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

Agenda

• Defining an mHealth Program

• mHealth Project Examples

• Measuring Success

The Value of mHealth for Patient Engagement

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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

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• 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?

Your Toolkit

Patient Reported Data

Mobile Apps

Patient Portal

Text Messaging

Mobile Devices

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

Input for a Children’s Hospital Project

Agenda

• Defining an mHealth Program

• mHealth Project Examples

• Measuring Success

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

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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)

Options for Bring Your Own Device

Agenda

• Defining an mHealth Program

• mHealth Project Examples

• Measuring Success

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

Questions?

Chanin WendlingDirector, eHealth@chaninwendling

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