CLINIC-IN-A-BAG>ACCESS TO HEALTH CARE >CLINIC TO THE PEOPLE
25 Minimum units for qualified Distributors. Free Training and National Promo-support for distributors
Extending care to the people of every community,
where and when they need it the most.
A proposal to make your country a center
for health excellence, presented in
collaboration with:
www.rijuven.com
info@rijuven.com
REVOLUTIONIZINGTHE
CONNECTION BETWEEN
HUMANS AND HEALTH
Extending care to the people of your community, where and
when they need it the most.
Overview:
Providing healthcare to rural communities is extremely inadequate and
costly.
Care workers in these areas do not have the tools they need to properly
examine citizens.
Rijuvens Clinic In A Bag (CIB) program has successfully provided care
access through care extension in the most remote regions.
Wirelessly connected devices and a mobile app connect the care worker back
to the physician in real time for immediate diagnosis and treatment.
Newly trained care workers are equipped with an ultraportable health
diagnostic bag to provide screenings and treatment at any point of care.
Rijuven is creating a new generation of community care entrepreneurs that are
providing health to their villages, while feeding their families.
More of the population is screened, care is coordinated, and health is
delivered at a fraction of the cost of any comparable!
www.rijuven.com
info@rijuven.com
INTRODUCTION
The majority of the worlds people currently live in rural and remote areas, representing a shift that is
seen in your country. However, the majority of health workers and infrastructure remains in the cities
and semi-urban areas. This concern is common to almost all countries and poses a major challenge
to the timely and adequate providence of healthcare.
2%
23% Villages
25%
Urban Semi-urban
75% 75%
Urban
Rural
Population Doctors by Area
With the countrys increases in patient populations and lack of improvement in health status, health
providers, health centers and governments are struggling to provide proper primary care and to
keep patients out of emergency rooms, hospitals and other high cost settings. Care workers are
forced to explore new ways to extend care to homes, villages, rural and urban communities, with
little tools available. Some are undiagnosed and far too many die.
Traditionally, the diagnostic capabilities in these environments have been sparse, expensive
and disconnected, leading to declining health, lost time and higher mortality rates.
THE SOLUTION
CLINICIAN MOBILITY
Rijuvenis solving this problem by improving the diagnostic process, facilitating
remotemonitoringand patient examination, increasing access to lower cost, higher quality care in
the places it is needed the most. Rijuven's patient examination platform allows diagnosis and,
many times, treatment of patients in one place, at one time and with higher quality and
outcomes.
Rijuven has created the Clinic In a Bag (CIB) program as a fully
equipped single ultra-portable care delivery system that can be
deployed in any area. With the simple design and wirelessly
connected suite of medical devices, labs and instant clinical analytics,
care workers can diagnose and treat patients in even the most remote
settings.
Medical devices, point of care labs, clinical analytics, telemedicine and
remote patient monitoring connect into cloud-based patient management
and reporting to extend existing care models to any place and time a
clinician is available creating accurate and timely diagnosis across the
full care continuum.
For emerging markets affected by the rural health crisis, CIB is seeing
strong adoption as a platform to deliver comprehensive care using new
business models based on direct delivery of care by non-physician clinicians
to meet the great need for primary care in vast underserved areas.
PROGRAM BENEFITS
MANY HANDS MAKE LIGHT WORK. ~ Haya
Community Care Extension
Combat HIVAIDS, malaria and other infectious diseases
through rapid response screening and treatment
Examine the well for preventive health and health
education
Maternal Health- Provide Prenatal, post natal monitoring
Reduce child mortality through pediatric assessments
Monitor the sick and refer diagnosed to facilities for further
treatment
Train new cohorts of care workers in the community with the
support and benefit of a connected doctor
Create more care access points while reducing care costs
Modernizing the Facility
Expand the health center and clinic diagnostic capabilities
Create more monitored beds from Med Surge to ICU
Connect a remote physician to the bedside
Diagnose and treat from anywhere in the world
RIJUVEN PATIENT EXAMINATION SOLUTIONS
The only patented, FDA cleared 3-Lead ECG and Digital Heart Sound recorder
stethoscope attachment. With Rijuven's clinical app, clinicians can visualize heart
murmur, analyze heart rhythm and identify heart failure anytime, anywhere.
Clinic In A Bag combines advanced diagnostic tools, vitals, point of care labs and
clinician observations with analytics and telemedicine capabilities enabling
screening and assessment of diseases and timely interventions. Wirelessly
integrated diagnostic devices, a clinician app and SaaS patient management and
analytics extend care models to any place at any time. A clinic without walls!
Total Health Monitor
At the heart of Rijuvens remote patient monitoring solutions, rejiva is a patent
pending, wearable patch which continuously captures ECG and measures
Heart Rate, Heart Rate Variability (HRV), Respiratory Rate, Stress, Sleep
Metrics, Ambulatory Body Positioning, and Energy Level. When combined
with the appropriate app and peripherals, rejiva:
Is a cardiac monitoring platform providing streaming ECG with
continuous analysis (replacing Holter, Event and MCT monitors)
Is a real- time remote monitoring platform providing clinicians anytime,
anywhere visibility to patient diagnostics in a facility, at home or on the
go.
Is a consumer platform that assesses health based on analyzing
ECG, vitals and the Autonomic Nervous System (ANS) for Stress.
THE PROGRAM
Rijuven provides a 4 phase approach to implementing a successful CIB program. Once an
infrastructural plan is created, care worker selection and training begins. As the program
runs, Rijuven assists with public marketing of the program and provides outcomes based
reporting and success stories.
Clinic In A Bag Setup and Care Coordination
Product Needs Assessment- First the number of CIBs per population,
1 facility and/ or per care worker are determined based on the population
served and underserved.
Infrastructure Assessment- A hub and spoke design allows for physicians to
remain centralized while new care workers service remote and rural areas.
Facility Needs- As CIB identifies more patients needing hospital care, additional
monitoring devices are provided a hospital and health center beds.
Care Worker Selection and Training
Physicians- A census is taken on the number of physicians by specialty are
available and their maximum patient load.
2 Nurses, Midwives- Care workers already medically educated and
experienced are trained to use CIB, how to share findings, and how to
properly triage patients.
Allied and Social Workers- Since CIB is easy to administer, and non-invasive for
most diagnostics, care extension training is provided to non-medical workers in
the most remote locations.
Care Coordination- The hub and spoke care coordination model is tested in
radiuses venturing further and father from clinics and health centers until an area
is fully saturated with health screening opportunities. Telehealth- An international
cohort of physicians is available for telehealth consultations when and where
local physicians are not available.
Publicity and Marketing of Services
3 Rijuven provides marketing templates and video tutorials that have been
successful in other areas in attracting the communities to get health screenings.
Outcomes Reporting
4 Rijuven benchmarks each program annually for program administrators to
document and share the success of their program with their constituents as
well as other organizations.
SUPPORTING NATIONAL POLICY
TheNational Health Policy outlined the goals, structure, strategy, and policy direction of the
health care delivery system in the country Roles and responsibilities of different tiers of
government, including nongovernmental organizations, were clearly defined. The policys
overall long-term goal is to provide adequate access to primary, secondary, and tertiary health
care services for the entire Nigerian population through a functional referral system. The
underlying principles and values of the Revised National Health Policy are as follows:
Health and access to quality and affordable health care are human rights.
Equity in health care for all citizens will be pursued as a goal.
Primary health care (PHC) will remain the basic philosophy and strategy for national
health development.
Good-quality health care will be assured through cost-effective interventions that are
targeted at priority health problems.
A high level of efficiency and accountability will be maintained in the
development and management of the national health system.
Effective partnerships and collaborations between various health sectors will be
pursued while safeguarding the identity of each.
The overall objective of the Revised National Health Policy is to strengthen the national health
system such that it will be able to provide effective, efficient, quality, accessible, and
affordable health services that will improve the health status of all citizens through
achievement of the health-related Millennium Development Goals (MDGs). The main health
policy targets that includes the following:
Reduce the under-5 mortality rate by two-thirds between 1990 and 2015
Reduce the maternal mortality rate by three-quarters between 1990 and 2015
Reduce the spread of HIV/AIDS by 2015
Reduce the burden of malaria and other major diseases by 2015
The national health policy identifies primary health care as the framework to achieve improved
health for the population. PHC services include health education; adequate nutrition; safe
water and sanitation; reproductive health, including family planning; immunization against five
major infectiousdiseases; provision of essential drugs; and disease control. According to the
policy, a comprehensive healthcare system delivered through PHC centers must incorporate
maternal and child health care, including family planning services.
The national health sector is characterized by wide regional disparities in status, service
delivery, and resource availability. In view of this situation, the government has initiated
several interventions including the Midwives Service Scheme (MSS); the Subsidy
Reinvestment and Empowerment Program,
Maternal and Child Health (SURE-P-MCH); and systematic PHC infrastructure
upgrades through the Ward Health System.
Any Patient
Any Time
CLINIC IN A BAG
Any Place
CLINIC IN A BAG is a
comprehensivecloudbased examination
platform clinicians can wirelessly deploy to
assess patients at any point of care.
from www.rijuven.com
Patient to Patient
Ward to Ward
City to City
CLINIC IN A BAG is a comprehensive
examination whenever and wherever
clinicians need it.
Clinic in a Bag combines vitals, cutting edge diagnostic devices, lab work and
HDtelemedicinewith the power of cloud analysis and EHR reporting to create a new level of
accessible examination A clinic without walls.
HEART: Auscultation, 3 Lead
EKG,Heart Failure Analysis (SPI)
LUNG: Spirometry, Lung Function
VITALS: Pulse Oximetry, Blood Pressure,
Temperature, Digital Weight, Heart Rate,
Breathing Rate
IMAGING:VascularUltrasound,
ThoracicUltrasound, Abdominal Ultrasound
(not available in the US)
LAB WORK: Cholesterol Lipid Panel,
BloodGlucose, Urinalysis
TELEMEDICINE: Remote Consultation,
HDPhoto Visual Exam, Video Encounter, Cloud
EMR Reports
Clinic in a Bag generates cloud based
EHRreports and analysis for examinations
done in a facility or in the field.
Cardio-Pulmonary
Vitals
Imaging
Lab work
Remote Consultation
CLINIC IN A BAG
Learn more at
from www.rijuven.com
CLINIC IN A BAG
A comprehensive portable
examination platform clinicians
can wirelessly deploy to screen
patients at any point of care.
Connected Care
Any Patient. Any Time. Any Place.
CLINIC IN A BAG streamlines diagnosis at an
affordable cost by collecting, transmitting and
analyzing heart, lung, cardiovascular, vital signs,
imaging and lab clinical assessments during a
physical exam.
Telemedicine Focused on the Clinician.
The Bottom Line- Saved Lives, Time, Costs.
The health examination should not be replaced by
technology, but assisted with technology. CLINIC IN A BAG
is a connected device and decision support solution for
clinician administered, digital assessments.
Whether remotely or in the facility, actionable clinical
data is always accessible. This saves lives, time and
costs for each and every encounter.
Rijuven.com
More than Just Connected Devices
CLINIC IN A BAG devices are always connected to mobile and cloud. With multiple portability
options clinicians have the tools they need- anytime, anywhere.
Wall and cart solutions available. Wall mount shown.
A Comprehensive Physical Exam
CLINIC IN A BAG analytics, EMR and clinician decision support tools make a
comprehensive physical exam on the go.
GO ERRORLESS. GO PAPERLESS.
Improve Outcomes. Increase Efficiency.
CLINIC IN A BAG analytics go with the clinician to CLINIC IN A BAG connects vitals, diagnostic
any point of care. The result is a comprehensive and and lab devices with live notes, real-time
precise physical examination to be shared in real time consults, HD photo and video exams and a
with the care team. complete telemedicine EMR report.
Rijuven.com
CLINIC IN A BAG
Screening Panel
Heart Lung Vitals Imaging Blood Labs Telemedicine
Auscultation w/ ECG Lung Function* Heart Rate Vascular Ultrasound* Blood Glucose Remote Consultation
3-Lead ECG Spirometry Breathing Rate Thoracic Ultrasound* Lipid Panel HD Photo Visual Exam
Cardiac Function- Peak Flow Blood Pressure Abdomen Ultrasound* A1C Video Encounter
SPI, MPI, PEP, PE% Pulse Oximetry Carotid Doppler* Vitamin D Live Notes
Core Temperature C-RP Cloud EMR/ Reports
Digital Weight TSH, PSA
Cancer Screening Urinalysis Drug Toxicology Urinalysis* Additional Labs*
Colon Cancer Leucocytes Ketone AMP, BAR, BUP, BZO, COC, OXY, Vitamin D
Prostate Cancer Nitrites Bilirubin MDMA, MET, MTD, THC, OPI 300 Hemoglobin
Urobilinogen Glucose PCP, + CRE, SG, OX. Hematocrit
Protein
Blood
Specific Gravity
Sample Reimbursement Codes
Procedure Example CPT Code
Reimbursement
EKG $10.00 93040
Spirometry $40.00 94375
Labs- Urinalysis $15.00 81003
Lipid Profile (Total Cholesterol, HDL $18.72 80061QW
Cholesterol, Triglycerides
Glucose Profile
$5.48 2947QW
Ultrasound $100.00 76705
IPPE Preventive/ Wellness $160.00 G0402
IPPE Ultrasound for the Aortic Abdominal $100.00 G0389
Aortic Aneurysm (AAA)
Visit Level Increase
$15.00 99211-99215
Disclaimer: CMS was the primary source of the information contained in this document. Rijuven does not represent or guarantee that
this information is complete, accurate, or applicable to any particular patient or third party payer. Rijuven disclaims all liability for any
consequence resulting from reliance on this document. The final decision of billing for any service must be made by the health care
provider considering the medical necessity of the service furnished as well as the requirements of third-party payers and any local,
state, or federal laws and regulations that apply. Rijuven is providing this information in an educational capacity with the
understanding that Rijuven is not engaged in rendering accounting, or other professional services. Rijuven encourages all health care
providers to consult with their own advisors regarding coding and payment. Rijuven.com
December 13, 2016
PROGRAM PRICING
A complete Clinic In A Bag deployment consists of the device
suite, iOS mobile device and telemedicine cloud subscription.
Replacement materials including disposable medical supplies,
lab collection kits and batteries are priced as needed. The
pricing below reflects pricing considerations for a complete
deployment, with these additional items included.
Marketing Materials
Video and Teleconference Training Materials
Loss/ Damage Insurance and Tracking
Clinic In A Bag Devices
Per Unit $5,000.00
Telemedicine Subscription
Annual $1,000.00
Additional Devices
Ultrasound $3,500.00
ipad Mini 2 Wifi 16 gb $500.00
Order quantity:
Rijuven Representative:
Ordered by:
Signature: Justin M. Bass
To: RIJUVEN AFRICA: Dr. Joe MaduPh: +14698671149
Email: clinicinabag@globaltelemed.biz or sirjoemadu@gmail.com Chief Strategist
www.rijuven.com
Register: $150/N50K (Naira) for CIB Work Shop & $150/N50K (Naira)for CIB Certification
Register for Sept 12-16th workshops & certification in Abuja & Lagos.Email
clinicinabag@globaltelemed.biz with your details and payment receipt to secure your spot.
Payments to: Fidelity Bank Resource HQ Account#:4010897693
