Preventive Health Screening for British Columbians

Screen for diabetes and high cholesterol — without a family doctor. Get your results interpreted in plain language with clear next steps.

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About This Project

ScreenBC was built for the BuildersVault Healthcare AI Hackathon, where it was selected as one of the winning projects. It demonstrates how a province-wide screening program could work — identifying patients who are overdue for routine blood work, interpreting their results using AI grounded in Canadian clinical guidelines, and guiding them to appropriate next steps — all without requiring a physician in the loop.

The Problem

700,000+

British Columbians without a family doctor

That means no one is routinely screening for common, silent conditions like diabetes or high cholesterol. These diseases develop over years without symptoms, but can end in heart attacks, strokes, kidney failure, blindness, amputations, and premature death.

These outcomes are often preventable.

Early detection is simple and inexpensive. Basic blood tests cost less than $10 each and are already available across the province. When caught early, these conditions can be managed with medications and lifestyle changes that dramatically reduce the risk of life-altering complications.

But without a primary care provider, these tests are often never ordered. Patients are left undiagnosed until they present with advanced disease — when the damage is already done.

The Insight

“BC already solved this problem — for cancer.”

BC Cancer Screening proactively identifies patients who are overdue for mammograms, cervical screening, and colon cancer screening. It sends them a notification. It doesn't wait for a family doctor to order the test. The program has been running for years, and it works.

Nobody has done the same thing for chronic disease identification.

ScreenBC applies the exact same model to diabetes and dyslipidemia screening. The infrastructure is already there. The clinical guidelines exist. The labs are inexpensive and accessible. The barrier is that no one has found a way to implement population-level screening for these conditions without requiring a physician to order and review each individual test.

Why This Idea

We evaluated over 30 ideas with input from multiple physicians. The healthcare system is under strain for many reasons — but one of the most tangible, actionable levers is early intervention for chronic disease. We picked ScreenBC because it was:

The most impactful

It targets a root cause of system stress — unscreened chronic disease — not just a symptom.

The most realistic

It doesn't require new infrastructure, new physician workflows, or new patient behavior. The model is already proven with BC Cancer Screening.

A genuine low-hanging fruit

The tests are cheap. The guidelines are clear. The labs already exist in every community. The registry data to identify overdue patients already exists.

Actionable today

There's a clear path from pilot to province-wide implementation. No moonshot technology required.

Why It Works

For Patients

It's passive. You get a notification, walk into an outpatient lab, and get your results interpreted in plain language with clear next steps — even without a doctor. No apps to learn, no new habits to build.

For Physicians

Nothing new to learn and no added workload. For diabetes and dyslipidemia screening, no physician is needed in the loop — results are never emergencies, and the clinical guidelines are unambiguous enough for automated interpretation.

For the System

Every early catch is a potential ER visit, hospitalization, or surgery avoided. A less than $10 test can prevent tens of thousands of dollars in future costs per patient, while reducing system strain.

How It Works

1

Identify

The system uses provincial health registry data to identify patients who are overdue for preventive screening.

2

Notify

The patient receives an email or text: "You may be due for preventive health screening."

3

Enroll

The patient logs in via BC Services Card, reviews consent, and optionally fills out a brief health questionnaire.

4

Screen

The patient receives a lab requisition and takes it to any outpatient lab. Standard blood tests: HbA1c and lipid panel.

5

Interpret

Results are interpreted using AI grounded in Canadian clinical guidelines. Each result is categorized as Normal, Borderline, or Needs Attention.

6

Guide

The patient receives a personalized, plain-language summary: what their results mean, what they can do, and where to find care near them.

The Roadmap

A small, independent trial that can be run by individual physicians in their own practices or small communities.

  • Conditions screened: Diabetes (HbA1c) and dyslipidemia (lipid panel) only
  • Patients opt in and register directly on the platform
  • A physician approves and signs lab requisitions
  • Scale: a handful of practices or one community
  • Goal: Validate the model, gather patient feedback, measure engagement

The Team

ScreenBC was built by Gustavo Garcia (product & engineering) in collaboration with Dr. Sally Carver, Family Physician, with input from physicians in British Columbia.

See it in action

Explore the full screening experience as a sample patient — from enrollment to results interpretation and next steps.