Lets Keep You Out of the Hospital May, 2015 Presented to: Insert - - PowerPoint PPT Presentation

Let’s Keep You Out of the Hospital

May, 2015

Presented to: Insert relevant presenter information Calibri 16pt Presented on: Month day, Year Presented by: Insert relevant presenter information here

My Girls

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Stay Off the Couch

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Golf

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• Dr. Kevin Most

Experience

• Convenient Care Physician
• Medical Site Director
• Convenient Care Medical Director
• Senior Medical Director
• Vice President of Medical Affairs
• Chief Medical Officer, Northwestern

Medicine, Central DuPage Hospital

Education

• University of Kansas, BS, Medical

Technology

• Midwestern University Medical School
• Lutheran General Hospital – Family

Practice Residency

• University of Notre Dame – MBA

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Thank You

Thanks for Watching WGN Channel 9

Be Safe at Home

• Home is the one place you should be the safest.
• Clean floors; no throw rugs - they cause falls and hip

fractures.

• Have bars added to your bathroom walls and shower.
• Keep your cell phone within arms reach.
• Change doorknobs to lever handles
• Get good outdoor lighting, motion controlled
• Have your electrical outlets raised
• Laundry room on main floor, avoid stairs with laundry

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Stay Active Sudoku Crossword Puzzles

EXERCISE YOUR BRAIN

Join a Book Club Read the Newspaper

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Stay Active

• Exercise 3-4 times a week
• Walk, swim, bike - wear a helmet
• Be aware of the weather - walk in the mall.
• Exercise with friends - peer pressure - watch out for each
• ther.
• Keep your cell phone with you while you exercise
• Stretch ! Know when to stop exercising.

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EXERCISE YOUR BODY

Stay Out of the Hospital THE GOAL IS TO KEEP YOU OUT OF THE HOSPITAL

Medication Management

Do Don’t

• Take medication as directed
• Keep a list of your meds
• Skip doses or cut pills in half
• Ask your doctor about
• ptions if medication is too

expensive

• Share medications or save

medications

• Use caution when

purchasing medication from

• utside the country
• Assume the new

medication is the same as the old medication

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Medication Management

• Use your cell phone to manage medical history.
• Don’t know how to use a smart phone?

 Have your kids load it for you!

• Store information such as:

 List of your medications  List of your doctors, phone numbers  List of your allergies and what happens  List of previous surgeries

• Consider also having it on paper.

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Smart Phones

Medication Management

• Drug Interactions

 Drug from one doctor may interfere with the drug from another doctor.

• Smart Phone Applications (Apps) can help you to manage medications safely.

 Download an app for drug integrations  Download an app for pill identification

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Multiple Doctors-Multiple Medication-No Communication

Communication with Your Doctor

What if you could send your health data to your doctor every day?

• Weight → signs of heart failure, signs
• f depression, signs of cancer
• Blood pressure → impact on kidneys,

heart disease, stroke - is your medication working?

• Blood sugar → impact on diabetes
• Pulse oxygenation → signs of

pneumonia, heart failure, COPD, asthma

• EKG → showing your heart activity
• Lung sounds→ heart failure,

pneumonia

• What if you could do this with your

smart phone and the data automatically went to your doctor?

• Your doctor could review it every day

and look for trends or changes.

• Could this help prevent hospital visits?

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Can we keep you out of the hospital if your doctor had info sooner?

Smartphones, Watches

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The future of medical information tracking

Medical Apps

• Venture Capital investments are pushing

billions into health related apps.

• Cost comparison applications are

skyrocketing.

• Patients now want to make appointments
• n their smartphone app.
• Patients now want virtual visits-access and

convenience.

• Clinical Apps that monitor and manage

illness.

• We have apps now that let us do an EKG
• n a smartphone.
• We have apps that allow us to take our

blood pressure with a smartphone.

• Favorite of mine – Breathalyzer App
• Will these drive down costs?

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Will these impact physicians and hospitals?

Who Will Support This?

• Goal is to identify problems before they become expensive.
• Allow doctors to practice wellness, not treating illness.
• Lower cost of care.
• Engage the patient in their health.
• Engage and inform family members for support.
• Allow us to track compliance with medication and change medications

sooner if we see they are not working.

• Save everyone money.
• Extend life.
• Increase quality of life as well as quantity of life.

Insurance Companies and Medicare

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Medical Apps

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What You Deserve from Us

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Quality Price

Patient Experience Outcomes Safety Service

VALUE =

Exciting Changes in Medicine

• Stroke
• Cancer Screening and Treatment
• Parkinson's Disease

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Stroke

• Essentially a heart attack in the brain
• Clot – often from your neck will travel

into the brain, and stop the blood flow to a portion of your brain.

• Just like a heart attack; the sooner we

identify it, the sooner the treatment , the better the outcome.

• Numbness or weakness
• Sudden confusion
• Vision changes
• Balance issues
• Headache

Signs to Look for Stroke

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FAST Diagnosis

Facial Drooping- Numb Arm Weakness Speech Difficulty Time

F A S T

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Stroke/CVA

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Let the stroke progress, work on rehab after stroke is complete. TPA – dissolves clots if given in a timely manner. Inconsistent results. Interventional Neuroradiology – remove clot, place stent, coil aneurysm. 1990 2000 2005

Cancer Screening and Treatment

• Screening
• New blood tests to

identify tumors and monitor treatment

• Genetic testing to

identify who is at a higher risk for specific cancers

• Treatment
• Proton Therapy
• Nanotechnology
• Vaccine Therapy
• Immunotherapy

Many changes coming

Neuro Movement Disorder – Parkinson’s

• Degenerative disease of the central

nervous system.

• First described by Dr. James

Parkinson in 1817.

• Symptoms include an at rest tremor;

this tremor goes away with voluntary movement.

• Medication – levodopa given,

however as cells die, more and more levodopa is needed.

• 5-10% crosses the BB barrier.
• Side effects – nausea, drowsiness,

stiff joints.

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History Treatment

DBS Surgery for Parkinson’s Disease

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Could This Be Your Next Office Visit?

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Venture Capital…Follow the Money

• Wake up, feel terrible
• Log in at 6 am, to Skype Doctor, MD.
• He is in North Carolina, sitting in his home. Shirt and tie on, white coat and golf shorts,

he accesses your electronic medical record.

• He does an interview, uses your computer or phone to examine you, blood pressure,

pulse, oxygenation level, glucose, (strep and influenza testing).

• Makes his diagnosis and immediately and sends you patient info on his diagnosis

including what to look for and expect.

• He also sends the same info to your primary care doctor for his records.
• He sends your prescription to the local pharmacy, which fills it and delivers it to your

home, along with Gatorade, Tylenol, a gallon of milk and a loaf of bread.

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FUTURE OF MEDICINE??

Expectations of the New Generation

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Tyto Care

• Handheld communication device

designed to allow seamless and secure interaction between patients and clinicians.

• Supports online examination remotely

by a clinician and also store-and- forward examination guided by the device.

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Source: Tyto Care website

Tyto Care

• Performs a variety of examinations at-home and shares information with

clinician for remote review.

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Mouth & Throat Heart Lung Skin Eye Temperature Ear

Medical Apps

Walgreens testing mobile app for virtual doctor visits

• A Walgreens store in Manhattan, Sept. 30, 2014. SPENCER PLATT/GETTY IMAGES

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Source: MDlive website