Download - Mobile Health Symposium #HIMSS15 Session Mh3
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
Chanin Wendling, Director, eHealth
Conflict of Interest
Chanin Wendling, MBA
Has no real or apparent conflicts of interest to report.
© HIMSS 2015
Learning Objectives
• Discuss the value of mHealth for patient engagement and how to define your program
• Illustrate the use of mobile tools to influence patient behavior
• Outline options for measuring success
The Value of mHealth for Patient Engagement
5
To activate patients, you have to meet them
where they are. (Hibbard, 2013)
“Only 1% of a person’s life is spent with healthcare
professionals”(Chase, 2013)
Source: “Special Health Report: Your Key to Better Care,” AARP and You, July/August 2009
Clearly Define Your Objectives
Understand My Health
Manage My Stay/Visit
Control My Condition
Patient Engagement
And How Fast You Want to Move
7
• You’re on your own• Prepare for lots of issuesBleeding Edge?
• You’ll have a few examples to draw on• Still lots of issuesLeading?
• Models will exist• You need to tailor those models for your
organization
Follower?(Fast or Slow)
• Pick something else to be known for• Carefully weigh your riskLaggard?
Ownership and Staffing
• Patient Experience Officer?• Innovation Leader?• Clinical Enterprise Leader?
Ownership
• Dedicated team?• Use of existing cross-functional
resources?
Staffing –Leadership
• Internal IT?• Strategic vendors?• Publicly available resources
Staffing –Solution
Development
Appropriate Patient Engagement Projects
Does the patient have information the clinical team does not already know?
Can the patient’s actions make a difference?
Can the clinical team incorporate the information/actions from the patient?
The “Patient” in Patient Engagement
Actions patients take for their health and to benefit from their care; Combines patient activation with interventions to
increase positive patient behavior for health (Dentzer, 2013)
Identifying What Will Work for the Patient
Focus Groups
Clinician Feedback
Surveys
Direct Patient Feedback(Waiting Room, Check-out, Hospital Visit)
Patient Advisory Council
Our Patient Portal is Our Foundation
• 295,000 users with 89,000 unique logins a month• Easy access to both inpatient and outpatient
health information • Visit notes shared by 90% of outpatient providers
through OpenNotes
The mobile app provides patients
with quick access to their health
information and provider messaging
while on the go
Patients prepare for upcoming visits by
answering questionnaires, understanding
needed care and reviewing care plans
Mobile App Examples
16
Easy Prep: Colonoscopy helps patients
prepare for their
Colonoscopy procedures
Get-2-Goal helps
Bariatric surgery patients
model and achieve their weight loss
iRefill helps patients
manage their medications and easily
request refills
Patient Reported Data Examples
Medication Reconciliation
Patients reconcile medications in advance
of a visit using MyGeisinger
19% of patients are not taking a medication listed
in the EHR
32% of patients are not taking a medication as
prescribed
Pediatric Obesity
ScreeningParents answer weight and activity questions
using iPads in the waiting room or MyGeisinger
Approximately 10,000 kids 0-9 screened
annually
Provider addresses healthy behaviors with the parent to reduce
childhood obesity
Post-Op Vascular SurgeryPatients answer
questions about their wound and bleeding in
MyGeisinger
Nurses follow-up on high-risk cases to reduce
readmissions
Will be available via IVR in the summer, 2015
Text Message Examples
Appointment Reminders
• Over 200,000 patients enrolled
• 2% lower no show percentages for patients under 40
Weight Management
• Over 1,300 patients have participated
• Participants have .5 greater BMI loss than non-participants
Diabetes Education
• Provides patients with motivational messages and tips for managing diabetes
Mobile Device Examples
Lumbar Spine Prep and Recovery Using Tablets and Activity Trackers
• Reminder app for key steps
• Educational videos (external and by the local care team)
• Lumbar Spine and Medication questionnaires
• Activity tracker
Diabetes Management
Using the Portal, Glucometers and Activity Trackers
• Medicines, education and care plans
• Glucose tracking manually or via Apple’s “Health” (summer, 2015)
• Activity tracker readings (summer, 2015)
Interactive Patient System Using Tablets
• Provide entertainment to help the patient manage the hospital stay
• Serve as a distraction for children
• Connect the patient to their medical information and care team (spring, 2015)
Thinking Through Measurements
• goal
• What is the goal of the project?�mHealth should address a clinical/business goal
• What patient behavior are you trying to impact? � Ensure that the patient is able to have an impact
• What patient information are you trying to collect?� Don’t ask the patient for something you already know
• What are you hoping will be the outcome?
Options for Measurements
Patient Surveys
Press Ganey
Clinical Services(e.g. referrals, new treatment plans)
Administrative Services(e.g. no shows, billing collection, printing reduction)
Improved quality(e.g. lower readmissions, reduced pain)
Reduced safety incidents
New patients/reduced patient attrition
Measurement Examples
• Number of referrals to Psychiatry times revenue per visit
• Cost of chronic condition patients treated for depression vs. those not treated
Depression Screening
• Patient communication preferences• Comparison of patient’s no show rate pre and
post reminders• Number of “saved” no shows times cost of a no
show
Text Appointment Reminders
• Patient satisfaction survey• Readmission rates for participants vs. non-
participants• Number of medication/pain/quality of life issues
in participants vs. non-participants
Lumbar Spine Prep and Recovery