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