May 2022
Director's Brief
Steven Lin, MD
Executive Director of HEA₃RT
 

Welcome! In this issue, we’re thrilled to announce a collaboration with Omada Health to conduct the largest pragmatic randomized controlled trial (RCT) to date of remote patient monitoring and health coaching for the treatment of hypertension. We’re also pleased to share our recent publications on predicting avoidable health care utilization with AI in Mayo Clinic Proceedings, AI for advance care planning and care escalation in NEJM Catalyst Innovations in Care Delivery, and our keynote on a national strategy for AI in primary care at the HIMSS22 Machine Learning and AI for Healthcare Forum. See what we’re working on, and join us!

Collaborator Spotlight
HEA₃RT Partners with Omada Health
 We are excited to announce our collaboration with Omada Health, a leading digital health program recognized nationally for their evidence-based solutions that help people manage chronic conditions and live healthier lives. We aim to learn how Omada’s digital health program, and others like it, can partner with our health care teams to improve chronic disease management in patients with uncontrolled hypertension. 

 

Upon enrollment in Omada’s programs, patients join peer groups that are supported by a coach, cardiometabolic specialists and behavioral health specialists who guide them through an evidence-based, high-touch, goal-driven program that is informed by remote patient monitoring data.

 

Later this year, Omada Health and HEA₃RT are launching a pragmatic RCT to learn more about how Omada, combined with usual care, affects blood pressure in patients with uncontrolled hypertension, as compared to usual care alone. Continue reading to learn more!

Justin Wu, MD, Senior Medical Director, Clinical Innovation & Quality, Omada Health

"One of the greatest barriers to realizing the potential of digital health is the lack of integration of siloed solutions with the medical home. I'm most excited by the genuine interest and desire demonstrated by the Stanford primary care teams to work closely with the Omada care team to ensure we're all on the same page, coordinating efforts and learning how to make this future care model a reality."

Project Spotlight
Stanford Primary Care and Omada Health Launching a Study 
Clinical care is episodic, occurring primarily in the context of interval visits with a clinician or clinical care team member. Health care teams’ bandwidth to provide accountability and support outside of clinic visits is limited due to the many other demands on their time. Many technologies exist that help support patients between and outside of visits; however, most partner with insurance companies and employers, as opposed to health systems.
 
Omada Health is an evidence-based digital health program that helps patients make meaningful lifestyle changes that help them reach their health goals and manage chronic medical conditions, such as hypertension and diabetes. Later this year we will launch a large pragmatic RCT comparing Omada Health combined with usual care to usual care alone for the management of uncontrolled hypertension. Patients in the control arm will have the option to enroll in Omada for the year after the study is complete. 
 
The goal of this project is to learn more about how we can effectively partner with digital health programs to improve chronic disease management in primary care, improving patient outcomes and extending the care provided by our existing clinical teams. 

Sang-ick Chang, MD, Division Chief, Primary Care and Population Health, Stanford Medicine

 

“A research collaboration with a health coaching company like Omada holds the promise of extending our relationships and our influence, beyond the doctor-patient relationship with a team that can provide ongoing encouragement and advice. That said, as stewards of limited health care resources, its is critical that we know that this added expense is cost-effective and makes a real difference. That is why the Omada study is so exciting – we get to fully and rigorously test their program, to inform not only the general medical community, but our own patient care strategies as well.”

Sridhar Seshadri, DBA, Vice President and Chief Administrative Officer, Destination Service Lines, Stanford Health Care

 

“As health systems consider adopting new technologies it is important that we rigorously study and test our hypotheses where we can to ensure value add. Through this study, and our health system’s collaboration with the School of Medicine and Omada Health we are paving the way for understanding the incremental benefit of RPM and health coaching technologies and how they can be effectively paired with patients’ medical home. This is an exciting prospect and precedent for establishing future pathways for technology adoption in health care.”

Fellow Spotlight
Julian Genkins, MD 
Clinical Informatics Fellow
 

Dr. Julian Genkins is an internist and Clinical Informatics (CI) Fellow at Stanford. He did his medical training at Vanderbilt University School of Medicine, followed by an internal medicine residency at UCSF. While engaging in his two year CI fellowship, Julian is a part of HEA₃RT as a leaner to explore the integration of AI into clinical practice. His work with HEA₃RT thus far has focused on the AI In Basket initiative, both to help formulate the problem being solved and to integrate this work effectively with the large In Basket optimization initiatives within Stanford Healthcare. He is excited for the potential of AI to expand the capabilities of primary care providers and focus the daily work of a clinician away from the mounting administrative task burden and back to joyful practice of medicine. Outside of HEA₃RT, his CI work has centered on how data can inform workflows and care delivery, as well as developing education and tools to shape how clinicians interact cognitively with the technology they use. In his free time, Julian enjoys all forms of outdoor activity, including trail running, soccer, and backcountry camping.

 
Upcoming Events
May 14, 2022
HEA₃RT will be running a booth with the Stanford Skin Innovation and Interventional Research Group and Google Health at this year's Health Matters event. Visit us in the "Ask the Experts" tent to learn about research on a guided skin search app that helps you find personalized information about your skin concerns after answering a few questions and taking three photos.
The American Medical Informatics Association (AMIA) Clinical Informatics Conference brings together clinician informaticists of all disciplines to share their innovations in bringing the technology advances out of the lab and into the front lines of care delivery. HEA₃RT will give a presentation at this year's conference in Houston, Texas titled, "The Present and Future of AI/ML Models for Predicting Clinical Deterioration: Lessons Learned from Real-World Implementations."  
Recent Publications & Presentations
Predicting avoidable healthcare utilization: practical considerations for AI/ML models in population health  — Mayo Clinic Proceedings (Publication)
 
Using AI to empower collaborative team workflows: two implementations for advance care planning and care escalation NEJM Catalyst Innovations in Care Delivery (Publication)
 
Toward a national strategy for implementing AI and ML in primary careHIMSS22 Machine Learning and AI for Healthcare Forum Keynote (Website); STFM Annual Spring Conference Research Plenary (Website); Philippine College of Physicians Annual Congress Plenary (Website); Stanford Center for Biomedical Informatics Research Colloquium (Website)
 
The AI will see you now: feasibility and acceptability of a conversational AI medical interviewing systemSTFM Annual Spring Conference (Website)
 
Practical considerations for implementing AI/ML predictive models to reduce preventable ED visits and hospitalizations — STFM Annual Spring Conference (Website)
 
Reimagining patient portals with AI/ML: relieving the burden on health care teams while maximizing the benefits for patients — STFM Annual Spring Conference (Website)
 
Test driving STFM’s national telemedicine curriculum: results from a multi-institutional pilot — STFM Annual Spring Conference (Website)
 
Healthcare providers' perspectives inform development of technology- enabled intra- visit care management tools — STFM Annual Spring Conference (Website)
 
Use of AI and ML for healthcare improvementStanford Medicine Advanced Course in Improvement Science (Website)
 
 
HEA₃RT in the News
"How cardiac arrest can be predicted by new form of artificial intelligence"Healthline
 
"AI could change the future of the primary care space"HIMSS TV
 
"AI has the potential to dramatically transorm primary care"Healio
 
Thank you for taking the time to read our quarterly newsletter! Visit our website if you would like to learn more about our work. If you would like to sign up to receive future updates from our team, please fill out this form.
 
- The Stanford Healthcare AI Applied Research Team
This message was sent from hongrace@stanford.edu to hongrace@stanford.edu
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