21 October 2016 Confidential

TRANSFORMING THE REACH,

ECONOMICS AND QUALITY OF DECENTRALIZED HEALTH

CARE

CARE DAT

A

2 Confidential

What quality of healthcare is mostly delivered? How well is money mostly spent?No one actually knows!

95% health care data

is from centralized facilities

95% patient encounters

are in decentralized

facilities

Billions patients/yr$8 Tr/yr, globally$2 Tr/yr, LMIC$30 B/yr, aid

3 Confidential

Big Disconnects in Decentralized Healthcare

Data:little to no point-of-care data for

remote managers and stakeholders

Care:non-standardized, under-supervised

care by frontline health workers

Health workers don’t capture

data because it competes withdelivering care

4 Confidential

Insight PortalMobile Intelligent Devices Cloud Services

Health workers of all levels: deliver care on par with experts do diagnostic tests on par with experts

Stakeholders of any kind: get tracking, analytics,

insight real time, anytime, anywhere

: Integrated Care & Insight System

Connectivity Broker

5 Confidential

Mobile Point-of-Care Full CompanionAutomated

Workflow Guidance │ Universal Rapid Test Reading │ Connectivity │ Data Capture

6 Confidential

Enables Connectivity for 3rd-Party Devices

3rd-Party Devices300+ 3rd-party peripherals, devices, sensors: weight, blood pressure, heart rate, ECG, lipid profile, pulse oximetry, blood glucose, haemoglobin, CD4, spirometry, fetal monitoring, digital thermometer, …

Health Workers at Point of Care

Cloud Services

Key Stakeholders of Any Kind

3rd-Party Health Information Systems

7 Confidential

Capture last-mile data from care processes

Extract multi-level

insights

Inject insights into

care processes

Care Drives Insights, Insights Drive Care

8 Confidential

Fig 1: Documented rapid diagnostic test (RDT) performance

Fig 2: Automatically reduced RDT error rate 10-fold

Fig 3: Fionet profiled health worker performance

Health Worker 14Health Worker 13Health Worker 12Health Worker 11Health Worker 10Health Worker 9Health Worker 8Health Worker 7Health Worker 6Health Worker 5Health Worker 4Health Worker 3Health Worker 2Health Worker 1

0% 20% 40% 60% 80% 100%

Valid Result ObtainedHuman Error in RDT Processing

RDT overloaded with blood

Blood erroneously in buffer well

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Week 12

Week 13

Week 14

0%

5%

10%

15%

20%

25%

30%Error Rate

Err

or R

ate

Transformed Point-of-Care Diagnosis

9 Confidential

Fig 1: Compliant vs non-compliant treatment for confirmed POSITIVE diagnosis

0%

20%

40%

60%

80%

100%

0%

20%

40%

60%

80%

100%

Each column: an individual clinic’s treatment records of all its patient Percentage of cases in which clinic complies with healthcare provider’s treatment protocol

Fig 2: Compliant vs non-compliant treatment for confirmed NEGATIVE diagnosis

Transformed POC Treatment

Percentage of cases in which patients do not get the drug they need

Percentage of cases in which patients get a drug when they don’t need any drug

10 Confidential

Fig 2: health worker utilization shown in real timeFig 1: consumable shortages shown in real time

at capacity

overloaded

under-utilized health workers

Transformed POC Business Process Metrics

11 Confidential

Fig 3 Tracks drugs prescribed across clinics

Fig 1 Tracks error rates of rapid tests, by manufacturer

Erro

r Rat

e by

RD

T M

anuf

actu

rer

Sample Size Mfg Error Rate

Mfg B 8,450 0.12%

Mfg S 13,259 1.61%

Mfg A 12,565 3.94%

Transformed Market and Sector InsightFig 2 Tracks 3rd party device utilization and errors

12 Confidential

Provides Configurable, Automated, Real-Time MappingIntegration with Google Earth & Google Maps shows automated, real-time localization of devices, health workers, patient sessions, contact tracing; real-time, cross-correlated heat maps

13 Confidential

Transforming the Quality and Economics of Healthcare

10x

Reduced testing errors by health workers

20x

Increased epidemiologic

accuracy

20x

Reduced repeat patient

visits 

33%

Reducedper-patient cost

of care 

100x

More oversight data, at 15% of

current cost

10x

Increased compliance with

protocols for care

from 500,000 dataset uploads, 12 clients, 8 countries, 3 continents

Simple, Sustainable, Scalable Pricing Model

14 Confidential

Subscription fees based on: Volume of devices Term of contract Mix of readers vs tablets Market Average: 10 cents/patient

Simple start, sustainable finish No capital investment necessary Technology transferred to client

with zero-footprint infrastructure, mobile-first technical solution

15 Confidential

Transforming the Reach of Healthcare

India: urban hospital South Africa: central lab Nigeria: remote clinic

Q4 2016 Confidential

THANK YOU

CARE DAT

A

INTEGRATING INSIGHT FLOW AND CARE FLOW