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

1. 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

2. No disclosures

3. Cardiometabolic Syndrome • It’s bad

4. 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/

5. Point-of-Care Analysis http://www.pewinternet.org/fact-sheets/mobile-technology-fact-sheet/

6. 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

7. 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

8. Patient

9. Physician • More difficult to implement technology in a helpful way • Diverse set of needs • Fewer preventitive care applications

10. 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

11. 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

12. 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

13. 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

14. Hospital

15. 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

16. 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