What is Medly?

About Medly  /  What Is Medly?

Medly is an active heart failure self-management program which consists of two key components: 

  1. The Medly System: The core technology components that support the active monitoring of patients.
  2. The Medly Service: The key people, processes and tools required to operationalize the Medly System.

1. The Medly System: The core technology components that support the active monitoring of patients.

2. The Medly Service: The key people, processes and tools required to operationalize the Medly System.

What would you like to learn more about? 

System

Service

The Medly System

The Medly application

The smartphone app and peripheral devices (weight scale and blood pressure monitor) enable patients to measure and record their weight, blood pressure, heart rate, and symptoms.

The Medly application

The smartphone app and peripheral devices (weight scale and blood pressure monitor) enable patients to measure and record their weight, blood pressure, heart rate, and symptoms.

Patients take these readings daily and receive an automated phone call to assist with adherence. The recorded measurements are immediately analyzed by the Medly algorithm, a proprietary rule-based expert system within Medly which was developed, refined, and vetted by heart failure clinicians from Ted Rogers Centre for Heart Resarch at the Peter Munk Cardiac Centre.

The Medly system is Bluetooth-enabled for patients to benefit from automatic data transfer wirelessly from the devices to the app.

Patients take these readings daily and receive an automated phone call to assist with adherence. The recorded measurements are immediately analyzed by the Medly algorithm, a proprietary rule-based expert system within Medly which was developed, refined, and vetted by heart failure clinicians from Ted Rogers Centre for Heart Resarch at the Peter Munk Cardiac Centre.

The Medly system is Bluetooth-enabled for patients to benefit from automatic data transfer wirelessly from the devices to the app.

The Medly algorithm

Automatically generates self-care feedback messages based on personalized thresholds and treatment plans (i.e. prescribed medications) set by a patient’s clinician at the time of program enrollment.

The Medly algorithm

Automatically generates self-care feedback messages based on personalized thresholds and treatment plans (i.e. prescribed medications) set by a patient’s clinician at the time of program enrollment.

Examples of patient self-care feedback include:

  • Advising when they are within or outside their personalised normal range thresholds
  • Instructing them to take their prescribed medication
  • Suggesting when to contact their heart failure clinic or go to the emergency department

Parameters that fall outside the personalized thresholds also simultaneously trigger an alert for the Medly clinicians on the patient’s care team.

To learn more about the research and development of the Medly algorithm, click here to read ‘Developing healthcare rule-based expert systems: Case study of a heart failure telemonitoring system‘ (Seto et al. 2012). 

The Medly dashboard

The web-based Medly Dashboard enables clinicians to rapidly assess a patient’s health status and respond to patients who have alerted through the Medly app. 

The Medly dashboard

The web-based Medly Dashboard enables clinicians to rapidly assess a patient’s health status and respond to patients who have alerted through the Medly app. 

The patient summary feature is a compilation of relevant patient-level information for heart failure management, including a current medication list, heart failure-related laboratory data, and historical trends displayed graphically to support clinicians with timely clinical decision-making.

Through the alerts centre feature, clinicians are provided a summary of the most recent patient alerts, including the patient parameters which triggered the alert and the specific self-care feedback message provided to the patient.

Finally, patient profiles are accessible, offering an ability to easily adjust or add to patient-specific thresholds, medications and laboratory data from any location.

The Medly Service

The Medly Service includes the key human resources and adaptable processes to operationalize the system and deliver on the intended outcomes.

The Medly Program clinical roles have been defined to directly link patients to cardiology specialists while optimizing clinician time. The primary clinicial role is a frontline Medly coordinator (a registered nurse or nurse practitioner) who reviews and responds to alerts and serves as the first resource for patients’ clinical concerns or technical troubleshooting.

The Medly Coordinator triages and escalates clinical concerns to the Most Responsible Physician (MRP), typically a cardiologist, who provides higher-level clinical expertise as needed. Critical alerts are always escalated, and sent directly to the patient’s MRP. The Medly team at UHN provides higher-level technical and application support to patients and providers, as required.

The responsibilities of the key Medly program roles vary based on the three phases of the program life cycle: onboarding, ongoing and offboarding. Understanding that each site is unique – including the services rendered, clinical workflows, and patient populations – the Medly program roles are reviewed and customized on a clinic-by-clinic basis to fit the needs and goals of each site.