Chronic care solutions for payors and providers

Patient and caregiver empowerment is at the heart of what we do. Patients who take ownership of their own chronic condition management and monitoring have been proven to improve and stay healthier than those that don’t. For all the conditions we manage, our approach is the same: we provide validated learning for patients, easy ways to exchange data with the right caregivers and straightforward feedback that drives continuous improvement. The Guidepost platform is the underlying architecture that lets our carers, patients and providers access the information they need to do what they need to do in the most efficient and effective way. The platform has been designed from the ground-up to be scalable and easy to use. Its functionality is based on leading thinking from doctors around the world. Below we’ve highlighted some of the features of Guidepost and how they have been used across multiple chronic diseases.

Coach Tools – Examples in Diabetes

Our Coaches use the Guidepost platform to track and monitor patients in their portfolio. The platform integrates data feeds from a number of different sources, pulling together a consolidated view of the patient’s data. Based on near-real-time data, the platform uses sophisticated rules to determine the best next-steps for the patient’s care.

Care Coordination

Our proprietary care processes have proven to be dramatically more effective than standard practice. The 2012 Health Quality Assessment report (which reviews quality of care across South African Medical Aids) revealed that less than 50% of people on medical aid receive their prescribed minimum HbA1c readings and less than 20% receive an eye exam. We assist patients to get the prescribed minimum benefits for their conditions and to justify additional medical treatment when necessary.


Patients provide their own blood glucose readings periodically. Using the patient-provided data in combination with lab results and doctor feedback, Carers provide telephonic coaching, education and advise on dose titration for the patient’s medication. Coaching allows patients to understand their own condition, determine the changes they need to make in their lives and take action to achieve their health goals.

Patient and Provider Tools – Examples in Asthma

Asthma can be a frustrating disease. For many patients, they’re never sure what to expect or when they might have their next attack. Doctors frequently don’t have the time to provide in-depth coaching on asthma and pamphlets or books are often ineffectual.

Mobile Monitoring

Using the Guidepost mobile application and mobile website (that works on almost any phone), patients can track and monitor their asthma. Patients fill in a quick weekly quiz about their asthma symptoms. Using world-leading guidelines for asthma control, Guidepost provides direct, easy to interpret graphical feedback on the patient’s current health and their overall trends. The app suggests specific training for their situation or flags the patient for follow-up by a Carer. Patients can also record specific asthma events, such as an attack or a good day, in their Guidepost diary. Keeping track of events helps patients and caregivers to spot patterns so the patient’s treatment can be changed appropriately.

If your doctor has opted-in to Guidepost, they will have full access to the patients’ histories and event diaries at any time, available on their own mobile phone. The list of patients is prioritised based on each patient’s symptom history. With one click they can call the patient to discuss the patient’s symptoms. Doctors can also use the information and trends analysis in the app during consultations with the patients, allowing for more informed decision-making.

Mobile Learning

Guidepost contains a number of courses on asthma. All the training materials are doctor-written and approved, ensuring patients get the best advice from South Africa’s leading asthma specialists. The courses are short and straight to the point, plus they have quizzes that allow patients to check their knowledge. Caregivers can see which courses have been successfully completed so they have clear visibility on what patients have successfully learned and where patients still require assistance.