Transcript Doctor On Demand - Allergy and Asthma Network

NEXT-GENERATION VIDEO TELEMEDICINE
TANIA ELLIOTT, MD
ASSISTANT MEDICAL DIRECTOR
NOVEMBER 6 TH 2015
Disclosures
I have the following financial relationships to disclose:
– Speakers Bureau: Mylan Pharmaceuticals
– Stockholder in: Doctor on Demand, Inc
– Employee of : Doctor on Demand, NYU Medical Center
© 2015 Doctor On Demand | 2
Objectives
 Background on Doctor on Demand
 Integration Capabilities
 Telehealth and Allergy, Asthma, Immunology Initiatives
 How it works
 Patient Centered Care
© 2015 Doctor On Demand | 3
Doctor On Demand’s Trajectory
2012
2013
2014
2015+
Founded & funded
Product Launch
Full B2B
Suite of Features
Healthcare Ecosystem
Integration
 Nationwide consumer
launch
 New partnerships with
health systems, retail
clinics, and employers
 Seamless patient
experience
 1,400 urgent care
physicians trained and
launched
 Top-rated medical app
 Robust TV presence
 #1 provider of video visits
 High utilization and mobile
usage vs legacy systems
 Mental/behavioral health,
lactation consulting
 Hundreds of employer
clients
 Dozens of partnerships with
largest health plans, health
systems, and retail clinics
 Fully-connected care
- Doctor On Demand
providers
- Health system providers
- EMR integration
- Home diagnostics
- Asynchronous capabilities
© 2015 Doctor On Demand | 4
Video: Required for Compliance
Clearly established as a legal requisite
“Generally, telemedicine is not an audio-only,
telephone conversation…it typically involves the
application of secure videoconferencing or store-andforward technology to provide or support healthcare
delivery by replicating the interaction of a traditional
encounter in person between a provider and a patient”
(Federation of State Medical Boards, 2014)
Physicians must perform “face-to-face”
evaluations, either in-person or virtually through
“real-time audio and video technology”
(AMA Reference Committee Report, 2014)
© 2015 Doctor On Demand | 5
A Full Suite of Services
Board-certified MDs
24/7 Urgent Care
Pediatricians
Infants & Children
Psychologists &
Psychiatrists
Mental Health
Maternity & PostPartum Specialists
Pregnancy &
Breastfeeding
© 2015 Doctor On Demand | 6
Integrated with the Healthcare Ecosystem
Health Systems
Retail Clinics
 Patients can see their own providers
 Partners: Regional & national
health systems
 In-store virtual clinics
 Partners: Regional & national
grocery/drug store chains
Connected Devices
Health Plans
 At-home diagnostics to enhance
clinical decisions
 Partners: CliniCloud, iHealth,
CellScope
 Straightforward integration in 6 weeks
with any health plan carrier, such as
UnitedHealthcare, Blue Cross and Blue
Shield plans, Aetna, Anthem, Cigna, and
all others
© 2015 Doctor On Demand | 7
Medical Primary Care/Urgent Care
Medical Peace of Mind
Board-Certified Physicians











Upper respiratory infection
Cold/flu/sinus
Cough
Urinary tract infection
Lab interpretation
Allergies
Fever
Athlete’s foot
Sports injuries
Rolled ankle
Travel issues
© 2015 Doctor On Demand | 9
Pediatric Health
Trusted Advice
Board-Certified Pediatricians











Rash
Allergies
Lice
Whooping cough
Pink eye
Measles and mumps
Strains/sprains
Vaccination questions
Sleep issues
Colds, flu
Vomiting/diarrhea
© 2015 Doctor On Demand | 10
Allergic Disease Use Cases
 Allergic Rhinitis Flare
– Ability to see into a patients
home environment
 Dermatitis Flare
– Easily review skin care regimen
and personal products
 Asthma
 PID screening
– Recommend allergy testing
and/or PID screening for
patients with recurrent
sinusitis/pharyngitis
 Urticaria
– Evaluate allergic reaction in
“realtime”
– Real time advice in setting of
perceived exacerbation
 Insect Sting Reactions
– Inhaler use education
 Cough
© 2015 Doctor on Demand |
11
Chronic Care Potential in Allergic Disease
Asthma
•
•
•
Increased access to
asthma educators and
respiratory therapists
In-home trigger
assessment
Increased treating ability
with use of peripherals
for step up/down therapy
•
Remote clinic monitoring
•
Subspecialist opinion
Smoking Cessation
•
Ease of follow up
appointments
•
Behavioral Health
specialist input
Anaphylaxis
• Epinephrine autoinjector
renewals
• Action plan review and
practice in the home
Chronic Urticaria
© 2015 Doctor on Demand |
12
• Step Up/Down Therapy
How It Works
Works on any tablet, smartphone, or computer
on demand or schedule in the future
© 2015 Doctor On Demand | 13
Employer/Health Plan and Eligibility Verification
Real-time eligibility
checks and claim
submission
© 2015 Doctor On Demand | 14
Registration
© 2015 Doctor On Demand | 15
Pre-Call Questions
© 2015 Doctor On Demand | 16
Additional Symptoms & Medical Conditions
© 2015 Doctor On Demand | 17
Confirm Pharmacy and Payment
© 2015 Doctor On Demand | 18
During the Call
© 2015 Doctor On Demand | 19
Send a High-Resolution Photo
© 2015 Doctor On Demand | 20
Rate the Provider
Average
feedback
Rating is 4.8
© 2015 Doctor On Demand | 21
Continuity of Care
 Email follow up
 In-app follow-up
instructions
 Resolution rate tracking
Providers can be
saved as “Favorites”
 Integration with health
system and medical
practice EMRs
 Telephone follow up
© 2015 Doctor On Demand | 22
When Appropriate, Medication is Prescribed
 Short-term medications and refills
– Antibiotics
– Antivirals
– Allergy medicine
– Skin creams and ointments
 Refills
– For diabetes, hypertension, etc.
 OTC advice
 No controlled substances
(Schedule I-IV)
© 2015
Doctor
OnDemand
Demand || 23
© 2015
Doctor
On
24/7 Patient Concierge Line
Available for live help
by phone or text with:







Phone or chat
General questions
Technical support
Prescriptions
Billing
Eligibility
Records/forms
80%
-
95%
100%
-
1-, 2-, and 3-star ratings addressed
within 15 minutes
-
Facebook and Twitter issues
addressed within 2 hours
-
Phone calls answered within
30 seconds
Emails answered within 2 hours
Chats answered within 30 seconds
Proactively identified issues
handled within 30 minutes
© 2015 Doctor On Demand | 24
Full Reporting Capabilities
© 2015 Doctor On Demand | 25
Provider Quality Assurance and Improvement
Provider Hiring
 Rigorous screening, interview, and vetting process
Provider Training and On Boarding
 Online training videos and mock cases
 >200 standardized, evidence-based clinical protocols
Quality Assurance Process
 100% satisfaction guarantee and follow-up
 Peer review and random auditing
 Formal review committee following standardized process
Performance Accountability and Histogram
 Quarterly reporting, performance reviews, and benchmarking
© 2015 Doctor On Demand | 27
Device and Lab Integration
Enabling patients to share data from devices and labs
Heart & lung
sounds
National Lab
Provider
Lab data
Glucose readings
Ear drum
visualization
ALSO: Blood pressure, oxygen saturation, home monitor devices
© 2015 Doctor On Demand | 29
Provider Partnerships
Paid
Practice
Virtual
Visits
After Hours
MD
Coverage
Extra Shift
with DOD
Network
© 2015 Doctor On Demand | 30
2016 Roadmap
Industry-leading vision
Robust Clinical Platform
Integrating with even more digital
health devices and lab companies
The Most Comprehensive Clinical
Network
 Connecting patients with Doctor On
Demand’s and their own personal providers
 Partnerships with health systems in nearly
every major region
Doctor On
Demand
is pioneering nextgeneration
telemedicine
Coordinated, Easy-to-use Healthcare
Increasing activation by integrating with
multiple single sign on (eg Aon, Jiff) and care
coordination platforms (eg Accolade, Quantum
Health)
Expanding our Cultural Reach
Supporting real-time language
translation from Spanish and >100
other languages
© 2015 Doctor On Demand | 31
NEXT-GENERATION VIDEO TELEMEDICINE