Communities are reeling under the huge disease burden of Non Communicable Diseases(NCD'S) mainly the big 5 - Cardio Vascular Diseases, Cancer, Diabetes, Chronic Respiratory Diseases and stroke. This is often referred to as the 21st century "plague". This 4 pack NCD epidemic is on the rise due to 4 Behavioral / Lifestyle / social risk factors and 4Metabolic risk factors.

The 4 behavioral / lifestyle risk factors other than the hereditary risk factors and environmental risk factors are in the control of the individual and is called modifiable risk factors. Modifying this for the better has a direct reduction in the metabolic risk factors. This gives hope. If you think of the human body as a machine and health as a product the raw materials are the lifestyle and behavior. Properly maintained human body with quality raw materials in the form lifestyle and behavior is certain to bring out the finest finished product, in the form of great health.

Education, lifestyle behavior change support and coping strategies including coaching for exercise, diet and preventive health are the key elements for reducing the probability of disease. WHO has prioritized four behavioral / lifestyle changes namely, Physical Inactivity, Tobacco use, Alcohol abuse as interventions for reduction of metabolic risk factors. This can be achieved only by periodic screening, intervention and monitoring.

Either due to the absence or the inability pf the primary care system to handle periodic screening, behavioural change intervention and continuous monitoring, prevention and management of NCD has become a night mare. S10 Health SafeCare's technology intensive SafeCare clinics which can be plugged into any community settings to handle preventive care or managing chronic diseases management is effectively filling the gap. This community bridge offers convenient access, lowers medical costs and improves health which has a direct improvement in the productivity of the population.

Safecare Clinics
The S10health SafeCare takes preventive care from hospitals to the day to day lives of people. The SafeCare clinics operates on the SafeCare preventive care model and SafeCare standards. Within this guidelines the SafeCare onsite clinics will be customized to meet the needs of the specific organisation based on the healthcare strategies and epidemiological study. These clinics can be easily plugged into any community setting like schools or corporates.

Preventive care has enough challenges on its own; age, presenting illness, family concerns, and then on top of these challenges doctors face on generating complex charts every day in EMR's not designed for the preventive care. The challenge of keeping up and providing quality preventive care is daunting. As the patient volume for preventive care is huge delivering consistent and reliable preventive care through the current primary care model is a formidable task.

SafeCare clinics are less asset intensive and built on humanised high tech. It is highly process oriented to achieve the specific purpose of evidence based preventive care. Through our S10 Health technology platform we are able to provide clinical documentation in real-time, allowing doctors and physician assistants to focus on better patient care. The operating model of the SafeCare clinics are architected for continuity of care. The consumer is in the centre and the provider's works on a same plan for each consumer, continually. Salient features of the clinics operating model are

  •   • Protecting consumer interest and gaining their trust is the first priority
  •   • The SafeCare Clinics are operated under the aegis of our General Physician and manned by nurses or physician assistants.
  •   • SafeCare clinics are highly tech driven and runs on the S10health platform which is robust and governed by medical grade security.
  •   • Every process is end to end automated and driven by diagnostic and health AI.
  •   • It is real time connected to IOMT digital health stations for vitals reading.
  •   • It is cloud powered and mobile enabled.
  •   • It is HIPPA certified and operates by GDPR and Indian data privacy law guidelines.
  •   • Operations are completely digital with EMR and scribing solution that digitalises all the medical process and records
  •   • Multifaceted, multi dimensional and longitudinal health records form the base for care continuity between doctors and providers
  •   • SafeCare clinics strictly adheres to the Safecare standards
  •   • It is a subscription based services and have access to only the members
  •   • It is highly digital and only electronic payments are accepted.
  •   • It provides visibility to organisation's subscription status, clinic performance and its people health index through a control panel.

A minimum space of100 to 250 Sqft. with Wi-Fi, AC and reliable power is needed to set up the clinic. Examination room, nurse station and patient waiting sofa has to be made available. The clinic format will include

  •   • Providers of instruction or services from the clinic will include, Nurses, physicians and other related experts.
  •   • A referral system will be developed for each location in consultation with the client
  •   • Only persons with accepted degrees or recognized training/certification will be selected.
  •   • A digital health stations for assessing biometric parameters will be part of each clinic
  •   • Clinic apparatus for primary and preventive care
  •   • App and Portal for employees to access health records, dashboard and appointments
  •   • EMR for doctors and physician assistants

The onsite Safecare clinics offers two broad services - Concierge health care services and Preventive health care services

Concierge Health Services
  •    1. Primary care - Examine patients, make diagnosis and provide basic medication. flu shots, vaccination and other shots like Insulin and other illness based medication.
  •    2. Record maintenance - Registration, questionnaire, taking medical histories, assessment, lab report, coordination based on conditions identified and writing case summaries for the subscribed members.
  •    3. Diagnostics - Order and interpret laboratory tests, X-rays, ECGs, Ultra sonogram, Echocardiogram, Treadmill tests, pulmonary function tests etc.,
  •    4. Pharmacy - Dispensing of OTC medicine and organising prescription drugs.
  •    5. Coordination - Continuity of care using data to ensure that each condition is managed in the short and long run.
  •    6. Specialty consultation - Based on need dental, eye, skin, nutrition, physiotherapy, women care and other support are provided onsite or referred to the clinics.
  •    7. Health stations - Digital health stations to asses BP, sugar, weight, SPo2, heart rate and temperature.
Preventive Care Services

The preventive care services are a preplanned exercise which happens periodically. It follows the SafeCare preventive care model of Screening, Intervention and continuity of care. The system drives the process of preventive care

  •    1. Screening - Periodic biometric and health check up plans for health risks identification, condition management and holistic wellness. All health assessments results are digitalised to provide dashboards to the individuals so as to gain an understanding on the health risk profile and tits rends. Diagnostic AI scans through the assessment reports and past health data and trigger personal health condition risk and build organisation health index in real time. Depending on the organisation's preference either a preventive health check up with blood tests or biometric assessment is performed at a frequency defined by the organisation.
    •       • Preventive health checkups - SafeCare clinic has the capability to deliver on site preventive health check-ups in association with the empanelled hospitals and labs. If the organisation has existing vendors we work with them to digitalise the assessment reports.
    •       • Biometric assessments - Digital Health stations to periodically asses key metabolic risks that has a direct link that are risk factors for NCD - BP, sugar, body weight, SPo2, heart rate and body temperature.
  •    2. Intervention - Based on the screening personalised intervention for every individual is worked out.
    •       •   Onsite intervention - Onsite or Virtual consultation is provided by our GPs or specialists depending on the need of the particular condition and risks of the patient.
    •       •   Referral - S10 Health SafeCare on boards Clinics in each neighborhood as per SafeCare standards. Based on the needs of individuals the patients are referred to these clinics. Online appointments for these clinics will be provided.
Continuity of Care

The screened individuals are classified into high risk, moderate risk and no risk category. The onsite clinic, APP and health coaches provide the education, lifestyle behaviour change support and coping strategies including coaching for exercise, diet and preventive health to help the individuals adhere to the plan provided by the specialists and to self-manage their health condition and wellness.

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