Mobile Cardiac Rehab Meets Patients Where They Are: At Home

Published Thursday, April 13, 2017 7:00 am
by MedAxiom

 

 

Moving Analytics’ Solution Utilizes Stanford University Research and Technology to Increase Cardiac Rehab Participation, Reduce Readmissions and Improve Outcomes at Lower Costs.

MedAxiom is pleased to announce a new corporate partner: Moving Analytics, an organization that helps hospitals implement home-based cardiac rehab programs via mobile devices including smart phones and tablets. Moving Analytics provides the clinical expertise, evidence-based programs, technology and implementation support to help hospitals manage patients with acute coronary events post discharge.

"One of the greatest challenges for cardiovascular care providers today is getting their patients to participate in rehab programs after a cardiac event,” said Ryan Graver, President of MedAxiom Ventures, a division of MedAxiom. “Data shows that only 20% of patients actually participate in rehab programs as prescribed, with difficulty of getting to rehab centers named as a major hurdle. Moving Analytics removes that and many other obstacles by using technology to make rehab as convenient and effective as possible."

Moving Analytics’ solutions are based on MULTIFIT, an evidence-based system for chronic care management developed by researchers at Stanford University School of Medicine. The contents of MULTIFIT include: patient education materials, decision support tools and healthcare provider training manuals on exercise, pharmacotherapy, risk factor and chronic disease management. In multiple randomized clinical trials, MULTIFIT has been shown to improve outcomes and reduce readmissions for patients with coronary artery disease, heart failure, hypertension, acute coronary syndrome, hypertension and diabetes.

The MULTIFIT system has been fully implemented at Kaiser Permanente Northern California where it has positively impacted the lives of over 70,000 patients. At the 2017 conference of American College of Cardiology, Dr. Levin of Kaiser Permanente showed that participants of the MULTIFIT program had a 98% smoking cessation rate, 85% had blood pressure lower than 140/90mmHg, 47% exercised more than 150 minutes/week, 84% maintained a low fat diet (17% plant based) and 96% of participants were adherent to beta blockers post-MI. 

As CV health care moves from volume to value, and more providers transition to bundled payments, more efficient, cost-effective and patient-centered rehab solutions are essential,” said Ade Adesanya, Co-founder of Moving Analytics. “With Moving Analytics, three times as many patients choose home-based rehab (with an 80% completion rate) and hospitals can now identify high-risk patients and intervene promptly which leads to fewer readmissions. Since our program is approximately 1/4 the cost of the traditional rehab model, it offers a win-win formula for providers and patients.

In the home-based program, patients eligible for cardiac rehab are recruited by an RN care manager and are then scheduled for an initial evaluation to assess their eligibility, medical history, functional capacity and readiness to set goals and change health behaviors. The care manager then creates a personalized care plan on the Moving Analytics dashboard for the patient. The care plan consists of a home exercise prescription, educational curriculum (video and text) and reminders to log vital signs and medications. The care plan is then downloaded to the patient’s phone/tablet as an app. The app converts the care plan into a daily checklist with reminders. As patients complete various tasks, their progress is automatically uploaded to the dashboard. The care manager contacts patients weekly to provide further counseling on risk factor management and check in on their progress for up to 3 months. Patients can chat directly with the care manager and report symptoms. The app collects and sends vital signs from wireless devices like fitness trackers, blood pressure cuffs and weight scales to the care manager. The dashboard creates alerts to help the care manager identify at risk patients with abnormal vitals, symptoms and low compliance. For patients who are not tech savvy, a paper-based version of the program is offered.

Moving Analytics works with hospitals to tailor the MULTIFIT model to their particular needs and oversee the successful implementation of the program. Some of their customers include Veterans Affairs Medical Center, Our Lady of Lourdes Medical Center, NYU Langone Medical Center, and the Keck School of Medicine of USC.

Learn more at www.movinganalytics.com and meet the Moving Analytics team at CV Transforum Spring’17, April 18-20, in Amelia Island, FL.