nayer: rapid innovation and engagement

Rapid

Innovation CENTER OF HEALTH ENGAGEMENT

©2013 All Rights Reserved

Life is Like a Movie

Write your own ending…

Evidence Inspiration Innovation

ONE TWO THREE

1 2 3

Evidence

1

Is There a Lack of Engagement?

Since 1995, we have conducted surveys of employers large and small, health

plans, payers, and consultants to learn how they design benefits and how they contract for services in the provider

sector. The next slide will summarize what the respondents told us they wished they could do better. This is published info

from 3 years’ of surveys.

What We Would Do Better

Engage Employees Tell Clinicians

about the changes

Engage Employees Tell Clinicians

about the changes

Engage Employees Get data to support the

biz case Tell Clinicians…

data Integrated and

OPEN

is essential to Engagement

Finally, they realized they didn’t have all the data to build the best engagement!

How might we measure and get value for

engagement?

Is there engagement? Perhaps by measuring participation

in health programs and personal management.

They Got More Data

Biometric Screens 19% of plan sponsors offer screening

27% of plan sponsors achieve completion rates >50%

47% (less than half of sponsors) get aggregate report

Chronic Disease:

High Blood Pressure 32% of plan sponsors know #affected

Only 9% of sponsors get > 50% participation in programs

38% of sponsors get info on Rx adherence

Primary Care Physician Less than 1/3 of plan sponsors know if their

beneficiaries have a PCP, yet 80%+ believe PCP is the key to engagement and cost efficiency

Not so good on engagement

Is there engagement? …and a lot of money being wasted

SURVEY says

The Car is Moving… but the people inside are not fully engaged for best results!

2

Inspiration

Case Studies, Policy Changes to

Improve Value with Rewards

Building Accountability

Into System Payments

Tracking Engagement In Personal Health

We Published Recommendations

It’s not all

CLINICAL

Inspiration

Inspire Behavior Change

Innovation in Behavior Change What the

new science is showing

us

3

Feel Good, Full of Satisfaction

Satiety

Dopamine

Short-Term Memory

REWARDS>>WARM FUZZIES >>

REWARDS’ MEMORIES BECOME INTRINSIC

Fight or Flight Danger STICKS

Adrenaline

NO Short-Term Memory

But more is not better!

Your brain on dopamine is reinforced

with sharing (peers,

influencers…)

Too much can damage and kill dopamine

receptors

NO MEMORY OF REWARD

HAPPY MEMORIES AND GOOD BEHAVIORS

SHAMELESS USE OF PUPPY TO REINFORCE YOUR MEMORY WITH DOPAMINE RELEASE

LET’S REVIEW

Data and shared experience

OPEN data from patient and

consumer-generated sources

Remove fear, align rewards for all who

matter in the moment

INNOVATION: meaningful rewards to trigger the feel-safe,

warm-fuzzy response

Health Engagement

is Like a Movie YOU write your engagement script

Kermit the Frog, Philosopher

www.CenterofHealthEngagement.com cyndynayer@gmail.com

Cyndy Nayer