CareConvoy mobile platform helps patients stay engaged to promote optimal outcomes

MMS mobile platform helps patients stay engaged to promote optimal outcomes

Duke Neurosurgery

Shervin Rahimpour, MD; Sarah E Hodges, BA; Luis A Antezana, BS; Abena A Ansah-Yeboah, BS; Rajeev Dharmapurikar, MS; John Hatheway, MD; Michael Warrick, MD; Scott Berlin, MD; Benjamin Seeman, DO; Shivanand P Lad, MD, PhD

Key Results

100%

Experienced 50%+

Pain Relief

81%

Found MMS Helpful Recovering From Their SCS

94%

Found MMS Helpful Communicating with Care Team

Introduction

  • Novel technologies to support real-time patient education, engagement, and scalable outcomes collection for surgical procedures are needed.

  • The Manage My Surgery (MMS) Spinal Cord Stimulation (SCS) module is a mobile clinical decision support application that provides:

    • a mobile, patient-centered engagement tool for delivering pre-, peri-, and post-operative SCS information;

    • scalable patient-reported outcomes collection;

    • a HIPAA-compliant two-way messaging platform with a Clinical Specialist Educator for real-time support and goal setting.

Objectives

  • To assess the utility and efficacy of a mobile software platform for patient engagement and collecting patient-reported outcomes.

  • To evaluate the potential of the Manage My Surgery (MMS) platform to collect meaningful outcomes in a scalable manner.

  • To determine if the Manage My Surgery (MMS) platform holds promise for helping patients navigate their surgical journey and help in the pre-, peri-, and post-operative surgical periods.

Methods

  • Prospectively-collected data using the MMS mobile device platform in patients undergoing Medtronic SCS trial and permanent implant procedures.

  • E-consent was obtained through the HIPAA compliant, mobile software platform.

  • All data was de-identified, aggregated, and analyzed.

Results

  • A total of 20 patients (15 trial SCS and 5 permanent SCS patients) agreed to participate and logged onto the mobile software platform.

  • For trial SCS patients, 100% of those that participated experienced >50% pain relief as documented their patient-reported outcomes.

  • Furthermore, patients found various features of the software platform helpful for navigating different aspects of their SCS procedure, with 81% finding MMS helpful in recovering from their SCS procedure and 94% in communicating with their Clinical Specialist Educator.

  • In addition, 95% of patients would recommend MMS to a friend or family member.

73% Found MMS Helpful in Preparing for Their Surgery
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Figure 1: Patient ratings of the utility of Manage My Surgery (MMS) platform for spine surgery during the pre-operative period.
64.9% Found MMS Helpful in Recovering from Their Surgery
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Figure 2: Patient ratings of the utility of Manage My Surgery (MMS) platform for spine surgery during the post-operative period
81.1% Would Recommend MMS to Friends and Family
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Figure 3: Patient ratings of likelihood of recommending the Manage My Surgery (MMS) platform for spine surgery

Conclusion

  • The MMS platform demonstrates utility both during the SCS Trial and Permanent procedures.

  • In patients with chronic pain, novel patient engagement and follow-up tools such as MMS may be a good option for keeping patients engaged with the therapy and ensuring patients stay on track during their procedural journey.

  • Randomized, controlled trials with extended follow-up are in progress and are needed to further evaluate the utility of MMS in patients with chronic pain undergoing SCS.