Implementing Digital Health in a Learning Health System
NCT03713333 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 374
Last updated 2024-04-18
Summary
The need for new models of integrated care that can improve the efficiency of healthcare and reduce the costs are key priorities for health systems across the United States. Treatment costs for patients with at least one chronic medical or cardiovascular condition make up over 4-trillion dollars in spending on healthcare, with estimations of a population prevalence of 100-million affected individuals within the next decade. Therefore, the management of chronic conditions requires innovative and new implementation methods that improve outcomes, reduce costs, and increase healthcare efficiencies. Digital health, the use of mobile computing and communication technologies as an integral new models of care is seen as one potential solution. Despite the potential applications, there is limited data to support that new technologies improve healthcare outcomes. To do so requires; 1) robust methods to determine the impact of new technologies on healthcare outcomes and costs; and 2) evaluative mechanisms for how new devices are integrated into patient care. In this regard, the proposed clinical trial aims to advance the investigator's knowledge and to demonstrate the pragmatic utilization of new technologies within a learning healthcare system providing services to high-risk patient populations.
Conditions
- Cardiovascular Diseases
- Hypertension
- Heart Failure
- Atrial Fibrillation
- Metabolic Syndrome
- Genetic Disease
Interventions
- DIAGNOSTIC_TEST
-
Digital Health Device Diagnostics
Technology-enabled visitations with digital health will include the following devices used at the time of a patient-physician encounter. These findings will be available to the treating physician at the time the visitation and to be used for clinical decisions. * Handheld imaging - focused echocardiographic examination (Butterfly IQ) * Smartphone iECG for cardiac rhythm assessments (Alivecor) * Blood Pressure (CloudDX) * Oxygen Saturation (CloudDX) * Weight (CloudDX) * Point-of-Care Genetic Testing (Phosphorous)
Sponsors & Collaborators
-
West Virginia University
collaborator OTHER -
Scripps Health
lead OTHER
Principal Investigators
-
Partho Sengupta, MD · West Virginia University Heart and Vascular Institute
-
Sanjeev Bhavnani, MD · Scripps Clinic
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SCREENING
- Masking
- TRIPLE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-10-20
- Primary Completion
- 2019-12-20
- Completion
- 2020-03-20
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Non-invasive Point-of-care Diagnosis Using Machine Learning and Signal Analytics to Transform Early Detection of Heart Disease
NCT03864081 ·Status: UNKNOWN ·Phase: NA
-
The DISCOVER INOCA Prospective Multi-center Registry
NCT05288361 ·Status: ACTIVE_NOT_RECRUITING
-
Assessment of Coronary Artery Disease by Hybrid PET/CT
NCT00320931 ·Status: TERMINATED ·Phase: NA
-
Coronary Screening in a High Risk Subset
NCT00005256 ·Status: COMPLETED
-
The Intersectional Viborg Screening Program: Cost-(Effectiveness) of Screening for Diabetes and Cardiovascular Diseases
NCT03395509 ·Status: ENROLLING_BY_INVITATION
-
Restoring Non-Emergent Cardiovascular Care in the Peri- COVID-19 Era
NCT04636021 ·Status: UNKNOWN
-
Expansion of SCG/GCG-Based CAD Sceering: Inclusion of Healthy Controls and CCTA Patients
NCT06880133 ·Status: COMPLETED ·Phase: NA
-
Outpatient Evaluation of Patients With Known or Suspected Heart Disease
NCT00001400 ·Status: COMPLETED
-
Meta-Iodobenzylguanidine Scintigraphy Imaging in Patients With Heart Failure and Control Subjects Without Cardiovascular Disease
NCT00126425 ·Status: COMPLETED ·Phase: PHASE3
-
Diagnostic Accuracy Of Seismocardiography for Coronary Artery Disease
NCT06880120 ·Status: COMPLETED ·Phase: NA
-
Detection of Coronary Stenosis With Intravenous Microbubbles
NCT00580580 ·Status: WITHDRAWN ·Phase: NA
-
Early Detection of Cardiomyopathy by Speckle Echo, High Sensitive Troponin and Cardiac Ryanodine Receptors
NCT03381014 ·Status: UNKNOWN
-
HUDDLE: Heart Health: Understanding & Diagnosing Disease by Leveraging Echocardiograms
NCT05009589 ·Status: COMPLETED
-
Utility of a Molecular Personalized Coronary Gene Expression Test (Corus CAD or ASGES) on Cardiology Practice Pattern
NCT01251302 ·Status: COMPLETED
-
Pre-hOspital Evaluation of Chest Pain Patients With sUspected Non ST-segment eLevation myocARdial Infarction Using the HEART-score With a Troponin Point-of-care Test
NCT04851418 ·Status: UNKNOWN
-
Dilated Cardiomyopathy Detection Using AI and Screening With Mobile Technology (DCM-DETECT)
NCT06688396 ·Status: RECRUITING ·Phase: NA
-
Performance of the Acoustic Based CADScor System in Coronary Artery Disease
NCT06655779 ·Status: NOT_YET_RECRUITING
-
Reproducibility and Accuracy of a Portable System for Early Detection of Cardiac Dysfunction in Childhood Cancer Survivors
NCT05138991 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Less Invasive Detection and Treatment of Very Early Coronary Artery Disease in Patients With Diabetes Mellitus
NCT00797186 ·Status: UNKNOWN ·Phase: NA
-
a Foundational Model for Cardiovascular Disease Diagnosis and Prediction
NCT06591923 ·Status: NOT_YET_RECRUITING
-
Assessing Changes in Myocardial Tissue and Blood in Patients With Advanced Heart Disease
NCT01099982 ·Status: RECRUITING
-
Ultra-high-resolution CT vs. Conventional Angiography for Detecting Coronary Heart Disease
NCT04272060 ·Status: COMPLETED ·Phase: NA
-
"Multifactorial Risk Stratification in Acute and Chronic Cardiovascular Disease"
NCT05472207 ·Status: RECRUITING
-
Meta-Iodobenzylguanidine (123I-mIBG) Scintigraphy Imaging in Patients With Heart Failure and Control Subjects Without Cardiovascular Disease
NCT00126438 ·Status: COMPLETED ·Phase: PHASE3
-
HeartTrends HRV Algorithm for the Detection of Myocardial Ischemia
NCT02201017 ·Status: UNKNOWN