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Telehealth: Mobile Diabetic Remote
Monitoring in an urban African City

      MoDiSe so far, so good
     Dr Adesina Iluyemi DDPH
           Co-founder
       adesina@modise.org
MoDiSe: Our Focus

• MISSION: Collaborate with private sector
  innovators / biotechnology researchers and local entrepreneurs

  to facilitate the development of Point of
  Care tools to prevent, diagnose and treat
  neglected tropical and non-communicable diseases in the

  developing world.
• www.modise.org
   – Incorporated in Canada
Service integration


• Long-term conditions   •   Glucometer
     • Diabetes
     • Hypertension
                         •   BP reader
• Self-diagnosis         •   Mobile phones
• Patient-Hospital 2-    •   Web-interface
  way communication          (doctors)
Patients’ uptake



• Satisfactory acceptance of ‘quantified-self’
   – 64% on average compliance rate
• High perception of usefulness
• Possibility of behavioural change
   – i.e. improved medication compliance
Service uptake


• Satisfactory hospital service integration
   – Prompt emergency response
• Encouraging doctors’ acceptance
   – Access to longitudinal clinical data
   – Perceived clinical usefulness
   – Fosters collaborative case management
Commercialisation


• Enrolled over 1000 clients
  – Hospitals
  – Employment-based schemes
  – HMOs
• Planned National roll-out
• Subscription pricing
Concerns

• Ensuring compliance          • Getting technologies
  – Variation in ‘quantified     – Strips churn & cost
    self’ activity               – Manual data inputs
• Providing feedback             – Expensive devices
  – Wary of patients’          • Engaging doctors
    engagement
                                 – Data-led clinical care
     • Reinforcement &
       Reassurance               – Change management
MoDiSe so far ......
• Progress
  – Technology Partners- North America & Europe
  – Implementation Partners- Asia & Africa
• Challenges
  –   Emerging markets
  –   Inappropriate technologies
  –   Still not low-cost
  –   Reverse innovation
  –   Financial constraints
Acknowledgements



• Instrat Global Health Solutions
• University of Portsmouth
Telehealth: Mobile Diabetic Remote
Monitoring in an urban African City

      MoDiSe so far, so good
     Dr Adesina Iluyemi DDPH
           Co-founder
       adesina@modise.org

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MODISE Mobile Healthcare Industry Summit 2012 Adesina Iluyemi

  • 1. Telehealth: Mobile Diabetic Remote Monitoring in an urban African City MoDiSe so far, so good Dr Adesina Iluyemi DDPH Co-founder adesina@modise.org
  • 2. MoDiSe: Our Focus • MISSION: Collaborate with private sector innovators / biotechnology researchers and local entrepreneurs to facilitate the development of Point of Care tools to prevent, diagnose and treat neglected tropical and non-communicable diseases in the developing world. • www.modise.org – Incorporated in Canada
  • 3. Service integration • Long-term conditions • Glucometer • Diabetes • Hypertension • BP reader • Self-diagnosis • Mobile phones • Patient-Hospital 2- • Web-interface way communication (doctors)
  • 4. Patients’ uptake • Satisfactory acceptance of ‘quantified-self’ – 64% on average compliance rate • High perception of usefulness • Possibility of behavioural change – i.e. improved medication compliance
  • 5. Service uptake • Satisfactory hospital service integration – Prompt emergency response • Encouraging doctors’ acceptance – Access to longitudinal clinical data – Perceived clinical usefulness – Fosters collaborative case management
  • 6. Commercialisation • Enrolled over 1000 clients – Hospitals – Employment-based schemes – HMOs • Planned National roll-out • Subscription pricing
  • 7. Concerns • Ensuring compliance • Getting technologies – Variation in ‘quantified – Strips churn & cost self’ activity – Manual data inputs • Providing feedback – Expensive devices – Wary of patients’ • Engaging doctors engagement – Data-led clinical care • Reinforcement & Reassurance – Change management
  • 8. MoDiSe so far ...... • Progress – Technology Partners- North America & Europe – Implementation Partners- Asia & Africa • Challenges – Emerging markets – Inappropriate technologies – Still not low-cost – Reverse innovation – Financial constraints
  • 9. Acknowledgements • Instrat Global Health Solutions • University of Portsmouth
  • 10. Telehealth: Mobile Diabetic Remote Monitoring in an urban African City MoDiSe so far, so good Dr Adesina Iluyemi DDPH Co-founder adesina@modise.org