Dependência química

The problem is that our nation does not understand and treat addiction like any other chronic disease. This is at the root of our nation’s most destructive health, social, and safety problems and a tremendous economic drain on the private and public sectors. More than 22 million Americans suffer from addiction, which represents nearly 10% of people ages 12 and up. Yet, nearly 90% of those who need help don’t receive treatment in a given year, and about 75% will never get help in their lifetimes. The failures are inextricably linked to the way health care is delivered and paid for in America. The current “acute” model of care is due in large part to decades of regulations and public policy that created a payment system based on volumes instead of outcomes.

Our solution is focused on systemic and sustainable change that disrupts the status quo by attacking the underlying shortcomings of the public and social service sector approaches to addiction. Our solution is scaled community-by-community via a network of affiliates. We essentially work with multiple community sectors to create a recovery-oriented system of care. Although we have learned a tremendous amount since our first affiliate started in 2009, we have no cookie cutter model for scaling. Rather, we work with community leaders to tailor the Face It TOGETHER model to meet the specific needs and circumstances of each respective community. The conceptual essence of our model is the affiliate’s mission: to initiate and sustain addiction recovery for dramatically more people.

We marry social mission with innovation and business discipline to fundamentally transform the way our nation deals with this addiction. Our bold vision is a nation that understands and treats addiction the same as any other chronic disease. The mission is to empower communities with innovative, proven, and sustainable tools to attract millions of Americans to recovery from addiction. The mission of the affiliate complements that of Face It TOGETHER: to dramatically increase both the number of individuals and families in recovery and the quality and accessibility of services by creating a recovery-oriented system of care. Affiliate leaders must be social entrepreneurs.

Inputs: Include community leaders, entrepreneurs, available Face It TOGETHER products and tools, recover volunteers
Activities: Health care provider partnerships, employer partnerships, awareness program, advocacy activities, recovery support services, evaluation
Outputs: More people initiating and sustaining recovery, better access to peer-based quality services, more "recovery capital" in a community, cost avoidance and savings by those with a financial stake in addiction
Outcomes:Elimination of addiction as a major public health problem, cultural change, educated and informed public, improved public health and safety, quality of life, and economic development

Adopters of our model are communities. Community leaders spearhead adoption. We lead a community through four-phase community adoption process. We are about social change in all private and public sectors of a community. The current and projected demand for societal change around addiction is enormous. So ultimately, the customers are people suffering from addiction. In addition, about one-in-four children under the age of 18 will at some point live with a parent with an addiction problem. These children are at substantially greater risk of school failure, mental health and behavior problems and addiction. Moreover, addiction among parents is a contributing factor for between one- and two-thirds of maltreated children in the child welfare system.

With respect to scaling the model to create a national network of affiliates, we are pursuing multiple approaches simultaneously. One is through partnerships with integrated health providers. Strategic business planning is underway with Sanford Health, an integrated health care provider with facilities in North and South Dakota, Minnesota, Iowa, and Nebraska. We are piloting with Sanford in Thief River Falls, MN, and currently defining the terms of the partnership. We are also exploring scaling to communities via community leader relationships, and via large, multi-state employers. . Through it all, there is one mandatory and indisputable principle: no matter the means of proliferation, people with an entrepreneurial spirit must embrace and lead the efforts.

Primary activities are 1) continual improvement of the first affiliate (the beta site), 2) scaling the model, and 3) development and building capacity. With respect to the first activity, the first affiliate has six lines of business: 1) health provider initiative, a partnership between our affiliate and local health care provider in the build out of the recovery oriented system of care; 2) Employer Initiative to extend the recovery community into the workplace, adding value to the private sector through reduced absenteeism, attrition, higher quality, and improved safety; 3) Awareness Program designed to reduce fear and stigma; 4) Advocacy for addiction chronic care with other community sectors; 5) peer-based recovery support services; and 6) evaluation program.

We perceive no direct peers or competitors for Face It TOGETHER®, nor do we anticipate problems from them. There simply is no other team of social entrepreneurs articulating the big problems and meaningful and sustainable solutions relating to addiction. Notwithstanding the above, it is likely that organizations within one or more of these fields may view us as competition. Arguably, the most likely source of that confusion will come from the emerging field of recovery community organizations (www.facesandvoicesofrecovery.org). Overall, these organizations contribute to the fragmented nature of our nation’s addiction treatment and recovery infrastructure. Most track progress through conventional measures of success, and are guided by researchers and payors.

The primary need is growth capital. So during 2012, we began executing a comprehensive and cohesive plan focusing on organizations that fund venture philanthropy and social entrepreneurs. At the same time, we continue to seek funds from donors at the local and regional level. While it states the obvious, our greatest "internal" risk is an inability to attract and retain the human and financial capital needed to execute our mission and proliferate our model. Close behind this is curse of the entrepreneur's DNA to underestimate the magnitude of the challenges an early stage enterprise faces in addressing an issue of this scope while upheaval is occurring all around the issue. To help overcome this, we partner closely with those organizations that have a financial stake in solutions.

We are committed to a national model to transform nearly everything about addiction in communities across the country. We are working to achieve this through the creation of a national network of affiliates. But we must scale deep, by continually improving our first affiliate--the beta site. We scale out by partnering with health care providers, large employers, and others.

Experiences and measurements by our first affiliate demonstrate model effectiveness. We have developed a suite of products and tools for use by affiliates. Experiences from early-stage rollouts into other communities, show that the strongest advocates are those who see the disease everyday, such as employers, criminal justice officials, health care providers, and higher ed officials.

Overall, the primary growth objective is millions of individuals who have entered and are staying in addiction recovery. Success also is dozens of communities operating our model. This will provide tremendous benefits to our communities: saved lives, healthier and more stable families, reduced crime, lower business costs, and a better quality of life.

We are in the middle of several strategic and exciting discussions with health providers and community leader. The distribution plan is to rollout the model:
--in 2013, to two SD communities in partnership with the State of SD, and one MN community in partnership with Sanford Health.
--in 2014, three ND communities in partnership with Sanford Health.
--in 2015, Kansas City, Minneapolis/St. Paul, and a community TBD; each will be in partnership with a large regional or national distribution partner.
This plan is conservative, and shows only the communities in which scaling is underway and is highly likely in 2014 and 2015. Ongoing discussions could yield a far more aggressive plan.

The unspoken epidemic we aim to focus on, is the deadly epidemic of prescription painkiller abuse. According to CDC nearly 3 out 4 prescription drug overdoses are caused by prescription painkillers.

The unprecedented rise in overdose deaths correlates to a 300% increase in sales of since opioid painkillers. Painkillers were responsible for 14,800 overdose deaths in 2008, which is more than cocaine and heroin combined. The misuse and abuse of prescription painkillers was responsible for more than 475,000 emergency department visits in 2009, a number that nearly doubled in just five years.

The problem is compounded by the non medical use of prescription, more that 12 million reported using them without a prescription in 2010.

Our solution entails a mobile phone point of care urine test reader and cloud based platform that can be used to support medial personnel to responsibly prescribe opioid analgesics for patients with acute and chronic pain.

Our urine drug testing solution is a useful tool in pain management that provides valuable objective information to assist in diagnostic and therapeutic decision making. The results displayed on the mobile screen provide confirmation of the agreed-upon treatment plan (adherence/compliance). We can diagnose relapse or drug misuse , and also advocate for the patient with third-party interests.

Our solution also provides an opioid assessment tool that identifies high risk patients using evidence based protocols.

Our vision is to partner with leading pain management and other experts to develop new pain management testing protocols and provide healthcare professionals with a practical resource for deciding who to request a urine test, and provide the test at the point of care at a significant lower costs than the laboratory. The mobile device also provides a risk assessment tool for determining high risk patients. Our solution also interprets the results from the urine test. Our business model aims to charge a fee for each test similar to the current model but a fee for the reading and transmitting the results to the EHR. Our model relies on a licensing fee, usage based fee and incentives related to cost reduction for payers and increase in testing for laboratories.

Our Value Proposition is:
• Mobile application decision support capabilities to primary care physicians

• Detect a variety of Drugs in Urine such as: THC , Cocaine, Opiates, Amphetamines, Methamphetamines ,Barbiturates , Benzodiazepines , MDMA Oxycodone, Percodan, Oxycontin, Propoxyphene

• Process redesign to allow Nurses to complete the pre assessments freeing up the doctor to counsel the patients with results available.

• Tools to support responsible prescribing of opioid analgesics for patients with acute and chronic pain while reducing the fraud from drug diversion.

• Billing codes (CPT) to allow doctors to bill for our services via existing mechanisms

Our customers are Doctors practices, Nurse practitioners, Diagnostic Laboratories, Pain clinics and Medical Insurance companies.

To reach our customers, we are developing a collaborative development model. We are creating relationships with hospital networks and insurance companies to develop best practices and responsible prescribing models. These models and testing protocols are then implemented in the various doctor’s clinics associated with the hospital network.

Point of Care urine testing drug testing
Doctors education and decision support system
Implementing new testing protocols at the point of care for responsible opioid prescriptions
Analytic & reporting on effectiveness of testing and patient education
Referral services for advanced laboratory mass spectrometry tests

Our competitors are testing laboratories that perform more advanced drug tests. We believe that we can compliment their services by developing a referral relationship whereby 50% of all high risk patients must take a urine tests 2 or 3 times per year. We are also recommending that 25% of these Point of Care tests are validated in the laboratory ensuring a symbiotic relationship with the laboratories.

Our peers are pain management specialists who are developing innovative models to curb the drug epidemic.

FDA regulatory review may somewhat delay commercialization of iSTOC products in the US market. However, iSTOC is already working on CE approval in Europe (to be completed in May, 2013)which should also facilitate FDA approval processing USA. Moreover, a regulatory case has already been presented to a highly qualified law firm dealing with medical device regulatory issues.

Our growth strategy will be facilitated by strategic partnerships. Partnering with a major healthcare provider(s)/central laboratory in a form of joint offering to ensure a smooth marketing, distribution and sales of iSTOC products. iSTOC products and cloud services will also be integrated to healthcare provider EHR services.

New customer groups : Include expanding our point of care testing to pharmacies and home healthcare.

New Regions : Expanding from Europe into the USA and Canadian market along with deploying services in Africa.

New Markets : Flexibility of the platform to adapt to various diseases. We currently support 200 tests, we have the capability to support 1000 tests via plug-in configuration.

A long-term objective is to become a leading, global mHealth company providing integrated point of care diagnostics, machine vision, mobile technologies, and cloud services. iSTOC is already entering European and African markets with rapid test manufacturers and with a global pharmaceutic

Short term growth
• Deploy the prescription drug-monitoring system into 1 USA health network and used by multiple doctors practices
• Deploy the malaria surveillance system into our partner Clinic in Kenya

Key Activity: Validation of our solution by a laboratory system

Mid term growth:
• Expand the prescription management system from a regional service to a national service integrated into multiple regional laboratory systems.

Key Activity: FDA, Commercial deployments.

• We aim expand a malaria surveillance pilot in Kenya from the clinical setting into a community outreach program.
Key Activity : Data collection and reporting. Integrating services into the Governments networks.

O problema a ser resolvido é a falta de conhecimento do paciente acerca de sua patologia, causas e formas de cura, além dos medicamentos. Atualmente, o que se tem visto são pacientes que são atendidos, diagnosticados e que tomam os remédios prescritos até uma melhora de seu quadro, que é uma forma curativa e não preventiva. No entanto, o conhecimento faz uma enorme diferença. Se o paciente toma conhecimento aprofundado de sua patologia, descobre as causas, tem acesso à informações mais específicas de como aquela doença afeta seu organismo e como pode ser tratada, além de também aprender a como evitá-la, o sucesso do tratamento é garantido. Em outras palavras, o presente projeto propõe novas formas de de tratamento e prevenção através do conhecimento, além de apenas medicamentos.

Passar aos pacientes informações diretas e atualizadas sobre o seu real estado de saúde, causas, consequências e tratamento. Em consulta, o médico diagnostica o problema e tem uma primeira conversa com o paciente. Posteriormente, os agentes de saúde, que visitam regularmente as casas da comunidade, serão notificadas pelo médico e levarão todas as informações acerca do problema de cada indivíduo, seja através de informações impressas, on line ou vídeos. Ou seja, o paciente terá acesso à informações reais e nas quais ele pode confiar. Conhecendo a fundo o problema é que se pode ter a melhor forma de tratamento. Educar em saúde significa dar uma opção de cura e, posteriormente, de vida saudável muito mais palpável ao paciente. Manter as pessoas informadas é uma questão de respeito a cada um.

Visão: promover uma melhora no sistema de saúde atual através da transferência de conhecimento dos médicos e agentes de saúde aos seus pacientes.
Objetivos gerais: estabelecer e gerar materiais a serem utilizados pelos médicos e agentes de saúde no momento de passar a informação aos pacientes.

Oferecer aos profissionais de saúde, material para um melhor atendimento aos pacientes e, aos pacientes, informações precisas e aprofundadas com base em uma linguagem de fácil compreensão, sobre sua patologia. Essa proposta torna o trabalho do agentes de saúde mais fácil e eficiente e tornam os tratamentos mais seguros, uma vez que os pacientes não precisarão tirar suas dúvidas com pessoas leigas no assunto, correndo o risco de tomarem decisões que agravem o seu caso e ainda, dando a esses pacientes a chance de terem uma vida mais saudável, durante e depois do tratamento com medicamentos.

O governo, que "comprará" o programa a ser implementado por nós. Com a aprovação do governo, os agentes de saúde serão treinados para atenderem os pacientes que visitam, mediante o que foi estipulado no programa. Médicos também deverão passar por uma fase desse treinamento para que se adequem à nova forma de atendimento. Os materiais a serem utilizados por médicos e agentes de saúde serão preparados por nós. Além disso, também são nossos clientes, os pacientes, que com certeza serão os grandes beneficiados com o projeto proposto.

Os pacientes serão abordados, em um primeiro momento, pelo médico durante a consulta. No entanto, como o tempo de cada consulta é reduzido, dada a grande demanda de pacientes para cada médico, eles receberão a visita do agente de saúde, como já acontece. Mas, com a implantação desse projeto, a visita do agente de saúde será esclarecedora e levará aos pacientes, as informações que eles precisam para se tratar da forma mais correta possível, conhecendo a fundo o problema e as soluções. Todas as abordagens têm por fundamento oferecer o conhecimento como base para uma vida mais saudável, mais tranquila, produtiva, com mais qualidade e, com tudo isso, a garantia de um futuro melhor.

* Pesquisa sobre as principais doenças diagnosticadas no sistema público de saúde (dados obtidos com a secretaria de saúde e médicos);
* Desenvolvimento do material para a transferência da informação aos clientes;
* Permanente pesquisa e atualização do material preparado;
* Pesquisa e desenvolvimento de novos materiais de acordo com a solicitação da secretaria de saúde e médicos (novas patologias);
* Revisão do material por médicos antes da sua distribuição.

Os pares são os médicos que auxiliarão na revisão do material preparado. E, sendo uma ideia inovadora, não foram encontrados concorrentes.

Os desafios culturais serão os maiores. Toda mudança gera alguma resistência, ainda que seja uma mudança para melhor. Mudar a forma de atendimento dos médicos, ainda que de forma muito suave, e a forma de trabalho dos agentes de saúde podem gerar uma certa resistência inicialmente.
No entanto, acreditamos que, se realmente existir, a citada resistência dará lugar ao reconhecimento de que são pequenas mudanças necessárias e extremamente úteis aos pacientes. A conscientização é, com certeza, a melhor alternativa para superar os desafios citados.

Atingir, em um ano, toda a rede pública de saúde.

* A existência da necessidade de um melhor tratamento aos pacientes, ou seja, existe demanda para o projeto proposto;
* Temos o conhecimento necessário a ser colocado a serviço do que nos propomos;
* Temos as experiências vividas pelo sócio da Pauher durante os seus atendimentos na saúde pública, que ajuda-nos a nortear as ações e a saber quais as melhores formas de tratamento aos pacientes.

Melhorar a vida dos pacientes, auxiliando no seu tratamento e recuperação para ser reconhecida como uma empresa que deu a sua contribuição (ainda que pequena) para melhorar o sistema público de saúde.

Como já foi dito, a expectativa é de se atingir toda a rede pública de saúde brasileira em 01 ano.
Um vez atingida essa meta, a melhoria contínua dos materiais e a contratação de novos profissionais para trabalhar nesse projeto são certas.