HealthBotz Allscripts challenge care plan presentation final

HealthBotz
Care Plan Management Application

Tom Marcin, DataBotz, LLC
Copyright © 2011 Allscripts Healthcare Solutions, Inc.

HealthBotz Solution Overview
High-level solution description:

A web application that enables providers and patients to collaborate in the development
and management of "care plans" for patients with chronic diseases. The first module will
be focused on diabetes type II care; future modules will address heart disease and
pulmonary conditions.

Healthcare/business problem addressed:

Reducing healthcare costs and improving outcomes for patients with chronic diseases by
increasing patient engagement during the creation and compliance phases of their care
plans.

The application addresses both challenge categories:

█ Applications that improve management of high-cost chronic diseases.

█ Innovative approaches to addressing value-based care imperatives.

A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.

Diabetes Problem & Care
█ According to the American Diabetes Association, 25.8 million people in the United States —
8.3% of the population — have diabetes, and it is expected to double by 2038.

█ Every 24 hours, approximately 230 people with diabetes have an amputation, 120 suffer
from kidney failure, and 55 go blind.

█ The annual cost of diabetes in the U.S. exceeds $174 billion, accounting for 14% of
healthcare expenditures.

█ Interventions to change the trajectory of the disease process are well-researched and
include:

‣ Lifestyle modifications, intensive glycemic control, the use of statins for hyperlipidemia,
smoking cessation and yearly screening for retinopathy.
‣ ACE inhibitors for hypertension and renal disease, ARBs for microalbuminuria and foot care.

█ Self-management blood sugar tools have increased patient understanding of diabetes and
provided knowledge necessary to actively participate in the creation of a health plan,
resulting in improved HbA1C levels.

Sources: CDC, American Diabetes Association, Delaware DHSS


Usability & Design—Care plan creation
1. Rankings of the top hospitals and physicians, based on positive outcomes,
to get more information or second opinions.

2. Proprietary Natural Language Processing capabilities integrate unstructured doctors' notes
and structured data from EMR into a comprehensive care plan.

3. HealthBotz creates a foundational care plan based on EMR data.

4. Patients and their healthcare professionals collaborate in HealthBotz to define goals to
manage the disease.

5. The care plan is then uploaded to Allscripts through the API.

6. Patients will have a stronger sense of ownership of their care plan, especially after
collaborating on its development with their providers.

7. HealthBotz gives patients access to their EMR and visit notes.

‣ 78% of patients report that after viewing their doctor's visit notes, they were more likely to take their
medication.

Sources: OpenNotes study in Annals of Internal Medicine


Usability & Design—Care plan compliance
1. HealthBotz uses simple psychological analysis to determine the recovery phase that
a patient is in, and adjusts the care plan suggestions and interactions based on a
patient's profile.

2. HealthBotz leverages social media capabilities to enable the patient to build a
community support system to help motivate them to comply with their plan including
family, friends, and providers.

3. Leverage gamification concepts such as points, badges, leveling-up, and rewards to
provide positive reinforcement and motivation.

4. For our Diabetes module HealthBotz has already established relationships and
integration plans with:

‣ Delaware Health Information Network (DHIN), United States' first and most mature HIE.
‣ Anytime Fitness.
‣ Perque Integrated Health system.


Usability & Design—Alerts
█ Reminders to take your medication and refill your medications.

█ Automated pharmacy refill.

█ Medical appointment reminders.

█ Alerting and messaging throughout the recovery or management period keeps patients
motivated.

█ Alerting and messaging keeps providers engaged on a more regular basis in between
patient visits.

█ Alerting and messaging keeps family members informed of a patient's progress or more
importantly, the lack thereof.

█ Alerting and messaging keeps hospital administrators abreast of potential high risk re-
admittance cases.

█ Alerts notify primary care physicians making them aware of their patients' discharge from
a hospital while motivating them to establish an appointment.


Usability & Design—Health indicators
Tracking health indicators such as weight and glucose improves patient care.

60% of US adults track at least one health indicator. Of trackers with 2+
chronic conditions like diabetes...
‣ 56% say tracking changed their approach to maintaining their health.
‣ 53% say it led them to ask a doctor new questions.
‣ 45% say it affected a decision about how to treat an illness.
‣ Only 22% use devices to track this data.

HealthBotz pulls data from devices & apps, provides a unified dashboard for
user, and pushes data into EHR for health care providers.
‣ Activity & sleep: Jawbone Up, Fitbit, Nike FuelBand, RunKeeper.
‣ Weight: Withings scale, Fitbit Aria.
‣ Glucose: MyGlucoHealth, iGBStar monitors.
‣ Blood pressure: iHealth, Withings cuffs.

Sources: Pew Research "Tracking for Health" January 2013


Development Stage
█ Idea developed and vetted with medical professional team.

█ High-resolution simulation created in iRise application development platform.

█ Preliminary testing performed with pulling, processing and pushing data from and to the
Allscripts EHR platforms.

█ Architecture framework established.

█ Development environment selected

█ Key partner relationships established

‣ Delaware Health Information Network (HIE)

‣ Christiana Care Hospital System (advisors and potential pilot users)

‣ Lexikos, LLC (proprietary natural language processing)


High-level Architecture
Knowledge base

‣ EMR and other patient information translated into graph data model
of nodes and labeled edges.

‣ Enables fast link-based algorithms for search and recommendation.

Event-driven architecture

‣ Data ingest pipeline pulls medical record data as it becomes available.

‣ Complex event processor matches standing queries and generates notifications to users.

Interoperability

‣ Services are provided to third parties via RESTful APIs.

‣ Mapping to RDF-based health ontologies enables interoperability with the Linking Open Data cloud,
schema.org, and Semantic Web toolkits.

HealthBotz leverages semantic web technology — an early adopter and driver of the web 3.0 — to
increase:

‣ Data access and Patient engagement

‣ Integration of heterogeneous data across the entire health information sphere from biological research
based in genetics and genomics to clinical research to clinical practice to social media

...to drive more effective and efficient outcomes and better health globally.


Integration Description
█ Connect to Enterprise or Professional EHR (depending on the customer) from
HealthBotz servers and web app using Unity SDK.

█ Electronic medical records, including data pertaining to a diabetes care plan, will be
pulled from Allscripts into HealthBotz. Supplemental data collected about the patient in
HealthBotz will be pushed up into Allscripts for provider access.

█ Push data into Allscripts using:
‣ SaveVitals, SaveRX
‣ SaveDocumentImage
█ Pull data from Allscripts using:
‣ GetUserAuthentication
‣ GetSchedule, SearchPatients
‣ GetPatient, GetPatientFull, GetPatientActivity
‣ GetPatientCDA, GetPatientSections
‣ GetDocuments, GetDocumentImage


Go to Market Plans
█ DataBotz plans to leverage its strategic relationship with the DHIN in order to use the
DHIN relationship managers to promote DataBotz/DHIN-developed solutions.

█ DataBotz will have access to all major hospital systems and over 97%* of ordering
physician in the state of Delaware through our DHIN relationship.

█ DataBotz will leverage it's DHIN relationship to gain access to other state
or private HIEs that have been collaborating with the DHIN over the past
5 years.

█ DataBotz will also offer and promote its HealthBotz service through the Internet on health
related websites such as American Diabetes Association, WebMD, MayoClinc, wellness/
healthy living sites, and other web services such as Patients Like Me.

█ Provide user community (GetSatisfaction, etc) for customer questions, problems,
requests; help, tutorials and information integrated into the app.

█ Additional support needs will be evaluated during our pilot stage and integrated as
appropriate.

* Provider penetration calculation reflects number of providers who make orders and are enrolled in DHIN (MD’s, DO’s, NP’s, PA’s and ED’s), and does not
include healthcare care providers that do not make orders (e.g. Pathologists). Total provider list compiled from multiple sources including the Medical
Society of Delaware, University of Delaware, Delaware Blue Cross Blue Shield and the Delaware Division of Professional Regulation.


Go to Market Plans
30-day free trial for patients and 60-day free trials for providers. Subscriptions will be
sold in two versions:

Consumer/patient version supporting a single family
‣ $2.50/month for individual, $5.00/month per immediate family
member (up to 5).

Tiered enterprise versions for hospitals, physicians offices, wellness centers
including monthly and annual contracts.
‣ Cost TBD for practices of up to 5, 10, 25, >25 physicians.
‣ Cost TBD for Hospital systems of up to 250, 500, >500+ beds.
Future secondary revenue streams:
‣ Manufacturers
Drug/device utilization, compliance, adverse event reporting.
‣ Insurers
Diabetes disease management adjunct services.
‣ Providers
Diabetes outcomes, performance reporting vs. peers.
‣ Data Consumers
Anonymized patient data at $3/patient-month.


Video Demonstration
█ URL Link: http://youtu.be/uvX0r1Z6f2c

█ Our video demonstrates how
HealthBotz enables YOU the PATIENT
to be the center of your health care.

YOU download WE aggregate

YOU develop WE analyze

YOU collaborate WE alert

YOU have fun WE educate

YOU change... YOU WIN !


Why this solution should be selected!
█ 25.8 million people in U.S. have diabetes and the number is projected to double by 2038.

█ Successful improvement toward the ADA guidelines in a population of 17,000 has shown
healthier lives-400 fewer heart attacks, 300 fewer cases of diabetic eye disease, 130 fewer
strokes and 200 fewer deaths.

█ Healthbotz supports the client in entering a more productive, patient-centered relationship
with his/her provider and care team driving them towards compliance with ADA guidelines
and other best practices or informed choices.

█ The client is empowered with information for decision making and more likely to negotiate a
treatment care plan that will be followed.

█ The client receives motivational support and data regularly as opposed to just at the three
month follow up with the provider.


Why this solution should be selected!
█ The provider will receive updates and will have the opportunity to respond to these
updates-both the accomplishments and partnering to readjust plan when needed.

█ A support team which includes friends and family can virtually support the individual by
both encouraging and celebrating their success.

█ The client will be in control and invested in the care plan. They will receive frequent
data to reflect on, frequent motivation to feel proud of success and move more
successfully toward meeting the ADA guidelines and improved health and well-being.

█ Health care costs will be reduced and shifted to the primary care offices away from
hospitals and emergency room, allowing more access for other critically ill community
members.

█
Diabetes is just the beginning for HealthBotz... wait until you see what we have
planned!


HealthBotz Allscripts challenge care plan presentation final

Recommandé

Recommandé

Contenu connexe

Tendances

Tendances (20)

En vedette

En vedette (10)

Similaire à HealthBotz Allscripts challenge care plan presentation final

Similaire à HealthBotz Allscripts challenge care plan presentation final (20)

HealthBotz Allscripts challenge care plan presentation final