PrognostiCheck® Value Proposition Strategy and Focus in detail.

1. ©2005 IPGDx, LLC

2. PROGNOSTICHECK®
Value Proposition:
Strategy & Focus

3. STRATEGY & FOCUS
Reliable
information to
base healthcare
decisions upon
Scientific Excellent Compassionate
knowledge training & caring
base support communication
Structured Specific to:
Pre-Learning
multi-media formats Patient, Physician,
Assessment
Manufacturer
©2005 IPGDx, LLC

4. INDIVIDUALLY TARGETED CURRICULUM
• Patient’s and Families
• Physicians
– Other healthcare providers
• Nurses
• Facilities
– Phase of care
• Manufacturers
– Pharmaceuticals/Other Interventions
• Prescription
• Nonprescription
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5. THREE FRONTS OF CHANGE
• Chronic disease model
– Therapeutic efficacy
• Healthcare delivery system
– Changing roles
• Ethical and cultural expectations
– Duties and responsibilities within a new
decision paradigm
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6. CHRONIC DISEASE
• Diagnosis established
• Tx limited/repetitive
• Course is long/progressive
• Complications
– Anticipation
– Avoidance
– Mitigation
• Speed of progression
• Scope of deterioration
©2005 IPGDx, LLC

7. CHARACTER OF CHRONIC ILLNESS
• Nonfatal (Complication Avoidance)
– Occurs with substantial reserve capacity
– Progressively long natural course
• Serious then fatal
– Progressively worsening
– Serial exacerbations to death
• Frailty/prolonged dwindling (Cliff Edge)
– Little available reserves
– Small upset cascades
©2005 IPGDx, LLC

8. Hospitalizations
• Severity of disease
– Present on admission
– Nosocomial or not
• Overstaying DRG LOS
– Complications
• ICU Resource allocation
– SIRS
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9. From:
‘Living Well at the End
of Life’;
Lynn & Adamson
2003 Rand Health
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10. ~20%
~20%
~40%
©2005 IPGDx, LLC *~20% other and/or undefined

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12. Of the ~2.5M annual
deaths less than forty
percent died under hospice
care
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13. THOSE WITH CHRONIC DISEASE
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14. CHANGES IN HEALTHCARE DELIVERY
• Physician
– < economic independence
– < professional autonomy
– > external review
– > administrative oversight
• Called upon to:
– Optimize outcome while minimizing costs
– Proffer decisions with weighted
administrative and clinical consequences
©2005 IPGDx, LLC

15. CHANGES IN HEALTHCARE DELIVERY
• Resource Allocation
– > need
– > cost
– To produce > benefit
– Comparative metric/risk adjustments
– Relative levels of illness and treatment
• System comparisons
©2005 IPGDx, LLC

16. CHANGES IN HEALTHCARE DELIVERY
• Demonstrated Effectiveness
– Assessment of the probability of
expected course and outcomes
• Assumption of therapeutic efficacy
– Intermediate endpoints predictive of
long-term outcomes
• Predictive findings
• Pre-symptomatic – occult illness
• Predicting consequences
– Benefit of advanced interventions
– Adherence metrics
©2005 IPGDx, LLC

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18. ETHICAL DECISION MAKING
• Communication required
• Consumerism
• Informed consent
• Risk (cost) / Benefit
• Resources
– Availability
– Allocation
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20. END OF LIFE COSTS
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21. CULTURAL EXPECTATIONS
• Futility of intervention (flogging)
• Outcome inevitability
– Likelihood of recovery
– Effectiveness v trauma of intervention
• Justice
• Beneficence
• Economy
©2005 IPGDx, LLC

22. END OF LIFE CARE
• > Consciousness of EOL care and death
• ‘Good Death’ v “BAD”
– Control-Comfort-Communication
– Discussed with family
– Planned for
– Meaningful assessments
– Management of
– Home care
• Physical-Spiritual-Emotional-Social-Cost
©2005 IPGDx, LLC

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28. PROGNOSTICHECK®
• If Sick, How Sick®
• Prognosis
– Characterization of disease
• Presence-Severity-Progression
– Effectiveness of therapies
• Optimized individual response
– Timing of non-acute death
• Palliative care and Hospice
©2005 IPGDx, LLC

29. TARGETED MARKET SEGMENTS
Innovators First 5% - 10% that adopt the product
Early Adopters Next 10% - 15%
Early MajorityNext 30%
Late Majority Next 30%
Laggards Remaining 20%
CHARACTERISTICS:
Venturesomeness: the willingness and desire to be daring in trying
something new and different
Social integration: frequent and extensive contact with others in
one’s area
Cosmopolitan: point of view extending beyond the immediate
neighborhood or community
Social mobility: upward movement on the social scale
Privilegedness: attitude and possession of money (less risky to try
something new)
©2005 IPGDx, LLC

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