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Bill Gates, who once was ridiculed as a nerd, went on to build the world's largest software business, Microsoft. Now, it is one of the most recognized names with just about every computer in the world using it.

At 30 years of age, Jeff Bezos saw the internet revolution take place with the web usage growing at 2300% a year. The growth rate of web usage was crazy enough for him to build the right framework for e-commerce; lo and behold Amazon was born.

Today, they are not only among the most influential people but they continue to leave a lasting legacy with their unfaltering persistence to make this world a better place.

Radical change happens when an industry or market segment changes the way it operates.

Chronic disease management or long-term healthcare is one such segment that is going through this phase. No one could effectively solve it till date even though multiple attempts were done by both big and small players.

Long-term healthcare today presents you with myriad of problems to solve. Fortunately, the long-term care is in a similar space just as Microsoft and Amazon embraced PC and e-commerce. The secret sauce here is the technology that can scale to masses, smart mobile phone penetration into older adult generation and affordable Internet of Things (IoT) health monitoring devices.

Technology has been used in healthcare for long, but most of the systems were designed for acute care situations and it could never scale well in long-term care settings.

At Cooey, we approached this in a different way and build it into a framework that can scale across various long-term care scenarios. We accomplished this by identifying the stakeholders and their needs, and built tooling around this assumption in a plug and play model. 

Basically, in long-term care there are mainly 3 major stakeholders:
  1. Provider
  2. Patient
  3. Family
And how the needs of the stakeholders are met is different from acute care. Cooey empowers these stakeholders to get at the heart of what is plaguing in the ecosystem, i.e., connecting the dots between face-to-face consultations. Our mobile applications are meticulously designed to help them interact seamlessly with all the required information made available at their fingertips.

From our experience, particularly, in working with large customers in senior care, cardiac care, diabetes management, and remote care, we could see most of the pain points in long-term care exist today are the result of inadequate solutions for the following (needs).
  1. Patient Engagement
  2. Care Co-ordination
  3. Digitization of Health Vitals
Not only the connected technologies available today are much affordable, but they are unlocking opportunities along the value chain as well. 

Based on the above understanding of stakeholders and needs, we framed “The Star Framework for Long Term Healthcare” or 3X3 Framework. It is important to focus on this to solve the problem in a scalable manner.
The Star Framework for Long Term Healthcare (3X3 Framework)

To utilize this framework, you need to build tools for each of the stakeholders for each of their needs. For example, to digitize data, Cooey built mobile apps that have been integrated with several third-party self-monitoring IoT devices. In addition to these options, our apps are equipped with voice command technology and visual recognition that allows the patient to record health parameters. Any stakeholder will be able to add a health vital data by just speaking to the chatbot in the app (Alexa integration) or take a picture of the reading from the device display screen. If you notice all of the above tools are built for digitization of data and they cover various use cases.

In today’s healthcare ecosystem, engagement is an indispensable component. Evidence suggests engagement not only plays a key role in improving patients’ health, but it lowers their healthcare costs as well.  We need to build tools for engagement of all the stakeholders; it could be chat, educational content, timely notifications, etc. Our primary objective is to move the stakeholders from just being a bystander to a more engaging participant. 

Chronic-disease management involves frequent tracking of health vitals for timely management. And this would likely be a key area for care co-ordination to help deliver cost savings and positive care outcomes. So, the third important aspect turns out to be the care co-ordination which involves providing right care at the right time with minimum communication gap, and you need tools that enables this in the system.

Thus, by building tools around for the ‘3 needs’ for the ‘3 stakeholders,’ you can create an ecosystem that could lead to a significant level of improvement in patient health and reduction in cost of healthcare as well.

Estimate suggests more than 85% of direct health expenditure is driven by long-term health issues. Providers have an untapped resource to realize cost and quality improvements through the collection and usage of patient generated data (PGD). The new guideline for Remote Patient Monitoring (RPM) underscores & emphasizes this potential area that needs to be exploited.

With the enormous potential lies in data-driven technologies and its increasingly sophisticated analytical capabilities, mobile + IoT can completely transform how healthcare is operated and delivered, especially when it comes to long-term care. 

The shift is already taking place for sure.


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