Patient-Reported Outcomes Measurement Information System, PROMIS, is a set of person-centered measures that evaluates and monitors physical, mental, and social health.
The Patient-Reported Outcomes Measurement Information System (PROMIS) is a comprehensive measurement tool that collects information directly from patients to assess various aspects of their health for assessing physical, symptoms, mental, and social health domains, providing a holistic picture of the patient’s condition . It can be used with the general population and with individuals living with chronic conditions.
PROMIS enables healthcare professionals to accurately monitor patient progress and make informed decisions about their care, ultimately enhancing patient-centered care and improving health outcomes .
PROMIS is a set of person-centered measures that evaluates and monitors physical, mental, and social health. It can be used with the general population and with individuals living with chronic conditions .
Designed with state-of-the-science methods, PROMIS is psychometrically sound and aims to transform how life domains are measured . It is also created to enhance communication between clinicians and patients in diverse research and clinical settings . PROMIS is relevant across all conditions for the assessment of symptoms and functions .
“Health care decision-making should be based on the needs of our patients. So, it’s really important for a practicing physician or a clinical researcher to be able to really understand what our patients are trying to tell us. But actually communicating to your physician isn’t as easy as it sounds.”
LISA SHULMAN M.D. PROFESSOR OF NEUROLOGY AT THE UNIVERSITY OF MARYLAND MEDICAL CENTER.
Clinical measures of health outcomes, such as x-rays and lab tests, may have minimal relevance to the day-to-day functioning of patients with chronic diseases. Often, the best way patients can judge the effectiveness of treatments is by changes in symptoms.
This is why the PROMIS initiative was developed through a National Institute of Health program and funded through the NIH Common Fund. The goal of PROMIS was to improve the reporting and quantification of changes in patient-reported outcomes.
The process borrows from a concept that’s highly used in education, Item Response Theory, to help get better answers from patients with fewer questions.
PROMIS scores offer a system of highly reliable, precise measures of patient-reported health status for physical, mental, and social well-being; used to measure health symptoms and health-related quality of life domains that are relevant to a variety of chronic diseases, including cancer.
PROMIS was successful in addressing the lack of standardization in patient-reported outcomes and has had a substantial impact, with approximately 70 domains measuring pain, fatigue, depression, anxiety, sleep disturbance, physical function, social function, and sexual function, among other areas; resulting in over 400 publications and more than 100 NIH grants have supported investigations using PROMIS instruments.
Researchers in the US and internationally are using PROMIS at accelerating rates, with substantial integration beginning in clinical settings and permeating into clinical practices because PROMIS itemsscore high in reliability, precision, and construct validity.
Developed and validated with state-of-the-science methods to be psychometrically sound and to transform how life domains are measured
Designed to enhance communication between clinicians and patients in diverse research and clinical settings
Created to be relevant across all conditions for the assessment of symptoms and functions
Now you can leverage PROMIS scores with Heads Up, in your practice or research. Simply, navigate to the assessments section of the desktop app to get started.
Here’s how you can test out this new feature today:
Heads Up and Rupa Health have combined to create a powerful new solution for analyzing diagnostic lab data.
Rupa Health is an innovative healthcare technology company that provides patients with personalized, evidence-based recommendations to improve their health and well-being. Through their advanced algorithms, Rupa Health is able to provide tailored recommendations based on a patient’s individual lifestyle and needs. Using a combination of artificial intelligence and human understanding, they are able to offer personalized advice to help patients achieve better health outcomes. By utilizing the latest science and technology, Rupa Health has revolutionized the way we view healthcare. Their goal is to empower individuals by providing them with the tools and information they need to make informed decisions about their health. Rupa Health’s mission is to democratize knowledge in healthcare, making it more accessible for everyone.
Instantly sync lab results from Rupa Health into Heads Up. Data is automatically extracted from PDF files and turned into powerful charts, graphs, reports, insights and much more!
By connecting Rupa Health’s lab results to Heads Up, users can save time and energy. With just a few clicks the data is automatically extracted from PDF files into powerful visuals such as charts, graphs, reports and insights. These visuals make it easier to understand the data and use it to make informed decisions. With this integration, users can quickly and easily get access to all their lab results in one place and have them organized in a way that makes sense to them.
Ditch the PDF files
Automatic data extraction technology takes data out of PDF files and turns it into powerful charts and graphs.
No more painstaking side-by-side PDF files trying to assess progress from one test to the next
Take back your time
Preparing patient charts goes from hours to seconds
No more tedious and time-consuming spreadsheets trying to prepare a patient’s chart
Delight your patients
Bring lab data to life for your patients with a beautiful and intuitive user interface
See the big picture
Go beyond diagnostic lab data. Bring everything together like, wearables, health apps, user inputted data, with Heads Up to see the big picture of your client’s health.
Customized to meet your needs
Including custom white label solutions.
How it works:
Link your Rupa Health account to Heads Up
Order lab results through the Rupa Health portal
Results automatically sync with Heads Up
Leverage the Heads Up platform for all your data analysis needs
Updated: June 2023 We’re excited to announce the latest release of our Remote Patient Monitoring (RPM) dashboard, which includes significant performance and frontend improvements. This updated version is designed to further enhance your user experience and streamline your workflows.
Below are the key enhancements included in this update:
Predicted Month-End Days for CPT 99454 Claims: This feature will help you better anticipate the month-end days for CPT 99454 claims, aiding in effective planning and management of your claims.
Predicted Month-End Minutes for CPT 99457/99458 Claims: To enhance your efficiency, we have introduced a feature predicting the month-end minutes for CPT 99457/99458 claims.
Manual Time Reporting with More Details: To provide greater clarity and transparency, we have added a manual time reporting feature with more detailed information.
Customizable Tag Preferences: This new feature allows you to categorize your RPM patients into multiple groups using customizable tags, offering more flexibility in patient management.
Enhanced Accuracy: We have improved the system to avoid inadvertent time expansion, thus ensuring precise reporting of RPM billing information.
Detailed RPM Report: A comprehensive report for RPM minutes has been added, providing in-depth insights and thorough data analysis.
Export to CSV Functionality: We have introduced an ‘export to CSV’ function to ease data review and manipulation. This feature enables you to download the data into a CSV file, which can be managed in applications like Excel or Numbers.
The RPM dashboard now includes a redesigned user interface for easier navigation and the ability to monitor your patients’ vital signs in real-time. Data can be accessed quickly, allowing you to see how treatments are progressing and make any necessary adjustments. You can also view detailed patient histories and track trends over time.
We hope this update makes it easier for you to provide the best care possible to your patients. If you have any feedback or questions, please don’t hesitate to reach out.
We look forward to continue bringing you new features and improving your user experience!
As always, we remain committed to protecting the security and privacy of your data. All patient information is stored securely and protected with the highest levels of encryption. We also regularly review our systems for threats and vulnerabilities to ensure that your data remains safe.
We’re here to help you provide the best care possible for your patients, so please don’t hesitate to reach out if you have any questions or need assistance. Thank you for being part of the Heads Up community!
The healthcare industry is confronted with a major challenge of dealing with fragmented medical data, especially in integrative medicine where advanced diagnostic labs are utilized. To tackle this issue, Heads Up has introduced its Concierge Service feature, making it easier to import disconnected lab documentation (PDFs/CSV files), patient portal data, and any quantified medical data into a single user interface.
This service will automatically map data into a patient’s lab chart at no additional cost, enabling providers to enjoy Heads Up’s advanced reporting, data visualization, and analysis features.
Concierge Service Walkthrough
We are excited to announce the launch of our new concierge service feature that helps solve one of the biggest challenges in healthcare: fragmented medical data. With this feature, you can easily get all of your data from disconnected documents and patient portals into one user interface.
When a patient loses their insurance or changes their doctor, the traditional healthcare system has difficulty accessing the required data from multiple EHRs and diagnostic lab companies, as these systems typically cannot communicate with each other.
The Concierge Feature of Heads Up will help solve this problem by allowing healthcare providers to collate all patient lab data from any source into Heads Up. Similarly, independent practitioners will be able to access PDF files or lab results from independent labs, as well as organize and store all data securely in compliance with HIPAA regulations.
Concierge Service which makes it easier for health professionals and their patients to connect all the fragmented medical data, like labs, into one user interface. This makes it easier for doctors to use the Heads Up analysis, reporting, and visualization features on top of the data.
Connected Health System
The main benefit of using a connected health system is that it allows practitioners and patients’ to see all of their patients’ medical history in one place, making it easier to compare results from different tests. The new concierge service that Heads Up has built makes it easier for practitioners to access and manage their data by allowing any medical lab pdf to be uploaded and the data will be mapped for the practice. No extra work is necessary.
The process of uploading PDFs or CSV’s to the Heads Up platform is simple. After upload Heads Up data team takes care of finding the values and mapping them to your patients portal.
Within a few business days, the data will be inside the patients charts and you can see how they fall into range. Even reference ranges can be customized and groupings of tests can be displayed easily for a speedy review!
Heads Up helps health professionals unlock patient historical data while giving an easy way to upload PDF’s and CSVs from any lab that isn’t already automatically integrated via API. By using the concierge feature, your practice will save time, reduce costs, and give you the data you need to make the best decisions for your patients in a safely encrypted and protected environment.
If you have a Health Professional account, try out Concierge services and enjoy all the time saving benefits Heads Up’s concierge services provide.
Cerbo, a highly-regarded Electronic Health Record (EHR) system, and Heads Up, an innovative health data management platform, recently announced their game-changing integration. This collaboration aims at empowering individuals to manage their health records more effectively and holistically, thus leading to improved overall health outcomes. In this article, we will discuss how Cerbo and Heads Up integration will revolutionize health data management and outline the benefits for both patients and healthcare providers.
Cerbo: A Comprehensive Electronic Health Record System
Cerbo is a leading EHR system designed specifically for functional medicine and integrative healthcare providers. The platform streamlines patient care through robust record-keeping functionality, appointment scheduling, and intuitive reporting tools. Cerbo’s primary objective is to provide a centralized hub for managing patient health records, reducing administrative burden, and enabling better patient care.
Heads Up is a user-friendly platform that empowers patients to monitor and track their health data comprehensively. By integrating laboratory results, medical records, and wearable device data, Heads Up enables patients to have a more informed understanding of their health. Additionally, the platform features advanced analytics and custom dashboards, allowing users to visualize trends and changes over time, leading to more informed decision-making regarding their health.
Cerbo Integration: A Powerful Combination for Health Management
The integration of Cerbo and Heads Up combines the robust EHR capabilities of Cerbo with the user-focused data management features offered by Heads Up. This collaboration enables seamless sharing of health data between healthcare practitioners using Cerbo and their patients who utilize Heads Up.
Benefits for Patients
Centralized Health Records: With the integration, patients can now access their detailed health records from Cerbo directly in their Heads Up account. This single point of access makes it easier for patients to stay informed and engaged in their health journey.
Data-Driven Insights: The combination of Cerbo EHR data with wearable device data and lab results provides patients with comprehensive insights into their health. These insights allow users to identify trends, track progress, and make informed decisions to improve their health.
Enhanced Communication: The seamless data sharing between Cerbo and Heads Up fosters efficient communication between patients and healthcare providers, leading to improved collaboration and overall patient outcomes.
Benefits for Healthcare Providers
Streamlined Patient Engagement: Providers can now access the health data shared by their patients through Heads Up, leading to improved patient engagement and a more comprehensive understanding of individual health factors.
Efficient Data Management: The integration enables healthcare providers to access and assess patient-generated health data from multiple sources, which can be used to tailor treatment plans for their patients better.
Improved Outcomes: With access to real-time patient health data, providers can make data-driven decisions and adapt treatment plans based on accurate and up-to-date information, leading to improved health outcomes.
The integration of Cerbo and Heads Up represents a significant step towards empowering patients and healthcare providers with the tools and data necessary for better health management. By combining these two powerful platforms, users can now centralize their health records, track their progress effectively, and make informed decisions to improve their overall well-being. This collaboration not only enhances the patient-provider relationship but also contributes to the broader goals of personalized care and optimized health outcomes.
In this livestream video, hosts Dave Korsunsky and Dr. John Limansky delve into the topic of therapeutic fasting. They discuss how fasting can be practiced safely and effectively, with a focus on monitoring vital signs using biofeedback to ensure the fasts are producing positive health results.
The conversation includes insights into different types of fasting, including short-term and extended, as well as the psychological and metabolic benefits of fasting. Join these experts as they break down the science behind therapeutic fasting and provide valuable information to help individuals and practitioners incorporate fasting into a healthy lifestyle.
Therapeutic fasting: How to properly track for best results
Hey everyone, welcome back. I’m your host, Dave Korsunsky, with my co-host Dr. John Limansky, and we’re going to dive in today and talk about therapeutic fasting.
Today, we’ll discuss therapeutic fasting specifically, covering how you can practice it safely and effectively while monitoring it carefully. Over the last several years, we’ve been working on ways to precisely measure what’s happening to your health during fasting, as it might be considered extreme.
You may be going without food for 24 hours, 48 hours, 72 hours, or even 10 days or more during water fasting. This is something that should not be taken lightly.
At Heads Up, we have dashboards to precisely track vital signs during fasting. Individuals who want biofeedback to ensure they’re fasting correctly and improving their health, as well as practitioners who want to remotely monitor their patients, can use these tools.
Once you learn how to read the numbers, it becomes one of the most rewarding parts. It’s really a tool to develop metabolic mastery. John, you have a tremendous amount of expertise here. You were the one who got me into doing my first 10-day water fast. I didn’t really know what I was signing up for, which was probably a good thing. Perhaps we can start with a quick overview of different types of fasting, such as intermittent versus extended, and therapeutic fasting for cancer and other conditions. Can you help us break down the taxonomy?
Of course, it’s good to be with everybody. I approach metabolic health in general by having different tools in my repertoire to use, depending on what I’m trying to accomplish. The idea of fasting has been taboo for a long time until recently, where people started realizing its benefits.
Dr. Longo, out of USC, was a pioneer in terms of extended fasting, showing the actual mechanisms of action and benefits at a cellular level. The online community has taken over and showcased the benefits further.
Beyond the metabolic benefits, there are psychological benefits. I approach obesity and nutrition in a similar way to addiction, the feeling that you always need to eat. Time-restricted eating and extended fasts can help you control food consumption, which many people find difficult.
By doing a time-restricted window, people can psychologically overcome the idea that they always need to eat. Your body is always using energy, and you have to fuel that energy. Most energy comes from glucose or stored glycogen. Allowing your body to use different sources of energy, like fat, can help you lose weight and access other energy stores.
Being able to lower the amount of glycogen and glucose in your system and suppress insulin levels allows you to access a constant supply of energy from ketone bodies or fatty acids, better hormone control, and reduced visceral fat. These factors impact your ability to lose weight or fat in the future.
A short-term fast can help you psychologically, allowing you to get away from having to eat all the time and begin accessing alternative energy stores.
The sweet spot for many people is 72 hours of fasting, which generates ketone production. By monitoring glucose meters, keto meters, and the GKI, you can see a marked difference in your ketone levels.
It’s fascinating to see your body switch over and start burning fat as its primary source of fuel. Once you reach this period where ketones are produced, hunger levels drop significantly, and many people find confidence in knowing they don’t have to eat every few hours like they’ve been told.
After passing 72 hours, most people find that the hardest part is done. Hunger waves may come as you extend the fasting period, but the most significant struggle is typically in the first 72 hours.
When you extend fasting beyond 72 hours, your body continues to adapt, and the benefits continue to accumulate. Longer fasts, such as 10 days or more, can trigger autophagy, a process where your body cleans up damaged cells and recycles parts of them for cellular repair and maintenance. This can boost the immune system, reduce inflammation, and contribute to overall health improvement.
During extended fasts, it is essential to monitor vital signs and electrolyte levels closely. Look for any warning signs, such as dizziness, fatigue, or muscle cramps, which may indicate the need for adjustments or intervention. If you’re inexperienced with fasting, it’s crucial to consult with a knowledgeable healthcare practitioner or coach to guide you through the process and ensure safety.
Furthermore, it’s important to understand that fasting affects people differently. Individuals with specific medical conditions, pregnant and breastfeeding women, or those who are underweight should avoid long-term fasting or seek professional guidance if considering fasting for therapeutic reasons.
Therapeutic fasting can provide numerous health benefits, both physically and mentally. However, it is essential to practice fasting safely, monitor your progress, and listen to your body throughout the process. Learning how to read your vital signs and understanding how your body uses various sources of energy during fasting can lead to better metabolic mastery and overall well-being.
Thank you for joining us today as we discussed therapeutic fasting. We hope you found this information helpful. Remember to consult with your healthcare practitioner or fasting coach to ensure the safe and effective implementation of fasting in your health journey. Happy fasting!
You know, you might feel like you’re going to pass out, but for most people, actually having done it before and knowing what to expect provides reassurance. When you experience fasting for the first time, you don’t know what to expect – people can tell you that around a certain period, you’ll experience hunger, thirst, or even flu-like symptoms such as the “keto flu.”
Having gone through it before, subsequent fasting experiences tend to be easier for a couple of reasons. Firstly, people gain familiarity with the process. Secondly, I wouldn’t recommend that most people transition directly from a high-carb, Western diet to fasting, as that can be quite difficult and may result in negative experiences.
Instead, I encourage individuals to gradually move towards fasting through a low-carb, keto, or Whole Foods diet for at least seven days. For some people, an egg fast for a few days is another option before transitioning into an extended fast.
It is essential to ensure that both the body and mind are ready for fasting, and it isn’t advisable to jump into extended fasts right away. Once people dedicate themselves to fasting, it can lead to adopting healthier eating habits and, subsequently, better overall health.
Fasting can help address issues such as insulin resistance and leptin resistance, the latter of which contributes significantly to an individual’s inability to lose fat. With suppressed hunger and an improved sense of fullness, people start to feel better, and their metabolisms become healthier.
In my experience, a 72-hour fast tends to be a sweet spot for many people. At the 72-hour mark, it is common to feel amazing and, in some cases, even exhibit improved physical and cognitive performance.
To address specific questions about choosing the best therapeutic fasting method, I recommend a water fast with electrolytes. Although it may seem counterintuitive, this type of fast can be both the most efficient and easiest for people to manage.
In contrast, juice fasts, coffee fasts, and goat milk fasts can be more challenging because they do not adequately suppress insulin levels. A water fast with electrolytes – or a green tea fast – can offer the best outcomes.
Before starting a fast, the prefast program should be tailored to individual needs. People should consider transitioning to low-carb, keto, or Whole Foods diets or trying an egg fast before beginning their fasting journey. By taking these steps, the fasting experience can be both more manageable and more beneficial for long-term health.
When preparing for a fast, it’s important to remember that each person’s needs and experiences may differ, so the duration and type of fast should be chosen based on individual health goals and comfort levels. Keep in mind that it’s essential to listen to your body and make any necessary adjustments along the way.
For some people, intermittent fasting – where you eat during a restricted time window each day – can be a useful introduction to the practice. This approach allows you to gradually increase the fasting period to longer durations, such as a 24-hour or multiday fast if desired.
During a fast, it’s crucial to stay well-hydrated and maintain electrolyte balance. This can be achieved through the consumption of water, green tea, or even adding a pinch of salt to your drinks. For those who require additional assistance or guidance, it may be beneficial to reach out to a healthcare professional or nutritionist who specializes in fasting.
When breaking a fast, it’s essential to reintroduce food gently to your system. Start with easily digestible foods such as bone broth or steamed vegetables, and gradually work your way up to more complex foods. Avoid consuming large meals or high-carbohydrate foods immediately after a fast, as this can cause discomfort and negate the benefits you’ve gained during the fasting period.
Fasting can offer numerous health benefits and improved well-being when done correctly, taking into consideration the appropriate methods and individual goals. It’s vital to educate yourself on different fasting types, durations, and practices to maximize the benefits while minimizing potential risks. Remember, listen to your body, and seek guidance from healthcare professionals if needed.
00:03:14 Therapeutic fasting, which is a type of fasting that can be done safely and effectively. They discuss different types of fasting, including intermittent fasting and extended fasting. They discuss the benefits of fasting, including metabolic benefits and psychological benefits. The host recommends using different tools to achieve different goals, depending on the type of fasting being done.
00:06:43 Discusses the popularity of lego movies, and how they can be used to help people lose weight. It explains that fasting can also have similar benefits, and that by suppressing your appetite, you can help to lose weight more effectively. The video also discusses the importance of ketone bodies, and how they can help to provide an endless supply of energy. Finally, the video discusses the importance of fat distribution, and how losing more visceral fat can have a cascading effect on other areas of your body.
00:09:58 The benefits of fasting, and how it can be done effectively for people with different levels of insulin resistance. He also mentions that the first few times fasting can be difficult, but with practice it becomes easier. He also mentions that the psychological component is a major hurdle for many people, and that having experience with fasting beforehand can help ease that hurdle.
00:13:32 The benefits of fasting, and provides anecdotal evidence of how it can improve health. The author also discusses the benefits of fasting for those who have not fasted before, and provides anecdotal evidence of how it can improve health. The author also discusses the benefits of fasting for those who have insulin resistance, and provides anecdotal evidence of how it can improve health. The author also discusses the benefits of fasting for those who have leptin resistance, and provides anecdotal evidence of how it can improve health. The author provides data that supports the anecdotal evidence, and discusses how fasting can be a positive reinforcement for those who are trying to improve their health.
00:16:46 Benefits and drawbacks of various types of fasts, and provides advice on how to achieve the most successful results. It also discusses the importance of following a prefast program before embarking on a fast.
00:20:19 Benefits of fasting, and provides a brief overview of how to fast correctly. It also discusses blood sugar levels and how to monitor them while fasting. Finally, the video discusses how to track your fast progress and how to achieve 100% mastery over your metabolism.
00:23:53 How fasting can change the body’s primary fuel source from glucose to ketones. The glucose Ketone index (GKI) is a metric that looks at the ratio of glucose to ketones in the blood. When fasting, the GKI is lowered as more ketones are used to power the body. This can help improve certain health conditions, such as cancer or epilepsy. Zone 2 cardio training and a healthy diet can also help increase fat burning.
00:27:01 Discusses the idea that you can increase your glycogen stores by eating low carbohydrate or keto, and that this can improve performance. The video also discusses the importance of ketone bodies and fatty acids in the body, and how they can help you be more metabolically flexible. The video also discusses the metabolic health summit, which is an academic conference focused on this topic.
00:30:32 The latest scientific developments around deep therapeutic ketosis and how it is being used to treat mental health disorders, specifically bipolar schizophrenia epilepsy. There is evidence that keto is effective for these conditions, and it is exciting to see this as a news therapy for many difficult to treat mental health disorders.
00:34:00 An overview of John’s theory that cancer is caused by dysfunctional metabolism, and that fasting can help improve cell function and reduce cancer risk. The video also discusses the benefits of fasting for people with diabetes, and John provides a brief explanation of the biochemistry of a 72-hour fast. Finally, John asks for input on how people are sleeping and their heart rates before bed, and discusses the potential benefits of fasting for body composition.
00:37:15 The benefits of fasting, including improved sleep and heart rate variability. He also notes that while fasting, there may be a temporary drop in heart rate variability. Once he resumes eating, his HRV increases. He recommends fasting as a way to improve overall health, but notes that when fasting, it is important to also take care of oneself by engaging in exercise and other active activities.
00:40:47 Benefits of fasting, and provides a brief overview of how to fast successfully. The video also discusses the importance of tracking hunger and hydration levels, and discusses the potential weight loss that can occur during a 72-hour fast.
00:43:58 The benefits of fasting, including the ability to control blood sugar and HRV. It also discusses the importance of measuring your glucose, ketones, and other health indicators to achieve optimal health.
00:50:08 The benefits of fasting, and provides information on how to do it safely and effectively. It also discusses the importance of measuring fasting properly in order to get the most out of it.
In conclusion, therapeutic fasting has gained popularity in recent years due to its many health benefits, including fat and visceral fat loss, improved metabolic health and energy, and potential cancer-fighting effects. As discussed by Dave Korsunski and Dr. John Limansky in this video, proper monitoring and biofeedback are crucial when practicing fasting to ensure safety and effectiveness. While there are different approaches to fasting, including intermittent and extended fasting, each person should tailor their fasts to their bodies and goals. With the proper guidance and monitoring, therapeutic fasting can be a powerful tool in improving and maintaining health.