Tulledge-Scheitel says a rules engine in the system can trigger health recommendations, such as for immunizations, cholesterol checks, colon cancer screening and Pap smears.
“If you had high blood pressure on your list, it would recommend a goal for you based on what it knows about you,” Tulledge-Scheitel says. “The system will recognize that and then there are trackers in the system.”
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Health Manager uses the Microsoft connections center in HealthVault, Tulledge-Scheitel says. “They're masters of interoperability. It's nice to be agnostic to the device.”
Health Manager “knows what your goals should be, and if it's trending out of range, it notifies the user. That's our connected health vision. We believe that the first alert should go to the readers. ‘Did you take your medication?' ‘Are you on a low-salt diet?' ”
For now, Health Manager, which is not tethered to Mayo's electronic health-record system, is more of an “information therapy site,” Tulledge-Scheitel says. But it is “a very iterative application. We are constantly changing it, iterating it—it's not in its final form.”
For example, adaptations for asthma and diabetes patients as well as pregnancy are coming out this month, she says.
Tulledge-Scheitel also serves as an assistant professor in the Mayo Clinic College of Medicine and is a member of the board of directors of the Institute for Clinical Systems Improvement, Bloomington, Minn., created in 1993 by Mayo, along with HealthPartners and Park Nicollet Health Services, two Minneapolis-area health systems whose aim is “to promote better outcomes, better chronic-care management and more coordinated care,” according to the Mayo organization.