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. Its bad Cardiometabolic Syndrome

4. 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/

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

6. 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

7. 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

8. Patient

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

10. 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

11. 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

12. 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

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