Global EditionSuccess Stories & ROICiba Health uses wearables and analytics to get to the root cause of type 2 diabetesGetting to the unique root cause for each patient has enabled the healthcare organization to reduce hospitalizations, improve medication adherence, reduce healthcare costs, reduce medications and help patients lose weight.By Bill SiwickiMay 31, 202411:10 AM.

Global EditionSuccess Stories&ROICiba Health使用可穿戴設(shè)備和分析技術(shù)來找出2型糖尿病的根本原因。找到每位患者的獨特根本原因，使醫(yī)療保健組織能夠減少住院率，提高藥物依從性，降低醫(yī)療保健成本，減少藥物治療并幫助患者減肥。Bill SiwickiMay，1202411:10 AM。

Ciba Health CEO and Founder Dr. Innocent Clement

汽巴健康首席執(zhí)行官兼創(chuàng)始人Innocent Clement博士

Photo: Dr. Innocent Clement

照片：Innocent Clement博士

The U.S. healthcare system can treat patients in a formulaic, one-size-fits-all manner. These methods of patient care, some experts contend, are ineffective and costly, and often lead to poor health outcomes due to neglecting a patient's individualized needs, specifically when it comes to chronic conditions..

美國醫(yī)療保健系統(tǒng)可以以公式化、一刀切的方式治療患者。一些專家認(rèn)為，這些患者護(hù)理方法無效且成本高昂，由于忽視患者的個性化需求，尤其是在慢性病方面，往往會導(dǎo)致不良的健康結(jié)果。。

THE PROBLEM

問題

'Patients with chronic conditions have a deep medical history and have likely seen many different providers who all tried different treatments,' said Dr. Innocent Clement, CEO and founder of Ciba Health, which offers a comprehensive, holistic approach to patient care on a mission to address the root cause of type 2 diabetes in each patient it serves in order to improve their overall health..

“慢性病患者有著深厚的病史，可能見過許多不同的提供者，他們都嘗試了不同的治療方法，”汽巴健康公司首席執(zhí)行官兼創(chuàng)始人諾森·克萊門特博士說，汽巴健康公司提供全面的整體患者護(hù)理方法，旨在解決每位患者2型糖尿病的根本原因，從而改善他們的整體健康。。

'No two patients with type 2 diabetes are the same and they should be treated as such,' he explained. 'Failing to probe and conduct research into every patient's unique biochemistry, genetic makeup and family history leaves valuable information on the table that can help providers better assess and treat a patient.'.

他解釋說：“沒有兩名2型糖尿病患者是相同的，他們應(yīng)該接受同樣的治療?！蔽茨軐γ课换颊擢毺氐纳锘瘜W(xué)，基因組成和家族史進(jìn)行調(diào)查和研究，會留下有價值的信息，可以幫助提供者更好地評估和治療患者。”。

Additionally, the segmented treatment process in today's system of sending patients between various primary and specialist providers causes information to get lost and each provider to not have the full picture, he noted. These issues can prove detrimental to patient health outcomes and eventually lead to complications, costly provider/pharmacy visits and high hospitalization rates, he added..

此外，他指出，在今天的系統(tǒng)中，在不同的初級和?？铺峁┱咧g發(fā)送患者的分段治療過程會導(dǎo)致信息丟失，并且每個提供者都沒有完整的信息。他補充說，這些問題可能對患者的健康結(jié)果有害，并最終導(dǎo)致并發(fā)癥，昂貴的提供者/藥房就診和高住院率。。

'Annually, direct healthcare costs for a patient with chronic disease average $6,032, approximately five times that of a person without a chronic disease,' Clement said. 'The pre-existing, one-size-fits-all approach is ineffective in treating chronic conditions like type 2 diabetes because it fails to get to the root cause of disease in each individual patient..

克萊門特說：“每年，慢性病患者的直接醫(yī)療保健費用平均為6032美元，大約是非慢性病患者的五倍?！鳖A(yù)先存在的一刀切的方法在治療2型糖尿病等慢性病方面無效，因為它無法找到每位患者疾病的根本原因。。

'Instead, this method merely treats symptoms often through expensive medications that serve as a band-aid to a larger underlying issue, making patients walk through the revolving door of pharmacies, hospitals and providers because the root cause of a patient's condition is not fully addressed, if at all,' he continued..

“相反，這種方法通常只是通過昂貴的藥物來治療癥狀，這些藥物可以作為一個更大的潛在問題的創(chuàng)可貼，使患者穿過藥店、醫(yī)院和提供者的旋轉(zhuǎn)門，因為患者病情的根本原因沒有得到充分解決，如果有的話，”他繼續(xù)說。。

Ciba Health uses technologies that aim to address these issues by providing a more effective, patient-centered and data-driven approach to type 2 diabetes management by leveraging wearable technology, conducting extremely thorough lab tests and setting each patient up with their own personal team of health experts, based on their health needs, he added..

Ciba Health使用旨在解決這些問題的技術(shù)，通過利用可穿戴技術(shù)，進(jìn)行極其徹底的實驗室測試，并根據(jù)每位患者的健康需求，為2型糖尿病管理提供更有效，以患者為中心和數(shù)據(jù)驅(qū)動的方法，并為每位患者建立自己的個人健康專家團(tuán)隊，他補充道。。

PROPOSAL

提案

At Ciba Health, each patient is matched with a provider team, which includes one-to-one visits with a certified health coach, board certified physician, mental health caregiver and registered dietician to provide them with experts who can empower them and provide personal recommendations to help them achieve their health goals..

在汽巴健康中心，每位患者都與一個提供者團(tuán)隊相匹配，其中包括與認(rèn)證健康教練、董事會認(rèn)證醫(yī)生、心理健康護(hù)理人員和注冊營養(yǎng)師進(jìn)行一對一的訪問，為他們提供專家，他們可以授權(quán)他們，并提供個人建議，幫助他們實現(xiàn)健康目標(biāo)。。

'In addition to this, we knew providing patients access to real-time data and analytics was imperative in order to give them a full holistic view of their health,' Clement explained. 'For patients with diabetes, the value of real-time insights regarding your health cannot be overstated. Traditional methods of blood glucose monitoring can't provide type 2 diabetes patients with constant, real-time data to help them make informed decisions every minute of the day..

克萊門特解釋說：“除此之外，我們知道為患者提供實時數(shù)據(jù)和分析是必不可少的，以便讓他們?nèi)媪私庾约旱慕】禒顩r?！睂τ谔悄虿』颊邅碚f，實時了解您的健康狀況的價值怎么強調(diào)都不為過。傳統(tǒng)的血糖監(jiān)測方法無法為2型糖尿病患者提供恒定的實時數(shù)據(jù)，以幫助他們每天每分鐘做出明智的決定。。

'Helping patients understand and get a full picture of their conditions to treat the root causes with accessibility, transparency, convenience and comfort is the priority,' he continued. 'The real-time analytics provided by wearables such as fitness trackers make it easier for patients to understand their own health picture as well as support the care team to make more informed decisions for each patient's treatment, enabling them to take proactive and preventative measures as needed.'.

他繼續(xù)說：“幫助患者了解并全面了解自己的病情，以無障礙、透明、方便和舒適的方式治療根本原因是當(dāng)務(wù)之急?！苯∩砀櫰鞯瓤纱┐髟O(shè)備提供的實時分析功能使患者更容易了解自己的健康狀況，并支持護(hù)理團(tuán)隊為每位患者的治療做出更明智的決定，使他們能夠根據(jù)需要采取積極主動的預(yù)防措施?！?。

With all of this in mind, Ciba Health created its type 2 Diabetes Reversal Program with the goal of improving treatment outcomes, reducing hospitalizations and complications, and enhancing the overall quality of life for individuals living with type 2 diabetes.

考慮到所有這些，汽巴健康創(chuàng)建了其2型糖尿病逆轉(zhuǎn)計劃，旨在改善治療效果，減少住院和并發(fā)癥，并提高2型糖尿病患者的整體生活質(zhì)量。

MEETING THE CHALLENGE

迎接挑戰(zhàn)

Ciba Health provides a patient-centered, data-driven platform for healthcare providers, patients and caregivers.

汽巴健康為醫(yī)療保健提供者、患者和護(hù)理人員提供以患者為中心的數(shù)據(jù)驅(qū)動平臺。

'For example, traditional lab tests only test for 50 markers, while Ciba Health's questionnaire and easy clinical tests identify more than 300 lab markers that can influence any given patient's health condition,' Clement said. 'In addition, we provide each patient with wearables, mobile apps and advanced analytics to track patient health data and generate personalized recommendations..

克萊門特說：“例如，傳統(tǒng)的實驗室檢測只能檢測50種標(biāo)記物，而汽巴健康調(diào)查問卷和簡易臨床檢測可以識別出300多種可能影響任何特定患者健康狀況的實驗室標(biāo)記物。”此外，我們?yōu)槊课换颊咛峁┛纱┐髟O(shè)備、移動應(yīng)用程序和高級分析，以跟蹤患者健康數(shù)據(jù)并生成個性化建議。。

'We equip each patient with Fitbits and sleep trackers that are not normally offered in the healthcare market to help them gain a better understanding of their unique conditions so they can learn how to treat them,' he added.

他補充道：“我們?yōu)槊课换颊吲鋫淞酸t(yī)療市場上通常不提供的Fitbits和睡眠跟蹤器，以幫助他們更好地了解自己的獨特狀況，從而學(xué)會如何治療?！薄?/p>

Too often, patients are only clued into an ongoing health situation until it's too late or once they are already at the doctor's office for a visit. Wearables allow patients to consistently monitor their health and make informed changes to their lifestyle.

通常情況下，患者只會陷入持續(xù)的健康狀況，直到為時已晚或已經(jīng)到醫(yī)生辦公室就診?？纱┐髟O(shè)備使患者能夠持續(xù)監(jiān)測他們的健康狀況，并對他們的生活方式做出明智的改變。

'However, we recognize the onus of improving health outcomes doesn't fall solely on the patient; so for this reason, Ciba Health also facilitates communication and coordination among all of its stakeholders, including patients, providers and employers to prevent or catch potential conditions early,' Clement explained..

“然而，我們認(rèn)識到改善健康狀況的責(zé)任不僅僅在于患者；因此，出于這個原因，汽巴健康也促進(jìn)了其所有利益相關(guān)者之間的溝通和協(xié)調(diào)，包括患者、提供者和雇主，以盡早預(yù)防或發(fā)現(xiàn)潛在的疾病，”克萊門特解釋道。。

'Once our patients are matched with their provider team, they take 45- to 60-minute one-to-one visits with their health coach, physician and dietician,' he continued. 'These in-depth sessions give them enough time to ask questions, be heard and design a personalized roadmap to achieve their desired health goals.'.

“一旦我們的患者與他們的醫(yī)療團(tuán)隊匹配，他們需要與健康教練、醫(yī)生和營養(yǎng)師進(jìn)行45到60分鐘的一對一訪問，”他繼續(xù)說道這些深入的會議讓他們有足夠的時間提出問題，聽取意見，并設(shè)計個性化的路線圖，以實現(xiàn)他們所期望的健康目標(biāo)?！薄?/p>

Recognizing the patient as an individual with their own subset of health factors and using Ciba Health's whole-person approach has helped the healthcare organization to drastically improve health outcomes.

認(rèn)識到患者是一個擁有自己健康因素子集的個體，并使用汽巴健康的全人方法，有助于醫(yī)療保健組織大幅改善健康狀況。

'The impact of root-cause medicine extends beyond individual patients, as it reduces costs, improves outcomes and shifts the focus from reactive sick care to proactive health promotion,' Clement said. 'Our root-cause approach also reduces hospital visits, empowering patients to take control of their health journey alongside a caring team of expert health professionals..

克萊門特說：“根本原因醫(yī)學(xué)的影響不僅限于個別患者，因為它可以降低成本，改善結(jié)果，并將重點從反應(yīng)性疾病護(hù)理轉(zhuǎn)移到積極的健康促進(jìn)。”我們的根本原因方法還減少了醫(yī)院就診次數(shù)，使患者能夠與專業(yè)衛(wèi)生專業(yè)人員的關(guān)懷團(tuán)隊一起控制自己的健康旅程。。

'By leveraging these technologies, Ciba Health's platform transformed type 2 diabetes management into diabetes reversal, improving patient lives and reducing healthcare costs,' he continued. 'Ciba Health is currently integrated with existing electronic health records using our open API and pharmacy systems, including Epic, Cerner, McKesson and Omnicell.'.

“通過利用這些技術(shù)，汽巴健康平臺將2型糖尿病管理轉(zhuǎn)變?yōu)樘悄虿∧孓D(zhuǎn)，改善患者生活并降低醫(yī)療成本，”他繼續(xù)說道Ciba Health目前使用我們的開放API和制藥系統(tǒng)（包括Epic，Cerner，McKesson和Omnicell）與現(xiàn)有的電子健康記錄集成。

RESULTS

結(jié)果

Ciba Health's technology has achieved significant results in diabetes reversal from diabetes management, Clement reported, including:

Clement報道，汽巴健康的技術(shù)在糖尿病管理逆轉(zhuǎn)糖尿病方面取得了重大成果，包括：

25% reduction in hospitalizations. Real-time analytics and AI-driven insights enabled proactive measures to prevent hospitalizations, improving patient outcomes and reducing costs. This metric showcases the effectiveness of Ciba Health's real-time data analytics capabilities. Through wearable technologies and constant health monitoring, we're able to provide patients and physicians with insights that facilitate early intervention and preventive measures for potential chronic conditions..

住院減少25%。實時分析和人工智能驅(qū)動的見解使主動預(yù)防措施能夠預(yù)防住院，改善患者預(yù)后并降低成本。該指標(biāo)展示了汽巴健康的實時數(shù)據(jù)分析功能的有效性。通過可穿戴技術(shù)和持續(xù)的健康監(jiān)測，我們能夠為患者和醫(yī)生提供見解，促進(jìn)對潛在慢性病的早期干預(yù)和預(yù)防措施。。

30% improvement in medication adherence. Personalized reminders and alerts ensured patients took type 2 diabetes medications on time, while analytics identified patients at risk of non-adherence, enabling early intervention. By leveraging analytics and alerts, the platform helps patients adhere to their medication regimens more effectively, leading to better health outcomes and potentially reducing the need for frequent hospitalizations or complications due to non-adherence..

藥物依從性提高30%。個性化提醒和警報可確?；颊甙磿r服用2型糖尿病藥物，而分析可確定患者不依從的風(fēng)險，從而實現(xiàn)早期干預(yù)。通過利用分析和警報，該平臺可以幫助患者更有效地堅持他們的藥物治療方案，從而獲得更好的健康結(jié)果，并可能減少因不依從而頻繁住院或并發(fā)癥的需要。。

40% reduction in healthcare costs. Preventing hospitalizations, reducing complications and optimizing treatment plans all help to minimize unnecessary medical expenses, benefiting patients and the healthcare system. This underscores the broader impact of Ciba Health's holistic approach, leveraging various technologies to reduce the healthcare costs of its patients..

醫(yī)療保健成本降低40%。預(yù)防住院、減少并發(fā)癥和優(yōu)化治療計劃都有助于最大程度地減少不必要的醫(yī)療費用，使患者和醫(yī)療保健系統(tǒng)受益。這突顯了汽巴健康的整體方法的廣泛影響，利用各種技術(shù)來降低患者的醫(yī)療保健成本。。

98% chronic disease reversal. The Type 2 Diabetes Reversal program resulted in a 98% chronic disease reversal (HbA1C levels below 5.4 over 12 months from baseline of 6.5 HbA1C and above). By treating diabetes at the cause instead of merely mitigating symptoms, Ciba Health's methods prove to resolve previously chronic conditions and help patients restore a new normal..

98%的慢性病逆轉(zhuǎn)。2型糖尿病逆轉(zhuǎn)計劃導(dǎo)致98%的慢性疾病逆轉(zhuǎn)（HbA1C水平在6.5 HbA1C及以上基線的12個月內(nèi)低于5.4）。Ciba Health的方法證明，通過治療糖尿病的病因而不僅僅是緩解癥狀，可以解決以前的慢性病，幫助患者恢復(fù)新的正常狀態(tài)。。

85% medication reduction. 85% of patients who complete the Ciba Health Type 2 Diabetes Reversal program see medication use reduction over 12 months as compared to baseline. This reduction in medication dependency reflects the program's effectiveness in treating the root issue and reducing the amount of daily symptom management required to manage specific conditions..

85%的藥物減少。與基線相比，完成Ciba Health 2型糖尿病逆轉(zhuǎn)計劃的患者中有85%的患者在12個月內(nèi)減少了藥物使用。這種藥物依賴性的降低反映了該計劃在治療根本問題和減少管理特定疾病所需的日常癥狀管理量方面的有效性。。

30 pounds average sustained weight loss over 12 months. This demonstrates the program's impact on weight management among participants, signifying the effectiveness in supporting long-term lifestyle changes and promoting sustainable weight loss outcomes.

12個月內(nèi)平均持續(xù)減肥30磅。這表明該計劃對參與者體重管理的影響，表明其在支持長期生活方式改變和促進(jìn)可持續(xù)減肥結(jié)果方面的有效性。

ADVICE FOR OTHERS

給他人的建議

When considering similar technology, healthcare provider organizations should define clear goals and objectives, Clement advised.

克萊門特建議，在考慮類似技術(shù)時，醫(yī)療保健提供者組織應(yīng)該定義明確的目標(biāo)和目的。

'These will provide a structured path and timeline for achieving successful implementation and utilization of any healthcare technology,' he said. 'Without a clear objective or goal, there will be a sense of vagueness regarding the purpose of adopting the technology. This lack of clarity can lead to confusion among stakeholders, hindering coordination, which will slow the adoption process down.'.

他說，這些將為成功實施和利用任何醫(yī)療技術(shù)提供一條結(jié)構(gòu)化的路徑和時間表如果沒有明確的目標(biāo)或目的，采用該技術(shù)的目的就會有一種模糊感。這種不清晰可能導(dǎo)致利益相關(guān)者之間的混淆，阻礙協(xié)調(diào)，從而減緩采用過程?！?。

Organizations also should assess current workflows to identify areas for improvement, he added.

他補充說，組織還應(yīng)該評估當(dāng)前的工作流程，以確定需要改進(jìn)的領(lǐng)域。

'In any business, but especially in healthcare where lives are at stake, it's imperative to consistently analyze, critique and identify areas for enhancement,' he stated. 'Conducting a thorough assessment of existing workflows enables healthcare organizations to pinpoint inefficiencies, complexities and areas of potential risk..

他說：“在任何行業(yè)，尤其是在生命攸關(guān)的醫(yī)療保健領(lǐng)域，都必須持續(xù)分析、批評和確定需要改進(jìn)的領(lǐng)域?！睂ΜF(xiàn)有工作流程進(jìn)行全面評估，使醫(yī)療保健組織能夠查明效率低下、復(fù)雜性和潛在風(fēng)險領(lǐng)域。。

'By reflecting and critiquing current processes and operations, organizations can uncover opportunities to streamline operations, enhance patient experiences and optimize their resources efficiently with more informed decision making,' he added.

他補充說：“通過反思和批評當(dāng)前的流程和操作，組織可以發(fā)現(xiàn)機會，通過更明智的決策，簡化操作，增強患者體驗并有效優(yōu)化資源?！薄?/p>

On another front, organizations should prioritize data integration and interoperability with existing systems, Clement advised.

克萊門特建議，在另一方面，組織應(yīng)優(yōu)先考慮與現(xiàn)有系統(tǒng)的數(shù)據(jù)集成和互操作性。

'Prioritizing data integration and interoperability with existing systems is paramount for achieving better efficiency and outcomes,' he said. 'Leveraging and integrating health data streamlines the treatment processes and can improve patient outcomes because providers can make more informed decisions.'.

他說，優(yōu)先考慮與現(xiàn)有系統(tǒng)的數(shù)據(jù)集成和互操作性，對于實現(xiàn)更好的效率和結(jié)果至關(guān)重要利用和整合健康數(shù)據(jù)可以簡化治療過程，并可以改善患者的預(yù)后，因為提供者可以做出更明智的決定?！?。

And finally, organizations should implement effective change management and user adoption strategies, he said.

最后，組織應(yīng)該實施有效的變更管理和用戶采納策略，他說。

'The healthcare sector is complex and has an array of stakeholders, including clinicians, staff and patients,' he noted. 'Introducing new technologies can disrupt established workflows and routines, leading to inefficiencies if not managed effectively.

他指出：“醫(yī)療保健行業(yè)很復(fù)雜，有一系列利益相關(guān)者，包括臨床醫(yī)生、員工和患者?！币胄录夹g(shù)可能會破壞既定的工作流程和例程，如果不進(jìn)行有效管理，則會導(dǎo)致效率低下。

'By prioritizing change management, organizations can proactively address potential barriers to adoption, such as concerns about workflow disruptions or unfamiliarity with the technology,' he concluded. 'Successful user adoption ensures the technology is embraced and used to its fullest potential, ultimately leading to improved patient care, operational efficiency and organizational outcomes.'.

他總結(jié)道：“通過優(yōu)先考慮變更管理，組織可以主動解決采用變更管理的潛在障礙，例如對工作流中斷或不熟悉技術(shù)的擔(dān)憂?！背晒Φ挠脩舨捎么_保了該技術(shù)被接受并被充分利用，最終提高了患者護(hù)理、運營效率和組織成果?！薄?/p>

Follow Bill's HIT coverage on LinkedIn: Bill Siwicki

關(guān)注比爾在LinkedIn上的熱門報道：比爾·西維奇

Email him: bsiwicki@himss.org

給他發(fā)電子郵件：bsiwicki@himss.org

Healthcare IT News is a HIMSS Media publication.

醫(yī)療保健IT新聞是HIMSS的媒體出版物。

Topics: Analytics, Clinical, Mobile, Workforce

主題：分析、臨床、移動、勞動力

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SamaCare為其專業(yè)藥物工作流程平臺獲得1700萬美元Jessica Hagen2024年5月31日

The U.S. healthcare system can treat patients in a formulaic, one-size-fits-all manner. These methods of patient care, some experts contend, are ineffective and costly, and often lead to poor health outcomes due to neglecting a patient's individualized needs, specifically when it comes to chronic conditions..

美國醫(yī)療保健系統(tǒng)可以以公式化、一刀切的方式治療患者。一些專家認(rèn)為，這些患者護(hù)理方法無效且成本高昂，由于忽視患者的個性化需求，尤其是在慢性病方面，往往會導(dǎo)致不良的健康結(jié)果。。

THE PROBLEM

問題

'Patients with chronic conditions have a deep medical history and have likely seen many different providers who all tried different treatments,' said Dr. Innocent Clement, CEO and founder of Ciba Health, which offers a comprehensive, holistic approach to patient care on a mission to address the root cause of type 2 diabetes in each patient it serves in order to improve their overall health..

“慢性病患者有著深厚的病史，可能見過許多不同的提供者，他們都嘗試了不同的治療方法，”汽巴健康公司首席執(zhí)行官兼創(chuàng)始人諾森·克萊門特博士說，汽巴健康公司提供全面的整體患者護(hù)理方法，旨在解決每位患者2型糖尿病的根本原因，從而改善他們的整體健康。。

'No two patients with type 2 diabetes are the same and they should be treated as such,' he explained. 'Failing to probe and conduct research into every patient's unique biochemistry, genetic makeup and family history leaves valuable information on the table that can help providers better assess and treat a patient.'.

他解釋說：“沒有兩名2型糖尿病患者是相同的，他們應(yīng)該接受同樣的治療?！蔽茨軐γ课换颊擢毺氐纳锘瘜W(xué)，基因組成和家族史進(jìn)行調(diào)查和研究，會留下有價值的信息，可以幫助提供者更好地評估和治療患者。”。

Additionally, the segmented treatment process in today's system of sending patients between various primary and specialist providers causes information to get lost and each provider to not have the full picture, he noted. These issues can prove detrimental to patient health outcomes and eventually lead to complications, costly provider/pharmacy visits and high hospitalization rates, he added..

此外，他指出，在今天的系統(tǒng)中，在不同的初級和?？铺峁┱咧g發(fā)送患者的分段治療過程會導(dǎo)致信息丟失，并且每個提供者都沒有完整的信息。他補充說，這些問題可能對患者的健康結(jié)果有害，并最終導(dǎo)致并發(fā)癥，昂貴的提供者/藥房就診和高住院率。。

'Annually, direct healthcare costs for a patient with chronic disease average $6,032, approximately five times that of a person without a chronic disease,' Clement said. 'The pre-existing, one-size-fits-all approach is ineffective in treating chronic conditions like type 2 diabetes because it fails to get to the root cause of disease in each individual patient..

克萊門特說：“每年，慢性病患者的直接醫(yī)療保健費用平均為6032美元，大約是非慢性病患者的五倍。”預(yù)先存在的一刀切的方法在治療2型糖尿病等慢性病方面無效，因為它無法找到每位患者疾病的根本原因。。

'Instead, this method merely treats symptoms often through expensive medications that serve as a band-aid to a larger underlying issue, making patients walk through the revolving door of pharmacies, hospitals and providers because the root cause of a patient's condition is not fully addressed, if at all,' he continued..

“相反，這種方法通常只是通過昂貴的藥物來治療癥狀，這些藥物可以作為一個更大的潛在問題的創(chuàng)可貼，使患者穿過藥店、醫(yī)院和提供者的旋轉(zhuǎn)門，因為患者病情的根本原因沒有得到充分解決，如果有的話，”他繼續(xù)說。。

Ciba Health uses technologies that aim to address these issues by providing a more effective, patient-centered and data-driven approach to type 2 diabetes management by leveraging wearable technology, conducting extremely thorough lab tests and setting each patient up with their own personal team of health experts, based on their health needs, he added..

Ciba Health使用旨在解決這些問題的技術(shù)，通過利用可穿戴技術(shù)，進(jìn)行極其徹底的實驗室測試，并根據(jù)每位患者的健康需求，為2型糖尿病管理提供更有效，以患者為中心和數(shù)據(jù)驅(qū)動的方法，并為每位患者建立自己的個人健康專家團(tuán)隊，他補充道。。

PROPOSAL

提案

At Ciba Health, each patient is matched with a provider team, which includes one-to-one visits with a certified health coach, board certified physician, mental health caregiver and registered dietician to provide them with experts who can empower them and provide personal recommendations to help them achieve their health goals..

在汽巴健康中心，每位患者都與一個提供者團(tuán)隊相匹配，其中包括與認(rèn)證健康教練、董事會認(rèn)證醫(yī)生、心理健康護(hù)理人員和注冊營養(yǎng)師進(jìn)行一對一的訪問，為他們提供專家，他們可以授權(quán)他們，并提供個人建議，幫助他們實現(xiàn)健康目標(biāo)。。

'In addition to this, we knew providing patients access to real-time data and analytics was imperative in order to give them a full holistic view of their health,' Clement explained. 'For patients with diabetes, the value of real-time insights regarding your health cannot be overstated. Traditional methods of blood glucose monitoring can't provide type 2 diabetes patients with constant, real-time data to help them make informed decisions every minute of the day..

克萊門特解釋說：“除此之外，我們知道為患者提供實時數(shù)據(jù)和分析是必不可少的，以便讓他們?nèi)媪私庾约旱慕】禒顩r?！睂τ谔悄虿』颊邅碚f，實時了解您的健康狀況的價值怎么強調(diào)都不為過。傳統(tǒng)的血糖監(jiān)測方法無法為2型糖尿病患者提供恒定的實時數(shù)據(jù)，以幫助他們每天每分鐘做出明智的決定。。

'Helping patients understand and get a full picture of their conditions to treat the root causes with accessibility, transparency, convenience and comfort is the priority,' he continued. 'The real-time analytics provided by wearables such as fitness trackers make it easier for patients to understand their own health picture as well as support the care team to make more informed decisions for each patient's treatment, enabling them to take proactive and preventative measures as needed.'.

他繼續(xù)說：“幫助患者了解并全面了解自己的病情，以無障礙、透明、方便和舒適的方式治療根本原因是當(dāng)務(wù)之急?！苯∩砀櫰鞯瓤纱┐髟O(shè)備提供的實時分析功能使患者更容易了解自己的健康狀況，并支持護(hù)理團(tuán)隊為每位患者的治療做出更明智的決定，使他們能夠根據(jù)需要采取積極主動的預(yù)防措施?！?。

With all of this in mind, Ciba Health created its type 2 Diabetes Reversal Program with the goal of improving treatment outcomes, reducing hospitalizations and complications, and enhancing the overall quality of life for individuals living with type 2 diabetes.

考慮到所有這些，汽巴健康創(chuàng)建了其2型糖尿病逆轉(zhuǎn)計劃，旨在改善治療效果，減少住院和并發(fā)癥，并提高2型糖尿病患者的整體生活質(zhì)量。

MEETING THE CHALLENGE

迎接挑戰(zhàn)

Ciba Health provides a patient-centered, data-driven platform for healthcare providers, patients and caregivers.

汽巴健康為醫(yī)療保健提供者、患者和護(hù)理人員提供以患者為中心的數(shù)據(jù)驅(qū)動平臺。

'For example, traditional lab tests only test for 50 markers, while Ciba Health's questionnaire and easy clinical tests identify more than 300 lab markers that can influence any given patient's health condition,' Clement said. 'In addition, we provide each patient with wearables, mobile apps and advanced analytics to track patient health data and generate personalized recommendations..

克萊門特說：“例如，傳統(tǒng)的實驗室檢測只能檢測50種標(biāo)記物，而汽巴健康調(diào)查問卷和簡易臨床檢測可以識別出300多種可能影響任何特定患者健康狀況的實驗室標(biāo)記物?！贝送?，我們?yōu)槊课换颊咛峁┛纱┐髟O(shè)備、移動應(yīng)用程序和高級分析，以跟蹤患者健康數(shù)據(jù)并生成個性化建議。。

'We equip each patient with Fitbits and sleep trackers that are not normally offered in the healthcare market to help them gain a better understanding of their unique conditions so they can learn how to treat them,' he added.

他補充道：“我們?yōu)槊课换颊吲鋫淞酸t(yī)療市場上通常不提供的Fitbits和睡眠跟蹤器，以幫助他們更好地了解自己的獨特狀況，從而學(xué)會如何治療?！薄?/p>

Too often, patients are only clued into an ongoing health situation until it's too late or once they are already at the doctor's office for a visit. Wearables allow patients to consistently monitor their health and make informed changes to their lifestyle.

通常情況下，患者只會陷入持續(xù)的健康狀況，直到為時已晚或已經(jīng)到醫(yī)生辦公室就診?？纱┐髟O(shè)備使患者能夠持續(xù)監(jiān)測他們的健康狀況，并對他們的生活方式做出明智的改變。

'However, we recognize the onus of improving health outcomes doesn't fall solely on the patient; so for this reason, Ciba Health also facilitates communication and coordination among all of its stakeholders, including patients, providers and employers to prevent or catch potential conditions early,' Clement explained..

“然而，我們認(rèn)識到改善健康狀況的責(zé)任不僅僅在于患者；因此，出于這個原因，汽巴健康也促進(jìn)了其所有利益相關(guān)者之間的溝通和協(xié)調(diào)，包括患者、提供者和雇主，以盡早預(yù)防或發(fā)現(xiàn)潛在的疾病，”克萊門特解釋道。。

'Once our patients are matched with their provider team, they take 45- to 60-minute one-to-one visits with their health coach, physician and dietician,' he continued. 'These in-depth sessions give them enough time to ask questions, be heard and design a personalized roadmap to achieve their desired health goals.'.

“一旦我們的患者與他們的醫(yī)療團(tuán)隊匹配，他們需要與健康教練、醫(yī)生和營養(yǎng)師進(jìn)行45到60分鐘的一對一訪問，”他繼續(xù)說道這些深入的會議讓他們有足夠的時間提出問題，聽取意見，并設(shè)計個性化的路線圖，以實現(xiàn)他們所期望的健康目標(biāo)?！薄?/p>

Recognizing the patient as an individual with their own subset of health factors and using Ciba Health's whole-person approach has helped the healthcare organization to drastically improve health outcomes.

認(rèn)識到患者是一個擁有自己健康因素子集的個體，并使用汽巴健康的全人方法，有助于醫(yī)療保健組織大幅改善健康狀況。

'The impact of root-cause medicine extends beyond individual patients, as it reduces costs, improves outcomes and shifts the focus from reactive sick care to proactive health promotion,' Clement said. 'Our root-cause approach also reduces hospital visits, empowering patients to take control of their health journey alongside a caring team of expert health professionals..

克萊門特說：“根本原因醫(yī)學(xué)的影響不僅限于個別患者，因為它可以降低成本，改善結(jié)果，并將重點從反應(yīng)性疾病護(hù)理轉(zhuǎn)移到積極的健康促進(jìn)。”我們的根本原因方法還減少了醫(yī)院就診次數(shù)，使患者能夠與專業(yè)衛(wèi)生專業(yè)人員的關(guān)懷團(tuán)隊一起控制自己的健康旅程。。

'By leveraging these technologies, Ciba Health's platform transformed type 2 diabetes management into diabetes reversal, improving patient lives and reducing healthcare costs,' he continued. 'Ciba Health is currently integrated with existing electronic health records using our open API and pharmacy systems, including Epic, Cerner, McKesson and Omnicell.'.

“通過利用這些技術(shù)，汽巴健康平臺將2型糖尿病管理轉(zhuǎn)變?yōu)樘悄虿∧孓D(zhuǎn)，改善患者生活并降低醫(yī)療成本，”他繼續(xù)說道Ciba Health目前使用我們的開放API和制藥系統(tǒng)（包括Epic，Cerner，McKesson和Omnicell）與現(xiàn)有的電子健康記錄集成。

RESULTS

結(jié)果

Ciba Health's technology has achieved significant results in diabetes reversal from diabetes management, Clement reported, including:

Clement報道，汽巴健康的技術(shù)在糖尿病管理逆轉(zhuǎn)糖尿病方面取得了重大成果，包括：

25% reduction in hospitalizations. Real-time analytics and AI-driven insights enabled proactive measures to prevent hospitalizations, improving patient outcomes and reducing costs. This metric showcases the effectiveness of Ciba Health's real-time data analytics capabilities. Through wearable technologies and constant health monitoring, we're able to provide patients and physicians with insights that facilitate early intervention and preventive measures for potential chronic conditions..

住院減少25%。實時分析和人工智能驅(qū)動的見解使主動預(yù)防措施能夠預(yù)防住院，改善患者預(yù)后并降低成本。該指標(biāo)展示了汽巴健康的實時數(shù)據(jù)分析功能的有效性。通過可穿戴技術(shù)和持續(xù)的健康監(jiān)測，我們能夠為患者和醫(yī)生提供見解，促進(jìn)對潛在慢性病的早期干預(yù)和預(yù)防措施。。

30% improvement in medication adherence. Personalized reminders and alerts ensured patients took type 2 diabetes medications on time, while analytics identified patients at risk of non-adherence, enabling early intervention. By leveraging analytics and alerts, the platform helps patients adhere to their medication regimens more effectively, leading to better health outcomes and potentially reducing the need for frequent hospitalizations or complications due to non-adherence..

藥物依從性提高30%。個性化提醒和警報可確?；颊甙磿r服用2型糖尿病藥物，而分析可確定患者不依從的風(fēng)險，從而實現(xiàn)早期干預(yù)。通過利用分析和警報，該平臺可以幫助患者更有效地堅持他們的藥物治療方案，從而獲得更好的健康結(jié)果，并可能減少因不依從而頻繁住院或并發(fā)癥的需要。。

40% reduction in healthcare costs. Preventing hospitalizations, reducing complications and optimizing treatment plans all help to minimize unnecessary medical expenses, benefiting patients and the healthcare system. This underscores the broader impact of Ciba Health's holistic approach, leveraging various technologies to reduce the healthcare costs of its patients..

醫(yī)療保健成本降低40%。預(yù)防住院、減少并發(fā)癥和優(yōu)化治療計劃都有助于最大程度地減少不必要的醫(yī)療費用，使患者和醫(yī)療保健系統(tǒng)受益。這突顯了汽巴健康的整體方法的廣泛影響，利用各種技術(shù)來降低患者的醫(yī)療保健成本。。

98% chronic disease reversal. The Type 2 Diabetes Reversal program resulted in a 98% chronic disease reversal (HbA1C levels below 5.4 over 12 months from baseline of 6.5 HbA1C and above). By treating diabetes at the cause instead of merely mitigating symptoms, Ciba Health's methods prove to resolve previously chronic conditions and help patients restore a new normal..

98%的慢性病逆轉(zhuǎn)。2型糖尿病逆轉(zhuǎn)計劃導(dǎo)致98%的慢性疾病逆轉(zhuǎn)（HbA1C水平在6.5 HbA1C及以上基線的12個月內(nèi)低于5.4）。Ciba Health的方法證明，通過治療糖尿病的病因而不僅僅是緩解癥狀，可以解決以前的慢性病，幫助患者恢復(fù)新的正常狀態(tài)。。

85% medication reduction. 85% of patients who complete the Ciba Health Type 2 Diabetes Reversal program see medication use reduction over 12 months as compared to baseline. This reduction in medication dependency reflects the program's effectiveness in treating the root issue and reducing the amount of daily symptom management required to manage specific conditions..

85%的藥物減少。與基線相比，完成Ciba Health 2型糖尿病逆轉(zhuǎn)計劃的患者中有85%的患者在12個月內(nèi)減少了藥物使用。這種藥物依賴性的降低反映了該計劃在治療根本問題和減少管理特定疾病所需的日常癥狀管理量方面的有效性。。

30 pounds average sustained weight loss over 12 months. This demonstrates the program's impact on weight management among participants, signifying the effectiveness in supporting long-term lifestyle changes and promoting sustainable weight loss outcomes.

12個月內(nèi)平均持續(xù)減肥30磅。這表明該計劃對參與者體重管理的影響，表明其在支持長期生活方式改變和促進(jìn)可持續(xù)減肥結(jié)果方面的有效性。

ADVICE FOR OTHERS

給他人的建議

When considering similar technology, healthcare provider organizations should define clear goals and objectives, Clement advised.

克萊門特建議，在考慮類似技術(shù)時，醫(yī)療保健提供者組織應(yīng)該定義明確的目標(biāo)和目的。

'These will provide a structured path and timeline for achieving successful implementation and utilization of any healthcare technology,' he said. 'Without a clear objective or goal, there will be a sense of vagueness regarding the purpose of adopting the technology. This lack of clarity can lead to confusion among stakeholders, hindering coordination, which will slow the adoption process down.'.

他說，這些將為成功實施和利用任何醫(yī)療技術(shù)提供一條結(jié)構(gòu)化的路徑和時間表如果沒有明確的目標(biāo)或目的，采用該技術(shù)的目的就會有一種模糊感。這種不清晰可能導(dǎo)致利益相關(guān)者之間的混淆，阻礙協(xié)調(diào)，從而減緩采用過程?！?。

Organizations also should assess current workflows to identify areas for improvement, he added.

他補充說，組織還應(yīng)該評估當(dāng)前的工作流程，以確定需要改進(jìn)的領(lǐng)域。

'In any business, but especially in healthcare where lives are at stake, it's imperative to consistently analyze, critique and identify areas for enhancement,' he stated. 'Conducting a thorough assessment of existing workflows enables healthcare organizations to pinpoint inefficiencies, complexities and areas of potential risk..

他說：“在任何行業(yè)，尤其是在生命攸關(guān)的醫(yī)療保健領(lǐng)域，都必須持續(xù)分析、批評和確定需要改進(jìn)的領(lǐng)域?！睂ΜF(xiàn)有工作流程進(jìn)行全面評估，使醫(yī)療保健組織能夠查明效率低下、復(fù)雜性和潛在風(fēng)險領(lǐng)域。。

'By reflecting and critiquing current processes and operations, organizations can uncover opportunities to streamline operations, enhance patient experiences and optimize their resources efficiently with more informed decision making,' he added.

他補充說：“通過反思和批評當(dāng)前的流程和操作，組織可以發(fā)現(xiàn)機會，通過更明智的決策，簡化操作，增強患者體驗并有效優(yōu)化資源。”。

On another front, organizations should prioritize data integration and interoperability with existing systems, Clement advised.

克萊門特建議，在另一方面，組織應(yīng)優(yōu)先考慮與現(xiàn)有系統(tǒng)的數(shù)據(jù)集成和互操作性。

'Prioritizing data integration and interoperability with existing systems is paramount for achieving better efficiency and outcomes,' he said. 'Leveraging and integrating health data streamlines the treatment processes and can improve patient outcomes because providers can make more informed decisions.'.

他說，優(yōu)先考慮與現(xiàn)有系統(tǒng)的數(shù)據(jù)集成和互操作性，對于實現(xiàn)更好的效率和結(jié)果至關(guān)重要利用和整合健康數(shù)據(jù)可以簡化治療過程，并可以改善患者的預(yù)后，因為提供者可以做出更明智的決定?！?。

And finally, organizations should implement effective change management and user adoption strategies, he said.

最后，組織應(yīng)該實施有效的變更管理和用戶采納策略，他說。

'The healthcare sector is complex and has an array of stakeholders, including clinicians, staff and patients,' he noted. 'Introducing new technologies can disrupt established workflows and routines, leading to inefficiencies if not managed effectively.

他指出：“醫(yī)療保健行業(yè)很復(fù)雜，有一系列利益相關(guān)者，包括臨床醫(yī)生、員工和患者?！币胄录夹g(shù)可能會破壞既定的工作流程和例程，如果不進(jìn)行有效管理，則會導(dǎo)致效率低下。

'By prioritizing change management, organizations can proactively address potential barriers to adoption, such as concerns about workflow disruptions or unfamiliarity with the technology,' he concluded. 'Successful user adoption ensures the technology is embraced and used to its fullest potential, ultimately leading to improved patient care, operational efficiency and organizational outcomes.'.

他總結(jié)道：“通過優(yōu)先考慮變更管理，組織可以主動解決采用變更管理的潛在障礙，例如對工作流中斷或不熟悉技術(shù)的擔(dān)憂?！背晒Φ挠脩舨捎么_保了該技術(shù)被接受并被充分利用，最終提高了患者護(hù)理、運營效率和組織成果?！?。

Follow Bill's HIT coverage on LinkedIn: Bill Siwicki

關(guān)注比爾在LinkedIn上的熱門報道：比爾·西維奇

Email him: bsiwicki@himss.org

給他發(fā)電子郵件：bsiwicki@himss.org

Healthcare IT News is a HIMSS Media publication.

醫(yī)療保健IT新聞是HIMSS的媒體出版物。

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