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
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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?
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
One Way to Describe Patients
• Diagnosis: Orthopedic, mental health, CHF, COPD, diabetes, arthri=s, cancer, surgical
• Pediatric, young adult, adult, seniors
• Co-‐morbidi=es
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
“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
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
Mobile monitoring: Designed with patients through focus groups, surveys, interviews
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
Mobile monitoring: Designed with patients through focus groups, surveys, interviews
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
Aging well website for seniors: Experience based co-design
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
Aging well website for seniors: Experience based co-design
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
Patient decision aid tool: Designed through expert working group
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
Provider portals: Designed through interviews & working groups
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
Provider portals: Designed through interviews & working groups
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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."
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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.
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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
Copyright © 2014 QoC Health Inc. -‐ Private and Confiden=al
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]