technological wellness: using point-of-care analysis to improve patient cardiometabolic health brent...
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Technological Wellness: Using Point-of-Care Analysis to Improve Patient Cardiometabolic Health
Brent Keeling, MDAssistant Professor, Division of CT Surgery
Emory University School of MedicineFebruary 27, 2014
No disclosures
• As of January 2014:– 91% of American adults have a cell phone– 55% of American adults have a smartphone– 32% of American adults own an e-reader– 42% of American adults own a tablet computer
Technology in the US
http://www.pewinternet.org/fact-sheets/mobile-technology-fact-sheet/
Point-of-Care Analysis
http://www.pewinternet.org/fact-sheets/mobile-technology-fact-sheet/
• Patient – self-empowerment, self-diagnosis• Physician – improved utilization of data at
point of care• Hospital – patient tracking, prevention of
costly re-admissions
Three-pronged Approach
• Self-Analysis tool• Cardiometabolic syndrome “Bulls Eye”• Simple, visual input allows patients to see
where they stand in terms of ideal cardiometabolic health
• Targeted areas of improvement
Patient
• More difficult to implement technology in a helpful way
• Diverse set of needs• Fewer preventitive care applications
Physician
• Application designed specifically around the care of patients with known coronary artery disease (CAD)
• CAD affects 1 in 20 adults in the US• Complications from CAD are leading causes of
death in the US for both men and women
Physician
• ACC/AHA guidelines guide physician practices for CAD based on best available data
• Guidelines based on anatomy, patient demographics, and patient comorbidities
• In all, 164 (!!!) different decision points exist based on these guidelines
• Impossible for practitioners to memorize them all
Physician
• Application which codifies the ACC/AHA guidelines for CAD
• After simple data entry, practitioner receives best available data on smartphone to guide patient therapy
• May alter procedural volumes• Application being developed with plans to
study implementation
Physician
Hospital
• User friendly application for smartphones and tablets; web-based version as well
• Accessible anywhere, even internationally• Quick automatic updates to database twice
daily, no need to manually enter later; less paperwork
• Creates a partnership between the physicians and patients to not only keep track of recovery but also to proactively maintain their health
Summary
• Tens of millions of Americans use a smartphone every day
• Tens of millions of Americans should use their smartphones to improve their health and their healthcare
• Multiple access points across the healthcare continuum for technology to facilitate communication
Technological Wellness: Using Point-of-Care Analysis to Improve Patient Cardiometabolic Health
Brent Keeling, MDAssistant Professor, Division of CT Surgery
Emory University School of MedicineFebruary 27, 2014