RE-Assist Rare Disease

The current process for transitions of care phase is insufficient for the best quality of life outcomes. There is 35 M hospital discharges annually in US, $26 billion is spent on transition of acute care by Medicare patients annually. One third of readmissions are due to poor care coordination. This relaying nationally as a 40B problem for the US. RE-Assist technology we bring accountability to providers, knowledge of provider services and clear messaging to account managers that will lead to quicker linkage to services and help reduce hospital admissions (in the community and intuitions.) RE-Assist is able to support the account manager in transitions of care such as with institutionalized and community care management roles to improve quality of life. Anywhere there is a list of resources to help with improvement of quality of life RE-Assist can be utilized.

Our RE-Assist application works on a regional level by obtaining information from account provider (vendor) management systems to ensure all vendors are registered through the RE-Assist application prior to doing business with the account. This will eliminate outdated vendor information.

The RE-Assist application is patient and family driven and allows families to take more control of care planning by filtering recommendations from clinical staff, location, privacy, specialty impairment groups and insurance. This allows the patients to make educated decisions on vendor selection and truly allows choice of providers.

The RE-Assist application allows vendors to educate patients on highlights of their services and provide clear messaging for approvals, denials and insurance updates from vendors. This allows for reduction of face to face sales to account managers or roles of influence for patient care pathways. This will lead to less traffic in areas of sick patients and less opportunity for kickbacks and financial persuasion.

The RE-Assist application has real time clear messaging and has the ability to reduce account manager to vendor non productivity by the reduction of phone tag and misinterpretation of services. RE-Assist will help with avoidable barriers to referral conversation.

The RE-Assist application is a patient facing digital health platform that replaces the  paper list directory in care planning by integrating the role of the patient, case manager, and service provider.  RE-Assist allows patients to take more control of the care planning process by filtering and choosing providers relative to insurance, location and continuity of care transparency. This allows patients to make educated decisions on provider selection with a clarity on transition to the next level of care. Ultimately with the RE-Assist technology we bring accountability to providers, knowledge of provider services to patients and clear messaging to case managers. This will lead to reduction of readmissions, length of stay and increasing utilization between providers, productivity  and patient satisfaction. On the back end, there is trending, tracking and quantifiable data to identify wasteful and potentially harmful goods and services.

This version of RE-Assist will work specifically for individuals with rare diseases. RE-Assist rare disease will work to address barriers for maintaining or  improvement of life quality . Key areas of focus will be housing, care resources-physical /mental (nursing/ therapies (in home /outpatient/ inpatient), specialty pharmacies, specialty equipment, transportation (vehicle modifications), Managing finances, Credit recovery, Legal assistance, Public assistance, Employment, Benefit coordination, and entertainment.

https://www.bizjournals.com/cincinnati/inno/stories/news/2021/06/09/mom-son-say-this-health-care-app-can-save-lives.html

RE-Assist Rare disease is here to help individuals with disease who have Fewer than 200,000 US cases per year and are deemed incurable or chonic. RE-Assist meets theses individuals right at the point to maintain or improve their quality of life.  RE-Assist is available as software as service used by patients, caregivers or clinicians assisting individuals with facilitating resources and referrals. These individuals are ages 0-60 years old. They have typically been diagnosed and has transitioned by to the community however met fiction with navigating community living. RE-Assist Rare disease also assist individuals that may need to go to a specialized post acute care unit for hemodynamic stability or therapy services.  

The RE-Assist application allow patients, caregivers and clinicians to take more control of the care planning process by filtering recommendations,  location, specialty impairment groups, onsite services and insurance. This allow patients to have access and make educated decisions on service providers. Which will relay to improved quality of life and reduction of readmissions to acute care and saved lives. 

Ashley Barrow Founder & CEO 16+ years of transitional care planning. Specializing in high risk patients that require a combination of inpatient and community services to maintain or improve quality of life. Dedicated 8 years to the “Money Follows the Person Campaign” with a hand in transitioning over 11,000 individuals from acute to post acute care which resulted in over 300 million dollars in savings to the Ohio Department of Medicaid. 

Patrick Barrow - Senior Business Analysis - 30 year GE aviation engineering experience with patent invention facilitation that grew to international markets.

Aaron Bess, at 12 years old, finds challenge in creating technology. Aaron was inducted into the honor society in 2016 and has maintained that presence here in 2021. He is a junior deacon at the ALMS Christian Church. He is a student ambassador at his school. He is a true leader on his basketball team in which his coach thinks he is the most coachable player. Won the young innovator award at the Advancing Health Innovation Summit in 2021

April Barrow - Project manager 15+ years experience in healthcare technology development 

  
Wynhouse Software- Development Team

RE-Assist bring in strong ties to the healthcare community from Ohio, Northern KY and South Eastern Indiana regional areas. With experience a hand in over 11,000 patients transitioning from intuitions to back to the community. RE-Assist brings a wealth of professional knowledge of caring for individuals with rare diseases and transitioning through independent living, assisted living, home health, skilled nursing facilities, acute care hospitals and inpatient rehabilitation. In addition, our founder Ashley Barrow has a 8 year personal experience of caring for a loved one from the time of diagnosis of endstage renal disease to initiation of peritoneal dialysis and hemodialysis to single above knee amputation to kidney transplant as well as helping that loved cope with social influences such as lost of job, divorce, commercial to Medicare / Medicaid insurance, Ohio Home Care Waiver services, equipment and home modifications. We bring a realistic approach to pathways of transitions of care with goals for community living. Nationally our platform is needed.

The150,000 would allow us to pilot our platform. We have developed great relationships with healthcare entities all over the state of Ohio however will need techniques to tighten our strategic plan to market our product. This will also allow us to implement our phase 2 of the platform which has connection to HIPPA Compliancy, API interface and specialized security.  We need to look at our infrastructure and make sure that it will be sustainable for generations to come. We believe MIT can help us with this.

Pain Points 

Case Managers 

1. Access to detailed information on post-hospital care providers (Accepted insurance, contact information, services, diagnosis) 

a. Discharge planners are responsible for informing patients of their 

post-hospital care options 

b. Care provider information is inconsistently formatted and spread across different mediums 

2. Manage a large number of discharges in a single day 

a. Research found that discharge planners can manage up to 100 transitions of care per day with mostly likely specifics of disease process driven care for rare disease only treated by care category.

3. Loss of information during execution of discharge plan 

4. Poor execution of patient follow-up plans 

a. Multiple parties responsible for patient follow-ups 

b. Undefined delegation process for follow-up responsibility 

Care Providers 

1. Need more referral sources, effective marketing channels to reach discharge planners, community partner and patients 

a. In an ideal scenario, discharge planners/discharge educators recommend post-hospital care options to patients, beyond a paper list. 

2. Care providers attempt to build referral relationships with DcPs 

a. Building strong relationships with DcPs responsible for educating patients leads to more referrals. 

3. Context switching between emails, phone calls, patient database, and other programs 

4. Desire better information of patient clinical history to make acceptance decisions 

Patients 

1. Insufficient education on post-hospital care particularly specialized services such as with rare diseases 

a. Short, rushed decision-making process 

b. Readmission due to poor selection of post-hospital care 

2. Cost of readmission to hospitals and admission to new post-hospital care 

3. Require better access to post-hospital care providers information a. Accepted insurance, contact information, services 

4. If patient is connected to the wrong service this can catastrophic to the patient and can cause further decline in health. 

Currently the education at the transfer of care or connection to resource and referral resolves around a paper list for choice and word of mouth.  

The RE-Assist application is a patient facing digital health platform that replaces the  paper list directory in care planning by integrating the role of the patient, case manager, and service provider.  RE-Assist allows patients to take more control of the care planning process by filtering and choosing providers relative to insurance, location and continuity of care transparency. This allows patients to make educated decisions on provider selection with a clarity on transition to the next level of care. Ultimately with the RE-Assist technology we bring accountability to providers, knowledge of provider services to patients and clear messaging to case managers. This will lead to reduction of readmissions, length of stay and increasing utilization between providers, productivity  and patient satisfaction. On the back end, there is trending, tracking and quantifiable data to identify wasteful and potentially harmful goods and services.

This will allow individuals with  rare disease to have more resources to have a better quality of life. We are the catalytic for change as the founder / ceo has been in transition of care planning 16 years and also has taken care of a loved one who is disabled and had to transfer through care with only the knowledge of a paper list. 

We are advocating for liberty in healthcare by empowering an educated choice of goods and services to improve quality of life for individual especially with rare diseases. Our integration platform RE-Assist replaces the paper list directory in care planning. Through professional and personal experience we have found individuals chronic health issues and rare disease are often shuffled through care channels without being properly educated of all the care options available. This causes the delivery of inadequate services, patient reluctance leading to further decline in health. Our application can be used by phone or tablet to allow patients / families to take more control of the care planning process. We use clinical recommendations to filter and choose providers by location, reviews and insurance coverage. This allows patients to make educated decisions when selecting providers. 

Our goal is to work with individuals with rare diease and are admitted to hospitals with acute /chronic health issues. We provide technology at the point of care where there is a lack of support, decrease in function and need for assistance to maintain community living or quickly return to the community after a short rehabilitation stay. We have found that individuals on Medicaid are significantly less well off, are more likely to have serious health conditions and have less life expectancy RE-Assist wants to improve quality of life by providing an educated choice in the transitions of care space. We have found that by being in a transitional state with clinicians who may not identify with the struggles of the average person with rare disease can result in adverse events and further a decline in health leading to poverty and burden of care on families and the community.

Our goal is for RE-Assist will be used outpatient, home visiting and hospitals to connect patients and families to community resources,  provider services and goods to allow them to thrive during there care transition. RE-Assist will use  technology to keep updated resources for community and social connectedness. This our application will save lives and allow individuals with disabling conditions to have better quality of life by allowing them to make educated decisions on care. 

We are measuring out comes by trending readmissions by number and cost. For example if individuals are educated about the right resources and provided our application we then would track and trend if the individual admits back to hospital or have a further decline in care. 

There is 35 M hospital discharges annually in US, $26 billion is spent on poor transition of acute care by Medicare patients annually. One third of readmissions are due to poor care coordination. We know that if RE-Assist is apart of this process we will address accountability to providers, knowledge of provider services to patients and clear messaging to account managers. This will lead to a reduction of hospitalizations, readmissions, increased utilization of resources and most importantly increased patient knowledge of goods and services.

RE-Assist is a SAAS digital health platform that can be accessed by phone, tablet or computer.   

RE-Assist was founded in 2020 as a DBA of A Statue of Excellence LLC located in Cincinnati Ohio. A certified minority woman owned business, RE-Assist  specializes  in consulting and technology, targeting the healthcare industry. Our business addresses critical needs in vital acute care sectors including infrastructure, productivity, key indicators, patient engagement specializing in decreasing high risk readmissions due to lost opportunity. Our company build is grassroots and they team has experiences with working with individuals with rare disease and disabilities RE-Assist 100% minority owed.  

Ashley Barrow Founder & CEO 16+ years of transitional care planning. Specializing in high risk patients that require a combination of inpatient and community services to maintain or improve quality of life. Dedicated 8 years to the “Money Follows the Person Campaign” with a hand in transitioning over 11,000 individuals from acute to post acute care which resulted in over 300 million dollars in savings to the Ohio Department of Medicaid. 

Patrick Barrow - Senior Business Analysis - 30 year GE aviation engineering experience with patent invention facilitation that grew to international markets.

Aaron Bess, at 13 years old, finds challenge in creating technology. Aaron was inducted into the honor society in 2016 and has maintained that presence here in 2021. He is a junior deacon at the ALMS Christian Church. He is a student ambassador at his school. He is a true leader on his basketball team in which his coach thinks he is the most coachable player. Won the young innovator award at the Advancing Healthcare Innovation Summit. 

April Barrow, Project manager 15 year healthcare product development 

Wynhouse Software - Development Team

Annual Subscription model for the platform to hospital ( which is just the 30% of the readmission savings.

Monthly Subscription for vendor portal 

Monthly Subscription for quantifiable data 

KEY ASSUMPTIONS FOR PROJECTED FEE STRUCTURE  Penalties for excessive preventable readmissions can mean up to a 3% reduction in Medicare reimbursement for hospitals  In 2018 in the US the 25 hospitals with the greatest readmission rate penalties experienced lost revenue of between $7.5M to $1.6M  The estimated revenue loss for the 25 hospitals with the highest all cause readmission rates range from $4,448,583 to $72, 767

KEY ASSUMPTIONS FOR REVENUE PROJECTIONS  Hospitals will pay an annual subscription fee to access RE-Assist  Actual fee will be based upon size of the hospital  Average fee will be $100,000/year  Data analytics will be available at an additional fee  Actual fees will be determined following pilot  Initial target with be hospitals (25) within OH/KY/IND with the highest penalties for readmissions in most recent year KEY REVENUE ASSUMPTIONS 1 year  12/25 (~ 50%) purchase an annual subscription 1 st year revenue will be $1.2 M 2 year  8/25 (~ 33%) purchase an annual subscription 2nd year revenue will

We have raised 60,000 for our MVP to get to the Beta we need angel investment. The goal is to prove the concept through pilot of our MVP. Then obtain angel investment to build out our team and scale through out the US. our goal is to be in 12 hospitals the 1st year then growth 33% from there.