Health Hero Network, Inc. Making Connections for Life™ Confidential – All Materials Copyright Health Hero Network, Inc 2004. Health Buddy® and Health Hero® are registered trademarks of Health Hero Network, inc. The Continuum of Care Health Buddy® System for Chronic Care Improvement Empower the Provider Empower the Patient • Timely actionable information • Guided self-assessment • Decision support tools • Personalized education • Data for research/public health • Connection to provider Behavior Modification Components of Health Buddy System • Monitoring Technologies In-home monitoring technologies guide patients in self-care, education and the collection of clinical information including health self-assessment, symptoms, and vital signs. • Clinical Information Databases Clinical and patient information is securely transmitted and stored in databases that enable tracking and evaluation of outcomes across settings. • Decision Support Tools Web-based patient management tools enable care providers to efficiently monitor groups of patients using reports, trends, and risk stratification. • Health Management Programs Interactive scripted content based on standard practice guidelines for major diseases educates patients, enhances medication compliance, and changes patient behavior. • Content Development Tools Robust software tools enable health management program development, with dynamic branching logic, flexible question taxonomy and variable patient responses. Health Buddy® Appliance • 4 button self-explanatory action • No computer skills required • Delivered directly to patient’s home • Easy to hook up with telephone • Non-intrusive • Lifestyle flexible • Daily patient partnering • Timely patient education • Tested with a broad range of patients • Port for connection to home medical devices Medical Device Integration Open architecture can be developed to interface to a variety of home medical devices. Blood Glucose Monitors Blood Pressure Monitors* * As of 5/2004, Pending FDA approval Peak Flow Meter* Digital Thermometry* Digital Weight Scale Building the Trust Relationship • Personalization Treat the patient as an individual, not a “thing” • Dynamic Interaction Branching Logic “Don’t treat me like I’m stupid” Perceived Variety “Keep my attention, keep it interesting to me” A Call to Action for the Patient “Don’t treat me like I’m incapably of helping myself” • The system works by empowering Human ACTION Health Buddy® Appliance Dynamic Risk Assessment Risk Assessment Survey K nowledge KH KM KL B ehavior BH BM BL S ymptoms SH SM SL K KH K KM K KL K B BH B BL B BL B S SL S SL S SL S K K K B B B S S S H Risk Intervention Dialogues • motivational • informational • educational • incentives M L H M L H M L Challenges of Building the Model • How much content is enough on a given day? • Language and Culture Device Limitations Variety of Choice International deployment • Data Integrity vs. Patient Interaction • The Key to Compliance The human touch Sample Programs In-Use • Congestive Heart Failure • Diabetes • Coronary Artery Disease • Co-Morbid Diabetes/ Hypertension • Pediatric Asthma • Adult Asthma • Hypertension • COPD • Cystic Fibrosis • Co-Morbid Congestive Heart Failure/Diabetes • Co-Morbid Hypertension/COPD • Depression • Bi-polar Disorder • Senior Wellness • Co-Morbid Congestive Heart Failure/Diabetes • Co-Morbid Hypertension/Chronic Obstructive Pulmonary Disease Readability of Health Management Programs Flesch Index (%) Flesch-Kincaid Grade Level Chronic Heart Failure 76.6 4.9 COPD 76.9 4.7 Diabetes Mellitus 71.5 5.7 Hypertension 77.7 4.6 Major Depressive Disorder 72.8 5.1 Program Patient Satisfaction Improves Productivity & Efficiency Measure Patients Managed Per CM Average # Calls / Day Average Length of Out Bound Call Total Time / Day for CM Estimated Nurse:Patient Ratio Frequency of Monitoring Traditional 133 Health Hero Network 133 27 (based on 1/wk/pt) 20 min 10 2 min 41 sec 9 hours 53 min 1:100 1:500 WEEKLY DAILY Health Hero Technology Realizes 5x Increase in Productivity