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Newsletter 84

Apple Smart WatchBecause the American College of Healthcare Trustees Join or pay dues here and five of its Fellows have an entrepreneurship group and one of its projects is to use a wearable to measure lack of heart rate variability as a surrogate for distress and then to use bots and biofeedback to treat that distress visit our entrepreneurship site, we thought it appropriate to summarize for our group of highly engaged readers an article that appeared recently in the American Medical Association digital news. This article by Andis Roneznieks discussed four mistakes people should avoid with wearables. Many of these, of course, are common sense. The first mistake they address is folks giving up prematurely. They say that people can get discouraged if the wearable is inconvenient because it requires frequent recharging or because benefits cannot be seen early enough. The author refers to a center which states that they maintain a staff to set the device up for the HAPPY BUILDINGSpatient rather than giving the patient a box to take home. They suggest the device be worn on the non-dominant hand. Another pitfall which would be obvious to a clinician would be the patient ignoring the body signals because the device gave false reassurance. For instance the patient could ignore chest pain because there was no heart rate  abnormality. Another pitfall would be becoming fixated on the data, hence having increased anxiety rather than less. The author states that another indication would be interpreting the data without a physician's help. Direct-to-consumer marketing could cause and individual to wear a device to monitor for atrial fibrillation when the patient was not in the category at increased risk for such. This could yield false positives with the attendant unnecessary, wasteful, and possibly dangerous treatments. In a related article, the same technical writer indicated the importance of ATRIAL FIBRILLATIONalgorithms that filtered out noise to avoid alarm fatigue. The American Medical Association is a co-founder of a company named Xcertia which promulgates guidelines to maximize the quality, safety, and effectiveness of mobile health applications. learn more about and register for our June 24th event
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David Levien, MD, MBA, FACS
President and CEO
American College of Healthcare Trustees 844 322-4867

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