One out of every three hospitalized patients older than 70 will suffer from a hospitalization associated disability (HAD). HADs in elderly Americans and subsequent transition to a more dependent state is associated with an increase in Medicare expenditures of 25 billion dollars per year. Completion of certain tasks (e.g. incentive spirometry) in the peri-hospitalization period promotes recovery and helps prevent healthcare-associated complications. However, patients struggle to consistently adhere to these tasks. Thus, there is a critical need for a resourceful and cost-effective approach that further facilitates patient engagement through instruction, guidance, and feedback.
Our goal is to develop a mobile application with bluetooth connected hardware for patients undergoing surgical procedures or extended inpatient hospital stays to use in the peri-hospitalization setting that will increase patient compliance with tasks, improve patient outcomes, and improve efficacy of existing care programs.
Completion of this goal will require application development and testing, with the aim of a feasibility pilot (focusing on a single care modality, incentive spirometry) conducted at Duke University Hospital in 2019. We have access to a patient population, established research infrastructure, and preliminary funding from Duke I&E. We are looking for a programmer to join the team and help with front-end development of an MVP iOS application connected via bluetooth to an incentive spirometer device.

Team members

Joshua Helmkamp, owner

Doctor of Medicine, 2020

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