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Problem Tech Solves
Tech Brief
Inside a hospital, patients are at the center of an impressively choreographed rotation of physicians and nurses. As successful as this system can be in delivering care within the four walls of the hospital, it collapses once the patient leaves. One example of Memora’s platform supporting patients outside of the hospital’s four walls is in postpartum care. The postpartum period is arguably the most tentative time in a woman’s life; however, there’s a litany of clinical concerns that can present to new moms, including hypertension, hemorrhage, mental health, cardiac disease, etc. Maternal mortality from these concerns is a national crisis, with 52% of these deaths occurring postpartum – most within 42 days of birth and disproportionately among black mothers. To address these challenges, Memora implemented a postpartum support program with the Hospital of the University of Pennsylvania (HUP). Upon discharge, new moms can text in questions and receive proactive education from Memora’s AI platform. The platform also provided timely reminders for appointments and follow-up, anticipatory guidance, screenings (PHQ9, GAD7, etc), and consultative support with 24/7 reponses. The platform allowed patients to receive and ask for resources they may not have known about or known to ask for. With texting so widely available and adopted, this program differed from the usual postpartum patient experience at HUP. This shift of outpatient clinical support to the at-home setting resulted in a practical, effective, and feasible support model.
Tech Differentiators
First, Memora’s AI experience uniquely positions Memora Health compared to competitors who have added similar capabilities later in their product history. Memora has built robust algorithms that surface the most critical concerns to the clinical team. Second, Memora has successfully integrated its technology into clinicians’ systems so that it does not disrupt the course of care. Memora’s platform fully integrates with leading EHRs, and is currently available on the Epic App Orchard, Athena Marketplace and through third party integration partners such as Xealth. Third, Memora has worked with provider organizations for over five years and has seen how flexible, modular software can adapt to a wide range of provider needs. This experience has allowed Memora to validate its ability to achieve high levels of patient activation (91%) and engagement (74% over 60-days) and operational efficiency (2.5 hours saved per day per FTE; 40% reduced EHR messages). Fourth, Memora’s full clinical spectrum coverage is the first platform of its kind. No other solutions in the market today have proven their technology’s application to as many clinical service lines and use cases as Memora Health has. Lastly, instead of an app or patient portal, Memora’s platform is SMS-based. Given that 98% of people use text on a daily basis, Memora engineered an SMS-based platform because it’s simple and the quickest way for patients and care teams to receive information. Memora’s platform also supports email and phone-based outreach.
Validation
In the postpartum program at the Hospital of the University of Pennsylvania to date, Memora enrolled nearly 1000 patients, with a 97% program completion rate. The patients served are an average age of 29 and 59% are Black, 25% White, 5% Hispanic Latina, 4% Asian and 7% other race and more than half of the patients have public insurance. Memora has sent over 19,000 questionnaires and answered close to 3,000 patient questions. The AI was able to automatically and appropriately triage over 80% of non-survey messages. Approximately 10% of messages asked were outside the scope of the AI’s programmed knowledge, and the multidisciplinary clinical team was able to write new responses to aid the bot's continued improvement. About 5% of questions were escalated for clinician intervention, and of those, approximately 36% of those escalations were possibly emergent. Memora has also collected some powerful success stories from patients. One patient scored consistently high on the Edinburgh Postnatal Depression Scale (EPDS) survey, which triggered a few repeat screenings to monitor her more closely. By the end of her time in the program, the scores decreased as Memora connected her to resources to help. In the words of another patient who participated in the program, “A lot of people suffer from postpartum depression and don't know it. This service helps them out a lot by asking those series of questions that can help save a person's life!”
