際際滷

際際滷Share a Scribd company logo

What did the Doctor Say? Concept Overview

Brian Lanahan
Brian Lanahan

The document describes a concept called "What did the Doctor Say?TM" which aims to improve communication between patients' families and healthcare providers. It proposes recording doctors' messages about a patient's diagnosis and treatment plan, and storing them in a secure online family medical hub. This would allow authorized family members to access the information, discuss it, make decisions together, and coordinate care for their loved one. Currently, families often lack clear information when supporting an aging patient. The concept aims to reconnect families to the healthcare process through direct communication with doctors.

1 of 24
May 2009 Con鍖dentialBLAH BLAH BLAH 1 May 2009 Confidential Concept Overview
May 2009 Con鍖dentialBLAH BLAH BLAH 2 May 2009 Confidential Concept Overview What we do What did the Doctor Say? does two basic things: First we provide a service that records messages from a patients doctor to that patients family members regarding the diagnosis and treatment plan for their loved one. We also record messages from other caregivers; physical therapists, home nurses, even neighbors--anyone the family wants to hear from. Then we store these messages in a family medical hub we host on the web. Here each authorized family member can access an accurate record of what the doctor said about their loved one and discuss it in a blog-type format. They can share information, make decisions, assign tasks and monitor progress. Family members can also connect to care giver resources to help them sustain their support over time.
May 2009 Con鍖dentialBLAH BLAH BLAH 3 May 2009 Confidential Concept Overview The ProblemThe Problem Family support is critical to the health care of aging patients but the health care system only talks to the patient. Every patient is supported by two systems: the health care system and their family system. The point of interface between these two systems is often a simple question asked of every patient after every doctor visit: What did the doctor say? It is at this point where the medical establishment connects to the web of human relationships behind each patient. Currently this connection point between the two systems of support doesnt work very well. Families of patients lack a systematic way to connect to the medical system to gain the information they need. The burden is usually on the patient to translate an often technical medical diagnosis to their loved ones, who are often at a loss as to how they can best work together to support the patient. As a result, costs are higher and quality of care suffers. This is particularly the case in care for the elderly when the family is geographically dispersed.
May 2009 Con鍖dentialBLAH BLAH BLAH 4 May 2009 Confidential It wasnIt wasnt always this wayt always this way Concept Overview For most of human history, medicine was rooted in the social context of the family as most care was delivered in the home. The doctor, family and patient were naturally aligned by the simple fact of where care took place. The rise of institutional medicine disrupted this natural alliance by shifting the context of care away from the home. Families were now cut off from a natural proximity to the doctor and often removed from the delivery of care altogether. Medicine has become a lot more scientific and technological, with myriad associated benefits. But it has also become a lot less personal.
May 2009 Con鍖dentialBLAH BLAH BLAH 5 May 2009 Confidential The OpportunityThe Opportunity Concept Overview Reconnect the family to the health care process. We see an opportunity to make medicine personal--again--by reconnecting the family to the health care process. Direct and efficient communication between the doctor and the patients family will help activate a wider system of support to better meet patient needs while saving time and money. Our mission is to help families get the patient information they need, make meaning out of it and act on it in a coordinated fashion.
May 2009 Con鍖dentialBLAH BLAH BLAH 6 May 2009 Confidential Concept Overview Patient visits doctor;Patient visits doctor; receives diagnosisreceives diagnosis and treatment plan.and treatment plan. Patient repeats theirPatient repeats their version of what theversion of what the doctor said to familydoctor said to family members.members. Family members talkFamily members talk to patient, talk to eachto patient, talk to each other, get confused,other, get confused, call doctorcall doctors of鍖ce.s of鍖ce. Repeat cycle.Repeat cycle. Son in DenverSon in Denver Sister in ChicagoSister in Chicago Son in NYCSon in NYC Son in MiamiSon in Miami Daughter in LADaughter in LAThe Current SystemThe Current System
May 2009 Con鍖dentialBLAH BLAH BLAH 7 May 2009 Confidential They tend to live in a separate city from their parents and have several siblings in other cities as well. They have a family of their own and struggle to balance their sense of responsibility to their own family and to their family of origin. While they tend to lead networked lives themselves, they lack a systematic way to deal with family health issues. They struggle with how to communicate with their parents about their health, how to communicate with siblings about what should be done and who should do it, and how to connect with the medical establishment to get clear information on their parents condition. The resulting time drain gives them an abiding sense they are neglecting their own family or their work. They often feel overwhelmed, guilty and ineffective. There are a lot of them: According to the Pew Research Center, between 7 to 10 million adults are caring for their aging parents from long distance. US Census Bureau statistics indicate that the number of older Americans aged 65 or older will double by the year 2030, to over 70 million. Who feels this problem most?Who feels this problem most? Concept Overview Baby Boomers with aging parents
May 2009 Con鍖dentialBLAH BLAH BLAH 8 May 2009 Confidential Concept Overview Direct input from doctor on how their loved one is doing. What do families need?What do families need? A place to share this information, discuss options, coordinate tasks and connect to a wider community of support.
May 2009 Con鍖dentialBLAH BLAH BLAH 9 May 2009 Confidential Concept Overview Our approach: Technology + Personal connectionOur approach: Technology + Personal connection Offer a simple, easy to use, HIPAA compliant service that provides caregiver reports in a confidential setting. Provide digital/social-networking tools so that the family can create value for each other with this information; an active family medical hub ensues from this. Build follow on offerings to continue adding value to the hub and create additional revenue streams. Combine personalized patient information with social networking tools
May 2009 Con鍖dentialBLAH BLAH BLAH 10 May 2009 Confidential Concept Overview Patient visits doctor;Patient visits doctor; receives diagnosisreceives diagnosis and treatment plan.and treatment plan. Patient repeats theirPatient repeats their version of what theversion of what the doctor said to familydoctor said to family members.members. Family members talkFamily members talk to patient, talk to eachto patient, talk to each other, get confused,other, get confused, call doctorcall doctors of鍖ce.s of鍖ce. Repeat cycle.Repeat cycle. Son in DenverSon in Denver Sister in ChicagoSister in Chicago Son in NYCSon in NYC Son in MiamiSon in Miami Daughter in LADaughter in LAThe Old WayThe Old Way
May 2009 Con鍖dentialBLAH BLAH BLAH 11 May 2009 Confidential Concept Overview Patient visitsPatient visits doctor per usual.doctor per usual. Doctor's of鍖ceDoctor's of鍖ce phones or emailsphones or emails summary of visit tosummary of visit to the family hub.the family hub. WDTDSWDTDS familyfamily advocateadvocate ensuresensures report is delivered.report is delivered. Authorized familyAuthorized family members are alertedmembers are alerted a new doctor messagea new doctor message isis in the hub. They login the hub. They log on to see report,on to see report, discuss options,discuss options, develop action plansdevelop action plans andand access services.access services.
May 2009 Con鍖dentialBLAH BLAH BLAH 12 May 2009 Confidential Our initial launch strategy will focus on connecting first to the family and then from the family to their care providers through our Family Advocate. The Advocate is the connector between the family and care providers, easing the path for families to hear directly from those providing care to their loved ones. Empowered by the patients authorization, the Family Advocate will contact care providers on the familys behalf and help them contribute to the family hub. The Advocate will then submit questions from the family to the provider in advance of the next patient visit. The Family Advocate can provide additional services to the family such as working with providers to establish a Personal Health Record for the patient and helping the family devise a care plan for the situation they are facing. This approach recognizes two fundamental truths of the heath care system today: Providers are highly fragmented and they are mostly analog. 75% of doctors work in small practices of 10 doctors or less. Only 17% of doctors use an electronic medical records system.* To best serve our families, we have to be prepared to go fetch the data in whatever form it exists. This is the role of the Family Advocate. Over time, as EMR usage expands we hope to enroll most practices in our community, so that families will be able to link directly to their patients providers. But for now we will address the world as it exists. *How to Make Electronic Medical Records a Reality,The New York Times, February 28, 2009. Concept Overview The Family AdvocateThe Family Advocate The human connector between families and health care providers
May 2009 Con鍖dentialBLAH BLAH BLAH 13 May 2009 Confidential Concept Overview The Family Medical HubThe Family Medical Hub View reports, discuss options, share links, make decisions and assign tasks. Healthcare provider reports on patient Connected Family actions in support of the patient. Family Members
May 2009 Con鍖dentialBLAH BLAH BLAH 14 May 2009 Confidential Concept Overview Sample family discussionSample family discussion Physician Name, Robert M. Barry, MD (Internal Medicine) Date of Visit, 1/9/09 Physician Comments Jane complains of fatigue, shortness of breath and ankle swelling. She also has high blood pressure atJane complains of fatigue, shortness of breath and ankle swelling. She also has high blood pressure at 160/95160/95. Her ECG results, along with these other symptoms, suggests she may be experiencing the early. Her ECG results, along with these other symptoms, suggests she may be experiencing the early stages ofstages of chronic heart failurechronic heart failure. As a result, I will be prescribing Jane a. As a result, I will be prescribing Jane a calcium channel blockercalcium channel blocker and aand a diureticdiuretic. If her symptoms do not improve over the next two weeks, I will refer her to a cardiologist, Dr. Ken. If her symptoms do not improve over the next two weeks, I will refer her to a cardiologist, Dr. Ken Jones, for additional workup including anJones, for additional workup including an echocardiogramechocardiogram andand BNPBNP test to re鍖ne her therapeutic treatment.test to re鍖ne her therapeutic treatment. 1/15/09, Tom1/15/09, Tom Fine Ben, you go ahead and do your research on natural remedies and IFine Ben, you go ahead and do your research on natural remedies and Ill make sure to ask the Doctor nextll make sure to ask the Doctor next time. Itime. Im scheduled to arrive on the 23m scheduled to arrive on the 23rdrd of January. I will plan to go with her to the doctor for her next visit.of January. I will plan to go with her to the doctor for her next visit. Also, please donAlso, please dont forget to post any questions that you may have for the doctor prior to her visit.t forget to post any questions that you may have for the doctor prior to her visit. 1/09/09, Ben1/09/09, Ben IIve heard that Calcium Channel Blockers can have some pretty bad side effects. Maybe we should ask theve heard that Calcium Channel Blockers can have some pretty bad side effects. Maybe we should ask the doctor about pursuing some natural remedies.doctor about pursuing some natural remedies. 1/09/09, Liz1/09/09, Liz I talked to Mom and she down played it, as usual. She is resting 鍖ne. The drugs seem to be making her feelI talked to Mom and she down played it, as usual. She is resting 鍖ne. The drugs seem to be making her feel better and her ankle swelling has gone down. Ibetter and her ankle swelling has gone down. Ill be staying with her for the next couple of days to make surell be staying with her for the next couple of days to make sure she is stable.she is stable. Who is coming out next to see her??Who is coming out next to see her??
May 2009 Con鍖dentialBLAH BLAH BLAH 15 May 2009 Confidential Concept Overview View of Family HubView of Family Hub The Hub - Doctor Update on Wednesday- Doctor Update on Wednesday -- Family phone conference Thursday 6PM MSTFamily phone conference Thursday 6PM MST Patient, Mom in BoulderPatient, Mom in Boulder ≒ Event: Hip ReplacementEvent: Hip Replacement Son, Paul, in MiamiSon, Paul, in Miami ≒ Tasks:Tasks: -- Call on SundayCall on Sunday -- Research walking shoesResearch walking shoes -- Look intoLook into Family CruiseFamily Cruise in Januaryin January Daughter, Janice in L.A.Daughter, Janice in L.A. ≒ Tasks:Tasks: -- Call on FridayCall on Friday -- Follow up onFollow up on Medicare ClaimsMedicare Claims -- Research AcupunctureResearch Acupuncture Son, Dan, in NYCSon, Dan, in NYC ≒ Tasks:Tasks: -- Call ThursdayCall Thursday -- Find articles on HipFind articles on Hip Replacement RecoveryReplacement Recovery -- Order CaneOrder Cane Sister, Liz, in ChicagoSister, Liz, in Chicago ≒ Tasks:Tasks: -- Call on WednesdayCall on Wednesday -- Send 鍖owers from familySend 鍖owers from family Key ContactKey Contact Son, Tom, in DenverSon, Tom, in Denver ≒ Tasks:Tasks: - Arrange Rehab facility- Arrange Rehab facility -- Follow up on In-home nurse/caregiver visitsFollow up on In-home nurse/caregiver visits -- Arrange meal delivery serviceArrange meal delivery service
May 2009 Con鍖dentialBLAH BLAH BLAH 16 May 2009 Confidential Concept Overview Family Medical Hub: Initial Feature SetFamily Medical Hub: Initial Feature Set - Immediate text and e-mail updates to all family hub members when new information arrives - Phone-in chat rooms for families at a distance to discuss health emergencies - Links to Wiki content to provide further information on a diagnosis and medication - Social networking tools to help families connect to others who have dealt with their situation - Voice recognition tool that can transcribe the doctors/nurses voice message to text - Physician visit preparation, notes and questions - iPhone App to allow patient to record and send doctor visits to their family hub - Care Planner engine (premium feature) helps family members determine the tasks required to provide proper care of the patient, including medical, financial, insurance and advocacy group connection -Ask an Expert (premium feature) provides family members an opportunity to chat with an expert on family support for their specific patient condition - Links to insurance companies for claims information and questions on Medicare - Links to extended care options and local services - Links to financial planning resources for wills and estates
May 2009 Con鍖dentialBLAH BLAH BLAH 17 May 2009 Confidential What did the Doctor Say?What did the Doctor Say?≒ VALUEVALUE Concept Overview Family VALUE Improved sense of order and control Sense of teamwork and connection Ability to sustain support over time Reduced worry Reduced costs Patient VALUE Release from being the primary source of info Release from always having to ask for help Con鍖dence family stands behind them Ability to maintain independence Improved quality of care/life Healthcare Providers VALUE One-stop connection to family eliminates phone tag; saves time Reduced risk of patient misunderstanding diagnosis Better care coordination between patient visits Ef鍖cient way to deliver better customer service
May 2009 Con鍖dentialBLAH BLAH BLAH 18 May 2009 Confidential Concept Overview The original social networkThe original social network A powerful newspaper publisher once beseeched Mark Zuckerberg, the founder of Facebook for advice on how he could build his own on-line community. The famously laconic Zuckerberg replied, "You can't." Zuckerberg went on to explain that communities already exist--you can't artificially create them. The task is to provide them with "elegant organization" to do better what they already want to do. Families are our first social network; it is deep in our nature to support a family member in need. We help families perform this vital function by giving them the tools, information and elegant organization to do better what they already want to do.
May 2009 Con鍖dentialBLAH BLAH BLAH 19 May 2009 Confidential Concept Overview I. Launch What did the Doctor Say? service and family hub - Beta test live in August 2009 - Full version site launched in 鍖rst quarter 2010 - Economic model centered around caregiver reports II. Add monitoring applications to help the family stay connected to the patient and each other - Interactive medication management - Monitoring (location/movement and vital signs) - Fall monitoring and prevention - Chronic disease management III. Expand role of Family Advocate - Premium services to help the family develop and implement patient care plans Strategic Plan
May 2009 Con鍖dentialBLAH BLAH BLAH 20 May 2009 Confidential Concept Overview Where we are nowWhere we are now I. Beta site live in August 2009 - Private family hub - Doctor/HCP/Family posting log - Simple calendar and task lists - Basic account functionality II. Begin private beta test in August - twenty families - learn how families decide to join, how they use the hub and what services they need - get insight on pricing plans and the viral potential of the business - understand how to best work with care providers to get patient information
May 2009 Con鍖dentialBLAH BLAH BLAH 21 May 2009 Confidential Why Now? Converging TrendsWhy Now? Converging Trends Concept Overview Med IT Advances in: -- monitoring devices -- remote sensing -- social networks -- smart phone -- shared data (PHR) Healthcare environment -- cost containment pressure -- quality concerns -- consumerism; Health 2.0 -- less third-party reimbursement -- increasing patient involvement Our Sweet Spot Population Demographics -- aging population -- digitally aware and empowered -- chronic conditions -- family caregivers
May 2009 Con鍖dentialBLAH BLAH BLAH 22 May 2009 Confidential The convergence of the empowered patient with the free flow of accurate, timely and relevant medical data is inevitable. What interests us about this brave new world is how this free flow of information and connectivity can be used to improve the caring side of health care: The patients sense that they are supported by a unified web of peopleboth professionals and family members-- acting toward their well being. We believe this type of coordinated, active family involvement is the best way to meet the challenge of improving quality of care while lowering costs. Thats a future we want to create. To get there we will focus on strengthening the connective tissue between doctors, patients and families-- the three legs of the health care stool. Well help families and patients make meaning out of all the information theyre getting, and well facilitate the conversations that need to happen so that real human care can occur. By doing these things we will create a thriving business and a way for families to thrive while coping with the health and aging challenges we all must face. Concept Overview Toward the futureToward the future
May 2009 Con鍖dentialBLAH BLAH BLAH 23 May 2009 Confidential Who we areWho we are Concept Overview What did the Doctor Say? is a project of Patients + Families LLC, based in Boulder, Colorado. We are a veteran team that combines deep knowledge of health care with entrepreneurship and branding. More importantly, we have each been through the experience of supporting a parent in decline from afar. We are the consumer we wish to serve. Brian Lanahan is an expert at connecting brands to people, having worked on more than sixty consumer products in his twenty-year career.Brian began his marketing career at the Coca-Cola Company, where he spent eight years in brand management, strategic planning and new product development. He then served as Managing Director and co-founder of Character LLC, a Portland Oregon based consultancy that develops story frameworks for brands in consumer products, media and retail. Brian has a BA in History from Duke University and an MBA in Marketing and Human Resources from Northwesterns Kellogg Graduate School of Management. Phil Siegert is an accomplished interactive strategist. Hes worked at larger advertising agencies such as Leo Burnett, was a founding partner of The Royal Order of Experience Design, a cross media boutique, and is a partner in Twiss, a consultancy focused on shaping how brands transact directly with consumers across multiple channels.Phils talent is understanding customer expectations, envisioning the ideal user experience and applying his knowledge of the growing variety of media and technologies to bring complex transactional concepts to life. He has developed solutions ranging from multiplayer online games to ecommerce platforms for numerous well-known brands such as Patagonia, Kohler, Naturopathica, Seventh Generation, Burton Snowboards, Revolution Living, and Kiehls since 1891. He possesses an MFA (Painting) and BFA from the School of the Art Institute of Chicago in addition to a BA in Art and Architectural History from the University of Illinois at Chicago.
May 2009 Con鍖dentialBLAH BLAH BLAH 24 May 2009 Confidential Who we are, continuedWho we are, continued Concept Overview Marc Silverman is a seasoned corporate executive with over twenty-five years experience in the healthcare industry. He has conceived, developed and successfully brought to market a variety of medical devices and medical information technologies. His business experience includes large and small companies and startup endeavors, including Bayer/Cutter Laboratories, Hexcel, Technicon, Baron Medical Systems, Performance Factors, and Performance Health. He is a successful entrepreneur (two exits, incl. IPO), angel investor, and advisor. He currently serves on the boards of the Deming Center for Entrepreneurship at the University of Colorado at Boulder, and the advisory board of the Metropolitan State College of Denver Center for Innovation. Mr. Silverman is an engineering graduate of the University of California, Los Angeles, The San Francisco Art Institute, and the Stanford University Executive Program. Gina Simmering is a highly motivated health and wellness professional with over twenty four years of experience in the fields of nursing, fitness, nutrition and self and family care. She has founded and published a successful wellness magazine and advised numerous organizations on health advocacy, including Stanford University Hospital and Hospice of Boulder and Broomfield Counties. Gina holds a Bachelors of Science from West Chester University in Corporate Wellness as well of a Bachelors of Science from the University of San Francisco in Nursing. Gordon Van Dusen has over twenty years of experience in business development, marketing, product management and strategic planning in the healthcare industry. His business experiences encompass large and small, earlier staged healthcare companies including Baxter Healthcare, Myogen, Somatogen, Hiberna and RxKinetics. Gordon has been on the founding management team of four healthcare startups, most recently as a founder and CEO of Hiberna Corporation and Vice President of Business Development for Myogen, Inc. He currently serves on the advisory board for Fitzsimons BioBusiness Partners, Inc and has been an angel investor, advisor and consultant to several startup businesses. Mr. Van Dusen holds a B.S.E. in Biomedical Engineering from Duke University, an M.S. in Bioengineering from the University of Michigan and an MBA in Finance and Marketing from the Kellogg Graduate School of Management.

More Related Content

What did the Doctor Say? Concept Overview

  • 1. May 2009 Con鍖dentialBLAH BLAH BLAH 1 May 2009 Confidential Concept Overview
  • 2. May 2009 Con鍖dentialBLAH BLAH BLAH 2 May 2009 Confidential Concept Overview What we do What did the Doctor Say? does two basic things: First we provide a service that records messages from a patients doctor to that patients family members regarding the diagnosis and treatment plan for their loved one. We also record messages from other caregivers; physical therapists, home nurses, even neighbors--anyone the family wants to hear from. Then we store these messages in a family medical hub we host on the web. Here each authorized family member can access an accurate record of what the doctor said about their loved one and discuss it in a blog-type format. They can share information, make decisions, assign tasks and monitor progress. Family members can also connect to care giver resources to help them sustain their support over time.
  • 3. May 2009 Con鍖dentialBLAH BLAH BLAH 3 May 2009 Confidential Concept Overview The ProblemThe Problem Family support is critical to the health care of aging patients but the health care system only talks to the patient. Every patient is supported by two systems: the health care system and their family system. The point of interface between these two systems is often a simple question asked of every patient after every doctor visit: What did the doctor say? It is at this point where the medical establishment connects to the web of human relationships behind each patient. Currently this connection point between the two systems of support doesnt work very well. Families of patients lack a systematic way to connect to the medical system to gain the information they need. The burden is usually on the patient to translate an often technical medical diagnosis to their loved ones, who are often at a loss as to how they can best work together to support the patient. As a result, costs are higher and quality of care suffers. This is particularly the case in care for the elderly when the family is geographically dispersed.
  • 4. May 2009 Con鍖dentialBLAH BLAH BLAH 4 May 2009 Confidential It wasnIt wasnt always this wayt always this way Concept Overview For most of human history, medicine was rooted in the social context of the family as most care was delivered in the home. The doctor, family and patient were naturally aligned by the simple fact of where care took place. The rise of institutional medicine disrupted this natural alliance by shifting the context of care away from the home. Families were now cut off from a natural proximity to the doctor and often removed from the delivery of care altogether. Medicine has become a lot more scientific and technological, with myriad associated benefits. But it has also become a lot less personal.
  • 5. May 2009 Con鍖dentialBLAH BLAH BLAH 5 May 2009 Confidential The OpportunityThe Opportunity Concept Overview Reconnect the family to the health care process. We see an opportunity to make medicine personal--again--by reconnecting the family to the health care process. Direct and efficient communication between the doctor and the patients family will help activate a wider system of support to better meet patient needs while saving time and money. Our mission is to help families get the patient information they need, make meaning out of it and act on it in a coordinated fashion.
  • 6. May 2009 Con鍖dentialBLAH BLAH BLAH 6 May 2009 Confidential Concept Overview Patient visits doctor;Patient visits doctor; receives diagnosisreceives diagnosis and treatment plan.and treatment plan. Patient repeats theirPatient repeats their version of what theversion of what the doctor said to familydoctor said to family members.members. Family members talkFamily members talk to patient, talk to eachto patient, talk to each other, get confused,other, get confused, call doctorcall doctors of鍖ce.s of鍖ce. Repeat cycle.Repeat cycle. Son in DenverSon in Denver Sister in ChicagoSister in Chicago Son in NYCSon in NYC Son in MiamiSon in Miami Daughter in LADaughter in LAThe Current SystemThe Current System
  • 7. May 2009 Con鍖dentialBLAH BLAH BLAH 7 May 2009 Confidential They tend to live in a separate city from their parents and have several siblings in other cities as well. They have a family of their own and struggle to balance their sense of responsibility to their own family and to their family of origin. While they tend to lead networked lives themselves, they lack a systematic way to deal with family health issues. They struggle with how to communicate with their parents about their health, how to communicate with siblings about what should be done and who should do it, and how to connect with the medical establishment to get clear information on their parents condition. The resulting time drain gives them an abiding sense they are neglecting their own family or their work. They often feel overwhelmed, guilty and ineffective. There are a lot of them: According to the Pew Research Center, between 7 to 10 million adults are caring for their aging parents from long distance. US Census Bureau statistics indicate that the number of older Americans aged 65 or older will double by the year 2030, to over 70 million. Who feels this problem most?Who feels this problem most? Concept Overview Baby Boomers with aging parents
  • 8. May 2009 Con鍖dentialBLAH BLAH BLAH 8 May 2009 Confidential Concept Overview Direct input from doctor on how their loved one is doing. What do families need?What do families need? A place to share this information, discuss options, coordinate tasks and connect to a wider community of support.
  • 9. May 2009 Con鍖dentialBLAH BLAH BLAH 9 May 2009 Confidential Concept Overview Our approach: Technology + Personal connectionOur approach: Technology + Personal connection Offer a simple, easy to use, HIPAA compliant service that provides caregiver reports in a confidential setting. Provide digital/social-networking tools so that the family can create value for each other with this information; an active family medical hub ensues from this. Build follow on offerings to continue adding value to the hub and create additional revenue streams. Combine personalized patient information with social networking tools
  • 10. May 2009 Con鍖dentialBLAH BLAH BLAH 10 May 2009 Confidential Concept Overview Patient visits doctor;Patient visits doctor; receives diagnosisreceives diagnosis and treatment plan.and treatment plan. Patient repeats theirPatient repeats their version of what theversion of what the doctor said to familydoctor said to family members.members. Family members talkFamily members talk to patient, talk to eachto patient, talk to each other, get confused,other, get confused, call doctorcall doctors of鍖ce.s of鍖ce. Repeat cycle.Repeat cycle. Son in DenverSon in Denver Sister in ChicagoSister in Chicago Son in NYCSon in NYC Son in MiamiSon in Miami Daughter in LADaughter in LAThe Old WayThe Old Way
  • 11. May 2009 Con鍖dentialBLAH BLAH BLAH 11 May 2009 Confidential Concept Overview Patient visitsPatient visits doctor per usual.doctor per usual. Doctor's of鍖ceDoctor's of鍖ce phones or emailsphones or emails summary of visit tosummary of visit to the family hub.the family hub. WDTDSWDTDS familyfamily advocateadvocate ensuresensures report is delivered.report is delivered. Authorized familyAuthorized family members are alertedmembers are alerted a new doctor messagea new doctor message isis in the hub. They login the hub. They log on to see report,on to see report, discuss options,discuss options, develop action plansdevelop action plans andand access services.access services.
  • 12. May 2009 Con鍖dentialBLAH BLAH BLAH 12 May 2009 Confidential Our initial launch strategy will focus on connecting first to the family and then from the family to their care providers through our Family Advocate. The Advocate is the connector between the family and care providers, easing the path for families to hear directly from those providing care to their loved ones. Empowered by the patients authorization, the Family Advocate will contact care providers on the familys behalf and help them contribute to the family hub. The Advocate will then submit questions from the family to the provider in advance of the next patient visit. The Family Advocate can provide additional services to the family such as working with providers to establish a Personal Health Record for the patient and helping the family devise a care plan for the situation they are facing. This approach recognizes two fundamental truths of the heath care system today: Providers are highly fragmented and they are mostly analog. 75% of doctors work in small practices of 10 doctors or less. Only 17% of doctors use an electronic medical records system.* To best serve our families, we have to be prepared to go fetch the data in whatever form it exists. This is the role of the Family Advocate. Over time, as EMR usage expands we hope to enroll most practices in our community, so that families will be able to link directly to their patients providers. But for now we will address the world as it exists. *How to Make Electronic Medical Records a Reality,The New York Times, February 28, 2009. Concept Overview The Family AdvocateThe Family Advocate The human connector between families and health care providers
  • 13. May 2009 Con鍖dentialBLAH BLAH BLAH 13 May 2009 Confidential Concept Overview The Family Medical HubThe Family Medical Hub View reports, discuss options, share links, make decisions and assign tasks. Healthcare provider reports on patient Connected Family actions in support of the patient. Family Members
  • 14. May 2009 Con鍖dentialBLAH BLAH BLAH 14 May 2009 Confidential Concept Overview Sample family discussionSample family discussion Physician Name, Robert M. Barry, MD (Internal Medicine) Date of Visit, 1/9/09 Physician Comments Jane complains of fatigue, shortness of breath and ankle swelling. She also has high blood pressure atJane complains of fatigue, shortness of breath and ankle swelling. She also has high blood pressure at 160/95160/95. Her ECG results, along with these other symptoms, suggests she may be experiencing the early. Her ECG results, along with these other symptoms, suggests she may be experiencing the early stages ofstages of chronic heart failurechronic heart failure. As a result, I will be prescribing Jane a. As a result, I will be prescribing Jane a calcium channel blockercalcium channel blocker and aand a diureticdiuretic. If her symptoms do not improve over the next two weeks, I will refer her to a cardiologist, Dr. Ken. If her symptoms do not improve over the next two weeks, I will refer her to a cardiologist, Dr. Ken Jones, for additional workup including anJones, for additional workup including an echocardiogramechocardiogram andand BNPBNP test to re鍖ne her therapeutic treatment.test to re鍖ne her therapeutic treatment. 1/15/09, Tom1/15/09, Tom Fine Ben, you go ahead and do your research on natural remedies and IFine Ben, you go ahead and do your research on natural remedies and Ill make sure to ask the Doctor nextll make sure to ask the Doctor next time. Itime. Im scheduled to arrive on the 23m scheduled to arrive on the 23rdrd of January. I will plan to go with her to the doctor for her next visit.of January. I will plan to go with her to the doctor for her next visit. Also, please donAlso, please dont forget to post any questions that you may have for the doctor prior to her visit.t forget to post any questions that you may have for the doctor prior to her visit. 1/09/09, Ben1/09/09, Ben IIve heard that Calcium Channel Blockers can have some pretty bad side effects. Maybe we should ask theve heard that Calcium Channel Blockers can have some pretty bad side effects. Maybe we should ask the doctor about pursuing some natural remedies.doctor about pursuing some natural remedies. 1/09/09, Liz1/09/09, Liz I talked to Mom and she down played it, as usual. She is resting 鍖ne. The drugs seem to be making her feelI talked to Mom and she down played it, as usual. She is resting 鍖ne. The drugs seem to be making her feel better and her ankle swelling has gone down. Ibetter and her ankle swelling has gone down. Ill be staying with her for the next couple of days to make surell be staying with her for the next couple of days to make sure she is stable.she is stable. Who is coming out next to see her??Who is coming out next to see her??
  • 15. May 2009 Con鍖dentialBLAH BLAH BLAH 15 May 2009 Confidential Concept Overview View of Family HubView of Family Hub The Hub - Doctor Update on Wednesday- Doctor Update on Wednesday -- Family phone conference Thursday 6PM MSTFamily phone conference Thursday 6PM MST Patient, Mom in BoulderPatient, Mom in Boulder ≒ Event: Hip ReplacementEvent: Hip Replacement Son, Paul, in MiamiSon, Paul, in Miami ≒ Tasks:Tasks: -- Call on SundayCall on Sunday -- Research walking shoesResearch walking shoes -- Look intoLook into Family CruiseFamily Cruise in Januaryin January Daughter, Janice in L.A.Daughter, Janice in L.A. ≒ Tasks:Tasks: -- Call on FridayCall on Friday -- Follow up onFollow up on Medicare ClaimsMedicare Claims -- Research AcupunctureResearch Acupuncture Son, Dan, in NYCSon, Dan, in NYC ≒ Tasks:Tasks: -- Call ThursdayCall Thursday -- Find articles on HipFind articles on Hip Replacement RecoveryReplacement Recovery -- Order CaneOrder Cane Sister, Liz, in ChicagoSister, Liz, in Chicago ≒ Tasks:Tasks: -- Call on WednesdayCall on Wednesday -- Send 鍖owers from familySend 鍖owers from family Key ContactKey Contact Son, Tom, in DenverSon, Tom, in Denver ≒ Tasks:Tasks: - Arrange Rehab facility- Arrange Rehab facility -- Follow up on In-home nurse/caregiver visitsFollow up on In-home nurse/caregiver visits -- Arrange meal delivery serviceArrange meal delivery service
  • 16. May 2009 Con鍖dentialBLAH BLAH BLAH 16 May 2009 Confidential Concept Overview Family Medical Hub: Initial Feature SetFamily Medical Hub: Initial Feature Set - Immediate text and e-mail updates to all family hub members when new information arrives - Phone-in chat rooms for families at a distance to discuss health emergencies - Links to Wiki content to provide further information on a diagnosis and medication - Social networking tools to help families connect to others who have dealt with their situation - Voice recognition tool that can transcribe the doctors/nurses voice message to text - Physician visit preparation, notes and questions - iPhone App to allow patient to record and send doctor visits to their family hub - Care Planner engine (premium feature) helps family members determine the tasks required to provide proper care of the patient, including medical, financial, insurance and advocacy group connection -Ask an Expert (premium feature) provides family members an opportunity to chat with an expert on family support for their specific patient condition - Links to insurance companies for claims information and questions on Medicare - Links to extended care options and local services - Links to financial planning resources for wills and estates
  • 17. May 2009 Con鍖dentialBLAH BLAH BLAH 17 May 2009 Confidential What did the Doctor Say?What did the Doctor Say?≒ VALUEVALUE Concept Overview Family VALUE Improved sense of order and control Sense of teamwork and connection Ability to sustain support over time Reduced worry Reduced costs Patient VALUE Release from being the primary source of info Release from always having to ask for help Con鍖dence family stands behind them Ability to maintain independence Improved quality of care/life Healthcare Providers VALUE One-stop connection to family eliminates phone tag; saves time Reduced risk of patient misunderstanding diagnosis Better care coordination between patient visits Ef鍖cient way to deliver better customer service
  • 18. May 2009 Con鍖dentialBLAH BLAH BLAH 18 May 2009 Confidential Concept Overview The original social networkThe original social network A powerful newspaper publisher once beseeched Mark Zuckerberg, the founder of Facebook for advice on how he could build his own on-line community. The famously laconic Zuckerberg replied, "You can't." Zuckerberg went on to explain that communities already exist--you can't artificially create them. The task is to provide them with "elegant organization" to do better what they already want to do. Families are our first social network; it is deep in our nature to support a family member in need. We help families perform this vital function by giving them the tools, information and elegant organization to do better what they already want to do.
  • 19. May 2009 Con鍖dentialBLAH BLAH BLAH 19 May 2009 Confidential Concept Overview I. Launch What did the Doctor Say? service and family hub - Beta test live in August 2009 - Full version site launched in 鍖rst quarter 2010 - Economic model centered around caregiver reports II. Add monitoring applications to help the family stay connected to the patient and each other - Interactive medication management - Monitoring (location/movement and vital signs) - Fall monitoring and prevention - Chronic disease management III. Expand role of Family Advocate - Premium services to help the family develop and implement patient care plans Strategic Plan
  • 20. May 2009 Con鍖dentialBLAH BLAH BLAH 20 May 2009 Confidential Concept Overview Where we are nowWhere we are now I. Beta site live in August 2009 - Private family hub - Doctor/HCP/Family posting log - Simple calendar and task lists - Basic account functionality II. Begin private beta test in August - twenty families - learn how families decide to join, how they use the hub and what services they need - get insight on pricing plans and the viral potential of the business - understand how to best work with care providers to get patient information
  • 21. May 2009 Con鍖dentialBLAH BLAH BLAH 21 May 2009 Confidential Why Now? Converging TrendsWhy Now? Converging Trends Concept Overview Med IT Advances in: -- monitoring devices -- remote sensing -- social networks -- smart phone -- shared data (PHR) Healthcare environment -- cost containment pressure -- quality concerns -- consumerism; Health 2.0 -- less third-party reimbursement -- increasing patient involvement Our Sweet Spot Population Demographics -- aging population -- digitally aware and empowered -- chronic conditions -- family caregivers
  • 22. May 2009 Con鍖dentialBLAH BLAH BLAH 22 May 2009 Confidential The convergence of the empowered patient with the free flow of accurate, timely and relevant medical data is inevitable. What interests us about this brave new world is how this free flow of information and connectivity can be used to improve the caring side of health care: The patients sense that they are supported by a unified web of peopleboth professionals and family members-- acting toward their well being. We believe this type of coordinated, active family involvement is the best way to meet the challenge of improving quality of care while lowering costs. Thats a future we want to create. To get there we will focus on strengthening the connective tissue between doctors, patients and families-- the three legs of the health care stool. Well help families and patients make meaning out of all the information theyre getting, and well facilitate the conversations that need to happen so that real human care can occur. By doing these things we will create a thriving business and a way for families to thrive while coping with the health and aging challenges we all must face. Concept Overview Toward the futureToward the future
  • 23. May 2009 Con鍖dentialBLAH BLAH BLAH 23 May 2009 Confidential Who we areWho we are Concept Overview What did the Doctor Say? is a project of Patients + Families LLC, based in Boulder, Colorado. We are a veteran team that combines deep knowledge of health care with entrepreneurship and branding. More importantly, we have each been through the experience of supporting a parent in decline from afar. We are the consumer we wish to serve. Brian Lanahan is an expert at connecting brands to people, having worked on more than sixty consumer products in his twenty-year career.Brian began his marketing career at the Coca-Cola Company, where he spent eight years in brand management, strategic planning and new product development. He then served as Managing Director and co-founder of Character LLC, a Portland Oregon based consultancy that develops story frameworks for brands in consumer products, media and retail. Brian has a BA in History from Duke University and an MBA in Marketing and Human Resources from Northwesterns Kellogg Graduate School of Management. Phil Siegert is an accomplished interactive strategist. Hes worked at larger advertising agencies such as Leo Burnett, was a founding partner of The Royal Order of Experience Design, a cross media boutique, and is a partner in Twiss, a consultancy focused on shaping how brands transact directly with consumers across multiple channels.Phils talent is understanding customer expectations, envisioning the ideal user experience and applying his knowledge of the growing variety of media and technologies to bring complex transactional concepts to life. He has developed solutions ranging from multiplayer online games to ecommerce platforms for numerous well-known brands such as Patagonia, Kohler, Naturopathica, Seventh Generation, Burton Snowboards, Revolution Living, and Kiehls since 1891. He possesses an MFA (Painting) and BFA from the School of the Art Institute of Chicago in addition to a BA in Art and Architectural History from the University of Illinois at Chicago.
  • 24. May 2009 Con鍖dentialBLAH BLAH BLAH 24 May 2009 Confidential Who we are, continuedWho we are, continued Concept Overview Marc Silverman is a seasoned corporate executive with over twenty-five years experience in the healthcare industry. He has conceived, developed and successfully brought to market a variety of medical devices and medical information technologies. His business experience includes large and small companies and startup endeavors, including Bayer/Cutter Laboratories, Hexcel, Technicon, Baron Medical Systems, Performance Factors, and Performance Health. He is a successful entrepreneur (two exits, incl. IPO), angel investor, and advisor. He currently serves on the boards of the Deming Center for Entrepreneurship at the University of Colorado at Boulder, and the advisory board of the Metropolitan State College of Denver Center for Innovation. Mr. Silverman is an engineering graduate of the University of California, Los Angeles, The San Francisco Art Institute, and the Stanford University Executive Program. Gina Simmering is a highly motivated health and wellness professional with over twenty four years of experience in the fields of nursing, fitness, nutrition and self and family care. She has founded and published a successful wellness magazine and advised numerous organizations on health advocacy, including Stanford University Hospital and Hospice of Boulder and Broomfield Counties. Gina holds a Bachelors of Science from West Chester University in Corporate Wellness as well of a Bachelors of Science from the University of San Francisco in Nursing. Gordon Van Dusen has over twenty years of experience in business development, marketing, product management and strategic planning in the healthcare industry. His business experiences encompass large and small, earlier staged healthcare companies including Baxter Healthcare, Myogen, Somatogen, Hiberna and RxKinetics. Gordon has been on the founding management team of four healthcare startups, most recently as a founder and CEO of Hiberna Corporation and Vice President of Business Development for Myogen, Inc. He currently serves on the advisory board for Fitzsimons BioBusiness Partners, Inc and has been an angel investor, advisor and consultant to several startup businesses. Mr. Van Dusen holds a B.S.E. in Biomedical Engineering from Duke University, an M.S. in Bioengineering from the University of Michigan and an MBA in Finance and Marketing from the Kellogg Graduate School of Management.