Chronic Disease Manager – Improving Disease Management Outcomes

Chronic Diseases – $1 Trillion Health Burden, Still Growing
Chronic diseases are an inordinate part of the United States and the world’s health care costs. A study by the Milken Institute estimated that the annual economic impact on the U.S. economy of the most common chronic diseases is calculated to be more than $1 trillion per year. This cost is projected to further explode to an astounding $6 trillion by 2050. Approximately seventy-six percent (76%) of Medicare spending is spent on patients with five or more chronic diseases. Chronic diseases place an enormous burden on untold millions of lives around the world. Given the scope and impact of this challenge the medical community is continuously working to develop new practices and innovations to improve the quality and coordination of care for chronic conditions.

Meeting the Challenge – WellDoc’s Innovation
WellDoc co-founder and CEO Ryan Sysko has boldly stated, “The inability to effectively and efficiently manage chronic disease is a global pandemic of unsustainable proportions.” Yet, there is certainly hope in this new age of medical innovation.


© 2012, Endeavour Software Technologies

Mr. Sysko and his leadership team at WellDoc, Inc. ( firmly believe in a vision where mobile technology can dramatically improve the delivery of care for chronic diseases. A vision where the participants in the delivery of care also includes perhaps the most important and often overlooked participant: the patient. The genesis of the WellDoc solution occurred when co-founder Dr. Suzanne Sysko Clough, an endocrinologist at University of Maryland, became frustrated with traditional methods for treating her Type 2 diabetes patients. These methods included a series of office visits, weeks apart, in which patients shared their conditions and behavior using handwritten diaries. During this care Dr. Clough could not retrieve current data on patient’s conditions nor could she provide ongoing advice to alter her patient’s behavior and treatment regimen. Therefore, ongoing adjustments to care (e.g., titrating medications) occurred less frequently with less data to aid the decision making.

Endeavour The Mobility Company – A Partner
In 2004, WellDoc engaged Endeavour – The Mobility Company to work with the WellDoc team to develop the innovative “patient coaching” mobile solution. Endeavour provided a range of services including:       Enterprise Mobile Strategy/Assessment Mobile Architecture Design Application Development Mobile Application Mobile Security Design/Development Integration Services FDA Approval/HIPAA Compliance

The Solution – Mobile Patient Coach
After years of design, development, and testing WellDoc, Inc. produced a new innovative solution to give patients real-time coaching and feedback on how to manage their disease by giving physicians ongoing data captured by using a mobile phone. The product known as DiabetesManager® uses a mobile phone with an individualized patient coaching mobile application. DiabetesManager® improves the delivery of care by helping patients understand their own illness. Using a mobile phone, patients input personal health information, such as medications taken, diet, exercise, and for diabetics, data on glucose. They receive immediate feedback from physicians, and case managers via the WellDoc application in real time. The feedback is personalized and relevant to their condition. Doctors have access to the data and use it to monitor and communicate with their patients. The feedback-to-behavior change cycle is dramatically improved. WellDoc’s product teaches patients how to manage their chronic disease in real time, at what CEO Ryan Sysko calls “the right teachable moment.” It engages patients in positive behavioral change and helps doctors provide real time treatment recommendations outside office visits.


© 2012, Endeavour Software Technologies

WellDoc’s solution impacts the coordination of care on many levels. Three critical areas of importance are: 1. Patient Coach – patients become engaged in their illness by using a mobile “Patient Coach” application to track their health and receive real time feedback on their condition. The system provides real time coaching with alerts, reminders and patient education. 2. Expert System - a software system that uses complex clinical, behavioral and psychosocial algorithms to trend patient data and provide real-time advice and support. The system includes predictive modeling and analysis of longitudinal data. 3. Decision Support - data collected from patients is collected in a decision support system that is used physicians and care managers to improve coordination of care. Clinical data analysis and outcome based support is provided with integration to case management and EHR components.

Results – FDA Approval and Clinical Trial
WellDoc received a 501(k) clearance from the FDA for its Diabetes Manager System in 2010 which gave approval to use the product as a viable alternative to treating the chronic disease. In 2011, a large randomized controlled clinical trial study funded by University of Maryland, WellDoc, Sprint, and CareFirst found that users of the WellDoc system had significantly lower A1c values than control patients. The published findings were very well received in the health care community and now serve as an exemplary case for other innovators seeking to improve the coordination of health care through the use of new mobile technologies. .

Our Value Add
Endeavour and our clients believe we deliver unique value in several areas:  Our Mobility Expertise – We have developed deep expertise in mobile technology, starting in 2002. We have over 250 mobility experts worldwide. End to End Enterprise Capability - We have experience supporting the unique challenges of large enterprises. We have experience with developing mobile applications, selecting mobile enterprise application platforms, and integrating legacy systems. Partnering Approach – We act as partners with our clients enabling them to address difficult challenges and achieve market goals. Our focus is not on selling our own products but, first and foremost, on making our clients successful. Domain Specialization – We recognize the importance of understanding a client’s business. We have domain expertise in health care, banking and other key industries. We work closely


© 2012, Endeavour Software Technologies

with clients to not only adopt mobile tools but to transform their business into a new and mobile-enabled enterprise.  Global Cost Advantage – We utilize resources from delivery centers across the globe. This allows us to optimize resource and offer cost advantages to our clients.

Our Partnership
WellDoc, Inc. and Endeavour have worked together on the development of WellDoc’s innovative platform since 2004 and have formed a strategic partnership to bring further innovation to the WellDoc platform. In a recent press release, Anand Iyer, WellDoc's President and COO stated, "We've established a very strong and supportive relationship with Endeavor and we are excited to see it continue"


© 2012, Endeavour Software Technologies

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