The Promise of Small Data for Telemedicine in Chronic Condition Management: A Real-World Case Series

Abstract

Connected care is defined as the “real-time, electronic communication between a patient and a provider, including telehealth, remote patient monitoring,
and secure email communication between clinicians and their patients” (Alliance of Connected Care). Connected care can create a
high-value interaction strategy with patients when it makes thoughtful use of commercially available digital health technologies
with demonstrated both clinical and economic effectiveness. Karantis360™, is a home sensor technology that enables real-time
tracking, data analytics and predictive care for personal (at home) care powered by IBM Watson Health. IndividuALLyticsTM is a
telemedicine platform driven by a patent-pending an N-of-1 analytical engine and related digital dashboards that provides individual,
patient-level evaluation of treatment response. The underlying technology combines disparate digital health technology
data with the best evidence-base guidelines with N-of-1 methodology. The output allows for creation of personalized treatments
empirically tested at the patient-level over time (aka over the course of care). When aggregated both within and across persons,
the time-ordered data can build predictive pathways of behavior and ensure the relevant care and medical treatments are in place
to support effective medical and self-management of chronic illness. This case-series report describes the implementation of a
joint home sensor technology (big data) and an N-of-1 analytic engine (small data) with three elderly consented volunteer customers-
patients of Karantis360™. Each person underwent successive, 2-week behavioral change treatment phases to determine
usability, utility regarding medical and self-management and any proximal effects on health risks.