How to Troubleshoot Apps for the Modern Connected Worker
Unniched instrat
1. unNiched(micro):
Scratch, Sniff and Learn
OWD Text Based Patient Monitoring and
Messaging
Okey Okuzu,
Founder/CEO, InStrat Global Health Solutions
October 25, 2011
New York, NY
2. OneWorldDr (OWD) Platform is a Mobile Health Connectivity
System Based on Text and Email
Medical Providers Family & Friends
Provides electronic link between
Provider
Patient
Care Sponsor
Community
Enables
Remote health monitoring
Chronic disease management Integrates with Patients
existing Cell
Patient Health Messaging phone systems
Service Providers
2
3. OWD Proactively notifies patients to take their readings and respond; and
notifies physicians/caregivers if readings are abnormal
At scheduled time Patient Patient receives If reading is above
Patient takes current reading
receives reminder SMS/email to normal: Patient,
confirmation that reading Caregiver, Doctor get
and replies in required
take BP/BS/Wt reading and reply an alert – Example:
has been received and
format (e.g. BP 180/110)
with the reading Alert!: Current BP:
processed
180/110 is outside
target level.
Web Portal
(Desktop, laptop, ta
blets, smart
Doctor/Caregiver Doctor/Caregiver has
phones)
determines next two means to get
course of action additional Patient data:
Cell Phone: non -
smart phones
4. OWD Business Value Proposition is a Potential
Reduction in Acute Incidents
Acute Incident
Reduce acute
Condition Gets Worse
incidents by Condition Get’s Necessary
26% to 39%*! Attention and Better
BCN Intervention: Leads to
early detection
Situation Normal
!In a six month trial involving 50 patients with no other interventions, 16 patients or 32% of the
sample progressed to satisfactory control of their pathology and another 15 or 30% remained
poorly controlled and their care was escalated
5. OWD Platform is a Powerful Application of a Simple
Technology for CV Patient Engagement
Diseases Targeted Readings Monitored Devices Supported Other Service Features
Hypertension Blood Pressure Desktop Computers Interactive Voice
Blood Sugar Laptops Calls
Heart Failure
Weight iPads Medication
Diabetes BMI Android Tablets Reminders
Asthma (planned) Temperature iPhones Refill Reminders
Android Phones Appointment
Non-smart phones Alerts
Wellness and
nutritional SMS
messaging
Pharmacy Alerts
6. OWD Pilot Program Results
• Sponsor: Heineken NV (Nigeria)
• Duration: 6 months (March 2011 – September 2011)
• Number of Patients: 50
• Patient Profile: Full time employees across 7 manufacturing sites;
moderate/severe diabetes and hypertensive patients
• Readings Monitored: Blood Pressure, Blood Sugar (Twice weekly)
• Equipment Used: Blood pressure meters and glucometers, test strips
provided by Sponsor
• Thresholds: Company medical adviser set upper and lower thresholds
for patient readings
• Action: Alerts sent to patients’ doctor/nurse when reading
exceeded thresholds
• Follow up: Patient were invited for special consultation and plan of
action to bring down numbers
• Results:
– 16 (32%) progressed to satisfactory control of their
pathology,
– 15(30%) remain poorly controlled and require further
medical intervention.
– 19(38%) were non compliant for several reasons
8. OWD Monitoring Expanded to Include
Messaging
• OWD capability expanded to monitor additional chronic conditions
• InStrat and Anadach Group have collaborated to
– Develop and deliver customized health information to
subscribers’ mobile phones by SMS
– Messaging includes:
• Health Education, Wellness Tips, Chronic Disease Management
• Locally nuanced dietary and nutritional advise
• Interactive Health Information on difficult subjects
– STDs, HIV, ED, Drug Abuse, Mental Illness, Women’s Sexual
Health
• Messaging service has been scaled up to 2,000 + subscribers