Vivovitals

Rightmetrics is addressing the pressing challenge of healthcare access and efficiency within low- and middle-income countries (LMICs), specifically tackling the MIT Solve Challenge's focus on sustainable, equitable health solutions for remote and underserved populations. Our initiative is centered on significantly enhancing the management of chronic diseases, particularly diabetes, cardiovascular diseases (CVD) and maternal health, through innovative remote patient monitoring and virtual healthcare services.

Scale of the Problem:

The global impact of chronic diseases is staggering. Per WHO, chronic diseases, including cardiovascular diseases and diabetes, are the leading cause of mortality globally, accounting for over 70% of all deaths worldwide. In LMICs, access to essential health services remains low. Only about 50% of the population in these regions have full coverage of essential health services. Specifically, cardiovascular diseases account for nearly 17.9 million deaths annually, with 75% of these occurring in LMICs. Diabetes affects over 422 million people worldwide, with more than 80% living in LMICs.

Local and Global Statistics:

In the communities we are targeting, notably in parts of Sub-Saharan Africa and South Asia, the prevalence of diabetes is expected to increase by nearly 143% in the next 20 years. The economic impact is equally concerning; for instance, the total annual cost of diabetes in Sub-Saharan Africa was estimated at $19.5 billion in 2019 and is projected to rise to $35.3 billion by 2045. CVD-related expenses in these regions strain not just the individual and family but also the broader economic stability of the communities.

Contributing Factors:

1. Limited Access to Healthcare Facilities: Many areas in LMICs lack adequate healthcare infrastructure. Rural regions often have few medical facilities, and urban areas suffer from overcrowded hospitals.
2. Shortage of Healthcare Professionals: There is a significant shortage of trained healthcare professionals in LMICs. The physician-to-patient ratio is dramatically lower than in high-income countries.
3. Lack of Early Diagnosis and Preventive Care: Limited access to early screening and preventive care leads to high rates of complications and increased mortality.
4. Economic Barriers: High out-of-pocket healthcare costs prevent many individuals from seeking timely medical help.

Rightmetrics Solution:

Our solution, leveraging the Vivovitals platform, directly addresses these factors:

• Remote Patient Monitoring: By providing remote monitoring services, we enable continuous patient management without the need for physical hospital visits. This is crucial in areas with scarce healthcare infrastructure.
• Virtual Healthcare Services: Through our virtual clinics and wards, patients can receive consultations and follow-up care from specialists, irrespective of their geographical location.
• Data-Driven Insights: Our use of advanced data analytics and real-time monitoring helps in early diagnosis and intervention, significantly reducing the risk of complications and the burden of chronic diseases.
• Cost-Effectiveness: By reducing the need for physical infrastructure and optimising healthcare resource allocation, we lower the overall cost of healthcare delivery, making it more accessible.

Our approach not only improves health outcomes by preventing complications and reducing hospitalisations but also ensures healthcare equity by making quality care accessible and affordable across LMICs in face of natural disasters like floods, earthquakes etc. 

Rightmetrics has developed a comprehensive digital health ecosystem solution called Vivovitals, designed to enhance healthcare delivery in low- and middle-income countries (LMICs). Our platform called VivoVitals focuses on remote patient monitoring and virtual healthcare services (virtual hospitals, clinics and virtual wards) mimicking actual hospital workflows to manage chronic diseases like diabetes (Diabetic/Pre-diabetic) & cardiovascular disease (CVD) more effectively in a personalised as a service model for hospitals & care providers. 

What is Vivovitals?

Vivovitals is a clinically proven (study published https://www.endocrinepractice.... ) cloud-based platform that integrates various digital health services into a cohesive system. It's designed to facilitate remote healthcare delivery, providing continuous patient monitoring, virtual consultations, and comprehensive disease management. The platform operates on the principles of accessibility, affordability, and scalability, making it well-suited for regions with limited healthcare infrastructure.

How Does It Work? 

1. Remote Patient Monitoring: Vivovitals utilises wearable devices like 24/72 ECG continuous/intermittent monitoring devices/patch, Continuous Glucose Monitors/BGM,  Oximeter, Fetal Doppler etc,  integrated with its mobile health technology to continuously monitor patients' vital signs and other health indicators. These devices collect data on blood pressure, heart rate, blood glucose levels, and more, transmitting this information in real-time to the cloud-based platform.
2. Virtual Consultations: Patients can connect with healthcare professionals via the platform for virtual consultations. This service leverages video conferencing technology, allowing doctors to assess patient conditions remotely, prescribe medications, or adjust treatment plans accordingly.
3. Data Analytics: The platform employs  data analytics to process the health data collected. It uses machine learning algorithms to identify patterns and predict potential health risks, enabling proactive management of the patient's condition. This technology facilitates early intervention, significantly reducing the risk of complications associated with chronic diseases.
4. Mobile and Cloud Technology: Vivovitals is built on a robust mobile and cloud infrastructure that ensures reliability and scalability. It allows for seamless integration with existing health systems and can be scaled up to accommodate an increasing number of users without substantial additional investment in physical infrastructure.
5. User Interface: The platform features an intuitive user interface designed for ease of use by both patients and healthcare providers. Patients can access their health data, manage appointments, and receive notifications about their health status directly through a mobile app. Healthcare providers can view patient data, receive alerts, and manage multiple patients through a centralised dashboard.

Technology Used:

• Wearable Health Devices: These are essential for the continuous monitoring of health metrics.
• Cloud Computing: Ensures that the data collected is stored securely and is accessible from anywhere, facilitating real-time data analysis and decision-making.
• AI and Machine Learning: Used for data analysis, these technologies help in predicting health trends and potential emergencies.
• Telecommunication: Enables real-time communication between patients and healthcare providers.

Outcome and Efficiency

The integration of these technologies allows Vivovitals to deliver a holistic healthcare service that not only improves patient outcomes by enabling better disease management and reducing hospital visits but also cuts down healthcare costs significantly through efficient resource use.

Our team at Rightmetrics is uniquely positioned to design and deliver the Vivovitals solution to the target populations in low- and middle-income countries due to our deep-rooted connection with and understanding of these communities. Between the founders we have 100 years of combined professional, corporate and technological experiences. 

The strength of our approach lies not just in our technological expertise but in our profound commitment to and engagement with the communities we aim to serve.

Proximity and Representation

The core of our team, including our Founder & co-founder, comprised of individuals who hail from or have spent significant portions of their lives in the regions we target. For instance, our co-founder was born and raised in Pakistan, one of the key areas we are focusing on and hails from Azad Kashmir (remote mountain region). This personal background provides  intimate understanding of the local challenges, particularly the nuances of healthcare accessibility and the burden of chronic diseases like diabetes and CVD. Many of our team members have witnessed firsthand the struggles faced by family and friends who have had to navigate the inadequate healthcare systems prevalent in LMICs. For this the co-founders have also started a diabetes charity using the same system in AJK called digital diabetes foundation (www.ddiabetesfoundation.org). 

Community-Centric Design and Implementation

Our solution deployment has a strong emphasis on community input, ensuring that the voices of those we are aiming to help are not just heard but are integral to shaping our response. Here’s how we incorporate this community-driven approach:

1. Community Engagement: Before initiating any project, we conduct extensive field research, involving interviews, focus groups, and community workshops/seminars as in the case of digital diabetes foundation powered by Rightmetrics system. These engagements helped us to understand the specific needs, preferences, and challenges faced by potential users of our platform. This direct input continues to guide the evolution of our solution.
2. Pilot Testing with Local Feedback: We have piloted our services in select community settings (Pakistan/AJK and New York-United States) to gather real-world insights and feedback. This iterative testing allowed us to refine our approach based on direct user experience, ensuring our solution is not only technologically sound but also culturally and practically relevant.
3. Local Partnerships: We are seeking to collaborate with local healthcare providers, NGOs, and community leaders to ensure our deployment strategy aligns with the existing healthcare ecosystem. These partnerships will help bridge any gaps between technological possibilities and on-ground realities.
4. Training and Capacity Building: Recognising the importance of local capacity, we invest in training/awareness local healthcare workers and community representatives. This not only helps in the smooth operation and maintenance of our technology which has a very low learning curve but will also empower the community, creating a sense of ownership and alignment with the project’s goals.
5. Adaptability and Local Customisation: Our platform is designed to be flexible, allowing customisation to meet diverse linguistic, cultural  regional needs. This adaptability ensures higher acceptance and effectiveness of our solution across different communities.

Our team at Rightmetrics is uniquely positioned to design and deliver the Vivovitals solution to the target populations in low- and middle-income countries due to our deep-rooted connection with and understanding of these communities. Between the founders we have 100 years of combined professional, corporate and technological experiences. 

The strength of our approach lies not just in our technological expertise but in our profound commitment to and engagement with the communities we aim to serve.

Proximity and Representation

The core of our team, including our Founder & co-founder, comprised of individuals who hail from or have spent significant portions of their lives in the regions we target. For instance, our co-founder was born and raised in Pakistan, one of the key areas we are focusing on and hails from Azad Kashmir (remote mountain region). This personal background provides  intimate understanding of the local challenges, particularly the nuances of healthcare accessibility and the burden of chronic diseases like diabetes and CVD. Many of our team members have witnessed firsthand the struggles faced by family and friends who have had to navigate the inadequate healthcare systems prevalent in LMICs. For this the co-founders have also started a diabetes charity using the same system in AJK called digital diabetes foundation (www.ddiabetesfoundation.org). 

Community-Centric Design and Implementation

Our solution deployment has a strong emphasis on community input, ensuring that the voices of those we are aiming to help are not just heard but are integral to shaping our response. Here’s how we incorporate this community-driven approach:

1. Community Engagement: Before initiating any project, we conduct extensive field research, involving interviews, focus groups, and community workshops/seminars as in the case of digital diabetes foundation powered by Rightmetrics system. These engagements helped us to understand the specific needs, preferences, and challenges faced by potential users of our platform. This direct input continues to guide the evolution of our solution.
2. Pilot Testing with Local Feedback: We have piloted our services in select community settings (Pakistan/AJK and New York-United States) to gather real-world insights and feedback. This iterative testing allowed us to refine our approach based on direct user experience, ensuring our solution is not only technologically sound but also culturally and practically relevant.
3. Local Partnerships: We are seeking to collaborate with local healthcare providers, NGOs, and community leaders to ensure our deployment strategy aligns with the existing healthcare ecosystem. These partnerships will help bridge any gaps between technological possibilities and on-ground realities.
4. Training and Capacity Building: Recognising the importance of local capacity, we invest in training/awareness local healthcare workers and community representatives. This not only helps in the smooth operation and maintenance of our technology which has a very low learning curve but will also empower the community, creating a sense of ownership and alignment with the project’s goals.
5. Adaptability and Local Customisation: Our platform is designed to be flexible, allowing customisation to meet diverse linguistic, cultural  regional needs. This adaptability ensures higher acceptance and effectiveness of our solution across different communities.

Rightmetrics has successfully developed and implemented the initial phase of our Vivovitals platform, a comprehensive remote monitoring and virtual healthcare system. Our achievements to date focus on the foundational aspects of the technology, its deployment, and the initial user engagement across several low- and middle-income countries, including specific regions in Pakistan and parts of East Africa.

Clinical study showing success of the digital health platform for diabetes patients was carried out at a US based hospital in New York. 

https://www.endocrinepractice.org/article/S1530-891X(23)00333-6/abstract

Development and Testing:

We have fully developed the core functionalities of the Vivovitals platform, which include:

• Remote Monitoring Capabilities: Utilising wearable devices that track vital health metrics such as blood glucose, heart rate, and blood pressure. These devices sync data to our cloud-based system in real-time.
• Virtual Consultation Tools: Integration of a secure video conferencing tool that allows healthcare providers to conduct remote consultations, significantly reducing the need for physical travel.
• Data Analytics Engine: Implementation of algorithms designed to analyze health data collected from users to identify trends and predict potential health risks.

Pilot Programs:

We launched two pilot programs in two regions:

• LMIC - Pakistan (Azad Jammu & Kashmir): Focused particularly in a remote mountainous region of Pakistan where diabetes is prevalent in the community and is on the rise, our small pilot through a served over 1,200 individuals over 1 year plus and we have achieved remarkable results by bringing down hbA1c levels in 96% patients.  We also provided them with BGM and used creative ways to access our platform.
• New York Endocrinologist Clinic:  A small pilot was carried out at the founders clinic in New York with his own patients being enrolled and utilising the system. More than 100 patients were served through this pilot. 

Achievements:

• Health Outcomes: Early results have shown a reduction in hbA1c levels in the rural population of Asad Kashmir region in the city of Rawalakot with over 96% results of improved patient outcomes indicating effective early intervention and better disease management.
• User Adoption: We achieved a high rate of user compliance and satisfaction, with over 90% of participants actively using the platform to monitor their health status and through assisted trained staff model where patients were not able to directly have access to a smartphone or system. 
• Community Training: Successfully trained over 5 trained staff and volunteers to use and administer our platform, ensuring sustainability and capacity building within the communities.

Engagement and Feedback:

• Community Feedback: Regular feedback sessions have been integral, with users reporting improved access to healthcare services and increased awareness of their health conditions.
• Healthcare Provider Adoption: Engaged with local government and now pushing for creating partnerships with local clinics and hospitals, integrating them into our platform to extend their reach and capabilities in patient management along with companies focusing on diabetes & CVD. 

Our accomplishments so far highlight the practical viability and impact of the Vivovitals platform in improving healthcare access and management in underserved areas. These initial stages have set a strong foundation for the next phases of expansion and refinement of our services.

Rightmetrics has encountered several challenges in deploying Vivovitals platform across low- and middle-income countries. These challenges span financial, technical, legal, cultural, and market barriers. Our engagement with Solve aims to leverage their ecosystem of partners, mentors, resources to address these barriers effectively.

1. Technical Challenges:

• Scalability and Reliability: While our platform is robust, scaling it to accommodate millions of users while ensuring reliability in remote and underserved areas is a challenge.
• Integration with Existing Systems: Ensuring seamless integration of Vivovitals with existing healthcare systems and technologies in various countries. For example we tried to reach out to International Red Cross and other organisations working in calamity hit areas like after Morocco earthquake, floods in libya and WHO in Pakistan through linkedin messages but could not get to the right people in time as we wanted to offer our solution without any charge to help, to setup health infrastructure for displaced people, refugee population in disaster situations. 

How Solve Can Help:

We seek guidance and partnerships through Solve that can provide us with technical expertise and access to technologies that enhance scalability and integration capabilities. Collaborations with tech partners and access to cutting-edge technologies via Solve’s network would be invaluable.

2. Financial Barriers:

• Sustainable Business Model Development: Crafting a business model that is financially sustainable in the long term, especially in markets where patients have limited paying capacity.
• Funding for Expansion: Securing funding to scale our operations to new regions and enhance our technology suite.

How Solve Can Help:

While direct funding is beneficial, we are particularly interested in Solve’s ability to connect us with strategic partners who offer mentorship in developing sustainable financial models. Additionally, visibility within Solve’s network could attract impact investors focused on healthcare innovations.

3. Legal and Regulatory Hurdles:

• Compliance with International Health Regulations: Navigating complex regulatory environment in different countries can be daunting.
• Data Privacy and Security: Ensuring compliance with varying data protection laws across countries.

How Solve Can Help:

Access to legal experts within the Solve community who can provide insights and guidance on navigating international health regulations and data protection laws would be crucial.

4. Cultural and Market Barriers:

• User Trust and Adoption: Building trust among users in regions where digital health interventions are a relatively new concept.
• Localisation of Services: Adapting our solutions to fit the cultural and linguistic diversity of the regions we serve.

How Solve Can Help:

Engagement with Solve can help us connect with local entities and community leaders through their network, enhancing trust and facilitating the localisation of our platform. Insights from other Solver teams who have successfully navigated similar challenges would also be beneficial.

5. Capacity Building:

• Training and Development: Up-skilling local healthcare providers and community workers to use and promote our technology effectively.

How Solve Can Help:

We aim to leverage Solve’s educational resources and workshops to enhance our training programs and build capacity at a local level.

Solve’s ecosystem offers unique blend of resources, connections, expertise that can help Rightmetrics overcome the multifaceted challenges we face. 

Rightmetrics' Vivovitals platform fundamentally transforms the approach to healthcare in low- and middle-income countries (LMICs) by leveraging advanced technology to offer scalable and sustainable remote monitoring and virtual healthcare services. This solution addresses the healthcare accessibility gap by providing critical services that traditional healthcare infrastructures in these regions struggle to deliver due to limited resources, geographical barriers, and financial constraints.

Innovative Approach to Healthcare Delivery:

Vivovitals distinguishes itself through its integration of real-time health data monitoring with proactive healthcare management. Utilising wearable technology and mobile devices, the platform continuously gathers health metrics such as heart rate/ECG, blood glucose levels, and blood pressure, which are then analysed using data analytics. This allows for immediate identification of potential health risks, enabling early intervention and significantly reducing the likelihood of severe health episodes that require emergency care or hospitalisation.

The platform's virtual consultation feature democracies access to healthcare by connecting patients with medical professionals remotely. This is particularly transformative in regions where the nearest healthcare facility could be hours away, making regular check-ups and follow-up visits impractical and often prohibitively expensive.

Catalysing Broader Positive Impacts:

By demonstrating the effectiveness and efficiency of a tech-driven approach to healthcare, Vivovitals can catalyse broader positive impacts in the global healthcare market, especially in similar settings across LMICs. The platform's success in reducing hospital visits and improving health outcomes can serve as a model for healthcare systems struggling with similar issues worldwide. It provides a blueprint for how technology can be harnessed to make healthcare more proactive, personalised, and preventive.

Healthcare providers and policymakers can look to the scalability and adaptability of the Vivovitals model as a viable alternative to traditional care, especially in underserved areas and in natural disaster stuck areas in need of temporary healthcare access/facilities setup. 

Transforming the Market/Landscape:

Vivovitals has the potential to significantly alter the healthcare landscape by shifting the focus from in-person care dependency to a more hybrid model that blends digital and physical healthcare services. This shift not only makes healthcare more accessible but also more cost-effective, addressing one of the major barriers to healthcare access in LMICs: cost.

Economically, the platform can drive down healthcare costs by reducing the need for physical infrastructure, such as hospital beds and on-site medical facilities, which are expensive to build and maintain. It also optimizes the utilisation of healthcare personnel by enabling them to manage multiple patients remotely, thus expanding their reach and efficiency.

Environmentally, reducing the need for frequent travel to healthcare facilities can lower carbon emissions associated with transportation, aligning with global sustainability goals. Socially, improved healthcare access and outcomes can elevate overall quality of life, increase productivity, and reduce poverty, which are critical for sustainable development in LMICs.

In summary, Rightmetrics' Vivovitals is not just a healthcare product; it is a transformative approach that redefines how healthcare is delivered in resource-limited settings. By proving successful in LMICs, it could set a precedent for global healthcare practices, emphasising prevention, accessibility, and affordability through technological innovation.

Rightmetrics' Vivovitals platform employs a strategic and evidence-based approach to revolutionise healthcare delivery in low- and middle-income countries (LMICs), particularly focusing on improving access and quality of care for chronic diseases such as diabetes and cardiovascular diseases (CVD) as well as enhancing maternal health services. The theory of change for the Vivovitals platform is structured around specific activities that drive immediate outputs and ultimately lead to long-term beneficial outcomes for the target population.

Activities:

1. Deployment of Wearable Devices: Distributing (as a service care model/BYOD) wearable devices that monitor vital signs such as blood glucose, blood pressure, and heart rate/ECG .
2. Implementation of a Mobile Health Application: Providing a mobile app that collects data from wearables and allows for real-time health monitoring and data analysis.
3. Virtual Healthcare Services: Establishing a system for tele-consultations, which includes video calls and messaging between patients and healthcare providers complying to HIPA standards.
4. Community/Awareness Training Programs: Conducting training sessions for local healthcare workers and community members to effectively use the platform.
5. Integration with Local Health Systems: Collaborating with local clinics and health center to integrate the platform into existing healthcare frameworks.

Immediate Outputs:

• Increased Accessibility of Health Monitoring: Immediate and continuous access to health data for both patients and healthcare providers.
• Enhanced Capacity of Local Health Workers: Improved ability of workers to manage and monitor patients remotely.
• Reduced Need for In-Person Visits: Decrease in the frequency of unnecessary hospital visits and travel, making healthcare more convenient and less costly for patients.

Longer-term Outcomes:

1. Improved Chronic Disease Management: Continuous monitoring and data analysis lead to early detection and timely intervention, reducing the severity of health episodes and complications by reducing hbA1c in our pilot in Azad Kashmir. 
2. Increased Health System Efficiency: By reducing the strain on physical healthcare resources, the system can allocate more resources to critical care and emergency services.
3. Economic Benefits: Lower healthcare costs for patients and reduced economic burden from chronic diseases on the healthcare system.
4. Enhanced Quality of Life: Better disease management results in improved overall health, enhancing productivity and quality of life for the individual and community.

Evidence to Support Links:

• Research and Data: Studies, such as those published by the WHO and the IDF, highlight the effectiveness of telemedicine and remote monitoring in managing chronic diseases, showing reductions in emergency room visits and hospital admissions.
• Pilot Program Feedback: Initial feedback from our pilot programs in Pakistan indicated a 96% reduction in high hbA1c levels and high satisfaction rates among users, validating the effectiveness of remote monitoring and virtual consultations.
• Local Health Worker Testimonials: Testimonials from trained local health workers have shown increased efficiency and improved patient management capabilities.
• User Engagement Metrics: High engagement rates with the mobile health application and wearable devices provide quantitative evidence of the system's usability and acceptance within target communities.

By following this structured approach, Rightmetrics' Vivovitals platform aims to transform healthcare delivery in underserved regions, creating a sustainable model that enhances access, reduces costs, and improves health outcomes, substantiated by empirical evidence and direct stakeholder feedback.

Rightmetrics' Vivovitals platform is designed to transform healthcare delivery in low- and middle-income countries (LMICs) by enhancing access to healthcare and improving health outcomes for individuals afflicted with chronic diseases and maternal health issues. Our impact goals are specifically aimed at achieving substantial improvements in these areas, with measurable objectives that align with the UN Sustainable Development Goals, particularly SDG 3 (Good Health and Well-being).

Impact Goals:

1. Improve the management of chronic diseases such as diabetes and cardiovascular diseases in LMICs by reducing the incidence of complications and hospitalisations.
2. Enhance maternal health outcomes by increasing access to prenatal and postnatal care through remote monitoring and tele-consultations.
3. Increase healthcare accessibility for remote and underserved populations by providing technology-driven solutions that bridge the gap between rural and urban healthcare services.
4. Reduce the economic burden of healthcare for individuals and communities by decreasing the costs associated with chronic disease management and maternal health.

Measuring Progress Towards Impact Goals:

To effectively track and measure our progress towards these impact goals, we utilise a series of specific indicators:

• Health Outcome Improvement:

  • Indicator: Reduction in high hbA1c levels  for patients with chronic diseases using our platform .
  • Method: Comparing hbA1c data before and after the implementation of Vivovitals, collected through partnerships with local health facilities (Diabetes clinic) called digital diabetes foundation (www.ddiabetesfoundation.org).

• Maternal Health Outcome Enhancement:

  • Indicator: Increase in the number of prenatal and postnatal check-ups conducted via the Vivovitals platform.
  • Method: Tracking usage data from the platform, verified by feedback from healthcare providers and patients.

• Accessibility of Healthcare Services:

  • Indicator: Number of new users in remote areas actively using the Vivovitals platform for health monitoring and consultations.
  • Method: Monitoring platform sign-ups and active user statistics, with a focus on rural zip codes and regions previously identified as underserved.

• Economic Impact:

  • Indicator: Reduction in out-of-pocket healthcare spending by users of the Vivovitals platform.
  • Method: Conducting periodic surveys with users to assess changes in their healthcare-related expenditures since using the platform.

• User Satisfaction and Engagement:

  • Indicator: User satisfaction rates with the healthcare services provided via the platform.
  • Method: Regular collection of user feedback through surveys and direct interviews, assessing satisfaction and potential areas for improvement.

These indicators in a mix have been collected and analysed on a continuous basis to ensure that the Vivovitals platform is effectively meeting its stated objectives. Regular internal reviews are also there, to validate findings and implement necessary adjustments.

Additionally, by aligning our indicators with those associated with the UN SDGs, particularly those under SDG 3, we ensure that our efforts contribute to broader global health and well-being targets. This alignment not only amplifies the impact of our work but also integrates it with global efforts to improve health outcomes in underserved populations. Through these structured measurement practices, Rightmetrics aims to continuously refine Vivovitals to deliver transformative healthcare solutions.

Rightmetrics' Vivovitals platform harnesses a suite of modern technologies combined with evidence-based medical practices to enhance healthcare delivery in low- and middle-income countries (LMICs). The core technologies that power our solution include wearable health monitoring devices, cloud computing, artificial intelligence (AI), and telecommunication platforms such as data/internet sim. These technologies work in concert to provide a comprehensive, scalable, and accessible healthcare system. Our technology partners are AWS, IBM, Vonage, Twilio, Stripe, T-mobile, Jazz, Wellue. 

1. Wearable Health Monitoring Devices:

• Technology: We use off the shelf medical grade wearable devices which are equipped with sensors that continuously gather data on critical health metrics such as heart rate, blood pressure, glucose levels, and oxygen saturation. These medical grade devices are designed for ease of use and durability, suitable for deployment in varied environmental conditions prevalent in LMICs.
• Application: The data collected by these devices is crucial for real-time health monitoring and early detection of potential health issues, enabling timely interventions and reducing the need for emergency healthcare services.

2. Cloud Computing:

• Technology: Vivovitals leverages cloud computing to run, store and manage the Vivovitals platform. Cloud infrastructure ensures that data is securely stored, processed, and accessible to authorised users from any location.
• Application: This technology enables scalability of the platform, supporting an increasing number of users without degradation in performance, and facilitates integration with other health information systems for comprehensive patient care management.

3. Artificial Intelligence and Data Analytics:

• Technology: AI algorithms analyse the health data collected to identify patterns, predict health risks, and provide personalised health insights and alerts. Machine learning will be trained on diverse datasets to improve accuracy and effectiveness over time.
• Application: AI-driven insights support healthcare providers in making informed decisions and allow for proactive management of chronic conditions and maternal health, significantly improving patient outcomes.

4. Telecommunication Platforms:

• Technology: The platform utilises mobile/data sim with both smartphones and basic feature phones, alongside Vivovitals robust tele-consultation system that supports video calls, voice calls, and messaging.
• Application: These tools ensure that healthcare services are accessible even in remote areas with limited physical healthcare infrastructure, providing vital connectivity between patients and healthcare providers.

5. Integrating Traditional Knowledge Systems:

• Technology: Recognising the value of traditional knowledge systems in many communities we serve, Vivovitals integrates locally accepted practices and remedies into the healthcare delivery process, particularly in areas such as maternal health and chronic disease management.
• Application: This approach not only enhances cultural acceptance and comfort among users but also promotes holistic health practices that are sustainable and deeply rooted in the community’s history.

By combining these advanced technologies with traditional knowledge, Rightmetrics' Vivovitals platform is poised to revolutionise healthcare delivery in underserved regions. The integration of modern and ancestral technologies ensures that our solution is not only innovative and effective but also respectful and inclusive of the cultural contexts in which it operates. This hybrid approach empowers communities by providing them with tools that are both technologically advanced and culturally relevant, ensuring broad adoption and maximum impact.

4 Permanent staff 

Dr.Sajid Khan - CEO & Founder

Ejaz Khan - Co-Founder - CTO

Nabeel Cocker - Co-Founder - CSO

Ahsan Rasheed Khan - Co-Founder - CCO

Part Time/Contractors - Qandeel Abbassi (Development Head), 

Meeran Tariq, Andriod/IOS Developer

Hamadullah - Android/IOS developer

Rightmetrics and our team have been diligently working on the Vivovitals platform for the past 4 years. During this time, we have evolved from initial concept development through various stages of testing, implementation, and refinement, aiming to tailor our solution effectively to meet the specific needs of the communities we serve in low- and middle-income countries.

While we are a lean startup operation, at Rightmetrics we recognise that diversity, equity, and inclusion (DEI) are not just values to aspire to, but essential components of our operational excellence and innovation. Our commitment to these principles is deeply embedded in our organisational culture, strategic planning, and daily operations. Here’s how we ensure that our team reflects the diversity of the communities we serve and actively promotes an inclusive environment:

Diversity in Hiring and Leadership:

• Our recruitment strategy is centered around inclusivity, aiming to attract a diverse range of candidates in terms of gender, ethnicity, socioeconomic background, and national origin. We employ a blind recruitment process where possible, focusing on skills and potential rather than personal identifiers.
• The leadership team at Rightmetrics includes members from various cultural backgrounds, including those from the regions we primarily serve (such as Pakistan). Diversity ensures that our strategic decisions are informed by a broad spectrum of perspectives, particularly those of  communities impacted by our work.

Equity in Opportunity and Advancement:

• Rightmetrics is committed to providing equitable opportunities for professional growth and development. We conduct regular reviews of our policies and practices to ensure they are fair and do not inadvertently favor certain groups over others.
• We offer mentorship programs, professional development workshops that are accessible to all employees, regardless of their position or tenure. These initiatives are designed to help individuals from underrepresented groups advance into leadership roles.

Inclusive Work Environment:

• We strive to create a workplace where every team member feels valued, respected, and heard. Regular training sessions on cultural competency, anti-discrimination practices, and unconscious bias are mandatory for all staff, including management.
• Our internal policies explicitly prohibit any form of discrimination or harassment, ensuring a safe and supportive environment for everyone. We have established clear, confidential channels for employees to report grievances or concerns, which are promptly addressed by our CEO who co-runs HR function with the rest of the co-founders.

Community Engagement and Feedback:

• Our DEI efforts extend beyond our internal operations to how we engage with the communities we serve. We regularly seek feedback from local stakeholders to ensure that our services and initiatives do not impose but instead respectfully integrate with the local cultural context.
• We involve community representatives in the development and iteration of our projects, which helps us build solutions that are not only technologically sound but also culturally sensitive and locally embraced.

Goals for Diversity, Equity, and Inclusion:

• Rightmetrics has set clear, measurable goals for improving diversity within our team, particularly aiming to increase representation from underrepresented ethnic groups and women in tech and leadership positions.
• We are committed to continually assessing and improving our DEI strategies based on feedback and changing needs, ensuring that our commitment remains responsive and robust.

In conclusion, at Rightmetrics, DEI is not an add-on but a fundamental aspect of how we operate and innovate. We believe that a diverse and inclusive team is not only ethical but also enhances our ability to make a significant impact through our work. 

Rightmetrics operates on a hybrid business model that combines social impact with sustainability to deliver the Vivovitals platform, addressing healthcare challenges in low- and middle-income countries (LMICs). Our model is designed to maximise both social impact and financial sustainability by leveraging partnerships, technology, and scalable services. 

Key Components of Our Business Model:

1. Personalised digital health as a services Offered:

   • Remote Patient Monitoring: Utilising wearable devices that monitor vital health statistics such as blood pressure, glucose levels, and heart rate for various chronic patients including diabetes, CVD and maternal health.
   • Virtual Healthcare Services through care providers/hospitals: Providing tele-consultation services that connect patients with healthcare professionals/Hospitals through a digital platform.
   • Data Analytics Services: Offering predictive analytics to healthcare providers to enable proactive patient care and manage risks for chronic care patients such as diabetes, CVD.
   • Training and Support: Conducting training sessions for local healthcare workers to effectively use our technology and integrate into their daily practice.

2. Customer Segments:

   • Primary Customers: Healthcare providers, including hospitals, clinics, and health organisations in LMICs that seek cost-effective solutions to enhance patient care.
   • Direct Beneficiaries: Patients in underserved regions who lack access to regular healthcare services, especially those suffering from chronic diseases and maternal health issues.

3. Value Proposition:

   • For Healthcare Providers: We offer an integrated healthcare solution that extends their reach to remote areas, improves patient monitoring, and reduces the cost of care delivery.
   • For Patients: Our platform provides accessible, affordable, and proactive healthcare services, enhancing their quality of life and reducing the risk of health complications.
   • For Funded Agencies/Relief operations: We offer immediate healthcare access/setup in remote field units providing emergency relief to patients/population in a disaster/natural calamity hit area through medical kit bags. 

4. Channels:

   • Direct Sales to Healthcare Institutions: Engaging directly with hospitals and clinics through a dedicated sales team.
   • Partnerships: Collaborating with local NGOs, government bodies, and international health organisations to facilitate deployment and adoption.
   • Online and Mobile Platforms: Utilising the internet and mobile networks to deliver services directly to users' smartphones or web interfaces.

5. Revenue Streams:

   • Subscription Fees: Charging healthcare providers a monthly or annual subscription fee for continuous access to our platform and its features.
   • Per-Use Fees: Implementing a pay-per-use model for specific services like remote CVD monitoring for post operative care for a specific period which is determined critical by the cardiologist.
   • Government and NGO Funding: Securing grants (WIP)and funding from governmental and non-governmental organisations interested in improving healthcare access and outcomes in specific regions.

6. Cost Structure:

   • Technology Development and Maintenance: Ongoing costs associated with developing, updating, and maintaining the software and hardware components. 
   • Operational Expenses: Costs related to staff salaries (minimum), training programs, and customer support.
   • Marketing and Sales: Expenditures for promoting our services and engaging potential customers.

7. Impact Measurement:

   • Health Outcomes: Tracking improvements in patient health metrics and reduction in hospital visits.
   • User Engagement: Monitoring the usage rates of our services and satisfaction levels among healthcare providers and patients.
   • Economic Impact: Assessing cost savings for healthcare providers and economic benefits for patients due to reduced travel and treatment costs.

Rightmetrics' strategy for achieving financial sustainability revolves around a multifaceted approach that combines revenue generation through service provision, strategic partnerships, grants, and investment capital. Our business model is designed to balance social impact with financial viability, ensuring long-term sustainability and the capacity to expand our reach to more communities.

Revenue Streams:

1. Subscription Model:

• We are currently seeking to onboard hospitals and clinics onto our Vivovitals platform under a subscription model, which will be tiered based on the size of the institution and the volume of patients. This model is designed to ensure affordability while maintaining scalability.

Pay-Per-Use Fees:

• For services requiring more intensive resources, such as in a service model for CVD patients for post operative care for a limited time and onboarding diabetes patients for management. We plan to charge a pay-per-use fee. This will help cover the direct costs associated with these services and manage resource allocation efficiently as specialised devices will be provided in this model.

Partnerships and Contracts:

• We are actively seeking service contracts/partnerships with Pharma and device manufacturers along with government health departments and international health organisations, aiming to integrate our platform into broader public health initiatives. These partnerships are intended to provide a steady revenue stream and validate our solution at a governmental level.

Grants and Funding:

• We have started to pursue grants from foundations and international donors that support health innovation in LMICs. These grants are crucial for funding our research and development, pilot projects, and scalability assessments.

Investment Capital:

• To fuel growth and scale our operations, we are engaging with venture capitalists and institutional investors interested in health technology. This capital is primarily used for technological enhancements, market expansion, and increasing operational capacities.

Strategic Customer Acquisition:

While we have started to target hospitals and healthcare providers, our outreach has been strategically paced as we awaited the results of our clinical study. With the study now concluding positively, demonstrating the effectiveness and efficiency of our Vivovitals platform, we are optimistic about our customer acquisition prospects. We anticipate securing a significant number of customers in the coming year, bolstered by our proven outcomes and strengthened by the robust evidence from our clinical study. This data not only enhances our credibility but also positions us favourably in discussions with potential healthcare partners. 

Funding Strategy:

Initially, we bootstrapped the development of our solution using our own funds, which underscored our commitment and belief in the Vivovitals platform’s potential. As we move forward, we plan to raise additional funding through venture capital and institutional investors to accelerate our expansion plans and further enhance our technology capabilities.

Financial Sustainability Plan:

Our plan involves scaling up our subscription base and securing more long-term contracts with government entities, which would provide predictable, recurring revenue. Additionally, we aim to expand our service offerings, creating more opportunities for pay-per-use revenues.

By strategically balancing revenue-generating activities with impact-focused funding, we aim to ensure that our expenses, including operational costs and investments in technology development, are sustainably covered.