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Peter Dausman Dillan DiNardo Karen Tang Rohan Singh Karli Mather

Mirror MD - Startup Weekend Pittsburgh 2013

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Page 1: Mirror MD - Startup Weekend Pittsburgh 2013

Peter DausmanDillan DiNardo

Karen TangRohan SinghKarli Mather

Page 2: Mirror MD - Startup Weekend Pittsburgh 2013

$26.2 Billion

Page 3: Mirror MD - Startup Weekend Pittsburgh 2013

$26.2 Billion

per year

Page 4: Mirror MD - Startup Weekend Pittsburgh 2013

The Reality of Readmissions

Hospital readmission costs: $26 billion /yr

Page 5: Mirror MD - Startup Weekend Pittsburgh 2013

The Reality of Readmissions

Hospital readmission costs: $26 billion /yr

37% of mentally ill patients re-admit within 1 year, much higher than industry avg of 27%

Page 6: Mirror MD - Startup Weekend Pittsburgh 2013

Why Readmissions Are Costly

Page 7: Mirror MD - Startup Weekend Pittsburgh 2013

Why Readmissions Are Costly

Patients may not remember symptoms from their last visit

Page 8: Mirror MD - Startup Weekend Pittsburgh 2013

End-Result of ReadmissionsLess impactful patient visits Limited or failed recovery

Page 9: Mirror MD - Startup Weekend Pittsburgh 2013

End-Result of ReadmissionsLess impactful patient visits Limited or failed recovery

Higher costs of readmission

Page 10: Mirror MD - Startup Weekend Pittsburgh 2013

What Are Others Doing?

Page 11: Mirror MD - Startup Weekend Pittsburgh 2013

Our Value PropositionsEnd goal: lower readmission ratesHow?

Page 12: Mirror MD - Startup Weekend Pittsburgh 2013

Our Value PropositionsEnd goal: lower readmission ratesHow?

With Mirror MD: a unique app that boosts patient-doctor communication through transparent data sharing

Page 13: Mirror MD - Startup Weekend Pittsburgh 2013

Our Solution: Mirror MD

Psychiatrists work with patients to determine what’s most useful and effective to record

Page 14: Mirror MD - Startup Weekend Pittsburgh 2013

Our Solution: Mirror MDAllows patients to self-report data between appointments

Page 15: Mirror MD - Startup Weekend Pittsburgh 2013

Our Solution: Mirror MDAllows data to be viewed on a web-based dashboard, accessible to the patient, the psychiatrist, and his staff

Page 16: Mirror MD - Startup Weekend Pittsburgh 2013

Our Solution: Mirror MD

The psychiatrist’s staff can also respond to patient data between appointments

Page 17: Mirror MD - Startup Weekend Pittsburgh 2013

Our Solution: Mirror MD

In seconds, just before seeing the patient, the psychiatrist can view the patients dashboard.

Page 18: Mirror MD - Startup Weekend Pittsburgh 2013

Proof of Concept

Page 19: Mirror MD - Startup Weekend Pittsburgh 2013

Customer ValidationBy 2017, 1.7 billion people will be using mobile health apps4

Dillan DiNardo (Open)
takes 4-6 weeks for medication to kick in… data gives them medication. Depression is gradual… a lot of no shows; keeps them engaged. TEENAGERS. Frequency of checking – just came out of hospital. Every 2 days. Explain it’s a tool for them. Decrease phone call time. Save if having suicide. Easy to use. Patients very impaired. Engaging, appealing.
Dillan DiNardo (Open)
Open to add other quotes from Ingrid.
Page 20: Mirror MD - Startup Weekend Pittsburgh 2013

Customer ValidationLynn Brusco, Executive Director at Disruptive Health Technology Institute, Carnegie Mellon University, on Mirror MD:

“In the future of health care, patients, traditionally passive in their care, will have a new role as an engaged part of the solution. An app that allows patients to be proactive, arms the physician with accurate, real-time information and makes the continuum of care more affordable can be a game changer."

Dillan DiNardo (Open)
takes 4-6 weeks for medication to kick in… data gives them medication. Depression is gradual… a lot of no shows; keeps them engaged. TEENAGERS. Frequency of checking – just came out of hospital. Every 2 days. Explain it’s a tool for them. Decrease phone call time. Save if having suicide. Easy to use. Patients very impaired. Engaging, appealing.
Dillan DiNardo (Open)
Open to add other quotes from Ingrid.
Page 21: Mirror MD - Startup Weekend Pittsburgh 2013

Customer ValidationIngrid Gindin, Certified Psychiatrist, on Mirror MD:

“I think its is a great concept. There are some apps out there but I haven’t found anything that people wanted to use. If you can come up with an app that is easy to use, I would definitely see the value in using this program.”

Dillan DiNardo (Open)
takes 4-6 weeks for medication to kick in… data gives them medication. Depression is gradual… a lot of no shows; keeps them engaged. TEENAGERS. Frequency of checking – just came out of hospital. Every 2 days. Explain it’s a tool for them. Decrease phone call time. Save if having suicide. Easy to use. Patients very impaired. Engaging, appealing.
Dillan DiNardo (Open)
Open to add other quotes from Ingrid.
Page 22: Mirror MD - Startup Weekend Pittsburgh 2013

Customer ValidationDana Henry, MS, LPC, Sewickley, PA

Page 23: Mirror MD - Startup Weekend Pittsburgh 2013

Other Applications & Considerations

Secure data channel to medical provider – avoid HIPPA pitfalls

Page 24: Mirror MD - Startup Weekend Pittsburgh 2013

Other Applications & Considerations

Secure data channel to medical provider – avoid HIPPA pitfalls

Option of making dashboard visible to family support network

Page 25: Mirror MD - Startup Weekend Pittsburgh 2013

Other Applications & Considerations

Secure data channel to medical provider – avoid HIPPA pitfalls

Option of making dashboard visible to family support network

Can be used for other medical practices outside of the psychiatry market in the future

Page 26: Mirror MD - Startup Weekend Pittsburgh 2013

Impact of Using Mirror MD

$39.3 Billion

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CustomerInsurance companies

Value PropositionReduced readmissions

=reduced costs

Distribution ChannelsGet doctors and healthcare

executives to want the system

Roll-out StrategyLeverage current contacts for beta testing, then expand to local health providers. In parallel

build strategic alliances with local insurance providers.

Key ActivitiesDevelopment

sales/marketingDeployment

Software maintenance

Key PartnersDoctors

Key ResourcesTech & sales talent

Secure data channels

Revenue StreamMonthly payments from

Cost StructureSalaries

Secure data channelsStorage/infrastructure

Page 28: Mirror MD - Startup Weekend Pittsburgh 2013

Sources• Langewitz W, Denz M, Keller A, Kiss A, Rüttimann S, Wössmer B.

Spontaneous talking time at start of consultation in outpatient clinic: cohort study. BMJ 2002; 325: 682-683. http://www.bmj.com/rapid-response/2011/10/29/listening-patients-how-much-time-will-they-spend-talking-about-their-initi

• NY Times. http://economix.blogs.nytimes.com/2008/11/14/do-doctors-salaries-drive-up-health-care-costs/

• PNHP.org. http://pnhp.org/blog/2012/06/13/2012-health-care-spending-including-administration/

• Forbes. http://www.forbes.com/sites/ciocentral/2013/09/08/will-an-app-a-day-keep-the-doctor-away-the-coming-health-revolution/