Novartis CardioEngagement Challenge

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1 CHANGING MINDSETS WITH HANDSETS Novartis CardioEngagement Challenge The Sensei Team Robert Schwarzberg, MD founder & CEO Sensei, Inc Renée Melton, MS, RD, LD VP Wellness & Health Promotion, Sensei, Inc Timothy Dion CIO, Sensei, Inc NOVEMBER 2011

2 SENSEI S APPROACH Individuals hold the key to transforming healthcare and its costs. So how do you impact the behaviors of millions of health care consumers? One choice at a time! Connect, Engage, Empower Personalized, information and guidance anywhere, anytime Proprietary & Confidential Sensei, Inc 2011

3 mhealth VALUE PROPOSITION MOBILE PHONE AS VIRTUAL COACH AND EDUCATOR Connectivity Reach a mass audience while addressing the needs of the individual Cost effective delivery in any setting Promote healthier choices as a seamless part of the day one choice at a time, increase availability and capability of healthcare delivery and self-management Expand access democratize access to personalized health anywhere, anytimeincluding all demographic groups regardless of geography, socio-economic status, location, race, age, gender, disability, or health literacy Improve outcomes with personalized information and guidance, enhanced monitoring, real time feedback, incentives and rewards Proprietary & Confidential Sensei, Inc 2011

4 SENSEI S PROGRAM KEY FEATURES A holistic approach integrating modules for healthy eating, fitness/steps, weight management, hypertension, hyperlipidemia and diabetes Education and self management through personalized, interactive, timely information and guidance Automated alerts (opens application) promote participation and action Tracking and real time feedback of biometric data wireless devices or self reported (blood pressure, steps, weight, glucose) Medication adherence module complete med adherence solution Social media encouraging sharing and participation Link to third party content & social APIs Innovative rewards & incentive program reports

5 SENSEI S APPROACH & KEY FEATURES ARCHITECTURE Native Application available on >90% all mobile phones (smart & feature) and tablets Scalable Open architecture for ease of integration with other systems HIE, EHR Cloud based solutions efficient development, updates, customization, branding, look and feel Secure HIPPA compliant Data sets & tools: jboss RedHat MySQL Alfresco Pentaho Web Services Sensei Connect Sensei Apps JME BREW iphone Android Blackberry API s Web Backend Applications SMS MMS Alerts Push

6 SENSEI S APPROACH TO LIFESTYLE CHANGE CHANGING MINDSETS WITH HANDSETS Positive Reinforcement Consumers receive rewards for targeted behaviors achieving goals. Guided persuasion Registration identifies the need and defines a path. Persuasion through simplifying System reduces complex behavior change into simple tasks, making the goal behavior easier. Persuasion through observation Technology monitors behavior. Monitoring improves compliance. Persuasion through customization System delivers only highly relevant information. Tailored information is more effective in changing behavior. Self tracking PC, mobile phone and intelligent devices make it easier to track behavior. Consumers get real time feed back on actual results vs. goals. Intervening at the right time Suggested behavior is introduced at the precise time consumers are most accepting. Source: Persuasive Technology B.J. Fogg

7 SENSEI PREVENTION & WELLNESS A NEW APPROACH TO POPULATION HEALTH MANAGEMENT Comprehensive, engaging and interactive program encompasses education, reminders, tracking, and feedback Modular and needs based Modules Include: Healthy Nutrition Fitness Weight Loss High Blood Pressure High Cholesterol Diabetes/Pre diabetes Medication Adherence Dashboard: Daily Tracking Agenda: Daily To Do Knowledge: To Eat, To Know, To Ask

8 SENSEI PREVENTION & WELLNESS RISK ASSESSMENT & PROFILING Enrollment assesses disease risk and status Activates disease modules Proprietary & Confidential Sensei, Inc 2011

9 SENSEI PREVENTION & WELLNESS TRACKING & FEEDBACK Tracking dashboard Immediate feedback & advice Graphical tracking Integrated wireless devices automatically send data to the application (blood pressure, glucometer, scale and pedometer) or values can be self reported Automated alerts and reminders prompt action Real-time feedback, critical for self management Proprietary & Confidential Sensei, Inc 2011

10 SENSEI PREVENTION & WELLNESS EDUCATION & SELF MANAGEMENT Daily education Interactive with feedback Self-management Reference content (configurable) Sensei Moment is a programmed learning approach to education of key elements of health and wellness while the agenda is part of an automated alert and reminder system Proprietary & Confidential Sensei, Inc 2011

11 SENSEI PREVENTION & WELLNESS HEALTHY NUTRITION EDUCATION (CORE FEATURE) Sensei Moment - Interactive daily education session Teaches healthy nutrition, tests knowledge, provides feedback A programmed learning approach to education Weekly challenge Challenge check in Challenge feedback Track Response

12 SENSEI PREVENTION & WELLNESS DAILY SCHEDULE / AGENDA (CORE FEATURE) Daily schedule and agenda at the user s fingertips Includes: Task reminders & alerts Times are configurable Application opens zero click by phone as a reminder and to encourage participation i.e. It s 4pm, time to check your blood pressure. Medication reminders Reminders and information fact and fiction about patients medication need i.e. Don t forget to take your baby aspirin today. Meals and snacks Custom planned 3 meals and a snack Request a change anywhere anytime Weekly shopping list

13 SENSEI PREVENTION & WELLNESS FITNESS (CORE FEATURE) Activity tracker promoting increased fitness, weight management and disease risk reduction Based on clinical findings Daily step tracker Progression to 10,000 daily Education and encouragement Tracking & graphing Flexible view Graph can be ed

14 SENSEI PREVENTION & WELLNESS WEIGHT MANAGEMENT (CORE FEATURE) A holistic approach to weight control, a virtual dietitian developed by physicians, dietitians & behavioral psychologists Custom meal planning by virtual dietitian based on personal preferences and needs Diet plans: Mediterranean, Balanced or Healthy Carb Weight tracking/graphing Automated meal reminders

15 SENSEI PREVENTION & WELLNESS MODULAR APPROACH TO DISEASE MANAGEMENT Hypertension, Hyperlipidemia and Diabetes modules Education and self management Immediate evaluation and feedback of entered data Tracking & graphing Simple to read color coded red, yellow, green data fields and graphs Graphs can be ed

16 ADDITIONAL FEATURES: SOCIAL API S / 3 RD PARTY DATA FEEDS Integration with major social networks Facebook Twitter Integration with popular forum and community boards RSS feed integration 3rd party data feed integration Listening Participation Connections Conversations Community

17 ADDITIONAL FEATURES: MEDICATION ADHERENCE MODULE Medication List Current, Today and History Automated Medication Reminders with consumer friendly information re: fact and fiction Automated Refill Reminders Formulary Optimization- point & time of service decision support for consumers and their physicians Pharmacy Locator Diovan 6 PM Diovan 80 mg tablet Take 1 tablet with dinner Swallow this medication whole. Do not split, chew or crush tablets.

18 ADDITIONAL FEATURES: SENSEI REWARDS AND INCENTIVES Reward & Incentives for Health & Wellness is a recognized tool for success in enrollment and participation Challenges with existing rewards programs: Employers are burdened with cost of program Complex reward system Delayed gratification Sensei s Approach Provide timely contextual incentives and rewards encouraging positive consumer behavior and engagement. Immediate gratification through advertiser sponsored coupons. Target promotions based on personalized goals, interests and GPS location. Proprietary & Confidential Sensei, Inc 2011

19 ADDITIONAL FEATURES: SENSEI REWARDS AND INCENTIVES ENGAGE, ENCOURAGE, ENJOY Leverage the frenzy around local and national mobile coupons and promotions by targeting Health and Wellness Goals. Save $10 on your next prescription Sensei s Integrated Contextual Ad Server delivers coupons and promotions directly to participant at each stage of the program. Set, Plan and Manage Goals Receive Coupons and Promotions to help reach goals Rewards (from paying advertisers) for reaching goals Proprietary & Confidential Sensei, Inc 2011

20 COMPREHENSIVE REPORTING INDIVIDUALLY AND AGGREGATED Enrollment Demographics Biometric data Progress Participation Enrollment by BMI Message responses Message sent/received Enrollment by Gender 13% 24% 10% 12% 41% Normal Weight Overweight Obese Class 1 Obese Class 2 Morbidly Obese 15% 85% Male

21 SENSEI CONNECT CLOUD BASED mhealth ENTERPISE APPLICATION PLATFORM Physicians Office USER INTERFACE Wireless or Self Reported PATIENT DATA INPUT Multi-Protocol Device and Application Support Sensei mhealth Platform Content HIPAA Compliant Data Storage Business Rules Engine Communication Engine CUSTOM MESSAGING / REPORTING/ ALERTS Home Health Nurses Hospitals Data Analytics Engine Alerts Engine PATIENT DATA EXCHANGE Health Information Exchange (HIE) Proprietary & Confidential Sensei, Inc 2011 Payors Disease / Case Managers

22 Core Infrastructure and Service Components Common application Components SENSEI CONNECT mhealth FRAMEWORK / CAPABILITIES / COMPONENTS A comprehensive mhealth Platform includes two sets of highly inter-related capabilities: Flexible platform components to support mhealth application solutions Behavioral Change Algorithms and Workflow Relevant, Context-sensitive Prompts and Messages Dynamic Content Personalization Algorithms Rewards & Incentives Engine Write-once, Deploy-everywhere Mobile Client Strategy Mobile Web Services, Gateway and Interface Subscriber Content Campaign Device Connectivity Service Security Customer Account Trouble Tickets Contact Rating & Mediation Billing Reports & Analytics Content Ingestion Content Services Content Delivery SMS MMS Alerts Rules Handset Machine-2- machine Location and Presence Service Provisioning Service Metering Service Monitoring Service Throttling Service Assurance Authorization Authentication Security Services 22

23 ENTERPRISE SECURITY HTTPS 128 Bit Encryption Role Based Includes unique user name and password No stored data on handsets Industry standard application time out and access rules Healthcare specific HL7 Compliant HIPPA Compliant 23

24 DEPLOY AND OPERATE 1 Complete 2 Customize 3 Announce / Implementation Employee Launch Program Checklist Communications 4 Ongoing 5 Optional 6 Wrap-up / Program Data / Plan Aggregate Report Integration

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