Treatem

Chronic Innovations LLC
TREAT’EM
Patient Centered Social Network and
Health Information Exchange

Sigal Levin - CEO
Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1

Solution Overview
 High Level Solution Description:
Treat’em is a patient-centered private and secure social network and health
information exchange. It allows users to benefit from the support and
wisdom of the crowd while maintaining the confidentiality of their medical
data. It provides a central location for healthcare providers to integrate
efforts and engage with patients across the continuum of care.
 Healthcare/Business problem addressed:
Social networks could play a significant role in the management of patient
with chronic disease if only it was possible to ensure privacy.
Health information exchange is key for the management of chronic patients,
but connecting patient records across institutions is problematic in lack of a
unique identifier.
 The application developed addresses the following category:
 Applications that improve management of high cost chronic diseases.
 Innovative approaches to addressing value-based care imperatives.
 Both
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 2

Usability and Design
 At the core of the system is the TreatmentLine – a timeline that includes the
treatment plan for the patient.
 Healthcare providers can use the TreatmentLine to integrate treatment
efforts; to share information and files; to follow up and developments in the
treatment and to monitor compliance.
 Users can involve followers in the management of their medical condition.
 A User can exchange information and support with fellow users with similar
conditions treated by the same healthcare providers (micro-communities).
 Users, with the aid of healthcare providers, can manage their medical
information in a central, HIPAA compliant location.
 The micro-communities allow for generation of personalized knowledge-
bases.
 Users can upload any medical data to share with their healthcare providers
and followers including bluetooth based data collection from home
monitoring devices (e.g., blood pressure, weight, glucose etc.,).

Development Stage
 Please indicate the development stage as of the Phase 1
Submission Date:
 Idea
 Prototype
 Code development in progress
 Code complete
 Code complete, tested and approved by Allscripts.

 The social network is functional. Work is in progress on the mobile
application and AllScripts integration.


Integration Description
 The main integration with AllScripts is for the upload of patient documents.
In the future it will be possible to add functionalities such as downloading
and saving of documents into AllScripts including home monitoring data (the
latter is problematic due to liability concerns – i.e., a provider failing to
follow up an abnormal result).

 Unity SDK:
• GetEncounter
• GetPatientCDA
• GetProvider


Go to Market Plans
The business model - B2C (patients) and B2B (providers).
B2B will make use of the Enterprise and Professional EHRs.
The system will require significant marketing efforts in regular
channels. We hope to engage providers in disseminating the
system by providing the B2B services for a nominal fee in the first
phase.
The greatest advantage of a patient centered social network is the
ability to identify and characterize homogenous subpopulations.
Accordingly the main expected source of revenue is advertising
(without compromising user privacy, of course).


Video Demonstration
 https://vimeo.com/58800496

 This video shows the Treat’em social network under two
scenarios. The first, a patient with cancer across the continuum of
care. The second of a patient with congestive heart failure using
the home monitoring integration.


Why this solution be selected!
 This is a patient centered solution that has an actual potential of
improving patient outcomes by allowing effort integration and
harnessing of social tools to help patients manage their condition.
 It makes medical social networking accessible by maintaining
user confidentiality.
 It moves the center of health information exchange to patients,
thus reducing privacy concerns and the challenge of identity-
reconciliation.
 It is a platform that can be extended to other services such as
the collection of home monitoring data.
 It separates the continuous follow-up process from the actual EHR
to reduce concerns of liability on the part of providers.

The TreatmentLine
Treatment milestones To prevent disruption to providers’ work only Once a user completes
are posted by the patients are allowed to post to doctors and only a treatment milestone
physician who opens
in respects to treatment issues.
all followers are
the patient account. notified. Conversely, if a
Each milestone can user fails to complete a
have associated milestone followers are
instructions and files. notified and can help
increase compliance.
The user can invite
followers to participate
The user can report
in the treatment follow
adverse events that
up. These can be
happened with specific
friends and family,
treatment milestones. A
support personnel or
record of the adverse
other healthcare
event will be added to
provider. The user has
any similar future
full control of privacy
treatment.
settings.


Micro-Communities around providers
Providers maintain Disease specific
profile pages from knowledge bases are
which they share maintained by users
important information and healthcare provider
with their patient. allowing information
Similar to a fan page on filtering by like-minded
facebook only securing patients.
patient privacy.

Users can interact with User’s identity is
their fellows through concealed in all the
the profile pages of public areas of the
their providers. network

Who can give you a better answer to your questions than patients with similar conditions
treated in the same community as you are, by the same doctors ?!


Health Information Exchange
An extra-secure file folder holds clinical
files uploaded by providers and attached to
specific treatment milestones.

Providers can interact with
colleagues through the
patients’ TreatmentLine or
directly via instant messaging; Similar to a Personalized Health
video chat and Direct project Record Treat’em is governed by
email service. the user, but unlike PHR it is
maintained by the providers.

Condition Specific Knowledge Bases
Disease specific
Uses the Evernote API
knowledge bases are
to retrieve concise
maintained by users
information from
and healthcare
various online
providers.
resources.

A Digg like interface
allows users to maintain
their private knowledge
library; rank feeds
up/down and share
feeds with friends.
*** User’s identity is concealed in all the
public areas of the network.

The knowledge base module allows patient to benefit from the wisdom of the crowd of
fellow patients and dedicated healthcare providers.


Home Monitoring Integration

Developed in accordance with Continua Health Alliance standards


Home Monitoring Integration
Treat’em-mobile enables access to all the
network’s content from the mobile phone.
Doctors can communicate with patients no
matter where they are.


Home Monitoring – Alert Settings

Set alerts for readings that require
immediate attention. For example, a blood
pressure above 210/110 will automatically
generate a message to the doctor’s activity
feed.

Set alerts for patient-specific abnormal
readings that will remind the patient to
repeat measurement at pre-specified
timeframe. Set when to notify the provider.

* The system always requests a repeated
measurement to verify abnormal readings.


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