Theme 1: Bridging Community and Acute Care
IMPROVE CV Care
Individualized Monitoring of Patient Reported Outcome measures for Value and Effectiveness in CardioVasular Care
Lead:
Matthew James (Co-Lead )
Co-Lead:
Stephen Wilton
Project Coordinator:
Maria Dalton
INNOVATION STAGE
Proof of Concept
Health Innovation Focus
Chronic Disease, Heart Disease
Population and Setting
Adult
Technology and Intervention
Data Modelling, Platform and Dashboard Visualization
BENEFITS
For Users
For Patients: This tool encourages open dialogue about mental health and other non-physiological factors without stigma, helping patients feel heard and understood.
For Physicians: It optimizes appointment time by collecting data in advance, allowing appointments to focus on actionable insights and personalized care.
For The System
Enhanced Personalization of Care: Physicians can address red flags more effectively, improving patient outcomes by targeting what matters most to each patient.
Increased Efficiency: The tool reduces the need for lengthy discussions on background factors, streamlining clinical timelines and enabling more focused, impactful care.
Project Theme Information
Patients and physicians face challenges in addressing non-physiological factors impacting cardiovascular health—such as mental health, social support, and medication affordability—within the limited time of an appointment. This often results in a narrow focus on immediate physiological symptoms, leaving other important aspects of health unaddressed.
The intervention is a streamlined survey and reporting tool designed to improve communication between cardiovascular patients and physicians. It collects and summarizes relevant health factors, promoting personalized, patient-centered care that considers a fuller picture of the patient’s well-being.
Before an appointment, patients complete a survey that includes mental health, social support, and self-care information, using validated instruments. This data is then used to generate a report for physicians, which flags significant changes and provides actionable insights. Physicians can review the report prior to or during appointments, allowing for a more comprehensive understanding of the patient’s health beyond immediate symptoms.
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Explore the Health Everywhere Portfolio to see how local innovations are solving real-world challenges and shaping the future of care across the province.
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The Health Everywhere Hub portfolio map showcases academic-led projects tackling real healthcare challenges across Alberta. By highlighting shared goals and commonalities, we hope to spark collaboration and amplify impact across the system.
It’s more than a list of projects - this evolving collection shows what’s possible when partnerships, bold ideas, and real-world testing come together.