Connecting digital systems to create more coordinated care.
Since 2022, Medtronic LABS has worked with Rwanda’s Ministry of Health and Rwanda Biomedical Centre to strengthen digitally enabled NCD care, with key workflows now embedded within national digital health platforms.
We are building on that foundation to strengthen care coordination across existing systems. The focus is on identifying missed referrals, follow-up gaps, and other breaks in the patient journey — helping ensure that digital infrastructure translates into more connected care across priority areas including maternal health and NCDs.
Our work at a glance
3
Districts
499,475
People screened
4,537
Closed-loop referrals
What we’re building
Care across systems
Connecting existing digital platforms so information and actions can follow the patient.
Closed-loop referrals
Helping health systems identify whether referrals are completed and when follow-up is needed.
Care-gap detection
Using existing health-system data to identify missed steps and support timely action.
Connected health systems
Moving from digitization toward more coordinated, data-driven care.
Partners
How it works
SPICE, our open-source technology platform, supports outcomes-focused patient care.
Community Screening
Community health workers (CHWs) screen patients for a range of conditions including hypertension, diabetes, malaria, TB and more, leveraging point-of-care diagnostics and symptom-based algorithms. Those eligible are referred to the nearest health facility.
Diagnosis and Risk Stratification
Medical staff confirm the diagnosis, and patients enroll in our programs. Upon enrollment, each patient receives a risk score, based on WHO-approved clinical protocols. The risk score supports a personalized care plan.
Community-based Management
CHWs follow up with patients directly in the community to monitor relevant conditions. The cadence of follow-ups is driven by the risk-based care plan for efficient and effective care management.
Patient Engagement
Patients engage in services customized to their unique needs.
Clinical Decision Support
Clinicians have access to longitudinal patient records and follow-up with patients based on real-time data. Throughout the program, clinicians can update the care plan, order prescriptions or labs, conduct medical consults and more.
A bold approach to last-mile healthcare delivery
Transformative change doesn’t happen in a vacuum. Our approach integrates three elements – digital technology, health systems strengthening, and partnerships – to promote human flourishing.
Our Approach