CENTER FOR X Technology and Aging ER Se RS CONNECTED HEALTH Participate in a National ROI Study Beta Testing the ROI Tool CCH and CTA are conducting the first large scale national in depth analysis of multiple health care providers to determine the ROI of RPM interventions Beta Tester Characteristics Established RPM program that has been in operation for over 6 months Aminimum of 50 active CHF or COPD patients in RPM Program Health Care organizations within the US While there is flexibility in program characteristics our experience with providers indicates that we will obtain the most robust findings with these types of programs ef Center for R CENTER FOR 7K Technology and Aging PARTNERS HEALTHCARE CONNECTED HEALTH Participate in a National ROI Study Beta Testing the ROI Tool Participating in this initiative will provide your organization with Practical data on the ROI of your RPM program Site specific analysis and support from CTA and CCH staff including confirming appropriate inputs interpreting outcomes supporting scenario planning for optimal program design and operation An opportunity to serve as a case study and potentially be highlighted in a peer reviewed article or whitepaper Data from pa
4. technology and operating costs personnel or staffing costs and other potential costs before starting this evaluation To complete the ROI analysis navigate through the following elements in a step by step fashion patient enrollment program costs and outcomes Help buttons are provided within the calculator to assist you through the process e www telemedroi com y Center for a Technology and Aging PARTNERS SONNET HEALTH HEALTHCARE i Step 1 Patient Enrollment Download User Manual POF Sign In ROI CALCULATOR SAVE Initial Enrollment Introduction Step 1 Patient Enrollment 1650 Year 5 Pati rien 7500 Step 1 Patient Enrollment Specify the size of your patient enrollment in year 1 and projected enrollment at year 5 Benchmark data suggest a typical mid size hospital sees 500 congestive heart failure CHF hospitalizations per Step 2 Technology year while a small integrated healthcare network IDN provider sees 2 500 CHF hospitalizations per year Five elements should be considered in determining initial enrollment and enrollment over a H Step 3 Staffing five year period prevalence of CHF patient eligibility criteria clinical criteria patient refusal rate and F E effort required to scale the program at your organization Some organizations have seen patient Intervention Step 4 Other refusal rates between 10 to 40 Kulshreshtha A Kvedar J C Goyal A Halpern E F amp Watson Mo
5. 5 mont 50 Server Hosting s10 Mont gt 0 Misc Tech Fees 2500 0 CLEAR DATA SS _ _ PARTNERS CENTER FOR ITN CUTTS Y ama TSS HEALTHCARE CONNECTED HEALTH 13 Step 3 Staffing Introduction Step 4 Patient Enrollment Step 2 Technology Step 3 Staffing Step 4 Other Step 5 Outcomes Cost Summary Savings Summary RO Sensitivity Analysis De G Center for ZN Technology and Aging Step 3 Staffing On this screen enter staffing requirements to run your RPM program This may include fixed management costs as well as variable staffing costs that will change with the number of patients enrolled Consider how your staffing requirements may be different than what it is now especially at an early stage of research compared to an operational stage of service Enter all applicable information Fixed Staffing Position Type Position Title Percent Effort Salary Managem Telehealth Director 10 S 120000 Managem Telehealth Manager TEA 100000 Supports Admin Coordinator 25 S 72000 ADD Variable Staffing Position Type Position Title Salary Patient Load FTE Clinical Monitoring RN S 89500 100 Suppor Tech Support S 52000 no ADD CLEAR DATA Fixed Staffing Telehealth Director Telehealth Manager a Admin Coordinator Variable Staffing Monitoring RN Tech Support
6. E RS CONNECTED HEALTH 23 Interested in Participating in the National ROI Study Questions Email us to participate in the national ROI Study at support techandaging org ROI TOOL URL www telemedroi com David Lindeman PhD Co Director Health Care CITRIS University of California Director Center for Technology and Aging DLindeman techandaging org Kamal Jethwani MD MPH Corporate Manager Research and Innovation Center for Connected Health Partners HealthCare kjethwani partners org NY GC aS enter for PARTNE CENTER FOR X Technology and Aging WEALTHE RS CONNECTED HEALTH 24
7. NNECTED HEALTH 21 Key Drivers of a Positive ROI Characteristics of Programs with Positive ROI Patient enrollment and growth assumptions v Programs need a minimum number of patients to measure ROI 50 Staffing requirements v Focus on workflow efficiencies to improve nurse to patient ratio patient load v Consider RN or CHW staffing model Technology costs y Renting allows less up front cost and the potential for a higher ROI in the first few years v Account for growth of cellular use by older adults factor in when selecting a technology v Select RPM technologies that monitor by exception Other operational costs including inventory management refurbishment other administrative costs yY Streamline process for inventory management and refurbishment Value of the program measured by change in healthcare utilization inpatient admissions outpatient visits home visits CENTER FOR CONNECTED HEALTH NY A Center for X Technology and Aging PARTNERS f 22 Key Drivers of a Successful RPM Program Characteristics of Successful RPM Programs Organizational leadership Champion Organizational familiarity with change management Staff engagement and buy in Patient selection and engagement Work flow processes Technology deployment strategy Communication and staff patient training Plan for Scaling and Sustainability WV aS enter for PARTNE CENTER FOR X Technology and Aging WEALTH
8. Return on Investment for Remote Patient Monitoring Call for Participants in a California HealthCare Foundation National Study September 12 2013 CENTER FOR ye Center for l CONNECTED HEALTH FN Technology and Aging LN CALIFORNIA HEALTHCARE FOUNDATION SUPPORTING IDEAS amp INNOVATIONS TO IMPROVE HEALTH CARE FOR ALL CALIFORNIANS a PARTNERS HEALTHCARE Webinar Logistics Welcome and thank you for joining CTA s ROI for RPM Webinar If you have technical difficulties call 1 866 229 3239 for assistance The Audio for this event will stream through your computer You can also dial in to the conference line to hear the audio and verbally ask questions 1 877 668 4490 Call in toll free number US Canada Access code 961 986 094 If you are having audio difficulties please send a chat message to Valerie Steinmetz or email at vsteinmetz techandaging org The Recording and Slides will be available at www techandaging org X Center for PARTNERS CENTER FOR N Technology and Aging HEALTHCARE CONNECTED HEALTH Questions Two ways to ask questions Participants Q amp A w chee M v 2 Participants 2 Speaking Ask Questions via the Q amp A Box Please submit questions via the Q amp A Feature Please send your questions to All Panelists v Panelists 1 e Star Tiffany Host al v Attendees 1 1 displayed Attendee View me Verbally ask Questions Dial in to
9. Staffing After entering utilization as a per patient number or aggregate program number please choose the appropriate risk holder who may bear the financial risks gains for that utilization metric For example Your hosptal may be responsible for 30 day re admssions while a home care agency may be at risk saps Omer for home care visits Step 5 Outcomes Please hover over the to see recommended default numbers if you don t have program data yet Cost Summary Enter all applicable information Savings Summary Change In Type Amt Change Avg Cost Risk Holder ROI All inpatient Hos Ch 8 57 S 10495 Hos Outpatient Visits Cost Patient Sensitivity Analysis Nursing Visits v ev 14 S 861 Ho Home Care Visits Cost Averted Patient All Outpatient v 300 7 F _ Nursing Visits Nursing visits 330 events patient e Risk Holder Total Return Patient 1760 CALCULATE Inpatient hospitalizations hospital Nursing visits home sock ast Summary gt care agency X Center for I ii ZN Technology and Aging HEALTHCARE CONNECTED HEALTH 16 Step 6 ROI Cost Savings Summaries Cost Summary Savings Summary Temporary Scen Temporary Scen HCP Centura r Cost Summary Introduction Savings Summary To help you understand the costs associated with your RPM intervention this page provides you a quick Step 1 Patient Enrollment This
10. collected and transmitted to clinicians Studies indicate that use of RPM for serious chronic health conditions such as Shp 3 Stating congestive heart failure CHF is associated with improved symptom recognition and control as well as decreased use of acute care services As CHF is prevalent and costly more organizations Step 4 Other are looking to RPM as an alternative form of chronic disease management Step 1 Patient Enrollment Step 2 Technology Download the user manual Step 5 Outcomes The Center for Technology and Aging CTA and the Partners HealthCare Center for Connected Health e CCH developed a return on investment ROI Start by answering a evaluation tool to help health care organizations few questions assess the financial costs and benefits of RPM p Pieeomen na ROI Evaluation Collect Sensitivity Analysis The ROI evaluation quantifies the value of a quality improvement program to an organization and its Program Data patients based on savings improved outcomes and improved care efficiency It is a forward looking tool that is meant to assist RPM leaders in the planning implementation and evaluation of an to input before RPM intervention The ROI evaluation includes the following cost categories patient enrollment technology and operating costs personnel or staffing costs and other potential costs using the tool Cost Summary Get Started You will need to have data regarding patient enrollment
11. e under different estimates for patient enrollment and cost categories The markers default to 0 and the amount column displays your inputs for year 5 To test out different scenarios move the markers along the sliding scale and observe how this affects the ROI at year 5 displayed below For example if you d like to see how your ROI would be affected if your technology costs increased slide the technology costs patient marker to the right towards 100 If you d like to see how your ROI would be affected if your savings patient were reduced slide the savings patient marker to the left towards 100 To find your break even point which tells you how many patients your organization would have to enroll in order for your costs to equal your savings move the first marker which reoresents vour S vear coal for patient enrollment until vour ROI equals 1 00 PATIENT ENROLLMENT AMOUNT SENSITIVITY Patient Enrollment 5 Year Goal 7500 00 100 0 100 COST CATEGORIES Tech Pati 167 fechnology Costs Patient 100 0 100 Staffing Costs Patient 203 100 0 100 Other Costs Patient 0 100 0 100 a Savings Patient 1760 100 0 100 ROI at 5years oan PARTNERS CENTER FoR HEALTHCARE CONNECTED HEALTH 19 ROI Results from First Five Organizations Organization Centura Health at Home Dignity Health HealthCare Partners Sharp HealthCare VA Central California Year 5 ie 3 Chron
12. ic disease pts 49 of returns due to RN visit reduction 1 5 month intervention 5 Year 1 returns pt 9882 9 2 8 9 COPD patients IVR opt 1 7 0 2 Year 1 ie Highlights 0 out patient enrollment 1 hal Underinsured CHF pts 0 1 Randomized trial 12 month intervention 4 1 3 6 Unless stated otherwise 1 savings attributable to reduced hospital admits 2 pre post comparison design 3 primarily CHF patients Center for N Technology and Aging PARTNERS CENTER FoR NEALTUCARE CONNECTED HEALTH 20 Key Considerations When Using the ROI Tool X You will need to have access to your health care system s clinical and financial data Intervention definition The length of time patients are using the remote patient monitoring device For example program duration per individual client may range from 1 5 months to 6 months to a full year To save print and share your results please create an account Equipment Cost Users have the option to input one fixed up front cost for the first year technology costs of the program or can amortize spread it over a set amount of years Users can also include technology costs as a rental fee Benchmark Data The benchmark data are derived from validated studies and national benchmarks Do not use commas when entering numbers For example salary would be 36400 as opposed to 36 400 Center for Technology and Aging PARTNERS CENTER FOR CO
13. nths 1 5 A J 2010 Use of remote monitoring to improve outcomes in patients with heart failure A pilot trial AE TEE International Journal of Telemedicine and Applications 2010 1 7 3 ave rage le ngth of time the patient eS Enter the following uses the device Savings Summary e E This typically Initial Enrollment 5 Year Enrollment Goal oh alent bit ranges from 2 6 months Sensitivity Analysis Intervention Months 2 12 1 5 CALCULATE Enrollment Summary Year1 Year 2 Year3 Year 4 Year 5 Total Patient Enrolment 1650 3113 4575 6038 7500 Concurrent Patient Enrollment 206 389 572 755 938 o SE De G Center for am CENTER FOR AN Technology and Aging PARTNERS CONNECTED HEALTH 12 Step 2 Technology Recurring Technology Costs Introduction Step 2 Technology Step 1 Patient Enrollment Estimate investments in health information technology both one time and recurring required to develop Hardware rental 92 a and administer the RPM intervention month Step 2 Technology Step 3 Staffing Enter all applicable information Cellular data month unit oe pe iar 15 Step 5 Outcomes Type Cost Amortize Timeframe patients on PR tel cellular 50 Savings Summary S Server a Hosting month unit 10 Sensitivity Analysis e Misc Tech Fees Vendor Fees 2 500 year Type Cost Classification Patients on Cellular Hardware Reny s 92 Mont Data cost Celtuiss 1
14. rticipating organizations will be confidential LY Center for CENTER FOR SK Technology and Aging PARTNERS CONNECTED HEALTH HEALTHCARE Participate in a National ROI Study Beta Testing the ROI Tool Beta testers will Follow the steps in the web based tool to analyze data from an existing RPM program within their organization or a client s organization Create an account to be able to save print and share your results Access and use the web based ROI Tool independently Please look through the user guide http www telemedroi com ROI Manual pdf for information on the data needed for the tool detailed descriptions and definitions and how to navigate the web based tool Review findings with senior management to validate the usability of the tool for program and financial decision making Analysis should take 1 2 weeks to complete WI C n enter for PARTNE CENTER FOR SK Technology and Aging WEALTHE RS CONNECTED HEALTH 7 Steps of the ROI Tool Step 1 Patient enrollment and growth assumptions Step 2 Technology costs including up front investments required per patient costs and assumptions relating to type of technology needed Step 3 Staffing requirements both fixed and variable Step 4 Other operational costs including inventory management refurbishment other administrative costs Step 5 Outcomes Value of the program measured by change in healthcare utilization Inpa
15. step charts the potential cost savings to associated risk holders based on patient outcomes A study way to see the total cost by year and the total cost per patient per year You can also view patient found that patients using RPM to manage their CHF reduced overall healthcare costs by 41 physician enroliment based on your proposal Step 2 Technology visits by 43 emergency room visits by 33 and hospitalizations by 29 Step 3 Staffing Total Cost Per Patient Per Year Step 4 0 Savings by Risk Holder Year 1 Year 2 Year 3 Year4 Year5 Technology amp Operating Costs 274725 518315 761738 1mi Simi Slap 5 Ouioomes B ns Technology amp Operating Costs Patient 167 167 167 167 s167 ice eit Laie Staffing Costs 819752 770046 Simi Simi S2mi a Savi Summa Staffing Costs Patient 318 247 223 210 203 oe H pail Other Costs s s so s s RoI c Other Costs Patient so so 0 0 s0 other Sensitivity Analysis Total Costs 794477 Simi S2mil S2mil S3mil so Cost Savings 299 Total Costs Patient 482 414 390 s377 369 Enrollment Summary Year4 Year2 Year3 Year4 Year5 Total Patient Enrolment 1650 3113 4575 6038 7500 Concurrent Patient Enrollment 206 389 572 755 938 PRINT COST SUMMARY EXPORT TO EXCEL Back TROI P YV C A enter for PARTNE CENTER FOR EK Technology and Aging WEALTHC RS CONNECTED HEALTH 17 Step 6 ROI Cost Savings Summaries Temporary Scen Temporary Scen HCP Centura Cost
16. the teleconference 1 877 668 4490 Call in toll free number US Canada Access code 961 986 094 Select a partiapant in the ask menu first and type A your question here There is a 256 character Send Center tor RINE CENTER FOR ZN Technology and Aging PARTNERS HEALTHCARE CONNECTED HEALTH 3 Presenters David Lindeman PhD Director Center for Technology and Aging Co Director Health Care CITRIS University of California Kamal Jethwani MD MPH Corporate Manager Research and Innovation Center for Connected Health Partners HealthCare gt _ _ S eS PARTNERS HEALTHCARE LY CENTER FOR 5 Center for l CONNECTED HEALTH AN Technology and Aging AN CALIFORNIA HEALTHCARE FOUNDATION SUPPORTING IDEAS amp INNOVATIONS TO IMPROVE HEALTH CARE FOR ALL CALIFORNIANS SZ Center for PARTNEI CENTER FOR X Technology and Aging EN RS CONNECTED HEALTH Project Background Joint initiative of Center for Connected Health and Center for Technology and Aging Web based flexible ROI tool created for self administration by health care organizations www telemedroi com ROI model first tested with five organizations who had very different implementation models Goals for the Webinar Introduce the web based ROI Tool and National ROI Study Demonstrate the ROI tool with RPM Program Data Highlight Key Drivers for Positive ROI and Optimizing RPM Programs Answer Questions on
17. tient admissions otpt visits home visits Step 6 ROI Cost and Saving Summaries Step 7 Sensitivity Analysis Data collection to occur prior to using the tool SZ Center for PARTNEI CENTER FOR X Technology and Aging WEALTHE RS CONNECTED HEALTH Case Study Centura Health at Home Centura Health at Home s RPM program combines a call center with a traditional RN led remote monitoring program targeting primarily patients with Diabetes COPD and CHF Patients are enrolled for an average of 1 5 months during which time they receive 2 3 nursing home visits and calls from the nursing staff as needed when responses to daily questions and vital signs are out of the appropriate range Program is managed by existing in house teams CCH received data on 87 patients showing pre and post program hospitalizations and nursing visits LY Center for PARTNERS CENTER FoR X Technology and Aging WEALTHC RS CONNECTED HEALTH Do it Yourself ROI Tool Introduction Download User Manual PDF ROI CALCULATOR Register to Introduotion Introduction save print and Efforts to reduce costs in healthcare have increased the adoption of remote patient monitoring s h are d ata RPM technologies Devices including blood pressure monitors glucose meters and peripherals 2 such as realtime face to face interactions between providers and patients allow patients to monitor their vital signs at home Clinical and behavioral data is
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