Leader in Digital Self -Management · more chronic conditions. These tasks include gaining confidence to deal with medical management, role management, and emotional management.”

©2017 Canary Health, Inc. All Rights Reserved 1

Neal Kaufman MD, MPH Co-founder and [email protected]

Digital Diabetes PreventionOctober 12, 2017

Leader in Digital Self-ManagementEmpowering individuals to manage their lives and their chronic conditions.

mailto:[email protected]

©2017 Canary Health, Inc. All Rights Reserved

Canary Health

Empower Self-Management

Prevent ChronicDisease

Progression Bend the Cost

Curve

“Self-management relates to the tasks that an individual must undertake to live well with one or more chronic conditions. These tasks include gaining confidence to deal with medical management, role management, and emotional management.”

- 1st Annual Crossing the Quality Chasm Summit

“Working with Canary Health, we can help individuals improve their self-management skills, develop healthier behaviors and improve their health.”

- Canary Health Client

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Education Action Planning & Tracking Social Network Coaching

Proven self-management programs built on tech-enabled services platform

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Chronic ConditionsDigital DiabetesPrevention (DPP) Caregiver Support


Canary Health Insights

Directing health in one’s life story is critical to health

improvement

Most with chronic conditions don’t

direct their health

Stories of others who changed their

narrative arc resonate and are

powerful

Successful self-management leads

to owning the direction of one’s

health and life

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Engage through story-telling: Outreach to outcomes

Outreach EducateActivate

Sign-upShow-up Participate Succeed

Prioritize, segment, develop personas,

stories re changing life, getting motivated

Stories re: chronic diseases, worsening

trajectories, prevention possible

Stories re: intervention success, overcoming

inertia, optimizing future

Stories re: others who overcame barriers, solved problems,

provided and received support

Authentic stories re: long-term behavior

change with positive outcomes;

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Increase self-efficacy through technologyVirtual Lifestyle Management (VLM)

• Year-long digital lifestyle change & weight loss intervention based on NIH’s DPP• 16 weekly core / 8 monthly maintenance lessons• Behavioral goal-setting, planning and tracking• Digital coaching – secure messaging, moderated chat• Group dynamic

• Launched in 2006 (currently version 6)• More than 35,000 users• CDC Recognized Diabetes Prevention Program

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Guide self-discovery of strengths & mitigate barriers

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Welcome to Lifestyle Balance Program

Be a Fat Detective

Three Ways to Eat Less Fat

Healthy Eating

Move Those Muscles

Being Active: a Way of Life

Tip the Calorie Balance

Take Charge of What’s Around You

Problem Solving

The Four Keys to Healthy Eating Out

Talk Back to Negative Thoughts

The Slippery Slope of Lifestyle Change

Jump Start Your Activity Plan

Make Social Cues Work for You

You Can Manage Stress

Ways to Stay Motivated

16 Weekly Lessons

Social Events and Holidays

Portion Control / Keeping Track

Time Management

Physical Activity: Just Do It

Being Assertive: Healthy Eating & Activity

Low Fat Cooking and Holidays

Maintaining Activity: Having Fun Challenges

Winning at Losing

8 Monthly Lessons

Orientation

Fat tracking

Activity tracking

Setting your plans

How-to Lectures & Lessons


Engage dailyLesson notification, coach communication and task tracking motivates participants

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Learn to overcome barriers16 weekly and 8 monthly lessons with audio deliver the DPP curriculum

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Set goals, create action plans, track performanceTrack activities to adopt and sustain healthy behavior

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Eat Healthier

Be More Active

Weekly PlanningFood, activity

Mobile TrackingFood, activity, journal

Algorithmic AdviceFocus for the day


Self-tailor experience to be successful

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Create communityConnect with personal coaches and experienced peers.

Get motivated with success stories from alumni.

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Dedicated healthcare professional coaches offers

encouragement, solve problems, and celebrate successes.

Peer Groups discuss and share solutions that have worked

within their lives.

User testimonials and stories highlight struggles followed by

success achieved with behavior.


Personalize Coaching

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Prevent Chronic Conditions

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2-Year Prevalence Increase

Without Intervention With Intervention

Cardiovascular Disease 3.9% -1.3%

Hypertension 3.2% -1.3%

Hyperlipidemia 2.1% -1.1%

Sleep Apnea 5.7% 1.6%

Joint Related 4.5% 1.6%

Type 2 Diabetes 5.5% 1.1%

Source: Canary Health Analysis with Client: Presented results at Care Continuum Alliance in partnership with Government Employees Health Association

Gold Standard


Reduce Utilization

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3:1ROI for all Enrollees

$367.28 $431.69 $554.44

$708.48

$1,143.02$1,353.72

All Completed Lesson 4 (DPP Starter)

Lost More than 5%

Savings over 2 years with Intervention

Year 2 Year 1

2-Year: $1,075

2-Year: $1,574

2-Year: $1,908

Dolla

r Sav

ings

Source: Canary Health Analysis with Client: Presented results at Care Continuum Alliance in partnership with Government Employees Health Association

Gold Standard


• Faithful to DPP model and implementation• Available 24/7/365 • Level of engagement / coach interactions• Attractive to individuals who don’t like to join in-person groups• Comfortable for variety of people because anonymous• Easy to implement by host organization• Hassle free administration• Utilization and engagement data for analysis

Why online works

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•Independent organizations as providers of services•Non-profit organization supporting CBOs in variety of ways •Statewide coordinating/contracting organization •State Department of Health

•Convener of stakeholders•Funders of programs•Liaison to State workforce as participants•Outreach to health plans & providers as payers•Manager of entire system

Implementation models and considerations

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• Contracting with payers, employers, healthcare providers • Choosing and contracting with vendors of services• Providing outreach and enrollment services to participants • Monitoring fidelity to evidence-based protocols • Providing quality assurance activities, etc.

Functions to facilitate implementation at scale

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Neal Kaufman MD, MPH Co-founder and [email protected]

Digital Diabetes PreventionOctober 12, 2017

Leader in Digital Self-ManagementEmpowering individuals to manage their lives and their chronic conditions.

mailto:[email protected]

Documents

Leader in Digital Self -Management · more chronic conditions. These tasks include gaining confidence to deal with medical management, role management, and emotional management.”