You know your FICO score (credit ratings). Do you know your rating in terms of health and wellness? What if you could use your 'FitScore' to negotiate your life insurance premium like you use your credit score before taking a mortgage? What if your employer could invite competitive bids from insurance providers based on the employees' FitScore?

1. ©GauravGarg2010-2015
FitScore
A Patient Centric Approach for Patient Engagement

2. Meet GG, 208 lbs, chronic asthma
patient with hypo thyroidiasm, high
blood glucose and high cholestrol,
struggling with obesity for last
several years.
GG’s dad was diagonosed with
diabetes and lost his eyesight due to
the diabetes complications.
GG’s physician flagged him as a high
risk patient for cardio vascular
diseases. Only tool available to GG
from his healthcare provider is a diet
workshop that will cost $2,000.
Sep 2012
Jun 2012
©GauravGarg2010-2015

3. Starting Point
In Aug 2012, GG found a clinical
protocol driven weight loss
program that helped him lose 68
lbs, reverse the diabeties and
high cholesterol trends.
GG used the BMI chart as the
motivational tool to stay on the
diet. Albeit, there is no way for
GG to coordinate his blood sugar
trends with his physician.
Imagine if this chart could
overlay blood glucose and blood
pressure trends on top of the
weekly BMI graph…
©GauravGarg2010-2015

4. Systematic Problem
• US healthcare system is designed for treating sick people.
• Neither the providers nor the patients have the tools or
training to stay out of the hospitals.
• Even if the clinicians can identify a care path, there are
challenges:
• Patient Adherence (should I continue doing x?)
• Socioeconomic factors make the care path void
©GauravGarg2010-2015

5. GG is Not Alone
Nearly 24 million Americans have diabetes. Of these people living with
diabetes, about 18 million have been diagnosed, and about 6 million do
not know they have it (1).
http://www.cdc.gov/features/dsdiabetestrends/
©GauravGarg2010-2015

6. Next Big Healthcare Apps
• http://ow.ly/ji96F
“I think the next big application in healthcare is going to
be patient involvement.”
– Dr. William Bria, President AMDIS, Chief Medical Office, Dataskill
“The Patients! I heard a term this morning, Behavior Analytics, I love
it!!”
– Dr. Farzad Mostashari , National Coordinator for Health Information Technology,
HHS
“Our mobile health solutions team saw a lot of opportunity to engage
the consumer.”
– Tomas Leary, VP of Government Relations HIMSS
What the industry leaders said at HIMSS 2013…
©GauravGarg2010-2015

7. Current Market Challenges
• We have credit scores that acts as an incentive for doing the
right things, financially. There is no “FitScore” for individuals
that encourages individuals to take care of themselves.
• There is no way for GG to weigh himself at home and overlay
the blood glucose data.
• There is no way for GG to send the weekly weight in data to
his physician and review the LDL.
• There is no way for GG to know what is the impact of his
meals on his weight, his blood sugar.
• There is no way for GG to know what is the impact of him
missing his workout.
• There is no marketplace for negotiating insurance premium
based on an individual’s health. (Although some employers
are encouraging their employees to be well).
©GauravGarg2010-2015

8. Opportunity
• What if we could let the patient connect their medical devices and life style
applications and upload their data to a secure location (that they control)?
• What if we could use technology to provide instant feedback to individuals based
on their behavior?
• What if this data could be used to generate automatic alerts & notifications to
physician for chronic disease management?
• What if we can feed social media where patients with similar conditions can get
support?
• What if we could provide a Equifax style services to business and consumers?
• What if the patient could decide who can view their “FitScore” and wellness
report?
• What if the employers could use “FitScore” to negotiate their insurance cost
with the healthcare providers and payers?
• What if the individuals could use their “FitScore” to negotiate a better life
insurance policy?
• What if the patients could decide if they want to help in pharmaceutical research
to treat specific condition?
©GauravGarg2010-2015

9. Vision & Mission
• Create an eco-system in the cloud that can support
applications for patient wellness.
• Equifax of health and wellness (B2B and B2C services)
• Mint.com for health and wellness (B2C services) – Behavior
analytics.
©GauravGarg2010-2015

10. Meet FitScore IP
• Building first mobile application
• Establish a beachhead with a
recognized weight loss
program (2.5 Million active
members across the globe).
• Get consumer enrollment
• Automate the food journal
required by the protocol.
• Open a digital communication
channel between the weight
loss clinic and the patient.
• Present the BMI trend to the
patient.
• Add Blood Glucometer support
in second sprint.
©GauravGarg2010-2015

11. Consumer Is The Key
• Start with consumer enrollment
• Build a mobile application for automating Ideal Protein weight loss
program.
• Enroll IP patients in HealthVault accounts, overlay weight loss data
with blood glucose and blood pressure data.
• Spiral out to other weight loss programs e.g. Weight Watchers, Jenny
Craig, 20/20
• Build an application for TV
• Bring patient care to patient’s home
• Backend Intelligence
• Predictive analytics – which patients are at highest risk and should be
treated differently?
• Trend analysis – what food, lifestyle patterns hurt patient X?
• Alerts & Notification – alert the case manager in physician’s office
when patient X is out of normal range (proactive disease
management)
©GauravGarg2010-2015

12. Hidden In Plain Sight
• There is a ubiquitous piece of technology in our homes that
has been vastly ignored.
• AT&T Uverse, Comcast, DirectTV, Dish Network, Xbox have one
thing in common, Mediaroom. All the IPTV boxes already have
USB ports.
• This allow us to exploit existing technologies for data collection
and customer interaction.
©GauravGarg2010-2015

13. Ubiquitous Technology
©GauravGarg2010-2015
+ +

14. ©GauravGarg2010-2015

15. User Experience
Ideal Protein
Weight Loss
Other Weight
Loss Programs
Devices
Integration
Diabetes
Support
Rules: Alerts &
Notifications
Hyper Tension
Support
Social Media
Rules: Alerts &
Notifications
Digital TV
Enrollment Devices
Alerts &
Notifications
Ubiquitous Big Data
Life Style
Integration
Post Discharge
Transition
B2B services
Scoring
Patient
Education
Predictive
Analytics
©GauravGarg2010-2015

16. Work Breakdown Structure
Exchange (Server)
Customer
Engagement and
Communication
OEM devices Support
PHR Integration
Trend Analysis
Secure
Communication
Alerts & Follow-up
Wellness
Social Networking
Geo-location based
cohort Suggestion
Events
Instructions & Video
Sharing
Mailing Lists
Support Groups
Personal Blogs
Patient Portal
Profile Administration
Permissions and
Consent
Advance Directives
Discharge
Instructions
Rx Instructions
Videos and Articles of
Interest
Analytics & Predictive
Analysis
Fit Score Calculation
(condition based
algorithm)
Population Health &
Reporting
B2B interfaces
Employer Group
Healthcare Benefits
interface (de-
sensitized)
Individual Life
Insurance Quotes
request (de-
sensitized)
Individual “Wellness
Report”
Events Directory by
geo-location and
condition
Mobile Applications
Lifestyle data
ingestion (Nike+)
Integrated Smart
Foods
Weight Loss
©GauravGarg2010-2015

17. Lean Canvas
©GauravGarg2010-2015

18. Key Players
©GauravGarg2010-2015
Kim Pemble, CPHIMS
Gaurav Garg is Vice President at Partners Consulting Inc., a global IT consulting firm. Gaurav received his MBA in Finance &
Project Management from Devry University and BS in Computer Science from Bangalore University. He brings 17 years of
experience in IT strategy and product development for large hospital systems, academic medical centers and Health
Information Exchange including: IT Director for #2 ranked hospital system in the US and product strategy for GE Healthcare.
He is co-author of two pending US Patents. He has built and commercialized a HIPAA compliant subject and incentive
management product for the NIH. He has grown a multi-million dollar Healthcare IT consulting practice in partnership with
Caradigm, GE Healthcare, Microsoft and Orion Health. Deep experience in HIPAA compliance, healthcare data,
interoperability and medical devices integration.
Kim R. Pemble is Executive Director for Wisconsin Health Information Exchange. Kim received his MS in Health Informatics
from University of MN and BS in Computer Science from UW-LaCrosse. He brings over 30 years of health IT experience
including: Vice President of Operations and Development for WHIN, Vice President IT for Infinity Healthcare, and VP /CIO
for SynergyHealth. He is a CPHIMS, a member of HIMSS, CHIME, Board Member of the HIPAA Collaborative of Wisconsin,
Board Member/Treasurer for T1D Exchange, interim Program Director and adjunct faculty for Milwaukee School of
Engineering Masters in Medical Informatics and is a licensed EMT in WI.
Gaurav Garg Manik Rane

19. Key Players
©GauravGarg2010-2015
Manik Rane is an accomplished technology professional with strong critical and analytical thinking, result oriented, proven
track record in business development, sales and marketing. 15+ years’ experience in enterprise and mid-market segments
across healthcare, telecom, education verticals. Passion for technology. Experienced in leading cross group teams to solve
business problems with focus, out-of-the box thinking and agility.
Strong background in technology acquisitions, building strategic partnerships/alliances and program management. Held
senior roles at Microsoft managing sales through Independent Software Vendors (ISV) and System Integrators (SI) partners.
Served on non-profit boards in two countries.

20. Past Experience
Created a patent pending IPTV based patient engagement solution in 2010
Established a consulting practice focused on Microsoft HealthVault device
driver and application development & certification services.
©GauravGarg2010-2015