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FitScoreA Patient Centric Approach for Patient Engagement

Meet GG, 208 lbs, chronic asthma patient with hypo thyroidiasm, high blood glucose and high cholestrol, struggling with obesity for last several years.

GG’s dad was diagonosed with diabetes and lost his eyesight due to the diabetes complications.

GG’s physician flagged him as a high risk patient for cardio vascular diseases. Only tool available to GG from his healthcare provider is a diet workshop that will cost $2,000.

Sep 2012

Jun 2012

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Starting PointIn Aug 2012, GG found a clinical protocol driven weight loss program that helped him lose 68 lbs, reverse the diabeties and high cholesterol trends.

GG used the BMI chart as the motivational tool to stay on the diet. Albeit, there is no way for GG to coordinate his blood sugar trends with his physician.

Imagine if this chart could overlay blood glucose and blood pressure trends on top of the weekly BMI graph…

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Systematic Problem• US healthcare system is designed for treating sick people. • Neither the providers nor the patients have the tools or

training to stay out of the hospitals.• Even if the clinicians can identify a care path, there are

challenges:• Patient Adherence (should I continue doing x?)• Socioeconomic factors make the care path void

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GG is Not Alone

Nearly 24 million Americans have diabetes. Of these people living with diabetes, about 18 million have been diagnosed, and about 6 million do not know they have it (1).

http://www.cdc.gov/features/dsdiabetestrends/

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Next Big Healthcare Apps• http://ow.ly/ji96F

“I think the next big application in healthcare is going to be patient involvement.”

– Dr. William Bria, President AMDIS, Chief Medical Office, Dataskill

“The Patients! I heard a term this morning, Behavior Analytics, I love it!!”

– Dr. Farzad Mostashari , National Coordinator for Health Information Technology, HHS

“Our mobile health solutions team saw a lot of opportunity to engage the consumer.”

– Tomas Leary, VP of Government Relations HIMSS

What the industry leaders said at HIMSS 2013…

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Current Market Challenges• We have credit scores that acts as an incentive for doing the

right things, financially. There is no “FitScore” for individuals that encourages individuals to take care of themselves.

• There is no way for GG to weigh himself at home and overlay the blood glucose data.

• There is no way for GG to send the weekly weight in data to his physician and review the LDL.

• There is no way for GG to know what is the impact of his meals on his weight, his blood sugar.

• There is no way for GG to know what is the impact of him missing his workout.

• There is no marketplace for negotiating insurance premium based on an individual’s health. (Although some employers are encouraging their employees to be well).

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Opportunity• What if we could let the patient connect their medical devices and life style

applications and upload their data to a secure location (that they control)?• What if we could use technology to provide instant feedback to individuals

based on their behavior? • What if this data could be used to generate automatic alerts & notifications to

physician for chronic disease management?• What if we can feed social media where patients with similar conditions can get

support?• What if we could provide a Equifax style services to business and consumers?• What if the patient could decide who can view their “FitScore” and wellness

report?• What if the employers could use “FitScore” to negotiate their insurance cost

with the healthcare providers and payers?• What if the individuals could use their “FitScore” to negotiate a better life

insurance policy?• What if the patients could decide if they want to help in pharmaceutical

research to treat specific condition?

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Vision & Mission• Create an eco-system in the cloud that can support

applications for patient wellness. • Equifax of health and wellness (B2B and B2C services)• Mint.com for health and wellness (B2C services) – Behavior

analytics.

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Meet FitScore IP• Building first mobile

application• Establish a beachhead with a

recognized weight loss program (2.5 Million active members across the globe).

• Get consumer enrollment• Automate the food journal

required by the protocol.• Open a digital communication

channel between the weight loss clinic and the patient.

• Present the BMI trend to the patient.

• Add Blood Glucometer support in second sprint.

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Consumer Is The Key• Start with consumer enrollment• Build a mobile application for automating Ideal Protein weight loss

program. • Enroll IP patients in HealthVault accounts, overlay weight loss data with

blood glucose and blood pressure data.• Spiral out to other weight loss programs e.g. Weight Watchers, Jenny

Craig, 20/20• Build an application for TV• Bring patient care to patient’s home

• Backend Intelligence• Predictive analytics – which patients are at highest risk and should be

treated differently?• Trend analysis – what food, lifestyle patterns hurt patient X?• Alerts & Notification – alert the case manager in physician’s office when

patient X is out of normal range (proactive disease management)

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Hidden In Plain Sight• There is a ubiquitous piece of technology in our homes that

has been vastly ignored. • AT&T Uverse, Comcast, DirectTV, Dish Network, Xbox have one

thing in common, Mediaroom. All the IPTV boxes already have USB ports.

• This allow us to exploit existing technologies for data collection and customer interaction.

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Ubiquitous Technology

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+ +

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User Experience

Ideal Protein Weight Loss

Other Weight Loss Programs

Devices Integration

Diabetes Support

Rules: Alerts & Notifications

Hyper Tension Support

Social Media

Rules: Alerts & Notifications

Digital TV

Enrollment Devices Alerts & Notifications Ubiquitous Big Data

Life Style Integration

Post Discharge Transition

B2B services

Scoring

Patient Education

Predictive Analytics

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Work Breakdown StructureExchange (Server)

Customer Engagement and Communication

OEM devices Support

PHR Integration

Trend Analysis

Secure Communication

Alerts & Follow-up

Wellness

Social Networking

Geo-location based cohort Suggestion

Events

Instructions & Video Sharing

Mailing Lists

Support Groups

Personal Blogs

Patient Portal

Profile Administration

Permissions and Consent

Advance Directives

Discharge Instructions

Rx Instructions

Videos and Articles of Interest

Analytics & Predictive Analysis

Fit Score Calculation (condition based

algorithm)

Population Health & Reporting

B2B interfaces

Employer Group Healthcare Benefits

interface (de-sensitized)

Individual Life Insurance Quotes

request (de-sensitized)

Individual “Wellness Report”

Events Directory by geo-location and

condition

Mobile Applications

Lifestyle data ingestion (Nike+)

Integrated Smart Foods

Weight Loss

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Lean Canvas

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Key Players

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Kim Pemble, CPHIMS

Gaurav Garg is Vice President at Partners Consulting Inc., a global IT consulting firm. Gaurav received his MBA in Finance & Project

Management from Devry University and BS in Computer Science from Bangalore University. He brings 17 years of experience in IT strategy and

product development for large hospital systems, academic medical centers and Health Information Exchange including: IT Director for #2

ranked hospital system in the US and product strategy for GE Healthcare. He is co-author of two pending US Patents. He has built and

commercialized a HIPAA compliant subject and incentive management product for the NIH. He has grown a multi-million dollar Healthcare IT

consulting practice in partnership with Caradigm, GE Healthcare, Microsoft and Orion Health. Deep experience in HIPAA compliance,

healthcare data, interoperability and medical devices integration.

Kim R. Pemble is Executive Director for Wisconsin Health Information Exchange. Kim received his MS in Health Informatics from University of

MN and BS in Computer Science from UW-LaCrosse. He brings over 30 years of health IT experience including: Vice President of Operations

and Development for WHIN, Vice President IT for Infinity Healthcare, and VP /CIO for SynergyHealth. He is a CPHIMS, a member of HIMSS,

CHIME, Board Member of the HIPAA Collaborative of Wisconsin, Board Member/Treasurer for T1D Exchange, interim Program Director and

adjunct faculty for Milwaukee School of Engineering Masters in Medical Informatics and is a licensed EMT in WI.

Gaurav Garg Manik Rane

Key Players

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Manik Rane is an accomplished technology professional with strong critical and analytical thinking, result oriented, proven track record in

business development, sales and marketing. 15+ years’ experience in enterprise and mid-market segments across healthcare, telecom,

education verticals. Passion for technology. Experienced in leading cross group teams to solve business problems with focus, out-of-the box

thinking and agility.

Strong background in technology acquisitions, building strategic partnerships/alliances and program management. Held senior roles at

Microsoft managing sales through Independent Software Vendors (ISV) and System Integrators (SI) partners. Served on non-profit boards in

two countries.

Past Experience

Created a patent pending IPTV based patient engagement solution in 2010

Established a consulting practice focused on Microsoft HealthVault device driver and application development & certification services.

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