QoC Health - Hacking Health presentation - Sarah Sharpe

Hacking Health Toronto (October 16, 2014) Patient Engagement: What does this really mean? Sarah Sharpe Co-Founder & Managing Director

Health Challenges and Our Solution

Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al

Healthcare Challenges

•  Too many re-‐admissions ›  Re-‐admissions cost Canada $1.8 billion

•  Too many unnecessary appointments

›  Costs the US $125 billion / year •  No effec=ve way to engage pa=ents as they transi=on from

the hospital to home

•  No effec=ve way to gather comprehensive pa=ent data outside of the hospital


Our Solution

QoC Health is a mobile technology company that deploys pa=ent engagement solu=ons with healthcare providers.

These solu=ons save money through reduced

complica=ons and hospital =me while improving quality of care and the pa8ent experience.

Our Solution

Care Centre Profiles

Care Provider Profiles

Pa0ent Profiles

Research / Analy0cs

Indicator Libraries

Dynamic Data Collec0on

Support Networks

Compliance

Decision Aids

Social Media

Telemetry / Bluetooth

Educa0on

Cloud Connect Healthcare Pla=orm Privacy by Design

Privacy and Security HIPPA / PHIPA

Circles of Care Care Providers

Circles of Support Caregivers, Family and Friends

Pa8ents Connected Care

•  Pa=ent Monitoring •  Research / Clinical Trials •  Compliance •  HL7 Integra=ons

•  Acute and Chronic Monitoring •  Wound Care •  Post 30 Day Discharge •  Decision Aids

•  Peer Support •  Mental Health •  Transi=ons in Care •  Social Networks

Building Blocks The Pa8ent Engagement API

Who are our patients? How do we engage them?


One Way to Describe Patients

•  Diagnosis: Orthopedic, mental health, CHF, COPD, diabetes, arthri=s, cancer, surgical

•  Pediatric, young adult, adult, seniors

•  Co-‐morbidi=es


Developing Tools For Patients

From the literature, care provider exper=se: •  Standard surveys and indicators of health •  Ac=vi=es of daily living (ADL’s) indicators •  Pictures of wound sites •  Educa=onal informa=on •  Health team contacts


Another Way to Describe Patients

•  Mom, dad, grandma, grandfather, brother, sister •  Professionals, experts, experienced, wise •  Caring, worried, op=mis=c, determined •  Avid hiker, cook, painter….

•  Developing pa=ent-‐centred solu=ons means understanding the person, their needs, what is important to them


Developing Tools With Patients

•  Level of anxiety •  Func=onal goals that maintain hobbies •  Health needs are met in a =mely manner •  Access to personal health informa=on •  Connec=ng with peers and community support •  Caregiver supports in the home


“Nothing about me without me”

Pa=ent engagement in solu=on design •  Experience Based Co-‐Design* •  Ac=ve team/commi`ee/board members* •  Surveys •  Focus Groups •  Interviews •  Families / caregivers as part of the team


Patient and Provider Engagement

•  Co-‐design methods •  Pa=ents and providers involved in design •  The solu=on fits exis=ng health care processes

•  An effec=ve and sustainable tool •  End user buy-‐in and compliance

The Cloud Connect Platform


The QoC Circle of Care Pa8ent Centred Care, Pa8ent Connected Care

Hospital

In Home Care

Rehab

Family Physician

Long Term Care

Friends and Family

Professional Supports

Pa=ent Educa=on

Decision Aids

Care Provider Detail

Con=nuous Feedback

Synop=c and Qualita=ve Indicators

Telemetry

Virtual Clinic

Secure Cloud Connected

Healthcare

Social Media


Mobile monitoring: Designed with patients through focus groups, surveys, interviews


Mobile monitoring: Designed with patients through focus groups, surveys, interviews


Aging well website for seniors: Experience based co-design


Aging well website for seniors: Experience based co-design


Patient decision aid tool: Designed through expert working group


Provider portals: Designed through interviews & working groups


Provider portals: Designed through interviews & working groups


Case Study: Women’s College Hospital

Outcomes: •  Overall cost savings of 65% ($135.78

per follow-‐up vs. $381.27)

•  Pa8ent sa8sfac8on ra=ng of 3.9 / 4

•  100% of pa=ents presen=ng excellent recovery could forgo a follow up visit

•  In 5% of pa=ents, the surgeon could iden=fy wound redness / complica=ons with the photo stream, allowing earlier treatment and avoidance of hospital admissions

“Knowing my surgeon can monitor my progress especially with my pictures provided me with a lot of security” “I have had 7 surgeries. This surgery, with the support of the device was my most posi0ve” "…felt like the doctor was with me all the 0me” "…very user friendly.”; "very, very, very easy to use."; "guided me through step-‐by-‐step -‐ cannot go wrong."


Privacy and Security Data security and privacy engineered into the system from the ground up, adhering to HIPAA and PHIPA security standards including:

•  For managed devices, features a private wireless APN providing secure encrypted VPN tunnels from mobile devices to the plagorm over the carrier cellular network.

•  In transit data encryp=on using 256-‐bit SSL/TLS encryp=on with 2048-‐bit encryp=on keys to secure data while in transit.

•  Database server encryp=on using AES 256-‐bit encryp=on

•  Pa=ent mobile device encryp=on using AES 128-‐bit encryp=on.

•  Each user is assigned their own unique encryp=on secret. Pa=ents must successfully authen=cate to retrieve their encryp=on secret from the plagorm servers.

•  Submi`ed data is signature validated to ensure data has not been modified while in transit.


A multidisciplinary team for true patient centred design Healthcare, Research and Technology Exper8se Seamlessly Combined

Healthcare and Research

Technology and Innova8on

Business Development and Strategy


Strategic technology partnerships

Interna1onal Leader in Mobile and Healthcare Technology •  Provides in kind smartphones and tablets for QoC projects •  Jointly exploring the use of prototype Samsung healthcare monitoring

technology

Canadian Leader in Mobile and Wireless Solu1ons •  Provides private encrypted cellular channels for QoC Health Solu0ons •  Partnering on turn key “discharge kits” for hospitals. •  Conference co-‐presenters, combined marke0ng and communica0ons ini0a0ves

Canadian Innova1on Leader in Home Sensing Technology •  Jointly developing in home monitoring solu0ons. •  Developing home healthcare hub for passive and safety monitoring in the

home.

Leader in Integrated Healthcare Solu1ons •  QoC is an authorized McKesson reseller and integrator. •  QoC leverages McKesson RelayHealth technology for integrated HL7 data

sharing amongst large scale HIS systems.

Contact: Sarah Sharpe Co-Founder & Managing Director [email protected]

Date post:	28-Nov-2014
Category:	Healthcare
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