stitch.md Turn Flowcharts into Apps

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

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

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

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

Problem 1: Safety First, do no harm

Australian

Swiss Cheese Model

Horsham

Solution 1: Clinical Pathways

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

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

Safety of Care Well thought out Standardized Optimized Reduce error Reduce variability Reduce wasted resources

Problem 2: Quality (and cost-effectiveness)

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

Solution 2: Task Shifting

Nurse Practitioners Common IllnessesSkin ConditionsVaccines AllergiesAthlete’s footDTP (diptheria, tetanus, pertussis) Bladder infections (females) Cold soresFlu (seasonal) BronchitisDeer tick bitesHepatitis A (adult) Ear infectionsImpetigoHepatitis A (child) Pink eye and styesMinor burnsHepatitis B (adult) Sinus infectionsMinor skin infections & rashes Hepatitis B (child) Strep throatMinor sunburnMeningitis Swimmer’s earPoison ivyMMR Flu diagnosisRingwormPneumonia (Oct – Dec) MononucleosisWart removalPolio (IPV) Pregnancy testingTD (tetanus, diphtheria) Conditions managed by MinuteClinic

INTERNET NURSE DR WITH STITCH.MD

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

Quality of Care Better – Leveraged expertise – Information dissemination Enables – Safe task shifting – Push mechanism for delivering evidence- based best practice

Problem 3: Quantity

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

Capturing ideas How doctors think about problems

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

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

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

Secret Sauce

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

Medicine is about people

stitch.md EMPOWERS people by DECOUPLING Knowledge from Practice

stitch.md Turn Flowcharts into Apps

Questions?

References from-medical-mistakes-in-u-s-hospitals australian-governments/ reminders-clinical-pathways-improve-hospital-inpatient-care nurse-practitioners-and-physician-assistants-a-smart-decision