The document proposes an online platform to manage care coordinators for high-risk patients. It notes rising healthcare costs and chronic disease prevalence. Care coordinators at UCLA and Johns Hopkins reduced emergency visits, costs, and insurer spending. The proposed platform would train and manage coordinators online, link to electronic health records, and provide services for patients, coordinators, and providers. It would allow comprehensive, coordinated care at lower costs through improved efficiency.

1. Hajar Ahmed, Sara Hua, Phylicia Leinweber,
LeeAnn Li, and Bryan Phillips
An online platform to easily manage a care coordinator
system for high risk patients.

2. Background Proposal Assessment Projections Discussion
1
As disease survival improves...

3. 2
1 in
typical primary
care doctor
See at least
physicians
Doty, et al., 2012, JAMA Int Med
Coordinates care with
229physicians
in 117 different practices
Background Proposal Assessment Projections Discussion
4
1
such patients 3

4. Simultaneously:
Increased Costs Chronic Disease Rising
Inefficient Care Lack of Human Interaction
From 1996-2013, U.S. spending
on ambulatory and ED care
increased by $390 billion
20% of hospitalized Medicare patients
are readmitted within 30 days.
Patients fear increased technology in healthcare
will lead to less human interaction.
According to WHO, prevalence is
supposed to rise 57% by 2020.
3
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5. 4
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Care Coordination:
NEJM 2017

6. Joyce Komori, Director,
UCLA Care Coordination
“
”
They [care coordinators] work on patient advocacy and linkage to
resources, and they really deliver care, taking a minute to understand
social determinants of health by asking questions and developing
relationships with patients.
5
Background Proposal Assessment Projections Discussion

7. After assigning 30 Unlicensed Care Coordinators to high risk patients, UCLA Saw:
Reduction in ED Visits
Reduction in Average
Per Patient Costs
20%
10%
Unlicensed Care Coordinators
Reduction in Net Annual Health Insurer Spending
$1,364/ Patient
In another similar program at Johns
Hopkins (AJMC 2009):
6
Background Proposal Assessment Projections Discussion
Proven Solution

8. An Online Platform for Training
and Managing Care Coordinators.
7
Background Proposal Assessment Projections Discussion

9. 8
Validate Care Coordinator
Quality
Link Data with EHR*
and Scheduling System
Online Trainings for
Care Coordinators
Efficiently Manage Care
On a Larger Scale
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10. Patients Care Coordinators Providers
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User groups3
9

11. For Patient
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12. Patient
Experience
Incentives
Active
Participation
Digital Platform
Clarity &
Transparency
Digital Platform
Convenience
Digital Platform
Accessibility
Incentives
Better
Communication
Incentives
Integrated
Wellness
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13. Background Proposal Assessment Projections Discussion
Mike Marks
Age 61
Condition Recent heart attack
Hospital UCLA Medical Center
Hobbies Is a music teacher but recently into
health and wellness
12
Patient Profile

14. Visualizing Care Staff -
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Sign up at discharge
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15. Patient at home (dashboard)
Healthcare Article -
Personal Weekly or Daily Update -
Suggested Activity Based on Weather -
Personalized Greeting -
Dashboard - Basic Functions
Appointment Reminder -
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16. Connect with coordinator
Message or Call Coordinator -
Coordinator Availability -
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17. Patient Scheduling
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View Past & Upcoming Appointments -
Reschedule Appointments -
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18. Doctor review (connecting to EMR)
Summary from Latest Coordinator Check-in -
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Review Past Check-ins -
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19. For Care
Coordinators
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20. Care
Coordinators
Digital Platform
Accessibility
Increased jobs,
accessible platform
Digital Platform
Convenience
Ability to work remotely
from home, entry level
job for career in
healthcare
Digital Platform
Simplicity
Efficient training, tasks
simplified, easily
accessible standardized
resources
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1 2 3
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21. Background Proposal Assessment Projections DiscussionBackground Proposal Assessment Projections Discussion
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22. Background Proposal Assessment Projections Discussion
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23. For Providers
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24. Providers
Cost
Decrease
Digital platform
decreases in-hospital
training time, less
administrative cost
Comprehensive
Data
Efficient data collection
of patient as a whole
Easy
Implementation
Platform can fit into any
hospital system
Quality
Monitoring
Ability to monitor
coordinator performance
based on patient
feedback
Efficient
Utilization
Doctors and nurses can
use time for other tasks
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25. ● Decreased costs
● Easy implementation
● Increased patient data
● Improved quality of care
● Efficient utilization of
doctors and nurses
For Providers
● Increased number of jobs
● Online platform can make
tasks simple
● Entry level job for a career
in healthcare
● Can work from home
during convenient hours
For Care
Coordinators
● Increased health monitoring
● Increased human interaction
● Convenience of E-visits
● Strengthen doctor & patient
relationship
● Ease of access to health
system and information
● Comprehensive,
coordinated, continuous care
For Patients
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Simplified Benefits
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26. Supplier
Bargaining Power
Threats of New
Entrants
Buyer Bargaining
Power
Threat of Substitute
Services
• Many similar but no direct
competitors
• Reasonably high switching
costs & customer loyalty
depending on platform
compatibility
• Hospitals have the patients
and their medical records
• Oversee hiring of the care
coordinators
• Priority of administrative costsRivalry
Among Existing
Competitors
• Costs primarily in start-up,
one-time
• Some cost benefits if in the
business for some time
• Low barriers to entry
• Low costs to switch suppliers
• Significant input in the final
product
• Fewer in number compared to
overall healthcare industry
• Advancements in technology
• “want” vs. “need”
• Switch to in-house services
• Policy/regulatory volatility
Porter’s Five Forces
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27. ✓❌
Minimize
Administrative
Burden
✓
✓
$ $$$ $$
✓
✓❌
External Consultant
Patient/Provider
Messaging Platform
Hospital
Integration
In-Person Patient
Engagement
Cost
❌ ❌
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28. Intellectual Property Considerations
Focus on U.S. healthcare system and IP, at least initially
Most relevant patents:
1. (#9,886,547, 2/6/18) **Method and system for automated healthcare care coordination and care
transitions
2. (#9,824,185, 11/21/17) Electronic health records data management systems and methods
3. (#9,734,512, 8/15/17) Rating system, process and algorithmic based medium for treatment of medical
conditions in cost effective fashion utilizing best treatment protocols and financial assessment
tools for determining a maximum cutoff point for assessing healthcare return on investment and
to provide for improved clinical/functional outcomes
4. (#9,208,284, 12/8/15) Medical professional application integration into electronic health record
system
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29. Local:
Large Los Angeles Provider
Regional:
All of California
National:
All of United States
$59.5
Million
$7.5
Billion
$80.8
Billion
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Projected Market Size:
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30. We provide a platform uniquely tailored to empower
both patient and providers to efficiently coordinate care
and improve health outcomes.
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Take-away:
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31. Questions?
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