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Reducing Hospital Re-admissions with Social Networking and Data Science

Michael Gold (Farsite), Lise Worthen-Chaudhari (Department of Physical Medicine & Rehabilitation at The Ohio State University)
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Preventing re-hospitalizations after cardiac events has been identified as a national goal. Cardiovascular disease remains the leading cause of mortality, and is mostly attributable to modifiable risk factors including hypertension, dyslipidemia, obesity, smoking, and a sedentary lifestyle. Cardiac rehabilitation (CR) offers a comprehensive approach to cardiovascular disease management by addressing all of these risk factors and has been shown to significantly reduce morbidity and mortality by 25% when compared to usual care. But maintaining an exercise program or attending CR, while trying to get back to daily life after a hospitalization, can be a challenge.

A joint project between between Farsite, a data science firm, and Ohio State University Wexner Medical Center (OSUMC, seeks to address this challenge and reduce re-hospitalizations by improving adherence to CR programs. This difficult task requires a set of solutions that engages inpatient health care, outpatient services, and patient behaviors as they go about their daily lives. Although the the quantified self and mHealth movements are producing solutions designed for individuals seeking a platform for self-help, these solutions are inadequate to serve the population of individuals who require medically supervised help to improve their health state.

Farsite and OSUMC are developing a solution to bridge medical and self-care through technology-mediated behavioral interventions that draw upon the patient’s existing social network. Toward this goal, we are building an advanced analytics platform that enables us to:

(1) Isolate specific factors that drive adherence to cardiac rehabilitation (e.g. demographics, fitness level, weather, distance from home to CR location)

(2) Determine the value of social messaging for cardiac rehabilitation adherence.

Aim (1) will be accomplished through regression-based analysis of historical and current patient data and CR completion rates. Aim (2) involves a text messaging platform in which CR patients enrolled in our study will receive text messages from family and friends that encourages adherence to the CR program. We believe that technology mediated interventions that integrate the patient’s existing social network, when developed using patient-centered research and design practices, provide a critical and scalable platform to advance personalized health care.

The audience of our session will learn about this new frontier of research that combines predictive analytics, rehabilitation science, and behavioral economics to support health care-related behavior change. We hope the Strata audience can offer suggested avenues forward for our project as well as apply our methodologies to the health care solutions they are developing. All of our work has tremendous potential to extend healthy life and reduce the burden of injury and illness on individuals, support givers, and society in general.

Photo of Michael Gold

Michael Gold


Michael, co-founder of farsite, directs farsite’s overall strategy and manages business development.

Michael has a bachelor’s degree in classics from the University of Michigan and a master’s degree in history from the University of Minnesota. Michael also has an MBA from Fisher College of Business at The Ohio State University. He has worked as a White House Intern in the Office of Public Liaison Business Affairs Desk, and also for SmartBrief, a Washington-DC based start-up that publishes daily B2B news briefs.

Photo of Lise Worthen-Chaudhari

Lise Worthen-Chaudhari

Department of Physical Medicine & Rehabilitation at The Ohio State University

Lise Worthen-Chaudhari, MFA, MS, is funded through the National Institutes of Health and the Patient-Centered Outcomes Research Institute to gamify evidence-based physical rehabilitation. She bridges the gap between academic medicine and industry-driven innovation by collaborating with game designers such as Jane McGonigal and data science companies such as Farsite group. She is a research faculty member in Physical Medicine and Rehabilitation at The Ohio State University Wexner Medical Center and Associate Director of the Motion Analysis and Recovery Biomechanics Lab at Dodd Rehabilitation Hospital.

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