In Partnership with

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 Intro

“To improve the health and quality of

life of all North Carolinians by building and
supporting better community-based health
care delivery systems.”

● Improve care while lowering costs for

patients with complex needs and chronic
conditions
● Identify and address barriers such as
social determinants of health
● Provide resources and increase impact of
care

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 Problem Statement
Complicated Patien Nurs
coordination t e
between MCC, MC
patient, nurse C

Poor information
exchange methods MC Nurs
between MCC and C e
nurse

Difficulty adjusting Nurs Patien

Patien
to changes in daily e t
t
schedules
Patien MC
t C
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 Data

47.9%

Of home care nurses have been provided with

incorrect/incomprehensible patient discharge
information

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 Target
Audience

Member Care
Nurses Patients
Coordinators
(MCC)

● Scheduling ● Limited access to

● Home visits
● Uploads patient internet and
● Responsibilities smartphones
information
● Discharge summary vary ● APP and SMS
component
● Future steps

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 Intervention

1
Daily schedule or queue of scheduled patient visits

2
Digitization of patient forms and information

3
Routing and navigation features

4
Immediate administrator access

5
Patient use - check in, tracking, past appointment
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 Mockups

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 Implementatio
n
Steps For Implementation

2020 2020 2021 2021

Ideate and Build Pilot Improve Launch

Conduct research, assemble team, Pilot the platform with CCNC for Incorporate feedback into design Launch app on IOS and Android
interview stakeholders, and roughly one month. Gather and run new version by CCNC marketplaces. Provide support
develop prototype insights and feedback from all leadership. for CCNC to ease
stakeholders implementation.

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 Financing
COSTS
● $1000 development Comparables:
costs
● Server costs starting at
● Alora Health: $295 per month per
$99
user
REVENUE
● Axis: $99 per month per user
● $30 per month per user
● 800 care managers
● Captera: $5 per month per user
● $24,000 per month
● $288,000 annually

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 Long Term
Replicability, scalability, product distribution

Expand
Other local nationally and
Care tailor app to
Management other similar at
organizations home health
organizations

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 Theory of
Change

Inputs Outputs Outcomes

Funding for app Activities Impact
Organization tool in Number of nurses/ Reduced wait time
creation Decrease in Improved quality of
Salary the form of an app MCCs using app
optimizing patient missed/obsolete care, appointment
Nurses Counts of people
information and form appointments efficiency, work life
MCC treated
sharing, daily visit Reduced driving of staff, and reduce
Patient contacts Number of time for nurses
scheduling, and nurse home health care
CCNC appointments Improved
routing costs
conducted communication

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 Challenges

Challenges and Constraints

● Nurses contacting patients
● HIPAA
● Rescheduling
● Patient’s access to phone minutes
and internet
● Patient level of comfort with using
app

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 Future Steps
Potential Next Steps and
Considerations

1
1 2
2 3
3

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