http://www.sagehealthadvisor.org/home-1 daily 1.0 2017-02-20 https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5775de82579fb3d8a5fbb5ce/1467342467782/ Home https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5775de6e37c581f327e148a7/1467342449446/ Home https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5775de8b37c581f327e14950/1467342476890/ Home https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5775de79579fb3d8a5fbb578/1467342458445/ Home https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5776c57d15d5db1baa86e491/1467401601419/RedBackground.png Home https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5776c5f62e69cf38271e6c2a/1467401732372/Sage_WebsiteImage_DHA+Homepage.png Home http://www.sagehealthadvisor.org/context daily 0.75 2017-02-20 https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/577467935016e151e8c5563f/1467335454684/peeps.png Context https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5774679c5016e151e8c5567d/1467335449125/pie.png Context https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5775c3071b631b4bf55b25f2/1467335442075/cost+graph.png Context https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5775cd45725e2555f21a194b/1467338060029/ Context https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/57745f78ff7c50e8f4800bd5/57a23361be6594e2968ec013/1470247823634/patientstory_4.jpg Context - Leanne and Bethanny Leanne loves her children, and even though she is in the midst of a particularly rough year with her health, she still worries constantly about them. At 85, she has seen a rapid and particularly frightening decline in 2016. Rare dual infections in her eyes almost left her blind while her COPD worsened significantly. Her usually lively and social lifestyle is now largely limited to her home; she just wants to go dancing again. Her loving and attentive daughter Bethanny celebrates her resilience, even as Leanne openly admits that she has in fact been depressed. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/57745f78ff7c50e8f4800bd5/57a232806a4963ee61499ce7/1470247575996/patientstory_3.jpg Context - Martha and Lisa Martha and Lisa have a lively, fast talking, humorous mother and daughter relationship. Lisa, a stay at home mom, not only dedicates her time to taking care of her mother, but also manages the health of an elderly neighbor while still wanting to do more for her community. Martha prides herself on keeping up with her diabetes, memorizing her blood sugar levels from the previous day, and preserving pieces of her independence even as her health declines. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/57745f78ff7c50e8f4800bd5/57a230ac20099e9262250316/1470247109286/patientstory_2.jpg Context - Angela and Melanie Angela and Melanie are two incredibly strong women. As sisters, both struggling with Lupus, they rely on each other for physical, medical, and emotional support. Angela has struggled with Lupus for over 30 years and over 20 years ago, she lost her only child to the disease. To this day, she faces an unpredictable battle against Lupus that leaves her physically limited and emotionally weary. Now, she builds a happy life through family, by taking care of physical appearance, and by finding time to indulge in fashion, which she loves. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/57745f78ff7c50e8f4800bd5/57a22f7937c5816337b76ef2/1470246811804/patientstory_1.jpg Context - Arthur and Craig Arthur and Craig have experienced so much in life, lots of love and unfortunately lots of loss. Their experiences have helped them grow more resilient and optimistic, which keeps them afloat. Arthur is a born caregiver and a true advocate for his partner; his devotion to Craig’s health is both a labor of love and a thank you for Craig's own compassion and sacrifice. They trust each other implicitly. Craig, despite recently suffering a stroke, sees recovery on the horizon and looks forward to seeing his children and grandchildren more often. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/57745f78ff7c50e8f4800bd5/57754f421b631bb1e1bfbf0e/1470178933357/Savannah.png Context - Sarah and Rene Sarah is 98, and has lived longer than many of us ever will. She clings to her faith and her dear friend Rene as her only pillars of support in this late stage in life. She lives amongst the hustle and bustle of Tribeca in Manhattan, longing to go out simply to sit in the courtyard or visit a shop. But her age leaves her mostly confined to her apartment as professional caregivers buzz around the home, taking care of her. At 72, Rene takes pride in the way she helps Sarah even though there is no one there to take care of her. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/57745f78ff7c50e8f4800bd5/57754f40d482e938c56a1ef7/1470178312069/Sadie2.png Context - Annie and Rosa At 87, Annie is a kind and funny, while soft spoken; her smile is radiant. She is surrounded by a large and loving family, who visit her throughout the week to share in meals, laugh and help her with errands. Her daughter Rosa lovingly leads the charge in caring for her mother, she does all she can. Despite this support, Annie regularly experiences sadness and uncertainty that is difficult for her family to understand. For her, it’s something that’s hard to describe but often present, particularly in the morning. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/57745f78ff7c50e8f4800bd5/57754f3ed482e938c56a1eb8/1470178458249/Ivonne.png Context - Eve and Maya Eve, 65, lives with her daughter and granddaughter in a 5th floor apartment in the Bronx. She spent her life caring for others, but now has a host of health problem including asthma and COPD that repeatedly send her to the ER or leave her stranded in her Apartment when the elevator breaks. One of her daughters, Maya loves her mother and is her strongest advocate. On behalf of her mother she takes on a healthcare system that has repeatedly shown indifference and negligence toward them. But they have their own issues, as Maya experiences frustration when Eve does not communicate how she is really feeling to the family. Eve understands the frustration, but as someone who’s been sick most of her life, she is simply sick and tired of talking about being sick and tired. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/57745988579fb3507cb94f09/1467242893639/BeigeBackground.png Context https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/57746b3bb8a79b041a2e2f11/1467247422126/TealBackground.png Context https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5775bf2b893fc0b5001cc2e0/1467334447328/BeigeBackground+%281%29.png Context https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/578547db6b8f5b322decfb02/1468352485838/RedBackground.png Context http://www.sagehealthadvisor.org/vision daily 0.75 2017-02-20 https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5776b35359cc680930df9ee0/1467396948367/ SAGE IN ACTION https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5776b33d59cc680930df9c89/1467396926848/ SAGE IN ACTION https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5776b34659cc680930df9e17/1467396939319/ SAGE IN ACTION https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/t/5776b35d59cc680930df9f5d/1467396958341/ SAGE IN ACTION https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a3/5776dcb3d2b857e1faaaf3a5/1467407553057/02_d_med_conflict.png SAGE IN ACTION 20 minutes later, the Sage app indicates that the Pulmonologist has prescribed new meds via Elizabeth’s EHR. As the drugs are added to her Medication List, Sage looks for potential interactions. It flagged a possible Medication Conflict. Opening the alert, Sophie reads a description of the problem and some suggested next steps. She clicks the “share” button to push the alert to the Pulmonologist, her mother’s PCP, and her siblings. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a3/5776dca4d482e9910fa645a4/1467407696208/02_E_offload.png SAGE IN ACTION Her brother, Antonio, responds with a worried message. She assures him that Sage has flagged the issue and the doctors are discussing how to reconcile it. Later that afternoon, Elizabeth’s PCP sends a message: she should hold off on the new meds until she can do some blood work. The PCP adds appointment to the Shared Calendar for the end of the week. Sophie has a conflict at the time and declines the invitation, which immediately alerts her siblings. Antonio accepts and the appointment is confirmed. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a3/5776dc7c9f7456ca2e70ecf3/1467407531063/02_C_doc_convo.png SAGE IN ACTION At the appointment, Sophie uses the Sage app to take notes — it automatically transcribes the conversation to text and saves it to her mom’s patient profile. This visit is particularly important, so she “star’s” the note and sends it to her siblings. As they leave the office, she sees that her sister has already opened it, so she posts a short Care Team Message: “The doc says to keep a close watch on mom and look out for a dry cough with phlegm.” https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a3/5776dc4ed482e9910fa642bc/1467407472036/02_b_caregiver_notes.png SAGE IN ACTION The day before a visit to Elizabeth’s Pulmonologist, Sophie sends a private Caregiver’s Note to the doctor. She is frustrated that her mother is being guarded about changes in her health, like a worsening nasal drip. She’s worried that Elizabeth won’t be honest in the appointment, but doesn’t want to embarrass her by confronting her in front of the doctor. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a3/5776dc30be6594fbdb0b69fc/1467407427813/02_a_fam.png SAGE IN ACTION Elizabeth, 70, is in a constant battle with severe COPD, arthritis and heart disease. Plus, her memory simply isn’t what is used to be. She relies heavily on her youngest daughter, Sophie, with help from her other two kids, for everything from transportation to dealing with doctors. As the Team Captain, Sophie uses the Sage app to stay on top of her mom’s health and rally other family members as needed. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a3/5776dc16be6594fbdb0b68e3/1467407391459/02_0_lisa_elizabeth.png SAGE IN ACTION https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef29e/577c3ff9ebbd1aa40eeba065/1469719706815/01_F_honor.png SAGE IN ACTION Over the following month, John and his wife occasionally update his Patient Profile, noting two consecutive falls in their home. She writes that he is starting to need more physical assistance than she can provide. Sage begins surfacing topical resources, and a caregiving service called Honor stands out. Together, they check out the Honor website and add it to the Visit Agenda for their upcoming appointment with the Geriatrician. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef29e/5776c30bf7e0ab300453de7e/1469719707092/01_E_visit.png SAGE IN ACTION On John’s first, he is initially skeptical because the Geriatrician seems young. But, because the doctor has reviewed John's Patient Profile beforehand, it doesn’t take them long to connect. He asks John some clarifying questions about his living situation, pill routine, and the mobility issues that Beth added to the Visit Agenda. Both John and his wife leave with a sense that this new doctor really cares. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef29e/5776c2daf7e0ab300453d86c/1469719706931/01_D_doc_view.png SAGE IN ACTION As they build John’s Care Story, surfaces a list of possible discussion points for his first visit with the Geriatrician. Beth adds one about his rapid decline in coordination and mobility. They select “finish,” sending his newly created Patient Profile, Care Story and Visit Agenda to the Geriatrician. They also send his Patient Profile to the Cardiologist whom John is not quite comfortable with yet. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef29e/5776c2b0c534a5695e9d5059/1467400905284/01_C_record_life.png SAGE IN ACTION They build John’s Care Story by answering a short series of questions. They can choose to type the answers, dictate by voice, or save for later. John narrates his answers while Beth types them into the app. One prompt reads, “Show us your living environment…” John takes the phone from his wife and uses the video function to record their bedroom, kitchen — including the drawer where they keep his pills — and even family photos. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef29e/5776c18944024370023c8c6d/1467400649435/01_B_care_story.png SAGE IN ACTION After creating a Sage account, they are able to link John’s Patient Profile with his existing EHR. His medical history, existing conditions, and prescriptions populate automatically. Sage then prompts him to create a Care Story using the Sage app. Beth enters her mobile number and receives a unique pin. When they open the app on her smartphone and enter the pin, it picks up right where they left off on the Sage website. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef29e/5776b994579fb31426273b7c/1467400578341/01_A_sign_up.png SAGE IN ACTION John, 87, juggles multiple specialists and medications. To simplify his care, he is considering switching to a Geriatrician as his Primary Care Provider. Before John’s first visit, he gets a call from the Geriatrician’s office encouraging him to set up a Sage account so the doctor can learn about him in advance. Beth, his wife, thinks it’s a good idea — he has struggled to connect with new doctors. She helps him get started on their computer. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef29e/5776b97c579fb31426273677/1467398532982/01_0_john_details.png SAGE IN ACTION https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2ad/577c405a8419c22dca4c9185/1467760775639/04_d_mood.png SAGE IN ACTION At her next appointment, Karen's PCP applauds her diligent tracking as they review her progress on his tablet. They decide to change her blood sugar reporting from daily to twice weekly, and she'll now track her mood because he would like a better sense of how she is feeling in between visits. Karen feels like she is the master of her health! https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2ad/577c405ae3df28703ba463e3/1467760754097/04_c_tracking.png SAGE IN ACTION Over the next month, Karen logs her blood sugar nearly every day, while her fitness band and scale collect data automatically. Sage regularly emails her Smart Summaries and she checks the Metrics Dashboard often. The interface is simple and is full of tailored recommendations. Sage celebrates her stabilized blood sugar levels with a Goal Badge. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2ad/577c4044e3df28703ba46347/1467760740339/04_b_condition_symptom.png SAGE IN ACTION After creating her Patient Profile, Sage recommends the Metrics Package she should start tracking: blood sugar, weight, and blood pressure. Karen then selects a wearable fitness band and connected scale, available for free through her insurance company, and sets a Check-In Reminder for 6:00pm daily. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2ad/577c30778419c22dca4be723/1467760698159/04_a_signup.png SAGE IN ACTION Karen prides herself on her ability to manage her own health and is wary of burdening her kids. At 65, it’s harder to keep up with the changes in her body, and she’s contending with diabetes, arthritis, and asthma. Her insurance company suggests that she download the Sage app. She isn’t the most tech-savvy person, but decides to give it a try. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2ad/577c306f9f745673840043cd/1467760698040/04_0_karen.png SAGE IN ACTION https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a8/577c304a579fb35f946d0059/1467756634425/03_F_okay.png SAGE IN ACTION Jasmine is already starting to feel better. They end the call and she gets a text from her sister — “you ok?” — Jasmine responds, “Sorry, false alarm. Sage took care of me!” The Care Counselor follows up with a message, suggesting she ask her doctor about how to manage swelling. She continues to practice the breathing exercise, feeling calmer and more in control. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a8/577c3028be6594a326d84dce/1467756639804/03_E_breathe.png SAGE IN ACTION The Care Counselor notes that he can see swelling around Jasmine’s eyes and asks her a few questions. He explains that she doesn't need to go to the ER, but should take an additional half-dose of her prescription migraine medication and an anti-inflammatory pill. The recommends that she try to rest calmly, and walks her through a breathing exercise to help her relax. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a8/577c2fe19f74567384003e3e/1467756596152/03_D_videochat.png SAGE IN ACTION That night, Jasmine is feeling rotten. She has a bad migraine and thinks it might be a Lupus flare-up. She’s worried and scared, but doesn’t want to drive to the E.R. Using her smartphone, she tells Sage, “I think I’m having a flare up.” Sage immediately pings her sister, her appointed Team Captain, and starts a video call with a Care Counselor. He is a trained RN familiar with her condition. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a8/577c2fbb9f74567384003cb0/1467756500046/03_C_clinical_trials.png SAGE IN ACTION Jasmine asks Sage to show her the local trials. Sage responds with, “I’ve pulled up a few local Lupus clinical trials, you can view them on any of your devices now.” She opens Sage on her laptop and scroll through the options. The Care Bot appears in the corner, and asks if she has any questions. Jasmine asks a few specific questions and the bot answers them, referencing her medical history and compatibility for certain trials. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a8/577c2f93d2b8578b1b3a4285/1467756458290/03_B_awful_headache.png SAGE IN ACTION Jasmine receives a text from a friend about a Lupus clinical trial at Johns Hopkins — she’s curious. Via her Amazon Echo, she asks Sage, “Can I participate in a clinical trial for Lupus.” Sage responds, “You can, and there are some happening locally. Would you like to learn more?” Jasmine agrees and Sage provides an overview on Lupus clinical trials. https://static1.squarespace.com/static/576b38cbb8a79bcb10f6c975/5773e56de58c62bc646ef2a8/577c2f70d2b8578b1b3a4115/1467756419659/03_A_jasmine_sage.png SAGE IN ACTION Jasmine was diagnosed with Lupus a year ago. For months she struggled with the nuances of her disease and the resulting depression. 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