Transcript Document 7450832

Hospital-At-Home
Extending the Continuum....
Vince Kuraitis JD, MBA
Better Health Technologies, LLC
www.bhtinfo.com
(208) 395-1197
 A huge potential disruption....
 ...that hardly anyone in the U.S.
is talking about...yet...is...
 Hospital-At-Home (HAH)
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Hospital at home is defined as a service that
provides active treatment by health care
professionals, in the patient's home, of a condition
that otherwise would require acute hospital inpatient care, always for a limited period.
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$34 B Market for Healthcare
Unbound Technologies
ADL/elder
Chronic
Acute
$40
$30
$US
$20
(billions)
$10
$0
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
ADL/elder $0.35 $0.37 $0.47 $0.59 $0.73 $0.98 $1.2
Chronic $0.10 $0.13 $0.22 $0.38 $0.65 $1.2
$1.6
$2.1
$2.4
$3.0
$3.7
$3.8 $12.1 $23.1 $26.3 $25.7 $26.7
Acute $0.00 $0.00 $0.00 $0.00 $0.01 $0.02 $0.65 $2.0
Total $0.45 $0.50 $0.69 $0.97 $1.4
$2.0
$3.6
$3.5
$3.0
$3.2
$5.7 $15.7 $28.7 $32.3 $31.7 $33.6
(Numbers have been rounded)
While there is some overlap....
Disease/condition management is mostly
about avoiding hospital care (and other
high-cost care)
HAH is mostly about substituting for
hospital care
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Hospital-at-Home -- Background
• Concept emerged in the 1960s
• Significant research/literature base
– Almost all outside of U.S.
– Cochrane review
– Johns Hopkins as only U.S. project
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HAH definition varies
NOT based on leveraging technology
But, HAH can be turbocharged with technology
Early example of a company with a HAH
business/care model – Care Level Management
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Elaborate Proof of a Hypothesis.....
The Willie Sutton Theory of Hospital-At-Home
Projected 2014 U.S. Annual Hospital Costs = $1 Trillion
Projected 2015 Healthcare Unbound market of $34 B = 3.4%
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Outside the U.S. ....
HAH Driving/Restraining
Forces
 
Cost reduction opportunity
Potential burden on caregivers
Hospital safety/error issues
Risk of HAH being viewed as a
reincarnation of managed care
Concerns over hospital acquired
infections
Physician concerns and
inconvenience?
Patient preference for home
Benefit structures & incentives
Advancing tech allows for safe
care in home
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Long-term....
A (Not So) Rhetorical Question
If we can spend $1 Trillion a year in the U.S. to care
for people in buildings where
–
–
–
–
There is a high risk of infection
98,000 people die annually due to medical errors
The cost of care is higher than anywhere else
People don’t want to be
Why would we spend only 3.4% as much
($34 B) to care for people in their
homes and communities?
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Call to Action
The U.S. needs to join &
advance the world dialogue
about hospital-at-home
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APPENDIX
Better Health Technologies, LLC
•
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Creating value for patients and shareholders
Strategy, business models, partnerships
Disease/care management and e-health
Consulting/Business Development
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E-Care Management News
– Complimentary e-newsletter
– 3,000+ subscribers in 27 countries worldwide
– Subscribe at www.bhtinfo.com/pastissues.htm
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BHT Clients
Pre-IPO Companies
Established organizations
HealthPost
Cardiobeat
HomMed
EZWeb
Sensitron
Life Navigator
Medical Peace
Stress Less
DiabetesManager.com
CogniMed
Caresoft
Benchmark Oncology
SOS Wireless
Click4Care
eCare Technologies
The Healan Group
FitSense Technology
Samsung Electronics, Seoul
Intel Digital Health Group
Medtronic
Philips Corporate Strategy Group, Amsterdam
Siemens Medical Solutions
Joslin Diabetes Center
Sears Methodist Retirement System
National Rural Electric Cooperative Association
Disease Management Association of America
Blue Cross Blue Shield of Massachusetts
PCS Health Systems
Varian Medical Systems
VRI
Washoe Health System
S2 Systems
CorpHealth
Physician IPA
Centocor
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END
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