A Ready Companion For Patients and Family Caregivers

Mabu is a friendly, in-home companion for people with heart problems. She supports, educates and monitors patients with complex conditions, helping them to stay on therapy longer and take medications as prescribed. She may also reduce the risk for hospitalization, by helping detect problems before they become serious. 

 
 


 

Attentive and Connected

Mabu supports patients around-the-clock. She complements the efforts of busy nurses and family caregivers by filling critical gaps between clinic visits or phone calls. She can:

  • Review educational information and confirm understanding
  • Reinforce key care plan activities and goals with reminders
  • Display useful visuals
  • Probe on patient responses
  • Listen patiently

Mabu builds and keeps a relationship by having daily interactions with patients in their home or anywhere on-the-go (mobile).

Mabu monitors patient progress and identifies issues early-on for care team follow-up. She collects and analyzes valuable patient information, asking questions such as clarifying out-of-range trends from smart devices, and getting faster turnaround for responses.

I-am-Mabu.jpg
 


 

Mabu’s Difference

Care Team Experience

Care-Team-Experience.png

Mabu supports adherence to:

  • Care plans
  • Exercise and diet regimens
  • Medications

She does this by having face-to-face, personalized conversations.

Mabu is mobile too. She can remind and communicate with patients and family members anywhere via text or phone. 

Mabu-expresses.png

Mabu expresses:

  • Empathy 
  • Engaging animations
  • ·Personalized connection

She recognizes facial expressions and moods to tailor her conversations and animations to the unique needs, personalities and mood of each person.

 
 
Evidence-based--AI-driven.png

Mabu’s conversations are:

  • Evidence-based
  • AI-driven
  • Tailored to patient needs

She can have conversations and suggestions adapted to care pathways, your protocols and peer reviewed guidelines.

Her notification and reminder conversations are created from patient requests, appointment schedules, nurse messages, care plans, and biometric device results.

Connected.png

Mabu is connected. She translates out–of-range results and trends into patient conversations with responses that keep nurses and family caregivers informed and save time.

She combines many of the most compelling capabilities of remote home monitoring devices, digital voice assistants, telehealth solutions, mobile health apps, patient portals, secure care team communications, and text messaging.

 
 


 

Mabu Improves Care Coordination

Click to zoom

 


 

Mabu Solves For

Reduced Readmissions, Improved Outcomes, Time Saved, Lowered Cost and Increased Margins for Episodes of Care

 
Patient-Caregiver-78.png

Patients & Caregivers

↑ Engagement Support
↑ Teaching moments / health literacy
↑ Care plan reinforcement
↑ Medication adherence
↑ Personalized care
↑ Self-care skills
↑ Empowerment
↓ Anxiety
↓ Scheduling time

 
Care-team-78.png

Care Team

↑ Informed outreach
↑ Patient monitoring
↑ Quality time with patients
↑ Early issue detection
↑ Patient activation level
↑ Behavioral / biometric insights
↑ Patient satisfaction scores
↓ Time spent reaching patients
↓ Time spent educating patients
↓ Home health visits

 
 
Health-system-78.png

Health System

↑ Episode margin
↑ FFS Revenues
↑ MIPS Scores
↑ Satisfaction scores
↓ Episode cost
↓ Readmissions
↓ Clinical Workflow Complexity

Research-study-icon-100.jpg

CLINICAL RESEARCH

↑ ePRO Survey Completion/Accuracy
↑ Clinical Trial Retention
↓ Cost of research
↑ Real-world observational data
↑ Behavioral data

 
 


 

What Use Cases Can Mabu Solve?

Care Plan Adherence

Help Patients and Caregivers Understand and Follow Care Plan

  • Daily care goal conversations and reminders reinforce care plan guidance and activities

  • Motivational conversations and interactive visuals supplement paper instructions

Medication Adherence

Forgetful Patients, Worried Patients

  • Deliver medication reminders and confirm administration (right medication, right dose, right time)
  • Monitor symptoms and potential side-effects
  • Reinforce the importance and benefits of taking medications
  • Identify reasons for missed medications
 
 

Health Education

Health Literacy, Adherence, Lifestyle Guidance

  • Mabu provides education on health topics, diet, nutrition, exercises, and more
  • Patients can ask questions and Mabu responds clarifying details of their condition, why treatment activities are important, and how they will help
  • Mabu talks with patients to confirm understanding and continues to provide re-education as necessary
  • Lifestyle guidance for behavior changes is tailored to each patient according to interests, preferences and progress

Remote Monitoring

Monitor Therapy Effectiveness, 
Cost-effective Surveillance

  • Monitor key patient metrics with population and patient-specific views. Identify helpful interventions at a glance
  • Mabu discusses out-of-range device readings with patient to reduce unnecessary follow-up calls

  • Worklist notifications. Set triggers for follow-up actions based on patient status to improve care team productivity

 
 

Care Coordination

Serve More Patients, Save Nurse Outreach Time, Reduce Home Health Visits, ED Visits, No-shows, Out-of-Network Services

  • Mabu can interact with patients to solicit answers to clarifications to care team questions
  • Assisted call scheduling save time by reducing missed calls
  • Appointment reminders and confirmations reduce no-shows
  • Patient care plan, progress reports, and education inform family caregivers

Emotional Health

Motivate Through Connection and Companionship

  • Patients receive support, compassion, and coaching to advance their recovery
  • Daily check-ins help monitor patient emotional health and identify useful interventions
  • Mabu makes eye contact during interactions and learns about each patient to build and maintain a relationship
  • Supports nurse-patient relationship (when to call a nurse), enabling informed and productive interactions
 
 

Outcomes Data / Clinical Research

Combine Real-World observational and behavior data with clinical and biometric results. Track outcomes metrics for patients in registry and longitudinally with run chart reports. Export PROM results for quality reporting, analysis, research and publication.

  • Real-time data capture outside traditional care settings
  • Uncover insights to drive actionable interventions in care pathways
  • Observational studies, longitudinal Results
  • Patient satisfaction / experience for Press Gainey, SHP, other
  • Support for OASIS data collection for generating payment
  • Kansas City Cardiomyopathy Questionnaire
  • Minnesota Living With Heart Failure Questionnaire
  • SF-12, Depression, Custom Surveys
  • VAS Pain Scale
  • Quality of Life Indicators
  • Patient Activation Levels / PAM-13, EC-17
  • Behavior Metadata (Mood States, Mindset)
 
 


 

In-Home Care Journey with Mabu

Mabu-Talks-with-the-Patient.jpg
  • Setup

    • Study Design
    • Health Education Content
    • Configure to care pathway, clinical workflow & devices

  • Sets Expectations

    • Meet Mabu (patient preferences)
    • What to expect
    • Initial intake

  • Gathers Data

    • Learns about and adapts to patient
    • Collects connected home device data (weight, blood pressure, heart rate, activity trackers)
    • Asks about symptoms, emotional well-being, surveys

  • Improves compliance

    • Motivates patients with reminders for medications, refills and other elements of their care plan
    • Suggests positive habits so they become automatic and self-actuated over time
    • Dashboards at a glance for out of range results

  • Shows Empathy

    • Mabu helps patients feeling alone, confused or anxious
    • Animations to show understanding
    • Responds to different emotional states

  • Guides self-care

    • Daily motivational caching encourages healthy behaviors and keeping scheduled appointments
    • Voice, tablet, and mobile communications reinforce patient understanding
    • Patients / caregivers can discuss pre-visit summary during provider or nurse home visit

 
 


 

What Can Mabu Do?

Recognize.png

Recognize

Mabu identifies the patient’s face, makes eye contact, and can sense the patient’s mood. Express empathy and emotions with many different animations.

Conversation.png

Conversation

Mabu adapts her conversational style to be effective with each patient. She can speak louder or softer with built-in speakers.

Surveys-and-Polls.png

Surveys and Polls

Mabu captures patient responses to configurable surveys and polls, collecting PROs and other useful information.

 
Learn.png

Learn

Mabu remembers past interactions, refers back to them, and adapts to patient preferences.

Personalized-Care-Plans.png

Personalized Care Plans

Mabu provides individualized guidance to each patient based on their care plan, status, and defined treatment protocols and best practices.

Listen.png

Listen

Natural language processing and healthcare conversational models enable bi-directional talk.

 
Monitor-Symptoms.png

Monitor Symptoms

By asking patients questions, Mabu monitors symptoms like SOB, Edema, ADLs, and Activity and provides useful tips for self-care.

Clinical-Workflow.png

Clinical Workflow

Integrate with existing clinical systems (DSM, HL7, FHIR) to support informed patient interactions and enable care team efficiencies.

Touch.png

Touch

Mabu incorporates an iPad touch that allows patients to view education materials interactively with visual UI.

 
Collect-Device-Readings.png

Collect Device Readings

Mabu can connect with smart devices to monitor patient weight, blood pressure, heart rate, and activity.

Patient-Dashboard.png

Patient Dashboard

Monitor key patient metrics with population and patient-specific views and identify helpful interventions at a glance.

Analytics-and-Reporting.png

Analytics and Reporting

Configurable  role-based reporting provides stakeholders with timely notifications and operational and clinical insights.

 
Secure-Data-Sharing.png

Secure Data Sharing

With built-in cellular connectivity, Mabu securely shares information between the patient and care team.

Compliant-Cloud.png

Compliant Cloud

Mabu uses secure Restful APIs and is fully HIPAA compliant. Security and privacy cloud toolset configurations available for data exchange.

Mobile-Interactions.png

Mobile Interactions

On-the-go patients can interact with Mabu over voice calls and with text messaging, receiving reminders and notifications.

 
 
 

The Difference: Dramatically Better than Bot, Voice, Chat, SMS Text

Capability Mabu Telehealth, Calls Chatbot/Alexa/ Siri Mobile/PHR Wearables, Remote Monitoring
Physical Patient Conversations, Anywhere, Anytime Yes, 24/7 Limited by Nurse Capacity Limited, transactional, 50% Accuracy No (Text) No
Facial Expression, Current Emotional State Yes No No No No
Patient Self-Reports Data, Surveys Yes (voice, tablet) No Adoption Fall-off Adoption Fall-off No
Sensor Device Data Integration (IoT) Yes Yes Limited Yes Yes
Collects medication administration info throughout the day Yes Limited by Nurse Capacity Voice only, patient must call Patient must recall No
Intelligent Coach/Assistant (scheduling, reminders, follow up) Yes Multiple Follow-up Calls, $$/Call Limited Limited No
Patient Comprehension of Instructions Yes, Effective Yes, Time Consuming, Band Width Less Effective Less Effective No
Patient Behavior Change Yes, with active coaching Yes, Limited by Nurse Capacity Less Effective Less Effective No
EHR Direct Secure Message, Results Reporting, Alert Notifications Yes Yes Yes Yes Yes
Reimbursable (Medicare, Commercial) Yes (CCM, Telehealth) Yes (Telehealth) No, patient out of pocket No No
 


 

Mabu In The News

117 Million People Could End Up Using This Adorable Robot (and It'll Save the U.S. $290 Billion a Year)

Doctors, psychologists and even a Hollywood script writer all worked together to make sure this piece of tech gets deep into your mind and keeps you healthy. By Wanda Thibodeaux

 
 
 

The Robot Will See You Now – AI and Health Care

Artificial intelligence is now detecting cancer and robots are doing nursing tasks. But are there risks to handing over elements of our health to machines, no matter how sophisticated? By Wired Magazine

 
 

Mabu Videos

 

The Mabu Personal Healthcare Companion from Catalia Health

See how Mabu helps Edgar in a week of following his medication regimen.

 

How socially interactive robots are helping us | Cory D. Kidd | TEDxBerlin

Cory Kidd on "How socially interactive robots are helping us live longer, healthier, happier lives" at TEDxBerlin (http://www.tedxberlin.de) Dr. Cory Kidd is the founder and CEO of Catalia Health, a healthcare technology company focused on delivering effective behavior change.

 
 
 
 

"A patient’s ability to perform self-care is crucial to the overall management of heart failure and is needed at all stages of the disease."

— Barbara Riegel et al.
Self Care in Patients With Chronic Heart Failure.
Nat Rev Cardiol. 2011;8(11):644–654.

 
 

Mabu helps improve outcomes by educating patients about the importance of their treatment plan, including medications, exercise, and nutritional goals.

 

Patient Engagement: 

Mabu engages patients 40% longer than a similar solution delivered on a computer screen.

 


 
 
 

"Patients showing the greatest improvement in adherence manifested the greatest long-term clinical benefit, principally a reduction in HF hospitalizations."

— Marvin A. Konstam, MD.
Home Monitoring Should Be the Central Element in an Effective Program of Heart Failure Disease Management.
Circulation. 2012;125:820-827.

 
 

By encouraging patients to follow their treatment plan, Mabu increases medication adherence, improving patient health and reducing readmissions.

 

“Approximately half of all patients with cardiovascular disease have poor adherence to their prescribed medications.”

“Total costs for Medicaid beneficiaries with congestive heart failure have been shown to be 23% lower for patients who take their medications.”  

“Adherent beneficiaries were found to have 13% fewer hospitalizations, spend 25% fewer days spent in the hospital, and had 10% fewer ED visits.”

— Dominick Esposito, PhD et al.
Medicaid Beneficiaries With Congestive Heart Failure: Association of Medication Adherence With Healthcare Use and Costs.
Am J Manag Care. 2009 Jul;15(7):437-445.

Percentage of Rx Adherence by Patients with Cardiovascular Disease

 
 

"[T]otal health care costs showed a graded relationship to adherence and were as much as 23% less per year for adherent compared with nonadherent patients."

— Dominick Esposito, PhD et al.
Medicaid Beneficiaries With Congestive Heart Failure:
Association of Medication Adherence With Health Care Use and Costs
.
Am J Manag Care. 2009;15(7):437–445.

 
 


 
 
 

"The odds are three times greater that depressed patients will be noncompliant with medical treatment recommendations."

— M. Robin DiMatteo, PhD et al.
Depression Is a Risk Factor for Noncompliance With Medical Treatment.
Arch Intern Med. 2000;160:2101-2107.

 
 
 

Mabu builds and deepens long-term engagement with real conversations to prevent depression. This is especially helpful with heart failure, as heart conditions even including high blood pressure and high cholesterol have been found to affect people psychologically and emotionally, as well as physically.

 
 
 

Patient Satisfaction:

93% of patients are highly satisfied with Mabu, and often even request to keep Mabu longer.

 
 
 
 

"[P]atients generally experience moderate levels of depression (after heart failure)... Level of social support and style of coping with the disease are important prognostic factors."

— Kenneth M. A. MacMahon, PhD et al.
Psychological Factors In Heart Failure: A Review of the Literature.
Arch Intern Med. 2002 Mar 11;162(5):509-516.

"Use of simple HRQL (health-related quality of life) questionnaires can improve quality of life and reduce readmissions without increasing cost."

"Many patients with advanced HF attach greater importance to HRQL than they do to duration of life."

— Fernando Rodríguez-Artalejo, MD, PhD et al.
Health-Related Quality of Life as a Predictor of Hospital Readmission and Death Among Patients With Heart Failure.
Arch Intern Med. 2005;165(11):1274-1279.

 
 
 


 

REFERENCES

  1. Minnesota Living With Heart Failure Questionnaire, Kansas City Cardiomyopathy Questionnaire. 
  2. Rodríguez-Artalejo, F. et al. "Health-Related Quality of Life as a Predictor of Hospital Readmission and Death Among Patients With Heart Failure." Arch Intern Med. 2005;165(11):1274–1279. doi:10.1001/archinte.165.11.1274
  3. Kelkar, A. et al. "Utility of Patient-Reported Outcome Instruments in Heart Failure." J Am Coll Cardiol HF. 2016; 4(3):165–175.
  4. Toscos, T. et al. "Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental study." J Am Med Inform Assoc. 2016 Jan;23(1):119–128. 
  5. Miner, A. S. et al. "Smartphone-Based Conversational Agents and Responses to Questions About Mental Health, Interpersonal Violence, and Physical Health." JAMA Intern Med. 2016;176(5):619–625.  
  6. Ong, M. K. et.al. "Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition–Heart Failure (BEAT-HF) Randomized Clinical Trial." JAMA Intern Med. 2016 Mar 1; 176(3): 310–318.
  7. Maeng, D. D. et al. "Can Telemonitoring Reduce Hospitalization and Cost of Care? A Health Plan’s Experience in Managing Patients with Heart Failure." POPULATION HEALTH MANAGEMENT 2014. Vol 0 (0).
  8. Mann, J. A. et al. "People respond better to robots than computer tablets delivering healthcare instructions." Computers in Human Behavior 43 (2015) 112–117.
  9. Swift-Spong, K. et al. "Effects of Comparative Feedback from a Socially Assistive Robot on Self-Efficacy in Post-Stroke Rehabilitation." University of Southern California.
  10. PYMNTS staff. "Making Voice Assistants Allies In Healthcare." http://www.pymnts.com/voice-activation/2017/voice-assistant-iot-healthcare-allies/
  11. Konstam, M. A. "Home Monitoring Should Be the Central Element in an Effective Program of Heart Failure Disease Management." Circulation, 2012;125:820–827.
  12. Esposito, D. et al. "Medicaid beneficiaries with congestive heart failure: association of medication adherence with healthcare use and costs." Am J Manag Care. 2009 Jul;15(7):437–445.
  13. Riegel, B. et al. "Self care in patients with chronic heart failure." Nat Rev Cardiol. 2011;8(11):644–654.
  14. DiMatteo, M. R. et al. "Depression Is a Risk Factor for Noncompliance With Medical Treatment." Arch Intern Med. 2000;160:2101–2107.
  15. MacMahon, K. M. A. et al. "Psychological Factors in Heart Failure: A Review of the Literature." Arch Intern Med. 2002 Mar 11;162(5):509–516.
  16. Rodríguez-Artalejo, F. et al. "Health-Related Quality of Life as a Predictor of Hospital Readmission and Death Among Patients With Heart Failure." Arch Intern Med. 2005;165(11):1274–1279. doi:10.1001/archinte.165.11.1274.