Bariatric Times

BT Spotlight on Technology - EUCO

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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D2 Bariatric Times [DECEMBER 2014, SUPPLEMENT D] SPOTLIGHT ON TECHNOLOGY m easurements, labs, and medications. The second component is a journaling application for patients, which, through its mobile capabilities, fits into their daily routine and allows patients to continuously access clinician- directed plans. Both components are connected through s ecure two-way messaging as well, and support HIPAA compliance through their entire feature set. These capabilities make Euco different from freely available consumer apps and patient portals. Patient portals can tie you to your computer and are not convenient, and mobile apps may not offer security of your information, often selling your data to advertising agencies and even insurance companies. This has led to the push recently by Senator Schumer, from my home state, who raised awareness of privacy policies to help protect the personal data of users of patient portals and apps. Since I began using Euco I have found that the workflow within my practice is considerably more coordinated as the platform allows my staff to manage patients remotely. The dashboard contains up-to-date patient information, identifying those who are on track, and highlighting patients who are struggling. Preprogrammed messages can be sent commending those who are doing well, and encouraging those who are struggling. The software will then flag at-risk patients, allowing me or my staff to intervene in a timely manner. I can now identify which strategies are working best with specific patient populations, and gather the data I need to correlate behaviors with clinical outcomes. My registered dietitian no longer needs to have piles of paper, calculators, and multiple nutrition database websites to document or update a patient's nutrition plan. I am able to customize my staff's level of visibility and their roles in viewing and editing patients' personal health data. With every patient visit, I now review my patients' progress a few minutes prior, which allows for a much more valuable interaction and productive conversation during visits. In addition, I am able to bring them into the office more consistently— before they are either too embarrassed or too demotivated to get in touch and seek help. My dropout rates have improved dramatically, and I now have a means to run an affordable and reliable maintenance program. My patients are doing better overall. Last fall we conducted a feasibility pilot at my clinic, where we provided Euco to 35 of my patients during the holiday season. Half of the participants used Euco consistently to journal and to communicate with my staff via secure messaging. Ninety-one percent of those either preserved their clinical outcomes or continued to improve (compared to 55% of those who were not using the p latform regularly). I found this to be particularly impressive given that patients tend to gain significantly more weight during the holidays compared to the rest of the year. I'll be the first to admit that the mobile app and s oftware landscape is crowded and confusing. Unlike other available apps on the market, Euco is designed to support obesity medicine specialists and staff—not replace them. The platform was created to help clinicians grow their practice through better outcomes, and provide support during the crucial period of maintenance in a cost-effective manner. As shown through my experience and pilot studies, Euco has the ability to maximize the success and scalability of both short- and long-term structured programs that are focused on managing obesity and in turn, will be essential in managing other chronic diseases. REFERENCES 1. Burke LE, Wang J, Sevick MA. Self-monitoring in weight loss: a systematic review of the literature. J Am Diet Assoc. 2011; 111(1):92–102. 2. Burke LE1, Styn MA, Sereika SM, Conroy MB, Ye L, Glanz K, Sevick MA, Ewing LJ. Using mHealth technology to enhance self-monitoring for weight loss: a randomized trial. Am J Prev Med. 2012; 43(1): 20–26. ADDITIONAL RESOURCES 1. Scinta W. Sustaining patient engagement in medical weight loss: Staying connected through technology. Bariatric Times. 2014;11(6):22–23. 2. http://3poundhealth.com/ FUNDING: No funding was provided for this article. FINANCIAL DISCLOSURES: Dr. Scinta helped found and currently serves as Chief Medical Officer for 3Pound Health. ADDRESS FOR CORRESPONDENCE: Wendy Scinta, MD, MS, FAAFP, FASBP, 6800 East Genesee Street, Suite 1501, Fayetteville, NY 13066; Phone: (315)-445-0003; Fax: (315)-445-0056; E-mail: fatmd@weightlosscny.com Funded by 3Pound Health © 2014 Matrix Medical Communications. All rights reserved. Opinions expressed by authors, contributors, and advertisers are their own and not necessarily those of Matrix Medical Communications, the editorial staff, or any member of the editorial advisory board. Matrix Medical Communications is not responsible for accuracy of dosages given in the articles printed herein. The appearance of advertisements in this journal is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality, or safety. Matrix Medical Communications disclaims responsibility for any injury to persons or property resulting from any ideas or products referred to in the articles or advertisements. Reprints are available. Contact Matrix Medical Communications for information. Bariatric Times (ISSN 1551-3572) is published by Matrix Medical Communications, 1595 Paoli Pike, Ste. 201, West Chester, PA 19380. Telephone: (866) 325-9907 or (484) 266-0702, Fax: (484) 266-0726. Printed in USA. Matrix Medical Communications 1595 Paoli Pike, Suite 201 West Chester, PA 19380

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