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Hacking Health Toronto (October 16, 2014) 
Patient Engagement: What does this really mean? 
Sarah Sharpe 
Co-Founder & Managing Director
Health Challenges and 
Our Solution
Healthcare Challenges 
• Too 
› Re-­‐admissions 
• Too 
› Costs 
• No 
the 
hospital 
to 
home 
• No 
outside 
of 
the 
hospital 
Copyright 
many 
re-­‐admissions 
cost 
Canada 
$1.8 
billion 
many 
unnecessary 
appointments 
the 
US 
$125 
billion 
/ 
year 
effec=ve 
way 
to 
engage 
pa=ents 
as 
they 
transi=on 
from 
effec=ve 
way 
to 
gather 
comprehensive 
pa=ent 
data 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Our Solution 
QoC 
Health 
is 
a 
mobile 
technology 
company 
that 
deploys 
pa=ent 
engagement 
solu=ons 
with 
healthcare 
providers. 
Copyright 
These 
solu=ons 
save 
money 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al 
through 
reduced 
complica=ons 
and 
hospital 
=me 
while 
improving 
quality 
of 
care 
and 
the 
pa8ent 
experience.
Our Solution 
Pa0ent 
Profiles 
Care 
Provider 
Profiles 
Care 
Centre 
Profiles 
Dynamic 
Data 
Collec0on 
Indicator 
Libraries 
Research 
/ 
Analy0cs 
Decision 
Aids 
Compliance 
Support 
Networks 
Educa0on 
Telemetry 
/ 
Bluetooth 
Social 
Media 
Cloud 
Connect 
Healthcare 
Pla=orm 
Privacy 
by 
Design 
Privacy 
and 
Security 
HIPPA 
/ 
PHIPA 
Circles 
of 
Care 
Care 
Providers 
Circles 
of 
Support 
Caregivers, 
Family 
and 
Friends 
Pa8ents 
Connected 
Care 
• Pa=ent 
Monitoring 
• Research 
/ 
Clinical 
Trials 
• Compliance 
• HL7 
Integra=ons 
• Acute 
and 
Chronic 
Monitoring 
• Wound 
Care 
• Post 
30 
Day 
Discharge 
• Decision 
Aids 
• Peer 
Support 
• Mental 
Health 
• Transi=ons 
in 
Care 
• Social 
Networks 
Building 
Blocks 
The 
Pa8ent 
Engagement 
API
Who are our patients? 
How do we engage them?
One Way to Describe Patients 
• Diagnosis: 
COPD, 
diabetes, 
arthri=s, 
cancer, 
surgical 
• Pediatric, 
• Co-­‐morbidi=es 
Copyright 
Orthopedic, 
mental 
health, 
CHF, 
young 
adult, 
adult, 
seniors 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Developing Tools For Patients 
From 
the 
literature, 
care 
provider 
exper=se: 
• Standard 
• Ac=vi=es 
• Pictures 
• Educa=onal 
• Health 
Copyright 
surveys 
and 
indicators 
of 
health 
of 
daily 
living 
(ADL’s) 
indicators 
of 
wound 
sites 
informa=on 
team 
contacts 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Another Way to Describe Patients 
• Mom, 
• Professionals, 
• Caring, 
• Avid 
• Developing 
understanding 
the 
person, 
their 
needs, 
what 
is 
important 
to 
them 
Copyright 
dad, 
grandma, 
grandfather, 
brother, 
sister 
experts, 
experienced, 
wise 
worried, 
op=mis=c, 
determined 
hiker, 
cook, 
painter…. 
pa=ent-­‐centred 
solu=ons 
means 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Developing Tools With Patients 
• Level 
• Func=onal 
• Health 
• Access 
• Connec=ng 
• Caregiver 
Copyright 
of 
anxiety 
goals 
that 
maintain 
hobbies 
needs 
are 
met 
in 
a 
=mely 
manner 
to 
personal 
health 
informa=on 
with 
peers 
and 
community 
support 
supports 
in 
the 
home 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
“Nothing about me without me” 
Pa=ent 
engagement 
in 
solu=on 
design 
• Experience 
• Ac=ve 
• Surveys 
• Focus 
• Interviews 
• Families 
Copyright 
Based 
Co-­‐Design* 
team/commi`ee/board 
members* 
Groups 
/ 
caregivers 
as 
part 
of 
the 
team 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Patient and Provider Engagement 
• Co-­‐design 
• Pa=ents 
• The 
• An 
• End 
Copyright 
methods 
and 
providers 
involved 
in 
design 
solu=on 
fits 
exis=ng 
health 
care 
processes 
effec=ve 
and 
sustainable 
tool 
user 
buy-­‐in 
and 
compliance 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
The Cloud Connect 
Platform
Copyright 
Hospital 
In 
Home 
Care 
Rehab 
Long 
Term 
Care 
Family 
Physician 
The QoC Circle of Care 
Pa8ent 
Centred 
Care, 
Pa8ent 
Connected 
Care 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al 
Professional 
Supports 
Friends 
and 
Family 
Pa=ent 
Educa=on 
Decision 
Aids 
Care 
Provider 
Detail 
Con=nuous 
Feedback 
Synop=c 
and 
Qualita=ve 
Indicators 
Telemetry 
Virtual 
Clinic 
Secure 
Cloud 
Connected 
Healthcare 
Social 
Media
Mobile monitoring: Designed with patients 
through focus groups, surveys, interviews 
Copyright 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Mobile monitoring: Designed with patients 
through focus groups, surveys, interviews 
Copyright 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Aging well website for seniors: 
Experience based co-design 
Copyright 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Aging well website for seniors: 
Experience based co-design 
Copyright 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Patient decision aid tool: 
Designed through expert working group 
Copyright 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Provider portals: 
Designed through interviews & working groups 
Copyright 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Provider portals: 
Designed through interviews & working groups 
Copyright 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Case Study: 
Women’s College Hospital Outcomes: 
Copyright 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al 
• Overall 
cost 
savings 
of 
65% 
($135.78 
per 
follow-­‐up 
vs. 
$381.27) 
• Pa8ent 
sa8sfac8on 
ra=ng 
of 
3.9 
/ 
4 
• 100% 
of 
pa=ents 
presen=ng 
excellent 
recovery 
could 
forgo 
a 
follow 
up 
visit 
• In 
5% 
of 
pa=ents, 
the 
surgeon 
could 
iden=fy 
wound 
redness 
/ 
complica=ons 
with 
the 
photo 
stream, 
allowing 
earlier 
treatment 
and 
avoidance 
of 
hospital 
admissions 
“Knowing 
my 
surgeon 
can 
monitor 
my 
progress 
especially 
with 
my 
pictures 
provided 
me 
with 
a 
lot 
of 
security” 
“I 
have 
had 
7 
surgeries. 
This 
surgery, 
with 
the 
support 
of 
the 
device 
was 
my 
most 
posi0ve” 
"…felt 
like 
the 
doctor 
was 
with 
me 
all 
the 
0me” 
"…very 
user 
friendly.”; 
"very, 
very, 
very 
easy 
to 
use."; 
"guided 
me 
through 
step-­‐by-­‐step 
-­‐ 
cannot 
go 
wrong."
Privacy and Security 
Data 
security 
and 
privacy 
engineered 
into 
the 
system 
from 
the 
ground 
up, 
adhering 
to 
HIPAA 
and 
PHIPA 
security 
standards 
including: 
• For 
encrypted 
VPN 
tunnels 
from 
mobile 
devices 
to 
the 
plagorm 
over 
the 
carrier 
cellular 
network. 
• In 
transit 
data 
encryp=on 
using 
256-­‐bit 
SSL/TLS 
encryp=on 
with 
2048-­‐bit 
encryp=on 
keys 
to 
secure 
data 
while 
in 
transit. 
• Database 
• Pa=ent 
• Each 
successfully 
authen=cate 
to 
retrieve 
their 
encryp=on 
secret 
from 
the 
plagorm 
servers. 
• Submi`ed 
while 
in 
transit. 
Copyright 
managed 
devices, 
features 
a 
private 
wireless 
APN 
providing 
secure 
server 
encryp=on 
using 
AES 
256-­‐bit 
encryp=on 
mobile 
device 
encryp=on 
using 
AES 
128-­‐bit 
encryp=on. 
user 
is 
assigned 
their 
own 
unique 
encryp=on 
secret. 
Pa=ents 
must 
data 
is 
signature 
validated 
to 
ensure 
data 
has 
not 
been 
modified 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Technology 
and 
Innova8on 
Copyright 
Healthcare 
and 
Research 
Business 
Development 
and 
Strategy 
A multidisciplinary team for true patient centred design 
Healthcare, 
Research 
and 
Technology 
Exper8se 
Seamlessly 
Combined 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Strategic technology partnerships 
Copyright 
Leader 
in 
Integrated 
Healthcare 
Solu1ons 
• QoC 
is 
an 
authorized 
McKesson 
reseller 
and 
integrator. 
• QoC 
leverages 
McKesson 
RelayHealth 
technology 
for 
integrated 
HL7 
data 
sharing 
amongst 
large 
scale 
HIS 
systems. 
Interna1onal 
Leader 
in 
Mobile 
and 
Healthcare 
Technology 
• Provides 
in 
kind 
smartphones 
and 
tablets 
for 
QoC 
projects 
• Jointly 
exploring 
the 
use 
of 
prototype 
Samsung 
healthcare 
monitoring 
technology 
Canadian 
Leader 
in 
Mobile 
and 
Wireless 
Solu1ons 
• Provides 
private 
encrypted 
cellular 
channels 
for 
QoC 
Health 
Solu0ons 
• Partnering 
on 
turn 
key 
“discharge 
kits” 
for 
hospitals. 
• Conference 
co-­‐presenters, 
combined 
marke0ng 
and 
communica0ons 
ini0a0ves 
Canadian 
Innova1on 
Leader 
in 
Home 
Sensing 
Technology 
• Jointly 
developing 
in 
home 
monitoring 
solu0ons. 
• Developing 
home 
healthcare 
hub 
for 
passive 
and 
safety 
monitoring 
in 
the 
home. 
© 
2014 
QoC 
Health 
Inc. 
-­‐ 
Private 
and 
Confiden=al
Contact: 
Sarah Sharpe 
Co-Founder & Managing Director 
sarah.sharpe@qochealth.com

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QoC Health - Hacking Health presentation - Sarah Sharpe

  • 1. Hacking Health Toronto (October 16, 2014) Patient Engagement: What does this really mean? Sarah Sharpe Co-Founder & Managing Director
  • 2. Health Challenges and Our Solution
  • 3. Healthcare Challenges • Too › Re-­‐admissions • Too › Costs • No the hospital to home • No outside of the hospital Copyright many re-­‐admissions cost Canada $1.8 billion many unnecessary appointments the US $125 billion / year effec=ve way to engage pa=ents as they transi=on from effec=ve way to gather comprehensive pa=ent data © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 4. Our Solution QoC Health is a mobile technology company that deploys pa=ent engagement solu=ons with healthcare providers. Copyright These solu=ons save money © 2014 QoC Health Inc. -­‐ Private and Confiden=al through reduced complica=ons and hospital =me while improving quality of care and the pa8ent experience.
  • 5. Our Solution Pa0ent Profiles Care Provider Profiles Care Centre Profiles Dynamic Data Collec0on Indicator Libraries Research / Analy0cs Decision Aids Compliance Support Networks Educa0on Telemetry / Bluetooth Social Media Cloud Connect Healthcare Pla=orm Privacy by Design Privacy and Security HIPPA / PHIPA Circles of Care Care Providers Circles of Support Caregivers, Family and Friends Pa8ents Connected Care • Pa=ent Monitoring • Research / Clinical Trials • Compliance • HL7 Integra=ons • Acute and Chronic Monitoring • Wound Care • Post 30 Day Discharge • Decision Aids • Peer Support • Mental Health • Transi=ons in Care • Social Networks Building Blocks The Pa8ent Engagement API
  • 6. Who are our patients? How do we engage them?
  • 7. One Way to Describe Patients • Diagnosis: COPD, diabetes, arthri=s, cancer, surgical • Pediatric, • Co-­‐morbidi=es Copyright Orthopedic, mental health, CHF, young adult, adult, seniors © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 8. Developing Tools For Patients From the literature, care provider exper=se: • Standard • Ac=vi=es • Pictures • Educa=onal • Health Copyright surveys and indicators of health of daily living (ADL’s) indicators of wound sites informa=on team contacts © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 9. Another Way to Describe Patients • Mom, • Professionals, • Caring, • Avid • Developing understanding the person, their needs, what is important to them Copyright dad, grandma, grandfather, brother, sister experts, experienced, wise worried, op=mis=c, determined hiker, cook, painter…. pa=ent-­‐centred solu=ons means © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 10. Developing Tools With Patients • Level • Func=onal • Health • Access • Connec=ng • Caregiver Copyright of anxiety goals that maintain hobbies needs are met in a =mely manner to personal health informa=on with peers and community support supports in the home © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 11. “Nothing about me without me” Pa=ent engagement in solu=on design • Experience • Ac=ve • Surveys • Focus • Interviews • Families Copyright Based Co-­‐Design* team/commi`ee/board members* Groups / caregivers as part of the team © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 12. Patient and Provider Engagement • Co-­‐design • Pa=ents • The • An • End Copyright methods and providers involved in design solu=on fits exis=ng health care processes effec=ve and sustainable tool user buy-­‐in and compliance © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 13. The Cloud Connect Platform
  • 14. Copyright Hospital In Home Care Rehab Long Term Care Family Physician The QoC Circle of Care Pa8ent Centred Care, Pa8ent Connected Care © 2014 QoC Health Inc. -­‐ Private and Confiden=al Professional Supports Friends and Family Pa=ent Educa=on Decision Aids Care Provider Detail Con=nuous Feedback Synop=c and Qualita=ve Indicators Telemetry Virtual Clinic Secure Cloud Connected Healthcare Social Media
  • 15. Mobile monitoring: Designed with patients through focus groups, surveys, interviews Copyright © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 16. Mobile monitoring: Designed with patients through focus groups, surveys, interviews Copyright © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 17. Aging well website for seniors: Experience based co-design Copyright © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 18. Aging well website for seniors: Experience based co-design Copyright © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 19. Patient decision aid tool: Designed through expert working group Copyright © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 20. Provider portals: Designed through interviews & working groups Copyright © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 21. Provider portals: Designed through interviews & working groups Copyright © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 22. Case Study: Women’s College Hospital Outcomes: Copyright © 2014 QoC Health Inc. -­‐ Private and Confiden=al • Overall cost savings of 65% ($135.78 per follow-­‐up vs. $381.27) • Pa8ent sa8sfac8on ra=ng of 3.9 / 4 • 100% of pa=ents presen=ng excellent recovery could forgo a follow up visit • In 5% of pa=ents, the surgeon could iden=fy wound redness / complica=ons with the photo stream, allowing earlier treatment and avoidance of hospital admissions “Knowing my surgeon can monitor my progress especially with my pictures provided me with a lot of security” “I have had 7 surgeries. This surgery, with the support of the device was my most posi0ve” "…felt like the doctor was with me all the 0me” "…very user friendly.”; "very, very, very easy to use."; "guided me through step-­‐by-­‐step -­‐ cannot go wrong."
  • 23. Privacy and Security Data security and privacy engineered into the system from the ground up, adhering to HIPAA and PHIPA security standards including: • For encrypted VPN tunnels from mobile devices to the plagorm over the carrier cellular network. • In transit data encryp=on using 256-­‐bit SSL/TLS encryp=on with 2048-­‐bit encryp=on keys to secure data while in transit. • Database • Pa=ent • Each successfully authen=cate to retrieve their encryp=on secret from the plagorm servers. • Submi`ed while in transit. Copyright managed devices, features a private wireless APN providing secure server encryp=on using AES 256-­‐bit encryp=on mobile device encryp=on using AES 128-­‐bit encryp=on. user is assigned their own unique encryp=on secret. Pa=ents must data is signature validated to ensure data has not been modified © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 24. Technology and Innova8on Copyright Healthcare and Research Business Development and Strategy A multidisciplinary team for true patient centred design Healthcare, Research and Technology Exper8se Seamlessly Combined © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 25. Strategic technology partnerships Copyright Leader in Integrated Healthcare Solu1ons • QoC is an authorized McKesson reseller and integrator. • QoC leverages McKesson RelayHealth technology for integrated HL7 data sharing amongst large scale HIS systems. Interna1onal Leader in Mobile and Healthcare Technology • Provides in kind smartphones and tablets for QoC projects • Jointly exploring the use of prototype Samsung healthcare monitoring technology Canadian Leader in Mobile and Wireless Solu1ons • Provides private encrypted cellular channels for QoC Health Solu0ons • Partnering on turn key “discharge kits” for hospitals. • Conference co-­‐presenters, combined marke0ng and communica0ons ini0a0ves Canadian Innova1on Leader in Home Sensing Technology • Jointly developing in home monitoring solu0ons. • Developing home healthcare hub for passive and safety monitoring in the home. © 2014 QoC Health Inc. -­‐ Private and Confiden=al
  • 26. Contact: Sarah Sharpe Co-Founder & Managing Director sarah.sharpe@qochealth.com