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stitch.md

stitch.md. Turn Flowcharts into Apps. Overview. stitch.md Problem 1: Safety Problem 2: Quality Problem 3: Quantity Secret Sauce. stitch.md.

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stitch.md

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  1. stitch.md Turn Flowcharts into Apps

  2. Overview • stitch.md • Problem 1: Safety • Problem 2: Quality • Problem 3: Quantity • Secret Sauce

  3. stitch.md • We help untrained health workersACCURATELY IMPLEMENT practice guidelines by simplifying the navigation of complex guidelines into single Q&A screens.

  4. Why tackle this problem? Because it affects the safety, quality, and quantity of healthcare

  5. People hate being sick • Health worker jobs • Assess patients • Formulate diagnoses • Create management plans • Take Action • Limitations • Technology • (Tele)Communication • Time • Training

  6. Problem 1: Safety First, do no harm

  7. Australian

  8. Swiss Cheese Model

  9. Horsham

  10. Solution 1: Clinical Pathways

  11. “We don’t have the ability or money.” stitch.md brings checklists and clinical pathways to mobile, affordably

  12. Examples of stitch.md Use • Acute STEMI • Acute ischaemic stroke • Pre-operative screening • Post-operative management

  13. Problem 2: Quality (and cost-effectiveness)

  14. Australia’s healthcare is great! We need to make it more cost-effective.

  15. Solution 2: Task Shifting

  16. Nurse Practitioners Conditions managed by MinuteClinic

  17. WITH STITCH.MD DR DR NURSE NURSE NURSE NURSE NURSE NURSE NURSE NURSE NURSE INTERNET NURSE NURSE NURSE

  18. Examples of stitch.md Use • ED triage • Outpatient clinics • GP rooms • Nurse practitioner clinics • Allied health • Physiotherapy • Occupational therapy • Dietician • Mental health services

  19. Problem 3: Quantity

  20. DR DR DR DR NURSE NURSE INTERNET INTERNET STITCH.MD INTERNET PT NURSE PT PT PT PT PT

  21. Capturing ideas How doctors think about problems

  22. Enabling Technologies Mobile Devices Sensor proliferation Standardized platforms • iPhone • Android • Pebble • Google Glass • iWatch • Etc… Plugins or standalones • HR • Pulse oximetry • BP monitoring • BSL checks • Point-of-care labs • Etc… Quantified Self Cloud Computing

  23. Solution 3: Automation • Traditional Model • Sessional assessments • Interval assessments • Limited feedback • Patient Passivity • Future Model • Continuous assessments • Risk based assessments • Rich analytics • Patient Engagement ULTIMATELY

  24. Examples of stitch.md Use • Management of chronic conditions • Diabetes • Hypertension • Congestive cardiac failure • Disease Prevention • Fitness • Diet

  25. Secret Sauce

  26. Disruption = Trend of convenience = elimination of limitations • stitch.md uses technology to eliminate the • Limitation of time • Limitation of training • Limitation of (tele)communication

  27. Medicine is about people

  28. stitch.mdEMPOWERS people by DECOUPLING Knowledge from Practice

  29. stitch.md Turn Flowcharts into Apps

  30. Questions? info@stitch.md

  31. References • http://www.npr.org/blogs/health/2013/09/20/224507654/how-many-die-from-medical-mistakes-in-u-s-hospitals • http://www.abc.net.au/worldtoday/content/2013/s3778256.htm • http://www.oecd.org/els/health-systems/Health-at-a-Glance-2013.pdf • http://grattan.edu.au/publications/reports/post/budget-pressures-on-australian-governments/ • https://www.mja.com.au/journal/2004/181/8/using-checklists-and-reminders-clinical-pathways-improve-hospital-inpatient-care • http://healthcare311.com/news/?p=2321 • http://blog.healthecareers.com/blog/medical-careers/report-finds-hiring-nurse-practitioners-and-physician-assistants-a-smart-decision

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