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OsteoMobile

OP patients suffering an initial bone break would benefit from specialized transportation and attention for care, appointments and errands.

Photo of Robert Smith

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What challenges or opportunities are you trying to address within the problem? (200 characters or less)

Many individuals with bone breaks due to OP hesitate to call for emergency services, and recovering patients often miss appointments or suffer quality-of-life issues due to transportation issues.

DESCRIPTION

OsteoMobile proposes training a sub-set of ride-share drivers to be certified and legally protected to transport people with, or who are recovering from, osteoporosis-related injuries.

In one proposed idea, select 'Early Response' drivers could be notified via their ride-share app of a potential osteoporosis-related injury.  The closest appropriate and available driver could then proceed to the site of the incident and, using a live video-conferencing connection, have medical staff evaluate the situation and determine if there is a need for emergency on-site medical response or transport.  This 'subtler', less 'public spectacle' approach could relieve the anxiety or embarrassment for an injured individual who may not understand the seriousness of their injury, or be otherwise hesitant to call for an ambulance with the attending exposure and cost.

Staff at the Washington Hospital Center in Washington, DC interviewed patients and found that, "Overall, 70% of the patients said that one reason for not seeking immediate help was that they didn't think their symptoms were serious...  About 29% of the patients said they didn't call 911 because they would have been embarrassed to have emergency medical services and an ambulance appear at their home."  It's important to note that this is not a gender-specific issue.  As a 2010 article in USA Today states, "...failure to call 911 is not just a female problem.  Many men also respond to ominous symptoms with denial...  That fear of embarrassment is ingrained in all of us." -Daniel Lackland, professor of epidemiology and neuroscience at the Medical University of Southern Carolina in Charleston.

By arriving at the site of an accident quickly, OsteoMobile's 'Early Response' personnel may prevent additional harm caused by well-meaning family or friends who may be tempted to move an injured person.  Additionally, the responder could provide emotional support while awaiting emergency transport or other care.

Just as importantly, during the follow-on recovery period, select OsteoMobile 'Care-ier' employees could provide ride-share transport to patients for doctor/physical therapy visits or for errands.  This transport could be offered at a premium high enough to cover the inevitable additional time required for loading and unloading recovering patients.  This rate would be justified by the special care and would, ideally, be covered by insurance or Medicare.


FOCUS DURING REFINEMENT PHASE

During the Refinement phase, this team will focus on OsteoMobile's 'Care-ier' ride-share services for specialized transportation during an out-patient's recovery period.

Suggesting details for hiring, training and legally protecting individuals as 'Early Responders' for potentially injured individuals is deemed out of scope for this team.


APPLICABILITY TO CHALLENGE

By providing ride-share personnel trained and knowledgeable in the transportation of individuals with OP, OsteoMobile's 'Care-iers' can help these patients avoid transportation situations which could cause additional injuries, such as, maneuvering into or out of vehicles by themselves (including buses, trains and other forms of public transportation or even the personal cars of family or friends), especially if they need to carry belongings or bulky purchases. These drivers can also assist the patient with retrieving or deploying assistive devices such as canes, walkers or wheelchairs.


USER JOURNEYS

The following image illustrates a possible initial contact between an OsteoMobile 'early responder' and an injured patient:


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This image illustrates how OsteoMobile's specialized 'care-ier' transportation services could benefit an OP patient during their recovery period:


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KEY AREAS OF FOCUS FOR THE REFINEMENT PHASE

  1. Determining suitability of the OsteoMobile service for individuals with osteoporosis
    1. Does the service address a REAL NEED?
    2. Will the service be EFFECTIVE?
    3. Will the service reach MANY osteoporosis patients?
    4. Is the service AFFORDABLE?
  2. Determining whether the service makes BUSINESS SENSE
  3. Building awareness of the OsteoMobile service (Develop an App prototype)
  4. Suggesting how hospitals and medical personnel interface with the service


  1. Ride-share businesses (ex: Lyft's Hitch Health and Uber Health) already offer rides tailored around healthcare.  Lyft's website states that '8 of 10 patients prefer Lyft to traditional healthcare transportation'.  They go on to say that this service 'helps curtail no shows' and 'reduce(s) costs by 32% on average'.  This type of transportation service fulfills a need for non emergency medical transportation (NEMT).  OsteoMobile takes this service to an additional level, that of handing specific osteoporosis patient needs (averaging 1.5-2 million bone breaks per year in the US).  There may be other medical conditions that also would benefit from this kind of handing and it would certainly make sense to include those in this service offering as well.  With respect to costs, Lyft states that they 'partner with 'the top 5 payers to provide patient rides throughout the patient journey'.
  2. While ride-share businesses such as Lyft and Uber have successfully folded this special service into their offering, OsteoMobile will entail additional costs.  Training instructors will need to be hired or consulted and training materials specific to the ride-share service will need to be developed.  This training may be centralized or conducted nationally via video-conferencing.  Additionally, some vehicles may need physical modifications.  This could be as straightforward as pushing front seats forward to allow additional room for rear-seat passengers.  For some cars, the front passenger seat could be removed.  There may be a set of semi-custom pads offered for seats to add another layer of protection, as well as padded seatbelts or other restraining devices.  In extreme cases, vans or similar vehicles may be acquired by the company or its drivers to accommodate patients in wheelchairs.  The costs of designing, procuring and installing these will need to be considered in the ROI for the company.
  3. Building awareness of the OsteoMobile service can take place on many fronts.  Hospitals, doctors and medical organizations can be powerful allies and may carry literature or make recommendations explaining the service to potential patients.  An OsteoMobile website can provide information, and ride-share companies can advertise the service on their sites and within their smartphone Apps.  For this Refinement phase, a prototype will be developed and explored that focuses on the OsteoMobile service as it might integrate into a mock ride-share App.
  4. As mentioned above, OsteoMobile service information can be shared with medical professionals and organizations.  Services that deliver their patients on time and safely for appointments should appeal to their basic requirements for care.


EXPLORING EXPANDED CAPABILITIES

OsteoMobile's 'Care-ier' service is described here as largely curb-to-curb, implying its value is limited to picking up, transporting, and dropping off OP-patient passengers.  OsteoMobile could, however, extend its service up to the passenger's door and potentially on inside their living space.

Osteoporosis patients likely have physical challenges beyond their curb.  They may need to navigate front steps and front doors.  Once inside, patients might benefit from knowledgeable advice regarding rudimentary fall prevention- things that a trained observer could identify and point out.

A certain reluctance on the part of patients to invite strangers into their homes is understandable.  Evidence of proper training and/or references may be appropriate.  It may also be that OsteoMobile transportation services could arrange for 'curb hand-offs' to other locally-organized or community-driven caregiver organizations to provide this expanded service.

These logistical touchpoints offer OsteoMobile a growth path to expand and improve its offering, ultimately providing deeper value to patients suffering from osteoporosis.


NEXT STEPS

The OsteoMobile team may explore a rudimentary 'pilot' of their 'Care-ier' service by contacting members of the local community with an understanding of the OP condition or personal connection to an osteoporosis patient and offering transportation for local errands.  This will give us the opportunity to discuss OP-related issues and opportunities to improve OsteoMobile.


THANKS!

The OsteoMobile team thanks Mert, Emma, Delphine and the entire OpenIDEO team for their comments, suggestions and support!

Who is your target end user and why will they be interested? (650 characters or less)

Nearly everyone in the patient care cycle will benefit from the OsteoMobile service: -Osteoporosis patients at risk for additional injuries due to transportation difficulties -Medical professionals will benefit from reduced patient 'No-shows' -Emergency rooms will benefit from reduced traffic of patients that could have been helped through more preventative measures -Insurers will benefit from reduced payouts for preventable emergency services

How is your idea scaleable? (650 characters or less)

Ride-share services have ballooned in cities around the world. Their mobile applications provide easy access to transport on demand. OsteoMobile hopes to work with an established ride-share company to explore how a subset of their drivers could be trained to perform this special service.

What do/will you measure to know if your solution worked? (500 characters or less)

Perceived value of the OsteoMobile service could be measured by the number of both 'Early Response' and 'Care-ier' calls. Predictive calculations of the costs associated with missed appointments versus costs for an OsteoMobile ride can be used to support justifying development of the system.

What is the current stage of development of your idea?

  • Blueprint: We are exploring the idea and gathering the inspiration and information we need to test it with real users.

If you were to become a Top Idea, would you want to actively participate in piloting your idea?

  • We would like to participate while having the idea piloted by the Challenge partner.

Company / Organization Name, if applicable (140 characters or less)

NA

Website (if applicable)

NA

Tell us about yourself or your team (500 characters or less)

We are a group of designers, engineers, artists and health professionals.

Location (50 characters)

Boulder, Colorado, USA

What is your legal / organizational structure?

  • We are individuals

Innovator/Organizational Characteristics

  • Local OpenIDEO enthusiasts

How did you hear about the Challenge?

  • OpenIDEO social media

Why are you participating in this Challenge?

We are building an OpenIDEO community in the Boulder area, discussing and participating in select Challenges as they are released.

How does your idea help more people who have had a first fracture either 1) discover they have osteoporosis or 2) access/navigate care?

1) The 'Early Responder' portion of the OsteoMobile service connects newly-injured patients with medical professionals through live video-conferencing, providing an early opportunity for them to identify potential osteoporosis cases. 2) The 'Care-ier' portion of the OsteoMobile service provides specialized transportation for recovering patients to reliably attend doctor and physical therapy (PT) appointments.

How is your idea new in the world or how does it build on existing interventions?

OsteoMobile can be envisioned as both an adjunct to an existing ride-share business or a stand-alone, self-sustaining offering with more of a 'community-driven' flavor. In the preferred first case, OsteoMobile builds on ride-share businesses already in place and thriving. The unique opportunity comes from creating a subset of drivers who have been trained to transport injured or recovering osteoporosis patients. The defining characteristic of OP patients compared to other medical patients is the fragility of their bones. Special training and modified vehicles will enable this subset of OsteoMobile drivers to offer both specific handling (such as assisting by taking the patient's arm rather than their wrist), and protective vehicle environments (such as special protective padding, seat restraints, etc.). This special handling will necessarily make each transportation loading/unloading event longer in duration. This service will reflect appropriate prices for this specialized care.

Please upload your journey map. Be sure your journey map shows when your user is introduced to the idea and when/how they access it, and illustrates which moments in the Challenge Journey Map your journey map touches.

Who did you test your idea with, what did you learn, and how did you evolve your concept?

Our team prototyped OsteoMobile by role-playing the two scenarios described in this submission: 1) 'Early Response' and, 2) 'Care-ier'. Filming team members going through the user journey exposed a number of areas that will require additional work and testing, including interactions between the driver and patient- specifically the capturing of patient information (name, age, gender) and the potential taking of vital signs to determine whether the patient is stable enough that they may be transported via the OsteoMobile service. This prototype also reinforced the advantage of patients and drivers building a level of trust between them that eases and familiarizes the process. Additionally, the use of pads or supports will need to be designed to be compatible with the seatbelt or restraint system.

(Optional) Share documentation of your solution prototyping and testing, such as photos.

Please upload your Business Model Canvas

Please upload your team video.

12 comments

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Photo of Manisha Laroia
Team

Hi Robert Smith 
Hope your idea prototyping is on in full swing!
In gratitude and in support of your future work, we would like to invite you to join the final Innovation Coach Office Hours as you continue your innovation learning journey:

Make, Try, Show, Test, Build
Ashutosh Biltharia, Designer and Engineer, MFA, Interaction Design, Umea Institute of Design, Sweden. 10am PST August 5th.

Building Partnerships in Design
Susan Jackewicz, Principal at Takhi Associates, Boston, Massachusetts. 10am PST August 9th.

Love the Problem, Scale the Solution
Chris Cochella, Managing Partner at Sequoia Group, Salt Lake City, Utah. 9 am PST August 12th.

Sign up here to attend
https://forms.gle/jPPAZvUfJ2u8oXuz5

Photo of Robert Smith
Team

Hi Manisha Laroia 
Yes, I had a good call with my Advisor, Mert, in Istanbul this morning and he had a number of valuable insights!
I’ll try to make some of these Coach calls as well.
Thanks- Robert

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