MATRC

The vision for the Innovation Exchange is to create a space where providers can find technology-enabled models of care that they can trust. We are excited to engage with you and to hear about your innovative approaches to preventing, diagnosing and managing a variety of health conditions. We are currently seeking telehealth-enabled models of care for diabetes, cardiovascular disease and related conditions.

 

If you have a program model to share, please complete this questionnaire
Once the submission is reviewed, our Innovation Exchange team will be in touch with you!
Thank you for participating and growing this community and contributing to our collective impact!

Health Condition
Health Outcomes
Kansas CI Collaborative ACO RPM Program
Jodi Schmidt, MBA in Health
Kansas Clinical Improvement Collaborative

Program description:

Remote patient monitoring encourages patient participation in the daily monitoring and management of their own chronic conditions by providing vitals readings and trending between clinic visits. Health coaches guide the patient's journey through nurse, lifestyle and nutrition telehealth visits. Providers...

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University Health KC’s RPM Program
David Voran, MD
University Health, Kansas City

Program description:

The primary issue we’re discovering are based on the AHA’s guidelines for blood pressure measurement. It’s almost impossible to get an accurate blood pressure in the office. The same is true for weights as people wear a variety of clothes...

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Self-Measurement of Blood Pressure (SMBP)
David Voran, MD
University Health, Kansas City

Program description:

Patients who cannot afford a blood pressure cuff are given either an upper arm or wrist cuff, trained on how to take their own blood pressures, and asked to return at least a week's worth of logs. Our 2 clinics...

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Apple Health’s Physician Dashboard
David Voran, MD
University Health, Kansas City

Program description:

This effort and view of the patient is actually the most innovative program we have. For the first time we are now able to objectively capture a much wider range of lifestyle variables than could ever be captured in face-to-face...

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Gentle Exercise for HF Patients
Jill Howie Esquivel, PhD, FNP
University of Virginia

Program description:

We provide a physical activity program for patients who have cardiac conditions such as heart failure, hypertension and atrial fibrillation. Physical activity such as walking and cardiac rehabilitation provide benefits for most people with cardiac conditions such as improved physical...

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Intensive Diabetes Self Management in Rural Areas using Telehealth & Technology
Richard Santen, MD
Division of Endocrinology and Metabolism, University of Virginia

Program description:

Patients with diabetes who live in rural, underserved areas lack access to the resources needed to enable them to achieve even adequate levels of glucose control, including lack of access to endocrinologists, health professionals specializing in diabetes education and the...

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Continuous Glucose Monitoring Systems
Shirley Fleishman, RN, CDE
UVa Diabetes Education and Management Program – Division of Endocrinology

Program description:

We use a variety of technological devices with patients, one of these being continuous glucose monitoring systems. These are devices that provide patients and clinicians an abundance of feedback and data, especially compared to the data gathered from cumbersome glucose...

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BEATDiabetes
Nelly Maybee, MD
Augusta Health

Program description:

I used BEATDiabetes in my endocrinology practice. BEATDiabetes is a mHealth program for people with Type 2 diabetes and prediabetes that combines frequent text message-based engagement and financial incentives to catalyze behavior change and improve blood sugars. Text messaging leverages...

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Smart Technologies for the Assessment of Retinopathy (STAR)
Arjun Dirghangi, MD
University of Virginia Department of Ophthalmology Charlottesville, VA

Program description:

The Remidio portable smart fundus camera is used to take photos of patients’ eyes, and cloud software is used to transmit, interpret, and store images and results. Unlike existing solutions which require large amounts of dedicated clinical space; onerous, specialized...

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Lose It and Ascend for Lose It
Anne Wolf, MS, RD
NutritionFirst, Charlottesville VA

Program description:

LoseIt is a MHealth app for self-monitoring food, physical activity and weight. A bar scanner helps track packaged foods. Nutritional intake (Calories, Protein, Fat and Carbohydrate) is included in nutritional analysis. Calories expended through exercise and body weight is also provided....

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FatSecret and FatSecret Professional
Anne Wolf, MS, RD
NutritionFirst, Charlottesville VA

Program description:

FatSecret is a MHealth app for self-monitoring food, physical activity and weight. A bar scanner helps track packaged foods. Nutritional intake (Calories, Protein, Fat and Carbohydrate) is included in nutritional analysis. Calories expended through exercise and body weight is also provided....

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VA Office of Rural Health Promising Practices Home-based Cardiac Rehabilitation Program
Kariann Drwal, MS, CCRP, RCEP, ATC/LAT
Iowa City VA Health Care System

Program description:

Cardiac rehabilitation is an essential intervention for patients with cardiovascular disease, however, despite the overwhelming evidence and guidelines it is underutilized. Many Veterans face barriers to attending cardiac rehabilitation services (for example, program availability, distance to travel, employment, costly copayments,...

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ASCVD Plus
Heather Ferris, MD, PhD
Division of Endocrinology and Metabolism, University of Virginia

Program description:

The ASCVD risk calculator is for patients at risk for cardiovascular disease. The calculator is used in a number of ways. First, to help to determine goals for intensity of treatment for blood pressure, as well as cholesterol levels in...

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Funded through CDC Cooperative Agreement NU58DP006620-InnoVAte in partnership with the Virginia Department of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Centers for Disease Control and Prevention or Virginia Department of Health