April 201919Advances in Technology allow clinical operation in the management hypertension and diabetes synchronous with customers' needsreadings at short intervals is similar to hemoglobin A1c measurement a bio-marker, used in assessment of diabetes control during preceding several months.Technology based access to blood pressure and blood sugar is reassuring to customers' when one is under supervision and interventions are associated with risks. Technical measures required in monitoring blood pressure are easy to teach and monitoring devices are inexpensive. This is similar to self monitoring blood sugar at home. Diabetes has been the ideal model for clinical management and its effectiveness is accepted among elderly because it permits greater level of confidence. In health care delivery operation pledging surveillance to be vigilant to concern in real-time is reinforcement to accept plan of care. Modeling data is critical to care givers. Devices designed to generate information in these two common conditions will assist quick review on level of control scale plan of treatment and achieved goals with precision. Difficulties in achieving goals require effective and systematic dialogue on contextual issues. Such interaction is not practical in our existing electronic medical recordings.Thematic analysis of atomic data and Meta data along with linear integration of HBP and treatment would make this a model for meaningful use. A similar scheme to integrate data related to diabetes management is needed where; interaction is much more intense to achieve a steady state. Furthermore, HBP data with linear flow, if methodically aggregated with due validation, into a matrix format along with parallel flow of integrated information on changes in treatment, these two data sets organized in this scheme, will be more valuable for interpretation and critical review.Advances in Technology allow clinical operation in the management hypertension and diabetes synchronous with customers' needs. Besides, in hypertension, it holds promise to refine clinical care that is qualitatively more efficient.CheckMyVitals, a Telemedicine solution for monitoring blood pressure and blood sugar was built on the theory of bench-marking scheme that was based on day to day operational experience in the management of diabetes and hypertension. Core issues prioritized from patient's perspective included; operational ease, reliability, cost and, adaptive to routine personal household device, regular operation associated with composite health and economic benefits. Provider's perspective: Gain in information of superior quality and enable both quantitative and qualitative service delivery unobtrusive to workflow. These issues became formative and summative guiding principle in the design feature during development.Expansion of this theme from individual to population level information can help to detect susceptible segments in population to develop prevention strategy. Technology enables proactive care plan in a patient centered manner.Technology has the ability to design public health a key terminal, to focus and integrate nutritional and exercise in the management of chronic diseases conditions like hypertension, diabetes, obesity and other cardiovascular risk related issues. Checkmyvitals is in its early stages to assemble longitudinal quantitative nutritional and exercise values in the EMR. Mhealth operational design with utility features that supports end users has the potential to make significant change in health care delivery. It has the potential to render higher quality for diverse population group at minimal cost. Anu Banerjee
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