Joshua P Liu, MD. SeamlessMD
PURPOSE/BACKGROUND: With the shift to value-based care for surgery, healthcare providers need new and more effective ways to educate, engage and keep patients on track throughout the surgical episode. SeamlessMD, a leading patient engagement technology, is used by leading gastrointestinal surgery programs at Stanford, Rush, Sinai, UAB and McGill to deliver value-based care – leading to reductions in length of stay, 30-day readmissions and costs. In this presentation, the CEO of SeamlessMD, Dr. Joshua Liu, will provide an overview of how patient engagement technology works and use success stories from gastrointestinal surgery program partners (e.g. colorectal surgery) to share strategies used to achieve high patient engagement and improved outcomes for colorectal care. Dr. Liu will also draw on the feedback and stories of the various SAGES members who are the Champions of this novel patient engagement technology at these organizations.
METHODS/INTERVENTIONS: Patients access SeamlessMD on their smartphone, tablet or computer (available as a web application, iOS app, and Android app). Patients are guided from preparation through recovery with interactive care plans, using reminders, tasks, progress tracking and video-based education. Providers can access real-time dashboards to track patient progress (e.g. pain, stoma output, wound photos, etc.) and intervene sooner for patients at-risk. Providers can also access aggregate reports and analytics to do research and drive quality improvement.
The SeamlessMD platform has been implemented for numerous gastrointestinal surgery programs and use-cases (e.g. colorectal), including Stanford Prehab & ERAS, Rush ERAS, McGill ERAS, UAB ERAS and Sinai readmissions prevention.
RESULTS/OUTCOME(S): Sinai Health System (n = 106), achieved a 66% reduction in 30-day readmissions (18% to 6%).
McGill (n=45) published a paper demonstrating that SeamlessMD achieved an 89% completion of ERAS patient self-reported compliance surveys, and high agreement between SeamlessMD data and staff-collected data – concluding that SeamlessMD is as accurate at collecting ERAS compliance data from patients as human auditors.
Rush University Medical Center utilized SeamlessMD to deliver ERAS patient education and collect real-time ERAS compliance data, leading to insights to drive protocol improvements. For example, data from SeamlessMD determined that a specific pre-op drink was not effective, leading to removal from the protocol and significant cost-savings.
Stanford and UAB’s data is not yet publicly available, however, is expected to be available for this SAGES presentation.
CONCLUSIONS/DISCUSSIONS: Patient engagement technology is an effective vehicle to succeed in value-based care models for gastrointestinal surgery, particularly for Prehabilitation, Enhanced Recovery After Surgery and Readmissions Prevention.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 91143
Program Number: ETP857
Presentation Session: Emerging Technology iPoster Session (Non CME)
Presentation Type: Poster