Health is Wealth: The Point-of-Care Health Technology Model

The power of point-of-care technology

Point-of-care testing leverages a suite of solutions to significantly streamline medical testing procedures. By leveraging technology such as blood analyzers, clinicians can secure real-time test results in a matter of minutes. This, in turn, allows them to ensure better patient outcomes, providing the highest quality of care possible.

Recent technological advances have made these tests even more efficient and accurate, in many cases allowing patients to perform them from the comfort and safety of their own homes. Even in scenarios where advanced equipment is required, the equipment typically doesn't require specialized training to operate. Point-of-care technology (POCT) has other benefits, as well.

First, it allows results to be shared in real time, both for review by the physician and in the event that they need to confer with colleagues. The fact that the tests can be performed so rapidly and shared over the cloud also eliminates considerable delays in the treatment process. Rather than waiting for lab results, a physician has the answers immediately available for diagnosis.

POCT also aligns well with the health sector's transition to electronic health data, providing analysis-based results that are automatically attached to the patient's health records and made readily available for other medical personnel. Again, this supports better outcomes across the entire healthcare sector.

Despite all its benefits, POCT is not without its share of roadblocks, many of which stem from its collision with traditional workflows, thought processes and procedures. Current evidence suggests that pharmacists have the potential to act as drivers of innovation across the entire health sector, simultaneously supporting the development of POCT while also addressing widespread staffing and resource shortfalls.

Rethinking the ideal point of care

For many years, it was widely accepted that the physician's office was the best location for point-of-care testing. Recent developments in healthcare have done much to challenge this notion. Prior to COVID-19, experts already warned of an impending family care physician shortage.

The pandemic only exacerbated this problem. Doctors were already planning their retirement or scaling back their family practices. New graduates were already foregoing family medicine for specialized practices. This was all prior to the mass exodus of healthcare workers brought on by the pandemic.

Supported by POCT, pharmacies are perfectly positioned to step in and fill the void left by family doctors.

Industry leaders such as CVS and Walmart have already invested considerably in expanding their service footprint. Not to be outdone, Walgreens — by far one of the largest pharmacy chains in North America — has already developed and deployed several POCT-based programs.

As much as these innovations are a net positive for the industry, they've also made it abundantly clear that better systems and tools are desperately required. Current point-of-care technology bears many of the outdated design principles that have long bottlenecked hospitals in their efforts to embrace digital transformation. Rather than appreciating their convenience and capacity to provide better outcomes, patients are frustrated.

What should be a phenomenal experience is instead held back by cumbersome interfaces, unreliable software, underwhelming testing technology and painful authentication processes — not to mention data leakage issues.

A new path to healthcare innovation

Not everyone remains mired in the past. Canada, globally regarded as a hub for technology innovation, is now home to the most robust POCT program in the pharmacy sector, courtesy of Shoppers Drug Mart, Canada's largest chain. Noted as an industry leader, Shoppers Drug Mart in 2021 began a pilot of Avricore Health's (TSXV:AVCR) turnkey point-of-care platform, HealthTab™.

The initial pilot, deployed in a total of 53 locations, was an enormous success, conducting over 16,000 tests on nearly 7,000 patients. Of those patients, 31 percent received new medications, 28 percent received medication dosage adjustments, three in five received direct intervention by a pharmacist and 235 undiagnosed cases of diabetes were discovered. And this all took place without requiring patients to set one foot in a doctor's office.

Following this success, Shoppers Drug Mart announced that it intends to bring the turnkey platform to one-third of its locations nationwide. The platform has already deployed to 104 pharmacies across British Columbia, New Brunswick, Nova Scotia, and Ontario. It will eventually be available at 450 locations.

In Alberta, meanwhile, HealthTab™ has partnered with the Lethbridge Real Canadian Superstore, now the province's first pharmacist-led walk-in clinic.

In both cases, HealthTab™ leverages cloud-linked testing instruments, secure delivery and calculation of results, and an incredibly robust quality assurance program. Testing is made possible through a 2020 partnership between Avricore Health and global POCT maker Abbott. More than anything, this can be seen as a proof of concept for pharmacy POCT solutions as a whole.

HealthTab™ has proven not only the viability of its industry but also the ability of a well-prepared business to scale and meet demand while maintaining a low acquisition cost and high cash flow. Though significant competitors are soon to emerge, for the moment HealthTab™ is poised to have the largest, most robust network of cloud-linked POCT-enabled pharmacies in the world, testing hundreds of thousands of patients and generating significant new opportunities for the pharmacy sector. There is also the potential for this same technology to be leveraged in decentralised clinical trials.

Takeaway

The health sector is evolving. As proven by solutions such as HealthTab™, point-of-care technology has the potential to completely revolutionize medical care. More and more, it seems that revolution may take place in pharmacies rather than traditional clinics — something for healthcare investors to bear in mind.

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