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Mobile Technology & Primary Care. Getting through the noise William P. Moran, MD, MS & Patrick D. Mauldin, Ph.D. MUSC. Evolution of primary care. Care Coordination: Our Care Venues…. Evolution of primary care. Evolution of primary care. Wagner Chronic Care Model.

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Mobile technology primary care

Mobile Technology & Primary Care

Getting through the noise

William P. Moran, MD, MS & Patrick D. Mauldin, Ph.D.


Care coordination our care venues
Care Coordination:Our Care Venues…

What to do a loud signal must be heard amidst the clinical noise
What to do? A loud ‘signal’ MUST be heard amidst the clinical ‘noise.’  

  • Technology must be targeted to the most appropriate patients: Risk stratification

  • Decision support must be integrated into the data flow process

  • Information must be reliably delivered to the correct team member (frequently not the primary care provider)

  • Clinically actionable signals should be sent to the primary care team member

  • Real time

Risk stratification1
Risk Stratification

Cluster A

Cluster B

Cluster E

Cluster C

Cluster D

Risk stratification2
Risk Stratification

Renal Disease,

Depression, & CV risk

Diabetes & CV risk


Obesity & CV risk

Complex, CV disease

& Depressed

Static and dynamic components

Static and Dynamic Components

No static and no utilization* within 365 days

Static variables only (no utilization) or no Static w/Util

within 365 days

Static and utilization history (days 31-365) or top 20% with no utilization within 365 days

Static and util.(Top 20% risk with until <365 days)

Immediate utilization within 30 days (regardless of static results)

Immediate Intervention

The risk strat model is to reduce the number of & .

Mobile technology primary care



Obesity & CV risk

Hyperlipidemia & Hypertension

Mobile technology primary care

Chronic lung disease, Depression & CV risk

Diabetes & CV risk

Complex, CV disease & Depressed

Renal Disease, Depression, & CV risk

Cueing the team
Cueing the team


Patient Data




Patient Data

Patient Data





Patient Data

Cueing the team1
Cueing the team

Mobile technology primary care

Real Time

Courtesy of Dr. Frank Treiber


  • Primary care environment offers opportunities for technology to improve the quality of patient care

    • monitoring clinical conditions

    • coordination and transitions of care

    • medication management

  • But we have to be careful implementing technology in an occasionally chaotic environment – Primary care