The Digital NCD Care Pathway is an evidence-based program designed to support professionals in charge of managed care processes for multiple chronic conditions through a single streamlined approach. This will include personal combinations based on patient diagnosis and risk factors for diabetes, hypertension, cholesterol and cardiovascular disease management.
- 12 to 16-week structured program tailored to patients’ specific conditions, risk factors, and co-morbidities
- Integrated modules combining blood sugar tracking, blood pressure monitoring, physical activity, nutrition guidance, and medication adherence
- Step-by-step education and actionable tasks are delivered weekly to simplify care and prevent confusion
- Ongoing monitoring, personalised feedback, and direct access to care managers for continuous support for 6 to 12 months
By unifying care across multiple conditions, this program empowers patients and simplifies management for healthcare providers.
What is Digital NCD Care?
Digital NCD Care combines the management of multiple chronic conditions—including Diabetes, Hypertension, Cholesterol and Cardiovascular Disease—into a single, personalised pathway. Using Digital Therapeutics (DTx) and innovative digital tools, the program carefully selects the appropriate modules based on patients’ risk factors, co-morbidities, and clinical conditions and is launched to patients after the professional’s confirmation of care selection. This unified approach simplifies care delivery, streamlines information, and prevents patient confusion by providing a clear, step-by-step plan tailored to their individual needs.
How Does the NCD Pathway Work?
The Digital NCD Care process begins when a healthcare provider refers a suitable patient to the platform. The system gathers relevant clinical data—manually or through medical records integration—and creates a personalised care pathway for each patient.
The NCD pathway integrates elements from various pathway depending on the patient’s personal requirements:
- Diabetes care with blood sugar tracking, nutrition planning, and physical activity.
- Hypertension care with blood pressure monitoring, stress management, and medication adherence.
- Cholesterol care with heart-healthy eating plans, exercise guidance, and medication support.
Patients receive tailored weekly modules that combine lifestyle modifications, cognitive-behavioural tasks, and tracking of clinical values, all delivered through the HealthFOX application. This step-by-step approach simplifies complex care by gradually introducing relevant information and tasks, ensuring patients stay on track without feeling overwhelmed.
Healthcare professionals have a real-time overview on the patient’s journey, their progress, follow-up treatments and care needs from the professionals dashboard. This enables professionals to follow patients adherence to care and provide them with insights to be able to have early managed care decisions.
Benefits of the NCD Pathway
The Digital NCD Care Pathway combines all relevant therapies into a single platform, ensuring a seamless experience for patients managing multiple conditions. Patients can stay engaged without confusion over their care plan by delivering clear, actionable steps. This platform enables care coordination for healthcare providers, reduces administrative burden, and ensures a holistic approach to patient care.
Developed by HealthFOX Ltd, this innovative pathway is part of the HealthFOX Easier Tomorrow Service Concept, designed to deliver scalable, effective, and patient-centered care. Incorporating Digital NCD Care into your practice can transform how chronic disease management is delivered, improving patient outcomes and operational efficiency.
