Program description: This is a cardiovascular risk calculator. It will calculate your patient's 10 year risk for heart disease based on age, sex, race, blood pressure, cholesterol, diabetes and smoking status, and use of hypertension medications, statin and aspirin. In addition to calculating the risk, the app provides suggestions for blood pressure, lipid and aspirin therapy. In general I use this to show patients who are reluctant to start recommended therapy what their current risk is and how treatment can lower their risk.

Program description: A text-based messaging program for people with prediabetes or Type 2 diabetes that evaluates patient’s general status and provides relevant texts that support self-management of their condition.

Program description: I am raising awareness of sensor use, to replace finger stick blood sugar monitoring, both for the ease of use by my patients, and the greater quantity/quality of data that my patients and I receive. This can in turn be data that is cloud based and secure, and therefore requires little effort on part of the patients, with no downloading/internet required on their part. Data can be entered into EMR to be shared by all caregivers. Some sensors may integrate with insulin pumps, providing a “closed loop system” for insulin delivery based on incoming and predictive sensor data.

Program description: The program consists of an intense technology-driven diabetes self-management program designed for rural areas with poor internet connection and lack of access to an endocrinologist. Retired endocrinologists are recruited to see patients with diabetes mellitus as a means of reducing the work-force gap of practicing endocrinologists.

Program description: We provide a physical activity program that is accessed via iPad for patients with cardiac conditions. Participants experience live physical activity classes that focus on strength and balance and heart health.

Program description: The Veterans Affairs Office of Rural Health Home-based Cardiac Rehabilitation Program provides cardiac rehabilitation to Veterans through video and telephone appointments for Veterans unable to access traditional models of care.

Program description: Patients are able to open up the native Health app on their iPhones and choose to "Share with their doctor" option. They can then choose which items the Health app contains to then share with their physicians. When they do this the EHR and Health app are connected through Apple Health's cloud. They get feeds from the EHR daily and can choose to sync sharing from their own data at any time. They are free to turn sharing off at any time.

Program description: Patients are trained in SMBP, provided cuffs, return logs anyway they can, are provided graphical analysis of their logs, and encouraged to help figure out what needs to be done to lower blood pressures and get to goal.

Program description: Traditional FeeForService Medicare and other Medicare Beneficiaries that have uncontrolled hypertension, morbid obesity, and/or uncontrolled hypertension qualify for Remote Patient Monitoring. This is initiated by the physician placing the order for the service, specifying diagnoses, and devices desired. Our RPM vendor, Raziel Health receives this order electronically, assembles the devices, ships the devices, and contacts the patient for further instructions. As the patient begins using the devices, the readings flow into the patient's electronic medical record. Alerts for readings outside of parameters are monitored by Raziel Health and those requiring provider intervention are passed through to the providers. Currently, there are 70100 patients with active accounts at any given time.