Duke teams with Cerner to develop cardiac risk app
An application created by the Duke Clinical Research Institute and Cerner lets providers estimate patients’ cardiovascular disease risk.
The ASCVD Risk Calculator offers an estimate of a patient’s 10-year and lifetime risk for atherosclerotic cardiovascular disease. The results the app provides are based on guidelines from the American College of Cardiology and American Heart Association—it uses vitals and lab measurements to determine an estimated score, with the intent of facilitating dialogue between patients and physicians to help guide treatment decisions and improve health outcomes.
In addition, the app enables users to simulate a potential reduction in the risk score through a variety of actions that providers can discuss with their patients, explaining potential therapies to them in easily understandable recommendations.
The risk calculator was developed through the Cerner Open Developer Experience, where developers can access a suite of tools to test their ideas and apps using a “sandbox” that supports the Substitutable Medical Applications and Reusable Technologies (SMART) on Fast Healthcare Interoperability Resources (FHIR) standards. Cerner has been encouraging third-party developers to build apps on top of Cerner’s Millennium electronic health record and HealtheIntent population health platforms.
“This collaboration demonstrates how the healthcare industry can come together to develop and continually improve an app that has the ability to save lives by the power of SMART on FHIR open source standards,” says Kevin Shekleton, vice president and distinguished engineer at Cerner.
While the app was developed for Cerner’s hospital and health system customers, the vendor maintains and hosts the risk calculator under an open-source license, and any healthcare organization can use the technology, Shekleton notes.
“You can take this application and run it in any system that supports SMART on FHIR,” he adds, noting that Duke is not a Cerner customer but in fact runs a competitor’s system. “This is a great way to demonstrate that we are committed to being open through this collaboration,” Shekleton says.
“We developed the app to be able to pull important patient health data across multiple EHR suppliers at different venues of care in order to get a full picture of how to improve that patient’s health,” says Ann Marie Navar, MD, assistant professor of medicine (cardiology) at Duke University School of Medicine and the member of the Duke Clinical Research Institute who led the initiative. “Cerner’s open platform encourages collaboration, which will help advance the way care is delivered, regardless of the specific platform people are using.”