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Kandu Health Announces Clinical Evidence Demonstrating the Benefits of its Remote Post-Acute Care Offerings for Stroke Recovery

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Kandu Health Announces Clinical Evidence Demonstrating the Benefits of its Remote Post-Acute Care Offerings for Stroke Recovery

– CAMPBELL, Calif.
Dec. 6, 2023

Data calls attention to stroke survivor independence, readmissions, quality of life and adherence to discharge plans

Kandu™ Health, a tech-enabled healthcare services company that is changing the course of stroke recovery and post-acute care, today announced new data shared at two conferences: the Society of Vascular and Interventional Neurology (SVIN) Annual Meeting in Miami Beach and the Association of Neurovascular Clinicians (ANVC) Annual Conference in Las Vegas.

Preliminary Outcomes from First Graduates of Kandu’s Program

At SVIN, Dr. Nancey Tsai, Medical Director for Kandu Medical Services and Assistant Professor at MUSC College of Medicine, presented a poster titled, “Preliminary Outcomes of a Survivor-Centric Digital Platform in Stroke Recovery”. The poster shared results from the first 60 graduates of Kandu’s remote post-acute service. In this analysis, Kandu program graduates experienced all-cause inpatient readmission rates of 4% at 30-days and 10% at 90-days; less than half of historically published unplanned readmission rates in similar populations. In addition, at the end of the 90-day program:

  • 97% of patients reported medication adherence
  • 92% of patients had completed a neurology follow-up
  • 100% of patients had established a relationship with a primary care provider

“For our first evidence presented at an academic conference, our goal was to share preliminary outcomes for the patients cared for to date, and demonstrate the feasibility of delivering remote telemedicine services to post-acute stroke survivors,” said Tudor Jovin, MD, Kandu Health’s Chief Medical Officer. “We are excited about the insights and promise demonstrated in these outcomes and look forward to building on this body of work in the coming year.”

Establishing Feasibility of a Post-Acute Stroke Navigation Platform

The award-winning ANVC 2023 poster by Lauren Sheehan, Sr. Director Clinical Services for Kandu Health, “Complex Needs & Dynamic Solutions – Metrics That Yield Outcomes in a Post-Acute Stroke Navigation Program,” evaluated how post-stroke impairments, Social Determinants of Health, and the presence of a care partner impact survivor engagement and outcomes in a remote post-acute stroke navigation program.

Jennifer Patterson, NP, Director of Neuroscience Operations at CHI Memorial Neuroscience Institute, who led the ANVC poster evaluation, said, “Stroke trials have traditionally categorized any patient who is able to live independently at 90 days (mRS 0-2) as having a ‘good outcome.’ What we see in the Kandu data is that 57% of patients achieving mRS 0-1 and 77% of those achieving mRS 2-3 engaged in 10 or more post-acute Navigator touchpoints over 12 weeks, demonstrating the significant need and opportunity for these services. Kandu’s ability to engage and support patients across a broad spectrum is encouraging.”

“We are excited to see the strong signal from this recent evidence that this work is important, our services are accessible to the communities they serve, and the outcomes we are generating are meaningful,” said Kirsten Carroll, CEO of Kandu Health. “We look forward to continued partnership with our stakeholders to generate additional clinical evidence that demonstrates our value and informs policy and standard of care for stroke survivors.”

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Kandu Health is a commercial-stage Imperative Care company that provides tech-enabled healthcare services to people recovering from stroke. Kandu Health develops integrated solutions that aid in the stroke recovery process for stroke survivors, their providers, and care partners. Kandu Health provides hospital staff and payers with assurance that their patients are safe and connected to the best resources. Kandu Health began offering its program with its first hospital partners in the greater Los Angeles and South New Jersey areas. Kandu Health is based in Campbell, Calif. https://kanduhealth.com.

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Stefan Heuser, Kandu Health
[email protected]

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Jana Chow, Director of Communications
[email protected]

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Neurolutions, Inc. and Kandu Health Announce Strategic Partnership to Accelerate Access to Breakthrough Brain Computer Interface (BCI) and Remote Support for Stroke Rehabilitation

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Neurolutions, Inc. and Kandu Health Announce Strategic Partnership to Accelerate Access to Breakthrough Brain Computer Interface (BCI) and Remote Support for Stroke Rehabilitation

– SANTA CRUZ and CAMPBELL, Calif.
November 8, 2023

Companies’ Post-Stroke Solutions Aim to Significantly Improve Recovery Journey for Patients and Their Families

Neurolutions Inc ., the leader in the use of non-invasive brain computer interface (BCI) technology for post-stroke therapy, and Kandu Health™, a tech enabled health care services company that is changing the course of stroke recovery and post-acute care, today announced a strategic partnership aimed to raise the standard of care for post-stroke recovery. Through this partnership, Kandu Health’s expert clinicians will support Neurolutions by providing clinical consultation and assessments of stroke survivors to determine patients who may benefit from Neurolution’s IpsiHand System.

Kandu Health provides remote, multidisciplinary support to stroke survivors and care partners after hospital discharge through a team of clinically licensed navigators and an easy-to-use app.The IpsiHand System is a breakthrough therapeutic device and the only FDA-cleared, commercially available solution that enables non-invasive, at-home rehabilitation for stroke survivors affected by chronic motor deficits. The alliance between Neurolutions and Kandu Health offers stroke survivors streamlined, expert clinical assessment for the IpsiHand System, reducing the barriers to accessing this life-changing technology.

“The Neurolutions IpsiHand is a next generation solution that meets stroke survivors where they are and empowers them through advanced thought-driven neurotechnology. By partnering with Kandu Health, we can ensure that individuals who most need the IpsiHand System are able to get it in a timely manner, and with the critical clinical support needed to optimize patient care,” Hosaid Leo Petrossian, CEO of Neurolutions, Inc. “We believe this will significantly expedite the
recovery journey for countless stroke survivors.”

Kandu Health’s expertise in creating tech-enabled solutions for stroke recovery is a strong complement to Neurolutions’ IpsiHand System. Kandu Health’s integrated approach ensures that stroke survivors, clinicians, and care partners are connected, supported, and equipped with the resources throughout the recovery process.

Establishing Feasibility of a Post-Acute Stroke Navigation Platform

The award-winning ANVC 2023 poster by Lauren Sheehan, Sr. Director Clinical Services for Kandu Health, “Complex Needs & Dynamic Solutions – Metrics That Yield Outcomes in a Post-Acute Stroke Navigation Program,” evaluated how post-stroke impairments, Social Determinants of Health, and the presence of a care partner impact survivor engagement and outcomes in a remote post-acute stroke navigation program.

Jennifer Patterson, NP, Director of Neuroscience Operations at CHI Memorial Neuroscience Institute, who led the ANVC poster evaluation, said, “Stroke trials have traditionally categorized any patient who is able to live independently at 90 days (mRS 0-2) as having a ‘good outcome.’ What we see in the Kandu data is that 57% of patients achieving mRS 0-1 and 77% of those achieving mRS 2-3 engaged in 10 or more post-acute Navigator touchpoints over 12 weeks, demonstrating the significant need and opportunity for these services. Kandu’s ability to engage and support patients across a broad spectrum is encouraging.”

“We are excited to see the strong signal from this recent evidence that this work is important, our services are accessible to the communities they serve, and the outcomes we are generating are meaningful,” said Kirsten Carroll, CEO of Kandu Health. “We look forward to continued partnership with our stakeholders to generate additional clinical evidence that demonstrates our value and informs policy and standard of care for stroke survivors.”

Neurolutions Logo

Neurolutions is a medical technology company dedicated to transforming the lives of patients suffering from neurological conditions. Our mission is to develop innovative solutions that address the unmet needs of patients. We are focused on advancing the field of neurorehabilitation through cutting-edge research and development.

The IpsiHand System is a breakthrough therapeutic device in neurorehabilitation that uses brain-computer interface technology developed for chronic stroke patients with an impaired upper extremity to help regain function after stroke. The IpsiHand device has been clinically validated and has received FDA clearance for use in the United States. https://neurolutions.com

Kandu Logo

Kandu Health is a commercial-stage Imperative Care company that provides tech-enabled healthcare services to people recovering from stroke. Kandu Health develops integrated solutions that aid in the stroke recovery process for stroke survivors, their providers, and care partners. Kandu Health provides hospital staff and payers with assurance that their patients are safe and connected to the best resources. Kandu Health began offering its program with its first hospital partners in the greater Los Angeles and South New Jersey areas. Kandu Health is based in Campbell, Calif. https://kanduhealth.com.

Our Contacts

Investor Contact

Stefan Heuser, Kandu Health
[email protected]

Media Contact

Jana Chow, Director of Communications
[email protected]

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Kandu Health Announces Preliminary Clinical Outcomes for Stroke Survivors

Stroke survivor walking on a beach with a friend

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Kandu Health Announces Preliminary Clinical Outcomes for Stroke Survivors

Initial results from a novel stroke recovery program demonstrate excellent achievement of functional independence and low hospital readmissions

July 31, 2023 08:00 AM Eastern Daylight Time

CAMPBELL, Calif.–(BUSINESS WIRE)–Kandu Health, Inc., a digital health company that is changing the course of stroke recovery and post-acute care, today announced preliminary outcomes from the first 40 stroke survivors served by its program.

Preliminary data from the first 40 stroke survivors served by Kandu demonstrated excellent 90-day modified Rankin Scores (mRS), a measure used to assess the degree of disability in patients who have had a stroke. The data also indicate promising trends for low hospital readmissions and continuity of care for participants.

Kandu Health is working to fulfill an urgent need in healthcare by supporting stroke patients returning to community settings after hospital discharge from stroke. Through its team of expert clinically-licensed navigators, Kandu offers extensive tools and resources for optimized stroke recovery, as well as remote community support groups and an easy-to-use app. With goals to reduce hospital stays and readmissions, lower the cost of healthcare and improve patient outcomes, Kandu Health works closely with healthcare institutions to ensure that care is well integrated and coordinated with existing programming.

“We co-developed Kandu Health with stroke survivors and clinicians because we strongly believe that the holistic support a stroke survivor receives beyond acute hospitalization greatly influences health outcomes and recovery,” said Kirsten Carroll, CEO of Kandu Health, “Early on, we encountered skepticism as to whether this community could engage with an app-based platform, and whether we could make even a small difference in their outcomes. These preliminary results are gratifying, and exciting to share as we continue to build the body of evidence for this type of care.”

“These data suggest that providing extended support to patients beyond hospital discharge is critical to their recovery and can improve their chances of functional independence”

Functional Independence

Clinician-assessed mRS scores were captured at 90 days post-discharge for 95% of Kandu participants. Significant functional improvement was seen over time, with 84% achieving mRS scores of 0-2, indicating an ability to live independently, at 90 days – a meaningful improvement from the 60% of participants who were assessed as functionally independent at the time of enrollment. Nearly half of Kandu enrollees participated on their own, without a care partner.

“These data suggest that providing extended support to patients beyond hospital discharge is critical to their recovery and can improve their chances of functional independence,” said Dr. Shlee Song, Director of the Comprehensive Stroke Center at Cedars-Sinai. “As clinicians, we can have a meaningful impact on the post-acute experience for our patients by connecting them with comprehensive support that focuses on mental health, managing impairments and community reintegration. This support can make all the difference for stroke survivors, enabling them to live independently and go grocery shopping, go to the bathroom, manage medications and perform other daily tasks that are important to their quality of life and sense of agency.”

Readmission Rates

The 30- and 90-day all-cause readmission rates for Kandu participants were 6% and 12%, respectively, which compare favorably to published benchmarks. Recent publications have reported unplanned readmission rates ranging from 8.7%-12.5% at 30-days and 18.9% to 20.7% at 90 days1,2.

Continuity of Care

These results also demonstrated that Kandu participants experienced positive continuity of care across a diverse population of enrollees who reflect the communities most affected by stroke. 10% of Kandu’s first 40 enrollees were Medicaid beneficiaries or uninsured at the time of their stroke, more than half were non-white and 20% had five or more needs related to social determinants of health. Despite these potential barriers to care, 90% of Kandu enrollees had a neurology follow-up within 90 days. Among the 15% of participants who did not have a primary care physician (PCP) prior to their stroke, Kandu navigators were able to assist 100% in establishing care with a PCP. Additionally, 27% of Kandu participants established care with a mental health provider for the first time.

“These outcomes build our confidence in a future state where stroke patients receive comprehensive and well-coordinated care beyond the hospital setting,” said Fred Khosravi, Imperative Care’s Chairman and CEO. “Today, many of these patients go home with little support, and far too often, this leads to suboptimal recovery, and further complications requiring additional hospitalization. Kandu Health offers a program that combines human care with technology, broadening access to care through remote clinical support. These early results indicate the promise for this approach to positively impact survivors’ daily lives while delivering tangible value to healthcare providers and health systems.”

Citations

  1. Ramchand P, et al. Readmissions After Mechanical Thrombectomy for Acute Ischemic Stroke in the United States: A Nationwide Analysis. J Stroke Cerebrovasc Dis. 2018 Oct;27(10):2632-2640. doi: 10.1016/j.jstrokecerebrovasdis.2018.05.035.
  2. Bushnell C, et al. Hospital Readmissions and Mortality Among Fee‐for‐Service Medicare Patients With Minor Stroke or Transient Ischemic Attack: Findings From the COMPASS Cluster‐Randomized Pragmatic Trial. J Am Heart Assoc. 2021 Dec 7; 10(23): e023394. doi: 10.1161/JAHA.121.023394
  3. Zhang J, Gong Y, Zhao Y, Jiang N, Wang J, Yin X. Post-stroke medication adherence and persistence rates: a meta-analysis of observational studies. J Neurol. 2021;268(6):2090-2098. doi:10.1007/s00415-019-09660-y
Kandu Logo

Kandu Health is a commercial-stage Imperative Care company that provides tech-enabled healthcare services to people recovering from stroke. Kandu Health develops integrated solutions that aid in the stroke recovery process for stroke survivors, their providers, and care partners. Kandu Health provides hospital staff and payers with assurance that their patients are safe and connected to the best resources. Kandu Health began offering its program with its first hospital partners in the greater Los Angeles and South New Jersey areas. Kandu Health is based in Campbell, Calif.

Our Contacts

Investor Contact

Stefan Heuser, Kandu Health
[email protected]

Media Contact

Jana Chow, Director of Communications
[email protected]

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Three Senior Leadership Appointments for Kandu Health

Kirsten Carroll, Stefan Heuser, Clayton Duncan talking in a park

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Imperative Care Announces Three Senior Leadership Appointments For Kandu Health

Kirsten Carroll appointed CEO; Stefan Heuser named CFO and Clayton Duncan named SVP, Commercialization

CAMPBELL, Calif.–(BUSINESS WIRE)–Imperative Care, a medical technology company developing connected innovations to elevate care for people affected by vascular diseases, today announced the formation of Kandu Health, a digital health startup company with the aim of changing the course of stroke recovery and post-acute care.

Appointment of Kirsten Carroll as Chief Executive Officer of Kandu Health

“The patient is the one constant in the continuum of care for stroke. Our vision for Imperative Care has always been to connect each part of the care journey for patients affected by stroke and be the company that delivers both treatment and post-acute care for stroke survivors,” said Fred Khosravi, Chairman and CEO for Imperative Care. “Kirsten has championed this vision for Kandu Health since its early days. Through her leadership and the company’s impressive bench of leaders, I see the embodiment of our mission to provide real, life-changing care to stroke survivors.”

Carroll previously served as Senior Vice President and General Manager for Kandu Health, leading the company from inception through its formation as an independent company. She brings more than 20 years of experience in stroke product development, clinical research, marketing, strategy and business development. Carroll holds an MBA and a Masters of Public Health from Haas School of Business at University of California, Berkeley, and a Bachelor’s of Science in biomedical engineering from Yale University.

“Once a person has a stroke, every aspect of their life can be affected, diminishing both their quality of life and health. Improving these outcomes for stroke survivors has been my passion for over 20 years now, and Kandu is the most important thing I have worked on in that time,” said Carroll. “The Kandu program is intended to address critical gaps in care and to provide personalized support to stroke survivors as they transition back home from the hospital. It is my greatest privilege to step into this new role and lead the company forward in delivering on our mission.”

In the U.S., approximately eight million people are living with the effects of stroke.1 Historically, most investment in stroke care has focused on acute intervention. Kandu Health delivers tech-enabled healthcare services, providing remote support to stroke survivors and care partners after hospital discharge.

“The Kandu program is intended to address critical gaps in care and to provide personalized support to stroke survivors as they transition back home from the hospital. It is my greatest privilege to step into this new role and lead the company forward in delivering on our mission.”

Appointment of Stefan Heuser as Chief Financial Officer of Kandu Health

Stefan Heuser brings decades of executive leadership experience in finance to Kandu Health. He previously served as Vice President and Head of Investments at Hyundai Motor Group’s Corporate Venture Capital Arm. Prior to joining Hyundai, he was the Vice President of Operations and Innovation at Samsung Strategy and Innovation Center with global operational responsibility for programs in Digital Health, Internet of Things, and Autonomous Driving. He also has experience building and leading an early-stage venture investment team for Samsung Global Innovation Center and serving as the CFO and VP of Finance for Siemens Smart Grid Applications. Heuser holds an MBA from Ludwig-Maximilian University of Munich.

Appointment of Clayton Duncan as SVP, Commercialization of Kandu Health

Clayton Duncan has over 20 years of leadership experience in strategic growth roles within early and growth-stage healthcare companies. With broad experience leading value-based and integrated care solutions initiatives, he leads Kandu’s commercialization efforts focused on creating accretive strategic partnerships with payers, providers, and other healthcare enterprises. Duncan holds a Masters degree from Thunderbird School of Global Management at Arizona State University, a JD from Southern Methodist University’s Dedman School of Law, and a Bachelor’s degree in finance from Texas Tech University.

“We have seen very promising results in data collected from some of the first 50 stroke survivors enrolled in our program, and these survivors have uniformly endorsed the program, noting that it has strengthened their health, agency and quality of life. I am excited to continue scaling our program to have an impact on many more stroke survivors and their families,” Duncan said.


Business Wire Article

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Kandu Health provides tech-enabled healthcare services to people recovering from stroke. Kandu Health develops integrated solutions that aid in the stroke recovery process for stroke survivors, their providers, and care partners. Kandu Health is based in Campbell, CA.

Imperative Care is a commercial-stage medical technology company researching and developing connected innovations to elevate care for people affected by devastating vascular diseases such as stroke and pulmonary embolism. The company has four businesses focused on addressing specific gaps in treatment and care to make an impact across the entire patient journey. Imperative Care is based in Campbell, Calif. imperativecare.com.

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Stefan Heuser, Kandu Health
[email protected]

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Jana Chow, Director of Communications
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Formation of Stroke Recovery Digital Health Company

Stroke survivor holding a cane on a bench in the park with his wife and two children

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Imperative Care Announces Formation of Stroke Recovery Digital Health Company Kandu Health

Internationally renowned stroke treatment expert Dr. Tudor Jovin joins Kandu Health as Chief Medical Officer

CAMPBELL, Calif.–(BUSINESS WIRE)–Imperative Care, a medical technology company developing connected innovations to elevate care for people affected by vascular diseases, today announced the formation of Kandu Health, a digital health startup company with the aim of changing the course of stroke recovery and post-acute care.

The company also announced that Tudor Jovin, M.D., an internationally renowned researcher and practitioner in the treatment of stroke and other cerebrovascular disorders, has joined Kandu Health as its Chief Medical Officer. Dr. Jovin serves as Medical Director of the Cooper Neurological Institute, and Chairman and Chief of Neurology at Cooper University Health Care in Camden, New Jersey. He is also a Professor of Neurology and Neurological Surgery at Rowan University’s Cooper Medical School.

“The formation of Kandu Health as an independent company will allow us to scale our programs to bring critical support to people affected by stroke,” said Kirsten Carroll, Kandu Health’s General Manager. “We are honored to have Dr. Jovin’s expertise and guidance. With the support of our team of stroke survivors and healthcare professionals, Kandu Health is empowering stroke survivors to take charge of their recovery and achieve their best life after stroke.”

“Our commitment to transforming the full continuum of care for people affected by stroke and other vascular conditions is rooted in the reality that the challenges for these patients do not end when they leave the hospital. Our strategy at Imperative Care has been to foster connected innovations across multiple development programs that can, in turn, connect care across the entire patient journey,” said Fred Khosravi, Imperative Care’s Chairman and CEO. “Through this formation as an independent company, Kandu Health will focus on its digital health platform and scale its critical patient solutions rapidly.”

In the United States, 800,000 people have a stroke each year1. Historically, most investment in stroke care has focused on acute intervention. While most people who have a stroke survive, they usually return home with changed bodies, minds, and lives. Research indicates that in the first three months after a stroke, the average survivor needs nearly 50 hours a week2 of informal care. Post-acute clinical care in the first year after stroke is estimated to cost $20 billion annually, primarily driven by a one-year re-hospitalization rate of about 50% from events like recurrent stroke, infections and falls. 3

Kandu Health offers remote clinical support from Kandu Navigators who are licensed healthcare professionals who provide education, resources and guidance, tailored to each participant. Kandu educational content and clinical programming is developed in collaboration between stroke survivors, care partners, and clinicians representing over 10 disciplines of medicine. Kandu’s services are primarily delivered through Kandu’s app and further supplemented by in-app tools and support groups. Kandu Health works closely with client healthcare institutions to ensure that care is well integrated and coordinated with existing programming.

“The Kandu platform serves as a bridge for stroke survivors, guiding them along their care plan and beyond after leaving the hospital,” said Dr. Jovin. “It also gives the survivor’s healthcare team new visibility and insights into the quality of life and long-term outcomes for patients who have returned home. Our hope is that this combination of technology and human care will decrease secondary events and help survivors maximize their potential for prevention and recovery after stroke.”

Citations

  1. Tsao CW, Aday AW, Almarzooq ZI, Alonso A, Beaton AZ, Bittencourt MS, et al. Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association. Circulation. 2022;145(8):e153–e639.
  2. Pucciarelli G., Ausili D., Rebora P., Arisido M., Simeone S., Alvaro R., Vellone E. (2019) Formal and informal care after stroke: A longitudinal analysis of survivors’ post rehabilitation hospital discharge. J Adv Nurs. 2019 Nov;75:2495-2505. https://doi.org/10.1111/jan.13998.
  3. Arling et al, Care Trajectories of Veterans in the Twelve Months following Hospitalization for Acute Ischemic Stroke. Circulation: Cardiovascular Quality and Outcomes, 8(6 suppl 3), S131–S140. http://doi.org/10.1161/CIRCOUTCOMES.115.002068

“We are honored to have Dr. Jovin’s expertise and guidance. With the support of our team of stroke survivors and healthcare professionals, Kandu Health is empowering stroke survivors to take charge of their recovery and achieve their best life after stroke.”

Kandu Logo

Kandu Health is a digital health company designed for and by people recovering from stroke. Kandu Health develops integrated solutions that aid in the stroke recovery process for stroke survivors, their providers, and care partners. Kandu Health is based in Campbell, CA.

Imperative Care is a commercial-stage medical technology company developing connected innovations to elevate care for people affected by devastating vascular diseases such as stroke and pulmonary embolism. The company has four businesses focused on addressing specific gaps in treatment and care to make an impact across the entire patient journey. Imperative Care is based in Campbell, Calif. https://imperativecare.com.

Our Contacts

Investor Contact

Stefan Heuser, Kandu Health
[email protected]

Media Contact

Jana Chow, Director of Communications
[email protected]

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Empowering Stroke Survivors: Interview with Kirsten Carroll, CEO at Kandu Health

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Empowering Stroke Survivors: Interview with Kirsten Carroll, CEO at Kandu Health

MEDGADGET • MARCH 20TH • 2023 CONN HASTINGS

Kandu Health, a digital health company based in California, has developed a platform to assist stroke survivors with aftercare. Healthcare for stroke patients is primarily focused on acute care to limit the damage caused by the stroke. However, the company has identified that stroke survivors are frequently underserved after hospital discharge, and in many cases are left to cope with the psychological and physical fallout of the stroke with minimal support.

The e-health platform developed by Kandu Health connects stroke survivors with specialists who provide them, and their caregivers, with personalized guidance, education, and other resources to assist in enabling them to adapt to their new circumstances and make positive changes. Another aspect of the program is to connect stroke survivors with each other so that they can support one another with encouragement and advice.

See a video of some alumni from the program discussing their experiences:

Medgadget had the opportunity to speak with Kandu Health’s CEO Kirsten Carroll about the technology and concept.

Conn Hastings, Medgadget: Please give us an overview of the impact that a stroke can have for survivors.

Kirsten Carroll, Kandu Health: As many things as your brain does – those are the ways that a stroke can affect you. Moving, feeling, finding the right words to go with your thoughts, storing memories, seeing, paying attention, and processing emotions; all of these are things that can be impacted by a stroke. The experience for many stroke survivors is one in which they don’t actually know all the ways they have been affected for weeks or months, after they leave the hospital, and nobody can tell them for certain what will get better or worse during their recovery.

Stroke is often a traumatic experience, and one that profoundly challenges a person’s identity, and their feeling of agency over their own life and health. Many stroke survivors experience isolation, depression, and anxiety. These challenges are frequently compounded by the need to manage a variety of common underlying health conditions, including hypertension, diabetes, and chronic kidney disease, all while experiencing extreme post-stroke fatigue.

There are 20 million people in the U.S. living with the impacts of stroke, including eight million stroke survivors and 12 million care partners and family members. They are the experts on living life after stroke, and have an enormous amount of knowledge and community to share with each other.

“There are 20 million people in the U.S. living with the impacts of stroke, including eight million stroke survivors and 12 million care partners and family members. They are the experts on living life after stroke.”

Medgadget: How are such patients provided with aftercare at present? How is this suboptimal?

Kirsten Carroll: Historically, stroke care has focused on acute intervention to restore blood flow in the hours after stroke onset and minimize the damage to the brain. Follow-up care is largely focused on preventing another stroke. Though some stroke survivors receive stroke rehabilitation that can facilitate some level of recovery, the majority do not. There is almost no focus on education and support for survivors living with the lasting, often permanent impacts of stroke.

Stroke survivors have told us that while they may be brought to a hospital by helicopter with teams mobilized to urgently care for them, they leave quietly through the back door, with little attention or fanfare. While treatment at the acute level is swift and organized, there’s no singular entity dedicated to helping survivors navigate life after stroke. Research indicates that in the first three months after a stroke, the average survivor needs nearly 50 hours a week of informal care. In that same timeframe, 1 in 4 stroke survivors is readmitted to the hospital, most often due to infections caused or exacerbated by their stroke-induced impairments. By one-year post-stroke, that readmission number has grown to nearly 50%, with 20% of survivors being readmitted multiple times.

Stroke is a population health issue affecting nearly 10% of Medicare enrollees and a growing proportion of younger people. Post-acute clinical care in the first year after stroke costs over $20 billion annually in the United States, more than double the cost of acute stroke hospitalization. Stroke survivors need and deserve education, communities, therapies, and support that are designed for and with them to address the unique challenges they face in managing their health and their lives after stroke.

“Post-acute clinical care in the first year after stroke costs over $20 billion annually in the United States.”

Medgadget: What inspired this technology? How did the idea come about?

Kirsten Carroll: Kandu Health is a digital health company designed for and with people recovering from stroke. Survivors and their care partners continually advise on both the needs and the solutions being developed. The Kandu program is intended to address critical gaps in stroke care by providing personalized support to stroke survivors as they transition back home from the hospital. The large unmet need in stroke recovery and post-acute care inspired our platform and continues to inspire our work to deliver personalized support to stroke survivors.

Kandu was founded inside Imperative Care, a medical technology company focused on developing connected innovations to elevate care for people affected by stroke and vascular diseases.

Medgadget: Where is the system currently available? How has it been received so far?

Kirsten Carroll: The Kandu Health program is nearing completion of its pilot with our first hospital partners and will continue providing service in the greater Los Angeles and South New Jersey areas.

Although it is early data with small numbers, Kandu’s enrollment rates, engagement, and outcomes have exceeded expectations to date. Kandu graduates have uniformly endorsed the program, noting the significant impact it has had on their health, agency, and quality of life.

Kandu’s Hospital partners recognize that there are significant gaps in the care provided to stroke survivors, especially after these patients return home to continue their recovery. Their partnership with Kandu is a signal of their commitment to clinical excellence, and accountability to the populations they are serving beyond hospital discharge.

There is tremendous excitement around the clinical evidence we are starting to collect, and we look forward to presenting evidence of Kandu’s impact at multiple scientific conferences in the coming year. Most importantly, we are seeing survivors’ excitement about participation in the Kandu program and witnessing positive changes in their quality of life as they regain their agency and increase their independence. We look forward to announcing commercial partnerships in expanded geographies in the near future.

“Most importantly, we are seeing survivors’ excitement about participation in the Kandu program and witnessing positive changes in their quality of life as they regain their agency and increase their independence.”

Medgadget: Do you have any plans to expand this type of service for other health issues? Where do you see this type of connected health solution going in the future?

Kirsten Carroll: At this time, we are focused on building awareness, scaling the platform, and increasing adoption of the Kandu platform for stroke survivors. In the future, we hope that our coordinated, community-centered approach to post-acute care can be applied to other conditions and disease states.

Our Contacts

Investor Contact

Stefan Heuser, Kandu Health
[email protected]

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