ehealth12 - sidna tulledge scheitel - mayo clinic
TRANSCRIPT
©2012 MFMER | 3222782-1
Mayo Clinic: Beyond the DestinationMedical CenterSidna Tulledge-Scheitel, MD MPHAssociate Dean e-HealthMayo Clinic
©2012 MFMER | 3222782-2
Mayo ClinicOur Values
• The needs of the patient come first
• Clinical practice is ourcore business; peopleare our core resource
• Robust research andeducational programssupport our core business
©2012 MFMER | 3222782-3
Mayo ClinicOur Characteristics
Mayo Health System
• Integrated, academicgroup practice
• Not-for-profit
• Salaried physicians
• Consensus decisionmaking
• Physician ledMayo
Clinic in Florida
Mayo Clinic in Arizona
©2012 MFMER | 3222782-4
Mayo ClinicVision
© 2009 Mayo Foundation for Medical Education and Research. All rights reserved. This slide constitutes Mayo Clinic confidential information and may not be copied or distributed without permission from Mayo Clinic.
©2012 MFMER | 3222782-5
Strategic Priorities
Live the Primary Value1. Provide unique solutions and hope for patients2. Be both trusted and affordable
Expand our Core Business
3. Generate, integrate and manage knowledgeand information
4. Transform the healthcare delivery process• Increase our offerings for health and healthy
living• Increase our national and global activity
©2012 MFMER | 3222782-6
eHealth Services Objectives Patientsand Providers
• Provide access to health information and Mayo expertise at a lower cost and higher service level
• Provide asynchronous and synchronous communication solutions
• Help Mayo Clinic compete in market
• Reduce costs and gain efficiencies
©2012 MFMER | 3222782-7
>25 million unique visitors/month
©2012 MFMER | 3222782-8
A Competitive Differentiator
*All M
ayo
Sites
Cleve
land
Clin
ic
John
s Hop
kins
MD A
nder
son
Duke
Unive
rsity
New Y
ork-
Presb
yter
ian
UCSF Med
ical C
ente
r
Brigha
m a
nd…
UCLA H
ealth
Sys
tem
Mas
s Gen
eral
Hos
pita
l0
20
40
60
80
%
April 2012Hospitals/Clinic Web Sites
©2012 MFMER | 3222782-9
A Leader in Health Information
Web
MD
Every
day
Health
Yahoo
! Hea
lth
Med
icine
net.c
om
May
oClin
ic.co
m
MSN H
ealth
Health
Gra
des
Real/A
ge
Med
lineP
lus
Share
Care
0
5
10
15
20
25
%
April 2012Health Information Web Sites
©2012 MFMER | 3222782-10
Patient Services
• Patient Online Services Portal• Web• Mobile
• Secure messaging
• Asynchronous eVisit
• Medical record viewing
• Administrative transactions• Pay bill, registration• Form completion
©2012 MFMER | 3222782-11
©2012 MFMER | 3222782-12
Patient Online Services User Satisfaction Survey, August 2012
Respondent AgesOnline and Mobile App Users
GE repo
nden
ts (n
=301
)
Cerne
r res
pond
ents
(n=6
44)
Mob
ile u
ser r
espo
nden
ts (n
=64)
020406080
100
>19
%
20-39 40-59 60-79 ≤80Age
48%
33%
55%
31%
25%
48%
©2012 MFMER | 3222782-13
GE and Cerner Web Portals, August 2012
Web Online Satisfaction SurveyKey Learnings
• Overall satisfaction was high• 55% of users were highly satisfied and 27% were somewhat satisfied
• Secure messaging is important to patients• Ability to communicate with providers associates with a high degree
of overall satisfaction
• Patients value lab results and clinical notes online• We see this in many measures, both in the survey, survey comments
and number of page views
• Usability correlates with overall satisfaction• Some had trouble navigating the site and this associated with overall
dissatisfaction
• Users are highly educated older adults (older than might be assumed)
• This has implications for usability and for the feature set, as well as adoption by other demos
©2012 MFMER | 3222782-14
©2012 MFMER | 3222782-15
Jan Feb Mar April MayJuneJuly Aug Sept Oct Nov Dec0
20
40
60
80
100
120
140
Jan Feb Mar April MayJune July Aug Sept Oct Nov Dec0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
Patient Online Services
Jan Feb Mar April MayJuneJuly Aug Sept Oct Nov Dec0
1,000
2,000
3,000
4,000
5,000
6,000
7,000Validated accounts Secure messaging
eVisits2012
2011
2010
2009
©2012 MFMER | 3222782-16
©2012 MFMER | 3222782-17
©2012 MFMER | 3222782-18
eHealth – Releasing MedicalRecord Information to Patients
via Patient Online Services Policy
©2012 MFMER | 3222782-19
Laboratory ResultsLaunched December 2009
• All lab results, including sensitive results, will be released to Patient Online Services immediately upon availability of the result in the electronic medical record
• All proxies, with the exception of the minor proxies for the 12-17 year age group, will have access to view lab results
• Over 150,000 views per month(Rochester only)
©2012 MFMER | 3222782-20
Clinical Notes and Hospital Dismissal SummariesLaunched March 2012
• All clinical notes and hospital dismissal summaries, except those notes flagged as “confidential” or certain mental health records such psychology/psychiatry notes, will be released to Patient Online Services
• Clinical notes that are “final” as well as “transcribed” documents will be viewable immediately in Patient Online Services with a disclaimer that states the documents are not in a final state and are subject to change
• All proxies, with the exception of the minor proxies for patients in the 12-17 year age group, will have access to the patient’s clinical notes
• Over 50,000 views per month (Rochester only)
©2012 MFMER | 3222782-21
Pathology and Radiology Reports
• All pathology reports, with the exception of autopsy reports, and radiology reports will be released to Patient Online Services 72 hours after they have been authenticated by the pathologist or radiologist
• All proxies, with the exception of the minor proxies for the 12-17 year age group, will have access to view these reports
• A disclaimer for all pathology and radiology reports will be posted noting that the reports may contain sensitive complex medical information, and it is strongly recommended that further explanationsare obtained from the patient’s provider
©2012 MFMER | 3222782-22
©2012 MFMER | 3222782-23
The Health Vault Ecosystem
©2012 MFMER | 3222782-24
Mayo Clinic Health Manager• An online, interactive tool that
helps you manage you andyour family’s health
• Allows you to organize and storehealth information for your entirefamily in a single location
• Interprets your personal healthinformation and deliversindividualized health guidancefrom Mayo Clinic
• Offers tools and trackers thathelp you become a moreinformed patient
• Built on Microsoft’s Health Vault platform,allowing portability, reusability, andsharing of health information
©2012 MFMER | 3222782-25
Mayo Clinic Health ManagerLessons Learned
• Before it’s time…
• Limited penetration of electronic medical records by health care institutions
• Continuity of care document (CCD)starting to be utilized
• Lack of data standards
• Privacy and security concerns
• Lack of sustainable business model
©2012 MFMER | 3222782-26
Bringing the Social MediaRevolution to Health Care
PinterestTwitterYouTubeFacebookBlogs
©2012 MFMER | 3222782-27
Facebook: 11/7/07
©2012 MFMER | 3222782-29
Strategy: Use Consumer-Grade Cameras to providein-depth expert content for
micro-communities
©2012 MFMER | 3222782-30
©2012 MFMER | 3222782-31
©2012 MFMER | 3222782-32
Unique Myelofibrosis Patients
2008 2009 2010 20110
100
200
300
400 MCF
%
MCA
©2012 MFMER | 3222782-34
Sharing Mayo Clinic – January 2009
©2012 MFMER | 3222782-35
©2012 MFMER | 3222782-37
Updated September 2012
Platform Statistics
• You Tube >7.5 million views
• Twitter 402,000 followers
• Facebook 129,000 likes
• Pinterest 962 followers
• Connect.mayoclinic.org24,600 members
©2012 MFMER | 3222782-38
Integration with Web Site
©2012 MFMER | 3222782-39
Mayo Clinic Center for Social Media
• Established July 27, 2010
• Exists to improve health globally by accelerating effective application of social media tools throughout Mayo Clinic and spurring broader and deeper engagement in social media by hospitals, medical professionals and patients
• Our Mission: Lead the social media revolution in health care, contributing to health and well being for people everywhere
©2012 MFMER | 3222782-40
Center for Social Media Aims
• Strengthen Mayo Clinic’s leadership position
• Build on a century of “Word of Mouth”
• Support Mayo Clinic’s strategic plan, especially the “There” and “Everywhere” components
• Meet internal demand for training, guidance
• Help integrate social media strategies into core operational functions as in Public Affairs
©2012 MFMER | 3222782-41
Mayo Clinic Social MediaResources
• Social Media Week October 15-19
• 10/15-6 - Social Media Residency
• 10/16 - Pre-Conference Workshops
• 10/17-18 - Social Media Summit
• 10/18-19 - Network Member Meeting
• Social Media Health Network
©2012 MFMER | 3222782-42
Social Media Health Network
• Membership group associated with Mayo Clinic Center for Social Media
• For organizations wanting to use social media to promote health, fight disease and improve health care
• Dues based on organization revenues
• Industry members eligible to join, but not accepting industry grant funding
• >125 member organizations
©2012 MFMER | 3222782-43
A Sample of Network Members
• American Hospital Association
• Radboud University Nijmegen Medical Center
• Jamestown Hospital
• National Cancer Institute
• Vanderbilt University Medical Center
• Encephalitis Global
• See full list at http://socialmedia.mayoclinic.org/network/
©2012 MFMER | 3222782-44
Provider Services
• Provider Online Service portal
• Asynchronous eConsults
• Synchronous eConsults• Standardized Telemedicine Infrastructure • Mayo Clinic Telestroke Program• eICU• Mayo Post Acute Care Program
©2012 MFMER | 3222782-45
©2012 MFMER | 3222782-46
Treatment and Follow-up
• How is an initial episode or 1st recurrence classified, and what is the recommended antibiotic therapy?
• How is a 2nd or subsequentrecurrence classified, and what isthe recommended antibiotictherapy?
• When should additionalconsults/referrals be considered?
• What are the follow-uprecommendations?
Clostridium difficile
Discontinue unnecessaryantibiotics and acid
suppression medications(eg, PPIs, H2 blockers), andavoid antiperistaltic agents
Order additional tests
Classify infection and initiateantibiotic therapy
Initial episode/1st recurrence
2nd (or subsequent) recurrence
Consider additional consults/referrals as indicated
Follow-up withprimary provider
©2012 MFMER | 3222782-47
Jan Feb Mar April May June July Aug Sept Oct Nov Dec0
50
100
150
200
250
300
350
400
450
500
Internal eConsultsRochester
Con
sulta
nts
(no.
)
2012 2011 2010 2009
©2012 MFMER | 3222782-48
Virtual Worlds- Mayo Clinic
• Second Life- 2009• Most popular of 120+ virtual worlds• Inexpensive rent and free accounts• Multi-language support• Commerce model
• Education
• Administrative
• Practice
©2012 MFMER | 3222782-49
Mayo Clinic Landing Point
©2012 MFMER | 3222782-50
Conference Center
©2012 MFMER | 3222782-51
Office Space Modeling
©2012 MFMER | 3222782-52
Word Map from Patient Online Services, 2012 Survey
Questions – Comments
©2012 MFMER | 3222782-53
Questions & Discussion