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PROGNOSTICHECK
Value Proposition:
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STRATEGY & FOCUS
Reliable
base healthcare
decisions upon
Scientific Excellent Com assionate
knowledgebase
training &support
caringcommunication
Patient, Physician,
Manufacturer
multi-media formats
Pre-Learning
Assessment
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INDIVIDUALLY TARGETED CURRICULUM
Patients and Families
Physicians
Other healthcare rovidersNurses
ac es Phase of care
Manufacturers armaceu ca s er n erven ons
Prescription
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Nonprescription
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THREE FRONTS OF CHANGE
Therapeutic efficacy Healthcare delivery system
Ethical and cultural expectations
Duties and responsibilities within a new
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CHRONIC DISEASE
Diagnosis established
Tx limited/repetitive
Complications
Anticipation Avoidance
Mitigation
Scope of deterioration
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CHARACTER OF CHRONIC ILLNESS
Occurs with substantial reserve capacity Progressively long natural course
Serious then fatal
Progressively worsening
Frailty/prolonged dwindling (Cliff Edge) Little available reserves
Small u set cascades
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Hospitalizations
Severit of disease
Present on admission
Overstaying DRG LOS
Complications
SIRS
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From:
Living Well at the End of
Life;
Lynn & Adamson
2003 Rand Health
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~20%
~
~
2005 IPGDx, LLC *~20% other and/or undefined
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Of the ~2.5M annual deathsless than fort ercent died
under hospice care
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THOSE WITH CHRONIC DISEASE
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CHANGES IN HEALTHCARE DELIVERY
< economic independence < professional autonomy
> external review
> administrative oversight
Optimize outcome while minimizing costs Proffer decisions with weighted
administrative and clinical consequences
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CHANGES IN HEALTHCARE DELIVERY
Resource Allocation
> cost
To produce > benefit Com arative metric/risk ad ustments
Relative levels of illness and treatment ys em compar sons
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CHANGES IN HEALTHCARE DELIVERY
D m n r d Eff i n
Assessment of the probability of
Assumption of therapeutic efficacy
n erme a e en po n s pre c ve olong-term outcomes
re ct ve n ngs
Pre-symptomatic occult illnessPredicting consequences
Benefit of advanced interventions
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Adherence metrics
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ETHICAL DECISION MAKING
ommun cat on requ re
Consumerism Informed consent
Risk (cost) / Benefit
Availability Allocation
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END OF LIFE COSTS
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CULTURAL EXPECTATIONS
Outcome inevitability Likelihood of recovery
Justice
Beneficence
conomy
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END OF LIFE CARE
Good Death v BAD
ontro - om ort- ommun cat on
Discussed with family
Planned for
Management of
ome care
Physical-Spiritual-Emotional-Social-Cost
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PROGNOSTICHECK
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PROGNOSTICHECK
If Sick How Sick
Characterization of disease
Presence-Severity-Progression Effectiveness of thera ies
Optimized individual response
-
Palliative care and Hospice
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TARGETED MARKET SEGMENTS
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TARGETED MARKET SEGMENTS
Innovators First 5% - 10% that adopt the productEarly Adopters Next 10% - 15%
Early Majority Next 30%
Late Majority Next 30%
La ards Remainin 20%
CHARACTERISTICS:
something new and different
Social integration: frequent and extensive contact with others in
ones area
Cosmopolitan: point of view extending beyond the immediate
Social mobility: upward movement on the social scale
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something new)
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