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2021

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Cleveland Clinic Top 10 Medical Innovations for 2021

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#3 Expanded Window for Acute Stroke Intervention

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The signs of a stroke are serious and terrifying: weakness in half the body, trouble producing and understanding speech, and altered vision. Immediately you recognize something is wrong.

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My Top 5 Strengths:
1. Harmony 2. Achiever 3. Relator 4. Consistency 5. Discipline

My harmony strength will benefit me by allowing me to look at multiple perspectives in a situation and build on areas of agreement within the group. Colleagues are typically able to spot the hardworking behaviors of the achiever, and this strength will help generate momentum for others by motivating them to work alongside me. I will ensure the group remains productive and efficient and will always be willing to engage and get my hands dirty with the rest of my team. My consistency strength will build the trust of my organization by showing them I will do what I say I am going to do and behave fairly in my actions.

All of my strengths fall under the domains of 'Executing' and 'Relationship Building'. My team would benefit from including members with complementary strengths in the 'Strategic Thinking' and 'Influencing' domains.

Team Members:
1. Faith-Futuristic: Sees visions of what the world could be. Always thinking about the next best product for a better life. This is the whole point of innovation.
2. Carter-Communication: Good at putting thoughts into words, likes to explain/present, speak in public (something I do not enjoy)
3. Angelica-Analytical: Gets all the facts straight. Wants to prove what we are claiming is true.
4. Chelsea-Command: Good at making decisions (I am very indecisive)
5. Louis-Learner: Will learn the ins and outs of the product or subject matter. Desire to continuously improve.

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Cleveland Clinic. (2020). #3 Smartphone-connected pacemaker devices. https://innovations.clevelandclinic.org/Programs/Top-10-Medical-Innovations/Top-10-for-2021/3-Smartphone-Connected-Pacemaker-Devices

Medtronic. (2021). MyCareLink Heart; App-connected heart devices. https://www.medtronic.com/us-en/mobileapps/patient-caregiver/mycarelink-heart-app-connected-heart-devices.html

Tarakji, K.G., Zaidi, A. M., Zweibel, S. L., Varma, N., Sears, S. F., Allred, J., Roberts, P. R., Shaik, N. A., Silverstein, J. R., Maher, A., Mittal, S., Patwala, A., Schoenhard, J., Emert, M., Molon, G., Augello, G., Patel, N., Seide, H., Porfilio, A., … Turakhia, M. P. (2021). Performance of first pacemaker to use smart device app for remote monitoring. Clinical Devices, 2(5), 463-471. Doi: http://doi.org/10.1016/j.hroo.2021.07.008

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*App available for free- Encryption keeps data secure
*No traditional bedside monitor required
*Automatically provides heart device health information to clinic remotely
*Physician can receive notifications of important events recorded by device
*Gives patients direct access to some of their pacemaker data for the first time; empowers them to be more involved in their medical care

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Bluetooth wireless technology allows new-generation pacemakers to connect directly with the patient's smart device via the MyCareLink Heart Mobile App (Cleveland Clinic, 2020).

The technology provides patients access to their own data related to transmission success history, battery longevity, and device information such as implant date and model number. Patients can also track additional data such as symptoms, weight, heart rate, blood pressure, and physical activity (Cleveland Clinic, 2020).

A study has also shown that patients who use the smart device app have a higher success rate of meeting their scheduled remote monitoring data transmissions to the provider when compared to patients using the traditional consoles (Tarakji et al., 2021).

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Medtronic is the medical device company associated with the innovation

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*Cellular and Wifi availability applies
*Cannot guarantee that all model variations of phones and operating systems are compatible with the app
*App not available to download in every country at this time

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I believe this innovation can serve as a valuable tool for patient engagement. Involving patients and their support systems in their own care will likely contribute to better adherence to treatment plans and improved health outcomes. If a problem is able to be detected remotely, time to treatment can be decreased and damage minimized. Convenience in another major factor as the technology can reduce the amount of time spent at a doctor's office for routine checks.