Smartphone-Based Geofencing to Ascertain Hospitalizations

Nguyen, Kaylin T.; Olgin, Jeffrey E.; Pletcher, Mark J.; Ng, Molotova; Kaye, Leanne; Moturu, Sai T.; Gladstone, Rachel; Malladi, Chaitanya; Fann, Amy; Maguire, Carol; Bettencourt, Laura; Christensen, Merrill J.; Marcus, Gregory M.

doi:10.1161/circoutcomes.116.003326

Cited by 46 publications

(34 citation statements)

References 23 publications

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“…There are, nonetheless, important opportunities for passive monitoring of disease severity using technology that could support long-term remote monitoring. This might include the use of physical activity monitoring, given the known relationship between increasing disease severity and reduction in movement and the inclusion of accelerometers, gyroscopes and Global Positioning Systems in smartphones and other wearable devices along with geofencing tools to detect when a patient visits the hospital [ 45 ]. Just by carrying a phone or wearing a sensor, it may be possible to infer information about RA disease severity.…”

Section: Passive Monitoringmentioning

confidence: 99%

Using technology to support clinical care and research in rheumatoid arthritis

Dixon

Michaud

2018

Current Opinion in Rheumatology

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Purpose of reviewAs digital technology becomes more ubiquitous, understanding the current state-of-the-art in digital information use for clinical care and research for patients with rheumatoid arthritis (RA) is timely and relevant.Recent findingsThe opportunities for recording and utilizing high-quality data from rheumatologists are reviewed, as well as opportunities from collecting, integrating and analysing patient-generated data to deliver a step-change in the support and management of RA.SummaryOnce greater adoption, standardization and implementation of relevant RA measures are in place within electronic health records (EHRs), patient care will improve and the ability to learn from aggregate experiences increases dramatically. Incorporating passive and patient-reported outcomes into self-management apps and integrating such data into the patient's health record will provide more responsive and better treatment results.

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Section: Passive Monitoringmentioning

confidence: 99%

Using technology to support clinical care and research in rheumatoid arthritis

Dixon

Michaud

2018

Current Opinion in Rheumatology

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“…For example, if a patient is discharged from an inpatient stay, smartphone location tracking technologies might be able to identify the discharge in real time, and then send a message to the patient’s primary care provider (PCP) to initiate postdischarge care coordination. Although one prior study evaluated the use of smartphone-based geofencing (ie, the creation of virtual geographic boundaries to define a particular location) to ascertain hospitalizations [ 16 ], to our knowledge no prior research has examined patients’ perceptions of using smartphones to coordinate care.…”

Section: Introductionmentioning

confidence: 99%

“The Doctor Needs to Know”: Acceptability of Smartphone Location Tracking for Care Coordination

Liss¹,

Serrano²,

Wakeman³

et al. 2018

JMIR Mhealth Uhealth

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BackgroundCare coordination can be highly challenging to carry out. When care is fragmented across health systems and providers, there is an increased likelihood of hospital readmissions and wasteful health care spending. During and after care transitions, smartphones have the potential to bolster information transfer and care coordination. However, little research has examined patients’ perceptions of using smartphones to coordinate care.ObjectiveThis study’s primary objective was to explore patient acceptability of a smartphone app that could facilitate care coordination in a safety net setting. Our secondary objective was to identify how clinicians and other members of primary care teams could use this app to coordinate care.MethodsThis qualitative study was conducted at a federally qualified health center in metropolitan Chicago, IL. We conducted four focus groups (two in English, two in Spanish) with high-risk adults who owned a smartphone and received services from an organizational care management program. We also conducted structured interviews with clinicians and a group interview with care managers. Focus groups elicited patients’ perceptions of a smartphone app designed to: (1) identify emergency department (ED) visits and inpatient stays using real-time location data; (2) send automated notifications (ie, alerts) to users’ phones, asking whether they were a patient in the hospital; and (3) send automated messages to primary care teams to notify them about patients’ confirmed ED visits and inpatient stays. Focus group transcripts were coded based on emergent themes. Clinicians and care managers were asked about messages they would like to receive from the app.ResultsFive main themes emerged in patient focus group discussions. First, participants expressed a high degree of willingness to use the proposed app during inpatient stays. Second, participants expressed varying degrees of willingness to use the app during ED visits, particularly for low acuity ED visits. Third, participants stated their willingness to have their location tracked by the proposed app due to its perceived benefits. Fourth, the most frequently mentioned barriers to acceptability were inconveniences such as “false alarm” notifications and smartphone battery drainage. Finally, there was some tension between how to maximize usability without unnecessarily increasing user burden. Both clinicians and care managers expressed interest in receiving messages from the app at the time of hospital arrival and at discharge. Clinicians were particularly interested in conducting outreach during ED visits and inpatient stays, while care managers expressed more interest in coordinating postdischarge care.ConclusionsHigh-risk primary care patients in a safety net setting reported a willingness to utilize smartphone location tracking technology to facilitate care coordination. Further research is needed on the development and implementation of new smartphone-based approaches to care coordination.

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“…The article, by Nguyen et al, 1 published in this issue of Circulation: Cardiovascular Quality and Outcomes, highlights the untapped potential of bringing together smartphones, online survey tools, and electronic health records for healthcare research and delivery. The authors present research on tracking hospitalizations via the use of smartphones and online surveys.…”

Section: See Article By Nguyen Et Almentioning

confidence: 99%