Ibis™

Ibis is a comprehensive solution for at-home self-management of persons living with complex chronic conditions.  Ibis combines communications technology and artificial intelligence, coupled with integrated health management services, enabling users to self-manage their health and providers to proactively intervene.  Pursuant to care plans prescribed by their physicians, Ibis notifies the care team to consider interventions based on patient self-assessment data and generates unprecedented actionable insights for the care team about the health of the most costly patients.​

Engagement and Communications Technology
The Ibis solution starts with its proprietary patient engagement and care team communication technology. Ibis’s patient engagement technology fully supports patient to adhere to their care plans, continuously reports on their compliance, and provides actionable information on their health condition.  The Ibis communication technology also provides a constant flow of patient and population level data to the Senscio care management and analytics team.  
​
​The elements of the technology that drive unprecedented levels of patient engagement and care plan adherence are:
  • A user interface designed for ease of use by non-technologically sophisticated and frail patients
  • Continuous communication methods to alert patients to needed tasks, provide educational materials, and link them to the Senscio care team.
  • A care team portal that provides continuous information and insights about each patient’s health condition, care plan adherence, and health incidents, as well as performance at the population level.

AI

The AI in Ibis accomplishes three key functions:
  • First, it "instructs" the patient to perform all health self-management tasks at the right time and in the right way as prescribed.
  • Second, it recognizes deviations from baseline parameters established by the patient's physician based on self-assessment data entered by patients and reports trends to the care team.
  • Third, it maintains limitless recollection of a given patient's self-assessment data so that the clinical care team can leverage that history in care decisions for the patient.
The AI is applied on an individual patient level to learn about health patterns, patterns from patient self-assessment data.  With this learning, it is able to
  • potentially detect and  report to the care team self-assessment data that require further review ;
  • know when alert the patient to the prescribed self-management measures or a clinical action; and
  • monitor patient adherence to prescribed self-management measures or clinical interventions.
In essence, the AI supports the user and members of the care team based on the daily self-assessment and care plan compliance data for the patient.  It extends and translates clinical instructions as an extension of clinical instruction and thinking.

Health Management

The last prong of the Ibis solution is seamless, comprehensive chronic health management.  Health management with Ibis involves rapid, informed actions at two levels:
  • First, through member self-management  measures as prescribed; and
  • Second, through clinical interventions into the home where self-management measures fail. 
Although the Ibis AI does the foundational work of reporting a problem and understanding the necessary responses based on protocols and learning, a key component of health management is provided by the Ibis care team.  This team typically consists of the following members:
  • A Member Advocate with the core responsibility to support self-management;
  • The Social Health Coordinator with the primary responsibility to coordinate non-clinical response to socio-economic challenges that impact health; and
  • The Chronic Care "Specialist" who is principally responsible for timely clinical response to chronic exacerbations.