The CVRM Project is a digital health service that brings cardiovascular risk management (CVRM) to people’s homes. The approach is patient centered and scalable. We believe this will result in better health at lower costs. Ahti works on the CVRM project together with experts, specialists, cardiologists and general practitioners.
Cardiovascular disease (CVD) is the number one cause of death globally. The leading cause of CVD is elevated blood pressure or hypertension (HTN). Worldwide there are at least 1,1 billion people who suffer from HTN. Globally, only around 13% of people with hypertension have their blood pressure at target. Low and middle income countries account for over 80% of global CVD deaths.
The current model of clinic based care is ineffective and too costly to sustain. Even in high income countries, there are not enough doctors for the increasing number of people who need hypertension care. This applies to both first line as well as the second line. Despite the fact that behavioral changes and drug treatment can greatly reduce the risk of CVD, HTN control is still poor. There is an urgent need for cheaper and more effective solutions that allow rapid scale up of hypertension care to reach everybody in need.
The purpose of the project
In this project, two goals are aimed for which both lead to overall improvement of hypertension care:
- Making self-management at home possible
- Supporting general practitioners with diagnoses and follow-up
1) We are developing and test a home-based health service for measuring, monitoring and treating hypertension. We do this by using a mobile phone app for patients that interacts with a web-based dashboard for healthcare providers who can act upon it and treatment, if and when needed.
Since behavior is a major driver of health outcomes in chronic conditions, behavioral psychologists have been involved in co-designing the model. As a result, expensive, clinic based care will be completely transformed into a more efficient, home based, patient centered way of working.
2) We are also developing an algorithm for general practitioners. This algorithm is based on applicable guidelines and will be a digital tool that helps general practitioners to diagnose the patient. After the diagnoses, the patient will get a personalized treatment.
What is ahti’s role
Ahti initiated the project and brought together world renowned clinical and behavioral research experts within its global network of Living Labs. The ahti network provides direct access to patient populations, local municipal health departments, policy makers and payer data, so that the new technology will be tested in a real world setting. Besides that, we also engaged in financing by writing proposals for funding.
Name: CVRM Program
Countries: China, Kenya, the Netherlands, USA
- Academic/ clinical: Joep Lange Institute African Population Health and Research Centre (Nairobi), Amsterdam UMC (location AMC)
- Private: M2mobi Mobile Agency, Cardiologie Centra Nederland
- Clinical: Amsterdam UMC (location AMC), ROHA
Funded by: ahti, Joep Lange Institute, Zilveren Kruis, Health Holland/Top Sector Life Sciences & Health (LSH)
For more information: Rachel van Beem, Senior Project Team Leader