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Pitch

SMARTSTEPS-Technology platform combined with a unique screening approach modelled to get chronic disease risk score for less than a dollar.

Description

Summary

In low-income countries, majority of the population live in rural areas. Rural population and urban poor work in unorganized sectors and thus have no medical insurance coverage. They visit clinicians only when they are severely sick. Lack of education, accessibility, cost of visits and  tests prevent them to get proper care.Undetected chronic diseases cause sudden deaths and emergency visits. Governments struggle to provide prevention services due to lack of enough facilities and trained staff. 

 Health camps organized by the non-profit organizations cover only a miniscule percentage of the population.

 As part of the smartsteps project, We propose  a three phase project.  All three phases will have below three steps.

Step 1: Capture the Vitals and other health data in mass scale

This is done by capturing the data when people are on the move in their natural surroundings.

In countries like India, people including rural poor and urban poor go to major temples/places of worship at least once a year. Many of them climb hundreds of stairs (called steps in India). Vital capturing cameras, Wireless sensors and minimally contact sensors will be placed near the first step and also at predetermined distances during the climb.

In urban settings, walking tracks can be used in similar way – Sensors and cameras will be placed at the beginning and also at predetermined distances from the start.

B. Calculate Risk Score by predictive analytics:

A technology platform will collect the vitals and other data captured from wireless sensors and smart cameras while people on the move. The platform calculates the risk score for each participant.

C. Tracking and refining the model:

Based on the the risk scores, Governments through public-private partnerships can use resources effectively to test,diagnose and treat  participants who are in top ten percentile of the risk scores. The model for the risk scores will be refined from the data collected during the patient visits.

What are the key outcomes and impact of your solution?

The project will be done in three phases

Phase 1: Pilot project ( 12 months)

Phase 2: Year 1 after the pilot is completed.

Phase 3: Years 2 to 5 after the pilot project-

Projected Key Metrics-

1. Number of people participate in prescreening  per year- Average 50,000/site.

2. Total number of participants per year - 

Phase 1-Pilot participation (12 months) - 10,000

Phase 2- Year 1 after the pilot- Intended participants 200,000.

Phase 3- Years 2 to 5 after the pilot is completed

                Year 2: 1 million participants

                 Year 3: 2 million participants

                 Year 4: 5 million participants

                 Year 5: 15 million participants

3.Number of high risk participants to be tracked and tested: 10%

4.Number of lives potentially saved: To be determined.

5. Cost of prescreening per participant: $1.00

      When participation reaches 1 million, the cost of prescreening is estimated to reach one dollar per participant.

Though the project will be implemented initially in couple of states in India, based on the success, it can be scaled up to reach and impact hundreds of millions of people across the world.

What actions do you propose to realize your stated goals?

Challenges-The project requires significant collaboration among solve community. It also needs significant financial resources. If successful, the impact is very high as it facilitates screening of underserved population at a low cost.

Some of the state government administrations in developing counties are getting proactive and open to the population health solutions. Nonprofit foundations like Bill and Mlinda Gates foundation are also targeting and funding population health causes.

The solution is intended to use outdoors where mass participation is possible. It can be used any days except rain or severe weather conditions.

Step 1: Capture the Vitals and other health data in mass scale

This is done by capturing the data when people are on the move in their natural surroundings.

In countries like India, people including rural poor and urban poor go to major temples/places of worship at least once a year. Many of them climb hundreds of stairs (called steps in India). Vital capturing cameras, Wireless sensors and minimally contact sensors will be placed near the first step and also at predetermined distances during the climb.

In urban settings, walking tracks can be used in similar way – Sensors and cameras will be placed at the beginning and also at predetermined distances from the start.

Limited contact sensors,wireless sensors and vital sense cameras are already available. Using a combination of the above and rapidly capturing the data while the participant is static and on the move will make the mass screening possible.

Step 2. Calculate Risk Score by predictive analytics:

A technology platform will collect the vitals and other data captured from wireless sensors and smart cameras while people on the move. The platform calculates the risk score for each participant.

Step 3:. Tracking and refining the model:

Based on the the risk scores, Governments through public-private partnerships can use resources effectively to test,diagnose and treat  participants who are in top ten percentile of the risk scores. The model for the risk scores will be refined from the data collected during the patient visits.

 

Who will take these actions?

The technology prototype will be developed using existing wireless sensors and Philips vital sensor cameras.

The solve community collaboration is very much needed to build the prototype. The technology is available in pieces. What is needed is collaboration and mentorship to tie the pieces together.

Once the collaborative team is formed , the team members can register a non-profit organization which will interact with various government and aid agencies to kick start the  screening pilot.

We established informal relationship with couple of state governments in India and they seem to be proactive to help in piloting the screening part once the technology prototype is ready.

Target geography

The solution can be implemented in most of the developing countries.

The pilot plan will be implemented in the states of Telangana and Andhra Pradesh in India . It will be expanded in rest of the India in the next phases.

After the successful outcomes from the pilot project and Phase 2, organizations in other developing countries can use the solution as the technology is easily scalable.

What do you expect are the costs associated with piloting and implementing the solution, and what is your business model?

The solution will be developed under the non-profit model. We expect governments,aid agencies and non-profit foundations will help in financing the project after getting successful outcomes from the pilot project.

Phase 1- Pilot Phase ( 1year):

Part 1 of the pilot (six months) : Prototype of the technology platform

Cost : 100,000 dollars

Part 2 of the pilot (six months) : Prescreening 10000 patients and Risk score modeling. Testing for top 10 percentile of at-risk patients

Cost: 200,000 dollars

Total Pilot cost - 300,000 dollars

Phase 2-  year 1 after the pilot

Estimated cost- 1 million dollars

Phase 3- ( Year 2 to Year 5 after the pilot)

1 dollar per participant per screening. Example: Year 3 has a target population of 2 million screenings and thus estimated to cost 2 million dollars.

.                Year 2: 1 million dollars

                 Year 3: 2 million dollars

                 Year 4: 5 million dollars

                 Year 5: 15 million dollars

 

Timeline

Phase 1- Pilot Phase ( 1year):

Part 1 of the pilot (six months) : Prototype of the technology platform

The prototype of the technology platform will be built to act as a container to receive the data captured by the devices. Most of the devices will be  off-the-shelf wireless sensors and smart cameras.

Part 2 of the pilot (six months) : Prescreening 10000 patients and Risk score modeling. Testing for top 10 percentile of at-risk patients

Cost: 200,000 dollars

Total Pilot cost - 300,000 dollars

Phase 2-  Year 1 after the pilot

Limited implementation after Refining and tweaking the project model based on the outcomes of the pilot.

Phase 3- ( Year 2 to Year 5 after the pilot)

Wider implementation based on the success of Phase 2 and promoting the benefits of the project.

 

Related solutions

References

1. Stair climbing speed and related outcomes

http://www.reuters.com/article/us-health-surgerycomplications-stair-cli-idUSKCN0VY2VE

2. Machine Learning and AI in health Care

http://www.forbes.com/sites/bernardmarr/2016/09/23/how-machine-learning-big-data-and-ai-are-changing-healthcare-forever/#74cd1fd04f49

3.walking monitor


https://www.ncbi.nlm.nih.gov/pubmed/25935052

4. Vital signs camera


http://www.ip.philips.com/licensing/program/115

 

 

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Solution Summary
SMART STEPS - Prescreening chronic diseases in mass scale at low cost
Team Solution: Only members listed on the Solution's Contributors tab will be able to edit this Solution. Members can request to join the Solution team on the Contributors tab. The Solution owner can open this Solution for anyone to edit using the Admin tab.  
By:  SMARTSTEPS
Challenge: Cure: Chronic Diseases
How can we help people prevent, detect and manage chronic diseases, especially in resources-limited settings?