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Chronic Kidney Disease (CKD)

CKD is a condition characterized by a gradual loss of kidney function over time.

● Adults with diabetes, high blood pressure, or both have a higher risk of developing CKD than those without these diseases. Other risk factors for CKD include heart disease, obesity, and a family history of CKD.

● Kidney disease usually gets worse over time, though treatment has been shown to slow progression.

● When the kidneys stop working, dialysis or kidney transplant is needed for survival. Kidney failure treated with dialysis or kidney transplant is called end-stage renal disease (ESRD).

Source: NKF www.kidney.org

30 million

people suffering from CKD in US, among them 468 thousands patients with kidney failure (ESRD)

Source: 2017 National Kidney Foundation

40 %

burnout rate for Nephrology Physicians

Source: Medscape National Physician Burnout & Depression Report 2018

$42 billion

USD for CKD, including $32.9 billion USD for ESRD

Source: jasn.asnjournals.org

5-7 years

average life expectancy of patients with ESRD

Source: www.ncbi.nlm.nih.gov : «Consequences of Frequent Hemodialysis: Comparison to Conventional Hemodialysis and Transplantation»

Adherence problem

Nonadherence to treatment and disease management among dialysis patients is a widely recognized problem in the renal community as an important contributor to suboptimal treatment and poorer health outcomes.

RenalMate addresses the gaps in patient’s adherence through the patient’s empowerment, improving engagement between the medical team and patient with personalized disease-specific education delivered via our digital health platform.

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18 %

of patients cancel / skip dialysis*

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23 %

of patients don’t follow medication doses*

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31 %

of patients end dialysis session early*

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42 %

of patients are inactive, of have a sedentary lifestyle*

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51 %

of patients eat or drink more fluid than suggested*

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58 %

of patients eat or drink more electrolytes than suggested*

*Source: American Kidney Fund, Report 2018 «Barriers to Treatment Adherence for Dialysis Patients»

Solution

RenalMate is CKD management solution designed to help patients, caregivers and healthcare teams work together more efficiently and effectively to improve patient adherence, outcomes and quality of life.

RenalMate’s easy-to-use, cloud-based communication and care coordination platform encourages and supports adherence to care plans through digital check-ins, monitoring and personalized recommendations:

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Patient engagement and adherence

set up care plans for your patients and empower them with timely education and support through the patient-centric app.

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Alerts and predictive annalytics

helps the patient and care team prevent potential complications by notifying them of any red flags such as abnormal vitals or protocol non-compliance.

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Dashboard for Medical Team

a comprehensive HIPAA-compliant online dashboard for monitoring and communicating with CKD patients and their other healthcare providers.

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«I’m not the most technical person, but I like the simplicity of the app. It helps me with fluid management and makes it easy to report to my medical team. It has helped me improve my body, mind and health and dialysis patients everywhere could benefit from it».

– Jeffrey Jones, one of the longest-living dialysis patients

А daily life of the patient using RenalMate at the home

How RenalMate Works

We believe every patient has a right to have access to a supportive, community and personalized disease education 24/7 to manage his or her life better. There is little time to efficiently prepare patients to self manage their treatment protocol and disease management on a daily basis to maintain treatment plan adherence.

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We understand your medical staff is very busy managing operations, large patient populations and working with critical care patients.

There is little time to efficiently prepare patients to self manage their treatment protocol and disease management on a daily basis to maintain treatment plan adherence.

RenalMate optimizes clinical operations while reducing costs for the clinic in three ways:

1. Saves time with reports on adherence and compliance.

2. Shows predictive analytics enabling the prevention of hospitalization and missed treatments.

3. Improves a patient’s experience and satisfaction while reducing attrition rates.

Access to cloud-based, real-time patient data helps improve patient care by keeping the medical team more informed and facilitating efficient communication while easing administrative burdens.

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Chronic disease management is a daily overwhelming journey that requires commitment, knowledge and a lot of energy from the patient to make the right decisions!

With a number of the barriers the patient faces it is difficult to adhere to a treatment plan:

● a lack of access and accountability to and from the medical team on a daily basis;

● not receiving instant feedback to make more informed and healthier choices;

● need to organize daily schedules by incorporating daily adherence to the treatment plan to incorporate into work, family and social schedules.

For people living with chronic kidney disease, following complex care plans and staying on track can be challenging.

Studies show that CKD patients who receive more education and support achieve better outcomes.

1. RenalMate acts like a virtual coach providing education, guidance and the support you need to self-manage for overall adherence to physician recommendations.

2. This allows you to monitor vitals, nutrition, track medications and appointments, and connect with your care team and other patients.

3. With RenalMate by your side, you can spend less time managing your CKD and more time living your life.

Simple Onboarding and Support for Medical Teams:

Step 1

Personalize

Work with your Medical Team to customize the program for your teams and patients needs

Step 2

Training

A seamless and engaging process to educate your medical team and patients on how to use the digital health platform and medical devices. With continuous monitoring and tools to improve user experience and engagement

Step 3

Support and Improvement

A simple mobile care coordination platform that allows your medical team and patients to be on the same page in disease management and monitoring. Empowering daily adherence with peer, family support and a reward system for patients

RenalMate for Medical Teams

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Publishing and Community Management

Disease specific education, Mind-Body-Spirit wellness programing, participation in challenges, groups, events attendance

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Data Management and Integration

Physician’s facing dashboard with reporting and monitoring, Providing secure patient assessments, continuous reporting and progress tracking overtime

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Patient – Physician Communication

Comprehensive monitoring and physician feedback with recommendation for adherence to treatment and maintenance protocols

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Reporting and Predictive Analytics

Providing secure patient assessments, reporting and progress tracking overtime

RenalMate for Patients

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Empowerment and Gamification

Community development, support systems and accountability; offering management engagement through reward systems

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On-Demand Decision Support

Mobile navigation for best practices, nutritional advise and treatment and disease education

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Patient’s Mobile Care Management

Daily personalized regimen with reminders and coaching

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Nutrition Management

Nutrition report, CKD and ESRD-specific meals/recipes and management for compliance with dietary recommendations

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Vitals and Behavior Tracking

Seamless vitals tracking and bite size ongoing assessments supporting behavioral changes

Incredible Value

Experience cost-saving efficiencies and increased patient satisfaction and retention

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«The powerful analytics, reporting and publishing automation make my work easier and more enjoyable».

– Jeffrey – Adeline Muminova, RN and Wellness Coach at Kaiser Permanente

Experience cost-saving efficiencies and increased patient satisfaction and retention:

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Secure Access

with easy and secure access to patients’ daily vitals, nutrition and medication data, dialysis clinics can save time and experience administrative cost-savings by avoiding redundant data collection and inefficient communication.

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Easy Management

manage patients’ care plans and provide empowering guidance and support to help increase patient engagement, adherence, satisfaction and retention.

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Easy Monitoring

easily monitor patients’ care-to-care transitions among dialysis clinics, hospitals and office visits while facilitating efficient engagement among the patient’s healthcare team.

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Improve Quality of Care

achieve improve patient outcomes with fewer complications and re-hospitalizations through patient monitoring, educational and easy-to-use tools designed to guide patients and improve their adherence to care plans.

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«The powerful analytics, reporting and publishing automation make my work easier and more enjoyable».

– Jeffrey – Adeline Muminova, RN and Wellness Coach at Kaiser Permanente

Better manage your kidney disease and enhance your well-being.

RenalMate was designed to help CKD patients feel

● empowered

● connected and

● informed when it comes to managing their kidney disease.

CKD treatment plans can be complex, but with the support of powerful, accurate and efficient online tracking and communication tools, guidance and reminders, patients can manage their kidney disease more confidently and efficiently, so they can focus less on their kidney disease and more on living their lives.

What Our Clients Say

Watch what the ESRD patient has to say about using RenalMate.

Jeff has been on hemodialysis for over 34 years and is one of the longest living dialysis patients.

Have a question about RenalMate?

Reach out to our team by leaving a comment or requesting to see the product.

Our Vision

Help Chronic Kidney Disease patients live longer, healthier and happier lives by:

● supporting care plan compliance;

● providing personalized educational tools;

● facilitating communication between the patient and their healthcare team;

In the near future, we will also utilize the technology to bring personalized prevention programs to those at risk of developing CKD, as well as helping those with late-stage CKD prolong their kidney function and prevent kidney failure.

About Us

RenalMate is a secure, easy-to-use app that helps patients manage their chronic kidney disease and communicate with their healthcare teams

Our Core Values:

Science + Security

Community + Engagement

Innovation + Personalization

Cost Savings + Quality of Care

We are passionate about building healthcare technology that helps patients, caregivers, doctors and nurses achieve better outcomes while also reducing healthcare costs.

RenalMate was developed by Livzo’s team to help improve the lives of people living with the daily challenges of kidney disease.

Our team of engineers, providers, researcher and patient advocates has more than 25 years of experience developing innovative wellness solutions for corporations and hospitals.

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«I believe the RenalMate solution is going to become a hugely valuable technology for care teams and ESRD patients. It enables the monitoring and managing of a patient’s adherence to diet and vitals tracking, leading to more effective outpatient care.».

– Hussain Gilani, MD, Nephrologist

Management Team

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Nataliia Karpenko

Chief Executive Officer and Patient Advocate

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Bob Saffari

Chief Corporate Strategist

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Benjamin Dorn

Cognitive Research and Data Science Manager

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Carrie Nikitin

VP of Business Development

Advisory

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Laihem Cambridge

Sr. Researcher, Medical Study Coordinator

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Obieze Nwanna

Sr. Researcher, Medical Study Coordinator

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Sarah Hawthorne

Wellness and Nutrition

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Carlos Sancho Mateo

Life Science

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Hemalee Patel, MD

Clinical Innovation and Nutrition

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Mahmoud Falaki

IT & Compliance Cons.

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Hussain Gilani, MD

Nephrology

Patient story

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Wesley Madriz, Beauty Queen and Renal Disease Patient

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Chrystal Vega, About Becoming Kidney Organ Donor.

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Renal Warrior Rally I, sharing Kidney Disease Awareness

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Day 5: #TheWarriorRide AM Journal at Pismo Beach, Davita

Resources

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Get the most from your workout: Mindful Fitness

It’s no secret that exercise is good for us. Exercising for a minimum of 30-minutes three times a week has many health benefits including, but not limited to: better-quality sleep, increased efficiency of the heart, decrease in stress and tension, and better immune system functioning. We have these health benefits of fitness engrained into our culture, however, it seems that for a lot of people working out and maintaining their fitness has become a stress-inducing necessity rather than a stress-reducing one.    People often view fitness as a means to an end. In other words, there is a goal that we create, we go through painful and physically exhausting workout regiments to fulfill these goals, and once we’ve accomplished them we are so burnt out that we stop exercising altogether. It’s yo-yo exercising! And just how yo-yo dieting isn’t healthy or productive, neither is yo-yo exercising! We must change our mindset around fitness so that it is more sustainable and fun. That is where mindful fitness comes into play.  Nuts and Bolts of Mindful Fitness  Mindfulness can and should be practiced in every and all aspects of life, including while you’re working out! We are all guilty at times of going through the motions of a workout, either because we’re tired and feel like we just need to get in the gym to see results, or because we don’t enjoy the form of movement or exercise we’re doing. Mindful fitness is the practice of focusing your attention inward during exercise so you are better able to understand your body’s needs and desires.    When we are able to concentrate on how our bodies are feeling during exercise, we are more in tune with our level of effort and exertion – should we dial it back or should we push harder? If we push harder, will we injure ourselves? It’s all about listening to our bodies in an active and present way.  Also, by practicing mindful fitness, we can explore various types of movements to ultimately find those we most enjoy.  Exercising should be FUN, and when we find the type of movements we like, such as dancing, yoga, or tennis, we are more apt to actually find the time to do them!   A Mindful Shift in Activity  Growing up as a high-level ice hockey player, I was used to pushing my body to the brink of exhaustion on a near-nightly basis. Like many college athletes, when I stopped playing, I was at a loss of what to do. I’d never had to think about what I wanted to do for exercise because hockey was always there.  It took me a while to realize that I didn’t have to kill myself at the gym in order to maintain my health. When I did realize it, I started exploring other ways of being active. I now know that I love hiking, yoga, and pilates. I look forward to these activities and have made them a regular part of my lifestyle. They make me feel good without creating stress for me, which is why I’ve been able to stick with them.  A Need to Move  As human beings, we intuitively crave movement after a long day or even a week of sitting at a desk or in meetings. Through mindful fitness, we are able to understand and satisfy these cravings without thinking of exercise as a necessary or painful chore – we transform it into a nourishing activity instead. By paying attention to the needs of our bodies, we will inevitably begin to move more, and in ways that we find enjoyable and impactful.  Also, we will begin to notice when our bodies are craving a more rigorous exercise (like a HIIT workout) or when we need more of a calming, stretching exercise (like yoga).  By connecting the mind and body around exercise, we are better able to understand our bodies’ needs and appreciate how truly remarkable we are.  How to practice mindful fitness today  You can start practicing mindful fitness RIGHT NOW by noticing how your body is feeling.  Are there any parts of your body that are sore or tight? Have you been fidgeting in your chair all day because you just want to get up and move? Take a minute to do a full-body and mind scan to see how you are feeling physically and mentally. What is the first type of movement that comes to mind that you feel your mind and body would benefit from right now? Recognizing what type of exercise you’re craving is the first step.  The second step is to now actually do it!  And remember to always notice and bring your attention back to your body throughout the entire exercise. Goodbye yo-yo exercise and hello enjoyable fitness! 37.7951011-122.4001949

June 25, 2019

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Self Talk: The difference between positive and negative self-talk and what it could mean for your productivity

What is self-talk?  I can’t believe I just said that. Do you think they think I’m stupid now? How does my hair look? Wow, I just ROCKED that presentation; go me! I’m not smart enough to lead this project. I can and WILL run this 5k if it’s the last thing I do!  All of these are examples of self-talk. Self-talk is that inner dialogue that is constantly going on inside your head, playing out past or future scenarios over and over again in your mind.   Two brains image via Shutterstock Negative Self-Talk  It’s probably easiest to think about negative self-talk as the little devil on your shoulder – the guy who’s always telling you you’re not good enough, that you’re fat, or that you’ve done something embarrassing and should go hide in a corner now before you do anything else to humiliate yourself. Sure, this little devil only lives in our minds, but what we think can very quickly affect how we walk through the world. In other words, negative self-talk can do real damage, even if we never speak a single word of it out loud.   Positive Self-Talk  Positive self-talk is that angel on your other shoulder telling you how amazing you are — that you deserve to be happy and nothing can get in your way. You might be familiar with positive affirmations: little sayings we can use to bring positive change into our lives. Research has shown that just as negative self-talk can be detrimental to our well-being, positive self-talk can be just as beneficial for our health.   What’s the Harm in Negative Self-talk?  Dr. Daniel Amen, a very well known brain doctor who used an integrative approach to heal conditions such as anxiety, depression, addiction, and ADD, describes negative self-talk as automatic. He argues that these negative thoughts can be harmful to how our brains actually function.    When we engage in negative self-talk, chemicals are released in the brain that make us feel stressed out and sad. If you’re constantly having negative thoughts about yourself, then your brain will actually trigger you to behave in a destructive way. You will eventually become sad, unproductive, and lonely because you are internalizing all of that negative self-talk.    How to use positive self-talk to improve performance   Recent research has suggested that positive affirmations can help protect us against the damaging effects of stress, and thus increase our ability to problem solve. This study showed that participants who were under chronic stress were better able to problem solve and showed lower levels of stress when given the opportunity to practice daily affirmations. In other words, by consciously practicing positive self-talk, people were able to reduce stress AND be more productive. Sounds pretty good!!  There are many different ways to use positive self-talk to improve your mental wellbeing. Sometimes it comes to us organically because we already feel great about ourselves, and sometimes we need to conjure up a few positive thoughts to respond to the web of negative self-talk we don’t even realize we’re weaving until it’s about to trap us.   Here’s an example of how I used it to combat self-doubt:   The other day I was planning to give a presentation to a group of about 20 people. I always get nervous before public speaking, but this time I was being particularly hard on myself.   I didn’t prepare enough. I’m not informed enough to be speaking about this topic to this group of professionals. What if someone asks a question that I don’t know the answer to? I’m going to look so dumb.   I couldn’t get these thoughts out of my head. But then I remembered some personal positive affirmations that resonate with me.   I possess the qualities needed to be extremely successful. My ability to conquer any challenge is limitless. I am a strong, indestructible woman.   Writing these positive affirmations out now, they seem really cheesy. But they really carried me through that presentation!   Try and think of a few go-to positive affirmations that resonate with you so that you’re armed and ready the next time you catch yourself engaging in negative self-talk. They might make the difference between accomplishing your goals and succumbing to defeat!  Two brains image via Shutterstock 37.7950307-122.4002129

June 09, 2019

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How to be S.M.A.R.T. When Setting Goals

Take a minute and think about your most recent health goal. It could be that you want to lose five pounds for that vacation you have coming up. Maybe it’s that you really want to reach 10,000 steps every day. We all know that goals are great ways to set our minds and intentions on reaching our potential. But what most of us don’t know is that not all goals are created equal. How we set up our goals, whether they’re short-term or long-term, weighs heavily on our ability to actually achieve them. And of course, that’s the point of a goal right? To strive to achieve it? By creating SMART goals: Specific, Measurable, Attainable, Realistic, and Timely, we set ourselves up for the greatest likelihood for success.   Creating SMART goals: Specific, Measurable, Attainable, Realistic, and Timely, we set ourselves up for the greatest likelihood for success. Specific When we say “specific,” you might be thinking “I DO set specific goals. I SPECIFICALLY want to fit into my jeans!” But that’s not what we mean. We are talking about specific, tactical details. HOW will you fit into your jeans? Will you get there by adding exercise to your daily routine? Starting a meal plan? Let’s look at getting active:  A general goal would be something like “I want to walk more.” That’s a great idea in theory, but it doesn’t hold you accountable to the details that will actually get you walking. Will you be walking alone or with family or friends? Which days do you want to walk? Where will you be walking? Why do you want to accomplish this goal? Did you notice anything about that barrage of questions? Who? What? When? Where? Why? Right, that’s what we mean by specific. The general statement of “I want to walk more” doesn’t answer any of these questions.  On the other hand, saying “I will walk 10,000 steps every weekday by committing to a walk around the lake at lunch with my coworker Rachel, because I WANT TO FIT IN MY JEANS!” is much more specific and you are more likely to stick with it. There are requirements within that goal that are holding you accountable to reach it.    Being able to track your progress through established criteria is the marker of a good, solid SMART goal. Measurable  You can’t improve what you’re not measuring. This is a rule across nearly all things in life, and personal goals are no different. Being able to track your progress through established criteria is the marker of a good, solid SMART goal. When you’re able to measure your progress, you’re more likely to stay on track to ultimately reach your goals and stay motivated to reach higher still.   We at Livzo recommend using tracking tools to get you there! Check out our suite of tracking tools in the Health Diary, and reach out to your Livzo Coach if you need help getting started.  A measurable goal will be able to answer the questions: How much? and How will I know when it’s accomplished? Take the example of the 10,000 steps a day goal. This is a measurable goal (using an activity tracker) because it answers how much (10,000 steps) and how you’ll know when you’ve accomplished it.   Attainable  Attainable goals are about how you CHOOSE the goal. They are goals that are important enough for you to fully commit to while also recognizing any potential roadblocks that are out of your control. Attainability assures you success in achieving your goal if you’re willing to put in the work. You’re willing and able to put in the work of walking 10,000 steps a day in order to fit into your jeans. You know that by walking around the lake during lunch with your co-worker Rachel, you’re setting yourself up for success in eventually being able to achieve the bigger goal of fitting into those jeans. But if you know you are usually out of the office during lunchtime, then this goal wouldn’t be attainable and you must rework it accordingly.  Attainability is all about choosing a goal, sticking with it, and making sure your plan of attack is realistic given any external variables that could keep you from reaching it.   Relevant   Relevant goals make sure that the smaller, day-to-day goals are leading you in the right direction to eventually reach your larger goals. Is your walking 10,000 steps a day goal relevant to fitting into your jeans? Yes, it seems like it is. However would walking 10,000 steps a day be relevant to a goal about getting a promotion at work? That might be a stretch. SMART goals are thoughtfully connected and integrated into your larger goal so that you can see results.  Timely  A goal should be placed within a time frame so that there is some sense of urgency in accomplishing it – when will you start working on it, and by when do you want to see results? In the case of fitting into those jeans, do you have some sort of looming event? A reunion perhaps? Have you given yourself enough time to accomplish this goal by walking 10,000 steps a day? Or do you just want to see results before summer? Either way, does that mean you should start walking tomorrow to accomplish it? Are you ready to get started?   Relevant goals make sure that the smaller, day-to-day goals are leading you in the right direction to eventually reach your larger goals. Get SMART  Ok, so here’s the final (long-winded, as it were) goal that we’ve come up with after this lesson in SMART goals: “I will start walking 10,000 steps every weekday starting THIS MONDAY. To get there, I will walk around the lake at lunch with my coworker Rachel. I’m doing this now, because I WANT TO FIT IN MY JEANS by June, because I have a vacation coming and I want to bring them.”     The SMART goals model is a good starting point for creating effective goals that actually get you where you need to be. We’ll ask you again to think of a goal you’ve set (past or present) and whether you achieved it or feel confident that you will. And then consider everything we went through on this list once more. Is your current goal SMART? If not, what needs to be adjusted in order for it to pass the SMART goal test?    

June 03, 2019