The overarching goal of Pear Care is to provide a support structure within which patients will feel more motivated to pursue personal wellness goals, including (but not limited to) general fitness, mental health, sleep quality, proper consumption of prescribed medicine, as well as any goals that the patient might consider important. In the status quo, it is difficult for most outpatients to maintain focus on wellness goals, especially as they are confronted with the stresses and rigors of everyday life.
We see this as a particularly significant issue in pediatric patients, who are often left unattended throughout the day as they go to school and then return home before their parents are available to give them direct attention. Thus, Pear Care provides a system by which patients (both the parents and the children) in a “Care Family” can keep each other accountable to their own personal health goals. This is facilitated by a peer reminder system, where each member of the Care Family is expected to follow up on a specific member in the case where they have not achieved their daily goals. Essentially, this system serves as a feedback loop, wherein members can keep each other focused on their own wellness. The matching of members to one another is regularly changed, so as to avoid alarm fatigue and to ameliorate the apparent social cost of reporting symptoms as they are experienced.
Further, the regular stream of updated health and wellness information (e.g. sleep tracking, weight tracking, medication tracking, mental health tracking, etc.) allows patients to interact with their physicians from the comfort of their home, extending the reach of the medical team at the NewYork-Presbyterian Hospital. The monitoring system can be configured for simple weekly summaries as well as alerts in cases of sudden departures from the norm, facilitating earlier intervention by both members of the Care Family and by medical professionals.
Medication, MedicationDispense, Patient, Observation
FHIR is used to store and retrieve patient data, including medication dosages and patient health and fitness metrics. The collected data will periodically be collated made available to the patient’s physicians, and integrated into the hospital EMR.
- Wellness tracking of metrics such as sleep, weight, pain levels, mental health, activity, etc. (users can pick some subset and create personal metrics to track those that are important to the user)
- User is to complete a short daily survey with metrics using sliders and ranking scales
- Periodically, the survey would include additional questions such as weight and height
- Private accounts with username / password
- Profile would be initially set up and identified by inputting a unique patient ID as found through FIHR
- Afterwards, user would set up account credentials
- Addition of Care Family members by QR code
- Accounts may be added as Care Family members by scanning QR codes in addition to inputting usernames
- Centralized homepage to view Care Family
- Upon login, ability to see Care Family with corresponding daily metric updates. For those that have not yet been completed, Care Family member may send reminder to a particular user the member is paired with
- Notifications and reminders
- Ability to alert member in “Care Family” through message or email to complete a designated goal
- Health Tracking and data visualization
- Graph representations are visualized as a function of time and may also be viewed on the Health Tracker page
- Automatic aggregation of user data gets sent to primary care provider
- Any form of quantitative data (not just weight and height) may be tracked visually using this tool. Another example may be how many steps user took per day if that were a customized goal
- Medication Tracking
- By pulling information from FHIR about a patient’s prescription data, user can view instructions, dosage, timing, and other notes for every medication needed to be taken that day
- Goal management
- Ability to add extra goals (such as vitamin supplements, dietary goals, and more) to personalize the user’s preferences