Improving Cardiovascular Risk using Information Technology

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Improving Cardiovascular Risk usingInformation
Technology
Alfred A. Bove, MD, PhD Chief, Section of
Cardiology Temple University School of Medicine
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Health Disparities

• Urban Underserved Communities
• 25 below the poverty line
• Unsafe neighborhoods
• Inadequate transportation
• Unhealthy foods
• Inadequate health education

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The Neighborhoods
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Urban Characteristics
Average of Median Household Income across zip
codes zones within study area
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Comparing Urban and Rural Underserved Communities
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Rural vs Urban

• Average of Median Household Income across zip
  codes zones within study area

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Health Knowledge
211 Urban 254 Rural
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Men and Women
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Information Flow
Telemedicine Center
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Information Flow
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Internet Education

• Hands-on training
• Undergraduate social science students
• Two hour classroom program
• Competency evaluation

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Feedback
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Recording Health Data
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Improving Health
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Risk Reduction Vs. Internet Use
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BP and Risk
50 YO Male Non-diabetic Normal lipids
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Hypertension Program

• Education
• BP goal
• Diet
• Exercise
• Smoking

• Self monitoring
• Empowerment
• Time Trends
• PCP interaction
• Participation

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Improving Health

• Communication
• Access
• Health education
• Self care
• Empowerment

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Tracking Blood Pressure
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Internet Communication

• Education
• Feedback
• Patient reminders
• Physician information
• Quality Measures
• Evidence based care
• Tailored care

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Temple Telemedicine Research Team
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Improving Health
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Health knowledge scores in subjects with diabetes
and those without diabetes
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Number of subjects with diagnosis of diabetes
compared to three ranges of fasting blood glucose
( normal prediabetic, diabetic)
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