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Joost Pielage, CTO Quro Medical
17 November 2022
REMOTE
PATIENT
MONITORING
Healthcare is
failing changing.
A young, diverse, and globally best-in-class team to reimagine healthcare
Dr Vuyane Mhlomi
Co-Founder, Chief Executive Officer
MBChB (UCT), DPhil in Medical Sciences (Oxon), MBA (Oxon)
Ms Zikho Pali
Co-Founder, Chief Operations Officer
LLB (Wits), LLM (Harvard)
Mr Joost Pielage
Chief Technology Officer
BSc Software Engineering (Fontys)
Dr Rob Cornish
Co-Founder, Chief Scientific Officer
Elec. Eng (Melbourne), PhD in Machine Learning (Oxon)
Mr Sisa Njongwe
Chief Commercial Officer
BCom (UCT), PGDA( UCT), CA(SA), MBA (Oxon)
Dr Carolyn Chinsinga
Medical Director
BSc (Uni Nam), MBChB (UP) , MBA Candidate (UEL)
The Changing Faces of Healthcare
4
We are pioneering this change….
Research showed that
healthcare costs were
52% lower
when acutely patients
received care at home
versus in the hospital
Improving Care, everywhere
Introducing a new Standard of Care
Hospital at Home
Improving the Standard of Care in the
General Ward
Right Patient. Right Place. Right Duration. Right Cost.
Medical care is increasingly becoming unaffordable
with providers facing mounting pressure to reduce costs, maintain quality and increase patient satisfaction.
The Problem and Context
7,761
16,626
10,205
17,089
3,281
14,552
21,714
68,837
7,966
General Practitioners
Medical Specialists
Surgical Specialists
Diagnostic Specialists
Dentistry
Supplementary Health
Medicine Dispensed
Hospitalisation
Managed Care Services
Medical Scheme
Risk-Benefit Paid
2019
(R millions)
Total = R168 031
The average cost per hospital stay is R 42 000.
making hospitalization one of the most expensive types of healthcare utilization
There is a growing number of cases that require hospitalisation.
drivers include: ageing population, increase in non-communicable disease, access to medical aid benefits
Hospitalisation is associated with unintended clinical consequences.
~20% elderly suffer from delirium. 1-in-3 patients will lose functional status. 10% will have hospital-acquired conditions
or fall.
Hospitals are hotspots for antibiotic-resistant infections and COVID19
Causing significant morbidity and mortality in patients receiving healthcare
Approx. 1 in 7
patients entering
South African
hospitals are at high
risk of acquiring a
hospital associated
infection.
Global trends show patients’ homes as a setting for healthcare delivery.
There is a global need to ease the burden on increasingly overwhelmed hospital systems while providing people access to
quality, affordable care.
Research showed that
healthcare costs were
52% lower
when acutely patients
received care at home
versus in the hospital
Routine care is intermittent and inefficient
Current vital sign monitoring methods are inadequate as the
intermittent, and infrequent nature (4-8 hours) of vital sign
checks means the earliest sign of deterioration can be missed and
picked up hours later.
Patients are unmonitored for most of the
time where subtle abnormalities in vital signs
can go undetected until complications arise.
50%
of adverse events
in the general
ward
Enrolled nurses (EN) and Enrolled Nurse
Axillaries (ENA) are responsible for taking and
recording vitals within general wards but can
only interpret the vitals under the supervision
of the Registered Nurse (RN). General wards
have a limited number of RNs responsible for
overseeing the work of ENs a n d E NA s
therefore; subtle abnormalities can easily be
missed.
Poor handwriting leads to charts and handover
notes that are unclear and confusing, resulting
in misinterpretation.
Routine care is intermittent and inefficient
Enabling real-time, wireless, continuous monitoring
1
min
Vitals captured
every minute.
Our solution keeps patients safe while
reducing additional stress on hospitals and
healthcare staff.
When the Quro Medical platform indicates
that a significant change or deterioration is
occurring, an actionable notification is sent
to the healthcare team to mobilise early
intervention.
Presentation Title - Arial Regular, Title Case, 10pt 10
We bring all the essential elements of in-hospital care, home
INTRAVENOUS THERAPY
IN-PERSON AND VIRTUAL VISITS
SKILLED NURSING
MEDICATIONS
LABORATORY SERVICES
SHORT-TERM OXYGEN
ALLIED HEALTHCARE SERVICES
24-HOUR CLINICAL COMMAND CENTRE
REAL-TIME VITAL SIGN MONITORING
RAPID RESPONSE PROTOCOLS INCL. EMS
CLINICAL OVERSIGHT BY TREATING DOCTOR
24
HRS
Proven Outcomes with Hospital-at-Home
Reduced
Readmissions >38%
Decreased
Length of Stay
Reduced
Cost of Care >20%
Maintained Safety and Quality
Improved Patient Satisfaction
and Experience
Improved Quality of Life
Our patients are monitored with cutting-edge technology
1
min
Vitals captured
every minute.
Architecture
Wi-Fi/Cell/Ethernet
BLE 4.2
Doctors can access patient data, anywhere, anytime
Quro Medical
Insight
Web and Mobile App
Disease, wearable, and cloud-
agnostic
Robust and Scalable
Simple, Intuitive, Elegant
State-of-the-art Technology
State-of-the-art Platform
Quro Medical
Insight
Designed to be a single
source of truth unlocking
efficient in patient care.
Enables real-time vital signs monitoring
Quro Medical
Insight
Early warning system to
enable early detection and
timely intervention.
Dynamic electronic medical record keeping
Real-time, personalised data.
Guided note-taking, reduces errors.
Data-driven admission trends to track progress.
Organised and easily retrievable clinical notes.
Seamless upload ensures no information is lost.
Virtual Calls: On-demand or Scheduled
John Peter’s Consult
John Peter’s Consult
John Peter Male 43y
Virtual Call: Key information in sight
John Peter’s Consult
John Peter Male 43y
John Peter
John
24-hours Command Centre: Data-driven clinical interventions
Preventative healthcare
is
coming here
AI & ML on ECG data
AI & ML on ECG data
AI & ML on ECG data
AI & ML on ECG data
Digital Health is the
future present.

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Joost Pielage

  • 1. Joost Pielage, CTO Quro Medical 17 November 2022 REMOTE PATIENT MONITORING
  • 3. A young, diverse, and globally best-in-class team to reimagine healthcare Dr Vuyane Mhlomi Co-Founder, Chief Executive Officer MBChB (UCT), DPhil in Medical Sciences (Oxon), MBA (Oxon) Ms Zikho Pali Co-Founder, Chief Operations Officer LLB (Wits), LLM (Harvard) Mr Joost Pielage Chief Technology Officer BSc Software Engineering (Fontys) Dr Rob Cornish Co-Founder, Chief Scientific Officer Elec. Eng (Melbourne), PhD in Machine Learning (Oxon) Mr Sisa Njongwe Chief Commercial Officer BCom (UCT), PGDA( UCT), CA(SA), MBA (Oxon) Dr Carolyn Chinsinga Medical Director BSc (Uni Nam), MBChB (UP) , MBA Candidate (UEL) The Changing Faces of Healthcare
  • 4. 4 We are pioneering this change….
  • 5. Research showed that healthcare costs were 52% lower when acutely patients received care at home versus in the hospital Improving Care, everywhere Introducing a new Standard of Care Hospital at Home Improving the Standard of Care in the General Ward Right Patient. Right Place. Right Duration. Right Cost.
  • 6. Medical care is increasingly becoming unaffordable with providers facing mounting pressure to reduce costs, maintain quality and increase patient satisfaction. The Problem and Context 7,761 16,626 10,205 17,089 3,281 14,552 21,714 68,837 7,966 General Practitioners Medical Specialists Surgical Specialists Diagnostic Specialists Dentistry Supplementary Health Medicine Dispensed Hospitalisation Managed Care Services Medical Scheme Risk-Benefit Paid 2019 (R millions) Total = R168 031 The average cost per hospital stay is R 42 000. making hospitalization one of the most expensive types of healthcare utilization There is a growing number of cases that require hospitalisation. drivers include: ageing population, increase in non-communicable disease, access to medical aid benefits Hospitalisation is associated with unintended clinical consequences. ~20% elderly suffer from delirium. 1-in-3 patients will lose functional status. 10% will have hospital-acquired conditions or fall. Hospitals are hotspots for antibiotic-resistant infections and COVID19 Causing significant morbidity and mortality in patients receiving healthcare Approx. 1 in 7 patients entering South African hospitals are at high risk of acquiring a hospital associated infection. Global trends show patients’ homes as a setting for healthcare delivery. There is a global need to ease the burden on increasingly overwhelmed hospital systems while providing people access to quality, affordable care. Research showed that healthcare costs were 52% lower when acutely patients received care at home versus in the hospital
  • 7. Routine care is intermittent and inefficient Current vital sign monitoring methods are inadequate as the intermittent, and infrequent nature (4-8 hours) of vital sign checks means the earliest sign of deterioration can be missed and picked up hours later. Patients are unmonitored for most of the time where subtle abnormalities in vital signs can go undetected until complications arise. 50% of adverse events in the general ward
  • 8. Enrolled nurses (EN) and Enrolled Nurse Axillaries (ENA) are responsible for taking and recording vitals within general wards but can only interpret the vitals under the supervision of the Registered Nurse (RN). General wards have a limited number of RNs responsible for overseeing the work of ENs a n d E NA s therefore; subtle abnormalities can easily be missed. Poor handwriting leads to charts and handover notes that are unclear and confusing, resulting in misinterpretation. Routine care is intermittent and inefficient
  • 9. Enabling real-time, wireless, continuous monitoring 1 min Vitals captured every minute. Our solution keeps patients safe while reducing additional stress on hospitals and healthcare staff. When the Quro Medical platform indicates that a significant change or deterioration is occurring, an actionable notification is sent to the healthcare team to mobilise early intervention.
  • 10. Presentation Title - Arial Regular, Title Case, 10pt 10
  • 11. We bring all the essential elements of in-hospital care, home INTRAVENOUS THERAPY IN-PERSON AND VIRTUAL VISITS SKILLED NURSING MEDICATIONS LABORATORY SERVICES SHORT-TERM OXYGEN ALLIED HEALTHCARE SERVICES 24-HOUR CLINICAL COMMAND CENTRE REAL-TIME VITAL SIGN MONITORING RAPID RESPONSE PROTOCOLS INCL. EMS CLINICAL OVERSIGHT BY TREATING DOCTOR 24 HRS
  • 12. Proven Outcomes with Hospital-at-Home Reduced Readmissions >38% Decreased Length of Stay Reduced Cost of Care >20% Maintained Safety and Quality Improved Patient Satisfaction and Experience Improved Quality of Life
  • 13. Our patients are monitored with cutting-edge technology 1 min Vitals captured every minute.
  • 15. Doctors can access patient data, anywhere, anytime Quro Medical Insight Web and Mobile App Disease, wearable, and cloud- agnostic Robust and Scalable Simple, Intuitive, Elegant
  • 16. State-of-the-art Technology State-of-the-art Platform Quro Medical Insight Designed to be a single source of truth unlocking efficient in patient care.
  • 17. Enables real-time vital signs monitoring Quro Medical Insight Early warning system to enable early detection and timely intervention.
  • 18. Dynamic electronic medical record keeping Real-time, personalised data. Guided note-taking, reduces errors. Data-driven admission trends to track progress. Organised and easily retrievable clinical notes. Seamless upload ensures no information is lost.
  • 19. Virtual Calls: On-demand or Scheduled John Peter’s Consult John Peter’s Consult John Peter Male 43y
  • 20. Virtual Call: Key information in sight John Peter’s Consult John Peter Male 43y John Peter John
  • 21. 24-hours Command Centre: Data-driven clinical interventions
  • 23. AI & ML on ECG data
  • 24. AI & ML on ECG data
  • 25. AI & ML on ECG data
  • 26. AI & ML on ECG data
  • 27. Digital Health is the future present.