The 10 Leading Patient Engagement Solution Providers in 2018

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The10LEADING
www.insightscare.com December 2018
PATIENT ENGAGEMENT Solution Providers 2018
GREENWAY HEALTH O?ering Providers Innovative
Tools that O?er Patients Greater Access to
their Health Information
Richard Atkin CEO
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Patient Engagement and Technology A Superlative
Fusion Elevating Healthcare Space
Editors Column
Tother initiative will have such impact on
improving the quality patient care and reducing
healthcare costs.
he term Patient Engagement is been rapidly
emerging and it is todays buzzword in the
healthcare industry.
With its impeccable evolution, it has thrown a
long lasting impact on the reviewers, who states
that, No
For years, marketers have been looking for new
strategies to engage the customer, create
recovering experiences, and reinforce brand
relationships, all of them aimed at improving
outcomes. Having called consumer engagement in
the business terms, patient engagement is the
new key strategy that embraces the tools and
actions taken by patients, caregivers as well as
healthcare providers. These factors would promote
informed decision-making and behaviors to
facilitate improved health consequences. A
recent survey from a renowned organization states
that patient engagement is experiencing the
biggest development with the implementation of
technology. Today, consumers are considering the
online healthcare information trustworthy.
Social media and patient portals, Internet which
allow us to fetch what we want at the tip of our
?ngers, have also witnessed a signi?cant growth.
Being lived in the connected and engaged society
patients as well as consumers have started
expecting the same promptness and easy
accessibility from the healthcare
industry. Several latest technologies focused on
patient engagement involve managing patient
health data, managing communication with
physicians, self-care at home, education, and
?nancial management. Right from wearable tech
and medical devices to patient portals and
maintaining personal health records, all of these
innovations are aimed at improving the overall
patient experience. With the implementation of
health information exchanges, patient portals,
and electronic health records, patients are
naturally becoming more involved in their health.
Also, healthcare institutions and practices
should embrace and integrate these changes while
adapting this new and rapidly evolving
landscape. Down the line, no one can deny that,
patient engagement requires action that must be
instigated and sustained by the individual. It
is due to the encouraged providers due to whom
patients learn to utilize tools and technology
that produce improved health results. Engagement
implies active involvement. All parties must be
willing to participate and embrace the shift to
technology to achieve better outcomes and reduce
costs. Perhaps, the healthcare industry is
working on par with the rest of the business
world and recognizing that to grow and to
compete with the marketplace, patients need more
in the way of information, eminence, access, and
liability.
Ashwini S. Deshpande
Ashwini S. Deshpande,Editor
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Editor-in-Chief Senior Editor Managing
Editor Executive Editor
Pooja M. Bansal Anish Miller Ashwini S.
Deshpande Stella Andrew
Contributing Editors Sayali, Aishwarya, Ashwini
Visualiser Art Design Head Art Design
Assistant
David King Amol Kamble Poonam, Shweta
Co-designer Paul Belin
Art Picture Editor Business Development
Manager Marketing Manager Business Development
Executive Sales Executives Technical Head
Assistant Technical Head Technical Consultants
Digital Marketing Manager Assistant Digital
Marketing Manager SME-SMO Executives Research
Analyst Circulation Manager
Savita Pandav Peter Collins Marry DSouza Mark
Williams John, Amy, Bill, Sarah Jacob
Smile Swapnil Patil David, Robert Alina Sege
Prashant Chevale Rahul, Gemson, Swati Eric
Smith Tanaji
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The Personalized Future of Healthcare
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Tpersonalized healthcare experience to their
customers. This metamorphosis, that the industry
is
oday, patients are far too occupied to have time
to wait around for the services that they dont
need.
Thanks to the digital transformation, with the
growth of data and technology, service providers
can o?er
experiencing, marks the future of healthcare.
Patient experience is no more con?ned inside the
clinical walls one can have access to these
from anywhere. Alongside, having hands on the
vast data, the care providers can check the
patients preferences and customize the
experience for every patient, individually. As
the whole concept of patient personalization will
not only make everything easy, but also more
e?ective, the focus on patient engagement is only
expected to grow further. There are a few
contributors in the industry aiding to take this
concept further and to help the care givers
adopting and applying it. To acknowledge the
supreme work of these business giants, we bring
to you our special edition of The 10 Leading
Patient Engagement Solution Providers in 2018.
In this issue, we have incorporated Greenway
Health in the Cover Story. Greenway Health is
the eminent organization that provides software
services to ambulatory healthcare practices, so
that physicians can better run their businesses
and care for their patients. We have also
represented Behavior Imaging, a company that
develops solutions to facilitate the
observational, analytical and collaborative
needs of behavioral healthcare and special
education professionals EUPATI which seamlessly
implements a structured program that trains
patients and patient advocates on how drug
development works and how all the regulatory
processes around it Medisafe that delivers a
state-of-the-art medication adherence platform
to its user Santovia which has a technology that
tackles major issues facing healthcare users and
professionals, by delivering education and
targeted surveys it facilitates shared decision
making and better recovery for patients and
UbiCare which is the most prominent patient
engagement company which ?awlessly blends its
rich experience combining with the targeted,
multimedia content with a dynamic platform that
allows complete real-time customization. Making
the issue more exciting, our in-house editors
have scripted articles The Role of Shared
Decision Making in Improving Patient Engagement
and Top Trends that can Boost Patient Engagement
to Optimum Levels that will keep you updated
with the latest trends going on in the
industry. We have also presented Exclusive View
Proteins are Better Biomarkers than Genes by
Dr. Steven Pelech who is the Founder, President,
and Chief Scienti?c O?cer of Kinexus
Bioinformatics Corporation. So, ?ip through the
pages of this magazine and treat yourself with
the innovations in the industry!
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Cover story
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Providing Innovative Tools that O?er Patients
Greater Access to their Health Information
CXO Standpoint 34
EXCLUSIVE VIEW Proteins are Better Biomarkers
than Genes
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CONTENTS
UBICARE Enhancing Care Quality by Fostering
Patient Engagement
MEDISAFE Enhancing Medical Adherence and
Outcomes for a Healthier Tomorrow 24
BEHAVIOR IMAGING Revolutionizing the
Healthcare Industry One Child at a Time 16
EUPATI A Revolutionary Initiative Driving
Successful Patient Engagement through
Education 18
SANTOVIA An Integrated and Comprehensive Health
Engagement Platform 30
42
Articles 26 SHARED DECISION MAKING The Role of
Shared Decision Making in Improving Patient
Engagement
38 EDITORS PICK The Dynamics of Social Factors
In?uencing Physical Health
32 TRENDS TO WATCH Top Trends that can Boost
Patient Engagement to Optimum Levels
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Providing Innovative Tools that O?er Patients
Greater Access to their Health Information

COVER STORY
Encouraging patient engagement is a crucial
step on the path to measurable improvements in
population health.
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Richard Atkin CEO Greenway Health
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IEmerging tools, such as patient portals and
secure
n todays digital world, patients want access to
their
health data, test results and providers instantly.

messaging, o?er them greater access to their
health
information, which has the potential to encourage
engagement with their physicians more frequently
for better health. One company leading the
charge in providing medical practices with these
cutting-edge solutions is Greenway Health, a
leading Florida-based health information
technology and services provider. Founded in
1977, Greenway has an impressive track record of
serving as a healthcare problem solver,
satisfying clients with its solutions. Over the
last several decades, Greenway has experienced
an increase not just in terms of revenue, but
also as it relates to client trust and industry
awards and recognitions. This trailblazing
company, considered to be a market leader in the
U.S. healthcare space for more than 40 years,
delivers exceptional service through an
experienced team of clinical, ?nancial and
technology experts committed to delivering
services that create value for providers and
patients. Greenways main goal to make
patient-driven care a reality while navigating
the ever- changing healthcare system. To date,
Greenway has partnered with more than 10,000
organizations and 75,000 progressive providers
across more
Greenway is dedicated to working with
customers to provide cutting -edge software
that meets their unique needs
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than 40 specialties, which translates into more
than 100 million lives that are touched by its
solutions. An Engaged Patient Is a Happy,
Healthy Patient Today more than ever, providers
are experiencing increased burn out. They are
often overwhelmed by hours of paperwork, revenue
concerns, changing government regulations,
leaving them with less time to truly focus on
and care for patients. As such, Greenway partners
with physicians and their teams, providing
solutions that make their lives easier so they
can get back to changing patients lives. The
company has mastered the art in developing
patient engagement tools that o?er patients
greater access to their health information.
Greenways patient portal, for example,
integrates with Greenway Patient Messaging for
patient-provider engagement. The solution o?ers
easy-to- use features, such as secure messaging
and immediate views of health records, and also
enables users to request, schedule, and receive
appointment reminders. Greenways online patient
portal also simpli?es engagement requirements
for Meaningful Use and value- based
reimbursements. This is all done through simple,
fast registration, secure messaging, and a view
of an individuals health record that meets
view, download, transmit (VDT) measure.
When caregivers receive proper support, they
deliver better care. Our robust solutions
assist in helping practices achieve success
with value-based care
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Richard Atkin, the CEO of Greenway. Atkin joined
the company in June 2018, bringing extensive
executive experience and a focus on
process-driven management, as well as a deep
background in developing talent, team building
and organizational alignment. Richard joined
Vista Equity Partners in 2014 and has worked
with Vista portfolio companies DealerSocket,
EagleView, Finastra, Omnitracs, Solera, and
STATS. Prior to his role as an operating
principal, Richard was the President of Vista
Consulting Group from 2014 to 2017, where he
helped the organization evolve and scale to
support the growth in the Vista portfolio. Before
joining Vista, Richard handled the prestigious
posts of president and chief executive o?cer of
Sunquest from 2005 to 2014. Richard believes
employees are the real assets of any
organization. As such, he promotes a healthy and
conducive work environment, and emphasizes a
special focus on the personal growth and
professional development of each individual. His
goal is to provide his team with knowledge and
motivation, encouraging them to strive for their
best each and every day. Greenway does this by
o?ering ongoing training, educational sessions
and additional learning activities to foster
collaboration among its team members. This
enables colleagues to continue to grow
throughout their career and ensures that
award-winning customer support can be achieved
each day. At Greenway, Atkin is known for his
sheer dedication and diligence to better serving
customers, working endlessly to help them
achieve success. He considers his team to be
problem solvers, working each day to truly
understand the challenges Greenway customers
face, from ever-changing government regulations,
deadlines, and security and compliance
requirements, to also maintaining pro?tability.
He encourages his team to take charge of all
situations, making decisions that are in the
best interest of those who matter most
Greenway customers. Looking Ahead to a
Prosperous Future Greenway is committed to
bringing continuous innovation into its products
and is very optimistic about its future success.
The company is currently developing a next-
generation platform that will help customers
succeed amid the constant industry change, in
particular the movement toward value-based care.
The companys state-of-the-art next-gen platform
will focus on work?ows, documentation and device
integration. It will reimagine a healthcare
practices daily tasks from start to ?nish with a
goal of seamless performance.
At Greenway Health, we put possibility into
practice
The success of Greenways patient engagement
tools can be best understood from the companys
client advocates Today, patient engagement is
huge, and Greenways Patient Portal and
Messaging helps us do that better. I really like
how Greenway Patient Messaging gets the right
information to the right patient, in the right
manner, and saves sta? time in the process. -
Bethany Suggs, Systems Coordinator, Family
Medical Associates of Raleigh Not being at
every appointment with my mother has caused me
worries. With the patient portal - when I cant
be there - I still can help her manage her
health and thats important to both of us.
Nancy Brown, Practice Administrator, The
Veranda In addition to its patient engagement
tools, Greenway o?ers electronic heath record
and practice management solutions. A Greenway
EHR solution can be exclusively tailored to the
needs of each providers practice and their
specialty, allowing for user-focused simplicity
to the front o?ce, clinic and back
o?ce. Leading from Example Empowering Employees
with a Healthy Workplace An ace leader is one
who fosters an environment of growth, which
ultimately results in greater success of a team
and an organization overall. A leader also
provides knowledge and motivation to its team
members, encouraging them to strive for their
best in serving clients, fellow team members, and
stakeholders of an organization. One such strong
leader is
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Company Name Management Brief Company Name Management Brief Company Name Management Brief
Behavior Imaging behaviorimaging.com Ron Oberleitner CEO The company develops solutions to facilitate the observational, analytical and collaborative needs of behavioral healthcare and special education professionals.
eHomeCare ehomecare.com.au Hubert Van Dalen CEO eHomeCare connects smart care technologies solutions to complement other aged and healthcare services.
EUPATI eupati.eu Matthew May Program Coordinator It is a pan-European program implemented as a public- private partnership by a collaborative multi-stakeholder consortium from the pharmaceutical industry, academia, not-for-pro?t, and patient organizations.
GetWellNetwork getwellnetwork.com Michael Oneil CEO GetWellNetwork acquires HealthLoop to provide the very best in digital patient engagement solutions for providers, patients and their families.
Greenway Health greenwayhealth.com Richard Atkin CEO Greenway Health provides software services to ambulatory healthcare practices, so that physicians can better run their businesses and care for their patients.
Medisafe medisafeapp.com Omri Shor CEO Co-founder Rotem Shor CTO Co-founder Medisafe provides a state-of-the-art medication adherence platform to its users.
MedSymphony medsymphony.com Jamie Simmons Founder MedSymphony was created to empower physicians, health institutions as well as patients with a complete mobile health technology platform.
Santovia santovia.com Fiona Calnan CEO Santovias technology tackles major issues facing healthcare users and professionals, by delivering education and targeted surveys it facilitates shared decision making and better recovery for patients.
SynsorMed synsormed.com Theo Harvey CEO Synsormed is transforming patient engagement with the telehealth and patient monitoring platform.
UbiCare ubicare.com Betsy Weaver CEO UbiCare empowers hospitals to create e?ciencies and reduce costs by engaging patients earlier in the care episode.
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Behavior Imaging
Revolutionizing the Healthcare Industry One
Child at a Time Alarger than the available supply
of caregivers in the
ccording to the Stanford Medicine News Center,
demand for autism treatment is over eighteen times
U.S. Combine that demand with a climbing
prevalence in
autism diagnosis the CDC (Centers for Disease
Control and Prevention) reported a growth of
over 15 percent this year and many individuals
and families are left waiting for answers.
Individuals with autism and their families
require timely diagnosis and treatment but are
often stopped by the barriers of distance, cost,
and unavailability of experienced
providers. Boise, Idaho based, Behavior Imaging
is one prominent organization that works to
eradicate all these barriers. They relentlessly
focus on developing technology that increases
disabled peoples access to care. The company has
served over 20,000 clients in ten countries to
date and has major clients such as the US Air
Force, State Departments of Education, and
several leading universities. The company has
also won awards from the Small Business
Administration (awarded in 2016 at the White
House) and the Google/Autism Speaks award for
its disruptive business model that allows
families to share clinically relevant data from
their homes to accelerate their child's
diagnostic assessment. Story behind BIs
Inception
Ron and Sharon Oberleitner founded Behavior
Imaging in 2005. Since their sons autism
diagnosis in 1996 at the age of three, the
challenges of receiving specialized care for
those with intellectual disabilities hits close
to home for the Oberleitners. To date, Ron and
Sharon have dedicated their careers to assisting
families and organizations, improving their
accessibility to behavior health treatment
through a unique asynchronous telemedicine
platform Behavior Imaging.
Ron Oberleitner CEO
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more e?cient and cost e?ective for the people who
need it most. BI products provide patients and
their doctors/clinicians with the solutions for
understanding autism and behavior health needs.
The bene?ts are similar to the ways X-rays and
MRIs have allowed patients to show medical
doctors broken bones and tumors. NODA is
Behavior Imagings evidence-based Autism
diagnostic service platform that addresses many
challenges hindering an earlier diagnosis.
Behavior Imaging has led several National
Institute of Health-funded research studies. The
most recent study compared current in-person
autism assessment practices with the NODA
smartphone-based method. The research showed
that the NODA method cut the average total time
for an autism spectrum disorder (ASD) assessment
in half saving on average two months for
families. Fostering Employees with Active Work
Environment It is well said that, Practice is
the hardest part of learning, and training is
the essence of transformation. BI precisely
follows this concept, which can be observed from
its distinctive approach. BI employees regularly
receive outside training in areas relevant to
their position, paid for by BI. They also have
direct hands-on experience with colleagues with
disabilities who perform special tasks for the
company. BI emanates a culture of family ?rst,
Behavior Imaging second which helps to attract
and retain the right employees. Foreseeing a
Bright Future Besides providing a well-equipped
and advanced work surrounding to their
employees, BI leaves no stone unturned to stay
abreast of the industry requirements. According
to BI, an ace patient engagement solution
provider should leave patients and their
families/caregivers feeling empowered to take an
active role in care. BI also believes that, when
families are concerned about their loved ones
health, patient engagement solutions should
enable clinicians to fetch helpful information
about their patients. Today, the healthcare
market is waking up to the bene?ts of capturing
health data as its happening and sharing it with
knowledgeable doctors remotely to get earlier
diagnosis and guidance on treatment. In the next
few years, Behavior Imaging plans to integrate
arti?cial intelligence to help clinical
professionals make quicker and better-informed
decisions as they assess behaviors and recommend
treatments.
Shine a Light
on Autism
and Beyond
About the Perceptive Leader The CEO, Ron
Oberleitner holds more than two decades of
enriching executive management experience within
the health industry including medical devices,
telemedicine, and medical imaging solutions. His
personal experience with autism and professional
experience from the medical device, nonpro?t,
and research industries fuels a passion to help
others by creating and expanding solutions for
better diagnostic, assessment, and continuity of
care for a variety of behavioral and mental
health challenges. Besides, he brings an
attitude of why NOT our kids when it comes to
using innovative technology to address di?cult
health conditions. Ron believes that an ideal
leader in the health IT industry (be it
telemedicine, digital therapeutics, or digital
assessments) recognizes the current barriers and
resist to change for disruptive patient
engagement solutions. This ideal leader works
hard and tirelessly to overcome objections and
demonstrate profound bene?ts through responsible
research and compassion for both struggling
patients and the well-meaning clinicians who
serve them, says Ron. Unrivaled Services of
BI Behavior Imaging works to take behavioral
care beyond in-person assessment and treatment
into a fully realized technological landscape.
By using smart phones, video capture, and
arti?cial intelligence, behavioral care becomes
December 2018 17
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EUPATI
A Revolutionary Initiative Driving Successful
Patient Engagement through Education
W
ith its long expertise in the healthcare ?eld and
recognition as an objective education provider,
EUPATI (The European Patients Academy on
Therapeutic Innovation) is a valuable resource
for anyone
looking to do Patient Engagement. It can be done
through its publicly available tools or by
collaborating to ?nd a solution to the clients
speci?c needs. The patient community has dreamt
to empower patients to be an active partner in
medicines research and development (RD) for
some time. In some disease areas, the patient
community has been involved in RD for a decade
or two, which needed an advanced and systematic
approach. EUPATI seamlessly implements a
structured program that trains patients and
patient advocates on how drug development works
and how all the regulatory processes around it.
It also educates the stakeholders to engage
patients on how to do so in an e?ective and
systematic way. Illustrious Course The EUPATI
Expert Training Course is an exciting and unique
opportunity o?ering patients and patient
advocatesthe expert-level training in medicines
research and development. It is a mixture of
independent e-learning coursework and
face-to-face training events spread over a
14-month period. EUPATI provides support through
the toolbox and guidance documents for all
stakeholders to enable e?ective engagement of
patients. It will be releasing training for
industry in 2019 and for other stakeholders in
the future.
The academy believes that for e?ective patient
engagement, it is necessary to ensure that all
involved stakeholders have the capacity to
implement systematic patient engagement. EUPATI
was established in the ?rst instance to increase
capacity within the patient community by
developing training and information material
dedicated to increasing the knowledge of patient
advocates so they can operate at an expert
level. This gave rise towards the contribution to
the establishment of frameworks under which
patients can successfully and ethically work
with other stakeholders to
Matthew May Program Coordinator
December 2018
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quality-controlled material.- Matthias Gottwald,
Bayer Pharma Elevating Employees Growth by
Rendering Diverse Opportunities EUPATI provides
a unique opportunity to the individuals involved
on behalf of their organizations in the public-
private partnership to form relationships with
other experts across their own and other
stakeholder groups. This melting pot of
personalities, perspectives, and expertise not
only gives EUPATI its strength, expertise, and
authority but also empowers and develops its
members to drive e?ective co- creation and
engagement within their own organizations. This
would also encourage its employees with a
strong network that provides endless continuous
professional development. The professionals at
EUPATI work together to bring its pieces of the
medicines RD puzzle together to ensure that
EUPATI trained patients have the necessary broad-
spectrum knowledge to represent their
communities. EUPATI strongly believes that- The
essence of Patient Engagement is about
co-creation and partnership. Therefore, Patient
Engagement Solution Providers need
to walk-the-walk themselves, designing their
solutions as a partnership between patient
experts and others. This ensures that the
solutions put in place meet both the needs of
the companies and the communities with which they
are engaged, ensuring expectations are met for
all, and e?ective medicines development occurs
to bring made-for- purpose medicinal products to
market in a safe, e?cient, and cost-e?ective
way. Upcoming Plans Today, patient engagement is
being recognized across the industry as being a
necessary component of modern medicines
development. EUPATI initially developed the
capacity in the patient community in Europe to
build the community of patient advocates that
are able to engage at an expert level. With this
approach, pharmaceutical companies and patient
organizations are recognizing their lack of
infrastructure and capacity to implement
systematic patient engagement throughout the
life-cycle of medicines RD. EUPATI has set a
framework for patient engagement with four
stakeholders i.e. pharmaceutical industry, ethics
committees, regulatory authorities, and health
technology assessment bodies in 2016. Since
publishing them in Frontiers in Medicine in
2018, EUPATI will be rolling out training
programs aimed at these stakeholders ensuring
that the things will be executed ?awlessly.
We focus on education and
training to increase the
capacity and capability of
patients to
understand and contribute to
medicines research
and development

• ensure the optimum development of medicines and
  access to healthcare.
• Words of Grati?ed Clients
• EUPATIs strength lies in its construction as a
  public- private partnership and as a
  collaborative multi-stakeholder consortium of
  patient organizations, the pharmaceutical
  industry, academia, and not-for-pro?t
  organizations hosted at the European Patients'
  Forum. EUPATIs products are not only designed
  by multi-stakeholder teams but also delivered by
  them. This ensures that the company can o?er the
  ?rst- hand experience of patient engagement for
  both the sides of engagement. Being a
  customer-centric company, EUPATI has made many
  clients satis?ed with its services and solutions
  and below are few of them.
• EUPATI has been a game-changer in the
  empowerment of patients because we can see
  people trained by EUPATI almost everywhere, be
  it in regulatory committees, industry-led
  research projects and clinical trials, academic
  projects or ethics committees.-Jan Geissler,
  Patvocates LeukaNET.
• The expert training course is certainly a unique
  asset and achievement with almost 150 patient
  experts trained and more on the way. They are
  the ones who can really actively participate in
  all the decision points with the industry,
  regulators and HTAs health technology
  assessment bodies. Beyond that, I think the
  toolbox on medicines RD, the material that is
  available on the website and now used by more
  than
• 1.2 million people worldwide, is a huge
  achievement
• and allows everyone around the world to use the
  high

December 2018 19
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HIV



STILL AN IMPENDING THREAT TO
MANKIND
Hbut the goal now is to ?nd an HIV cure before
2020. Over the past several decades,
IV research has come a long way since the disease
was discovered in the 1980's.
Antiretroviral therapy was a major milestone that
has changed the lives of millions,
researchers have learned a lot about the human
immunode?ciency virus (HIV) and the disease
it causes, acquired immunode?ciency syndrome
(AIDS).
December 2018
20
23
Stopping the replication of HIV Last year in a
clinical trial scientists showed that this
approach has the potential to become a
functional cure for HIV. The key to its
potential is that it can target the reservoir of
HIV viruses that hide inactive within our
cells. Current therapies suppress the virus in
circulation by inhibiting the formation of new
viruses, but they don't touch the
reservoir. Once you stop, the virus comes back
in 10-14 days. ABX464 is the ?rst drug candidate
ever shown to reduce the HIV reservoir. The
drug, called ABX464, binds to a speci?c sequence
in the RNA of the virus, inhibiting its
replication.
Shock and kill Another approach that is becoming
popular in the ?ght against HIV also goes aGer
the hidden HIV reservoir. The shock and kill
or kick and kill approach uses
latency-reversing agents (LRAs) that activate or
kick the latent HIV reservoir, making it
possible for standard antiretroviral therapy to
kill these viruses. In 2016, a group of UK
universities reported promising results from one
patient treated with this approach. A similar
strategy using vaccine is currently being
tested. One stimulates the production of
antibodies that block the replication of HIV,
while the other attacks the reservoir.
December 2018
21
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Immunotherapy What makes HIV so dangerous is
that it attacks the immune system, leaving
people unprotected against infections. But what
if we could supercharge immune cells to ?ght
back? That's the reasoning behind
immunotherapies. Researchers reported last year
that thanks to an immunotherapy that primes the
immune system against the virus, 7 out of 15
patients were cured. Their approach combines a
drug to activate the hidden HIV reservoir with a
vaccine that can induce an immune response
thousands of times stronger than usual.
Gene therapy It is estimated that about 1 of
the people in the world are naturally immune to
HIV. The reason is a genetic mutation on the
gene that encodes CCR5, a protein on the surface
of immune cells that the HIV virus uses to
enter and infect them. People with this mutation
are missing part of the CCR5 protein, making it
impossible for HIV to bind to it. Using gene
therapy, it would, in theory, be possible to
edit our DNA and introduce this mutation to stop
HIV. In the future, gene therapy for HIV could
be done with CRISPR, a gene editing tool that is
much easier and faster to make. Its potential
in HIV has already been shown in vitro, and soon
HIV could become of the ?rst diseases to be
cured with CRISPR.
When will we have an HIV cure? Although there
are several approaches that could eventually
bring a functional HIV cure, there are still some
challenges ahead. One of the biggest concerns
around any HIV treatments is the virus' ability
to quickly mutate and develop resistance, and
for many of these new approaches there is still
no data on whether the virus will be able to
become resistant. So far, none of these
functional cures have reached late-stage clinical
testing, meaning it doesnt seem likely that we
will meet the goal of having an HIV cure by 2020.
December 2018
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26
Medisafe
Enhancing Medical Adherence and Outcomes for a
Healthier Tomorrow
TThey were waiting for their father, a diabetic
wo brothers, Omri and Rotem, were sitting in the
lobby of a hospital, in front of the emergency
room.
patient who, while taking his every day dose, had
accidentally injected a second dose of insulin,
to get better. Fortunately, he was ?ne. But,
both the brothers, after spending the day in
that lobby, wondered how it was possible that
there was no tool to help people manage their
medications and prevent mistakes like not
remembering to take their meds or double dosing.
After researching over this, they realized that
no such solution was available and therefore,
set out to create one. That is when Medisafe was
born. Medisafe is the brain-child of the
brothers- Omri Shor, the CEO and Co-founder, and
Rotem Shor, the CTO and Co-founder of the
company. Medisafe is a fast-moving patient
engagement business that has created
easy-to-use, personalized technology to help
people manage their health better. It provides a
state-of-the- art medication adherence platform
to its users. Talking about the company, Omri
says, Medisafe helps people manage their
medications easily and e?ectively. We provide
our pharma partners with insights into patient
behavior and ways to engage with their
patients. Medisafe is headquartered in Boston,
Massachusetts, with its major operation center
in Haifa, Israel. When incepted in 2012, the
founders dad was Medisafes apps ?rst user, and
today, it has over 4.5 million users in 150
countries.
Commitment to Saving Lives Realizing that almost
125,000 people die each year in the U.S. as a
result of not taking their prescribed medications
Omri Shor CEO Co-founder
24 December 2018
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10PATIENT
LEADING
The
The
ENGAGEMENT
So ution Providers 2018
Sol

said With Medisafe, we would like to help
patients with chronic conditions to better
organize their medication, therefore improve
adherence to their regimen and ultimately
achieve the best possible treatment
outcomes. Outshining its Peers Medisafes
success puts it on a di?erent level from
competing medication management platform
solutions, as with 4.5 million registered users
it is by far the leading platform. The ease of
use and intuitive interface, the fact that the
company has addressed all therapeutic areas,
unique features like Medfriend, and the drug
interaction checker all make Medisafe uniquely
e?ective. Its large and highly engaged user base
makes it particularly attractive to pharma
partners, as the company can provide insights
into much larger groups of patients. Life at
Medisafe At Medisafe, ownership is a central
value. Everyone who works at Medisafe has to
take ownership of projects and overcome new
challenges, every day. The biggest opportunity
that working at Medisafe provides is to improve
peoples quality of life, and even save lives.
The company gets amazing feedback every day with
people sharing incredible stories, and it has
made it a habit that the entire team sees these
as a major motivation for everyone. Medisafe
also provides individual support for employee
development. Ideal leadership is inspiring and
visionary, driving the team to greater
successes, while giving them the freedom to
pursue their creativity and initiatives, asserts
the CEO. Future Endeavors Over a third of older
adults in the U.S. regularly use 5 or more
medications or supplements. Over 100 million
people who, if they used a medication reminder
and drug interaction checker would be
healthier and safer, and the global number is
many times higher. Driven by the same goal,
Medisafe wants to reach not 4.5 million users,
but 450 million users, and it is con?dent that
this is achievable. Shor asserts, We strive for
a future in which people no longer die or are
hospitalized because of medication mistakes, and
we believe Medisafe can help make it happen.
We save
lives by making
medication
management
easy
properly, Medisafe is committed to changing this
scenario for better. With its medication
adherence app, Medisafe has been improving
adherence signi?cantly. Another severe problem
that Medisafe addresses is that of dangerous
drug interactions (DDI). Recent estimates
indicate that DDIs cause nearly 74,000 emergency
room visits and 195,000 hospitalizations each
year in the USA alone. Since its introduction a
year ago, Medisafe's drug interaction feature
has warned patients of more than 100,000
potentially dangerous drug interactions. A
Client-First Company Always a client-?rst
company, Medisafe has ensured to o?er patients
and its customers the best. A testimony to this
is the apps 4.6 rating, out of 5, on the app
stores. Many reviewers have talked about their
stories - of how Medisafe has saved their lives,
or how it has dramatically improved their
quality of life by making medication management
much simpler. On the business side, the company
o?ers its pharma partners a way to gain a much
better understanding of the behavior of their
patients, and a way to engage with them and
improve adherence. Addressing the bene?ts this
provides, a prominent client of Medisafe- Leif
Moll, Head of General Medicine Strategy
Portfolio Expansion, at the biopharma business
of Merck KGaA, Darmstadt, Germany,
December 2018
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28
The role
OF SHARED Decision Making IN IMPROVING Patient
Engagement
H
is seeking more value-based and patient-centred
healthcare. Time limitation and the knowledge
accompanying with the regulatory action has
demeaned the SDM and has allowed it to ?ow under
the radar of the healthcare providers. Consequentl
y, the healthcare professionals require
education on SDM and how to practice it to set up
a collaborative environment for the patients and
the clinical sta?. Usage Experts break SDM down
in simple and stable steps. They represent it as
a simple example like identifying the patient
condition, reviewing the treatment options,
testing the patients preference and values, and
carrying out the decision. The emerging
challenges in these basic steps lie in the
present work?ow and on the providers part via
irregular communication with the patients. Such
false and inferior
ealthcare professionals are constantly under
consumers pressure and their requirements.
Physicians, regulators, and health providers are
?guring out the best way required to engage the
patients in
their own medical care. Hence, organizations have
shifted to shared decision making (SDM) as a key
strategy in bringing out the role of patients in
their own treatments. SDM enables physicians and
patients to share the decisions to arrive at a
mutual agreement in the care plan, tests, and
the treatment. Physicians base these results on
the clinical evidence, balance of risks, and
expected outcomes along with the patients
values and preferences. By implementing mutual
decision via patient education and
communication, patients can progress beyond
participation and can develop into health
collaborator. From the provider's view, SDM
obliges them to merge their clinical expertise
realizing that the patients can understand their
di?culties alongside acknowledging their value
and priorities. Hence, the call for the SDM is
emerging now and
December 2018
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29
Shared Decision Making
best way of facilitating it. Healthcare providers
already struggle as they cope with the
regulatory burdens, quality, reporting programs,
schedules, and other healthcare sector demands.
Integrating the SDM in an already congested
schedule can lengthen the framework and can
impede their work?ow. However, critics believe
that SDM does not take away much clinical time.
Studies have accompanied these decisions by
showing positive to mix results. Physicians can
practice SDM to their likeness and enjoy the
outcomes as they help patients to improve quality
and their understanding. Providers just need the
strategies that can promote SDM in accommodating
a place in their clinical practice. Leaning on
care coordination, team-based models, and nurse
communications can help physicians in
establishing SDM into practices. Overcoming
these restrictions with the knowledge, time, and
consistency may prompt many other industries in
creating resources required to implement the SDM.
information will erode the purpose of the applied
decision. In addition, the absence of clarity
while considering the treatment choices can
leave the patient with the inadequate
information in carrying out a healthy decision or
can further confuse them, overwhelming them with
information. The Agency for Healthcare Research
and Quality suggest the user of acronym SHARE
while discussing the SDM. -Seeking patients
participation -Helping patient in exploring the
treatment options -Accessing patients value and
preference -Reaching decision with the
patient -Evaluating the patients
decision Challenges SDM is a perfect strategy for
engaging the patients however, it faces
numerous challenges. First one is related to the
awareness of the SDM. There are only a few
caretakers that actually know about the SDM
practice or the
December 2018
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Bene?ts As medical decisions are always
complicated, therefore, it is essential for
general citizens to welcome information from
healthcare providers, caregivers, or even from
patients. The primary goal of SDM is to enlighten
patient and provide them with access of the
evidence-based decisions that further aid the
patients in learning them about their care
options and make decisions that align with their
preferences and care goals. Hence, the tools like
interactive media and multimedia are meant to be
the partners of the conversation, taking place
between the patient and healthcare provider. This
can help in guiding the patients in forming
strong decision even when they are stuck in
complicated situations. Experts believe the
despite hurdles and obstructions, SDM can have a
positive impact on the clinical elements. A study
published in 2012 illustrated that SDM helps
patients in revealing anxiety about the health
care costs, which further allows the patients in
choosing the best and personal care priorities
and treatment budgets. A separate study reveals
that SDM reduces the preventable hospital
readmissions, which aid the patients in deciding
the best treatment that is bene?cial for
them. SDM also supports informing the
value-based care models. Using these models,
patients can opt-out of the expensive and
potentially ine?ective treatment options and can
choose an option that works for their imminent
needs. This is more likely to yield long-lasting
results in the long-term. For example, in the
last stage of cancer, a patient can pursue less
aggressive treatment based on the comfort at the
end of their life. It is important for them to
live the last moments of their life as
comfortable as possible. Ultimately, SDM can be
counted as the key that ensures that the patients
see results that they truly want. Physicians
are experts on the diseases hence, they are the
best person who can provide insights into the
treatment. They can enlighten patients with the
side e?ects or other various aspects of the
treatment that can in?uence patients lives. SDM
ensures that healthcare providers accommodate the
patient preference in the care. In the end, it
depends on the patient what he/she prefers,
their needs, values, and their incorporation of
the treatment planning. Allowing patients
participation in their own care can be the key
for a better outcome and higher patient
satisfaction. Physicians that implements and
practice SDM must share their models so they can
o?er the bene?ts linked to the practice.
Consequently, this will make it easier and more
workable for other hospitals and clinics to
foster SDM into their healthcare.
December 2018
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32
Santovia
An Integrated and Comprehensive Health
Engagement Platform
Sbetter outcomes. Santovia is happy to announce
its
antovia provides targeted patient education, and
resources that promote shared decision-making, and
new partnership with EBSCO Health and the new
integrated Option Grid solution for providers.
The Option Grids are build on years of
evidence-based research to guide people through
lifes major health decisions Its surveys are
used by healthcare providers to improve patient
satisfaction through rapid feedback. Santovia
also supports patient reported outcomes by
measuring recovery and keeping track of how
patients are progressing. The need for better
patient engagement has never been higher, and
with more people than ever using technology, the
fundamentals are falling into place for
Santovia. Its often those who least have
access to technology that need the information
most. This insight is an important driver in
the development of Santovia. Headquartered in
Boston MA, Santovia was launched in 2016.
Santovia is optimized for all platforms mobile,
tablets, desktops and even paper for those that
want it. The inspiration behind Santovia was its
recognition that patients need better education
and everyone in the system needs to communicate
more e?ectively. For Santovia, this means
high-quality educational materials tailored
speci?cally for each individual patient. It aims
to consign poor-quality photocopies with obscure
diagrams and

• di?cult jargon to the trash heap. Instead,
  Santovia provides
• Extensive easy-to-understand content that
  explains what patients need to know about their
  conditions and procedures, in video and written
  format, and in both English and Spanish
• Conversational videos with expert doctors
  explaining exactly what behavior patients need
  to change
• Physical therapy exercises videos
• A wide library of customizable surveys to support
  rapid

Fiona Calnan CEO
30 December 2018
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10PATIENT
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ENGAGEMENT

So ution Providers 2018
Sol
fully understand what they need to do to recover
e?ectively was just as important an ingredient.
Fionas pioneering use of technology to help
patients understand how to boost their recovery
was recognized by industry awards. Its those
insights, both about the need for patients to be
fully engaged in their recovery and how to
harness technology to support learning, which
inspired Calnan to move to the US to bring those
pioneering achievements to a wider audience by
working with Santovias founder, Dr Ibrahim
Eid. The Uniqueness of Santovia Santovias
patient education platform provides an
unrivalled breadth and depth in both written and
video content. Santovia integrates surveys that
give deep insights into each patients
experience of care and how their treatment is
progressing. Santovia is assessible directly
from the providers EMRs and content can be
viewed through patient portals, health apps and
printed at the point of care. Santovia is the
only solution that brings all these approaches
together in one package. The Santovis platform
aligns all healthcare participants towards a
common goal to achieve the highest quality care
in an e?cient and cost- contained
environment.Everybody wins. Patients, and
providers all bene?t from Santovia. We listen and
act on their feedback. asserts Fiona. Speaking
about the working close with customers, Fiona
says, The team are all close to customers,
spending signi?cant amount of time understanding
their needs and then translating that directly
into new features and product enhancements. Fut
ure of Santovia Santovia has already established
itself as the most comprehensive patient
engagement platform in the market, but this is
just the tip of the iceberg they say. Immediate
plans include rollout expansion of its
teleconsult capability to enable patients to
access expert physicians on demand. Other areas
in development include expansion of its
cutting-edge physical therapy videos to cover
even more exercises to improve recovery at
home. It has already helped thousands of
patients make better decisions and aims to reach
many more people by helping employers create a
healthier culture and support their employees'
health care choices.
Santovia is the only
integrated solution that
allows providers
to deliver quality video and
written education al materials,
o?ering the added advantage
for providers to assign their own
customized content
to patients
and accurate feedback about patient care and how
conditions are progressing. Words of Happy
Clientele Evidence shows that informed patients
make more cost- e?ective decisions. says Fiona.
The company works with providers, employers, and
insurers to reduce healthcare costs and increase
pro?tability. Dr. Donald Rice, M.D, stated that
when the clinic switched from their old vendor
to Santovia, the sta? noticed immediate
improvements. We had searched for a new
provider for many years, so it was nice to see a
proactive company like Santovia step up and
address all of our concerns. Feedback from both
sta? and patients has been very positive
rea?rming they made the correct choice in
partnering with Santovia. According to Dr. Rice,
The user interface window was incredibly well
designed. The Santovia portal seamlessly ties
into the Urgent Care Clinics medical record
system making it easy to remain paperless. It
pulls the proper handout and documents the
delivery to the patient. We had used third party
educational providers and by far, Santovia is
far superior. They clearly get us and our
needs. Astute Leadership Before moving to the
U.S., Santovias CEO, Fiona Calnan successfully
created a built a network of hospitals in the UK
that delivered the best patient outcomes for
orthopedic procedures in the country. Great
clinical care was clearly an important part of
this achievement but helping patients to
December 2018
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Top Trends that can Boost Patient Engagement
to Optimum Levels
P

• site information, treatment/infection information
  to help customers in
• Promoting healthy living and early detection of
  diseases through real-time automatic health
  checkups
• Providing ideal treatment anywhere through the
  sharing of physiological and medical data
• Using robots to ease the on-site burden of
  healthcare and caregiving
• Moreover, these solutions will assist reduce the
  social costs associated with healthcare and
  caregiving and solve labor- shortage problems at
  healthcare sites.
• Health Education
• No one wants to be in the dark when it comes to
  any kind of dental treatment. Everyone wants to
  know about the detailed procedures and
  techniques the doctor perform while treating
  dental patients. As the awareness level on the
  rise, more and more patients want to know about
  their treatment procedures in advance. Educating
  the patients about the treatment can
  signi?cantly improve the patient experience.
  Increasing patient engagement not only does help
  in augmenting patients knowledge and skills but
  also builds their con?dence in managing their
  health.

atient engagement is a continuous process. It does
not end within the four walls of a clinic or
hospital.
Nowadays, with more awareness and desire to live
healthy lives, it is vital for healthcare
providers to provide
an uninterrupted and better support along with
guidance to make patients healthcare journey a
happier one which will be based exclusively on
trust and empathetic care. Here we bring some
exciting facets of healthcare that are becoming
popular for better patient engagement. Health
5.0 Health 5.0 has become the latest buzzword in
the ?eld of healthcare. This more recent version
of healthcare is more focused towards
personalization and emergence of digital
wellness. Whats new in this new stage is
patients are recognized as customers and from a
patient-centric healthcare, 5.0 is tilting
towards customers centric wellness
services. The main focus in this face of
healthcare is more towards prevention than
cure. Health 5.0 utilize AI analysis of big data
spanning over diverse types of information,
including personal real-time physiological data,
environmental information, healthcare-
December 2018
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Trends to Watch
a hassle-free manner is what has been attracting
consumers towards wearable gadgets. In a
prominent survey, it was found that use of
technology gadgets have increased multifold
between 2014 and 2016. Whats more interesting
is whopping 76 percent of patients follow
physicians recommendation to use wearable
gadgets as they feel more empowered with its
usage and e?ectiveness. Moreover, the
integration of wearable gadgets and electronic
health records has expanded the patients
satisfaction level towards the optimum. The
doctors have become more empowered to get the
deeper insights about a particular patients
daily activities, which ultimately assist
physicians to advice better guidance to the
patients. All these make the patients journey
fruitful and assist them to live a healthy
life. Although the list is endless, and there
are many other trends which are gaining
popularity, but one thing that is common is
Patients are now- no more just concerned about
the recovery from their diseases they want to
know about its prevention as well. Doctors and
healthcare providers thus need to gear up to
match the growing expectation from a tech-savvy
and highly educated world population in order to
maintain a cordial relationship and better
patient engagement for a sure success.

• Educating the patients can bridge the gap between
  patient and healthcare providers and assist
• Patients in taking accountability for their
  health
• Patients in practicing prevention techniques at
  home
• In developing patient trust, satisfaction, and
  loyalty
• In increasing treatment acceptance rate
• In safeguarding the continuity of care between
  appointments
• In empowering the patients to decide the best
  plan of action
• Moreover, rural or population with low health
  literacy, educating about the treatments and
  other can prove to a boon for the healthcare
  sector. As many within these populations have
  not experienced healthcare delivery that
  emphasize or encourage high levels of patient
  engagement.
• The Arrival of Tech Gadgets
• Wearable gad