Improved Patient Outcomes through Collaborative Monitoring and Management of Subtle Behavioral and Physiological Health Changes

This paper describes a highly mobile collaborative patient-centric, self-monitoring, symptom recognition and self intervention system along with a complementary clinical nursing tool to aid in collaborative patient/clinician chronic cardiac disease management. Our system is composed of a mobile smart phone and wearable sensor suite linked through blue tooth and cell phone technology to a backend data repository, data mining, knowledge discovery, knowledge evolution and knowledge processing system, providing clinical data collection, procedural collection, intervention planning, medical situational assessment and health status feedback for collaborative users. The system uses a combination of physiologic and psychosocial instruments to gather patient specific information. The collaborative system aids patients in learning to recognize disease symptoms and understand the effect on their health of adherence to interventions. Secondly the system provides timely clinical data collection, assessment and interventions so clinicians can improve the overall health and lower the re-admission of their patients.