Changing the way we think. Changing the way we deliver. … · Portal Unique Patient ID ... Cost...

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Changing the way we think. Changing the way we deliver.

Through eHealth Innovation Ecosystems.

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ohumC6: Connected Community

Controlled Cost

Care Continuum

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The problem

Confidential & Proprietary - Not intended for distribution other than intended audience

Healthcare is challenged by need for high investment, growing members >60 years, and increasing costs of medical services

money, members, medicine

Money Members >60 Medicine

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PRESCRIPTIVE HEALTH PREVENTIVE HEALTH

POPULATION HEALTH

P HC

Vitals

e-Pharmacy

SHC Tertiary Referral Hospital

One Patient One Record Real-time Transactions

Evidence Based Guidelines Patient Safety

International Benchmarks Progressive Improvement Programs

Chronic Care Management Health Econometrics of Care

Labs, Imaging, Nursing Care, Progress Notes, Discharge Summary, MLC

connected community controlled cost care continuum - bringing care closer to patients

Population Health Disease

Surveillance Integrated Health

Management Programs

Lifelong Medical Record

Unique Patient ID

Multi-purpose Health Worker

Patient App

Call Centre

Patient

Mother & Child

Diabetes Management

HIV/TB NCD Mental

PROGRESSIVE HEALTH

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DIabetes Care Management Process Flow Diagram

Patient

Patient Portal

Unique Patient ID

Patient History

Population Mapping

● Disease Registry ● Epidemiology & Disease

Surveillance ● Cost Mgmt ● Policies & guidelines

Central Care Coordination Centre

Lifestyle Obesity

Diet Meditation

Personalised Care Management

Exercise

FINDRISC Assessment

One Patient One Record for Life

Controlled clinical Workflows

Co-morbidities

Clinician

Insulin Mgmt, Medication

Foot & Eye Exam Diagnostics

Consult - Podiatrist /

Ophthalmologist

Home Visit

Patient

Self Mgmt Wearable Devices

Home Health

Vitals Meds PoC Labs Televideo Conference Health Education

Social Worker

Social Worker

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integrated digital health platform for diabetes care management

Self Management Second Opinion Self Motivation Healing Plans

Clinical Pathways EBM Guided Risk Score ePrescription

Patients

Comprehensive Care Reduced ALOS by disease Standard Clinical pathways Clinical Safety

Timeline view for self care & monitoring

One Patient One Record for Life Outcomes

Best Practices

PoC Labs Trends analysis Alerts & Reminders

Medication Reconciliation Generics Refills Drug Interactions

Emergency Management Support Patient Health Education

Behaviour nudging Automated Appointments

Auto Follow-ups Integrated Care Plans

Preventive Health Palliative Health

eClaims Cashless

Cost Controls Chronic Care Management

Predictive Health

Registries Disease Surveillance

Clinical Trials

My Clinics

My Labs

My Doctors My Care Team

Patients Like Me

My Pharmacy

My Payer My Hospitals

Population Health

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Care Foundation: Population mapping and actionable patient list

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Care Foundation Ecosystem

Population : Doctor Ratio

Villages Population

Doctors 400,000

ANMs

600

Chronic Care

1.5 mn

30

550 50,000

built the world’s most sophisticated digital health village program

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Doctor & ANM

ANM

Social Worker

Pharmacist

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Disease Frequency - RR District (9 Villages)

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The solution

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patient portal /kiosk

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patient portal

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FINDRISC assessment

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Co-morbidities

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Clinical Assessment: Foot exam

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Annotations

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8

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Clinical Assessment:

Eye exam

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Diagnostics

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Diabetes Flow Sheet

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Diabetes Flow Sheet

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Social worker: assessment

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Need for medical

equipment

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Diet instructions

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Medications instructions

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Follow up

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Complaints

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Lifestyle Management

Diet & Weight Management

● Maintain optimal weight ● Calorie restriction ● Plant-based diet, polyunsaturated and

monounsaturated fatty acids ● Avoid trans fatty acids; limit saturated fatty acids

+ Structural counseling + Mean replacement

Exercise ● 150 min/week moderate exertion (e.g. walking /

stair climbing) ● Strength training ● Increase as tolerated

+ Structured program + Medical evaluation /

clearance + Medical supervision

Sleep ● About 7 hours per night + Screen for obstructive

sleep apnea

Behaviour Support ● Community engagement ● Screen for mood disorders

+ Refer to mental healthcare professional

+ Behavioural therapy

Smoking Cessation

● No tobacco products + Structured programs

Yoga & Meditation ● Overall physical, mental and spiritual well-being &

inner healing + Structured program

Risk Stratification for Diabetes Complication

Lifestyle Intervention + Metformin

A1C >= 7%

No Maintain Current Therapy

Yes

Insulin Management

Add Basal Insulin

Intensify Insulin

Oral Anti-Diabetics

Sulfonylurea

Glitazone

Algorithm for control of Type 2 diabetes

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Self care with wearable device

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2

analytics

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Actionable List

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Diabetes Timeline

Dashboard

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5

3

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Diabetes Management

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Disease wise daily visit details

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eConsultations for Dr K Ravi Verma

Confidential & Proprietary - Not intended for distribution other than intended audience

The Benefits

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Confidential & Proprietary - Not intended for distribution other than intended audience

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the benefits

Dramatic System wide improvement in healthcare delivery on: Safety Costs Outcomes Research Experience

Confidential & Proprietary - Not intended for distribution other than intended audience

Single integrated community health digital platform

Safety Outcomes Cost Research Experience

Total transformation

Controlled clinical pathways

Zero typing, point of care documentation

One patient one record for life

100% data processed for real time and predictive analytics

Driven by evidence based medicine leading to practice based evidence

Alerts and reminders for all safety and outcomes

Cost controls across the care continuum

Integrated community health and telemedicine program

Priced per transaction ...pay as you go

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uniqueness

ohum healthcare solutions pvt. ltd. Head Office: # 190, 2056 Westings Avenue, Naperville, IL 60563 U.S.A. Tel: +1 630 212 5678

Development Office: 801-802 East Court, Phoenix Market City, Nagar Road, Pune - 411014, Maharashtra India Tel: +91 20 41357500

e: info@ohumhealthcare.com www.ohumhealthcare.com

Thank You!

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