Usability day, and it did his role at Pastivo decision. He's a senior fellow and an actunk professor at the University of Maryland College Park Cupid has been a consulting for years providing solutions for various fortune 500 companies in the Public Sector so welcome Cupid
We're happy to have
Sure was done
I just wanna make sure Brian is all all set.
Brian? Are you all set
We're all set. Go ahead and take it over. Cupid
Alright, thank you very much. So first of all, let me share my screen.
Want to make sure that you can see me. Okay, right? You see me fine. Okay.
Good. Thank you very much and welcome for for this, where you said the T day.
I I think you's the third time that I I talk in this event is my pleasure and honor.
So today we are going to explore something very special.
Sdh like that? Is this really the Sdh that we are talking about or not?
So first of all, let me really set up the stage of saying like explaining at least in my definition, what is the social determinants of health in the traditional medicine or medical field, when we are talking about health we usually are talking about phenotype or genomic or drug reaction or sometimes
Even the DC's symptom. But when we are talking, social determinants of health, we are talking about some situation that is health affecting, but not really directly related to our health, something like where it's the humanist or the person is born.
Live or work, or grow up. Those are really the circumstances which could contribute to the social determinants of health.
Very a few examples. Here is like the financial string, or like a housing instability, social isolation or transportation, or related consumption or barrier, and even include good insecurity all those kind of factor will consider as social determinants of health.
So how is it really impact our health? I asked, or off Sdh.
And transing Sdh. Within the health care system, improve access to the to the preventive, care and improve the treatment.
Adherence and some research even shows that accountable care, organization, Aco can saved over 4.5 million dollars by addressing only food insecurity for the patient, and at the same time the the health care cost can reduce as much as 40%, if like an aco is pondering, with the housing
Partnership, not to mention the inpatient and outpatient spending, also decreased by 53 or 23% resp.
If we tackle the Sdh program so. But that's only the like a generic impact.
For the Sdh in the patient community. What if for some patient who has more severe disease, such as cancer can, the patient are more likely to worry their standard of living and experience like food security compared to individual without cancer.
And these patients are less likely to receive appropriate and timely cancer treatments, and have poorer survival.
So recently American Cancer Society, published a blueprint to understand and address Sdh.
For cancer. But it's actually not only American cancer society.
More organization are also take sh seriously and come up with something.
For example, the National Academy of Medicine, or even prepared to parry.
They have some definition for several domains in Sdh.
And validate the measures of Sdh. What can be helpful to for helping day a patient with the SDK social determinants of health or our conditions, with all the blueprint all the like a tools or this kind of validated measure for Sdh what happens we achieved or what have we done so
Far some people actually quite a lot of people. They enhanced the ehrl to include those kind of Sdh information which we find that it's very useful to help the patient they enhance the show to incorporate this data and then they try to collect this information when the patient is visiting
The clinic, with the hope that by noting down or this kind of information, we or they can help the one in.
But let's get what let's guess. What's the result?
The result is this this kind of blank sheets of paper are usually the result of even we have orders, and the blueprint in our 2 set.
Why is that? Why mature are the Sdh. Fields are still anti, so we will explore more the details of the reason why.
But in shots our health, including social determinants of health.
Needs human center design that mean step number one. We need inspiration with empathy.
That's basically the very first step of Hcd: right, how can we inspire by with empathy?
We imagine what happened in a 30 min. Doctor, visit when a patient walking into the clinic.
Of course the doctor will ask, how does he or she feels, sees the past like a appointment in this few weeks or few months knocked it down so that the doctor can diagnose whether he needs to like or she needs to increase or decrease the those age of the medicine or
Prepare a bandit treatment plan based on different conditions are going in or out.
For this the power few weeks okay, before you notice it. 30 min has passed, and guess what the very important Sd data has not been collected because all the times the patient and the doctor they are talking about a more important information which is the Dcs themselves that the citizens itself how how are we going to plan out for the
Next coming few weeks or months of the treatment, plan, and what is the side effect for the drug?
And how can we really plan out the the dinosaurs?
Better. So all this kind of medical health related topic it's occupying the 30 min clinic this.
So this is one of the reason why Sdh would not even ask for the that scenario or that situation.
But let's imagine what we really can squeeze fine with 10 min outside or third in minutes doctors visit to ask the patient the Sdh problem and not a problem will arise.
The problem is, the patient is asked by a stranger of some embarrassed questions.
In an anthem, familiar place, it's it's kind of the the shameful feeling that even though they do have time to ask about this question.
Those questions would not be easily asked, or even answer. That is another reason why, when we are talking about collecting the Sd data and try to like get it in into the system so that hopefully, our expectation is we can help the patient.
In need. Majority of the time. Those kinds of views are blank and empty.
So how does Hcd help remember after the phase?
One phase 2 is the ideation we need to bring a stop and think about from a human perspective.
What can we do in order to help those kind of patients?
So our hypothesis here is, patients are more willing to provide.
Answer? Wherever they feel confident not necessary to be bound in the clinic.
Maybe at home, maybe on a comic wherever they want, not only wherever they want, but when whenever they want.
Sometimes maybe towards the night, like at that time when the kids are on or go to bed, they can have more me time to do this kind of survey and answer those questions.
Maybe it's a daytime. We don't know.
We just want to provide and hypothesize that provide this flexibility will help the patient more willing to provide this as stage information, and finally and Monday.
They do not need to answer those embarrassed questions to strangers.
They can have their new time looking at those questions and answer the very honestly to themselves in the phone or in in the medium that we provide to them, and they do not need to really look and and address those questions to a stranger because we believe.
Patients in need should also be honor. Their need should also be honor.
The page themselves should also be owner, but not to be.
Feel like threatened, or feeling shameful this is the goal and the reason why we hypothesize, that so with all being sad we really get a chance to test out our hypothesis last year.
For the Nih sbi, all there is a topic to enable software to address the social determinants of health in oncology, practices, and we are trying to propose an idea of an integrated monty level decision support system to address Sdh using patient center and evidence base and stage among the
Cancel patients and the approach that we take. We are going to partner, or are we a pistol decision is a technology company.
We focus and specialize on technologies software development. Hcd. Security.
But technology is nothing. If you do not have the business contacts in this case oncology is the context.
So we also partner with Hopkins, trans Hopkins, ontology Doctor, to understand the whole workflow of how a doctor will take care of the patient in their homework flow and in order to close the Loop we also invite the sdh expert from the school of public health they know what kind
Of est screening is necessary, and how do we implement this kind of screening into the whole process?
So that we can eliminate and reduce and eliminate health services and disparity.
And this is the goal for our Svr. Our project, and in fact, we are not just testing it in one, but we test it in free different cancer.
Locations, had a neck prostate and breast cancer, because we believe that is this practice.
This Hcd. Should not only apply to one certain or specific type of cancer, but a variety of cancer should also be beneficial.
If we design this system right. But what interesting! Here it's about not only the program.
It's as a technical program. Sbi all nih Sdr.
Has also another aspect, called Icps. It's basically an option under this program to teach us how to bring our this product into the market to fit the real.
Patient's needs. Hey? Sounds like Hcd: right it is.
It is actually like an outer perspective of Hcd.
And in the very first day of the icups what happened is the coach, the very first comment that she made is: we know that for every one of you twenty-something cohort members in the in the group we know that you understand technology otherwise you would not be award for this svr but the
Problem is understanding and knowing technology doesn't mean you can build a product to feed a customer need.
So here in this icups program. We are here to teach you how to get the custom.
We need matching up with your technology so yes, yes, we really feel like this is Hcd.
In an outer perspective, because not only they want you to to be successful, develop a technology or solution, but it can also marry that back to the customer or do the user demand and then, at the very end of this like Icups program you cannot really graduate until you present what you learn in a presentation
Like what what we are seeing here. But we also need to produce a video which I'm going to share with you to conclude what we learn in this icups program check it out
Christopher means to trust or believe, especially in health. Care is not the technology.
What you build is important, but rather what it you build can be trust or believe by the users before the Icon.
I thought our product will be very successful. I have experience of perioding up a software platform right now over 6.4 billion dollars market cap internationally, and we have a project lead leading our Federal health care it a war project for many years not to mention we also have doctors over 25 years of experience how can we
lost. But I was wrong. I, core, was transformational. For me.
It gave me that practical framework for how product, innovation and development should be done, did force me to get out and understand what the needs and opportunities are for a target market, and through iteratively test, and ask myself if we have the right fit for our product this was really an advisory experience when an
established business, build a product is all about execution.
You assemble your development team, your marketing team, and you have the fun at your disposal.
But a startup is all about the search, and so we learn, having a strong technology.
Background has nothing wrong. The problem is, can you convert this technology into something that your customer really wants?
As we wrap up this icon program. It doesn't mean it's the end of our journey.
In fact, we have already decided to incorporate the skew sense that we learn from this program into our daily operation, because we believe it's not just the theory, but it's the practice, for any profitable business
So, where we're talking about Hcd: are we really listening to our real user?
This Icps program actually aligned very well to CD, because it's not only teach us, but they force us to do so.
And so, after 6 weeks of this intensive training of the business model, we have more than 500 interview requests at attempts, and we actually do the interview more than 100 times and the bonus is we actually get the final best in show award in this iconfs program but the real game here.
Is, we really learn from the user. We learn that they are not only feeling shameful, but they are also feeling depressed.
The depressed about, they depress about feeling uncertainty, even though as facing as to take care one's own health.
That's not really possible, and as as we go into the interview, we are not only talking to the patient, we also talk to the doctor and one of the incident.
When we talk to the doctor about this this approach, this Sdh.
Approach, and but the doctor tell told us a story. He said, like he treats a patience, and of course, at the end of the treatment as a routine he hand her a parking lot, and then what shock him is by the time he hand he hand this patient the parking volunteers her reply is why, why, are you giving me
The parking vulture. I do not have a car.
I did not even know whether I can come to for this follow-up visit.
You give me this parking voucher is useless.
Then it is a wake up. Call for the doctor, because, as the egg is not just collecting right at the spot when the patient visit the clinic, what if she really missed the the follow-up?
Appointment because she did not find a way to come here.
It's already missed, is already gone. So we really need to think of a more creative solution to address the assage way before the patient really show up in the clinic.
So? What if what if we can incorporate? Let's say uber, or lift inside the app, so that when we determine when we identify there is a need for the patient that they may miss the appointment, because they don't have the commute then the the app itself will automatically aware of that
And send a Uber to help this patient. Come to the follow-up visit.
We want to make sure that this will turn a debate so like emotion into a satisfied feeling, because we fulfilled the need by removing the blocks for the people to get the right treatment.
We we provide not only an app, but we satisfy the real actual need for the patient.
That is a goal, and then we want to achieve that. It's not only by virtual because you know, like a week in the past 2 and a half, or a close to 3 years, of the pandemic most of our interaction, including those like a 100, plus interviews.
Was, they were conducted mostly in zoom, but we decided that it's actually not good only for virtual interview for those with Sdh.
They may not even have the privilege to have a computer or to join a Zoom Meeting license today, so we decide to talk to the real patient in person.
We target for that to talk to them, to listening to them.
But then we find out another thing in order to expect for the sah patient, because when we show our app when we show our feature to them, and the reply in one of the scenario, when we talk to them in a hospital who reply was you know what I try I really try to test people about
My Sd need, but I waited for 9 months. Now nothing happened.
Are you saying that if I use your app by telling you My Sdh need, I will get help faster.
That hopeless, that hopeless emotion really led us to think.
What can we do better to make this hopeless situation the other way around?
We don't want the people or the patient who have already got each other need even few more hopeless, because they share that they need with us.
But then we cannot do nothing, even though we know about so phase 3 about this Hcd.
Is implementation. How can we really make the implementation to match up the expectation so that we can eliminate the hopelessness from the then we start talking.
We start talking internally and find that we are technology company.
Maybe our partner is their own colleges or social determinants of health. Expert.
However, we are not doing any social work, but do we have to, or can we partner with someone who is in the social we've been providing social like needs for the for the patient or for the users can we partner with them.
The Rsa. Is. Yes, we have a solution, but our solution doesn't have to be all implemented by ourselves.
Implementation can also be by fulfilled by partnering with another entities and out organizations that can feel the whole or feel the gap of this overall solution.
So dance? Why, we reach out to find help unite us.
They are one of the leader in the country. To provide this kind of social need, like a food and transportation. Financial need.
All those kind of social need they are sending people out.
They are referring people to the different organizations, so that their technique can be fulfilled right away.
So by partnering with them. We once identified the patient has that need. We pull the information.
Resource. Right in front of the patient in the app, so that they do not need to wait for 9 months without anything.
We are convert the hopeless situation in something that is more doable because we provide actionable help directly to and proactively.
Once the need is identified, we want the patient to feel like they are part of the system, and they are not isolated.
So once we incorporate the Api right inside the app.
Then we know that we can help them to be more doable right here in without, without without any further waiting.
So that is the goal, and that is what we have done in this case, and the result in this case we build different products.
We build a products. One is the patient facing app, so that the patient can give us a let us know what is the Sdh need and then we connect the data.
But at the same time. Once we collect the data, we analyze the data.
We can also send this back to the provider, so that the provider, even before the patient, visit the clinic, they understand who will, who we need some help in what area so that?
If there is resource available they will send their resource back to the patient.
So now what is the result? Phase? One of this Svrl has already conclude, and we receive positive feedback both from the patient and also from the provider.
E. Like exponentially for provider 100% positive rating for this approach, instead of wait until the patient comes.
We proactively help have them out, and at this point we are preparing for the phase 2 to fully productionize the platform, so that it's not only like a poc or fiscal feasibility of the technology, but we incorporate this and integrate it directly into production system of a hospital
Or any clinic that they need. This kind of help for their patient.
So and meet them. It is out of our control. If people having Sd.
Or not, but by the human center design approach that I share with you in the past 30 min or so we are hopeful that we can transform the shameful, depressed, and hopeless experience into sent satisfy and doable most importantly honorable product to help our patients, and I understand that like this
sdh is a big topic and trendy topic.
A lot with health, equity, and so here is here is my information you can connect me in linking or twitter, and I know that there will be also a breakout room that I will join, and if you don't mind i'm actually a very technical so feel free to talk to
Me about AI or Bi or any technology. How can we due utilize this technology to help people with the edge Sdh.
Need. So that's pretty much my presentation, and I will stop sharing and pass the ball back to the host
Okay. But thanks. So much that was that was fascinating, very, very insightful.
Thank you so much. If you want to meet Qubit, or continue the conversation, please join the breakout room that will be opening up pretty soon before we break.
Let's take. Let's bring out the wheel of names, and we're gonna be giving that a spin
Yeah, the anticipation.
Laurie, you're all went out for today. Fantastic congratulations.
A member of the a city team. We'll be reaching out to you on the zoom chat to make sure we have all of your contact information, but fantastic. Thank you so much.
Okay. We're gonna move to the next slide cool. We're gonna so we're gonna join.
So the room is being set up right now. So if everyone interested in having conversation with the Cupid, please join the room