Transforming Surgical Recovery through Enhanced Mobility
Through the ArtWalk program, we launched a clinical trial to promote Enhanced Recovery After Surgery (ERAS) for advanced cancer patients.
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January 9th, 1996
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7965 Playmor Terr, San Diego, CA (92122)
Date You Started Your Project Started
Project Stage: Select the description below that best applies to your approach.
Growth (have moved past the very first activities; working towards the next level of expansion)
1. The Problem: What problem are you helping to solve?
Walking is a key aspect of human movement and optimal health. Hospitalized patients are not walking as much as they should. Research from the American Geriatric Society estimates that patients are in bed for about 83 to 95% of the hospital stay and spend less than 3% of their time standing or walking.
This immobility has dire consequences for patient health: patients stay in the hospital longer and are more likely to return to the hospital.
2. Your Solution: How are you planning to solve this problem? Share your specific approach.
In response to this pressing health and financial issue, Theravision Health Informatics has developed the ArtWalk program that promotes inpatient walking, engages staff and optimizes rehabilitation.
At the core of the program is Theravision’s iPad-based, Augmented Reality art scavenger system which will motivate patients to walk sooner and more often. Patients walk to ‘collect’ curated art and landmarks on their floors; in doing so this gamification allows them to understand and meet their daily walking goals. Think Pokemon Go, meets world-class surgical, progressive mobility, ICU, pregnancy and geriatric clinical guidelines.
We are launching a clinical trial with advanced cancer patients who will be enrolled in our Enhanced Recovery After Surgery (ERAS) program. Patients randomized into the ArtWalk cohort are expected to have a shorter hospital stay and reduced surgical complications.
3. Personal Journey: What’s the story behind why you decided to start this project?
The healthcare system is in a state of transformation. I believe digital medicine offers an underutilized approach to dramatically optimize health delivery and impact the most vulnerable of patients.
In March 2017, UC San Diego Health offered the first UC Health Hack. I deliberately framed my proposal as a simple, frugal, safe, easily-deployable intervention focused on increasing walking to optimize Medicare reimbursements and health outcomes. The presentation was a hit among hospital leadership - my team won first place.
I decided to create a digital health technology vendor to explore this idea and potentially, license it to other hospitals. In November 2017, Theravision Health was born.
I am honored to lead an organization committed to combat preventable adverse outcomes by healing and delighting patients at the point of care.
4. Selfie Elevator Pitch: Include 1-minute video that answers the following “I am stepping up to make change because...”
5. Example: Please walk us through a specific example of what happens when a person or group gets involved with your project.
The ArtWalk application begins by asking patients for their personal motivation and daily walking goals. The applications prompts the user with their progress towards their walking goals as they play the augmented reality art scavenger hunt created on their hospital floor.
Patients will be presented with a map of their hospital floor and are encouraged to visit all 15-20 checkmarks of art locations. Once they scan the art piece through their iPad camera, the software’s image recognition machine learning model will verify the art piece and register the patient’s completed walk.
Patients will receive push notifications through the iPad to remind them to complete their walking goals and call their nurses for assisted walking. Patients will also receive a curated set of educational videos selected by their nursing staff and trivia messages designed by UCSD Health surgeons.
6. The X Factor: What is different about your project compared to other programs or solutions already out there?
We are the only service that offers ANY of these features:
- Offers art therapy or AR content to promote walking
- Focuses on enhancing patient motivation to walk through education, goal setting and interaction with their caregivers
- A digital health service, licensed as an enterprise product to multiple hospitals
- Focused on being clinically-validated through publishing in peer-reviewed journals
Certain hospitals such as Lucile Packard Children’s have experimented with AR/VR for use on one unit. However these do not promote walking, fit an ERAS surgical framework or any of the above.
7. Impact: How has your project made a difference so far?
We are focusing our efforts at Jacobs Medical Center. We will deploy a wide-scale launch after our clinical trial (March - June 2020) is complete.
We have done the following:
- Conducted over 60 clinician interviews, through a comprehensive design process
- Finalized our software
- Drafted clinical trial IRB documentation
- Iterated over our business plan and sales campaign with hospital executives
- Here is info on the scope of the issue:
According to Stanford Health, 48 million surgical procedures were performed in the United States (in 2009). This number may now be higher.
Surgeries are often very frightening and stressful last-resort options for patients and their families. Surgeries tend to be very expensive. Any effort that would significantly boost surgical recovery, would be a dramatic advancement with enormous medical, financial and humanitarian significance.
8. What’s Next: What are your ideas for taking your project to the next level?
We will track our clinical outcomes via our clinical trial with UCSD Health Dept of Surgery.
After achieving these milestones in June 2020, we will license this product to several hospitals.
Here are our ROI metrics of success -
- 80% of ArtWalk patients will get out of bed during the first postoperative day
- ArtWalk patients will walk outside of their rooms, at least 3 times a day
- ArtWalk patients will walk 2x the steps of control group patients
- ArtWalk patients will walk 4x longer than control group patients
- ArtWalk patients will stay in the hospital for 1.5 less days
- Patient satisfaction scores will rise by 25%
- Surgical complication rates will fall by 30%
- 30-day readmission rates will fall by 20%
9. Which of the following types of expertise would be most useful for you?
10. Finances: If applicable, have you mobilized any of the following resources so far?
Donations between $1k-$5k
Help Us Support Diversity! Part 1 [optional] Which of the following categories do you identify with?
Black or African American (for example: African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc) (8)
Help Us Support Diversity! Part 2 [optional] Do you identify as part of any of the following underrepresented communities?
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Referral: If you discovered the Challenge thanks to an organization or person other than Ashoka or T-Mobile, who was it?