Nicole McHenry, RNHealth Coach

University of Pennsylvania Health

System

Megan MariottiAsst. Dir. of Operations

Penn Medicine Center for

Health Innovation

John Moore, MD, PhDCEO

Twine Health

Chris StorerChief Marketing Officer

Twine Health

Agenda

About the Center for Health Care Innovation

Practical Primary Care Hacks for Great Outcomes

Employee Hypertension Program Results

Accelerating Behavior Change with Technology

About the Center for

Health Care

Innovation

David A. Asch, MD

Executive director of the Penn Medicine Center for Health Care Innovation Director of

the Robert Wood Johnson Clinical Scholars Program

Health care innovation is not about iPhone apps. It’s

about disciplined approaches to rapidly testing new

ideas to promote better patient care.

“

”

Innovation as Discipline, Not Fad, March 2015

Center for Health Care Innovation

Employee Hypertension Program

Reduce the impact of

hypertension among

Penn’s ~2,700

employees with

uncontrolled

hypertension

Help 100% of

participants reach a

healthy target blood

pressure within three

months of their

diagnosis

Eliminate barriers by

blending innovative

care delivery with new

technology and findings

from behavioral

economics

Opportunity Goal Approach

Practical Primary

Care Hacks for

Great Outcomes

Hacking Primary Care

Hack 1: Philosophy

Hack 2: Team

Hack 3: Enrollment

Hack 4: Engagement

Hack 5: Collaboration

Hack 6: Utilize Patient Data

Hack 7: Drive Self-efficacy

A Philosophical Belief in the Patient

A Modern, Collaborative Care Team

Meet & Enroll Patients Where They Are

Engage Patients & Remove Barriers

Collaborative Goal Setting & Action Planning

Use Real-time Data to Drive Outreach & Interventions

Drive Self-efficacy Between Visits

Employee

Hypertension

Program Results

Average Blood Pressure

Percent of Patients at Target BP (<140/90)

Patient Satisfaction

Promoters

Passives

Detractors

100%

0%

0%

24

0

0

100NPS Score

Program Expansion

GROW

● Full-time health coach

● Add 2 new physicians

● Expand hours

EXPAND

● Occupational health

● New conditions (e.g.,

hyperlipidemia)

ACCELERATING BEHAVIOR

CHANGE WITH TECHNOLOGY

TODAY’S CRISIS

HEALTHCARE

MARGINALIZES

PATIENTS

THE FUTURE: A PATIENT-DRIVEN HEALTH NETWORK

COACHES PROVIDERS

FAMILY & FRIENDS

TWINE COLLABORATIVE

CARE PLATFORM

ENGAGING TOOLS

SUPPORT DAILY LEARNING

CARE BLENDS SEAMLESSLY

INTO DAY-TO-DAY LIFE

PATIENTS REACH

GOALS AND THRIVE

POWERFUL COACHING

TOOLS ARE KEY TO

RESULTS

TWINE CARE PLANS

SPAN ALL CONDITIONS

REAL-TIME ANALYTICS

SUPPORT IMPROVEMENT

33

AVG. mmHG DROP

IN BP in 3

MONTHS

26

DECREASE IN

COST

35%

MASSACHUSETTS

GENERAL HOSPITAL

34

AVG. DROP IN

HbA1c IN 3 MONTHS

3.2

DECREASE

IN COST

40%

Hacking Primary CareCracking the Outcomes Code

Q&A

Thank you!

Hacking Primary CareCracking the Outcomes Code