"Healthy Living" App presentation

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Community

- Self-screen for CVD risks*

- Referral instructions to the nearest health facilities for early diagnosis and treatment

- Support to self-manage diseases

- Provide up-to-date health knowledge and news

*CVD risk in the next 10 years, risk of HTN, DM, hyperlipidemia, and COVID-19.

Benefits of mobile NCD screening application

CHSs’ health workers

- Support to manage patients with hypertension (HTN) and diabetes mellitus (DM) at the locality

Health sector

- Accelerate electronic health record (EHR) for each end-user

- Embed and share information with the EHR system led by the city/ province

Diagram

2. Referral for diagnosis

• Connect with the nearest health facilities

• Book medical examination visits online

• Connect with private laboratories to schedule specimen collection at home

1. Screening

• Use the Transdermal Optical Imaging (TOITM) technology: only apply for HCMC end-users in the first screening

• Use the self-administrated form: apply for any endusers at any time.

3. Treatment management

• Treatment diary: monitor the main indicators (blood pressure, blood sugar, BMI, and other cholesterol, acid uric)

• Set plan for disease self-management: schedule for medicine taking, lifestyle modification, schedule for follow-up visits

Screening for people

End-users, CHS health workers, or community collaborators can :

• Screen their family members, friends, or patients

• Book medical examination visits online for their family members, friends, or patients

• Manage treatment and health status of family members, friends, and patients.

Health information

• Provided by the project

• Connect to health facilities of the project areas

• Link with other reliable health websites in Vietnam

Notificatio n

• Remind users about diagnosis referral, follow-up visits, medication.

• Notify health news

To be decided*

Chatbot

• Identify clients in HCM

• Remind end-users with no/low-risk to repeat bi-annual CV risk screening

• Interact with patients/end-users at-risk on diagnosis, treatment management

• Encourage and motivate end-users on positive changes

COVID-19 risk assessment

• Conduct COVID-19 risk assessment based on respiratory indicators

• Warn users of high risk of COVID-19

• Remind users to follow COVID-19 prevention regulations

Data connection to the health informatio n system (HIS) of project’s health facilities

Mobile App Install and Sign-up

Download, register, login, and use the application

App Searching

App install

Sign-up

Account: mobile number to receive an OTP for sign-up)

3 different ways to find the application:

1) Search for “Sống khỏe - Vì VN khỏe mạnh” in CH Play or App Store

Agree to terms and conditions

Different between end-users in HCMC and in other provinces

2) Use the link: https://app.kln.vn

3) Scan the QR code provided at all project sites/facilities

HCMC end-users will be verified to access the TOITM technology for the first screening

Install the app

User profile: (1) Personal information Full name* Phone number* Year of birth* Gender* Job Email (2) Address: select province*/district*/commune*; detailed address

(3) Health Insurance information: insurance number, registered health facility for medical treatment

* Mandatory information

Note: Mobile numbers of CHS health workers and collaborators are already registered in the dashboard system.

* End-user in HCMC is only screen for a maximum of 2 using the TOITM

Features in Detail

CVD risk screening

Using TOITM technology

End-user Data collection Results Result Classificati

on

HCMC citizens:

• GPS in HCMC

• IP in HCMC

⊲ Grant for the first screening

Information automatically extracted from the profile information

• Age

• Gender Additional information is required for the screening

• Height (cm)

• Weight (kg)

• Facial blood flow*

• Smoking status

• History of HTN and DM*

Results automatically generated by AI DeepAffext:

• Heart Rate

• Respiration Rate

• Blood Pressure (Systolic & Diastolic)

• Heart Rate Variability

• Cardiac Workload

• Stress Index

• BMI

• CVD Risk in the next 10 years (heart attack, stroke)

• Overall Wellness Score

• Diabetes Risk

• Hypercholesterolemia Risk

• Hypertriglyceridemia Risk

• Hypertension Risk

NO risk of hypertension, diabetes, high cholesterol, high triglycerides:

- Links to health news

- Reminder to screen again after 6 months

% CVD risk in next 10 years

⊲ Results interpretation

HAVE risk of hypertension, diabetes, high cholesterol, high Triglycerides: ⊲ Connect to the nearest health facility for diagnosis

CVD risk screening

Using the self-administrated form

End-user Data collection Results

• Living in other provinces (not HCMC)

• Living in HCMC during the second screening (or after using the TOITM)

Information automatically updated from the profile information

• Age

• Gender

Additional required information for the screening:

• Parents/siblings/biological children with diabetes

• Active physician

• Blood pressure

• Height (cm)

• Weight (kg)

• History of HTN and/or DM

• Status of HTN and/or DM treatment

• Smoking status

• Cholesterol: default at 5mmol/l if end-user cannot provide the data

Results are automatically generated by using developed formulas:

risk of HTN and/or DM

Links to health news

Reminder to screen again after 6 months

CVD risk in next

interpretation

of HTN and/or DM

to the nearest

diagnosis

Referral for disease diagnosis

People at risk of CVD

Risky Book medical examination & Visit doctor

Screening result is “Risky”

• Connect with project health facilities for booking an online medical examination*

• Connect with private lab for booking online the lab testing service at home (to be decided)*

• List of medical appointments

• Diagnosed result

* One QR code is generated for sign-up at the health facility after each successful appointment booking.

Reminder/ follow-up diagnostic

Reminder message when the end-user does not make a further visit for diagnosis.

• Reminder message when the end-user has confirmed of diagnosis visit but not input results yet.

• Congratulation message when the enduser has completed screening with the result of not having CVD. Remind the end-user of setting a plan to manage risk factors, and re-screening after 6 months

• Reminder message for the end-user with HTN/DM diagnosis to set a plan for disease self-management

Treatment diary

Behaviour change plan

• Date

• Behaviour changes

• Evaluate after ending the plan

Monitoring charts of health vital check indices

• Line chart visualizes the change of each health index over time compared to the threshold.

Enduser/ Patient

Key health indices

• Blood pressure

• Blood sugar (fasting and random, conversion calculator from mmol/l to mg/dl and vice versa)

• BMI

• Other indices (Cholesterol, acid uric, etc.)

Scheduled Reminder/Motivation message

• Health workers can track people’s health status and send reminder or motivation messages to those who have not achieved targets of disease management.

Screening for families, friends, or patients

Activities for Members

End-users, Health workers, Collaborators

Users: screen friends, relatives or those who do not use the App. Collaborators and health staff: screen people living in the locality.

Add new members

• Register new members

• Obtain informed consent for new members

Screen and Get Result Book examination visit

• Select new users

• Screen and receive a result

• Book examination visit, lab test at home in case of risk

• Manage and track health indicators.

Note: the process for families, friends, and relatives is similar to that for users.

•

•

News

entered manually or linked automatically

Connect automatically if websites support RSS http://daithaoduong.kcb.vn/ https://vade.org.vn/

Chatbot

• Identify people living in HCMC.

• Provide answers about knowledge of disease (based on built-in Q&A).

• Actively remind/ask end-users:

o who are at no/low risk to re-screen after 6 months

o who are at risk to conduct a medical examination and enter medical examination results

o Who are at risk but diagnosed with NO disease to make a plan for rescreening, risk mitigation behaviors, etc.

o Motivate/encourage end-users when they follow the reminders or achieve target treatment indices.

Search

Notifications

• Notify examination schedule, examination result, and lab test results.

• Remind users of medical examination visits, follow-up visits, and medication schedules.

• Provide links to health news:

See details

• News from MOH/GDPM will be provided for users living in project provinces

• News from PDH or CDC, CHS will be provided for users living in project province/district/commune.

• News from other websites will be notified to all users when there is any relevant news.

Mark read/ unread

Use QR code generated after each successful appointment and connect with HIS or other systems at hospitals, district health centers, and CHSs when users comes to health facilities for examination.

risk

Based on the information provided by the end-user on respiratory rate, SpO2, and oxygen flow

High/very high

Data Flow and data management

Data Flow

Health Information System (HIS) from project health facilities (hospitals, commune health stations, etc.)

HIS is required to send data automatically via the Application Program interface (API) to the application and data warehouse

Register Screen

SCREENING

APP

API

Information will be selfadministrated by end-users.

API

Analyze

Data warehouse

Data will be categorized and sent to server of each project (AA, NF).

Export

Dashboa rd Web-based management system for HWs

Referral for diagnosis Treatment Manageme nt

Dashboard

Information

Display

Objectives

Decentralizing the management of the

application; extracting reports, data, and charts of indicators

• System admin

• User information (main account and other members)

• Events/news/announcements/health facilities/Q&A

• Connection monitoring, data synchronization with

HIS/EHRs

• Indicators:

o Screening management: # of screenings, # people at risk of HTN and/or DM; other CVD, and referral for diagnosis

o Diagnostic management: # new diagnoses of HTN, DM, and/or other CVDs.

o Treatment management: # patients, # patients reaching treatment targets

o Indicators will be presented in numbers, graphs, by location, etc.

Roadmap

February March April May

1st PHASE – DOCUMENT DELIVERABLES

• Solution Architecture Design

• Database Design 10/03

2nd PHASE – COMPLETION OF THE MOBILE NCD APP UPGRADES

• Completion of the mobile NCD app upgrades for the community to raise awareness, generate screening demand, track patient journey/referral, and promote selfmanagement

3rd PHASE – COMPLETION OF THE INTEGRATION OF TOI TM

• Completion of the integration of the TOI technology into the mobile NCD app with a back-end system and pilot

• Completion of the safety and security assessment of the TOI technology

4th PHASE – COMPLETION OF THE WEB-BASED APPLICATION DEVELOPMENT

• Completion of the web-based application development to support users in data management and analysis

5th PHASE – COMPLETION OF THE SYSTEM/APPLICATION TESTING

• Technical testing and bug fixing

• User acceptance testing

6th PHASE – DEVELOPMENT OF TRAINING MATERIALS

• Preparation of training materials and completion of training; handing over source codes and documents to PATH and HCMC Provincial Health Department.

APPLICATION LAUNCH