UC Health Hackathon Data Science Project
An application that contacts the user via some means and has a “conversation” with them on a regular basis to gather health information and log it. Creating a rudimentary recent health history for the patient. (Doctors can decide what to ask and when) Readmission prevention. (Platform!!!)
Alexa or some other voice integration platform for surgical dressing walkthroughs
Name/Logo Thoughts: J mixed with caduceus Journal, confidant, check, check-in, deja vu, logger, logging, LogM, LogX, Bloom
Get better longitudinal subjective patient information through a more personal message. USER-ORIENTED Non intrusive, conversational We want patients to be able to health journal - Makes them health conscious - Keeps a record for doctors to refer to - Gets them used to talking about their health Could also work in a mental health angle - Checking in on people - Regularity of check in Advanced/Enhanced Journalling Not mind blowing tech, but it is a valuable application. Still need tech for security much like any journal. “Personalized” medicine
Very important to make the UI friendly and welcoming - Is this possible when working with VUI? - Possible use of texting/calling to increase personality - It’s harder to ignore a text/call than an app notification Direct connection to the EHR? - Are we alerting medical professionals based on these reports? - Will we give them the option? - My feeling is this application could stand alone - Send compiled results file to doctor as needed - Could be integrated into EHR but that seems like a bit much How can we increase user compliance/truthfulness? - This comes back to UI design and overall experience architecture. - We want them to want to use the app for themselves. - Positive feedback somehow? Streaks? Everyone loves streaks. - Cooperation with medical centers can lend credibility
“Personalized” to ask different conversation trees depending on needs Knowing needs by physician input or super basic ml based on user-provided history VUI can call? Could have Alexa integration also. Can alexa initiate a conversation? GUI for entry in the app after reminder push notifications Conversational UI through text message functionality Could be hosted online and work through text and not be on the phone at all. (twilio) Friendly welcoming and easy to use conversational UI Summarizing tools NLP pipeline to analyze subjective entries Basic/Advanced data metrics Lexicon to process content of subjective notes Check for truthfulness? Discrete and private and secure. Treat it like a real diary/journal. Extra security. Some kind of forwarding/sharing mechanism for medical professionals Extensible structure to allow for further specificity depending on patients needs. Could also incorporate medication reminders Connect with patients as a person/confidant NOT an APP Varying contact frequency, varying frequency of certain questions Can ask about subjective and objective information Eventual integrations with other health tracking methods as well.
Patients are not returning to the clinic for check-ups and appointments and that will create a lot of problems in the long term if there are complications. What to do: Understand the causes that prevent them from coming to the appointments Analyze what patients are “high-risk” for non-compliance Find a way to encourage or improve these patients
Hospitals/clinics may partner with us to send transportation to patients in order to encourage the patients to travel. Our app will reduce no-show rates by X% and that will improve the lost cost ratio of patients that don’t show up to appointments Think about incentives for hospitals or companies to hire us. What are we offering?
Think about geriatric population: texting or apps might not be optimal. Maybe stick to calling them because they’re most comfortable with that.
Patients who forget their appointment: show their schedule? Can do a text message or robocall.
Find out about how patients comply with their medication and lifestyle. Update their lifestyles for the physician Input/output that stores patient information. Pinpoint the discussion that we will pitch to one type of conversation (i.e. hypertension/diabetes) Create the app for the clinic.
Focus on the specific disease, treatment options and presets for questions Diabetes: comprehensive diabetes education At least 2.5 hrs/week moderate-intensity aerobic physical activity Foot care (avoid going barefoot, test water temp before a bath, trim toe nails, don’t cut cuticles, shoe fit and change socks daily) Self-measurement of blood sugar (3+ times daily with multiple insulin injections HgA1C (glycosylated hemoglobin, A1C and HbA1c) Eating patterns, nutritional status: maintenance of strict glycemic, dietary protein restriction (0.8-1.0g/kg of total body weight) Diabetes-related complications: eyes (blurry vision, retinopathy)- Amsler grid, kidney (polyuria, urine output- urinalysis/dialysis) nerve (tingling, numbness, pain) Cardiac (chest pain, shortness of breath) PAD (peripheral arterial disease, Claudication- pain in legs after walking a certain distance) Medications: ACE inhibitors, aspirin, metformin, insulin, glitazone Preset questions: Don't forget! Your appointment is in X days! Press “N” if you cannot make it Maybe 5→ 1 days before the appointment How many hours have you worked out/had intense aerobic physical activity Once a week Are you changing your socks everyday and keeping your toenails trimmed? About one every 3 days Are you taking Metformin/intensive insulin/glitazone/sulfonylurea at X dosage per day? Informational about dosage (and descriptive of medication) with Y/N How are you feeling today? Happiness/pain levels
People get points or achievements for completing the survey every day, the more comprehensive, the better the rewards for people Important part of healthcare: making sure the patient believes and can trust in the system so they will respond and react well with treatment What to do with high-risk profiling: use data to inform the clinic/hospital which patients are most at risk for non-compliance As consequence: spend extra time informing and instilling trust so that they are more motivated to follow directions
Registration Page Name/Phone #/healthcare information (provider, policy #, etc)/info for Epic connection Homepage/Dashboard “My Alerts” Dropdown Menu My Logs Button → Some obscure recorded info from patient’s responses Profile/Settings icon
Change password, logout, other general settings, etc. Manage Family Members Page Manage Providers Page
To make life easier, all “Manage” pages will look the same with a list ordered alphabetically, with an “edit” and “delete” feature for each one
When adding a new family member, the new family member will receive a text to setup the integration: Terms of Service Checkbox to receive: Reminders & Alerts, Questions