don kemper comments on patient engagement march 5, 2010 alliance for health reform our health care...

Don KemperComments on Patient

EngagementMarch 5, 2010

Alliance for Health Reform

Our health care system is perfectly designed….

1970

“The greatest untapped resource in health care...

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Not-For-Profit Mission: To Help People Make Better Health Decisions

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Healthwise 2010

Same Not-For-Profit MissionHospital, Clinic, Health Plan, And Portal Web

SitesUsed 110 Million Times Last Year

No Pharma, Little Government

1. Help people do as much for themselves as they can.

2. Help people ask for the care they need.

3. Help people say “no” to care that isn’t “right” for them.

Three Rules:

Information Therapy

Prescribing:• the right

information • to the right person • at the right time

As part of the process of care

What Is An Ix?Medication Prescription(Medical Therapy)

Information Prescription (Information Therapy)

Information Therapy Changes the Role Of Patient Information:

From:

Information is “about care”To:

Information “is care”

Ix = Patient-Specific Education Resources

9

Demographics

Clinical Data

Clinical Setting

Language

Doctors Have No Time To:• Search for the information• Document the information.• Leave the EHR application.

10

Context-Aware

Knowledge Retrieval Standard

Infobutton Standard

InfobuttonManager

EHR iPatient

Education Information

HL7 HL7

Knowledge Request

Patient, Problem, Context Data

Knowledge Response

InfoButtonHL7 Context-Aware Knowledge Retrieval Standard

PHR

Health Care ReformThree Patient-Centered Requests

1. Meaningful Use2. Patient Decision Aids3. MyMedicare.gov

1. What’s Meaningful to Me?

• Test?• Drug?• Surgery?

Do I need this:

Patient-Specific Education Resources

Your support is essential to patient engagement

Please also protect: Patient Access to Medical Records

Recommended by Health Policy Committee

CMS: • “Critical Component of Patient

Engagement”• but.. “ A paucity of knowledge resources—

integrated into EHRs”There is no paucity:• The information is there• The technology is in place• Its omission will disrupt clinic workflow

2. Patient Decision AidsTools that involve people in decision making by:

• providing information about the options and

outcomes. • clarifying personal values.

Cochrane Review of Decision Aids

55 Trials/ 23 Treatments15% knowledge scores

70% risk perception

Decision Impact

-24% Surgery

O’Connor et al., Cochrane Library, 2009

Revised Prostate Cancer Screening Guidelines: What Has--and Hasn't—Changed American Cancer Society

3/3/2010www.cancer.org

www.healthdialog.com

Because of these complex issues, the American Cancer Society recommends that doctors more heavily involve patients in the decision of whether to get screened for prostate cancer.

Two Minutes More?

MyMedicare.gov

Create a Virtual Health Home:• One-stop for Ix information• With caregiver access options

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Our White Paper On Meaningful Use: www.healthwise.org/infobuttonpaper

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