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Sidna Tulledge-Scheitel, Medical Director, Global Products Services Mayo Clinic and David Cerino, General Manager, Health Solutions Group Microsoft | Photograph by Andrew Cutraro

How Mayo Clinic and Microsoft Are Empowering Patients

Sidna Tulledge-Scheitel
Medical Director, Global
Products and Services
Mayo Clinic
Rochester, Minnesota


David Cerino
General Manager
Health Solutions Group
Redmond, Washington


Empowering the Patients

David Cerino, 44, and Sidna Tulledge-Scheitel, 49, helped create the Mayo Clinic Health Manager. The free Web application, launched in April, supports data from health-monitoring devices, stores family medical records using Microsoft's HealthVault, and offers guidance and reminders from the Mayo Clinic.

CERINO: "Electronic health records are about storing data. But we need to make it come to life so consumers can make smarter decisions."

TULLEDGE-SCHEITEL: "Patients see their physicians for only very brief moments throughout the year. People want to be empowered to self-monitor their health to ensure that they're following their doctor's care plan."

CERINO: "The HealthVault supports more than 50 home health-care devices — such as blood-pressure monitors, glucometers, and even fitness watches and pedometers — because the goal is to create a complete health-care ecosystem with context."

TULLEDGE-SCHEITEL: "One hurdle is that there isn't a clear business model for physicians to put a lot of effort into remote monitoring, so initially, people must advocate for themselves, going to the doctor's office with their charts when they see they're out of control."

CERINO: "The adoption will resemble what happened with online banking. In the beginning, you had to input all that data, with biller names, addresses, account numbers, and so forth. Once consumers started to see the value of getting all that information electronically, we got over the hump."

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  • Richard Parton

    Though this is a relatively young market, I've been working on clinical research in this field (telehealth / remote health monitoring specifically) for several years & have some observations:
    i) the app is basically not that new, telemedicine devices of this nature have been evolving over the past decade or so, and there are a number of other platforms that offer similar integration.
    ii) The use of the kind of content the Mayo Clinic are most likely serving has been shown in a number of clinical trials to be quite effective, there are a number of platforms that do this well. That said it should be seen as a supplement to, rather than replacement of, skilled clinical attention.
    ii) Tulledge-Scheitel is right to have concerns about Doctor's lack of incentives. I've spent a lot of time discussing (and trialling) these devices with clinicians in different settings, and the doctor-led approach offers poor return on clinician input and in terms of benefits to patients. Also, when patients take their stats to their clinicians in the way described above, we have generally found that this drives clinician dis-engagement because they can't vouch for the accuracy of the data, and Doctors (understandably) don't feel comfortable being 'ambushed' in this way - how would you feel if someone walked into your office with a pile of data about your job, and asked you what you were going to do about it?
    iii) The technology is not the 'solution' in this market, the key is the ability to integrate it into existing lifestyles and health systems. Based on the (admittedly limited) comments above, there are other manufacturers who have a much stronger grasp of how to get the most out of this technology for both patients and clinicians.