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ePoster Presentations

EP-111 - Use of Electronic Patient Reported Outcomes and Wearables for Heart Failure Disease Management

Tuesday, May 1
12:15 PM - 12:30 PM
Location: Education Zone, Booth 2416, Screen 1

Congestive Heart failure (CHF) is a major public health issue. Today, CHF affects 6.5 million people in the U.S. and the incidence rate is projected to rise by 46 percent to more than 8 million cases by 2030. Current reimbursement policies use readmission rates and length of hospital stays as indicators of quality of care. Providers are incentivized to meet these quality measures as the cost of hospitalization alone significantly contributes to the overall burden of CHF on patients and health systems. Symptoms of CHF can be unpredictable and presently there are no reliable solutions to track disease control for discharged patients.

This session aims to improve patients' self-monitoring practices post-hospital discharge, quickly identify critical warning signs, decrease hospital readmissions and reduce healthcare costs for CHF patients by integrating remote monitoring ePRO and connected devices into standard outpatient care practices.

60 patients were enrolled in the study (Female 32%, Male 68%) with a median age of 62. 42 patients (70%) continue to actively use the mobile apps and smart devices to track blood pressure and weight. All 60 patients have completed one month of active usage while 9 patients have dropped out. Overall, there have been 6 hospital readmissions (12%) after month, mainly due to non-compliance and other chronic related disease. Barriers faced in enrollment included: on-boarding time (30 minutes), competition with other initiatives and research trials at Mount Sinai, language barrier, and low health literacy.

Given the increasing burden of CHF on patients and healthcare systems, there is a critical need for an effective, sustainable, and feasible remote monitoring system for CHF patients following hospital discharge. The ability for providers to access patient-reported outcomes and vital signs in real-time can significantly impact the quality of outpatient care, potentially reducing readmissions and costs. CHF patients are showing positive health outcomes; CHF patients had a 7% readmission rate compared to the national rates of >20% readmission rate within 30 days of discharge1. Enrollment challenges were overcome by enrolling CHF patients 2-3 days before expected discharge and adding a patient coordinator to hospital rounds. These latest advances in remote monitoring show promise for the future of technology-connected healthcare.

Learning Objectives:

Ashish Atreja

Chief Innovation and Engagement Officer
Icahn School of Medicine at Mount Sinai, NY

Dr. Atreja has received formal training in public health and is board certified in gastroenterology, clinical informatics and internal medicine. Over the last fifteen years, he has led many public health and informatics initiatives at Cleveland Clinic and Mount Sinai Medical Center, NY that includes developing online education modules, leading EHR implementation, performing analytics on healthcare data and developing enterprise-wide mobile apps. As Chief Technology Innovation and Engagement Officer, Medicine, he leads the Sinai AppLab (www.sinaiapplab.org) that is one of the first collaborative hub within academic medical center to build and test disruptive mhealth technologies.

Dr. Atreja leads scientific registries for American Gastroenterology Association and serves in Innovation Advisory Board for American College of Cardiology. As an intrapreneur, Dr. Atreja has won innovation awards at Cleveland Clinic and Mount Sinai, successfully licensed technologies from academic centers and advises startups, accelerators and Fortune 500 companies in digital medicine. Recently, Dr. Atreja established Network of Digital Medicine (www.nodehealth.org) to connect innovation centers worldwide and share best practices for digital medicine innovation and implementation between industry, payers and health systems. Dr. Atreja serves as Scientific Co-founder for Mount Sinai Spinoff, Responsive Health (http://responsivehealth.org) that aims to bring first enterprise-wide app curation, prescription and engagement platform to risk sharing hospitals and payers. Dr. Atreja has published more than 60 papers and has been a keynote speaker globally on topics related to digital medicine and health system transformation.

Presentation(s):

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Emamuzo Otobo

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Icahn School of Medicine at Mount Sinai. NY

Dr. Otobo has received formal training in public health and is a physician by training. Over the last four years, he has become part of many public health and informatics initiatives in Mount Sinai Medical Center, NY . He played a stellar role as population health coordinator managing more than 500 Inflammatory Bowel Disease patients in real time through a patient reported app. He also managed the Heart failure remote monitoring project which has seen significant reduction in post-readmission rates for congestive heart failure patients. He works closely with other physicians in the Mount Sinai Hospital on developing and ongoing projects. He has also authored articles in several publications.

Presentation(s):

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Akshay Kohli

Akshay Kohli
Icahn school of Medicine at Mount Sinai

Dr Akshay Kohli in AppLab, Mount Sinai and is involved in process optimization and Quality Improvement through remote monitoring. Respensible for compiling an ePRO library for remote monitoring of chronic diseases including Heart failure, IBD, COPD, Asthma etc. Part of a team that conducts clinical trails to gather evidence in Digital Medicine interventions.

Presentation(s):

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Pavan Choksi

Vice President of Corporate Development
Rx.Health

Presentation(s):

Send Email for Pavan Choksi


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