Get-Ready App to Monitoring Obesity Patients Before and After Bariatric Surgery

Get Ready™ is a digital solution designed to engage patients throughout their care pathway and to enable remote monitoring of their health status by clinical teams. The solution is built on the Maela® platform, a medical device designed for healthcare professionals to ensure medical follow-up of patients throughout the entire therapeutic journey. This solution enables medical teams and healthcare professionals to define the most appropriate care pathways according to their specialty and the patients treated, and to configure them based on patients' specific needs as well as the operational requirements of clinical centers undergoing a digital transformation process.

Through the solution, it is possible to:

digitize protocols related to specific diseases or procedures, based on different types of content (questionnaires, checklists, assigned activities, reminders, educational content, multimedia materials, etc.);

configure the care pathway for hospital admission preparation and post-discharge follow-up: protocol-related content is automatically scheduled along the pathway according to key events defined for each patient;

monitor the patient's health status and adherence to the prescribed pathway;

manage alerts generated by patient responses to questionnaires or by the failure to complete assigned activities.

The solution is a cloud-based Software-as-a-Service (SaaS) built on the Maela® digital platform, which does not require any local installation or maintenance and can be used entirely independently of any other corporate IT system.

System access is protected by strict control mechanisms and policies based on user profiling, ensuring that each profile can access only the data necessary for its role. Upon request by the hospital, a list of privileges associated with each profile can be provided for review. Users may have only one profile, and the hospital is responsible for managing its own users. Maela is compliant with the GDPR with regard to data processing.

The solution provides interfaces for both hospital staff and patients:

Healthcare professional interface: a web application for physicians and their teams (nurses, ward staff). User permissions are configurable.

Patient interfaces: a web application and a mobile app (iOS and Android), as well as links to web forms sent via SMS.

Solution administrators and physicians can digitize and configure protocols for any type of care pathway and patient population. Through the web application, healthcare professionals enroll patients into the system, assign applicable protocols, monitor patient participation and adherence to the assigned pathway and protocol, and review and manage alerts. Patients are "connected" to their clinical team through a dedicated mobile app (or a web app, if preferred for PC use), which allows them to follow their care pathway and complete assigned activities such as filling in questionnaires, measuring specific parameters, or accessing educational content. Through the app, patients can send documents, images, and photos taken with the mobile device camera to the clinical team-for example, to allow their physician to assess the status of a wound. All documents uploaded to the platform are stored in the patient record and are accessible to authorized healthcare professionals. Patients can also use the app to exchange messages with the care team (and vice versa) and request a callback.

Patient-generated data collected within the system can be attached as reports to the patient's electronic medical record and made available to the multidisciplinary clinical team or other healthcare professionals with authorized access to the patient's data.

The study primary aims to evaluate whether the use of Get Ready improves remote patient monitoring, optimizes healthcare resources by reducing the number of outpatient visits and surgical procedures cancelled and leads to an improvement in the quality of work of the healthcare staff involved

the secondary outcomes include:

• To assess the level of satisfaction of physicians using Get Ready by analyzing data from the clinic-specific satisfaction questionnaire, in order to determine whether the solution meets their needs and to identify potential areas for improvement.
• to evaluate whether the systematic use of the application reduces the number of telephone contacts between the Case Manager and patients, thereby allowing the Case Manager to reallocate the time saved to other activities.

Will be enrolled 500 patients scheduled for bariatric surgery will be enrolled and followed from the beginning of the care pathway (initial visit) through the third postoperative follow-up (18 months after surgery)."