1. Monica Stynchula
Creator & President
Dovetail Care, LLC
Health –the state of
complete
physical, mental and
social wellbeing and not
merely the absence of
disease or infirmity.

2. The needs outweigh the resources
Medicaid 19% of enrollment and 39% of health care cost.
States using managed care for Medicaid medical management.
2010 Census > 75 % least one chronic condition.
Uncontrolled chronic conditions leads to hospital admissions.
Elderly poverty biggest driver is medical expenses.
Many are food insecure.
Lack connections to community resources.

3. Affordable Care Act
Aka Obamacare

4. Our Mission
Dovetail Care is safety, monitoring and pre-intervention
software committed to empowering every senior in their
retirement journey by identifying and activating resources. We
are dedicated to combining the highest quality personalized care
plans with the latest social media technology. Our care and
communication channels unify seniors, their family, social
network and professional services
into one cohesive team
available anytime,
anywhere.

5. Features of The Dovetail Care System
Assessment & Tools Track your abilities
Communication Portal Engage your family and friends
Care Portal Chart your progress
Financial & Legal Control your future
Vault Secure your documents
Resource Manager Access your benefits
Website launch slated for March, 2013

6. Usability Factors Portable
Quick and easy mastery, builds
confidence
Engaging and Empowering
Efficient, effective information
Predictable intuitive navigation
Simplified use of smartphone
technology
Forgiveness, limited click backs
Launch – March, 2013

7. Building Connections

8. • 11.7 million purchased Medicare Advantage in 2010
• 81% of all citizens 65 and older owned their home in Q4 2010.
• B2B sales to Medicare/Medicaid dual enrollment and Medicare Advantage health plans.
• White label allows health plans to customize to plan, location and clientele.
• Value added service offering for Medicare Advantage plans required in 2013.
• Data repository outside medical record with double encryption security, more agility.
Best case Scenario (Mandatory Participation):
* If we use the rate of PAH 151/1000 (literature), for 1000 duals monitored, we will be able to prevent
150 hospitalizations per year. Each would have cost $8000 (both acute and sub-acute care).
* PAH’s avoided = 150*$8000= $1,200,000
* We will avoid at least 500 unnecessary ER visits per 1000 engaged duals (Medicare rate is 500/ 1000)
* Each ER visit costs $1000
* ER visits avoided= 500*$1000=$500,000
* Total impact from ER and hospitalization avoidance:
1,200,000+500,000= 1,700,000 (per 1000 members connected
and engaged)

9. Values and Challenges
Blue Ocean Strategy
Lean Startup • Business analysis
Iterative design
• Marketing
self funded and crowd funding
The Question is “When” not “If” • Financing
We offer help before asking for assistance.
• Finding the best prospects
Strong value of education and collaboration Always
learning more, HIT training ; HIT PRO and CPHIMS
• Designing rapid response sales
credentials
Integrity tools
Lean Startup, iterative design
We are 100% self funded to date • Raising capital
24/7 dedication to Dovetail Care
Author first study on transitions of care

10. WE ARE Dovetail Care, LLC
Monica Stynchula, MSW, MPH, CPHIMS is the creator and President of Dovetail Care.
With ten years health care experience medical social work, interdisciplinary rehab
team, home health and Health Promotion and Wellness administration. She is an ONC
HIT workforce graduate with HIT PRO and CPHIMS certifications. She holds a Master in
Social Work and Master in Public Health from the University of Pittsburgh. She is a
member of the Delta Omega Public Health Honor Society Omicron Chapter.
Osman (Ozzie) Ahmed, MD, D.Ph., FAAFP Dovetail subject matter expert is a seasoned
board certified family physician with extensive management experience specializing in
Analytics, Outcomes Research, Quality Management, Teaching, and International
Health. Licensed in FL. He has served as Chief Medical Officer for a Medicaid plan.
Ozzie is an NCQA physician surveyor specializing in Patient Centered Medical Home.
He authored the first peer reviewed study on transitions of care Hospital Readmission
among Participants in a Transitional Case Management Program, Osman I.
Ahmed, MD, DrPH; and David J. Rak, MPH, The American Journal of Managed Care
Volume 16: 778-783, October 2010.

11. • Social determinants of Senior Health
• Poverty
• poor housing
• inadequate health care
• stressful employment or unemployment
• social isolation
Experience and research support
Transitions of care study – consumer involvement in enterprise care management reduces the
readmissions four fold
Osman I. Ahmed, MD, DrPH; and David J. Rak, MPH. Hospital Readmission Among Participants in a Transitional Case Management Program.
American Journal of Managed Care. Vol.16 (10), October 2010.
How can we assess the value of our “Safety, Monitoring and Early Intervention” Tool:
Return on Interaction (ROI):
New industry standard
Measures effectiveness and yield of interactions