IMPROVING CARDIAC OUTCOMES AND REDUCING COSTS

Meaningful Innovation Case Study: Medtronic Care Management Services

Medtronic Care Management

Cardiovascular diseases (CVDs) — which include heart failure, arrhythmia and heart valve problems — are exacting a huge toll on people across the globe. World Health Organization statistics rank them as the number one cause of death worldwide. An estimated 17.5 million people died from CVDs in 2012, representing 31 percent of all global deaths. More than three-quarters of CVD deaths occur in low- and middle-income countries.1

In the United States specifically, heart disease is the leading cause of death for both men and women,1 and its impact on the American healthcare system is enormous. According to information from the Centers for Disease Control and Prevention:

  • About 610,000 Americans die from heart disease every year. That’s one in every four deaths.2
  • In the United States, someone has a heart attack every 43 seconds; and each minute, someone dies from a heart disease-related event.2
  • Coronary heart disease alone costs the United States nearly $109 billion annually.2 This includes the cost of healthcare services, medications and lost productivity.

About 610,000 Americans die from heart disease every year

 

About 610,000 Americans die from heart disease every year. That’s 1 in every 4 deaths.2


Heart failure, in particular, sends many older adults to the emergency room, and often leads to an inpatient stay. An aging population makes the problem even more pervasive — and costly. According to the American Heart Association, the number of people in the U.S. with heart failure could climb 46 percent — from 5 million in 2012 to 8 million in 2030. Direct and indirect costs to treat heart failure could more than double — from $31 billion in 2012 to $70 billion in 2030.3

What if heart failure patients could stay healthier and remain out of the hospital through the use of technology, patient engagement, connected data, and personal health coordinators to evaluate early risk assessment? What if this was implemented to augment and enhance standard of care clinical pathways? Medtronic Care Management Services is delivering on all counts, today.


graph of heart failure costs

 

Direct and indirect costs to treat heart failure could more than double — from $31 billion in 2012 to $70 billion in 2030.3


PATIENT-CENTERED CARE AT HOME

The Medtronic Care Management Service is designed to support and augment hospitals and providers by enhancing the care management of people with cardiac conditions and other chronic health issues. Many have returned home after a hospital stay caused by a cardiac episode. Medtronic equips them with a specially designed data collection and patient engagement system to enable optimal disease management support.

Every morning, the person with heart failure engages in a remote monitoring experience tailored to his or her specific medical status. Biometrics, symptoms and other data are seamlessly collected and analyzed using predictive analytics. Notable changes in health status are communicated to a clinician, and a closed-loop process is initiated.

One such clinician is Helen Deloney, Senior RN, Medtronic, who uses this information to identify issues and contact the patients on their healthcare providers to head off problems before they become serious. These valuable insights help nurses like Deloney serve as vital connections between patients and their healthcare providers.

“The way we see it, it’s an extension of a hospital admission, where patients are first diagnosed with heart failure or another chronic illness,” says Deloney. “After they return home, we’re able to monitor their health conditions and educate them, reinforcing what they learned in the hospital setting. The more patients learn, the better they are able to manage their conditions.”


The number of people in the U.S. with heart failure

 

The number of people in the U.S. with heart failure could climb 46 percent — from 5 million in 2012 to 8 million in 2030.3


IMPROVED HEALTHCARE VALUE

Remote monitoring solutions such as Medtronic Care Management Services can help people with heart failure cut their return trips to the hospital and help remove costs from the system.

“Medtronic’s Care Management Services are about improving a patient’s quality of life and their health outcomes,” says Sheri Dodd, VP and General Manager, Care Management Services, Medtronic. “We’re doing that by decreasing unnecessary healthcare utilization, which has a benefit for patients. It also has a benefit for hospitals, payers, and physicians.”

We are committed to partnering with healthcare providers and payers to expand access to our Care Management Service, which delivers tangible economic benefits to the healthcare system.

“I think from the beginning, it’s been a partnership,” says Mark Stampehl, M.D., Medical Director of Heart Failure, Prairie Heart Institute, HSHS St. John’s Hospital in Springfield, Ill., which uses the Medtronic Care Management Service. “It’s not as if we’re just buying a service or contracting for a tool. We actually worked with Medtronic as it started to develop the tool, and to refine how it’s used.”

At St. John’s, where nearly 850 patients were enrolled in Medtronic’s Care Management Services, the hospital saw a 12.9 percent 30-day readmission rate over 36 months — 48 percent lower than the national average.4

“What we can say is that they all — almost universally — registered a higher quality of life as a result of the care received through the program,” says Dr. Stampehl. The service has worked so well that St. John’s is expanding it to high-risk outpatients, hoping to help keep them out of the emergency room or the hospital altogether.


Readmissions at HSHS St. John's

 

30-day readmissions at HSHS St. John’s are 48% lower than the national average.4


ENHANCED BUSINESS EFFICIENCIES

Medtronic’s Care Management Service is used by 85,000 patients across all 50 states in the U.S. and has more than 3 million telehealth patient months since the service began.

Our Care Management Service demonstrates our commitment to provide value-based healthcare: high-quality, integrated and collaborative patient care at a reduced total cost to the healthcare system.


85,000 patients

 

85,000 patients in 50 U.S. states use Medtronic’s Care Management Service.


ALIGNING HEALTHCARE VALUE

Partnerships like the one between HSHS St. John’s and Medtronic Care Management Services help keep costs out of the healthcare system, while keeping patients at home.

Aligning value in healthcare is a common-sense way to achieve better patient outcomes while managing costs. It’s a positive step toward healthcare’s future that we can take Further, Together.


REFERENCES

1

World Health Organization Fact Sheet: Cardiovascular diseases (CVDs). Updated January 2015.http://www.who.int/mediacentre/factsheets/fs317/en/. Accessed Sept. 10, 2015.

2

Heart Disease Fact Sheet, Centers for Disease Control and Prevention, (CDC). http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/docs/fs_heart_disease.pdf. Accessed Sept. 10, 2015.

3

Forecasting the Impact of Heart Failure in the United States: A Policy Statement From the American Heart Association. Circulation: Heart Failure. 2013; 6: 606-619.http://circheartfailure.ahajournals.org/content/6/3/606.full.pdf+html. Accessed Sept. 10, 2015.

4

Hospital Sisters Health System, Case Study: Transforming Health Care Delivery Through Care Integration, October 2013.