About Us


ForaHealthyMe Inc., is a virtual care solutions provider based in Markham, Ontario, Canada.

The company has taken a research-based approach to developing and commercializing technologies that address some of today’s most complex health challenges.

Built on validated models, our virtual care applications assist providers in treating & managing patients’ physiological & psychological challenges, while achieving the Triple Aim (cost, quality/health outcomes, and patient experience).

Our virtual care applications blend clinical protocols for pre-habilitation and rehabilitation during the preoperative and rehabilitation phases of care. Known as virtual rehabilitation or tele-rehabilitation, the ForaHealthyMe Inc., software and analytics engine utilize video and infrared recordings of human motion.

Health providers can virtually prescribe, track and analyze data streams of a patients’ range of motion activities during the preoperative and rehabilitation phases of care.

While the patient performs the prescribed activity, our motion tracking technology records and makes precise angle and distance measurement calculations. The calculations are transformed into data streams which reflect the joints and angles of activities performed by the patient.

For both providers and payers, the value to the health system is realized via cost-saving through health informatics, disease management, coordinated care and telehealth technologies to increase patient access to care in a place where they prefer to be; i.e. at home.

With the push towards value-based care, providers must apply metrics to cost, quality, health outcomes and patient experience. Providers are powered with software that simulates human motion in a virtual environment.

The ForaHealthyMe software generates aggregated data and reports. The data enables a provider to monitor, gauge and diminish the risk of post-op complications.

For instance, after a total knee replacement procedure, patients often experience severe pain. Reduced mobility affects their quality of life as they face challenges walking, walking and carrying objects as well as managing steps, on level, incline and decline surfaces.

By prescribing range of motion activities, through specific joint selection, rich data streams for analysis are derived from the activities performed by the patients. A recorded file is sent to the provider who can review and schedule a video call to provide additional instructions.

ForaHealthyMe Inc.’s approach uses Microsoft’s advanced Machine Learning and Cognitive technologies designed to extract information from datasets.

In 2016, the Centers for Medicare and Medicaid Services implemented changes under the Comprehensive Care for Joint Replacement (CJR) model. The model promotes better and more efficient care for beneficiaries undergoing lower extremity joint replacements.

The model tests bundled payments and quality measurements for an episode of care associated with hip and knee replacements to encourage hospitals, physicians, and post-acute care providers to work together to improve the quality and coordination of care from the initial hospitalization through recovery.

Our approach is supported by research validating the achievable reductions in cost between preoperative and postoperative care, while achieving the Triple Aim. The study entitled, Associations Between preoperative physical therapy and Post-Acute care utilization patterns and Cost in Total Joint Replacement, was published in the Journal of Bone and Joint Surgery, October 2014.
It concluded, "The use of preoperative physical therapy was associated with a 29% decrease in the use of any post-acute care services. This association was sustained after adjusting for comorbidities, demographic characteristics, and procedural variables."

From a clinical perspective, the paper stated, "Health-care providers can use this methodology to achieve an integrative, cost-effective, patient care pathway using preoperative physical therapy."

While other solutions focus on one aspect of care, be it, chronic or acute, very few address mental health issues. The ForaHealthyMe platform is different. It successfully brings together critical elements of virtual care for patients with complex chronic, acute and behavioral health issues.

The rationale for the approach to integrate complex chronic, acute and behavioral health issues is driven by the fact that patients transition from chronic, to acute care, and back. Throughout the continuum, the patients cope with mental health issues like Anxiety, Depression and Stress.

Our Mental Health Virtual Clinic delivers integrated functionality with provider workflows, mental health assessment scales, video consults, online peer-to-peer support groups, patient education & health outcomes data. Prescribed at the point of care, patients diagnosed with Stress, Anxiety & Depression can be managed virtually using our Mental Health Solutions.

Our approach has been to work with academic researchers and clinicians to develop tools prior to deployment. Recent milestones include:

Reliability of Kinematic measures

   

ForaHealthyMe Inc.. has successfully completed its research project entitled, The Evaluation the reliability of Kinematic measures obtained using a proprietary motion capture system.

In collaboration with Kinesiologists and Physical Therapists from York University’s Orthopedic & Neuro-mechanics Lab and funding support from the Health Ecosphere program, the goal was to create a software-based solution which utilizes video and infrared recordings of human motion to assist health providers with the analysis of their clients’ functional capability during the preoperative and rehabilitation phases of care.

Utilizing a virtual environment containing a depiction of client and trainer avatars (CA and TA, respectively), a computerized model recreates the client’s movements within the virtual environment, while an avatar depicts the trainer avatar who coaches the client on how to perform prescribed exercises.

Result:
The research concludes that the ForaHealthyMe virtual rehab system is a reliable tool that has demonstrated performance comparable to that of a goniometer. A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position.

Research into the Determinants of Treatment Failure in COPD Exacerbation

   

The company is collaborating with the University of Buffalo Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine to conduct a pilot to closely monitor patients and gather data during the index event and following discharge.

This will allow researchers to identify patterns of change in patient symptoms and physiologic variables that also predict treatment failure.

The vision is that outcome determinants identified via data can be translated to personalized precision therapy of exacerbation, with consequent reduction in the rate of treatment failure and readmission.

Research into Youth Mental Health

   

In 2015, the company, in partnership with the Faculty of Health, York University, the Center for Addiction and Mental Health and North York General Hospital were among a list of 22 projects funded by the Government of Canada, under the Canadian Institutes of Health Research (CIHR) e-Health Innovation Partnership Program (eHIPP) in collaboration with the National Research Council of Canada Industrial Research Assistance Program (NRC-IRAP).

The three-year, student-centred project was developed to support York University students’ mental well-being through an evidence-based eHealth solution that includes the following key components: mindfulness principles and practice; cognitive behaviour therapy approaches; and a student-centred virtual community.

At the announcement of the grants, Federal Minister of Health, the Honourable Jane Philpott, stated, "I am excited to see Canadian ingenuity at work to support the health of Canadians. These projects have the potential to make high quality health services more available to the young Canadians who need them, and they are making great strides for the delivery of increased home services..."

Research into the Use of Virtual Care Solutions for Patients with Spinal Cord Injury

   

The company and its partners Spinal Cord Injury Ontario, Toronto Rehabilitation Institute and the Center for Family Medicine are conducting a clinical research project to enhance the support and services to patients with spinal cord injuries and other mobility disabilities from acute care, through rehab and during the transition back home.

Funded through Ontario’s Ministry of Health and Long-Term Care, the project is one of 15 innovative health technologies funded via grants from the new Health Technologies Fund (HTF). Successful projects were announced on April 4th, 2017 by Health Minister, Eric Hoskins. Details here.

HTF support projects that reflect priority areas of the Patients First: Action Plan for Health Care to provide patients with faster access to the right care, better home and community care, the information they need to stay healthy and a healthcare system that’s sustainable for generations to come.

Previous Collaborations

   

Previously Ontario Centers of Excellence projects include partnering with the Faculty of Health at York University and Division of Vascular Surgery at the St. Michael's Hospital to conduct research into Peripheral Arterial Disease and Chronic Kidney Disease.

The results included a peer-reviewed paper entitled - A Virtual Health Community for Patients with Chronic Kidney Disease. The paper was presented the 4th International Conference on Current and Future Trends of Information and Communication Technologies in Healthcare (ICTH) and a submission to the Canadian Society for Vascular Surgery.