PAGE 1 A A F I YA H H EA LT H CA RE

DR. Z AFAR MIRZ A

Prevention is better than cure - an old adage but much more
meaningful with medical and public health advances in preventive
health care. It is about systematically knowing our risk to health
and effectively addressing it before it strikes us. With the help
of a team of preventive health care professionals we can be
preemptive and proactive to ensure healthy life years ahead, for
us, our loved ones, our communities and our organizations.
Professor of Health System & Population Health
Former Health Minister of Pakistan

DR BA SHIR HANIF
Prevention is the ultimate cure. By protecting your heart, you
can cherish a long, healthy lifestyle. Invest in your heart health
today to avoid tomorrow’s troubles. Regular exercise, a balanced
diet, and stress management can significantly reduce your risk
of heart disease. Taking proactive steps today can lead to a
lifetime of heart health.
MD, FACC,FSCAI Governor, American College of Cardiology -
Pakistan Chapter
Executive Director Tabba Heart Institute, Karachi

DR. A SIF ALI IMAM

Aafiyah Health Centers, a pioneer in multidisciplinary, holistic
primary healthcare solutions in Pakistan, is introducing a Health
Maintenance & Wellness program for families and corporate
businesses. This approach to healthcare is the latest trend in
developed healthcare systems.
The emphasis is on a pro-active approach of preventive care
and health maintenance rather than a reactive emergency and
curative care leading to a patient needs focused healthcare
delivery system on an ongoing basis.
CEO and Co-Founder
Aafiyahcare Pvt. Ltd
Lecturer, Department of Medicine
Aga Khan University
Karachi

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PR IM A RY C A RE A N D PRE V E NTAT I V E
H E A LTH C A RE S E RV ICE S

Two leading healthcare organizations have joined hands to promote the culture of preventive
healthcare and wellness programs in Pakistan in a proactive manner.

Aafiyah Health Centers is a pioneer in holistic, team-based health maintenance and wellness
in Pakistan. Through its partnership with the renowned Tabba Heart Institute, a pioneer in
preventive and curative heart disease management in Pakistan, Aafiyah Health Centers is
introducing state-of-the-art preventive health and wellness programs for families and corporate
employees in Pakistan.

Together, the two organizations aim to disrupt the healthcare space from a curative to a
preventive health maintenance model, leading to improved health and quality of life as well as
healthy aging.

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PROG R A M B E N E FI T S

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O B J EC T I V E S O F
TH E PROG R A M

• Perform health risk assessment of employees at an early age for early detection of disease.

• Enroll the high and medium health risk employees in a long-term health maintenance and
wellness program.

• Promote healthy life-style, good nutrition, regular exercise and mental well-being on an
ongoing basis.

• Improve employee wellbeing leading to decreased illness and absenteeism.

• Reduced healthcare costs by reducing emergency care visits, hospitalizations and

disease complication.

TH E WO RKFLOW

Registration With Health Counselling

Health Questionnaires As Per Findings

1 2 3 4
Biometric Medical Report Of The
Assessment Health Risk Stratification

TH E TE A M

• Doctor/Doctor Assistant

• Patient Care manager

• Nurse

• Teleconsultation

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PAGE 5 A A F I YA H H EA LT H CA RE

Aafiyah’s program uses the RSCM Scoring Algorithm, based on the American Association of
Family Physician’s system, to categorize patients into risk levels. It aids in identifying those
needing long-term care management.
Risk-Stratified Care Management Scoring Algorithm
Low Risk (0 points) Medium Risk (1 point) High Risk (2 points) Score (0-2)
Age ≤49 50-64 ≥65
Utilization

ED Utilization in the Last year 0-1 2 ≥3

Inpatient Hospitalization in the Last Year 0-1 2 ≥3
Primary Care Visits in Last Year 1-2 3-6 or 0 ≥7
Medications 0-1 2-4 ≥5
≥1 chronic illnesses with exacerbation, ≥1 chronic illnesses with exacerbation,
progression, or side effects of treatment progression, or side effects of treatment
or or
Chronic Illnesses ≤1 stable chronic illness
Disease
Chronic

≥2 stable chronic illnesses ≥1 chronic illnesses that pose a threat to life or bodily function

BMI ≥40
BMI BMI 18.5-24.9 BMI 25-39.9
BM <18.5
PHQ-9 Score ≤4 5-14 ≥15
SUD No history of SUD History of SUD Current SUD
Mini-Cog ≥3 Mini-Cog <3
Behavioral & Mental Health

Dementia / Alzheimer's Disease or or Dementia / Alzheimer's diagnosis

MoCA ≥26 MoCA 18-25
No mental or behavioral health diagnosis 1-2 mental or behavioral health diagnosis ≥3 mental or behavioral health diagnosis
or or or
1 mental/behavioral health diagnosis 1-2 life stressors in the last 12 months ≥3 life stressors in the last 12 months
with long-term stability with medication (death of a loved one, divorce, move, job loss, etc.) (death of a loved one, divorce, move, job loss, etc.)
Behavioral & Mental Health
demonstrated

Tobacco/ E-cigarette Use No history of tobacco/e-cigarette use History of tobacco/e-cigarette use Current tobacco/e-cigarette use
Lack of family support that impacts care
Lack of financial support
Lack of sufficient financial resources
Social Determinants of Health

Lack of transportation
Financially stable Recieves some support to meet social needs Language barriers
Stable housing (WIC, food stamps, bus passes, etc.) Low health literacy
Access to reliable transportation Some medical insurance coverage Low literacy
Adequate medical insurance Inadequate pharmacy coverage Medicaid/Medicare dual eligible
Family or other support Lives alone and needs assisstance with ADL Undocumentated status
Unemployed
Uninsured
Unsafe home environment
Unstable housing

Total Score
Risk Level
Risk level based on total score: Low 0-4
Medium 5-10
High ≥11

PAT IE NT C A RE M A N AG E R
Aafiyah Health Centers is the first advanced healthcare
organization in Pakistan to introduce the concept of a
personal Patient Care Manager (“PCM”).

A PCM is a trained healthcare professional who builds

a long-term caring relationship with patients requiring
complex treatment of chronic diseases.

PCMs are responsible for coordinating comprehensive

care with the health management team on an ongoing
basis. The PCM’s salient responsibilities include, but are
not limited to, ensuring that the doctors treatment plan
is implemented, appointments are made for diagnostic
tests and specialists, scheduling follow-up visits, make
follow-up phone calls to check for any adverse affects
of medication/procedures, and manage compliance and
disease complications.

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A AFI YAH HEALTH CARE PAGE 6

CH RO NIC C A RE M A N AG E M E NT
S YS TE M ( CCM )
AAFIYAH has adopted the American Association of Family Physicians’, tried and tested
chronic diseases management system. This is the first time such a system is being
introduced in Pakistan.

What Is A Chronic Disease Condition?

1 It is a health problem that can be controlled but not cured. For example, diabetes,
high blood pressure, chronic arthritis, etc.

What Is Chronic Care Management ( CCM) ?

2 CCM system gives extra support to patient care beyond the doctor’s clinic visit,
which is provided by a CCM trained patient care manager backed by a multi-
disciplinary care team for any patient care, queries, and needed interventions.

What Are The Benefits Of A CCM Program ?

3 Easy and timely access to the care team. Timely responses to medical
emergencies and queries lead to satisfied patients. Reduced emergency room
visits, hospitalizations, and disease complications. A personalized care plan
implemented by the assigned PCM team. Registration in a health maintenance
plan for preventive care visits, diagnostics, and vaccinations as per international
protocols.

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 O U R LOC AT IO N S
G A R D E N /L A S B E L L A G U L S H A N/F B A R E A A DA M J E E N AG A R/ NORTH NA ZIMABAD
C L I F T O N /D H A BAHADUR ABAD
Muhammadi Medical Centre, Lucky One Mall, LA-2 /B, LG Block L, Main Shahrah-
F-38 26th Street, Nishtar Road, near Siddique Floor, Rashid Minhas Road, Shop# 05, Ground Floor, e-Jahangir Road, near
Block 4, Clifton Sweets, and Nauman masjid, Block 21 Gulberg Town. Block 7/8, Sana Complex, CP 5 Star Chowrangi.
Lasbella. Berar Co. Housing Society.

0300-1239424 [email protected] aafiyahcare.com