an aid to cost-effectively delivering the right care at the right time optimizing health care system...
TRANSCRIPT
An Aid to Cost-Effectively Delivering The right care at the right time
Optimizing health care system resources for implantable cardiac device patients though technology
Reggie Groves
General Manager and Vice President, Patient Management Business
Medtronic CareLink Network
A growing population
The number of patients indicated for ICD therapy has doubled.*
Fact:Dev
ice
patie
nts
Pat
ient
s
0
250
500
750
1000
1250
1500
1998 2000 2002 2004 2006 2008
clinic capacity
The number of cardiac device patients is expected to soon exceed clinics’ capacity
ICD Follow-up Clinic Example
* ACC/AHA/NASPE 2002 guideline update.
Medtronic CareLink System: The Future of Follow-Up Care
Imagine a system that:
• Solves the pending capacity crisis
• Improves the timeliness and efficiency of medical care, and
• Enhances patient satisfaction
Medtronic CareLink® Network
Patient holds the antenna over her device for interrogation. The Monitor automatically dials a toll-free number and transmits the data over a standard phone line.
1
2 Data is automatically sent to a secure server
4Patients and their families can access extensive materials about living with their ICD
3Clinic can view patient data and reports on a secure website
Medtronic CareLink® Monitor
Portable device used by ICD patients to send data
• Routine follow-up• Symptomatic episodes• Post-shock events
Patients need only a standard phone line
• Connect from home or while traveling (within the United States)
• The first screen the clinician sees upon entering the Medtronic CareLink Clinician site
• Allows quick triage of patients, based on alerts
• Detailed information on patients or transmissions is one click away
• Sort by date/time, patient name, and physician
Patient List
Patient One
Patient Two
Patient Three
Patient Four
Patient Five
Patient Six
Patient Seven
Patient Eight
Patient Nine
Patient Ten
•Comparable to the comprehensive data shown on the Programmer view
Quick Look
Similar data to surface ECG
10-second EGM with Marker Channel TM
Current EGM
Clinic Benefits
More efficient patient care:
Improved access to patient data:
Improved clinic operations:
Allows continuity of care, which may lead to improved patient compliance and satisfaction.
Comprehensive device data and patient diagnostics are available when and where needed.
Current clinic customers report being able to dramatically decrease the time for each device check.
Device Follow-Up: Today
Admin/Technician• Pulls schedule and
patient file
Receptionist• Greets patient• Collects co-pay,
if applicable
Nurse/Technician• Escorts patient to
room• Inquires about meds,
1 2 3
Nurse/Technician• Interrogates device
and checks thresholds when appropriate
4
Doctor • Sees patient if
necessary
5
Receptionist • Schedules next
appointment
6
Nurse/Technician • Completes
paperwork
7
Doctor • Over-reads
paperwork
8
Administration • Billing submitted• Reimbursement
filed9
10-15 mins
Total Time: 20-30 minutes
5 mins5 mins
Workflow with Medtronic CareLink® Network
5-8 mins 5-7 mins
Total Time: 10-15 minutes
Admin/Technician• Pulls patient file• Prints Reports• Schedules next
appointment
1
Nurse/Technician• Checks device and
completes paperwork
2
Doctor • Over-reads
paperwork
3
Administration• Paperwork to Billing• Billing submits claim
4
“The Medtronic CareLink® Network reassures our patients that we are doing everything possible to keep in touch with them, even when they’re at home.”
Regina Owen, RN
The Stern Cardiovascular Center, Memphis
Patient Benefits
Routine device checks can be done from the convenience of the patient’s home.
Patients can transmit data when they travel within all 50 states (USA only).
Patients and their families have peace of mind by being remotely connected to the clinic.
Convenience:
Freedom to travel:
Peace of mind:
Dawn Yasik
“Before CareLink, I would have been quite concerned about traveling far from home and my clinic. Having the Monitor with me, knowing I could be ‘connected’ with my clinic within minutes, made me feel much better.”
Dawn Yasik Age 32, GEM II DR patient on Medtronic CareLink® Network since January 2003
HI
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OK
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TXTNAR
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MI
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KY
GA
FL
VA
NC
DE
PA
MD
ME
MA
CT
NHVT
AK
CA
NY
SC
NJRI
Medtronic CareLink® Network Reimbursement Status As of January15, 2004
Coverage in process
Covered with existing codes
Covered with Misc. code
Signed CareLink Contract (100)
Rev 1/15/04 EA
Patient Enrollment on Medtronic CareLink Network
12 82402
1031
2212
3540
5000
0500
100015002000250030003500400045005000
FY03 Q1 FY03 Q2 FY03 Q3 FY03 Q4 FY04 Q1 FY04 Q2 FY04 Q3
Veterans Administration
• Success story
– Medtronic CareLink currently up and running in 22 VA clinics
– Nearly 500 Vets being followed remotely
– Others are in queue for implementation this year
The Vision: Streamline device follow-up throughout the VA clinic system with Medtronic CareLink Network
Fusion of Hard and Soft Medical Care
The right level of care, at the right time
• Comparable comprehensive data to an in-office visit– No need for patient to come into clinic– Alleviates scheduling strain on clinic
• Provides quick feedback– Peace of mind for patient– Can eliminate inefficiencies, unnecessary hospitalization– Enables faster collaboration between caregivers– Enables triage to optimize use of resources
Facilitating Collaboration for Better Patient Care…
BODY:Device data and patient data
“SOLE”:Freedom, Adventure
MIND: Peace of mind
EP Family/Caregivers
HF Nurse
HF Doctor/Cardiologist
Internist
EP Nurse/Technician
The Future
• Optimization of health care system resources– Care customized to the patient
– Real-time clinical information to manage patients beyond acute care episodes
– Facilitates continual patient monitoring, proactive intervention to avoid problems (I.e. hospitalization)
• Monitor changes as they happen
• Example: Medication titration