eHealth Care Pathway Platform for doctors to
serve more patients better, faster, and at
lower cost.
Ting Shih - Founder & CEO
@clickmedix
ting@clickmedix.com
http://clickmedix.com
Source: http://chartsbin.com/view/gcu
World Health Organization 2010, World Health Statistics 2010, ISBN 978 92 4 156398 7,
World Health Organization, Geneva 27, Switzerland, viewed 16th September, 2010
Addresses Bottleneck of Healthcare: Physician
Shortage Worldwide
Medical
Government
Mobile
Networks
Technology
Corporate
Mexican Social
Security Institute
In Collaboration with
15
Countries
700,000+
Patient Reach
2
Years
1/2
90+ Sites
Governments
Hospitals / Clinics
Medical Schools
NGOs
Corporate
Payment
Reimbursement
Fee-for-service,
Capitated,
Private-pay,
Subscription,
Cross-Subsidy
Diseases
Heart Diseases
Diabetes
Alzheimer’s Cancer
HIV/AIDS
TB
77
11
22
4343
33
33
11
22
Models
In-Hospital
Satellite Clinics
Specialty Clinics
Integrated Medical
Units,
Pharmacy
Home Care
44
55 11
22
99
22 44
Screening
Point-of-care
Ear-Nose-Throat,
Ophthalmology
Dermatology
Radiology
Physical
Behavioral
Patients
sees
health
worker or
nurse
Health worker
or nurse uses
ClickMedix to
screen patient’s
condition
Treatment plan
Treatment and
follow-up
Diagnosis and
referral
Patient info Doctors network
Or
Referral hospitals
$
1.Packages patient
symptoms
information
2.Securely
transmits data to
remote physicians
Solution: Use Mobile Phones to Screen, Triage, andSolution: Use Mobile Phones to Screen, Triage, and
Treat More PatientsTreat More Patients
Solution: Use Mobile Phones to Screen, Triage, andSolution: Use Mobile Phones to Screen, Triage, and
Treat More PatientsTreat More Patients
Capture Patient Information via Smartphone AppCapture Patient Information via Smartphone AppCapture Patient Information via Smartphone AppCapture Patient Information via Smartphone App
mHealth KitmHealth Kit
(distribution through pharmacies, clinics, etc.)(distribution through pharmacies, clinics, etc.)
mHealth KitmHealth Kit
(distribution through pharmacies, clinics, etc.)(distribution through pharmacies, clinics, etc.)
Zero to
Complete, Customized
Mobile Healthcare
Solution
5 Days
Products Features
Click-Specialists
Tele-Dermatology
Tele-Radiology
Tele-Cardiology
Tele-ENT (ear,
nose, throat)
Tele-
Orthopedics
Pre/Post
Surgery
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
• 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
Tele-Diabetes
Tele-Primary
Care
Tele-Geriatric
Care
Ready-to-Ready-to-UseUse eHealth and eTrainingeHealth and eTraining
Programs within 5 DaysPrograms within 5 Days
Ready-to-Ready-to-UseUse eHealth and eTrainingeHealth and eTraining
Programs within 5 DaysPrograms within 5 Days
Case Studies
Over a 9 month period, 9 part-time
health workers in India helped save
10,000+ people from potential hearing
loss. Medtronic is expanding the
program to 100 health workers in
2014.
200+ health
assessments in
one day
Deployed to 20+
medical
personnel on
iPhone, iPad
Android
Healthcare &
education for
Grameen
America
borrowers
Launched in NY,
NY in
September 2013
10,000+ Latina Grameen borrowers in NYC
with otherwise poor access to healthcare
get access to healthcare via ClickMedix
Chronic Disease Management
Screening and tele-consultation
government-run clinics. Service
ramping up to 22,000 clinics over 3
years serving 35M patients.
Nurse Enters Intake AssessmentNurse Enters Intake AssessmentNurse Enters Intake AssessmentNurse Enters Intake Assessment
Nurse Enters Intake AssessmentNurse Enters Intake AssessmentNurse Enters Intake AssessmentNurse Enters Intake AssessmentNurse Enters Intake Assessment
Baseline
3-Month follow-up3-Month follow-up3-Month follow-up3-Month follow-up
n = 30
mean A1C = -1.37Δ
(p<0.001)
56% Severe periodontitis
New DiscoveriesNew Discoveries
68% Structural heart
disease => later-on heart
failure
Cohort
•January through October 2013
•n = 135; Median age 56 (19-82)
•Type 2 diabetes 91% Mean A1C 8% ± 1.6
•Median BMI 33.1 (range, 108.1-20.9)
•Influenza vaccine within past year 50%, Pneumococcal
vaccine in past 29%, HBV vaccine 11%
Payment ModelPayment ModelPayment ModelPayment Model
$452 for Initial Assessment
$Fee for Service for follow-up Care
Average cost per patient without WDI: $9,000
Average cost per patient per year with WDI: $452 + 3-5
PCP/specialist follow-up care.
Creating home-health
business unit for premier
hospital in China.
Home-Care Assessments and Tele-ConsultationHome-Care Assessments and Tele-Consultation
with Specialistswith Specialists
Home-Care Assessments and Tele-ConsultationHome-Care Assessments and Tele-Consultation
with Specialistswith Specialists
Subscription ModelSubscription ModelSubscription ModelSubscription Model
Home CareHome Care
• Risk screening
• Triage
• Service options
• Care planning
• Tele-consultation
• Resources
Medication
Management
Medication
Management
SupportSupportPatientPatient
Hospital CareHospital Care
Follow-
Up
Screen
for Risks
Re-
Assess
Follow-
Up
Screen
for Risks
Re-
Assess
Symptoms
Disease state
Treatment plan
Determines
optimal care path
of services
Image source: Artificial Fiction Brain by Wikipedia user
Gengiskanhg (Creative Commons Licensed)
Home HealthHome Health
Senior Home CareSenior Home CareSenior Home CareSenior Home Care
Caregiver
Training
Caregiver
Training
Other (food
adult day
care)
Other (food
adult day
care)
TransportationTransportation
@clickmedix
http://clickmedix.com
Ting Shih
@tingatclick
ting@clickmedix.com

ClickMedix Introduction and Case Studies 2014

  • 1.
    eHealth Care PathwayPlatform for doctors to serve more patients better, faster, and at lower cost. Ting Shih - Founder & CEO @clickmedix ting@clickmedix.com http://clickmedix.com
  • 2.
    Source: http://chartsbin.com/view/gcu World HealthOrganization 2010, World Health Statistics 2010, ISBN 978 92 4 156398 7, World Health Organization, Geneva 27, Switzerland, viewed 16th September, 2010 Addresses Bottleneck of Healthcare: Physician Shortage Worldwide
  • 3.
  • 4.
  • 5.
    Payment Reimbursement Fee-for-service, Capitated, Private-pay, Subscription, Cross-Subsidy Diseases Heart Diseases Diabetes Alzheimer’s Cancer HIV/AIDS TB 77 11 22 4343 33 33 11 22 Models In-Hospital SatelliteClinics Specialty Clinics Integrated Medical Units, Pharmacy Home Care 44 55 11 22 99 22 44 Screening Point-of-care Ear-Nose-Throat, Ophthalmology Dermatology Radiology Physical Behavioral
  • 6.
    Patients sees health worker or nurse Health worker ornurse uses ClickMedix to screen patient’s condition Treatment plan Treatment and follow-up Diagnosis and referral Patient info Doctors network Or Referral hospitals $ 1.Packages patient symptoms information 2.Securely transmits data to remote physicians Solution: Use Mobile Phones to Screen, Triage, andSolution: Use Mobile Phones to Screen, Triage, and Treat More PatientsTreat More Patients Solution: Use Mobile Phones to Screen, Triage, andSolution: Use Mobile Phones to Screen, Triage, and Treat More PatientsTreat More Patients
  • 7.
    Capture Patient Informationvia Smartphone AppCapture Patient Information via Smartphone AppCapture Patient Information via Smartphone AppCapture Patient Information via Smartphone App
  • 9.
    mHealth KitmHealth Kit (distributionthrough pharmacies, clinics, etc.)(distribution through pharmacies, clinics, etc.) mHealth KitmHealth Kit (distribution through pharmacies, clinics, etc.)(distribution through pharmacies, clinics, etc.)
  • 10.
    Zero to Complete, Customized MobileHealthcare Solution 5 Days
  • 11.
    Products Features Click-Specialists Tele-Dermatology Tele-Radiology Tele-Cardiology Tele-ENT (ear, nose,throat) Tele- Orthopedics Pre/Post Surgery 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 • 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 Tele-Diabetes Tele-Primary Care Tele-Geriatric Care Ready-to-Ready-to-UseUse eHealth and eTrainingeHealth and eTraining Programs within 5 DaysPrograms within 5 Days Ready-to-Ready-to-UseUse eHealth and eTrainingeHealth and eTraining Programs within 5 DaysPrograms within 5 Days
  • 12.
  • 14.
    Over a 9month period, 9 part-time health workers in India helped save 10,000+ people from potential hearing loss. Medtronic is expanding the program to 100 health workers in 2014.
  • 15.
    200+ health assessments in oneday Deployed to 20+ medical personnel on iPhone, iPad Android Healthcare & education for Grameen America borrowers Launched in NY, NY in September 2013
  • 16.
    10,000+ Latina Grameenborrowers in NYC with otherwise poor access to healthcare get access to healthcare via ClickMedix
  • 17.
    Chronic Disease Management Screeningand tele-consultation government-run clinics. Service ramping up to 22,000 clinics over 3 years serving 35M patients.
  • 18.
    Nurse Enters IntakeAssessmentNurse Enters Intake AssessmentNurse Enters Intake AssessmentNurse Enters Intake Assessment
  • 19.
    Nurse Enters IntakeAssessmentNurse Enters Intake AssessmentNurse Enters Intake AssessmentNurse Enters Intake AssessmentNurse Enters Intake Assessment
  • 24.
  • 25.
    3-Month follow-up3-Month follow-up3-Monthfollow-up3-Month follow-up n = 30 mean A1C = -1.37Δ (p<0.001) 56% Severe periodontitis New DiscoveriesNew Discoveries 68% Structural heart disease => later-on heart failure Cohort •January through October 2013 •n = 135; Median age 56 (19-82) •Type 2 diabetes 91% Mean A1C 8% ± 1.6 •Median BMI 33.1 (range, 108.1-20.9) •Influenza vaccine within past year 50%, Pneumococcal vaccine in past 29%, HBV vaccine 11%
  • 26.
    Payment ModelPayment ModelPaymentModelPayment Model $452 for Initial Assessment $Fee for Service for follow-up Care Average cost per patient without WDI: $9,000 Average cost per patient per year with WDI: $452 + 3-5 PCP/specialist follow-up care.
  • 27.
    Creating home-health business unitfor premier hospital in China.
  • 28.
    Home-Care Assessments andTele-ConsultationHome-Care Assessments and Tele-Consultation with Specialistswith Specialists Home-Care Assessments and Tele-ConsultationHome-Care Assessments and Tele-Consultation with Specialistswith Specialists
  • 29.
  • 30.
    Home CareHome Care •Risk screening • Triage • Service options • Care planning • Tele-consultation • Resources Medication Management Medication Management SupportSupportPatientPatient Hospital CareHospital Care Follow- Up Screen for Risks Re- Assess Follow- Up Screen for Risks Re- Assess Symptoms Disease state Treatment plan Determines optimal care path of services Image source: Artificial Fiction Brain by Wikipedia user Gengiskanhg (Creative Commons Licensed) Home HealthHome Health Senior Home CareSenior Home CareSenior Home CareSenior Home Care Caregiver Training Caregiver Training Other (food adult day care) Other (food adult day care) TransportationTransportation
  • 31.

Editor's Notes

  • #4 ClickMedix has been able to replicate this model with numerous partners, which gives us a reach of over 600,000 patients.
  • #9 in just 5 days
  • #11 in just 5 days
  • #16 To show how this works, here&amp;apos;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&amp;apos;t otherwise have healthcare.