Technological wellness using point of care analysis to improve patient cardiometabolic health
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Technological Wellness: Using Point-of-Care Analysis to Improve Patient Cardiometabolic Health. Brent Keeling, MD Assistant Professor, Division of CT Surgery Emory University School of Medicine February 27, 2014. No disclosures. Cardiometabolic Syndrome . It’s bad.

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Technological Wellness: Using Point-of-Care Analysis to Improve Patient Cardiometabolic Health

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Technological wellness using point of care analysis to improve patient cardiometabolic health

Technological Wellness: Using Point-of-Care Analysis to Improve Patient Cardiometabolic Health

Brent Keeling, MD

Assistant Professor, Division of CT Surgery

Emory University School of Medicine

February 27, 2014


No disclosures

No disclosures


Cardiometabolic syndrome

Cardiometabolic Syndrome

  • It’s bad


Technology in the us

Technology in the US

  • 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

http://www.pewinternet.org/fact-sheets/mobile-technology-fact-sheet/


Point of care analysis

Point-of-Care Analysis

http://www.pewinternet.org/fact-sheets/mobile-technology-fact-sheet/


Three pronged approach

Three-pronged Approach

  • Patient – self-empowerment, self-diagnosis

  • Physician – improved utilization of data at point of care

  • Hospital – patient tracking, prevention of costly re-admissions


Patient

Patient

  • 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


Patient1

Patient


Physician

Physician

  • More difficult to implement technology in a helpful way

  • Diverse set of needs

  • Fewer preventitive care applications


Physician1

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


Physician2

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


Physician3

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


Hospital

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


Hospital1

Hospital


Summary

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 health1

Technological Wellness: Using Point-of-Care Analysis to Improve Patient Cardiometabolic Health

Brent Keeling, MD

Assistant Professor, Division of CT Surgery

Emory University School of Medicine

February 27, 2014


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