The KODA Health Platform project brings the convenience of the preexisting Electronic Health Record (EHR) together with a personalized and non-judgmental cloud-based platform which tailors the Advanced Care Planning (ACP) dialogue to patient’s personalities and cultural backgrounds through machine learning.

This innovative technology promotes ACP conversations via the EHR to identify patients and send portal invitations to use Koda Health’s Advance Care Planning Platform.

Following conception, Koda Health and the Center for Healthcare Innovation (CHI) partnered together to perform a Phase 1 NSF-funded study.

Now complete, the outcome proved the efficacy of the digital platform. Showing that a platform that delivers personalized audiovisual content adapted to individual and cultural preferences of patients was successful.

With increasing deployment in health systems, the Koda Health platform will deliver a more differentiated dialogue as it interacts with, and learns from, more patients.

Looking Deeper

One of the societal trends accompanying longer lifespans and improved medical technology is a disconnect between many patients’ wishes and end-of-life care they receive. With 80% of Americans preferring to die at home, whereas only 31% do, it is evident that medical intervention in terminal cases can lead to overtreatment, which contributes up to $101 USD to medical care costs annually. This unwanted care goes against patients’ wishes and results in great costs to society, with more than 25% of Medicare spending accruing during the last year of life.

The existence of an Advanced-Care Directive (ACD) would dramatically reduce the impact on the families of those patients that face the decision to end continued life support, and those who prefer not to be kept alive in terminal intensive care situations will have their own wishes respected. This was exacerbated during the COVID-19 pandemic and emphasized the importance of ACD documentation.

ACDs ensure that care delivered to patients is in accordance with their goals and quality of life preferences, redirecting patients who prefer comfort care to the home and freeing up intensive care capacity.

Phase 1 Project Overview

This pilot study will have two paths for participants to take:

  • Path 1: will allow patients to go through the Koda Digital Health Platform by creating an account and using the groundbreaking technology to have their ACP conversations virtually.
  • Path 2: will have patients go through an ACP interview via a telephone visit led by Dr. Desh Mohan and Samantha Sanky to discuss this topic one on one.

Upon enrollment into the study, patients will be asked to complete a pre-assessment survey which includes a health risk assessment, ACP knowledge assessment, and an ACP readiness/previous experiences assessment. After a patient finished the pre-assessment survey and their initial path, they will be directed to a post-assessment survey. The post-assessment survey will re-assess their ACP knowledge, re-evaluate ACP readiness and previous experiences, and provide the opportunity for other feedback.

Once patients complete either path, they will have the option of completing the other path to compare which one seems to be better suited for their needs and ability. The patient will be able to have these important planning sessions completed and recorded so that their future wishes and goals are visible to others. The Patients who complete both paths will have the opportunity to complete an experience comparison survey which will compare the patient’s experience between using the digital ACP platform and the telehealth ACP interview.

CHI prides itself on bringing cutting-edge ideas and concepts to the clinical arena and using this technology to better the livelihood of individuals.

Research in end-of-life care is an area where CHI—and its members—have significant expertise. This led the leaders of CHI to travel to the Texas Medical Center and meet with the Koda Health team as their work in advance care planning was closely aligned to the Center’s interests and expertise.

Wake Forest Center for Healthcare Innovation and Koda Health have since developed a strong, working partnership that led to the submission of a grant through the National Science Foundation (NSF) Small Business Technology Transfer, which was awarded to both institutions.

Details of Study Process

Details of study process for Koda Health Advance Care Planning (ACP) Platform