Use Case

Population health management

Support HealthierSG-enrolled patients with continuous biomarkers. Monitor polyclinic and GP clinic panels in real-time. Proactive interventions when chronic disease metrics drift. Coordinate care across multi-disciplinary teams. Track outcomes for CDMP programs.

Polyclinic Panel Dashboard
247 enrolled
High risk
18
Medium risk
42
Low risk
187
Priority actions today
12 patients for case manager outreach

Continuous monitoring between clinic visits

HealthierSG emphasizes preventive care and early detection. Continuous biomarkers reveal risk between quarterly polyclinic visits. CGM shows glucose control deteriorating. Activity trackers detect declining mobility. Family physicians and care teams see the full picture in real-time.

CGM patterns predict HbA1c drift
Activity decline flags frailty risk
Missed surveys signal depression
Device non-use indicates disengagement
Patient: John D.
Glucose control
Time in range: 58%
Activity level
3,200 steps/day (↓ from 6k)
Medication adherence
87% this month
Last provider visit
4 weeks ago
Escalated to case manager

Chronic Disease Management Programme (CDMP)

Support structured CDMP programs across polyclinics and GP clinics. Diabetes, hypertension, lipid disorders—condition-specific monitoring with team-based interventions.

🩸

Diabetes Management

Monitored metrics
CGM time in range
HbA1c trends
Medication adherence
Lifestyle factors
Care interventions
Dietician consultation
Care manager follow-up
Pharmacist medication review
❤️

Hypertension Management

Monitored metrics
Home BP readings
Medication adherence
Sodium intake
Activity levels
Care interventions
Family physician review
Dietician support
Case manager outreach
🧪

Lipid Disorders

Monitored metrics
Lipid panel trends
Statin adherence
Dietary compliance
Exercise patterns
Care interventions
Medication titration
Lifestyle counseling
Pharmacist review
🧠

Stroke Prevention

Monitored metrics
BP control
Anticoagulation adherence
Risk factor monitoring
Rehab progress
Care interventions
Multi-disciplinary review
Rehab coordination
Medication optimization

Team-based, proactive care

HealthierSG's team-based model comes to life with continuous data. Family physicians see risk early. Case managers reach out when adherence drops. Dieticians intervene when glucose patterns worsen. Pharmacists review medications proactively. Prevent complications, don't just respond to them.

Automated risk alerts
Flag patients drifting from target ranges
Case manager workflows
Prioritized outreach lists with full context
Multi-disciplinary teams
Family physicians, pharmacists, dieticians, nurses
Preventive interventions
Reduce acute care episodes and admissions
Intervention Workflow
1. Risk detected
CGM shows declining time in range
Detected
2. Alert triggered
Case manager notified
Alert sent
3. Patient contacted
Phone call to assess situation
In progress
4. Intervention planned
Dietician consult scheduled
Pending
CDMP Outcomes Dashboard
HbA1c control (diabetes)
72%
Patients achieving target
BP control (hypertension)
68%
Within target range
Medication adherence
84%
Consistent refills
Screening completion
89%
Annual health screening
Continuous monitoring improves outcomes

Track outcomes, not just processes

HealthierSG emphasizes health outcomes and preventive care. Continuous biomarkers provide real-time insights into patient health trajectories. Track clinical outcomes automatically—no manual chart review needed. Demonstrate program effectiveness to healthcare clusters and MOH.

Clinical outcomes
HbA1c, BP, lipid control rates
Preventive care
Screening uptake, vaccination rates
Patient engagement
Program adherence, device usage

Ready to unify your digital biomarkers?

See how HealthGen can help you ship faster, scale further, and get to insights without rebuilding the stack.