This app is designed for patients with Acute Coronary Syndrome (ACS), and enables them to follow an AHA guideline based program post-discharge, which has been proven to improve outcomes and reduce costs.
It is meant to be deployed by health providers that seek to improve performance in value based patient care.
Facts on current performance, cost burden, and guidelines:
Readmission rates for AMI are >20% (Joynt et al) and nearly 60% of costs related to ACS result from re-hospitalization (Kolansky) .
Secondary prevention programs have been proven to reduce mortality, morbidity, and costs in patients with CAD (Clark et al).
The AHA provides a Class I recommendation for patients with acute coronary syndrome to follow a Cardiac Rehabilitation or Secondary Prevention Program (Kwan et al).
Mayo Clinic research found that patients who used a simple digital health app to follow a cardiac rehabilitation program were up to 3 times less likely to be readmitted within 90 and 180 days post discharge and had a significant reduction in weight (Widmer et al).
Meta-analysis: secondary prevention programs for patients with coronary artery disease.
Meta-analysis included 11 randomized trials of 2285 patients with coronary disease (most but not all post-MI) who were assigned to exercise rehabilitation or usual care. Exercise was associated with a significant 28 percent reduction in all-cause mortality. There was also a possible, but nonsignificant, 24 percent reduction in recurrent MI in the exercise rehabilitation group. Importance of exercise is reflected in this app.
Relationship between healthy diet and risk of cardiovascular disease among patients on drug therapies for secondary prevention: a prospective cohort study of 31 546 high-risk individuals from 40 countries.
Dehghan M, Mente A, Teo KK, Gao P, Sleight P, Dagenais G, Avezum A, Probstfield JL, Dans T, Yusuf S, Ongoing Telmisartan Alone and in Combination With Ramipril Global End Point Trial (ONTARGET)/Telmisartan Randomized Assessment Study in ACEI Intolerant Subjects With Cardiovascular Disease (TRANSCEND) Trial Investigators
A higher-quality diet was associated with a lower risk of recurrent CVD events among people≥55 years of age with CVD or diabetes mellitus. Highlighting the importance of healthy eating by health professionals would substantially reduce CVD recurrence and save lives globally. This finding is reflected in this app.
Core Components of Cardiac Rehabilitation/Secondary Prevention Programs
Gary J. Balady, Philip A. Ades, Patricia Comoss, Marian Limacher, Ileana L. Pina, Douglas Southard, Mark A. Williams, Terry Bazzarre
A Statement for Healthcare Professionals From the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation Writing Group on the core components of a cardiac rehabilitation program. The components are reflected in this App.
Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis.
Clark RA, Inglis SC, McAlister FA, Cleland JG, Stewart S
Programmes for chronic heart failure that include remote monitoring have a positive effect on clinical outcomes in community dwelling patients with chronic heart failure. This App facilitates remote monitoring of heart disease patients and should reduce readmissions.
Interventions to improve medication adherence among HF patients have significant effects on reducing readmissions and decreasing mortality. Medication adherence should be addressed in regular follow‐up visits with HF patients, and interventions to improve adherence should be a key part of HF self‐care programs. This App is an intervention to increase medication adherence
Standardized Outcome Measurement for Patients With Coronary Artery Disease: Consensus From the International Consortium for Health Outcomes Measurement (ICHOM)
The nonprofit International Consortium for Health Outcomes Measurement (ICHOM) recommended a list of longitudinal outcomes that should be tracked for patients with coronary artery disease. This app includes the patient reported outcome measures they recommend
The American Heart Association (AHA) and the American College of Cardiology Foundation provides a class 1 level recommendation (ie, procedure/treatment should be performed/administered) for referral to a CR/SP program for those patients with recent myocardial infarction (MI) or acute coronary syndrome, chronic stable angina, or heart failure, or for those patients following coronary artery bypass surgery or percutaneous coronary intervention.
Mayo Research Shows Cardiac Rehab Patients Who Use Smartphone App Recover Better
Mayo Clinic Study found that patients who used a smartphone app to record daily measurements such as weight and blood pressure were less likely to be readmitted the hospital within 90 days of discharge. This App includes measurement of AHA guidelines, as well as educational materials.
Preventing 30-day hospital readmissions: a systematic review and meta-analysis of randomized trials
Systematic review that found "In particular, we found value in interventions that supported patients’ capacity for self-care in their transition from hospital to home (for effectively reducing 30 day readmissions). This is a patient centric app that accomplishes this goal.