Homecare Medicine Infrastructure for Terminal Care Patients

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Homecare Medicine Infrastructure for Terminal Care Patients

Japan
Organization type: 
for profit
Budget: 
$100,000 - $250,000
Website:
http://www.mediva.co.jp
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Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

Japan is a rapidly aging society but compared to other OECD countries it lacks medical resources. For example, in Y2021 (ten years from now),more then 1.3 million people will pass away but it is estimated that 0.3 million will not have a place to die. More people will not have a place to be cared. Hospitals and nursing homes are already overflowing and the number of medical institutions providing homecare medicine is still much insufficient.
We are currently developing and providing an infrastrucure such as information system and operational support that will enable medical institutions and doctors to provide homecare medicine more effectively and effciently.
This will enable all patients to be provided with safe and satisfactory home care and terminal care.
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About Project

Solution: What is the proposed solution? Please be specific!

More than 90% of deathes currently takes place in hospitals, though more than 70% of the patients wants to spend thier last days at home. However in order to take care of patients at home, the doctors need to be on a stand-by 24 hours 365 days, whic is a big stress. This has been one of the reason that doctors will not support homecare medicine. By organizing homecare group practices and providing an infrastructure to allow doctors to share patient information, we have enabled providing the patient with the 24 hours 365 days assurance and the doctors with a decent work environment. For example, if the patient's family calls at night but the doctor in charge of the patient may not be bale to answer the call. Then, the call will be forwarded to other doctors. The doctor who will answer the call can view all patient information through his i-phone so he will have the updated information about the patient any time, any place. We have develoded other sysmtems an mechanisms that will help promote homecare medicine. The curreunt homecare doctors are usually solo-practice and is no not providing homecare in a systematic way. Many work too hard and gets burned out. Companies have started to support homecare medicine but thier support is not holistic. We have developed a total system and have succeeded in taking care of 1700 patients currently and 150 home terminal care, which is probably the largest in Japan. We have more than 50 doctors working with us.
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.

Organize a homecare medicine group practice Develop information system Provide operational support Educate doctors and nurses Provide information to patients Link with hospitals
About You
Organization:
Mediva Inc.
About You
First Name

Kanoko

Last Name

Oishi

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About Your Organization
Organization Name

Mediva Inc.

Organization Phone

81-3-3709-2992

Organization Address

2-32-18-301 Youga Setagaya-ku

Organization Country
Country where this project is creating social impact
How long has your organization been operating?

More than 5 years

Is the project that you are entering related to this organization?

Yes

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Innovation
What stage is your project in?

Operating for more than 5 years

Tell us about the community that you engage? eg. economic conditions, political structures, norms and values, demographic trends, history, and experience with engagement efforts.

We operate in Japan, where homecare medicine is still at a development stage. Innovation is rare in the Japanese medical comunity though the the society is at a critical stage because of the rapidly aging society, critical lack of medical resourses and the capped governmental medical fund. We work closely with doctors so we know the medical community very well. Therefore we know that the real issue is na d can come up with an innvation but practical solution.

Share the story of the founder and what inspired the founder to start this project

I am the founder of this organization. When I gave birth to my son 13 years ago, I found out that medical institutions are not operated in a patient-oriented way and lacked innovation and knowledge transfer from other industries. 11 years ago I founded Mediva and help to start up Platanus Medical Corp which became our pilot site. Here we developed innovative solutions to provide the patients with patient-oriented services and doctors with high medical quality and profitable practices.
As for the homecare medicine, I got acquainted with the issue about 8 years ago when my father-in-law passed away from cancer. He as still young at the time of his death but could not leave the hospital to his end day, on the contrary to his and his family's wish. We could not find a doctor what was willing to take care of him at home.
After this inicident, I started to investigate why doctors are not willing to provide homecare medicine and what will help solve the issue. About 6 years ago, we started providng homecare medicine and since then, have developed various measures and support systems.

Social Impact
Please describe how your project has been successful and how that success is measured

We have been able to take care of 1700 homecare patients annually. (Probably the largest practice in Japan.)
We have more than 50 doctors working with us.
Satisfaction of our patients, families and daoctors are high.
We have been published more than 30 articles.
We receive numerous visitors from the medical community.
Our

How many people have been impacted by your project?

1,001- 10,000

How many people could be impacted by your project in the next three years?

More than 10,000

Winning entries present a strong plan for how they will achieve growth. Identify your six-month milestone for growing your impact

In the next 6 month we will start upgrading our information system and investing in a next level operational support infrastructure.

Task 1

Identify the specs of to upgrade infrastructure, such as information systems and operational support

Task 2

Start promote to doctors to have them understand that homecare medicine is needed by patients, and that is is doable.

Task 3

Start hiring to develop an internal organization to support homecare doctors.

Identify your 12-month impact milestone

Develop the new infrastruture wo that we can supporting up to 500 doctors.

Task 1

Develop infrastructure.

Task 2

Promote to doctors through press, seminars and individual meetings.

Task 3

Develop an organization to be able to support up to 500 doctors.

How will your project evolve over the next three years?

One of our goal is to develop a homecare system that will support the 0.3 million terminal care people who do not have a place to go to in Y2023 (ten years from now). We have already identified what is needed to develop a good homecare infrastructure. In this three years we will develop what is needed, strengthen the orrganization and assist doctors in starting homecare medicine.

Sustainability
What barriers might hinder the success of your project and how do you plan to overcome them?

We currently have good relationship with the government (MHWL and local) and with the Doctors Association (Ishikai). However if by some reason the government or Doctors Association (Ishikai) decides to take negative action toward us or promoting homecare medicine, it will hinder us from our success. In this case we will need to take time to conivinice them that homecare medicine is needed by patients and it has merits to the doctors as well.

Tell us about your partnerships

We have partnership with Kameda Hospital in Kamogawa, Platanus Medical Corp. and many other medical institutions.
We also have partnership with many corporations which is operating in the medical field such as GE, Hitachi etc.

Explain your selections

We have business partnerships with corporations looking for new opportunities in the medical field.

How do you plan to strengthen your project in the next three years?

Build strong ties with good medical instituions.
Hire good people and develop our organization.

Challenges
Which barriers to health and well-being does your innovation address?
Please select up to three in order of relevancy to your project.

PRIMARY

Limited human capital (trained physicians, nurses, etc.)

SECONDARY

Lack of physical access to care/lack of facilities

TERTIARY

Health behavior change

Please describe how your innovation specifically tackles the barriers listed above.

We will train and support doctors in the homecare medicine field.

How are you growing the impact of your organization or initiative?
Please select up to three potential pathways in order of relevancy to you.

PRIMARY

Influenced other organizations and institutions through the spread of best practices

SECONDARY

Leveraged technology

TERTIARY

Please describe which of your growth activities are current or planned for the immediate future.

All of the above. In ten years our goal is to save the 0.3 million patients who do not have a place to to. In order to up to make this happen, more than 10000 doctors need to play some role in the homecare medicine field. We need to influence other organizations and institutions through spreading best practices, leverage technology and grow with in Japan.

Do you collaborate with any of the following: (Check all that apply)

Technology providers.

If yes, how have these collaborations helped your innovation to succeed?

We collaborate with technology providers such as i-phone to develop our infrastructure. This has provided efficincy in our system,