By: 11 Health

Suffering from a chronic condition is not easy. All too often we leave patients to navigate the healthcare system and remain surprised when they fall through the cracks. Although it often seems otherwise, today’s health systems are not designed to treat patients badly, they are simply not designed at all. Applying simple, human-technology interventions can greatly enhance care without requiring top-down change in established healthcare systems.

11 Health and Technologies is a company whose vision is to transform perioperative and chronic care by blending smart technology with a unique patient coaching program that perfectly complements what we do in the hospital.  The company is patient-led and was created from a hospital bed in Oxford, United Kingdom. 11 Health founder and CEO, Michael Seres, has suffered from severe Crohn’s Disease for most of his life and he ultimately required an intestinal transplant and an ileostomy.

For patients that suffer from chronic gastrointestinal conditions such as inflammatory bowel disease (IBD) surgery is often necessary; up to 80% of Crohn’s disease (CD) patients will undergo an operation during their lifetime. The need to undergo surgery creates a psychological and physical burden that can directly and indirectly lead to worse outcomes for the unprepared. $400 billion dollars a year is spent on the care of surgical patients in the USA. Much of the costs are related to length of stay and readmission and these are influenced greatly by a patient’s preparedness for surgery and how their recovery is supported. Managing chronic diseases is also a hugely important issue with a total cost to the economy of up to $3.7 Trillion in 2016.

Inspired by Michael’s experience as a patient and mine as a physician specializing in the management of IBD and its consequences, we set out to change the way these conditions are managed. We developed new technology and a program of support that recognizes both acute and chronic aspects of the chronic patient’s ongoing journey. With our perioperative support program, we support patients from early in the pre-surgical phase through to 90 days post operatively. We provide a portal through our smartphone application, with data provided by trackers (such as the integrated daily health check and our smart appliance system for ostomates). Data is meaningless unless it is used towards something and we facilitate goal-based prehabilitation and recovery with our team of highly trained health coaches each of whom has been a patient themselves. Most importantly patients can determine the outcomes and data that are important to them right at the start of their journey of care.

 Patients with chronic conditions do not simply get better or cease to have ongoing needs beyond 90 days post op. Our chronic care program provides a care solution for patients with a chronic condition. This product is built around the principles of patient-centered chronic care management facilitated by health coaching. We aim provide patients the tools to master their condition optimally by equipping them with the monitoring data, analysis and educational support to self-manage and empower better discussions with their clinical team. Again, our unique program of peer-support from trained health coaches supports patients in understanding their data, setting their goals and supporting them to achieve these goals.

And it’s working. Hundreds of thousands of data points have been collected, processed and analyzed on our servers. Over 20,000 patient-days of support have been provided. Tens of thousands of hours of remote monitoring have been used to refine and improve our algorithms and to date enough stoma output has passed through our connected ostomy bags to fill an Olympic sized swimming pool. The remote monitoring and tracker data from our devices and application has triggered thousands of interactions with our coaches on issues of physical health, psychological support or social guidance. Readmission to hospital and dehydration events are reduced and patients continue to use our services for months.

As a physician I have seen the shortcomings of traditional paternalistic medical approaches throughout my career. It has been a privilege to work with an incredibly talented and truly multidisciplinary team and it is wonderful to see this model of care bearing fruit in such important condition areas as inflammatory bowel disease and ostomy. The principles of coach-supported prehabilitation, perioperative optimization and patient-centered chronic care management are applicable to so many patient experiences and outcomes across countless specialties. We hope to rapidly translate our model into something that can truly transform the management of perioperative and chronic care for the better, placing the patient permanently in the intersection of data, technology and humanity.