a look into the future of the worlddoc user experience integration, automation, inspiration updated...

A look into the future of the WorldDoc User

ExperienceIntegration, Automation,

Inspiration

Updated August 2009

Copyright © 2009 WorldDoc All Rights Reserved 2

Introduction• Experience the synergy of our system

with our Members, Payers, and Care Providers.

• Learn how WorldDoc products integrate with other health systems and improve health care.

• Understand how the complete WorldDoc Health Management System is a vital part of every health plan and every Member’s life.


Meet Sandy

• In her 40’s• College-educated• Mother & wife• Has a house, 2.4 kids, a dog,

and a white picket fence• Wouldn’t call herself a

“geek”, but she’s fairly internet-savvy

• Currently not feeling well• Member & User of WorldDoc


Sandy opens up WorldDoc 24/7

Sandy can connect via any internet-connected device :

• her home computer• her mobile phone• her netbook

- OR -Any computer that has

WorldDoc Home installed locally.

Copyright © 2009 WorldDoc All Rights Reserved

Multiple symptoms

Current medications

, medical and family

history

Her past interactions

with the symptom evaluator

Seasonal conditions or current outbreaks

5

Top three conditions with likelihood, education and

suggested action

The ability to add a selected result to the PHR and save results

for future PES interaction

Sandy uses the New and Improved PES


WWSD? What Would Sandy Do?

Depending on the answer, Sandy would be directed to:

• Treat herself• Go directly to the

Emergency Room

Or in this case…• Make an appointment to see her

doctor


But Sandy doesn’t have a doctor!

She uses WorldDoc to get a list of doctors who:

• Are within 20 miles of her home• Accept her insurance• Are accepting new patients• Have a high approval rating

and praising reviews• Match her criteria (age, gender, hours,

language spoken, methodology, & philosophy)


Sandy learns how much her visit will cost under her insurance

She makes an appointment through WorldDoc, forwarding her PES results

Confirmation is received through the Message Center with an order for blood tests

Calendar event w/ email and SMS reminders is automatically created.

Syncs with Outlook, Google, and mobile

But wait, there’s more!


It’s all about integrationWorldDoc allows members to have an

online Medical Home, enabling:• Doctor search & comparison• Cost & benefits lookup• Appointment scheduling• Send & receive medical information• Receive prescriptions and orders• Check HSA balance and related Claims• Receive & review test results


Get ready to go• The appointment confirmation suggests

Sandy fill out the Personal Health Record (PHR)

• The PHR advises as to what is required as medical history by physicians

• Sandy sends her PHR to her doctor

NO FORM TO FILL OUT!


Takes in every measurable/testable

value

Records complete medical and family

history

Displays historical data for ALL values

Can be shared with care providers and synced with their Electronic

Health Records (EMR)

Shared with friends and family members

Allows access to stored medical documents

Prints out Health Report Cards on demand

The Complete PHR


PHR portability• The PHR can be accessed by any internet-

connected device• Can be synced with HealthVault, Google

Health, and other services• Can be exported and saved locally &

securely• Access by other people to sharable data

is controlled entirely by Member• Is accessible by a personal WorldDoc

account even if the member loses sponsorship!


Now at the doctor’s office…

• Doctor reviews the PES, lab results and PHR

• The doctor AND Sandy can check WorldDoc for the most cost-effective medication under Sandy’s insurance

• She locates the closest, cheapest pharmacy to fill her prescription

• Doctor orders the Rx online


Later on…

• Sandy reviews the imported results of her blood test

• She learns what each measurement is for and what each result means.

• Sandy is able to get some help from a nurse via web chat or phone

• AND she feels a lot better and can get back to work!


Good for SandySandy discovered that using WorldDoc could:• Help her understand her illness• Determine if she needs a doctor and

WHICH doctor to go see• Save her WEEKS of waiting

for treatment• Save her money on prescription costs

Now, lets see what someone else can gain from his WorldDoc membership…


Meet Allen

• Employed in tech field• Single, but looking• Was a jock in high school,

but now…• Eats a LOT of take-out.• Computer geek, comic

book geek, video game geek.

• New member of WorldDoc


Allen takes the HRA• Allen’s new employer

requested he take the WorldDoc Health Risk Assessment after registering

• Allen finds out he’s as healthy as the average 38-year-old

• Allen’s actually only 32• He learns why there’s such a

difference, and what he can do about improving the results


Takes into account a complete family history

Rates how the member is managing existing conditions and the relative risk of new

conditions

Displays lifestyle and clinical factors in ways

that inform and inspire Members

Continuously calculates risk and Health Age based on new data

imported or entered

Allows for “What If?” scenarios

Includes PAM questions…

The WorldDoc HRA


Patient Activation Measure (PAM)*

Assess Members beyond “readiness” and allow the system to understand them on various levels including:

• Knowledge and Skills• Beliefs and Values• Motivation and ConfidenceInterventions become personalized by varying

wording and tone to better suit each Member.

*Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers by Judith H. Hibbard, Jean Stockard, Eldon R. Mahoney, and Martin Tusler


Get your free coaching here!

• Allen qualifies for a free personal health coaching program from his sponsor

• Interactions are over the phone or web text, audio or video chat

• The coach evaluates Allen’s progress and motivates him


Coaching• PAM assessment helps match Coaches to

Members and helps Coach communicate• Allen keeps a journal on WorldDoc of his

efforts and progress• Coach informs Allen about local

resources• Allen may receive an incentive from his

sponsor for completing Coaching*• *Maybe even a Wii Fit – right up his alley!


Help doesn’t end there

• After the coaching sessions, Allen joins the Healthy Living program

• He follows the automated and personalized guidance

• Feeling empowered, Allen also uses other tools to continue his progress…


The Healthy-Do list

WorldDoc also displays a personalized list of items to help Allen improve his health

• Recommended assessments• Applicable programs to join• New relative content • Always adjusting based on new

health data• Allows for “What If?” scenarios


The Healthy-Do List cont’d

Alerts sent as Secure Message or SMS:• Medications (savings, refills,

expirations, duplication, conflicts, etc)

• Overdue tests, immunizations, appointments

• Imported data that requires attentionAs new data is entered or imported,

the list progresses.


Food Diary• Easily and accurately track important

nutritional information, including suppliments

• Instantly tally the total number of calories, fat, cholesterol, carbs in your food, and more!

• Add foods by entering their name or by taking a picture of the menu item or nutritional information panel


Trackers & Graphs

• Trackers record anything and are automatically added to any program

• Trackers sync with HealthVault and Allen’s measuring/monitoring devices

• Every value collected can be displayed historically in graphs

• Values can be charted over each other to show trends


Allen’s a new man

He has improved his health and changed his lifestyle

Yeah, he’s still a geek, and he’s still single...

But ladies, he’s healthy, thinner and will be around longer!

AND… He’s got a new Wii Fit to keep him going

End of Member Experience

•Questions•Additional Ideas

Members are not our only users…


Appointment requests arrive with access to shared medical information

Patients are prioritized through gap lists and health burden & risk scores

Physicians can review Member history and are alerted to current meds, allergies, interactions, etc.

Care providers use WorldDoc too!

Who else uses WorldDoc?


Care Providers cont’d

• Lab work can be ordered before visits• Orders (CPOE) and prescriptions can

be made• After appointments, a nurse is

scheduled to follow-up via phone, secure message or web video conference

• Care gaps are monitored and addressed


Everyone knows everything*• Every interaction with the Member

is documented• Every member of the care team can see the

Member’s history and progress to provide proper care and motivation to improve

• Physician can track effectiveness at closing care gaps

• Complete care team facilitation and coordination

*Based on Member-assigned permissions of selected data


Doctors, nurses & coaches, oh my!

The Coach experience is much like the Nurse experience.

• Independent coaches can access the system from their own place of business

• Members stratified and prioritized• Dynamic care plans and coaching plans to

guide care• Communication between all care providers

over txt, email, phone, fax or postal mail• Progress tracked and shared


And what about the payer?WorldDoc Pro provide the sponsor with

everything they need:• Customize colors, messages, localized

items, news & announcements, interventions, gap rules & triggers, programs & incentives

• Promote their offerings with a selection of marketing materials

• Monitor performance of promotions, programs, care providers & member activity


• View real-time reports on all services including ROI

• Perform hypothetical ROI estimates based on changing administrative options & programs

• Receive automatic billing with online pay

• Account managers always available for expert guidance with programs and settings

The payer (cont’d)


In the end…• Members that are educated, engaged,

proactive, healthy and happy with a sponsor who really cares about their well being!

• Customers that receive a great ROI and more productive employees in a healthier culture

• A synergistic care team for every member that is fully-informed of their progress and communicates with the member and each other


…and for WorldDoc?

• An indispensible health home• Bigger & better clients, more

members• We help people become healthier,

save time and money, and live in a better world

• We all have a hand in a product, and a part in a company, we can be very, very proud of

• And we all make lots of money in the process!

a look into the future of the worlddoc user experience integration, automation, inspiration updated...

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