National statistics show that as of 2010, “85% adults and 75% teens own cell phones”. Plus “Ethnic minority groups are more likely to own a mobile phone and use mobile phones to access health information”. With this knowledge and leveraging the ubiquitous use of cell phones, SmartStream provides a way for students with asthma to enter their peak flow meter readings into mobile devices.

1. SmartStreamTM
for Disease Management
®
47 States. 25+ Years. Unsurpassed Experience.
®
Choose SmartStream today and make your innovation goals a reality!
A Power Tool for Disease Management and Patient
Engagement
The Challenge
Among the various chronic conditions afflicting
Americans, asthma is one of the most costly and can
affect individuals throughout their lifetimes. In 2011,
an estimated 25.9 million Americans had asthma; 9.1
million adults and 4.1 million children had an asthma
attack that year. Children in the Medicaid program are
a particularly vulnerable population, making disease
management extremely challenging. The Agency
for Healthcare Research and Quality estimates that
“Among Medicaid enrolled children with persistent
asthma, the underuse of controller medications
is widespread, reaching as high as 73 percent.”
Nationally, asthma is the third leading cause of
hospitalization among children under the age of 15, and
is one of the leading causes of school absenteeism.
How SmartStream Helps Children with Asthma
National statistics show that as of 2010, “85% adults and 75% teens own cell phones”. Plus “Ethnic minority groups
are more likely to own a mobile phone and use mobile phones to access health information”. With this knowledge and
leveraging the ubiquitous use of cell phones, SmartStream provides a way for students with asthma to enter their peak
flow meter readings into mobile devices. If scores fall below an acceptable range, SmartStream simultaneously sends
a tailored message notifying the child’s parent or guardian, school nurse, and pediatrician of the child’s current condi-
tion. The messages can be simple alerts or contain actionable items. For example, appointments can automatically be
scheduled with the child’s pediatrician. Furthermore, SmartStream can make available to the pediatrician, the history
of peak flow meter readings for the patient. The SmartStream solution effectively engages the consumer and helps
children with asthma get the help they need when they need it.
Using SmartStream for Diabetes, Chronic Heart Failure, or Chronic Obstructive Pulmonary Disease
With its innovative technology and robust interconnectivity, SmartStream can be used in a variety of scenarios. When it
comes to Disease Management, early intervention is paramount in preventing downstream complications and increased
costs. Similar to our asthma solution, SmartStream can be used to quickly identify at-risk issues related to Diabetes,
CHF, COPD, in near real-time so care can be provided at the right time.
The lifetime economic costs for all people eventually diagnosed with asthma born in 2000, approximately
380,000 people, is “…$7.2 billion, including $3.2 billion in medical costs and $4 billion in work/productivity
loss.” The Partnership for Economic Success.
For more information on Cognosante’s SmartStream
solutions, contact us at SmartStream@cognosante.com.

2. 47 States. 25+ Years. Unsurpassed Experience.
®
For more information on Cognosante’s SmartStream
solutions, contact us at SmartStream@cognosante.com.®
About Cognosante
Cognosante provides consulting, information technology, and BPO services for health organizations. With over
25 years of experience, Cognosante is a leader in healthcare reform and a trusted partner to the public and
private sectors. Our sevices and solutions are helping to implement the provisions of the Affordable Care Act,
modernize Medicaid programs and health systems, lower administrative costs, improve quality, optimize shared
services, streamline ICD-10 transition, and curb fraud, waste, and abuse. Please visit www.cognosante.com.
SmartStreamTM
Advantages
• Connections to 300 EMRs and practice management systems
• Secure mobile messaging
• Workflow enablement
• Data stream mining capability of real-time feeds
• Business rules to pinpoint information important to you
• Adaptable to any type of system and device
• Ability to extract and process HL7 plus XML, CSV, and more
• Control feedback mechanisms – so you know whether notifications are making a difference
• Dashboards and reports
By combining our 25+ years of experience and knowledge in all the key areas of healthcare with SmartStream’s
innovative capabilities, Cognosante can help you transform information delivery to unseen levels of unlimited
potential.
SmartStream Benefits
• Increased compliance
• Improved quality of care
• Improved revenue generation for physicians
• Cost savings for hospitals and CMS
• Improved operational efficiency
• Increased adoption of HIE services
• Increased customer engagement
SmartStream is an intelligent health information delivery system that enhances information sharing and
collaboration. Using innovative technology, we sift through nearly all types of data and find the ‘nuggets of gold’ -
the health information you need most. Following the principles of the “5 Rights”, we get you the right information
to the right person, in the right format, through the right channel, at the right time in the workflow.
Make SmartStream’s powerful and flexible features
YOUR solution of choice.