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Department of MedicineInnovation

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Overview

The digital health arena has been exponentially growing with large numbers of mobile device users and currently available technologies. Providers are increasingly adopting digital health tools, which can assist with patient education, clinical decision support, and shared decision-making. Digital technologies (e.g. mobile health applications, virtual scribe solutions) help patients and providers to collect and organize vital information in an easily accessible format, and have great potential to improve patient-centered outcomes and provider workflows in real-time.

Digital health technologies may be accessed through distinct modalities, which enhance their usability and value among patients and providers. These tools are available for smartphones, tablets, wearable devices, computers, and virtual personal assistants, and offer many advantages for patients who find it difficult to access health information. Telehealth visits may be especially useful for remote and underserved communities with little access to healthcare resources. Digital health tools help providers to access information and deliver education in the setting of time constraints.

Several examples of current “digital” projects at Montefiore Einstein include:

  • Using artificial intellegence to predict no-shows in the outpatient setting
  • Developing and evaluating a mobile smoking cessation intervention for persons living with HIV
  • Implementing and evaluating electronic adherence sensors among patients with asthma
  • Evaluating an electronic health record (EHR)-integrated mobile platform to facilitate the collection of patient-reported outcome measures and enable clinical decision support among adult patients with asthma
  • Developing a mobile app to deliver guideline-based education and adherence support for adult patients with type 2 diabetes
  • Collaborating with the Sanford Guide “Stewardship Assist” app to give all Montefiore Einstein associates free access to the app and website, including Montefiore stewardship best practice protocols, antibiograms, and isolation guidelines

Despite the widespread availability of digital health tools, many lack comprehensive and/or evidence-based information. The validation of technologies through clinical studies helps to ensure the usability, generalizability, and high-quality nature of these tools. Possible outcomes to consider include process, clinical, and health economic endpoints. To promote technology uptake and usability by patients and/or providers, it is important to consider a user-centered design process, which includes ongoing feedback (interviews, questionnaires) and iterative refinement based on user suggestions. The development, implementation, and evaluation of digital health technologies involves a collaborative effort between multiple stakeholders such as patients, providers, and clinical staff. The deployment and adoption of user-centered digital health tools can greatly benefit clinical workflows, research initiatives, and patient engagement.

Leadership Team

Sunit Jariwala

Sunit Jariwala, MD

Yaron Tomer

Yaron Tomer, MD

Eric Epstein

Eric J. Epstein, MD

Shitij Arora

Shitij Arora, MBBS

Jennifer Garner

Jennifer Garner

Sharon Rikin

Sharon Rikin, MD

Lauren Shapiro

Lauren Shapiro, MD

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Contact Us

For questions or suggestions, contact Dr. Sunit P. Jariwala (sjariwal@montefiore.org).

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