Changing the way we think. Changing the way we deliver. … · Portal Unique Patient ID ... Cost...
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Changing the way we think. Changing the way we deliver. Through eHealth Innovation Ecosystems. 1 ohumC6: Connected Community Controlled Cost Care Continuum
Transcript of Changing the way we think. Changing the way we deliver. … · Portal Unique Patient ID ... Cost...
Changing the way we think. Changing the way we deliver.
Through eHealth Innovation Ecosystems.
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ohumC6: Connected Community
Controlled Cost
Care Continuum
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The problem
Confidential & Proprietary - Not intended for distribution other than intended audience
Healthcare is challenged by need for high investment, growing members >60 years, and increasing costs of medical services
money, members, medicine
Money Members >60 Medicine
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PRESCRIPTIVE HEALTH PREVENTIVE HEALTH
POPULATION HEALTH
P HC
Vitals
e-Pharmacy
SHC Tertiary Referral Hospital
One Patient One Record Real-time Transactions
Evidence Based Guidelines Patient Safety
International Benchmarks Progressive Improvement Programs
Chronic Care Management Health Econometrics of Care
Labs, Imaging, Nursing Care, Progress Notes, Discharge Summary, MLC
connected community controlled cost care continuum - bringing care closer to patients
Population Health Disease
Surveillance Integrated Health
Management Programs
Lifelong Medical Record
Unique Patient ID
Multi-purpose Health Worker
Patient App
Call Centre
Patient
Mother & Child
Diabetes Management
HIV/TB NCD Mental
PROGRESSIVE HEALTH
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DIabetes Care Management Process Flow Diagram
Patient
Patient Portal
Unique Patient ID
Patient History
Population Mapping
● Disease Registry ● Epidemiology & Disease
Surveillance ● Cost Mgmt ● Policies & guidelines
Central Care Coordination Centre
Lifestyle Obesity
Diet Meditation
Personalised Care Management
Exercise
FINDRISC Assessment
One Patient One Record for Life
Controlled clinical Workflows
Co-morbidities
Clinician
Insulin Mgmt, Medication
Foot & Eye Exam Diagnostics
Consult - Podiatrist /
Ophthalmologist
Home Visit
Patient
Self Mgmt Wearable Devices
Home Health
Vitals Meds PoC Labs Televideo Conference Health Education
Social Worker
Social Worker
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integrated digital health platform for diabetes care management
Self Management Second Opinion Self Motivation Healing Plans
Clinical Pathways EBM Guided Risk Score ePrescription
Patients
Comprehensive Care Reduced ALOS by disease Standard Clinical pathways Clinical Safety
Timeline view for self care & monitoring
One Patient One Record for Life Outcomes
Best Practices
PoC Labs Trends analysis Alerts & Reminders
Medication Reconciliation Generics Refills Drug Interactions
Emergency Management Support Patient Health Education
Behaviour nudging Automated Appointments
Auto Follow-ups Integrated Care Plans
Preventive Health Palliative Health
eClaims Cashless
Cost Controls Chronic Care Management
Predictive Health
Registries Disease Surveillance
Clinical Trials
My Clinics
My Labs
My Doctors My Care Team
Patients Like Me
My Pharmacy
My Payer My Hospitals
Population Health
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Care Foundation: Population mapping and actionable patient list
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Care Foundation Ecosystem
Population : Doctor Ratio
Villages Population
Doctors 400,000
ANMs
600
Chronic Care
1.5 mn
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550 50,000
built the world’s most sophisticated digital health village program
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Doctor & ANM
ANM
Social Worker
Pharmacist
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Disease Frequency - RR District (9 Villages)
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The solution
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patient portal /kiosk
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patient portal
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FINDRISC assessment
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Co-morbidities
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Clinical Assessment: Foot exam
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Annotations
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Clinical Assessment:
Eye exam
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Diagnostics
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Diabetes Flow Sheet
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Diabetes Flow Sheet
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Social worker: assessment
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Need for medical
equipment
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Diet instructions
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Medications instructions
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Follow up
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Complaints
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Lifestyle Management
Diet & Weight Management
● Maintain optimal weight ● Calorie restriction ● Plant-based diet, polyunsaturated and
monounsaturated fatty acids ● Avoid trans fatty acids; limit saturated fatty acids
+ Structural counseling + Mean replacement
Exercise ● 150 min/week moderate exertion (e.g. walking /
stair climbing) ● Strength training ● Increase as tolerated
+ Structured program + Medical evaluation /
clearance + Medical supervision
Sleep ● About 7 hours per night + Screen for obstructive
sleep apnea
Behaviour Support ● Community engagement ● Screen for mood disorders
+ Refer to mental healthcare professional
+ Behavioural therapy
Smoking Cessation
● No tobacco products + Structured programs
Yoga & Meditation ● Overall physical, mental and spiritual well-being &
inner healing + Structured program
Risk Stratification for Diabetes Complication
Lifestyle Intervention + Metformin
A1C >= 7%
No Maintain Current Therapy
Yes
Insulin Management
Add Basal Insulin
Intensify Insulin
Oral Anti-Diabetics
Sulfonylurea
Glitazone
Algorithm for control of Type 2 diabetes
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Self care with wearable device
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analytics
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Actionable List
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Diabetes Timeline
Dashboard
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Diabetes Management
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Disease wise daily visit details
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eConsultations for Dr K Ravi Verma
Confidential & Proprietary - Not intended for distribution other than intended audience
The Benefits
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Confidential & Proprietary - Not intended for distribution other than intended audience
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the benefits
Dramatic System wide improvement in healthcare delivery on: Safety Costs Outcomes Research Experience
Confidential & Proprietary - Not intended for distribution other than intended audience
Single integrated community health digital platform
Safety Outcomes Cost Research Experience
Total transformation
Controlled clinical pathways
Zero typing, point of care documentation
One patient one record for life
100% data processed for real time and predictive analytics
Driven by evidence based medicine leading to practice based evidence
Alerts and reminders for all safety and outcomes
Cost controls across the care continuum
Integrated community health and telemedicine program
Priced per transaction ...pay as you go
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uniqueness
ohum healthcare solutions pvt. ltd. Head Office: # 190, 2056 Westings Avenue, Naperville, IL 60563 U.S.A. Tel: +1 630 212 5678
Development Office: 801-802 East Court, Phoenix Market City, Nagar Road, Pune - 411014, Maharashtra India Tel: +91 20 41357500
e: [email protected] www.ohumhealthcare.com
Thank You!
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