PowerLiving with Kimberlee Langford
PowerLiving with Kimberlee Langford
Revolutionizing Diabetes & Chronic Care: A Holistic Approach with Dr. Clement of Siba Health
The SCM Nurses are sharing our discussion with Dr. Clement of Siba Health as we talk about the evolving landscape of chronic care management. He chronicles the shortcomings of traditional healthcare, especially in the face of diseases like type 2 diabetes, Dr. Clement spotlights the critical need for tailored, patient-centric strategies. Our in-depth conversation reveals how Siba Health's innovative multi-product platform and robust data collection paint a comprehensive picture of patient health. From bridging gaps in care to emphasizing the importance of individual patient narratives, this episode promises to shift your mindset on risk mitigation vs management.
Technology can be a powerful tool to revolutionize patient engagement and empowerment, and this episode is a testament to that transformation. Coupled with a therapeutic and professional helping relationship, connected devices and real-time data analysis are not just enhancing patient outcomes but sometimes even saving lives. Dr. Clement discusses the importance of care coordination and its fiscal implications for employers and health plans. We also talk about the invaluable intersection of physical and mental health, demonstrating the power of collaborative, data-driven healthcare in a system that desperately needs both efficiency and a personal touch.
Our journey concludes with an inspiring look at Siba Health's interdisciplinary care model, boasting engagement rates of 75% and an astounding 98% success in reversing chronic conditions through personalized health plans and lifestyle modifications.
Discover the profound impact of dietary choices on disease management and the thoughtful integration of various treatment modalities, like GLP-1 step therapy, in addressing individual needs. By tuning in, you'll be equipped with insights on how these pioneering healthcare strategies are pioneering a model that places humanity at its core while steering the future of medical innovation.
You can learn more about Ciba Health here: www.Cibahealth.com
And Specialty Care Management here: www.specialtycm.com
I have a slide I can share a lot of people. Sometimes the visual too right, so if you know me, I can share too, all right.
Speaker 2:Yeah, well, hey, I'm super excited you're here. We have Dr Clement, who I've been a fan of for a little while here, and if you haven't met Siba Health, I'm super excited to have him share in this month and our nurses round table every month. Just so you know, dr Clement, we connect, we share, we sometimes we have a brilliant guest speaker so that we can be smarter wink wink, nod, nod and we talk about, we share information as well. So we're just so happy and really grateful for you taking time out of your busy day to share a little bit about the magic behind you know what is Siba Health? What are you doing? There aren't a whole lot of players. I talk to people all the time about the different. There's a big difference between risk mitigation and management. Right, there's plenty of diabetes management out there. We'll catch you a better deal on your insulin, but tell us what's so different about Siba?
Speaker 1:Great, I mean again, really, it's always very exciting to be here and really to speak with fellow clinician to really share the vision behind why Siba got started right.
Speaker 1:So for me, as a clinician myself, suddenly I've seen firsthand the frustration from a provider who's a clinician like me, you all here, and I saw it from a patient perspective. Really looking at what's the current care model today addressing some of their needs, mostly patient with chronic condition, there's a huge gap, right, I mean, in terms of how care is accessed, how care is delivered and really, again, at what point today even actually be able to secure an appointment to meet with the provider. There's a lot of moving part. And then there's the reason why our health care system today it is where it is today, and so my training as a clinician obviously led me to begin to think about what sort of innovation do we need to do here right, and how do we need to deliver this care that is truly, truly tailored to the patient's unique need, because the one-size-fit-all approach or the symptom-based approach it's no longer working right.
Speaker 4:Everybody is like OK, what else?
Speaker 1:A lot of people are looking for a solution, but that's almost like going into a rabbit hole you keep digging in and you never come out of that. And so this is what led me really to be in on the patient bedside to begin to think about how can I be that agent of change, how can I be that person that it's innovating, that is disrupting the status quo today, understanding that from a provider's lens and also my interaction with patients. But again, you also need to think about how are the health plan, this employer, who are paying for some of this, to provide access to their employees, to access care today, where are the frustration for them specifically? Right, because a lot of them, it's the chronic condition. Today. It's a huge cost driver for everybody, being obesity, type 2 diabetes being the sort of GLP use, autoimmune mental health. So when you look at chronic disease, so let's look at type 2 diabetes. Today.
Speaker 1:Type 2 diabetes does not just happen in a vacuum, right? There's always a reason why it's there. So what Siba is doing, really that it's really unique. If you can give me a big picture to share my screen, I want to share a slide.
Speaker 2:You should be able to drive. We'll let you drive.
Speaker 1:I love it. So this is it, I think. Let's see. What can you see here now?
Speaker 2:Yeah, OK, we see your desktop.
Speaker 1:Oh, my desktop. Did you say Siba overview, or what does it say? Yep?
Speaker 2:Siba Yep, there you are. Multi-product platform.
Speaker 1:Excellent, excellent. So I mean I'm not going to bore you guys with some of this key differentiation. Now let's look at this first right. So look at this. What we did and why we started Siba was to really begin to look at multi-product. Because if you look at chronic condition today, it does not happen in isolation and there are other elements that either there's a primary reason why a patient is coming, but there are other secondary aspectory in terms of someone's cold right that is associated with this, how we are addressing that from a patient perspective, all from a health plan or a payer, because there's a big challenge with the fragmentation in the space today, right, and then because one is the loss of point solution. So Siba fits in well into, when you look at a patient, the primary care model and the specialty care. So we are in the middle where we probably provide that whole sort of whole person care, right, again, looking at that person as a whole rather than looking at, just say, this patient comes to you today, the patient has a headache, and you manage the headache, give the patient a Tylenol and the patient go back home. Have you solved the problem? No, because the reason why that patient has a headache is still there.
Speaker 1:So what Siba really does well is our ability to really leverage the data that we collect right, either data from what I call the biomarkers that we do, testing the custom panel that we put together that allow us to zero in specifically on why do we have the condition today. So this data point include our ability to collect a very, very comprehensive question here from this patient right, and that allow us to dig deeper. It asks a lot of questions around exposure to environmental toxin, your lifestyle, your culture. It asks about micronutrient deficiency. It asks about your sleep. It asks about what other co-faxes that were missing right, so that we can get a very holistic view on this individual. And the other aspect element that also adds to the data point is our ability to collect data from the connected devices that were sent to the patient. So in the case of that today, we send what I call the freestyle debris, the dead form, the fit bait that tracks activities, that also tracks sleep, that also tracks higher variability, rest and heart rate, and then we also send them the blood pressure monitoring cough and the scale for their measures, their weight and as well as the VMI right. So this three data is collected and then, remember, we have data from the patient, from lifestyle behavioral component and, as well as this bucket, data coming from the comprehensive lab testing that we put together to do so that to allow us to zero in and OK, why do you have this condition?
Speaker 1:So, once we do the analysis, we're able to now put together a tailored approach that allows us to deliver intervention that would focus on the root causes, but also the ability to refer as this condition, because if you're able to get to the root cause of the symptoms, you are able to put together intervention that can reverse it right. So that's why CBA is delivering what I call the integrated care model, that it's focused on really a whole person and rather than just a symptom, right. So, and when you look at who CBA is today, we're not just providing those patients with the condition alone, but we're also looking at patients at a higher risk right, based on either the data point in terms of their exposure either they have history of type 2 diabetes or we see certain data point that is pointing that the patient can develop or will develop type 2 diabetes in months, I mean within a timeline that we're seeing. So we're able to prevent it right. So when you do that now, you're also out preventing the future cost avoidance, right? So the question Can I put?
Speaker 2:in here, dr Clement, because I think it's so fresh and, as a matter of fact, today I've talked with a few brokers, advisors, specifically about the impact that we're seeing, and a lot of folks, a lot of brokers, they're looking for, they're looking for something like a wellness program, but they're sick and tired of wellness programs because they don't deliver anything. Meanwhile, I had a broker the other day tell me I have more sugar in my group than a bakery, right, and it's driving all this other cost. And you mentioned a little bit earlier and I think one of the reasons why a program like this is so important is that diabetes in particular and you mentioned that your SGLT2s and your GLP1s, which are getting so much press right now and they're almost to have like a bad guy cloud over them and they're not. And what we see and Stephanie has she has worked tirelessly for a lot of her members and tracking down Sometimes they can't get these meds because of the shortages and we've had folks that have had to go back on multiple time a day injections of insulin, for heaven's sakes, or it's just ridiculous. And so we think about that in terms of you know, and especially I like that I don't have diabetes. Yet my doctor says I just have a touch of sugar. I love that one. You know the pre diabetes well.
Speaker 2:When you implement a program like this here, you don't have to wait until they get on those expensive sglt twos or chialp ones which those aren't the bad guys, right, because they're protecting the heart and the kidneys. And you know, for kidney care there are standards of care and now that people can't get them, or they get them here and then they can't get them, so they're on and off. You know that's gonna show up in terms of outcomes and the cost. Maybe they don't have it right now and you're saving money, but they're gonna show up with a heart attack or renal failure down the road. And then you know what did you do? Save a dollar to spend a hundred.
Speaker 1:I would give you a very good example. That happened. One of our biggest client is also in somewhere in Arizona. It's there in the transportation and logistics space. So they had an onsite Vendor that provide services for them, right? So, you know, because the way see, but look at this, the brosy be in because that vendor was not able to address those High-risk patient or those patients that are driving their cost, or they were not able to drive engagement. So they brought see me to see how can you help us really to manage those patients that are driving us cost. They have two employees are associated within that organization. That was costing them about four hundred thousand dollars a year. Two employees, right?
Speaker 1:So if you look at what a reason why either employer or health plan is coming to Ross today is Looking at, okay, how can we lower cost, but not just the cost alone. How can you also optimize, right, I mean the the health of our members, and then really seeing how you can also empower those members as well to understand you know they are own unique, you know they only did unique healthcare journey. How is that helping them? What are you using to empower them, to get them engaged? Because when you drive engagement you're able to achieve. So the desire to come up right so Sing it Doc sing it.
Speaker 1:It's important, right. So, you know, for us is to leverage the technology, like connected devices that we send to them so we can track data trends real time. So this particular patient we noticed that the patient's heart rate variability, the rest in heart rate, was trending, you know, in a direction that it shouldn't be at all. We felt that there's something wrong here, right. So this patient was not sleeping well In the first place. So and those are the reason why we track sleep, so we look at sleep and we see that your rest in heart rate you know it's not given as a data point we know that either you have sleep apnea or there's something that we're missing. Right, we're able to send the station specifically to a sleep specialist that will look at that. Right, so you're providing that care coordination. So what is patient? We knew that there's something off. And so our health coaches quickly, because they have a dashboard where they see what's going on with this patient quickly connected with this patient because they got an alert. That Specific data point has been trending in this direction for a little, for a few days, and it's like you know now. So they reach out to the patient hey, how are you doing and he said he's okay and any, any issue. You know temperature or anything, any physical pain, nothing. So the patient also saw that data because he has access to the data coming from the RPM. But the patient felt that maybe the device that was tracking the high reverability it's actually malfunction, right. So because there was no, any, no physical any pain and like now. And so we said no, I think you need to go see to the OR because the data it's not Making any sense right now. We know that there's something off right. Luckily for us, the wife is also a nurse, so he saw that data. She said no, we got a goal to Do the emergency room. Now, you know, believe me, they got there, the doctors look at that data Immediately, took that patient into the OR.
Speaker 1:So can you imagine what would have happened, right? So this is also addressing. Really, you know You're not just bringing out the solution, that it's innovative, but how are you also empowering patient to be able to be part of, you know, their own healthcare journey, to be able to understand why you're making certain decisions right? So you have to empower them right. When you empower them, you drive engagement, you build trust, you build relationship. This are the key element that's lacking in our healthcare system today. We're all collision now. We know what that is today, because right now the private equities are driving that, because it's all about the bottom line and the numbers right for them. Right. So it's very transactional, so you will save that patient. You know that. You can imagine what would have happened with that patient. I mean, would those numbers Diagnosis with that patient?
Speaker 2:out of curiosity that they needed a surgery for.
Speaker 1:Yeah, yeah, anerism, so I don't have the thinker data, but how to go back again and look at it. But again, I was just trying to illustrate the power of Technology, the power of building that sort of Approach to really help in patient. This patient has time to diabetes, right, and then that's why the patient was part of the system. Today there's another patient that his eJFR was completely out of work and the onsite Vendor did not see it. There's no way you have a CKD that starts overnight. I mean, you guys are in the space today, right, they did not see it. It took Siba to see that. Send that patient into, not the patients go on the going dialysis, right, can you imagine?
Speaker 2:Yeah, oh you're saying that's how I came to this space was working in home health, you know, and it's interesting because a lot of our, a lot of our members, a lot of the same folks that you're working with, they're working folks Right, and so most of these folks are going to be followed by a family practice doctor or an internist who's looking at you know, the generalist, which is fantastic. Yes, they're not the specialist, like I had. I can't tell you how many times I've seen that same scenario play out where, you know, we look at a member and you can tell they have all the risk factors, they got all the things that are tearing up the inside lining of their blood vessels right. They've got diabetes, they've got high blood pressure, they got high cholesterol, they got sleep apnea, they're smoking, they're overweight, all these things that we know are gonna tear up Kidneys and hearts and livers. And sounds like venom if you watch the movie venom the kidneys and pain of exactly.
Speaker 1:Anyway, that's a question. How did it miss it right?
Speaker 2:So because they're not, they're not specialists, right? So I mean I can't tell you how many times I've talked with docs and you know, did you see their GFR? I mean, we've had people sitting at 17, 18, 20% kidney function and still no diagnosis. The kidney disease Happens all the time.
Speaker 1:Yeah, I'm glad we, you know, we all align on you know. So, again, I learned a day. It also boils back to you know how the health care system today is structured and built right because it's something very transactional the doctors I even have time to look at those data because, yeah, you know, you spend less time, you know, in providing that because you have to spend a lot of time in the Back of his back and work where you look at all five minutes with you exactly. So this is where technology comes into play, right? So when I tell people is health care cannot just be or technology. The technology would create efficiencies and Optimize how you deliver care right and then provide you with information that you need at every given point. Well, I love people think it's just AI. Machine learning is gonna come in. And now I said, listen, there has to be a human element, no matter what it is. Your human being has to be in the loop. So I'll show you another slide here again that also look at, you know how Ciba models really structure, right? So I'm not gonna bore you guys with this differentiation. I can share this slide with you guys, right?
Speaker 1:But this again tells you about the unique methodology and how we look at root cause medicine and try to Understand, you know, how can we better support patient moving away from that symptom-based approach but specifically leveraging integrated care model where you have the doctors, their teacher, the North care managers, the health coach is all Walking collaboratively, all communicated at the same time, be able to see the decision that the doctor make, the decision the doctor makes the nurse make, all on the one platform. So what you do is you really remove the silo right from how we deliver care now, communicating at the same time, real time, everybody's in that information at the same time, and understanding why you're making that a decision, because it's driven by data. It's there to show why you're doing what you're doing. So here is really what I don't when I talk about root causes. Right, you can see here where he's talk about symptoms.
Speaker 1:A lot of us today, the healthcare model, is focused on symptoms. You know, looking at high blood pressure, all that but see by is looking at you can one of those things doc?
Speaker 1:So for us is, if the mission markers, stress markers, poor diet will come. Toxins, lack of sleep, you know, sometimes relationship also play huge role in our health, right. So we're looking at the nutrient deficiency, you know, lack of exercise, you know. So this toxic thoughts to also play huge role, trauma, genetic or digestion. So this is sort of the element that we look at and really to understand why you have your condition right, not just because, oh, you have to have two diabetes. There has to be a reason why you have to have two diabetes.
Speaker 1:We are gonna try to say you know what, don't eat rice, don't do this right, because you're not looking at a one-size-fits-all, because when you do that, a lot of patient you know, because you know you can. An Asian patient today, he said don't eat rice, it's almost impossible because it's already part of who they are. So you need to figure out what we'll call the Metabolic flexibility right, which means the ability of the human body to break down, calves that and use that efficiently as fuel. So the ways you do that is get to a road course, get a patient on diet that truly personalized, based on their unique biochemistry, because, again, that's why you give them the freestyle libre. The freestyle libre would track, you know, spikes in their blog, lucas, right? And then it's time stamped with what they eat. So the patient are required to take a picture for the eat or blow that into the portal in time stamp.
Speaker 1:When we see a spike, we know that. Okay, is there a specific element on ingredient in that food dice actually causing the problem? Right? And so when you do this testing, it allows you to dig deeper. You look at a gut microbiome, you look at all those markers right, it's sure that you're not missing anything. People say it's not too much. Well, but the data say otherwise. Right, because it points you to a different direction. So that's what we follow. We go based on the data, what the data tells us. Questions, comments.
Speaker 2:I just that's. I think that's impactful. You can't change anything if you can't see it and you know the traditional approach is going to be to give people a list of what they can and can't have, exactly put medication and restrict them to a diet.
Speaker 1:That's not gonna work. You have to look at it, say okay, maybe minimize it. Or because we look at this is actually triggering, you know, a spike in your you know continuous blood glucose. Maybe you minimize it or we'll probably eliminate that a little bit, right, and put that patient on the plant based diet. That can also help them to really what we call to improve the mitochondrial function. Right, which is very important. Right, it helps to remove inflammation. Inflammation.
Speaker 1:People place a huge role on our overall health. Right, it can affect your sleep, your weight gain, you know. So what's correct us? You can see that this patient is actually being improved. Right, because you know the important element is how are you helping this patient to understand what's going on in their body? Right, not just I make a decision, take this, go home. No, you got a carrier patient along at every given point.
Speaker 1:And how you deliver care, right, so you know, and when I look at the condition, you know we talk about mental health. Right, we believe that any patient with chronic condition there's an element of some sort of you know behavioral health component that it's there. You know either this anxiety issues, you know depression issue because you're worried about you're gonna you either You're gonna lose your limbs, you're gonna get kidney diseases. That also leads to anxiety, so we want to fix that. So that's what we call it a whole person approach, leveraging really Interdisciplinary sort of team coming together. Right, so? You have a health coach, you have a doctor, you have the personalized health plan. Specifically, this is what all of them here you see this line as they communicate it. Whatever they're putting together, everybody is seeing that right at the same time and understanding why this has been put together. You have a dietitian this is our color, not care manager. That's part of this care as well, right? So it's really, really a very multi-disciplinary sort of approach which is Integrated into what we do every day.
Speaker 1:The patient is in the middle here, surrounded by all those people here. We're working for the patient, to help that patient optimize, to help that patient understand why they have what they have today. And with where you combine all this, this allows to deliver a care model that is truly, truly personalized, a care model that gets the root cause of your condition, a care model that empower patient, a care model that provides visibility from a patient perspective, or provide a perspective, but, again, you're able to also provide that care coordination for the patient and send them to. You know when do you need to go to if there's a need. So I can, you know, be able to look at the patient and say, okay, I need to send a patient to you guys because this patient has saw risk factors in terms of you know, my Develops in sort of chronic kidney condition or something, kidney diseases. That patient goes to you, right, because we are not expert in that, but we've seen it and then we send that to you. But the most important is, like you know, chronic condition. Today, they all have combi BDT, right? So how do you address this combi BDT?
Speaker 1:And we've strongly believed, you know, when you leverage the intervention that included a personalized diet plan, looking at the patient lifestyle, the behavioral component, but, most importantly, to get to the root cause of why does vision have this and I will tell you to do we have thousands of patients today on Siebert today, 98% success rate in terms of our ability to reverse this condition and really driving engagement, 75%.
Speaker 1:This idea there I mean, we're getting the validation now Institute to validate our data. That will be a publication on that specifically. Right, you're driving, you know, reducing medication use reduction, right? So because we have doctors were able to also really manage, you know, deep prescribe or prescribed to write, because again, sometime patient might need it. Sometimes they might not. At some point you know that. At that point, okay, you know, maybe let's combine the intervention as well as medication. But at some point, at what point, do you not know that? Okay, you want to begin to reduce the quantum medication. As you know, patient with chronic condition, mostly type 2 diabetes, there on 10, 15 different Medication, we have 85% medication use reduction over 12 months of intervention.
Speaker 2:Of the platform to that the back door 85% Reduction in medication. Now, who doesn't want to save money on their sglt twos and glp one?
Speaker 1:exactly, but we're gonna do it, want to ensure that data is telling us you don't do it because you want to save money. No, you do it looking at that data, you don't need it. And then you put them on. And the patient now, at that point, they have the tools, they have the understanding why they have what they have today. They able to now really either minimize those activities or whatever there's constant problems, and now able to now understand what they need to do. But if they have a, they would engage with you again and come back and say, hey, I think I'm not interested in data, but because they have devices, we also look at a trend right and see if there's something. And then it highlights that I'm full Provider specifically to that point and say, look at this right, you're saving them. Not to the time to review a lot of data. The technology Point you specifically to this right and say, look at this, maybe there's something here that you're missing.
Speaker 2:Well and teaching people, teaching patients. We hear that I love them. When a patient will tell me well, my doctor takes care of that. I have never yet. Maybe you're different, doctor Clement, but but most doctors I know are not gonna come over and cook me breakfast and take me for a walk and make me get out Of bed, make me go to bed at a certain hour.
Speaker 2:I haven't met a doctor yet is gonna do that, but I love that approach. The other reason why I like that so much is when I think about that, I think a lot about how a lot of times people are. You know, my doctor takes care of that. I don't know my a1c something or other. My doctor is gonna tell me if it's off, and it always strikes me it's like driving down the road, blindfolded and only, but you're only looking over your shoulder while you're driving up. It's a matter of time before you're gonna hit a freakin treat Right. That, when you see all the data that you're gathering, is the very information that people need To make that change. And the fact that you drive a 75% engagement rate. That's how people don't get engagement rates and that's. I think that's something really important. Every broker, every advisor, every health plan out there wants to know what's your engagement, because they're sick and tired of paying a PEPM for something's not gonna drive value.
Speaker 2:The only reason why people can't engage members is because there's nothing in it personally for the member. Most of these folks that are gonna need this program, they've been case managed to death, they already know what. If it was a matter of knowing and education, I would be my perfect weight, dr Clement.
Speaker 1:Exactly, you have to really get tools that help with behavioral modification right and life out there. So your track activities you know a patient with a CGM, an alarm, if your blog Lucas is actually suited up right it tells you and then say hey with the C, but now it says go for 15 minutes walk and 15 minutes walk back, which is 30 minutes. Is it simple, right? I mean just as simple as that.
Speaker 2:What happened because of it?
Speaker 1:exactly. If you don't do that, what would happen to you? Right? And also, you create a community. So we created a community where people also able to share and talk about their experience. You know how they do it in terms of their data. That's so powerful and so compelling, right, and really, what is it why you can? I mean, some of the traction, see what's getting today is Because we're able to build that now we're actually on body in blue cross blue shield of California and blue cross blue shield of South Carolina, because, you know, one pre diabetes and type two diabetes is massive problem for them, right? So they look at CBER's data over the time and it's very compelling. They said, you know what? Well, you know we want to try what this guys are doing today.
Speaker 1:And when the patient comes in, if you look at, if you listen to patient testimonial, really, because is the high tech, high touch? Right, I mean really because I touch, yeah, very important. That's only. It's what really helped to deliver value. But you're not just looking at fancy technology. The key core API is that you measure, right, you know the a1s level, our patient. By the end of the 12th month, the a1s level is below a 5.7 or at 5.7 right. So what that comes into you today is a 6.5 up right, which means you're diabetic. Obviously, within 5.7 to 6.4, you know your pre-diabetic most of this patient they lose about 30 pounds of weight. That is sustained. You're not just losing that weight that once you stop it goes back up. No, it's really weight that is sustained. You lose that weight is sustained. You have tools that can help you to continue to sustain that right rather than Because you're creating habits of self-care that drive the result.
Speaker 2:That's the real trick.
Speaker 1:Yes, and given on those tools that they see themselves, they try to get a trend. They see how well they're doing. Because if you ask them like, why, what are you concerned about with type 2 diabetes? Oh, I don't want to lose my sight. I don't have a chronic kidney disease. I want to be here for my grandchildren. So what do you want? You want to do differently. You know so. When they see that you build relationship and you're not restricting them, saying go on keto diet, you know you're not saying I should eat rice, but maybe minimize it and eliminate certain food. There's a trigger for inflammation in your body because this is what it's causing for you. You want to eliminate, you want to minimize it. You know you're educating them. You have, yes, you're giving no resources. You're building trust, you're building relationship. That's the key to success and that's what that's a therapeutic.
Speaker 2:I call that a therapeutic, trusted, helping relationship. It's not a friend, it's, but that's friendly and it's trusted and it's somebody who has the capacity to help you. But to your point, love. The fact you used empower that word is so magical, empowering and ennobling patients to take control and and I really truly changes in their life in a significant way. Who doesn't want to be a part of that?
Speaker 1:Everybody wants to, because they see it, because a lot of people sometimes they're very skeptical, right, but once they go through the program, from their initial day, you know, they connect with a health coach that helped guide them through the processes. And that questionnaire that we collect, right, it's very, very compressive questionnaire. We had a client that is also a health plan that say they want to look at our questionnaire. Right, they came with their own questionnaire and they saw what we have and they're like, what? Like, how the heck is this even happening here? It's a medical office of a care plan, right, a health plan that saw that the whoa, because, like a lot of data point, right, you know, you know what is that?
Speaker 1:Environmental toxins that you were exposed to, maybe in where you're living, you know access to, oh, amen, yep, press, all the elements. And now what they said. They say, hey guys, we also want you guys, we're gonna delegate the health risk assessment to you guys for us, right, which is the CMS sort of response really for them. Now they, they are, now they're getting that to see. But because they love the information we capture and how that information is also gonna help them to really Assess the risk of every member that they have on that platform today.
Speaker 1:Oh yeah, today. But we're also looking at how can we identify those at high risk and tell our intervention to them quickly, before you because of programs. We are preventing the future cost. You're also really preventing that patient from getting some of those conditions today, right? So it's really really a multi strategy and it doesn't have an isolation, right. So that's what we're also part of the strong stone group resolution, because we're able to partner with partners like you, right? So we see certain data points and then we're able to immediately now Navigate and provide you with that information so that you begin intervention before it becomes a problem. And anyway, you know, down the road, so a lot of the players today now they begin to understand the value of doing that ecosystem, right.
Speaker 1:So see what I've seen this I mean because of some of the you know experience that I had prior to building Siba. I was also a co-founder of a company, company called Chi health, so Interacted with a lot of you know Held, a head of HR, had a benefit and a scene. You know what are the pain point. And then, looking at my clinical background, what I also understood, what I've seen, that all came together and say you know what we need to build Siba and that's how I see the started because when I look at patient with some of the chronic condition Patients, you need to be there for type 2 diabetes. You know this. If you figure what's happening, you able to reverse the course of, you know some of the risk and what we've seen. Most of the patients as we're reversing some of these trends that they have, we're seeing improvement in other communities that they have right, absolutely In the mental health right.
Speaker 2:It's important to be the one that rules them all. You know, if you want to have the biggest impact In terms of a group's Spender overall health, I mean high blood sugars they drive every other chronic condition. I can't think of a chronic condition that isn't impacted when somebody has diabetes, msk cancer yeah.
Speaker 1:Those are typical dashboard, right, what I looks like, you know. So this dashboard is you know the patient has it, the provider has it, so you can see that sometimes highlighted in red because maybe the data is trending in a certain direction. It flags it right and then send the patient to to the provider and say, hey, you need to look at this patient. There's certain trends that we're seeing here that you know it's not Looking good at all, right? So, again, this dashboard probably would be a lot better than what it is today. There's an older one, but, and the goal is really looking at you know how does connected devices are really helping empower a patient, integrating that back into the remote patient-machine capabilities and a Dashboard that provide visibility, transparency and they'll be able to look at the impact we're making really in overall patient health. But the most important thing is all fancy technology but really our ability to deliver care, a care that you know has a human face, a care that really look at patients as a unique you know, understanding their unique biochemistry, you know genetic makeup and then putting together intervention that is tailored for them, right, you know, for their need and how do we leverage in food as medicine, right? So you're looking able to personalize care based on this patient data and so, okay, this food. When you eat this food, your body will react in a certain way, so maybe you minimize it, right and all that. So it's important to really be able to leverage this key Elements to be able to deliver the scare most patient with chronic condition like tap to diabetes today.
Speaker 1:So I know I've been doing a lot of talk, right? So we're gonna add on the point here around the GLP one two. So we have what we call the GLP one step therapy. You know what that does is for us to be able to put a guard royals. You know, a lot of times patients, they need them. They can't even have access to it. So what are we doing in the interim, right? Do you have a solution that can help them along the way, before they begin to even get those gelp one right? Then sometimes the patient they don't really need a gelp one, they just need to make some changes, right? I mean, that's what they help, right? So how are you looking at that really, to helping the patient understand why? Because sometimes it's also a mental thing they just think, oh, the gelp one because of TV commercial commercial yeah oh, I would get it.
Speaker 2:They think it's a magic pill, you know but is anybody else sick and tired of all the pharmacy commercials?
Speaker 1:Yeah, I'd ignore it. The risk there are also risks to this medication. Right, there is factors associated with that. You know you do muscle mass loss, like. You know you lose what. What happens? Right, you have all those nausea and all that. Well, this is not there. But a muscle mass loss is a problem. Someone who is 300 pound loses 150 pound within three months. What happened to the loose skin? Right, I mean, that's an additional cost, right, and they have to go to See you and, yeah, exactly, that's cost.
Speaker 1:So why don't you do a sustained way? You know if you're able to lose 30 pounds or three pounds every month, that's sustained because it's looking at data, it's adjusting until probably get to 30 pounds or 50 pounds and you lose those weight, right? But the most important is also how do you drive this patient to also understand the value of what you're doing today? What are they gonna get out of it? Because they're tired of all the solution every day, you know, but you have to provide them with a solution anyway, right? So the key element is empower a patient.
Speaker 1:For us, we don't play with that. We don't just say you want to empower them, you want to provide them with tools, you want to provide them with. You know what's going on, how can they better manage their health and then how can they be involved? Right, you know you have to be trust, you want to be relationship, right? So this is a key element that is certainly missing in the care model that we have today. And so see by suddenly in this space to see how can we really continue to deliver value, how can we make impact and the day. Yes, investors want to make money, but for us, the key element is impact. How do you make those impact? And then, how does that translate into what you do today? And this is the reason why, for me, I believe not just being on the patient bedside, but also being in the space where I can impact now within my community for global Right.
Speaker 2:Yeah, whole populations you can benefit. Very important yeah.
Speaker 1:I know I do a lot of talking and I want to get into that zone. I go on and on and on, but I want to give you guys you know Well tell us a little bit about the insta cart thing.
Speaker 2:I saw that on LinkedIn and you mentioned it. Before we tell us a little bit about that too very important, right?
Speaker 1:So when you look at access to Places we call the food desert, right? A lot of times, sometimes patients don't even have access to, to healthy food. You ask them to make some changes. Can they even afford it? Right, it's, they maybe even can afford it. How do they even access it?
Speaker 1:So we did was look at insta cut is already all over the US. They're delivering, you know, to almost every corner around the US today because they have the technology, they have the resources to do that. So what we're thinking is okay, we'll ask some patient will personalize in a diet for patient based on what we see from a data point and how easy is it for them to access it. So we decide to integrate insta cut into our model, right, a patient is able to. Really, was we make recommendation, they were to see that and Select and it's get delivered, right, so there's a voucher that gives them discount and then sometimes they employ a pace for it already, right? So it's already part of the whole bundle that we offer the services for. So we think it's certainly going to be a very important.
Speaker 2:You will come over and cook for me. Yes, Absolutely.
Speaker 1:It's only gonna be a game changer right to this right. So now you're saving time, you're getting this already prepared for you, so you don't have to deal with the stress of thinking about how do you put all that together? Right, it's there for you now. It's just you know.
Speaker 2:I what you know. What that makes me think of is that you know for so many people, when you think about, how diabetes develops, if you just step into people's lives, most people they. Whether you work outside the home or inside the home, you have the door running at seven, whether your cup of coffee in a muffin, all you've got on your tank is kindling on your fire, right, you've only got carbs.
Speaker 2:And then you wonder why you have no energy at 10,. But there's the vending machine or there's donuts in the Breakroom, so I'm gonna grab some.
Speaker 2:Diacocrel quick. And then it's lunchtime where we're going out to lunch and we're stopped by McDonald's, and then it's the end of the day and We've got two hours to spend with the people that we. That mean the most is why we work so hard all day, and yet we want me to put on an apron and be Donna Reed, right and who has time to, and then who? And then you want me to exercise.
Speaker 1:Exactly exactly. That makes the whole lot of it's certainly very important. So that's for us is is access like convenience to right and you know right.
Speaker 2:I think a lot of people. It sounds kind of silly, but most a lot of people out there don't know what healthy looks like.
Speaker 5:Correct, it's got a kind of cellophane wrapper right.
Speaker 5:Yeah, yeah, no, you make an excellent point, especially with vending machines. I have a lot of the patients that they think you know, because they don't have the time to get stuff, they get something from the vending machine and they say, well, portion, so quote, unquote, I'm gonna eat sausage biscuit instead of the two. But then when you actually look and break down, you know the macronutrients and then nutritional data for that just one sausage biscuit. It ends up being like in a ridiculous amount, like it contains enough sodium for their whole intake, daily intake. So just showing them that in my best way is always food journaling Show me what you're eating on a regular basis. Yes.
Speaker 5:So how much sodium your intake is, Let me calculate how much carbs you're actually eating, because if you put it to perspective and, kind of you know, put it in a model that they can understand, it's gonna be much more eye-opener versus their day-to-day basis. They're just going through life.
Speaker 1:So absolutely that's how we have dietician right, looking at the whole journal, and you know it has to, because it's not gonna work when you just ask the patient just the patient to do it right. So you know you're also looking at accountability, right. So when they do that, they know that you're gonna ask them did you do this? Right? Because it's important for them to understand if they do what you ask them to do. But again, they also see reason why you ask them to do that right, and that in itself is very compelling, right. So it makes this patient to think a little bit different. It makes it easier to understand the value of what you're doing for them and then, once they take that, they now will be engaged and involved in all the process and they will be reaching out to you and say hey, I know this is this.
Speaker 1:You know what does that mean, right? So it's suddenly, you know I'm excited about you, know what we're all looking to do today, and even that relationship with magna care. Right, I mean as you say it's so for us.
Speaker 1:It's suddenly gonna be a test point for us to show that, you know, we're building a new healthcare model, a healthcare model that really will provide those patients with what they need. On the one right, a platform. Right, I'm getting to navigate and go here today and do that point solution fatigue. So, suddenly, this is an exciting time and really, again, I'm excited to really the partnership that we're looking to really build here and always, always happy to share. You know, learning inside and all that, and you know and learn from you guys as well. Right, so we're learning every day.
Speaker 1:You know the point that Kimberly made to us one in terms of, you know, food, I remember the June of my residency days. Right, so I will go to. There's a Wendy's by the Columbia University hospital. Right, grab quickly, you have no time, but if you can get this really delivered to you, that it's a no cost to you. Whatever you're looking for, I mean, you know it's already organized for you based on you know you are, because there's gonna be a lot of questions around culture, right, understanding, you know what you want and so it's personalized based on you as a person, not just say, oh, you just stick to this now when understand your lifestyle, you know whatever this is, and then put together that sort of you know plan for you, which would include a food journal, of course I mean you're taking a picture and really tell us where you eat and what is that right and understand the risk involved in every decision you make as a patient.
Speaker 5:Oh go ahead. No, like I was, like the doctor was mentioning. Accountability is so important in transparency. You know, I always tell my patients, just because we're trying to do our best doesn't mean that every day is gonna look the same and doesn't mean that every day we're gonna do our best. But it's just not only being honest with your you know clinician but be honest with yourself and know that it's okay to fail and just get up and try again the next day.
Speaker 1:Yup accountability accountability.
Speaker 2:I think to your approach where you have physicians there and your dietitian, I mean there's so that one of the other things it's important to ensure that you are all part of the whole.
Speaker 1:You know the model right.
Speaker 2:Instead of Dr Google.
Speaker 1:Right, I know Nancy's had a member who you know All of the community at the same time have seen that data, information that they see, because that is also understanding why the doctor is making the decision. Not just doctor making the decision, but when the dietitian put a plan together, the doctor also understand why. Right, because they see it all the time.
Speaker 2:Yeah, yeah, yeah. Kind of like I know I was going to have Nancy share a little bit. We've had members who you know they do their best to get information and sometimes very you know knowledgeable patients, but there's so much information out there that's kind of fatty Like we'll see people who, well, I know carbs aren't good, so I'm going to cut out carbs. And then you look at their plate and they've got a whole day's worth of protein there, which I know.
Speaker 2:And then they wonder why their glucose is still high. And that is a heart, that's a heavy burden on a kidney, which Nancy had a member who did that as well.
Speaker 1:So that's the thing, yeah, you guys and you can share. You know what you guys are doing and really, again, I think, for me, I learned every day and really, and as well as thinking, how can we begin to think about healthcare differently? You know, when I also look at healthcare with a human face, right, I mean, if you look at some of those, you know awards or whatever that we've been getting today, it's not because you know, we're still, like, you know, less than four years, right, I mean, we started in 2020. And but because those impacts are there, people are beginning to see them really, and that's what's making the difference today.
Speaker 2:Yeah, well, I think there are plenty of companies out there that provide management and there's, that's all I'm not. I'm not knocking that at all. We need that, but to be able to reverse a condition where that's obviously such a passion that Siba Health has and is able to deliver that in the marketplace. And most people don't know that. We talk to people. They've we've had people tell us. A lot of our members say, well, nobody's ever told me I could reverse it. Right, that's, that's a revelation to people.
Speaker 2:Yeah, oh my my mom I had diabetes and my grandma had diabetes. And you know, sometimes you have to. It's not just a genetic thing, it's a table thing, exactly.
Speaker 1:Exactly so. That's it's important, right, to ensure that, because most of the chronic conditions to be honest, if you look at the, the, the root causes of this you fix it, you reverse it. I mean it's not magic, the data is a point to that. Right, I mean you just need to ensure that you're getting the patient involved, you're empowering them, giving them understand what you need to do, what they need don't have to do, right, I mean not just preventing, stopping them, but showing them practical. They should still understand that and it's it's it's interesting because that's not complicated.
Speaker 2:If it hurts my finger when I slam the car door on it, if I stop slamming my, the pain goes away. That's a novel concept. It doesn't have to be Exactly. Yeah, I definitely want to save some time for questions while we have a brilliant physician on the phone and are on the on with us. You know we, because we deal a lot with these kinds of folks. I'm super excited to be able to partner with you and and sharing sharing what you're doing in the marketplace is so impactful. But what questions do we have for?
Speaker 5:Dr, Clement.
Speaker 3:I have a question. Yes, please, do you get patients that are really heavy, like the 350, 400 pound patients. What do you do for those patients? Is the bariatric surgery is really an option, or is that discussed too?
Speaker 1:No, I mean 100%. This is really a very good question too, right? So? And for us is, we just don't look at anything we do in isolation, we want to look at the entire picture overall, right? So? Which means it include, you know, all this element that you just mentioned today, because it's important. As you make decisions, you're evaluating that, right? So there are other options that has to be on the table because sometimes this intervention might not really work for everybody. So you have to ensure that those key elements are there.
Speaker 1:So you know the bariatric surgery, suddenly, if it is in need for you, you see it absolutely right, you know, not just because the patient wanted, right, but it has to be based on the data and looking at the risk you know for this patient Can they go through this? And so everything we do, it's very, very inclusive of every data point I will look at. That gives us an overall you know overview on this particular individual and understanding how can we better support this? Right? So this is also an element that is on the table. It's like a real tailored approach. Yes, very tailored, yeah, very tailored Like. So you will look at whatever data that you have, right, if there's a need for that. Yes, suddenly we want to say you know you probably need to get this done right To help you, because 300 pounds you don't just lose that.
Speaker 1:You know it takes time and not everyone is patient enough to go through that. But what I've seen, you're also taking care of the inflammation, inflammation costs, a lot of problems in your body. You're able to eliminate and clear that out. I guarantee you begin to see that weight loss happening. Like you know, an average you see 30 pounds weight. So again, when you're looking at somewhere, 300 pounds it's not a lot, right, but if you clear out all that and the patient really really followed through with the instructions, you will see significant weight loss there. But then when you're not getting, you're not bringing the patient to where it's safe for you to be able to even go to do a surgery, because sometimes if it's not, you know the patient it's not stable enough to go through a surgery. Nobody's going to need to be an electric surgery, right? So you brought the patient to a situation where that patient can not go in and do a surgery and come back, you know. Excellent, which means the health of that patient has improved. The outcome after the surgery will also be better.
Speaker 2:Yeah, that's great, thank you.
Speaker 1:Nancy, you've been quiet.
Speaker 4:Now, you know, I just I like how you guys take their approach of going to the root cause of you know, whatever diagnosis they have, because I feel like in today's world we we just like to treat the symptom, treat the symptom, treat the symptom, and that really gets us nowhere except medications you know, but I like your point where you said that you know you treat, you treat the root cause of it and that's how you really get off the medications.
Speaker 4:That's how you really, you know, solve these, these issues. So I I 100% agree with that. I like that yeah awesome.
Speaker 1:Thank you.
Speaker 2:I've not yet met a patient who wants to be sick, who wants to be fat, who wants to not have energy at the at the end of the day, who wants to end up in a dialysis chair or in liver failure. Yeah, it's just interesting because I think sometimes too in healthcare we put especially in in our industry, where we work in with a lot of that, you know, patients on dialysis. There's a lot of shaming of these patients. Well, they wouldn't be here if they would have done what the doctor told them to do. Well, for most people they go in, they have five minutes with a doctor and the doctor tells them to go home and lose weight, get their A1C down, drop their cholesterol, and they say, well, if I knew how to do that, I wouldn't be here in the first place.
Speaker 2:Yeah, exactly, I just think you know the approach that you described today. It lights me up like nothing because it's so respectful. It honors that patient in the center and when we do that which a lot of us, that's why we're in healthcare doctors and nurses we work really well together because we really do want to take care, and when you do take care of that patient in the center, everything else gets taken care of.
Speaker 1:Yeah, and really it shouldn't be doctor that make all the decisions. We all are stakeholders, right? I mean, this is something that is certainly completely missing in the overall healthcare. Doctors think, oh, we are the doctors, we know it all. No, you have to work, build that collaborative approach really between different stakeholders within the healthcare.
Speaker 2:The right tool for the right job. I don't need a jackhammer to hang up the picture on my walls. That what you're saying, doc.
Speaker 1:You know doctor's always coming again. I'm a physician, but for me I disagree with you know the approach, how they look at it. They make all the decisions. Now we have to look at everybody who is part of that care model for this patient, to ensure that you value every input everybody makes there. And that's why we build that sort of circle that you see there, providing that care coordination, so that information sharing it's really seamless. You know so that I see why you're making the decisions. There's a data that supports that. Same thing happened with the, you know, with the Northgate manager. Something happened with. Same thing would happen with the, with the dietician or the doctor, right, so it's. It's not saying, oh doctors, we know you don't know Everybody here, let's all walk together collaboratively, let's help this patient get better. It has to be a collaborative approach. There's no person that has the entire answers to that. When you do that, you're not going to. If you don't do that, then you're not going to get the desired results.
Speaker 5:I love how you speak on a root cause analysis, because I mean personally me working critical care. For so long root cause analysis was only brought up with medical air prevention and for sentinel events. But like, if you really think about it, the root cause analysis, you know, should be utilized in all aspects of patient care in order to give patient centered care. So I just find that very interested, because I heard that word and I was like oh boy, because it just took you back. You know, when you are in the hospital it has almost like a negative connotation, but in this particular aspect is like, wait a minute, no, it shouldn't have such a negative impact. If anything, it should be a positive one. So that was refreshing.
Speaker 2:Yeah, yeah Well, dr Clement, thank you so much for joining us today. If people because we're going to share this far and wide if people have questions, are they going to get to know you or your team at Siba Better? How do they find you? How do they reach out to you?
Speaker 1:So I mean there are two ways or different ways that they can reach out to us. You can go on our website. You can really request to connect with a care team. I mean there's a link there that will take you. Once you put information, it goes to the care team, right, and then not care manager will reach out to you and then schedule an appointment for you to connect with the provider. I mean, if they want to email me directly, they can email me. You know so the Ms I Clement at SibaHealthcom.
Speaker 1:But, most importantly, it's easier for them to go on the website right, click on the link you know and connect with the care team and the care team will suddenly direct you to where you need to go and then provide you with the information that you need. And, if you think it's helpful, are you able to also then join Siba and then begin to see. You know how we build a model that's different, that's changing the face of healthcare today, mostly patients with some of the metabolic diseases you know type 2 diabetes, pre-diabetes, even obesity, inclusive, right. So it's a different care model and this game of that is suddenly impactful and suddenly compelling to a lot of patients who live their life, a healthy life. You know from. You know empowering them as well, so I'm excited to always be part of this conversation and continue to share and learn from all of us here that are here today, and so I'm excited.
Speaker 2:Well, me too. Sibahealthcom is with a, c, c is entirely.
Speaker 1:C-I-B-I-N. Yeah, we'll share it, Dr Clement.
Speaker 2:thank you again so much. It's so great to get to chat with you in person. Can't wait to meet you in person for sure. Yeah, I can't wait.
Speaker 1:I mean I'm sure there's going to be a lot of opportunities for us, right Conferences or, you know, when we're launching this magnetic care officially and then I think there might be a lot of opportunities. But suddenly, you know, maybe next time I'll bring our chief medical officer, who's suddenly really way passionate than I am and maybe speaks even, you know, very compelling at what I actually shared today and you will learn from her. I'm happy to always provide this sort of environment where we can also exchange learnings, you know, exchange ideas and learn from each other and continue to build a healthcare model that I consider is the new healthcare today that has a human face. So I'm excited and look forward to learning from you and then hopefully, you know, we'll find out some time to all collaborate.
Speaker 2:Absolutely Changing the game, doc. That's what we're out for. Thank you, appreciate it, thank you, thank you.