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Engaging Patients to Improve Care: An Inside Look at Where and How it is Working
Feb. 29, 2016
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Conflict of Interest
Chanin Wendling, MBA Has no real or apparent conflicts of interest to report.
Pamela DeSalvo Landis, MHI Has no real or apparent conflicts of interest to report
Kevin Fowler, BSBA TapCloud, LLC Gerson Lehrman Group CareDx, Inc.
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Learning Objectives
• List the success factors in patient engagement for population health
• Analyze the use of specific technologies and how they can enhance clinical outcomes
• Summarize how to match the appropriate technologies with specific populations
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Pamela DeSalvo Landis, Vice President
Carolinas HealthCare System
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Carolinas Response • Virtual Care
– Visits, Monitoring, ICU, NICU
• Patient Access and Convenience
– New Registration and Appointment Systems
• Patient Engagement
– MyCarolinas, Tracker tools, Interactive TV, Prescribed Apps, Care Management, Consumer tools
• Community Connectivity
– HIE
• Analytics
– Predictive analytics
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Virtual ICU
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NICU Cameras
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Patient Access and Convenience
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Carolinas Connect
• 38 Hospitals; 250 Practices
• 3 HIEs
• 237 systems
• 3.7 million patient records
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Analytics • 35 Terabytes of Data
• Tools on top to help with predictive modeling
• Dashboards
• Quality reports
• Supporting
– Care Management
– Customer relationship management
– Quality and safety efforts
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Patient Engagement MyCarolinas
• 550,000 users
• Mobile
• Pulls together data from EMR, GetWell, MyCarolinas Tracker, Open Notes
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Patient Engagement - Carolinas Mobile
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MyCarolinas Tracker
• Integrates data from more than 60 devices
• Provides one place to view all data
• Integrates to MyCarolinas
• Will integrate to Care Management System
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Putting all the Pieces Together
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Linking the Care
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Channin Wendling
Director
Geisinger Health System
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Geisinger’s Patient Technology Evolution
Patient Portal
Patient Reported Data
Text Messaging
Mobile Apps
Mobile Device Solutions
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What Works
When the patient has information the clinical team does not already know
When the patient’s actions make a difference
When the clinical team can incorporate the information/actions from the patient
When the information or actions are meaningful to the patient
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Design for the Target Patient
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MyGeisinger - Patient Portal Foundation
• 330,000 users with
20,000 logins a day
and 137,000 unique
logins a month
• Easy access to both
inpatient and outpatient
health information
• Visit notes shared by
90% of outpatient
providers through
OpenNotes
• Pre-visit preparation
Coming…
• Fitbit, Withings & Apple
Healthkit Integration
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Driving the Outpatient Concept to Inpatient
The Interactive Patient System (IPS) provides patients with
entertainment and clinical content during a hospital stay
Music/Podcast Movies Apple TV
Games Clinical Information
Patients indicate IPS helps distract them from their pain
and keep them informed about their hospital stay.
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Mobile & Data Collection Tools Help
24
Easy Prep: Colonoscopy helps patients
prepare for their
Colonoscopy procedures
Weight Management
Text messages
help participants lose weight
Patient reported data from cancer
patients helps to better
develop care plans &
measure progress
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Electronic Books – New Wave of Education
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Bringing the Technology Silos All Together
Lumbar Spine Surgery Solution
• iBook & eBook with videos, animations, images and interactive components
• MySurgery: Lumbar Spine reminder mobile app
• Health questionnaires for Lumbar Spine outcomes & medication reconciliation
• Fitbit/Withings/Health activity tracking
• Patient portal mobile app
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Engaging Patients – Part of the Overall Patient Experience
ProvenExperience™ Program Goal:
Deliver the best patient experience
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Kevin J. Fowler
Consultant
Kidney Health Initiative
Patient Family Partnership Council.
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Learning Objectives
Overview of Outcomes and Costs of Kidney Disease
Case Study in Pharma and Transplantation
Recommendations to achieve Triple Aim in Kidney Disease
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Overview of Outcomes and Costs of Kidney Disease
CKD
• Hypertension
• Diabetes
• Obesity
Dialysis
• 5 year survival
• $42 Billion Annual Cost
• 7% of Medicare Budget
Kidney Transplantation
• Over 100,000 on wait list
• ½ kidney transplants fail at 10 years
• Cost effective compared to dialysis
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Case Study: Pharma Life Cycle Management
Prograf LOE Brand Loyalty
Generic competitors equivalence
Creating Value
Transplant Patients
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Patient Insights
Patient Advisory Boards
Patient Surveys
HCP Advisory Boards
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Aligning Patient Communication
Business Objectives
Brand Loyalty
Adherence Wellness
Access
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CRM Program: Multi-Channel Communication
Direct Mail
Mobile
Patient Speakers
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Measurement of Investment
20% of brand requests made by patients
Doubled Adherence
More Optimistic
Lived Healthier Lifestyles
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Shifting Policy Landscape
CKD: Coordination
of Care
Telemedicine: Home Dialysis
ASN: Remote Monitoring Committee
Nephrolgy shortage
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Questions
Chanin Wendling
Director, Geisinger in Motion
@chaninwendling
Pamela DeSalvo Landis
Vice President, Information Services @plandis1
Geisinger images are courtesy of ThinkStock
Kevin J. Fowler
[email protected], 630-880-1580
@gratefull080504;
linkedin.com/in/kevinjohnfowler
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