While the mind share - in dealing with corona virus pandemic - has focused on flattening the curve, we present our approach to the other side of the coin which is how to improve "Care management" capacity with remote digital triaging

1. Remote Digital Triaging
for COVID-19
+ 1 312.627.9300
magrawal@carematix.com
skhanuja@carematix.com
www.carematix.com
209 W. Jackson Blvd, Chicago
{
Mani Agrawal, PhD
Sukhwant Khanuja, PhD
March 18, 2020

2. The world is facing an unprecedented challenge
• Exponentially growing global spread of “SARS-CoV-2”
impacting millions of people and poor understanding of
the affected/at-risk /recovered population
• Health Systems struggling to cope with volume of
affected individuals and no proven solution (i.e. vaccine)
available
• “Flattening the Curve” Containment strategy challenging
to implement and leading to economic disaster for many
industries and individuals
2
Inconsistent, often reactionary
implementation of disease
management policies and poor
health information is leading to
suboptimal deployment of valuable
yet scarce healthcare resources

3. Need a sustained methodical approach to
optimally utilize limited resources and reduce the
time to containment for a large population
(thousands to millions) set!
3

4. 4
Why Leverage Remote Digital Triaging?
• Easily deployable – often in days and not months
• Scalable – Cloud based solutions can efficiently support an entire country’s population
• Risk management – Reduces unnecessary interactions thus helping limit disease spread
• Optimizes resources – inventory of medicines, devices etc.; human capital deployment only as required
• Single point of truth – a solution in the hands of the people providing real-time guides to emergent situations

5. 5
Define Disease Landscape1 Measured Responses2
• Daily or as required PROs and self/remote
monitoring of symptoms for the entire population
set through a downloadable app
• Continuously updated classification - Infected,
Recovered, Possibly infected, At risk etc.
• Continuously updated micro-level
policies/restrictions such as limit on size of
gatherings, capacity requirements etc.
Carematix’s Approach to Remote Digital Triaging
• Real time assignment of a “CARE” score to
individuals based on PROs and PROs updated
based on real time observations
• One-on-one interaction with patients based on
stratification strategy
• Distribution and capacity change requirements,
including real-time resource allocations

6. 6
Remote Digital Triaging Stratification Strategies
PRO
“CARE” Score
Low
Medium
High
Critical
Population
of Interest
Automated
PRO
Evaluation
Carematix
Analytics &
Research
Engine
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w.medstreaming.com%2FSolutions%2FMedicalSocieties%2F
PRO&psig=AOvVaw2VC0dw5hPZGtu8oOgPMAPY&ust=15846
45220847000&source=images&cd=vfe&ved=0CAIQjRxqFwoT
CPjeoNLdpOgCFQAAAAAdAAAAABAD
Population
at Risk

7. Sample Remote Digital Triaging Engagement Model
Program Design Launch Monitor Respond Optimization
1. Define program
parameters – i.e.
population, Device kits
& IVR setup, working
model, budget,
approval pathways etc.
2. PRO design, approval,
management
3. Setup/Customize portal
for the program and
other software such as
mobile apps
4. Identify team – program
manager and support
team
1. Staff training
2. Patient enrollment
process
3. Data collection and
processing
4. Start the reach-out
campaign and App
download process
5. Population reach-out
plan – landing pages
etc.
1. Collect incoming data
thru PRO’s and raise
alerts
2. Create initial model of
the disease landscape
3. Continuously monitor
the changes and report
as required
4. Measure engagement
levels to assure optimal
data collection for key
PRO and endpoint data
5. Provide education
materials to population
to help manage disease
elements appropriately
1. Distribution of
additional non-
transmitting and
automated medical
devices for additional
coverage
2. Monitor compliance and
use IVR as required
3. Coordinate with medical
staff in managing the
hospital and testing
facilities
1. Chart the progress
2. Define what patients
should continue with the
program
3. Continuously update
PROs and data
collection model as
required due to
changing landscape
4. Submit/Present reports
to the authorities
7

8. • Over 18 years of experience in remote patient monitoring and
management serving
• pharmaceutical firms,
• disease management companies,
• health plans, employers,
• home health agencies, and
• Hospitals
• Served Medicaid, Medicare, Commercial, and Uninsured
populations
• 5 successful FDA 510(k) clearances
• Carematix systems, due to its ease-of-use, have the 3-7X higher
user compliance rate than other systems
• Proven infrastructure supporting Millions of readings from tens
of thousands of devices
Carematix is a proven partner
8

9. 9
+ 1 312.627.9300
magrawal@carematix.com
skhanuja@carematix.com
www.carematix.com
209 W. Jackson Blvd, Chicago