(As judged by a panel of six “buy-side” reviewers, whose comments are attached)
Philips Medical Systems
Interactive remote patient management and personalized education delivered through a patient’s home television
Philips is developing a broadband-enabled personalized healthcare communication platform that can enable new remote care models and empower patients to manage their own health. The Motiva™ platform is designed to motivate patients to modify their behavior – to take medications correctly, follow their doctor's guidelines, eat less and exercise more. Members will be able to access personalized healthcare information through their TV – educational content, motivational messages and timely reminders – a virtual 'health coach' that will empower them to participate in managing their own health. Patients will also be able to monitor their own vital signs – such as weight, blood pressure, heart rate and rhythm – using Philips' wireless telemonitoring devices, with the data automatically sent via broadband connection from a secure set top box in the home to a remote care giver for clinical management. This personalized healthcare technology will provide clinicians with timely patient data so they can more efficiently and cost-effectively monitor their chronic disease patients. Philips expects to launch a commercial release in 2005.
Telemedicine offerings today primarily allow only for collecting patient data and sending it to a care manager for monitoring. Philips' Motiva solution will go far beyond existing telemonitoring to deliver the full potential of remote patient management: Motiva is not only a tool to enhance the productivity of chronic disease management programs, but most importantly, a patient-centric communication platform that connects patients with their healthcare community. By providing on-demand access to interactive, media-rich healthcare content tailored to individual patients' needs, delivered through the home television, Motiva can encourage patients to play a more active role in managing their chronic disease. In a future release, Motiva will also be able to connect patients with their friends and family – to help involve their informal support network with their care – and enable 'virtual office visits' with physicians or care managers via videoconference or instant messaging. By allowing patients to become more educated, engaged and involved in their own health, Motiva can enable healthcare providers to deliver more effective care at lower cost to a broader reach of patient population.
How will Motiva help reduce the cost of disease management?
Philips' telemonitoring devices have already been clinically proven to improve patient outcomes and decrease overall costs of managing patients with congestive heart failure.1 The TEN-HMS study found that home telemonitoring led to a:
- 27% reduction in mortality rate vs. Usual Care (p<0.05)
- 26% decrease in total hospital days per patient vs. Nurse Telephone Support (NTS)
- 34% decrease in length of stay per hospitalization vs. NTS (p<0.05)
- 20% reduction in hospitalization and medical costs (excluding medications) vs. NTS
- 10% total cost savings vs. NTS (including cost of the telemonitoring service)
- Return on Investment of 2.1 for Telemonitoring vs. Nurse Telephone Support
While we don't have clinical or financial outcomes yet on the new Motiva platform (we just started a usability pilot with a cardiology group in NJ in October), we anticipate that both clinical and economic metrics will outperform today's telemonitoring services, since patients will be better equipped to manage their own health through easy access to educational content, medication and lifestyle reminders, motivational messaging and self-management tools. By automating many of the interactions between provider and patient, Motiva can increase the frequency of 'touch points' with members and reduce the total amount of time that care managers and clinicians need to spend in order to provide timely, informed follow-up to patients who most need clinical intervention. Our goal is to help customers achieve a 40-60% improvement in productivity – by allowing them to manage more members without adding staff.
How will Motiva help improve effectiveness and reach for disease management?
Motiva will enable disease managers to augment their normal phone interactions with rich, engaging multimedia content, presented to patients on demand. Behavior change programs built around this rich media content should be much more effective than infrequent phone conversations and materials sent through the mail. The Motiva platform is designed to scale across patient acuity/risk levels, delivering relevant services at appropriate cost points. For managing more costly members, Motiva offers patient-provider connectivity, tailored care protocols and educational modules, plus improved productivity for remote clinical monitoring operations. For broader populations of less acute members, Motiva is a cost-effective way of motivating positive behavior change and delivering personalized information – such as videos on upcoming cardiovascular procedures, lower cost generic medication options for patients to consider, or goal management for diabetes – to tens of thousands of patients' homes. By using secure broadband technologies to transmit patient biometric data (if required) and healthcare content directly through a TV set top box, the Motiva platform can economically reach large numbers of chronically ill patients and encourage self-management through technology that's easy enough for the broader population to use. With Motiva, members should be more likely to consent, enroll and stay engaged in their disease management program – leading to better outcomes and more persistent economic benefits for both patients and payers.
Footnote 1:
Cleland John GF, Balk Aggie, Janssens, Use, et al. Non-Invasive Home Telemonitoring for Patients with Heart Failure at High Risk of Recurrent Admission and Death: The Trans-European Network – Home-Care Management Systems study (TEN-HMS), publication pending in JACC.