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Complex Health Management Needs a Highly Coordinated Team, Supported by Sophisticated Technology

Senscio Systems™ is providing comprehensive health management support for the population with the most complex chronic conditions.

Our patented Ibis digital therapeutics solution powers proactive, precise and personalized care for the chronically ill, augmenting primary care and easing the challenges of living at home with complex conditions, resulting in better health outcomes, improved support for doctors, and reduced population health costs.

We Knit Together Proactive, Personalized and Cost Effective Health Management

Through a powerful combination of sensors in the home of our members, data that is constantly interpreted by Artificial Intelligence (AI), and dedicated coaches who are alerted by the AI to take action, we are changing how complex health is managed. Our platform is optimized for “quadruple AIM” success:

Improved Population Health
Better Member Satisfaction and Health Outcomes
Reduced Unnecessary Healthcare Spending
More Effective Use of Clinical Resources and Physicians

We achieve these goals and meet the changing needs of people with complex health by:

Giving members the tools to follow the prescribed therapy with proper self-management, to avoid confusion and helplessness
Detecting and communicating adverse changes in health early enough for proactive interventions
Providing timely data and insights to ensure physicians can prescribe the right therapy

Our success is evidenced by better health, more confident self-management and lower utilization of acute of care for those whose health we help manage.

What is Unique About Ibis™ Digital Therapeutics Solution?

The most important element of healthcare in the new era of accountable care is reduced risk. Our proactive, person-centered, complex chronic conditions management program was created to reduce risk for doctors, payers, and providers by synergistically leveraging powerful technology and intelligent care coordination. We reduce healthcare risks by increasing the likelihood of patients' compliance with care plan and health protocols, automatically identifying exacerbations and proactively addressing them 3-5 days before they become critical.

Beginning with a foundation data gained from telemonitoring, the Ibis solution delivers a continuum of supportive actions including self-management support and personalized early intervention coordination to respond most effectively and immediately to any symptom exacerbations, and optimizes individual care. The AI platform recognizes when health or self-management for an individual deteriorates to the point when intervention becomes necessary and notifies a dedicated coach who coordinates a timely and informed intervention by the appropriate clinician. The rapid response results in most health issues being addressed in home instead of hospitals. By aggregating the gaps in care learned from each individual, the AI platform also recognizes gaps in care at the population level and prompts for timely risk mitigation.

Ibis is easy to implement and provides a complete solution to improve complex chronic care and reduce cost for these members from end-to-end: home to clinic. In home, it assists habituation of members’ self-management, for clinicians it provides a full assessment of symptoms and history, and in-between it offers AI enabled just-in-time protocols in reaction to health exacerbations.

Artificially Intelligent Platform

Key to our success is Ibis, our comprehensive, artificially intelligent platform for population health management. Ibis applies artificial intelligence to a wide variety of health and behavioral data collected from the home, to identify and respond to medical exacerbations 3-7 days before the potential need for hospital visits. Ibis empowers the patient to optimally self-manage and enables their care team to deliver “just in time” intervention to maintain health, lifestyle, and mitigate hospital stays, typically saving $5000/year/patient.

Why AI? The key to proactive care is recognizing and providing care precisely when it is needed. That requires constantly observing the situation at home, recognizing when health or self-care behaviors start deteriorating and responding accordingly. That requires learning baseline health and behavioral patterns and observing departures from it. It also requires applying logic to classify a situation as safe or unsafe. Recognizing patterns, applying logic, and responding appropriately are innately human talents ... but to apply them consistently and constantly for every person with complex health is beyond human capacity .... and thus the need for artificial intelligence. Constant surveillance and timely prompting of actions is only possible if data is collected and processed through software that can interpret the data, draw inferences from it and communicate the inferences.

Right Touch at the Right Time by Extended Care Team

Ibis is redefining the future of complex population health management by creating a technology powered human network that leverages each person in the network to his or her optimal potential.

The member is empowered and enabled for optimal self-management, doing everything possible at the right time in the right way
The family member and other informal caregivers knows about the member’s quality of health and life and is able to support the member with precise knowledge
The professional care team, PCPs, specialists, and social workers alike, knows when and why the member requires their intervention, and is notified to respond accordingly.

The artificial intelligence engages each person in the care team at the right time: the member is engaged throughout the day, the coach is engaged when health of self-care deteriorates, the physician is engaged when does not recover through self-management. Perfecting this, is the optimal goal of complex chronic care.

Proven Results

By improving self-management and proactive interventions, Ibis significantly impacts healthcare quality and cost. Impact is defined by key metrics: average compliance with care plan, % of health exacerbations treated in outpatient settings, reduction in ER and hospital use. Our population health program managers track success to ensure providers meet these goals.

On average, our clients perform 85% all self-management tasks: medications, symptoms monitoring, exercise, diet and clinical follow-up. The norm for medication adherence is 50%.
Members have 20% fewer hospitalization per year; 70% for our COPD clients
The Ibis care model delivers $5000 average cost savings per patient per year
All members feel more in command of their health and more connected to their clinical care team, leading to a positive outlook for life