Cardiovascular Risk Decision Support Software for Patients and Clinicians Presenter: John Colquhoun School of Computing Science, Newcastle University Project Team: Computing Science: Aad van Moorsel, Bob Sugden, John Colquhoun Institute of Health & Society: Richard Thomson, Fiona Beyer, Julia Critchley NHS South of Tyne & Wear: Mark Lambert, Mike Prentice

Project Overview What is the risk of somebody getting Cardiovascular Disease? What is the risk of somebody getting Cardiovascular Disease? Local implementation of a national cardiovascular screening programme in primary care Local implementation of a national cardiovascular screening programme in primary care In line with a general move towards “preventive medicine” and also greater patient involvement In line with a general move towards “preventive medicine” and also greater patient involvement Software tool to help a doctor communicate risk to a patient and to support the patient in understanding the risks and benefits of alternative interventions Software tool to help a doctor communicate risk to a patient and to support the patient in understanding the risks and benefits of alternative interventions How can the risk be reduced? How can the risk be reduced? What interventions can be used? What interventions can be used? What adverse effects do these have? What adverse effects do these have?

Calculating the Risk The software tool uses existing equations to calculate a patient’s risk The software tool uses existing equations to calculate a patient’s risk Framingham, QRISK2, … Framingham, QRISK2, … Parameters include age, sex, cholesterol levels, blood pressure, smoker/non-smoker?... Parameters include age, sex, cholesterol levels, blood pressure, smoker/non-smoker?... Our system can use Framingham or QRISK2 Our system can use Framingham or QRISK2

Existing CVD Calculators There are several tools available both online and to download There are several tools available both online and to download However, our software tool examines the benefit of interventions and also their adverse effects However, our software tool examines the benefit of interventions and also their adverse effects It will also be integrated into the EMIS online medical record software used across NHS South of Tyne & Wear and in approximately 60% of UK general practices It will also be integrated into the EMIS online medical record software used across NHS South of Tyne & Wear and in approximately 60% of UK general practices

Project Progress Produced an initial stand-alone version of the tool Produced an initial stand-alone version of the tool Written in C# and based on the interface from an existing tool for stroke risk with ‘smiley faces’ Written in C# and based on the interface from an existing tool for stroke risk with ‘smiley faces’ Current work involves integrating our tool with EMIS Current work involves integrating our tool with EMIS Usability testing is now in progress Usability testing is now in progress

Next Steps Usability testing will continue Usability testing will continue GPs GPs Patients Patients Both GPs and patients Both GPs and patients Planned roll-out across NHS SoTW Planned roll-out across NHS SoTW Funding to be sought for trial Funding to be sought for trial

Summary A software tool for communicating cardiovascular risk and the risks/benefits of interventions including lifestyle changes A software tool for communicating cardiovascular risk and the risks/benefits of interventions including lifestyle changes Will be integrated with EMIS software and trialled by NHS South of Tyne & Wear Will be integrated with EMIS software and trialled by NHS South of Tyne & Wear Background and overview on the Project Wiki - Background and overview on the Project Wiki Further Acknowledgements: Further Acknowledgements: Michaela Fay, Research Consultant Michaela Fay, Research Consultant Simon Lee, Rob Murgatroyd and David Stables at EMIS Simon Lee, Rob Murgatroyd and David Stables at EMIS Martin Eccles at the Institute of Health & Society Martin Eccles at the Institute of Health & Society Michael Harrison at the School of Computing Science Michael Harrison at the School of Computing Science