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uncleCare - Fostering Patient-Provider Partnerships
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Physicians are often forced to treat patients based on incomplete, inaccurate data. After a visit, patients often leave with an incomplete or inaccurate understanding of the doctor’s instructions. ...

Physicians are often forced to treat patients based on incomplete, inaccurate data. After a visit, patients often leave with an incomplete or inaccurate understanding of the doctor’s instructions. The lack of insights by both provider and patient into the actual condition often leads to ineffective and costly care. Meaningful use requirements designed to address some of these shortcomings and promote patient engagement have been met by limited success.

At uncleCare, we are developing patient-centered mobile apps bridging the gap between EHR systems and patient needs. Our uJournal app helps patients adhere to doctors’ instructions and present factual data fostering doctors’ insights into treatment effectiveness, via bidirectional flow of vital information.

Prior to the visit, the patient uses uJournal to collect information, including measurements (BP, weights, etc.), medications, and symptoms. Questions to be asked in person are also recorded, as they arise.

During the visit, uJournal provides the doctor with interactive graphical views of patient data, for quick assessment, facilitating informed decision-making. Patient’s questions can be addressed, with the doctor’s recommendations recorded into the EHR and ultimately shared with the patient, via the app.

After the visit, the patient can review the recommendations, in the comfort of their own home, set up reminders and notifications for follow through, and later request prescription refills. In addition, uJournal empowers caregivers, including family members, in their coaching role, with notifications of out-of-bounds situations and periodic status updates.

Our mission is to convert patients into partners in their own health care.

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uncleCare - Fostering Patient-Provider Partnerships Presentation Transcript

  • 1. uncleCare™, Inc. uJournal™Dr. Phac Le Tuan – CEOMichael Miyamoto, MD MBA - CMOCopyright © 2011 Allscripts Healthcare Solutions, Inc. 1
  • 2. Solution Overview➢High Level Solution Description: ➢ Next generation mobile apps bridging the gap between EHR systems and patient needs. ➢ uJournal helps patients adhere to doctors’ instructions and present factual data fostering doctors’ insights into treatment effectiveness. ➢ uncleMD ensures clinical summaries and prescriptions entered in the EHR are quickly available to the patient, and converted into actionable to-do items. ➢ Our mission is to convert patients into partners in their own health care.A Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright 2
  • 3. Solution Overview➢Healthcare problem addressed: ➢ Physicians are often forced to treat patients based on incomplete, inaccurate, loose collections of data. ➢ Post-visit, patients often leave the office with an incomplete or inaccurate understanding of the doctor’s instructions. ➢ The lack of insights by both provider and patient into the actual condition often lead to ineffective and costly care. ➢ Meaningful Use requirements designed to promote patient engagement have been met by very limited success.➢Application category: ❏ Applications that improve management of high cost chronic diseases. ✗ ❏ Innovative approaches to addressing value-based care imperatives. ❏ BothA Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. 3 3 | Copyright
  • 4. Usability and Design➢Strengthen patient-doctor relationship ➢ Prior to the visit • Collect information: measures, medications, symptoms • Formulate questions for the doctor ➢ During the visit • Interactive graphic for the doctor to review relevant and correlated data • Address patient questions with structured support • Record recommendations into the EHR and share with the patient ➢ After the visit • Review the doctor’s recommendations • Set up reminders and notifications for follow through, request prescription refills➢Leverage Care Team for Support ➢ Empower caregivers, including family members, in their coaching role • Notifications of out-of-bounds situations • Provide periodic status updatesA Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. 4 4 | Copyright
  • 5. Usability and Design➢Prior to the Visit ➢ Patient follows time-based To-Do List ➢ Patient enters basic demographic and medical data • Demographic, insurance data, medical providers and contact info • Basic medical history • Updated medication list • Recent symptoms ➢ Questions to ask the physician at the next visit • List of questions to be retrieved during the visit • Questions may be contributed by caregivers, even from a distance ➢ Collect and record patient data • Blood pressure, weight, activity level, etc... on a regular basis • Medication intake on a regular basis • Symptoms as they occurA Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright 5
  • 6. Usability and Design➢During the Visit ➢ Check-in: Patient demographic/insurance data uploaded into Allscripts practice management system (if available) ➢ Medication list: Opportunity to reconcile patient’s own medication list against EHR data ➢ Physician reviews patient data on patient’s smartphone device (or on his/ her own tablet device) for insights: • Symptoms, measurement data (BP, weight, HR, activity level) • Interactive graphic consolidates all data on a timeline, for quick, easy interpretation • Imported into Allscripts EHR in PDF format ➢ Physician reviews and answers selected questions from patient’s prepared list. ➢ Recommendations are transcribed into searchable clips.A Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright 6
  • 7. Usability and Design➢After the Visit ➢ Clinical Summary • Exported automatically from Allscripts EHR into uJournal. • Patient sends acknowledgment of receipt to Allscripts EHR. ➢ Patient can review the physician’s instructions in detail, at his/her own convenience. ➢ Instructions are converted into actionable to-do items. ➢ Medication reminders ➢ Out-of-bound notifications sent to Care Team upon opt-in. ➢ Reminders of testing or other procedures to be scheduled ➢ Reminders to make and record measurements, exercise ➢ Reminders to prepare for the next appointment ➢ Prescription refills initiated from uJournal can be approved on uncleMDA Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. 7 7 | Copyright
  • 8. Integration Diagram HTML5 iOS uncleMD Android Windows 8 Windows 8 uJournal Patient Allscripts Conversation Platform PEHR/EEHR HTML5 iOS Android HTML5 uCircle iOS Android U.S. Patent PendingA Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright
  • 9. Development Stage➢Development stage as of the Phase 1 Submission Date: ❏ Idea ✗ ❏ Prototype ✗ ❏ Code development in progress ❏ Code complete ❏ Code complete, tested and approved by Allscripts.➢Architecture includes multiple modules ➢ In Progress: Mobile apps (HTML5, iOS), Allscripts Interface Module ➢ Code 60% complete: Patient Conversation Platform ➢ Roadmap: Android, Windows 8 ➢ Data protection, HIPAA Compliance under investigationA Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright 8
  • 10. Integration Description➢ Importing from PEHR/EEHR ➢ Patient Profile • Use MRN (if available) and last 4 SSN digits to retrieve from PEHR/EEHR. • Or create a new Patient in PEHR/EEHR upon Doctor’s authorization. ➢ Doctor’s Visit Summary➢ Exporting to PEHR/EEHR ➢ Medication List as a PDF or Text file upon request ➢ Regimen Timeline: Share graphic PDF with Doctor upon request ➢ Doctor’s Visit Summary • Clinical Summary and Prescriptions captured on uncleMD can be stored in PEHR/EEHR ➢ Prescription Refill Requests➢ Allscripts API Methods used ➢ GetPatient, GetPatientIDs, GetPatientByMRN, GetProvider, GetRxFavs, GetSchedule, GetTaskList, GetVitals, SaveAllergy, SaveDocumentImage, SaveHistory, SaveNote, SaveProblemData, SaveRx, SaveTask, SaveUnstructuredDocument, SearchMeds, SearchPatients, SearchPharmacies...A Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright 9
  • 11. Go to Market Plans➢Target Addressable Market ➢ Allscripts providers caring for heart disease patients • Diseases: hypertension, coronary artery disease, CHF, arrhythmias • Common cause of morbidity/mortality (83MM patients in U.S.) ➢ Integrated health care systems (ACOs, IPAs, patient-centered medical homes); insurers • Entities with vested interest in making health care technology investments to improve quality of care and efficiency of resource utilization; sizable ROI➢Proposed Price Point ➢ For Patients: free basic + premium version ~$5/mo. ➢ For Medical system/Insurer: $10 to 25/mo./patient ➢ For Caregiver (e.g. family member access): ~$5/mo.A Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright 11 10
  • 12. Go to Market PlansPhase A: Beta Testing ➢ In select Allscripts practices ➢ Start Phase B once benefits are validated in targetsPhase B: Health Systems ➢ ACOs, IPAs, health insurers ➢ Top-down: From high-level organizations to the practicing physicians and patients ➢ Social: Simultaneous marketing to patients and caregivers via social media ➢ Bottom-up: from patients and caregivers requesting physician adoption ➢ Initial focus: Northern and Southern California, later to expand to metropolitan NY and New EnglandA Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright 11
  • 13. Video Demonstration➢ http://www.youtube.com/watch?v=MDgxXZeNL_Q&feature=youtube_gdata ➢ Video demonstration of the benefits of the uJournal mobile app integrated with Allscripts PEHR/EEHR systems. ➢ Facilitating the patient-doctor relationship, using an example of a patient with hypertension, for disease evaluation and management.A Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright 12
  • 14. Why Select Us! Team ➢Experts in medical/technical disciplines, with extensive cross-training ➢Ability to address important behavior-related mHealth problems by leveraging experience in user-centered design, mobile, database Solution ➢User-centered technology brings patients and providers together ➢Intelligent use of data to derive actionable insights, without “overload” ➢Seamless integration with EHR solutions driven by patient needs, extending the benefits of Allscripts EHR systems ➢Focused on converting patients into partners in their own health care. Market ➢Aiming to be the best solution for heart disease management • Major cause of morbidity, mortality, and health care expenditures, • Multiple addressable “pain points” ➢uJournal is taking patient engagement to the level of behavior change to meet or exceed Stage 3 of Meaningful Use requirements.A Connected Community of Health © 2011 Allscripts Healthcare Solutions, Inc. - Copyright 2013 uncleCare, Inc. | Copyright 13
  • 15. uncleCare, Inc. 16780 Lark Ave. Suite C Los Gatos, CA 95032 www.unclecare.comContact: Mike Miyamoto Phac Le Tuan (949) 412-2056 (408) 314-5233 mike@unclecare.com phac@unclecare.com