Welcome (part 2)

Recognizing

• Board

• Sponsors

• Special Guests

• How We Got Here • Interest in Technology

• The Conference

• A Few Issues to Frame the Conference

• 3 Year Evaluation Funded by a • Center for Medicare and Medicaid

Innovation Grant

2012: Bosch Health Buddy System: One Component of a Behavioral Health Home Model In CBFS Outreach Teams for Individuals with SMI and Chronic Medical Conditions (Bartels, Commonwealth Care All, Bay Cove, North Suffolk, Brookline MHC

Technology Projects at Vinfen FY 2011-Present

1. Health Buddy within CMMI Health Home Evaluation (with S. Bartels) (2012-2016)

2. Bartels NIMH Evaluation of Contributing Factors – Philips Telestation (2016-2021)

3. Bartels Adapting the IIMR Toolkit for the Wellframe App

4. Wellframe App Pilot : 30 TAY for 1 Year (2015-2016)

5. Care at Hand for PACT Predictions (2015)

6. BCBS Foundation Integrated Health Outreach Project with Wellframe (2016-2019)

7. Evaluation of Wearables (Fitbit) and Social Media vs PeerFit Training for SMI Health; NIMH (2016-Current)

8. Evaluation of Tablet Based Recovery Tools for Staff in CBFS Programs (2016-2017)

9. Evaluation of PEAR Therapeutics SUD App (2016)

10. Ratings of TAY and Club Populations for 16 Apps (Insurance Contract) (2016)

11. Mozazz Pilot : IDD Individuals (2018)

12. IBM Watson : Big Data for Predictive Analytics for SMI with Das et al. (2018- ?)

13. In the Pipeline for 2018: PEAR Expanded Pilot; LAMP Evaluation with Touros et al.

Technologies Screened (Partial List)

Bosch Health Buddy Recovery Record AMC Health McKessen Philips Cardiocom Care Innovations Honeywell Vox Telehealth Active Health Management Optum Products Carena Mercy Virtual PEAR – RESET Mozzaz LAMP

Wellframe

Ginger IO

Dimaggi

Big White Wall

MyStrength

Care at Hand WRAP App

myHealthPal

myNexus

VA mobile app Store

Helios

Crisis Text Line

Care Tiles

My25

Selection Guidance?

• FDA? • APA? • apa? • Consumer Reports? • Open Minds? • JIMR-BEHAVIOR? • Evidence on Effectiveness? • Vinfen Decision Matrix • Market Share and Payer Interest for ROI

PROLIFERATION OF APPS AND TECHNOLOGIES

ROLE OF CARE PROVIDERS? WILL TECH REPLACE OUR CLINICIANS AND CARE COORDINATORS?

Staff Engagement and Guidance is Critical

Adapting/Adopting Evidence Based Practices

What is an EBP? • A Delivery System (Clubhouse)

• A Packaged (“Manualized”) Toolkit (IPS, IMR, WHAM, WRAP, TIP)

• An Irreduceable Element or Module of Behavior Change (e.g. Motivational Enhancement, Breathing/ Relaxation Training)

Is the Sequence Important or Can the User Start Where They Will Engage?

TIP Manual 200+ Pages 30 Modules Specific Sequence of Modules Staff Guidelines and User Aids

How Do We Get From This:

ADOPTING EBPS TO TECH PLATFORMS?

Breathing Video for Relaxation / Anxiety

To This: Self Selected Video on Breathing

Big Questions: 1. Role of Clinical/Medical/Professional Providers?

Extending Connections – Data, Coaching and Practice, Self Selection and Self Management?

2. How Much Will Technology Shape? Not Only the Delivery But also the Content of Interventions?

2. What Resources Will Emerge to Provide Guidance? To Select from Available Technologies? How Will the Market or Regulators or Both Shape the Field? 3. Will Research Methods Change ( Speed of Tech Innovation)?

Roles of Agile Science vs 5 Year Randomized Controls?

4. How Will Payers Develop Sustaining Funds? Proving Value in Capitated Models; Fee for Service for Authorized Technologies? What Value will These Technologies Add to Integrated Care Management?

Introducing MONICA OSS