IntelliH for Cardiology

January 24, 2022, by Naveen Acharya, MD, FACC

Introduction:

Some of the most prevalent chronic illnesses are cardiovascular in nature. Successful management of such conditions requires a system of integrated care coordination that patients can reliably utilize for the complete duration of their disease. As the burden of chronic cardiovascular disease grows rapidly, primary care physicians increasingly depend on their cardiology specialist colleagues to manage long-term cardiac conditions like congestive heart failure. However, cardiologists themselves are burdened with the demands of juggling both inpatient and outpatient care duties. Care teams, therefore, are increasingly being created to interface between the cardiology practice and the patient to focus on the most optimal management of chronic cardiac care.

Cardiology has led the way in remote patient monitoring by working with web/cloud-based platforms for interpreting electrocardiograms and interrogating implantable cardiac devices. Care teams comprising of cardiac nurses, midlevel practitioners and cardiologistsare very familiar with remote monitoring technology havingutilized these systems successfully for years to ensure seamless longitudinal care for their patients. IntelliH was designed to capitalize on this operational experience in cardiology to extend the remote patient monitoring functions of a cardiac practice to include patient generated vitals from the patient’s residence, that otherwise would only be captured in the office or hospital setting. FDA approved wireless Bluetooth sensors integrate with the cloud-based intelliH platform as well as electronic health record systems to provide a complete view of the patient’s real-time status in the context of the patient’s past medical history. The system, although very detailed, is very intuitive to use and can be used autonomously by mid-level practitioners in a cardiology practice with oversight from physicians only for the most complicated issues.

intelliH has unique functions designed specifically for cardiac diseases. It allows programmable dry weights to be used as a reference to manage patients’ volume status as they navigate through their prescribed recommendations for congestive heart failure. The system further tracks lifestyle habits to ensure compliance with such measures as sodium and fluid restrictions. Correlation charts can be plotted to understand the efficacy of patient’s hypertensive medication regimens with respect to control of their blood pressures. Customizable questionnaires can provide valuable subjective data to understand patients’individualized challenges with accepting treatment recommendations. And most importantly the system can be used to create collaborative care teams around the patient to provide quick feedback and assistance with issues related to their chronic care management.

As cardiologists become increasingly relied upon to ensure that patients are meeting quality standards and adhering to their guideline based medical regimens, RPM solutions like intelliH will become increasingly important to fulfill these obligations as the number of patients with chronic cardiac conditions exponentially increases. IntelliH was built by clinical cardiologists to function in community based and academically oriented cardiology practices to integrate with established workflows that most members of the cardiology work-force will find very familiar. Cardiologists that have used the system appreciate its comprehensive nature, that not only addresses management issues related to vitals, but also to more subjective data related to lifestyle habits and care plans. By extending the reach of a cardiology practice into the patient’s residenceIntelliH addresses the needs of cardiac patients as we navigate an increasingly uncertain future in the face of socio-economic, geopolitical and climate related challenges.

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