Equity Outcomes

eShirt is designed to reduce disparities in cardiac and remote monitoring. By moving continuous clinical surveillance into the home, it reaches Veterans in rural, remote, and underserved settings who face barriers to frequent in-person care.

• No dependence on clinic proximity or transportation
• Comfortable garment form factor supports long-term adherence
• Cellular and Bluetooth connectivity options for varied infrastructure
• Designed for Veterans with disabilities and limited digital literacy

• Rural and community-based outpatient clinic (CBOC) reach
• Scalable across VISNs without requiring new facility infrastructure
• Supports synchronous and asynchronous clinician review
• Family and caregiver visibility options with patient consent

• Reduction in preventable hospitalizations and emergency visits
• Earlier detection of heart failure decompensation
• Improved medication and care plan adherence
• Patient-reported quality of life and confidence in care
• Equity-stratified reporting by geography, demographics, and risk