"A new smartphone app called WoundCare is successfully enabling patients to remotely send images of their surgical wounds for monitoring by nurses. The app was developed by researches from the Wisconsin Institute of Surgical Outcomes Research WiSOR Department of Surgery University of Wisconsin Madison with the goal of earlier detection of surgical site infections SSIs and prevention of hospital readmissions. The study results appear as an article in press https on the website of the Journal of the American College of Surgeons ahead of print. SSIs are the most common hospitalacquired infection and the leading cause of hospital readmission following an operation. Due to the prevalence off SSIs the WiSOR research team decided to see if postoperative wound monitoring could be effectively achieved by having patients upload photos through the WoundCare app and answer a few brief questions to gather information not easily captured through images. Patients cannot identify infections and frequently ignore or fail to recognize the early signs of cellulitis or other wound complications study authors wrote. This drawback leads to the common and frustrating scenario where patients present to a routine scheduled clinic appointment with an advanced wound complication that requires readmission with or without reoperation. However the complication may have been amenable to outpatient management if detected earlier. Forty vascular surgery patients were enrolled in the study. There was an overall data submission rate of . percent among participants and submissions were reviewed within an average of . hours. During the study seven wound complications were detected and one false negative was found. We set out to come up with a protocol where patients could become active participants in their care and allow us to be in closer communication and monitor their wounds after they leave the hospital said lead study author and general surgery resident Rebecca L. Gunter MD. . This approach allows us to intervene at an earlier time rather than waiting for patients to come back in after the problem has already developed past the point of being able to manage it on an outpatient basis. Patients were enthusiastic about the apps ease of use and the reassurance they felt having their wounds regularly monitored. The nurse practitioners responsible for reviewing the submitted images attested to the value of the photos and patient satisfaction although they also noted it was difficult to find time to review the submitted images on top of an already heavy clinical workload. Study authors note that the success and sustainability of a postdischarge woundmonitoring protocol requires a dedicated transitional care program and not simply adding a task to the current staff workload. This protocol also has a costsavings component in addition to the patient safety and satisfaction aspects. Study authors note that SSIs are the most expensive hospitalacquired infection costing an average of nearly  per woundrelated readmission and an estimated  billion annually. If you could imagine saving the cost from the number of patients whose readmission you were able to prevent that result could provide significant savings to the health system Dr. Gunter said. Although capturing specific numbers related to costsavings was not part of this study Dr. Gunter said it is an important area of focus for future studies. A limitation to telemedicine protocols that call for the use of smartphones is that not every patient has the necessary technology or knowledge to upload images on their own. The WiSOR research team addressed this issue by having participants undergo tailored training to learn to use the WoundCheck app. They provided each patient with an iPhone S and an accompanying visual reference guide to further assist in using the phone and app. Dr. Gunter said they were very successful in giving patients knowledge and access to technology so they could participate in the study. She said this is a model easily adaptable to other medical centers whether through providing participants with a phone having a rotating supply of phones at the hospitals for patients to borrow or relying on a patients personal device. We have demonstrated that a population of complex and highrisk patients many of whom are older adults and novice smartphone users can complete this protocol with high fidelity and satisfaction the researchers concluded.  Study coauthors from the University of Wisconsin Madison include Sara FernandesTaylor PhD Shahrose Rahman BS Lola Awoyinka MPH Kyla M. Bennett MD Sharon M. Weber MD FACS Caprice C. Greenberg MD MPH FACS and K. Craig Kent MD FACS. FACS designates that a surgeon is a Fellow of the American College of Surgeons. Support for this study came from the Agency for Healthcare Research and Quality AHRQ R HS. Dr. Gunter is supported by the National Institutes of  Health NIH T HL. This study was presented at the th Annual Academic Surgical Congress Las Vegas Nev. February . Citation Feasibility of an ImageBased Mobile Health Protocol for Postoperative Wound Monitoring. Journal of the American College of Surgeons.  Available at http Wiseman JT Guzman AM FernandesTaylor S et al. General and vascular surgery readmissions a systematic review. J Am Coll Surg .e. Weber DJ SickbertBennett EE Brown V et al. Completeness of surveillance data reported by the National Healthcare Safety Network an analysis of healthcareassociated infections ascertained in a tertiary care hospital . Infect Control Hosp Epidemiol . Lewis SS Moehring RW Chen LF et al. Assessing the relative burden of hospitalacquired infections in a network of community hospitals. Infect Control Hosp Epidemiol . About the American College of Surgeons The American College of Surgeons is a scientific and educational organization of surgeons that was founded in  to raise the standards of surgical practice and improve the quality of care for surgical patients. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than  members and is the largest organization of surgeons in the world. For more information visit http"