ClickMedix is a connected mHealth platform that enables healthcare organizations to serve more patients better, faster, and at lower costs. It has been deployed in 16 countries through over 90 sites addressing different diseases. ClickMedix provides case studies on scaling tele-dermatology, community-based care for low-income populations, and managing diabetic patients collaboratively with multiple specialists. The platform aims to improve access to care through task-shifting to nurses and community health workers while lowering costs.
Extending US Healthcare Capacity with ClickMedixClickMedix
As US begins its shift in healthcare payment and delivery models, technology-enabled solutions become ever-more relevant to achieve faster and better outcome-based care, with less resources. This presentation presents a mobile health system in the context of enabling health providers in the US to do more, with less.
ClickMedix Introduction and Case Studies 2014ClickMedix
ClickMedix enables health organizations to provide continuous and coordinated care to patients through mobile technologies while improving patient outcomes at lower costs.
Presentation by Bonnie Britton, MSN, RN, ATAF Telehealth Program Administrator, Vidant Health and Seth VanEssendelft, Vice-President for Financial Services, Vidant Medical Center
Presentation by Kirby Farrell, President and CEO, Broad Axe Technology Partners and Andy Archer, MSc, MBA, Vice President, Broad Axe Technology Partners
Extending US Healthcare Capacity with ClickMedixClickMedix
As US begins its shift in healthcare payment and delivery models, technology-enabled solutions become ever-more relevant to achieve faster and better outcome-based care, with less resources. This presentation presents a mobile health system in the context of enabling health providers in the US to do more, with less.
ClickMedix Introduction and Case Studies 2014ClickMedix
ClickMedix enables health organizations to provide continuous and coordinated care to patients through mobile technologies while improving patient outcomes at lower costs.
Presentation by Bonnie Britton, MSN, RN, ATAF Telehealth Program Administrator, Vidant Health and Seth VanEssendelft, Vice-President for Financial Services, Vidant Medical Center
Presentation by Kirby Farrell, President and CEO, Broad Axe Technology Partners and Andy Archer, MSc, MBA, Vice President, Broad Axe Technology Partners
BiomedHealthtech is engaged in serving the healthcare industry since 1989 and now introduce Remote Monitoring Technologies (RMT) which is a new concept of Patient Monitoring designed to meet the demands of Modern Healthcare and thus reduce the Mortality Rate.
What do MDs think about patient engagement? What's the gap between today's healthcare marketplace and the marketplace of the future? What is pathway to patient engagement?
Join us for our 4-part webinar series with the latest real time market intelligence on patient engagement.
Building A Chronic Care Management Program That Can ScaleVSee
Achieving 100% COVID Readiness with Chronic Care Telehealth
Chronically ill patients in the US account for 76% of all physician visits. They are also the most susceptible to COVID and COVID-related illnesses. With COVID variants on the rise, telehealth and remote patient monitoring (RPM) are essential to keeping these patients safe, while providing quality care and improving outcomes.
In addition, studies have shown that remote patient monitoring improves patient self-management and leads to earlier interventions. It can also reduce emergency hospital visits 30%. In 2015 Medicare began reimbursing clinicians for using remote patient monitoring technology to manage chronically ill patients with 2+ chronic conditions with Chronic Care Management (CCM) codes. In more recent years, it also began reimbursing remote patient monitoring (RPM) services for a wider range of patients.
Find out how you can become COVID ready by laying the foundations for a successful telehealth Chronic Care Management program on the next Telehealth Secrets webinar. Join us live with CEO Ajay Gehlot, MD, MBA of CareConnect Health–one of the largest primary care providers in the state of Georgia
The Evolution of Consumer Driven Health PlansPaladina Health
The Evolution of Consumer Driven Health Plans White Paper will prepare you for the following regarding the shift to true healthcare consumerism:
- What types of employer-sponsored health plans exist and what employers should consider
- The impact of consumer driven health plans (CDHPs) and high deductible health plans (HDHPs) in controlling healthcare costs
- What models challenge the fee-for-service delivery system and why employers need to explore them
How To Go From Telehealth Startup To Telehealth EnterpriseVSee
For more information of the presentation such as recording and transcript, please visit:
https://vsee.com/blog/go-telehealth-startup-telehealth-enterprise/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Devic...Akhsar Kharebov
Personal medical devices track an ever increasing amount of patient information away from the hospital. Coupled with quantitative self devices such as fitness trackers or calories counters, provide valuable information as the condition of a patient. Digital Health is growing a new realm of opportunities for biospace professionals. Yet challenges exist. Medical information software are archaic and siloed. Medical system is slow to adopt.
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
This webinar will provide an overview of the evaluation study being done at the Durham Clinic, an integrated health home run by Cherry Street Health Services in Grand Rapids, Michigan. The study seeks to determine whether the delivery of health care through a multi-disciplinary team using the chronic care management model delivers better symptom management and reduced impact of the
illness on patients’ desired functioning.
mHealth Israel_Top Health Industry Issues of 2021_Will a Shocked System Emerg...Levi Shapiro
Presentation by PwC Health Research Institute for mHealth Israel, February 17, 2021: Top Health Industry Issues of 2021...Will a Shocked System Emerge Stronger?
Key Sections:
1) Rightsizing after virtual visit explosion
2) Changing clinical trials
3) Easing physician burden with digital
4) Healthcare forecast for 2021
5) Reshaping health portfolios
6) Resilient and responsive supply chains
7) Inter-Operability
Ομιλία – Παρουσίαση: Raymond Anderson, President Commonwealth Pharmaceutical Association and Member of the Pharmacovigilance Risk Assessment Committee (PRAC) at EMA
«Best Practices to inform citizens on Self-medication»
BiomedHealthtech is engaged in serving the healthcare industry since 1989 and now introduce Remote Monitoring Technologies (RMT) which is a new concept of Patient Monitoring designed to meet the demands of Modern Healthcare and thus reduce the Mortality Rate.
What do MDs think about patient engagement? What's the gap between today's healthcare marketplace and the marketplace of the future? What is pathway to patient engagement?
Join us for our 4-part webinar series with the latest real time market intelligence on patient engagement.
Building A Chronic Care Management Program That Can ScaleVSee
Achieving 100% COVID Readiness with Chronic Care Telehealth
Chronically ill patients in the US account for 76% of all physician visits. They are also the most susceptible to COVID and COVID-related illnesses. With COVID variants on the rise, telehealth and remote patient monitoring (RPM) are essential to keeping these patients safe, while providing quality care and improving outcomes.
In addition, studies have shown that remote patient monitoring improves patient self-management and leads to earlier interventions. It can also reduce emergency hospital visits 30%. In 2015 Medicare began reimbursing clinicians for using remote patient monitoring technology to manage chronically ill patients with 2+ chronic conditions with Chronic Care Management (CCM) codes. In more recent years, it also began reimbursing remote patient monitoring (RPM) services for a wider range of patients.
Find out how you can become COVID ready by laying the foundations for a successful telehealth Chronic Care Management program on the next Telehealth Secrets webinar. Join us live with CEO Ajay Gehlot, MD, MBA of CareConnect Health–one of the largest primary care providers in the state of Georgia
The Evolution of Consumer Driven Health PlansPaladina Health
The Evolution of Consumer Driven Health Plans White Paper will prepare you for the following regarding the shift to true healthcare consumerism:
- What types of employer-sponsored health plans exist and what employers should consider
- The impact of consumer driven health plans (CDHPs) and high deductible health plans (HDHPs) in controlling healthcare costs
- What models challenge the fee-for-service delivery system and why employers need to explore them
How To Go From Telehealth Startup To Telehealth EnterpriseVSee
For more information of the presentation such as recording and transcript, please visit:
https://vsee.com/blog/go-telehealth-startup-telehealth-enterprise/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Enabling Remote Patient Monitoring: Opportunities and Challenges at Bio2Devic...Akhsar Kharebov
Personal medical devices track an ever increasing amount of patient information away from the hospital. Coupled with quantitative self devices such as fitness trackers or calories counters, provide valuable information as the condition of a patient. Digital Health is growing a new realm of opportunities for biospace professionals. Yet challenges exist. Medical information software are archaic and siloed. Medical system is slow to adopt.
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
This webinar will provide an overview of the evaluation study being done at the Durham Clinic, an integrated health home run by Cherry Street Health Services in Grand Rapids, Michigan. The study seeks to determine whether the delivery of health care through a multi-disciplinary team using the chronic care management model delivers better symptom management and reduced impact of the
illness on patients’ desired functioning.
mHealth Israel_Top Health Industry Issues of 2021_Will a Shocked System Emerg...Levi Shapiro
Presentation by PwC Health Research Institute for mHealth Israel, February 17, 2021: Top Health Industry Issues of 2021...Will a Shocked System Emerge Stronger?
Key Sections:
1) Rightsizing after virtual visit explosion
2) Changing clinical trials
3) Easing physician burden with digital
4) Healthcare forecast for 2021
5) Reshaping health portfolios
6) Resilient and responsive supply chains
7) Inter-Operability
Ομιλία – Παρουσίαση: Raymond Anderson, President Commonwealth Pharmaceutical Association and Member of the Pharmacovigilance Risk Assessment Committee (PRAC) at EMA
«Best Practices to inform citizens on Self-medication»
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
Learn how Hahnemann University Hospital reduced readmissions at the Center for Advanced Heart Failure Care by over 20%. This is a follow up to our Fall 2014 webinar with more data and outcomes to reveal. During this discussion, you’ll learn the positive impact a Readmissions Reduction program can have for a hospital including financial, care delivery, and care team collaboration improvements.
KY HIMSS Leveraging Innovative Ways to Connect with Patients at Covenant Care...PreventScripts
Leveraging Innovative Way to Connect with Patients at Covenant Care Practices- Our experience using a mobile pre-visit assessment, Clinical Decision Support, and remote Monitoring Tools to engage and improve health outcomes in "Rising Risk" patients
Better care at less cost - a 'how to' for commissioners and providers, pop up...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
MicroGuide app, pop up uni, 1pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
El 30 de mayo de 2016 organizamos en la Fundación Ramón Areces un Simposio Internacional sobre 'La oportunidad digital de la sanidad'. En él se analizaron las ventajas que ofrecen las nuevas tecnologías en los nuevos canales asistenciales (teleconsultas, gestión remota de enfermedades crónicas y de salud poblacional, herramientas para el autocuidado). También se vio el impacto que tendrá en este campo la aplicación de la inteligencia artificial, el Internet de las Cosas, el Big Data y la computación en la Nube.
This presentation will walk the viewer through the following key moments:
Slide 2 – About Ochsner
Slide 3 – Book of business
Slide 4 – Key differentiators
Slides 5/6 – The problems we’re solving
Slides 7/8 – Care team and collaboration
Slides 9/10 – Results, outcomes and ROI
Slides 11/12 – Employer experience and ideal client profile
Slides 13/14 – Employee engagement
More than just condition monitoring:
Ochsner Digital Medicine is remote clinical management, including clinicians and pharmacists on the care team to adjust medications accordingly.
Full clinical management - including medication management and ordering labs. The only program delivering at national scale that is backed by a not-for-profit, Center of Excellence health system. The only program that augments the member's PCP care via seamless data integration with Epic electronic health record.
Supporting Individuals with Intellectual and Developmental Disability During the First 100 Days of the COVID-19 Outbreak in the U.S.
BrightSpring Health Services Chief Medical Officer Dr. William Mills presents on BrightSpring's ongoing response to COVID-19 and how the organization is mitigating risks for our patients, clients, and team members.
March 02, 2018
Value-based health care is one of the most pressing topics in health care finance and policy today. Value-based payment structures are widely touted as critical to controlling runaway health care costs, but are often difficult for health care entities to incorporate into their existing infrastructures. Because value-based health care initiatives have bipartisan support, it is likely that these programs will continue to play a major role in both the public and private health insurance systems. As such, there is a pressing need to evaluate the implementation of these initiatives thus far and to discuss the direction that American health care financing will take in the coming years.
To explore this important issue, the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School collaborated with Ropes & Gray LLP to host a one-day conference on value-based health care. This event brought together scholars, health law practitioners, and health care entities to evaluate the impact of value-based health care on the American health care system.
For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/will-value-based-care-save-the-health-care-system
mHealth Summit Presentation 2014: Reinventing the Dynamics of the Healthcare ...ClickMedix
Today’s “boomers” are driving change in the healthcare system. This [mHealth Summit 2014] session discusses how wearable, point-of-care, patient self-management and other emerging technologies will supplement the increasing demand on healthcare services and the decreasing number of providers. It will explore an array of related and other promising emerging trends and opportunities which aid seniors entering a hyper-connected world.
Using Mobile Phones for Cervical Cancer ScreeningClickMedix
ClickMedix founder partnered with University of Pennsylvania and Botswana-UPenn Partnership program to pioneer cervical cancer screening using mobile camera phones.
*Note: This presentation contains medical images which may be unsuitable for those not accustomed.
How to take pictures for teledermatology: remote diagnosis of dermatologic / ...ClickMedix
This presentation details how to photograph images for skin / dermatology conditions needed for a remote dermatologist to provide diagnosis and treatment advice.
This presentation details ClickMedix Telehealth platform functions and usages for health providers, medical students/residents, medical attendings, and specialists.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
1. ClickMedix
Connected mHealth platform to enable healthcare
organizations to serve more patients better, faster,
and at lower costs.
Ting Shih - Founder & CEO
(ting@clickmedix.com)
http://clickmedix.com
2. ClickMedix has been deployed in 16 countries, through
90+ sites addressing different diseases
7
1
2
43
3
3
1
2
4
5 1
2
9
2 4
2
4. 2008: Mobile Application for Tele-Consultation (HIV/AIDS,
cervical cancer, pre/post oral surgery)
• >$1M USD saved from transportations per year
• >90 women treated for cervical cancer (in 3 months) through mid-wives screening for
cancer
• Thousands of patients with increased access to care per year
• Transitioned process and service model to Botswana government
5. In the past 18 months, ClickMedix enabled
Medtronic to screen 70,000+ patients with
just 9 health workers. They have also
doubled the number of treatments
performed in partner hospitals. Service
extending to in-hospital and patient
counselor follow-up care.
9. Images of CSOM (perforation of the middle-ear
causing diminished hearing, and deaf if untreated)
10. 1. Serve more
patients while
lowering costs
through task-shifting
2. Connect
healthcare providers
and community
caregivers to enable
efficient care
collaboration
3. Develop revenue
model and
demonstrate ROI
ClickMedix Model to Scale Healthcare
Innovations
14. What We Learned and Applied to Achieve
Repeatable Outcomes
Repeatable Outcomes:
• Improve clinic efficiency: < 5 minutes per patient
• Increased patient access: < 3 days
• Improved quality of care through maximized right-referrals
• Improved patient experience
• <1 hour of training regardless of health worker education level
• Reduced costs of care: eliminate unnecessary procedures, delays, and travel costs
Overcame First-World Challenges
• Regulation: HIPAA-compliant, bank-level secure, on-device security
• Adoption: Customizable workflow, extensible to multiple diseases, easy to use for
providers and patients
• Scalability: one-click referral to additional patients or other providers and payors
• Sustainable payment models: additional patient referrals, private-pay or
reimbursement
15. Case Study 1: Tele-dermatology
• 5 published studies on efficacy from emerging markets
• Transitioned to the US through American Academy of
Dermatology and implemented in 27 clinics across 6
states (with UCLA, UPenn, Univ of Washington,
Harvard, etc.)
• 10-20 cases per week per clinic for patients who
otherwise wait 6-12 months to see a dermatologist
• Hospital system-wide implementation saw ~900
patients in 6 months; 500 from patient backlog resolved
in 4 months; captured reimbursement ~900*80 =
72,000
• Commercially replicated into private-pay and
reimbursable services
16. 200+ health
assessments
in one day
Deployed to
20+ medical
personnel on
iPhone, iPad
Android
Healthcare &
education for
Grameen
America
borrowers
Launched in
NY,
September
2013
Case Study 2: Grameen PrimaCare, Community-Based
Comprehensive Care for Low-Income Latin Population
19. Case Study 3: Scaling Multi-Specialists Services to Collaboratively
Manage Diabetic Patients
Pharmacist Patient Education
Nutritionist
Nephrologist and Endocrinologist
• 25% growth annually
• Contracted by Insurers
• Collaborate with primary care physicians
• 25% growth annually
• Contracted by Insurers
• Collaborate with primary care physicians
• Doubled number of patients seen per day
• Task-shifted to care coordinator and medical
students for longitudinal patient follow-up
• Scaling model to medical schools in Mexico and
India
20. In 3 Months: Average A1C Drop of 1.66
(from 10.11 to 8.48)
22. 1
<7.0
(<53
mmol/mol)
SBP < 130
DBP < 80
<100 or <70
with CVD
No
Symptoms
& No
Structural
Heart
Disease
At risk;
chronic
cough,
sputum
production;
normal
spirometry
No
Nephropath
y
No
Retinopathy
No Dental
Infection
No
Neuropathy
&
No PAD
18.5-24.9
No
Depressio
n
PHQ-9
score 0
2 7.0-7.9
(53-63
mmol/mol)
SBP 130-
139
DBP < 90
101-130
No
Symptoms
&
+Structural
Heart
Disease
GOLD 1 or 2
& 0-1
exacerbation
s/yr &
mMRC 0-1 &
CAT<10
Albuminuri
a
30-299 mg/g
Non-
Proliferative
Mild
Mild
Gingival
Inflammatio
n
Neuropathy 25-29.9
Minimal
Depressio
n
PHQ-9
score 1-4
3
8.0-8.9
(64-74
mmol/mol)
SBP 140-
149
DBP < 90
131-160
Symptomati
c
&
+ Structural
Heart
Disease
GOLD 1 or 2
& 0-1
exacerbation
s/yr &
mMRC ≥2 &
CAT≥10
Albuminuri
a
300-999
or
eGFR 30-
60
Non-
Proliferative
Moderate
Moderate
Gingival
Inflammatio
n
+PAD
&
+/-
Neuropathy
30-34.9
Mild
Depressio
n
PHQ-9
score 5-9
4
9.0-9.9
(75-85
mmol/mol)
SBP <150
DBP 90-99
161-190
Symptomati
c
w/
Heart
Failure
GOLD 3 or 4
& ≥2
exacerbation
s/yr &
mMRC 0-1 &
CAT<10
Albuminuri
a
1000-2999
or
eGFR 15-29
Non-
Proliferative
Severe/
Inactive
Proliferative
Severe
Gingival
Inflammatio
n
+ Ulcer
History
35-39.9
Moderate
Depressio
n
PHQ-9
score 10-
14
5 > 10.0
(≥86
mmol/mol)
SBP > 150
-or-
DBP > 100
>191
Refractor
y Heart
Failure
GOLD 3 or 4
& ≥2
exacerbation
s/yr &
mMRC ≥2 &
CAT≥10
Albuminuri
a
>3,000
or
eGFR ≤15
Active
Proliferative
Acute
Dental
Infection
Previous
Amputation
≥40 or
<18.5
Severe
Depressio
n
PHQ-9
score ≥15
Patient Receives Health Score Card, along with Care
Plans and Service Referrals
BMI
23. 1
<7.0
(<53
mmol/mol)
SBP < 130
DBP < 80
<100 or <70
with CVD
No
Symptoms
& No
Structural
Heart
Disease
At risk;
chronic
cough,
sputum
production;
normal
spirometry
No
Nephropath
y
No
Retinopathy
No Dental
Infection
No
Neuropathy
&
No PAD
18.5-24.9
No
Depressio
n
PHQ-9
score 0
2 7.0-7.9
(53-63
mmol/mol)
SBP 130-
139
DBP < 90
101-130
No
Symptoms
&
+Structural
Heart
Disease
GOLD 1 or 2
& 0-1
exacerbation
s/yr &
mMRC 0-1 &
CAT<10
Albuminuri
a
30-299 mg/g
Non-
Proliferative
Mild
Mild
Gingival
Inflammatio
n
Neuropathy 25-29.9
Minimal
Depressio
n
PHQ-9
score 1-4
3
8.0-8.9
(64-74
mmol/mol)
SBP 140-
149
DBP < 90
131-160
Symptomati
c
&
+ Structural
Heart
Disease
GOLD 1 or 2
& 0-1
exacerbation
s/yr &
mMRC ≥2 &
CAT≥10
Albuminuri
a
300-999
or
eGFR 30-
60
Non-
Proliferative
Moderate
Moderate
Gingival
Inflammatio
n
+PAD
&
+/-
Neuropathy
30-34.9
Mild
Depressio
n
PHQ-9
score 5-9
4
9.0-9.9
(75-85
mmol/mol)
SBP <150
DBP 90-99
161-190
Symptomati
c
w/
Heart
Failure
GOLD 3 or 4
& ≥2
exacerbation
s/yr &
mMRC 0-1 &
CAT<10
Albuminuri
a
1000-2999
or
eGFR 15-29
Non-
Proliferative
Severe/
Inactive
Proliferative
Severe
Gingival
Inflammatio
n
+ Ulcer
History
35-39.9
Moderate
Depressio
n
PHQ-9
score 10-
14
5 > 10.0
(≥86
mmol/mol)
SBP > 150
-or-
DBP > 100
>191
Refractor
y Heart
Failure
GOLD 3 or 4
& ≥2
exacerbation
s/yr &
mMRC ≥2 &
CAT≥10
Albuminuri
a
>3,000
or
eGFR ≤15
Active
Proliferative
Acute
Dental
Infection
Previous
Amputation
≥40 or
<18.5
Severe
Depressio
n
PHQ-9
score ≥15
Patient Receives Health Score Card, along with Care
Plans and Service Referrals
BMI
24. 10,83
1
Case Study 4: Pharmacist-Driven Care Coordination
and Referrals
Pharmacy-facilitated disease management and expanding
to 500 pharmacy stores, affiliated insurer and hospitals
26. Application to US: CA Senate Bill 493 Authorized Clinical
Pharmacists to Manage Patients and Coordinate Care
Nurse,
pharmacist, or
case manager
helps patient
with
assessments
Remote
specialists
responds with
diagnosis and
treatment
advice
Advises on medications,
educate patients, recommend
products and services (MTM
Reimbursement potential)
Schedules for
follow-up visits
and reminders
ePrescriptionHome monitoring
(glucose meter,
blood pressure
cuff, etc.)
OTC and
Prescription Drugs
28. Aggregate Proven Solutions to Improve Care While Lowering Costs
for Patients with Diabetes, CHF, COPD, Mental diseases
Existing
Patients
(claims
data, etc)
Communit
y Clinics
Home care,
patients,
and their
care givers
StratifyScreen Triage
60%
20%
20%
Intervene
Specialist
consultation
Case Management
Programs
Wellness Programs
Follow-up periodically
Pharmacies
36. 1
<7.0
(<53
mmol/mol)
SBP < 130
DBP < 80
<100 or <70
with CVD
No
Symptoms
& No
Structural
Heart
Disease
At risk;
chronic
cough,
sputum
production;
normal
spirometry
No
Nephropath
y
No
Retinopathy
No Dental
Infection
No
Neuropathy
&
No PAD
18.5-24.9
No
Depressio
n
PHQ-9
score 0
2 7.0-7.9
(53-63
mmol/mol)
SBP 130-
139
DBP < 90
101-130
No
Symptoms
&
+Structural
Heart
Disease
GOLD 1 or 2
& 0-1
exacerbation
s/yr &
mMRC 0-1 &
CAT<10
Albuminuri
a
30-299 mg/g
Non-
Proliferative
Mild
Mild
Gingival
Inflammatio
n
Neuropathy 25-29.9
Minimal
Depressio
n
PHQ-9
score 1-4
3
8.0-8.9
(64-74
mmol/mol)
SBP 140-
149
DBP < 90
131-160
Symptomati
c
&
+ Structural
Heart
Disease
GOLD 1 or 2
& 0-1
exacerbation
s/yr &
mMRC ≥2 &
CAT≥10
Albuminuri
a
300-999
or
eGFR 30-
60
Non-
Proliferative
Moderate
Moderate
Gingival
Inflammatio
n
+PAD
&
+/-
Neuropathy
30-34.9
Mild
Depressio
n
PHQ-9
score 5-9
4
9.0-9.9
(75-85
mmol/mol)
SBP <150
DBP 90-99
161-190
Symptomati
c
w/
Heart
Failure
GOLD 3 or 4
& ≥2
exacerbation
s/yr &
mMRC 0-1 &
CAT<10
Albuminuri
a
1000-2999
or
eGFR 15-29
Non-
Proliferative
Severe/
Inactive
Proliferative
Severe
Gingival
Inflammatio
n
+ Ulcer
History
35-39.9
Moderate
Depressio
n
PHQ-9
score 10-
14
5 > 10.0
(≥86
mmol/mol)
SBP > 150
-or-
DBP > 100
>191
Refractor
y Heart
Failure
GOLD 3 or 4
& ≥2
exacerbation
s/yr &
mMRC ≥2 &
CAT≥10
Albuminuri
a
>3,000
or
eGFR ≤15
Active
Proliferative
Acute
Dental
Infection
Previous
Amputation
≥40 or
<18.5
Severe
Depressio
n
PHQ-9
score ≥15
7. Patient Receives Health Score Card, along with Care
Plans and Service Referrals
BMI
37. Expected Outcomes for Health Organizations
Improved patient care (outcome metrics for patients)
• Decreased time to access doctors and treatment (< 3 days)
• Decreased number of unnecessary hospitalizations (up to 55%)
• Increased patient education
• Increased patient satisfaction
• Improved CMS Star Rating and HEDIS Measures (diabetes example)
o Increased number of patients with improved Hb1Ac
o Increased number of patients with improved blood pressure
o Increased number of patients with improved cholesterol (LDL)
o Increased patients screened for diabetes retinopathy
o Increased patients with neuropathy assessment
o Increased patients with foot examination
Process Metrics
• Increased number of patients screened for health risks
• Increased number of patients managed
• Decreased time to obtain treatment advice from multiple specialists
39. ClickMedix
mHealth Innovations in Disease Management
Ting Shih - Founder & CEO
@clickmedix
ting@clickmedix.com
http://clickmedix.com
40. Products Features
•ClickDiabetes mHealth Training
•Tele-Dermatology Training
•Tele-Geriatric Care Certification
Training
•Tele-Cardiology Training
ClickMedix Solution Summary: Ready-to-Use mHealth and
mTraining Programs
HIPAA-compliant system with all features
accessible on mobile phones or web
browsers
Remote diagnosis with store-and-
forward
Real-time video consultation
Triage protocols
Customizable patient forms
Patient portal, education & adherence
monitoring
Electronic health record system
ePrescription
•Diabetes
•Primary Care
•Geriatric Care
•Maternal & Pediatric Care
Multi-media (image, video, slideshow)
training materials
Self-assessment quizzes
Remote consultation with instructors
Continuous updates of training
materials
Online examinations/certifications
Click-
Health
Hospitals &
Health
Programs
Click-
Training
Click-
Specialists
•Tele-ENT (ear, nose, throat)
•Tele-Dermatology
•Tele-Radiology
•Tele-Cardiology
•Pre/Post Surgery
ClickMedix has been able to replicate this model with numerous partners, which gives us a reach of over 600,000 patients.
To show how this works, here's a case study with Grameen Primacare which was founded by Nobel Laureate Muhammad Yunus. Grameen provides micro finance to thousands of Latina business owners in the US who don't otherwise have healthcare.