Process
We built an innovative cardiometabolic system of care for today and tomorrow.
We support patients and clinicians with a process modeled for holistic, high-value care. Here’s how it works.
How It Works
INITIAL ENGAGEMENT
Enrollment & Onboarding
- A clinician or care team member identifies an appropriate patient and refers them to Stability Health. The patient gains an understanding of Stability Health as an extension of their care team’s services, delivering interim care support and expertise.
- Stability Health reaches out to the patient to begin enrollment.
- Over a phone or video call, we help the patient set up their Stability Health tech-enabled tool connections and methods for easy coach communication.
Our service is designed to meet patients where they are within their diabetes care support and technology literacy. We can work with a variety of devices and methods of communication.
Comprehensive Assessment
- Stability Health matches the patient with a dedicated health coach.
- The Stability Health coach begins to build a relationship with the patient, establishing goals, concerns, health and wellness values, and a positive rapport.
- The coach completes an expert-driven assessment that includes elements of medical history, past care, support system, lifestyle, barriers and future goals.
ACCELERATED GUIDANCE
Designing the Personalized Care Plan
- The patient reviews their care plan with their Stability Health coach, who answers any questions and helps the patient develop specific health goals.
- Concurrently, Stability Health delivers the patient’s unique care plan to their clinician, including specific, therapeutic-focused considerations.
- Coach reviews the initial care plan and starts to work with patients on goals that matter most to them.
- Diabetologists and other clinical specialists review medical history, available monitoring data to create individualized guidance for frontline PCP care teams.
- Stability Health creates a more effective care team: patient, primary care team, and Stability Health coaches and experts.
Patient Care Support & Engagement
- The patient regularly shares their blood glucose and other physiologic data with their Stability Health coach.
- The patient tracks their habits and progress, and communicates with their coach.
- The Stability Health personal coach assists with guided goal setting, motivation, targeted education, check-ins for reassessments, and progress tracking.
- The clinician and their care team receive clinical data, if more timely intervention is warranted.
- If necessary, the Stability Health team of diabetes experts will offer medication or treatment recommendations to the clinician, according to clinical practice guidelines.
- Clinical and self-management success signals a patient’s readiness for the engagement phase.
ONGOING ENGAGEMENT
Intervention Management
- The Stability Health coach maintains a supportive, motivational relationship with the patient and continues to track their progress.
- Based on changes in the patient’s status, Stability Health experts use advanced technology tools, analytics, and years of clinical experience to help determine if adjustments in care are needed. Stability Health will communicate these actionable recommendations to the clinician.
- If the patient encounters a clinical or life change that affects their progress, the Stability Health team can support them in re-entering the Accelerated Guidance Phase.
- Since both diabetes and life circumstances can evolve, Stability Health is there to proactively help both patients and clinicians navigate changes in care.
Latest Case Study
Primary care group working with Stability Health dramatically reduces hospital admissions.
A value-based primary care organization serving a high-risk Medicare Advantage population had done everything right - smaller patient panels; enhanced access; coding initiatives. And yet — their most complex patients with diabetes and cardiometabolic comorbidities were running at 125% MLR, driven by excess hospital utilization. Their frontline clinicians felt stretched and underprepared for the complexity. So they looked for a different approach. Within 18 months of partnering with Stability Health, patients enrolled in the program for six months or more had 59% fewer hospital admissions compared to similar patients who never enrolled. For every two patients enrolled for six months, one admission was avoided annually — $14,000 in savings per avoided admission. VISIT OUR RESOURCES PAGE TO LEARN MORE.
Our Digital Operating System
Timely data, patient goal-tracking, and clinician guidance — all in one convenient place.
While innovative technology powers our diabetes care model, we designed Stability Health so that every patient gets the individual support and expert input they need between clinic visits. We work with each patient and their clinician to find health solutions that work for their unique situation. Our integrated Digital Operating System is composed of:
We deliver complete virtual support that’s consistent and scalable – so clinicians can care for more patients with fewer resources.
Key Components of Patient Success
Inclusive of both clinician and patient participation, Stability Health is a true collaborative partner.
We understand that diabetes care can be challenging and involves a lifelong commitment to healthy behaviors. Stability Health patients are continuously supported and encouraged, making self-management less intimidating and enabling care outcomes to improve.
Stability Health succeeds when these three components work together:
Patient Introspection
When a patient acknowledges, accepts, and understands their diabetes, they can begin to make positive changes. Stability Health is here to help patients close any knowledge gaps and navigate their self-reflective journey.
Clinician Presence
When clinicians act as agents of therapeutic momentum, they can implement management steps to appropriately intensify or de-intensify treatment. This helps the patient to gain control while encouraging their disease self-management.
Health-Focused Activities
Diabetes self-management is more than blood tests and medications. Patients who engage in appropriate wellness activities — plus regular communication with and guidance from their Stability Health coach — experience significant positive results.
Testimonials
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“Stability Health has changed me from a person who didn’t like to take their [blood glucose] scores to someone who does it quite regularly. If I got on a different insurance plan and they didn't offer Stability Health, I would pay for it.”
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“I’ve struggled with diabetes since I was nine years old and I can honestly say that the quality of support that my Stability Health coach gives me, is the best care I’ve ever received. She’s incredibly knowledgeable and she truly cares about me and about helping me to make some needed changes that I believe are improving my health and my life. I just appreciate her and the program so much.”
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“With diabetes, you feel like you’re in it all alone. Now I always feel like there’s somebody looking over me.”
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“I didn't have any support. It would be just me going to a doctor every 6 months, and if anything happened within that time before my next check up it would result in me going to the hospital. ”
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“Stability Health helps us support patients who are struggling with their diabetes. It’s like having another pair of eyes and ears on a patient, mentioning other things that might help, catching things we might miss. There’s an incredible need for companies like Stability Health to get into this space and help us take care of these patients.”
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“Coach is outstanding - Caring, professional, intellectually stimulating, and knowledgeable in so much. ”
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“[My coach] double checks on me to make sure I’m doing well — you don’t always get that from a doctor.”
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“They have done more than I ever expected. It isn't about prescriptions or anything else. Coaching and consulting can't get any better. [My coach] is like my conscious, and I can talk to her about anything. ”
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“Stability Health addresses one of the most critical health care needs in the U.S.”
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“Judgment-free consultations. It is not bad behavior and you don't want to be told you are not doing everything you can, and you don't want to feel like you are failing. That is probably the biggest thing about Stability Health. ”
Recognition
Stability Health was named one of 2021’s Best Tech Startups in Worcester, MA.
Certification
Stability Health is certified by the Compliancy Group.
