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Cleveland Clinic/Microsoft Pilot Promising; Home Health Services May Benefit Chronic Disease Management
Date:3/1/2010

ilot project, participants used at-home heart rate monitors, glucometers, scales, pedometers or blood pressure monitors, depending on each patient's disease. These devices uploaded the patient's data to HealthVault – a security-enhanced , Web-based data storage platform for patients – which then connected to the patient's personal health record at Cleveland Clinic (MyChart, by Epic Systems) and the electronic medical record system used by the patient's healthcare providers at Cleveland Clinic (MyPractice, also by Epic Systems).

The project found a significant change in the average number of days between physician office visits for patients. Diabetic and hypertensive patients were able to make doctor's office visits less often, increasing the number of days between appointments by 71 percent and 26 percent respectively, indicating that patients had better control of their conditions. Heart failure patients, however, visited their doctors more often, decreasing the number of days between visits by 27 percent, indicating that patients were advised to see their healthcare provider in a more timely manner.

"When treating heart failure patients, timely intervention is crucial when complications arise, so that we can prevent serious problems that may require emergency room visits or readmissions," said Randall C. Starling, M.D., M.P.H., Section Head of Heart Failure & Cardiac Transplant Medicine, Cleveland Clinic. "The ability to monitor weight, blood pressure and activity levels of heart failure patients on a
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SOURCE Cleveland Clinic
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