Explore our disease-specific programs, outcomes and partners...

Diabetes

Diabetes

Our diabetes program, created with funding from the NIH, is based on evidence-based peer mentoring protocols validated through multiple, successful randomized clinical trials. Our full-service program helps engage and mentor your patients with elevated HbA1c to success.

Clinical Outcome

  • Reduction in HbA1c (3-month blood sugar average)

Key Behaviors

Eat Healthy
Eat Healthy
Take Medication
Take Medication
Reduce Risk
Reduce Risk
Be Active
Be Active
Monitor Glucose
Monitor Glucose

80% of patients get significant, sustained reductions in HbA1c

Within 6 months, our partners’ patients see an average 1.5 point reduction in HbA1c and sustain those results for 24 months (and counting). Our program is guaranteed to produce at least a 1-point average reduction in HbA1c.

 

Direct, Immediate ROI

  • Each 1-point reduction in HbA1c reduces healthcare complications (Stratton et. al, 2000) and costs by an estimated $99 per patient, per month (Millman, 2012).
  • Our partners see an average reduction in HbA1c of 1.5 points, which translates to savings of $1,782 per patient per year and an approximate year 1 ROI of 3.7:1.
  • One of our partners, 1199SEIU Benefit Funds estimated they would save ‘several thousand dollars per member above the cost of the program.’
  • We guarantee an average HbA1c reduction of at least 1 point — which equates to a 40% reduction in costly complications.

Our Impact

Based on our partners’ real-world results:

80%+

Patients improve their HbA1c lab values

1.5

Average HbA1c reduction

20%

Receive support for social- and behavioral- determinants of health

~6 months

Time to see impact on HbA1c

24+ months

Average time HbA1c impact sustained (and counting!)

Our Impact

#Partner Stories

Partner SPOTLIGHT

1199SEIU Benefit Funds

We partnered with 1199SEIU Benefit Funds, a self-insured union, to offer peer-to-peer mentoring to their home care members.

Results:

  • Members reduced their HbA1c by an average of 1 point

1199SEIU has since expanded the program to serve their members also working in hospital and nurse homes.

 

1199SEIU Benefit Funds

“I learned how to ask better questions. My mentor told me to write down the questions I had ahead of time. Being prepared helped me have a much better appointment.” -Louise, 1199SEIU program participant

Partner SPOTLIGHT

Montefiore Medical Center

InquisitHealth currently works with the Care Management Organization (CMO) of Montefiore Medical Center to help patients with poorly-controlled diabetes improve their diabetes control. Forty percent of patients served are Hispanic.

Results:

  • Intervention:  Peer Mentoring + Certified Diabetes Educators
    • 1.3 point drop in HbA1c
  • Control: Certified Diabetes Educators
    • 0.4 point drop in HbA1c

As the program has expanded, our current average HbA1c reduction has improved further: -1.8 from baseline!

Montefiore Medical Center

“We know that when it comes to disease management, many patients don’t learn as well from their providers as they do from people who are similar to them”

Amanda Parsons, MD

Vice President of Community & Population Health, Montefiore Health System; InquisitHealth partner
Pre-Diabetes

Pre-Diabetes

Patients who live in remote areas, who have a disability or who don’t use the internet often don’t have access to mainstream prediabetes interventions, like in-person consultations or web-based support. Unfortunately, those same patients are disproportionately likely to develop diabetes — yet they’re the least likely to receive help in preventing diabetes.

Clinical Outcome

  • 5% weight reduction

The CDC’s National Diabetes Prevention Program (DPP) is an evidence-based, year-long curriculum that systematizes healthier lifestyle choices and cuts the risk of developing type 2 diabetes by 58%.

Researchers and clinicians at SUNY Upstate Medical University validated the success of a telephonic model of DPP. With funding from the NIH’s National Institute on Minority Health and Health Disparities (NIMDH), we created a landline-compatible DPP program designed to reach every patient with prediabetes.

 

Key Behaviors

Follow the CDC’s DPP to adopt healthy lifestyle changes: eat healthily
Follow the CDC’s DPP to adopt healthy lifestyle changes: eat healthily
 Follow the CDC’s DPP to adopt healthy lifestyle changes: exercise regularly
Follow the CDC’s DPP to adopt healthy lifestyle changes: exercise regularly

Integrated technology:

  • Cellular-connected weight scale

 

Partner spotlight:

  • We recently offered our program to 40 patients in a pilot program with the New York City Department of Health.
  • On average, patients achieved a 5% reduction in weight from baseline — which translates into a 58% reduction in the likelihood of developing diabetes.

 

NACDD partnership ongoing:

  • To offer the CDC’s DPP to patients without access to technology or in-person care, we’ve partnered with the Alaska Department of Health and the National Association of Chronic Disease Directors (NACDD).
  • Our task: to deliver and scale a landline-based, 1-on-1 implementation of DPP by training Alaska natives to serve as DPP lifestyle coaches and deliver the CDC-approved curriculum to other Alaska natives living with prediabetes.
  • Patient recruitment ongoing.

 

Asthma

Asthma

In 2009, 9.6% of all children in the US had asthma. And every year, pediatric asthma-related hospitalizations cost the health system $1.59 billion.

Despite this, 50-90% of eligible children don’t take daily controller medications, and up to a third of parents don’t fill their child’s prescription — which puts them at increased risk of hospitalization.

In a large, multi-year randomized clinical trial, parent mentoring has been shown to deliver a 38% reduction in hospitalizations for acute asthma exacerbations.

Clinical Outcome

  • Reduction in hospitalizations and emergency visits due to asthma exacerbations

With funding from the NIH, and in collaboration with clinicians and researchers at the University of North Carolina, Washington University at St. Louis and Montefiore Health System, we developed our pediatric asthma program based on prior randomized clinical trials that demonstrated up to 38% reduction in re-hospitalizations with 1-on-1 coaching.

Our program is for the parents of children with poorly-controlled asthma.

To support our program, we built and validated a robust library of training materials:

  • Interactive educational content with animations
  • Expert explanations in short 3-5 minute videos
  • Practical, scenario-based tutorials
  • A guided approach to help parents implement their physician-recommended Asthma Action Plan

Key Behaviors

Monitor asthma control
Work in partnership with physician
Address triggers
Effectively use controller Rx
Effectively use quick-relief Rx
Use Asthma Action Plan

Randomized clinical trial ongoing:

  • We recently completed recruitment for a 240-participant randomized clinical trial called CAMPP (Childhood Asthma Mentoring Program for Parents).
  • Parents of children with poorly-controlled asthma were recruited from across NYC.
  • The intervention includes 3 months of intense mentoring and 9 months of maintenance.
  • Professional ‘asthma educators’ provide support to the parents and parent mentors.
  • Target completion date: Q3 2019.
HIV

HIV

Through funding from a CMS Innovation Award, we created a robust, 1-on-1 peer-to-peer mentoring program that provides support, education and accountability to patients living with HIV.

 

Clinical Outcome

  • Medication adherence

Our evidence-based program is designed to help patients make healthy, sustainable lifestyle changes with a particular focus on improving medication adherence.

 

Key Behaviors

Monitor/maintain HIV control
Monitor/maintain HIV control
Work with their doctor
Work with their doctor
Establish and maintain social support
Establish and maintain social support
Minimize and reduce risk for oneself and others
Minimize and reduce risk for oneself and others

Partner spotlight:

  • We completed a 1-year program with multiple partners including VillageCare, a not-for-profit organization serving people living with HIV in New York City.

Details:

  • We trained 28 peer mentors to provide 1-on-1 telephonic and digital support to matched patients based on shared attributes (e.g., gender, sexual orientation and availability)
  • In a 3-month period, 188 patients had 600 mentor calls, each with an average length of 15 minutes
    • Each enrolled patient received an average of 1-2 calls per month

 

Results:

  • Across 102 surveyed patients:
    • 95% expected to maintain the positive self-management changes they made after the program ended
    • 100% would recommend the peer mentoring program to others
    • 93% would consider becoming mentors themselves
    • 94% maintained or improved their HIV antiretroviral medication adherence  based on 3-day recall
Sickle-cell

Sickle-cell

Sickle Cell: coming soon…

 

Clinical Outcome

  • Reduction in ED visits/hospitalizations + better quality of life

 

Hypertension

Hypertension

Hypertension: just launched!

Clinical Outcome

  • Reduction in systolic and diastolic blood pressure

 

Key Behaviors

Healthy eating (DASH diet)
Healthy eating (DASH diet)
Medication adherence
Medication adherence
Physical activity
Physical activity
Reduce risks
Reduce risks
Monitoring blood pressure regularly
Monitoring blood pressure regularly

Integrated technology:

  • Digital blood pressure cuff

Our outcome-focused approach to managing disease

For every disease we work on, from diabetes to sickle cell, we follow the same framework.

1) We define the goal

Our first step is to clearly identify the single most impactful disease-related clinical outcome (e.g., reduction in HbA1c, reduction in emergency department visits, increase in medication compliance). Once chosen, that outcome becomes our singular goal — and every part of our program is designed to move toward it.

2) We identify critical behaviors and barriers

Next, we engage with the research literature, patient focus groups and clinician interviews to uncover the key behaviors that are critical for achieving our clinical outcome, such as lifestyle changes or glucose tracking, and common barriers to success, such as social determinants, lack of motivation or comorbidities.

We work with doctors, nurses, researchers and patients to collaboratively design an end-to-end program that:
identifies the specific challenges each patient is facing and the type of support they need
helps patients to reliably overcome their challenges
enables them to implement and sustain the key behaviors that lead to clinical success

3) We offer our program to your patients

Our peer mentors guide your patients through a personalized program to help them to understand, track and implement key behaviors — defined based on national guidelines and customized based on each patient’s specific medical recommendations.

We offer programs for diabetes, asthma, HIV, prediabetes, hypertension and sickle cell (coming soon!).

Click each disease below to explore our disease-specific programs, outcomes, and partners.