Duxlink Tele-Hospital: A New Technology Platform for High-Risk Population Health Management

Here is the Trillion dollar question for all Digital Health Technology (device, IT or data) today: how to enable value-based care, shifting current reactive hospital “sick” care to future proactive out-patient “health” care. However, the current enabler, Population Health Management is only for low risk population, not for the 5-25 percent high-risk patients with 50-87 percent healthcare costs, such as preventable hospital readmission. Since 2012, Medicare has been trying to reduce the 30-day readmission expense of $45B a year. On October 1, 2018, a new Medicare BPCI (Bundled Payment) Advanced program extended the readmission metrics from 30- day to 90-day. Amidst this, the readmission rate for heart failure is 23 percent for 30-day versus 52 percent for 90-day. This program is posing 20 percent upside/incentives or downside/penalties on the 1,300 already contracted hospitals. The fundamental readmission problem is isolated data and care after hospital discharge in the Post- Acute Care (PAC) continuum (Hospital – Clinic – Rehab – Home Health – Patient’s home). There is no integrated technology and hospital level care currently in the PAC process.

To address this issue, Duxlink Health, a Florida-based company with its sister company Duxlink Health Technology, developed a unique technology platform, Interreality Care™ for the entire PAC continuum. It enables providers to deliver hospital level care, On-site (clinical services at patient’s residency) anywhere, and Online (Telecare wirelessly) anytime. “The results have already shown promises on both quality and cost of care. Working with Memorial Healthcare System, the fifth largest public hospital system in the U.S., the trial showed a 75 percent readmission reduction and $4.8M savings from only 112 patients.” extols Michael Shen, founder and Chief Medical Officer, Duxlink Health. “These high to super high-risk patients have multi-organ failures with average 5 admissions/readmission over 12-18 months. Some of them were told to go to hospice. With Interreality Care, we start seeing not only less readmission/ lower cost but also better quality life and survival”.

Duxlink accomplished this by addressing the core problem of healthcare, patient data and care delivery. “Collecting and monitoring data for on-time intervention in the post-acute continuum has been the most challenging step for hospital readmissions”, mentions Dr. Shen. He further explains that this challenge does not exist in many other businesses, like Amazon.