What if I’m Not Crazy??? Homecare will Change Healthcare

National health spending was $4.3 trillion in 2021 or 19.7 percent of GDP. 

Spending on Hospital Care (31 percent share) or $1.3 trillion and Retail prescription drugs (9 percent share) or $378 billion in 2021. 

The estimated annual cost of drug-related morbidity and mortality resulting from non optimized medication therapy was $528.4 billion, equivalent to 16% of total US health care expenditures in 2016. 

HiDO can potentially reduce hospital care expenditures by 30-50% depending on the disease state.  That is roughly $400 billion to $650 billion annually.  

I humbly believe that this monumental challenge of non-adherence to medications has been solved by HiDO that will impact millions of people across the globe.  The problem of medication compliance has been around since the first provider prescribed drugs to patients.  Unfortunately due to home medication errors about 20% of emergency department visits related to medication nonadherence resulted in hospital admission.  This can be remedied now, not in the future but now.  Come join HiDO on this journey to transform healthcare by integrating home care.

Why HiDO?  I spent my career in large #pharma, medical device and #medical software traveling to #hospitals small and large across the United States.  Most of my time was thinking about how we save lives and reduce costs.  I have been very fortunate to have the vantage point of overseeing the American health system as a whole versus an isolated location or region.  This holistic perspective gave me an opportunity to research the performance of hospitals across the country and see top performers and compare with others in need of improvement.  My intellectual curiosity was sparked by #datascience and understanding the root cause analysis of the performance or lack thereof.  Many variables exist but what if there could be a layer in place within the ecosystem that enhances care, lowers costs and improves quality of life.  Understanding the why behind performance is what I have spent my entire career focusing on.

Why Did We Build the Tech? Patients and providers have limited resources to maintain good health while at #home.  99.9% of a patient's time resides at #home and the infrastructure to communicate to providers is often a #hospitalization, #emergencyroom visit or scheduling a visit.  Maybe there could be a way to manage a population with innovative technology that automates #medication and provides continuous monitoring for patients with chronic diseases that need some extra HELP…  

When I ask a patient if they could avoid a hospitalization or ER visit there is a resounding, “YES.”  The top 5% of high risk patients cost roughly 80% of health plan spend and there is a way to prioritize these patients for #precision #populationhealth.  HiDO can optimize the well-being of patients' health at a fraction of the current cost of care and give providers insight into patients before they utilize high cost interventions.  Real-time care dashboards enable at-risk chronic care patients the ability to modify unhealthy behaviors to healthy behaviors while in the comfort of their home.  Providers now can remotely monitor hundreds of patients and communicate when help is needed.  This is a home clinical intervention.

Provider Workflow?  HiDO providers are tipped off before a patient event happens which may result in a hospitalization, ER visit or medication error. Within the current health ecosystem providers lack substantial patient information which complicates the treatment regimen and impacts patient care.  One of the many challenges for providers is investigating the root cause to a patient's disease state.  They often lack trustworthy information to determine if medications are working as prescribed or if the patient is communicating accurate information about #medication regimens.  There is no longer a need to guess about one of the most important factors in medicine which is whether or not a patient has missed or taken their medications.  Medications are only as good as the ones that are taken.

What if you knew if a patient missed a medication, is deviating from the time frequency, is following or not following the prescribing instructions or the medication is simply not working as planned.  

There are many unknowns that HiDO solves real-time so providers no longer are dependent on patient self-reported outcomes when they visit the hospital or providers office.  The future of population health exists now and has been validated with the support of NIH funding and research efforts at Stanford and Rush University for HIV and Alzheimer's patients. What if it's possible to reduce the total cost of care by 30-40% by helping patients simply take their medications as intended?  

The System?  We have the choice now to spend money on population health and improve the quality of care versus waiting for the chronically ill patients to make another error at home under their own care.  The incentives are aligned to enable providers with the right data to perform remote or home clinical interventions which leads to a healthier community.  Remote #homecare is capable of reducing hospitalizations and transforming our health system by simply knowing whether a patient is taking their medications and what combinations are working best.  The EASY button has been created for patients that require additional assistance without the need for an entire care team surrounding them like a high cost hospital setting.  The value of remote patient monitoring can move mountains and transform the way we serve patients.  This delivers better care at a lower price with higher patient satisfaction.  What's best for the patient is to keep people healthy and keep them out of the hospital.  We can have more impactful conversations with patients knowing what is working and what isn’t by having HiDO.  Our duty is to help the heroes that care for patients.

Precision #populationhealth?

HiDO is a technology assisted clinical workflow at a patient's #home…  A small percentage of patients visit the office and the other 99 percent are #homealone.  The best opportunity is to catch people before they fall, for example a patient with a mental health condition that is missing days of medications and nobody currently knows until a psychotic episode and a visit to the ER.  Another example is a patient with uncontrolled diabetes missing medications and they suffer unnecessary cardiovascular damage due to high HA1bC which can be controlled if they were simply taking their medications as prescribed.  There is a new opportunity to understand patient behaviors and have impactful provider discussions that find the root cause of patients wellness or deviations in health.  Precision public health identifies patients at-risk that need additional assistance via text, phone or #homevisits.  When you're trying to figure out why their blood pressure isn't well controlled and whether you should add a third blood pressure agent and then you happen to find out from the wife oh you know he's not taking the medicines right you should know that if they're not filling the prescription and not taking the medication that can now be solved with HiDO.