My Diabetes My Way

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My Diabetes My Way

24th November 2017

Low-cost, scalable, comprehensive online self-management platform for people with diabetes.

“I am much more in control of my condition, but importantly, I now understand the goals that I should be achieving and am able to have a constructive discussion with my consultant. This patient access through My Diabetes My Way is an outstanding achievement in the care, education and involvement of people with diabetes.”

Patient

Summary:

MyDiabetesMyWay (MDMW) is an web-based platform/ smartphone app for people with diabetes, tethered to the healthcare system. MDMW has run nationally, since 2008, across NHS Scotland, and is implemented in 20% of NHS England through MyWay Digital Health. MDMW has >60,000 registrants (full data access) and more than 500,000 unique users (education platform); utilising >250 multimedia educational resources, including >100 non-english language resources, and 7 x fully (QISMET) accredited structured education e-learning courses for type 1, type 2, gestational diabetes and diabetes prevention.

MDMW integrates with NHS records through linkages with GP, other NHS IT systems, and home-recorded data through device integrations (blood glucose, activity data) and manual data input (including blood pressure/ weight). MDMW enables remote communication with health care providers (secure messaging) and drives highly tailored advice and reports (data-algorithms). MDMW improves health outcomes (HbA1C, weight and blood pressure) with significant cost savings (ROI~ 5:1).

MyWay Digital Health has developed a complimentary clinician and population analytics solution (MyDiabetes Clinical), a diabetes electronic health record, remote communication platform encompassing clinician-facing decision support (improving guideline adherence), national KPI tracking, local audit functionality and predictive analytics for diabetes complications, health deterioration, diagnosis at individual/ population level.

Challenge/problem identified:
Diabetes is a growing health problem affecting 9% of the global population. Diabetes spending will consume around 17% of the NHS budget by 2025. People with diabetes only spend a few hours per year with healthcare professionals. The rest of the time they self manage. ePatient education, empowerment, feedback, motivation and flexible access to healthcare staff can reduce costly long-term complications, clinic visits, hospitalisations and death, allowing people to live longer and healthier lives with reduced care costs.

Impact:

88% of users felt MDMW helped them to manage their diabetes better*
Improvements in long-term blood glucose sustained out to three years (based on large case control study)
Over 6:1 return on investment (ROI) based on analysis of outcome data from long-term user in NHS Scotland
Registration for, and active use of, MDMW demonstrates independent and significant predictors of 1 year and 3 year HbA1c p<0.001**
Users of MDMW with type 2 diabetes not treated with insulin demonstrated a reduced HbA1c within one year and a sustained reduction after 3 years of follow-up**

*Based on a recent evaluation survey of 1,098 MDMW users

**Based on a recent evaluation of clinical outcomes using time-series analytics comparing the HbA1c recordings of intervention and control cohorts

Download a list of supporting evidence here.

Fellow: Deborah Wake

Category:

2017

Tags:

Self-care and education