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© 2015 IBM Corporation 1 The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy, RN, FACMI, FHIMSS, FAAN Chief Nursing Officer & Director, IBM Global Business Services Healthcare

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Page 1: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation 1

The Blockbuster Drug of the Century:

An Engaged Patient June 17, 2015

Judy Murphy, RN, FACMI, FHIMSS, FAAN

Chief Nursing Officer & Director, IBM Global Business Services Healthcare

Page 2: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

What we will cover …

Why use Health IT to Engage Patients

Federal Support of Patient Engagement & Consumer

eHealth with online resources

– Office of Civil Rights

– Blue Button Campaign

The 3 A’s approach to Patient Engagement

– Access

– Action

– Attitude

2

Page 3: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Back in the Day…

The obedience of a

patient to the

prescriptions of his

physician should

be prompt and

implicit. [The

patient] should

never permit his

own crude opinions

as to their fitness

to influence his

attention to them.”

- AMA’s Code of Medical Ethics (1847) The image is from

http://catalogue.wellcome.ac.uk/record=b1178275~S8

3

http://catalogue.wellcome.ac.uk/record=b1178275~S8
Page 4: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

And Now …

“Patients share the

responsibility for their own

health care….”

- AMA’s Code of Medical

Ethics (current)

“Patients can help. We can be a second set of eyes on our medical records. I corrected the mistakes in my health record, but many patients don't understand how important it will be to have correct medical information, until the crisis hits. Better to clean it up now, not when there’s time pressure.” Dave deBronkart (ePatient Dave)

4

Page 5: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

agree you should be able to get your own medical info

electronically

of internet users have looked online for health information in the past year

53%

of those are smartphones

2 out of 3 would consider switching to a provider who offers online

access through a secure Internet

portal

have accessed their health info online with prescriptions being the most common

9%

21%

20%

90%

72%

91%

own cell phones 52%

gather health info on their phones

have a mobile app to manage their health

of individuals who track use a form of technology

Yet there’s an Untapped Demand for

Access & eHealth Tools

References available upon request

5

Page 6: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Better Engagement => Better Outcomes

6

Suffer a health consequence frompoor communcation among

providers

Experience a Medical Error

Hospital Readmit within 30 Days

36%

28%

13%

19%

13%

More Activated Patient

Less Activated Patient

49%

Source: AARP Survey of patients over 50 with 2 or more chronic conditions

6

Page 7: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

The Blockbuster Drug of the Century (Aug 28, 2012)

7

Page 8: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Top Tech Trend (Feb 22, 2013)

8

Page 9: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Trends Supporting Greater Patient Engagement

The way we pay for and deliver care is changing.

Health IT adoption has reached a tipping point.

Technology is getting better, cheaper, faster and more ubiquitous.

Consumers increasingly expect

engagement online, in all aspects of their

lives.

9

Page 10: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

New business models for delivering care are emerging, providing people with more transparency and more “choice”

10

Page 11: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

So what is driving “consumerism” in healthcare?

Source: Healthcare Payer News, May 2014

• Cost shifting – “out

of pocket” costs are

increasing for

individual healthcare

consumers

• There is an increase

in the use of High

Deductible plans and

Health Savings

Accounts (HSAs),

leading to more

consumer price

sensitivity

11

Page 12: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Engaging Consumers is Integral to the

Federal Health IT Strategy

…through information,

communication, & tools.

www.healthit.hhs.gov/strategicplan

12

http://www.healthit.hhs.gov/strategicplan
Page 13: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Six Priorities of the National Quality Strategy

Making care safer by reducing harm caused in the delivery of care.

Ensuring that each person and family are engaged as partners in their care.

Promoting effective communication and coordination of care.

Promoting the most effective prevention and treatment practices for the leading causes of mortality, starting with cardiovascular disease.

Working with communities to promote wide use of best practices to enable healthy living.

Making quality care more affordable for individuals, families, employers, and governments by developing and spreading new health care delivery models.

Engaging Consumers is Integral to the

National Quality Strategy

Source: http://www.ahrq.gov/workingforquality/toolkit.htm

13

Page 14: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

A Growing Evidence Base Supports

Consumer Engagement via eHealth

Improves outcomes and

enhances patient

satisfaction by enabling

individuals to…

• Check for errors or

inaccuracies

• Communicate and

coordinate with

providers

• Self manage health and

wellness

• Participate in chronic

disease management

• Share in decision-

making

Health Affairs Paper, February 2013 14

Page 15: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

The Three A’s Approach to

Consumer eHealth

Action

Attitudes

Access

Increase consumer

Access to their

health information

Enable

consumers to

take Action with

their information

Shift Attitudes to

support

patient-provider

partnership 15

Page 16: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

1.) ACCESS: Let People Get their Health Data

HIPAA ensures the right to Access Your Health

Information (Office of Civil Rights)

Right to Amend/Correct Your Health Information

16

Page 17: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

ACCESS: Meaningful Use Requirements

Stage 1 (FINAL)

Electronic access to health information

Electronic hospital discharge instructions

Clinical visit summaries

Tailored educational resources

Stage 2 (FINAL)

View, download and transmit to a third party

Secure messaging

Stage 3 (DRAFT)

Patient generated health data

Error correction

17

Page 18: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

ACCESS: Highlights

Financial Incentives for Providers to

Provide Patients Access to their Health

Data (through Meaningful Use Stage “View,

Download and Transmit Requirements” )

HIPAA mods and CLIA strengthen patients’

“right to access” their health info

electronically

ONC’s Blue Button Pledge Program (500+

organizations)

Blue Button Portfolio of National Standards

Office for Civil Rights “Rights to Access”

Education and Enforcement Activities

18

Page 19: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Blue Button

A symbol

Your health info

Electronic

For you – the consumer or caregiver

= Get Your Health Records Here

http://www.healthit.gov/patients-families/blue-button/about-blue-button

19

http://www.healthit.gov/patients-families/blue-button/about-blue-button
http://www.healthit.gov/patients-families/blue-button/about-blue-button
http://www.healthit.gov/patients-families/blue-button/about-blue-button
http://www.healthit.gov/patients-families/blue-button/about-blue-button
http://www.healthit.gov/patients-families/blue-button/about-blue-button
http://www.healthit.gov/patients-families/blue-button/about-blue-button
http://www.healthit.gov/patients-families/blue-button/about-blue-button
http://www.healthit.gov/patients-families/blue-button/about-blue-button
http://www.healthit.gov/patients-families/blue-button/about-blue-button
http://www.healthit.gov/patients-families/blue-button/about-blue-button
Page 20: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Blue Button Pledge Program

(www.healthit.gov/pledge)

Over 500 organizations have Pledged to provide access to personal health information for 1/3 of Americans…

20

Page 21: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

2.) Enabling Consumers to take ACTION

with their Health Data

Insert Quote:

Something along the

lines of “Give me my

data

Acces

s

Attitud

e Action

Catalyzing the development of

tools that use health data:

Pilots

PHR Model Privacy Notice

Innovation Challenges

21

http://itunes.apple.com/us/app/ibluebutton/id492141530?mt=8
Page 22: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation 22

Page 23: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Blue Button Pledge Highlight – The Impatient Movement

www.imPatientmovement.org 23

Page 24: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Tools and Resources

http://www.youtube.com/USGovHHSOCR

www.HealthIT.gov/4uvideo

http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap

24

http://www.healthit.gov/patients-

families/ehr-benefits-our-countrys-

health

24

http://www.youtube.com/USGovHHSOCR
http://www.youtube.com/USGovHHSOCR
http://www.healthit.gov/4uvideo
http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap
http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap
http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap
http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap
http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap
http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap
http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap
http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap
http://bluebuttonvideo.challengepost.com/submissions/11357-blue-button-rap
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
http://www.healthit.gov/patients-families/ehr-benefits-our-countrys-health
Page 25: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

More Tools and Resources

That piece of paper you get from your provider and health plan…

An official letter explaining

your right to your data…

http://www.hhs.gov/ocr/privacy/hipaa/modelnotices.html

http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/righttoaccessmemo.pdf

25

http://www.hhs.gov/ocr/privacy/hipaa/modelnotices.html
http://www.hhs.gov/ocr/privacy/hipaa/modelnotices.html
http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/righttoaccessmemo.pdf
http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/righttoaccessmemo.pdf
http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/righttoaccessmemo.pdf
Page 26: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

3.) Shift ATTITUDES about How Patients and Providers Interact

26

Page 27: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

ATTITUDES: “Health IT For You” Animated Video

Make the topic approachable &

entertaining!

Explain the benefits of health IT

and having online access to your

health information

3:00 min and :60 sec available in

English and Spanish

Award Winning Video - 2013

Platinum Pixie Award and Gold

Aurora Award www.HealthIT.gov/4uvideo

27

http://www.healthit.gov/4uvideo
Page 28: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

The Blue Button Campaign

Generating Consumer Demand for

Electronic Health Info

28

Page 29: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

2014 Public Service Announcement

www.HealthIT.gov/4uvideo

29

http://www.healthit.gov/4uvideo
Page 30: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

ATTITUDES: The Power of Personal Stories

Health IT Video Contest Series

• Multiple themed contests

• Cash prizes for winning videos

• Includes public voting

• All contests appear on challenge.gov

• Show value of health IT

• Invite people to tell their own stories

• Motivate and inspire others to leverage

technology to improve health

Background

Goals

30

Page 31: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Million Hearts – Provider Goals

31

Page 32: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Million Hearts - Consumer Challenge

32

Page 33: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Consumer Video Challenge Winner

Dr Funky's Blood Pressure Management Rx

https://vimeo.com/41256296

33

https://vimeo.com/41256296
Page 34: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

What’s in Your Health Record - Consumer

Challenge

34

Page 35: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Consumer Video Challenge Winner

Wright and Luft: http://vimeo.com/46790323

35

http://vimeo.com/46790323
Page 36: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

American Nurses Association and the American Nursing Informatics

Association held “Ask For Your Health Records Week”

Encouraged nurses to ask for their health record so they’d be better

positioned to share their experience with their patients.

Blue Button Pledge Highlight –

“Ask For Your Health Records Week”

36

Page 37: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation

Stay Connected

• Browse the ONC website at: healthIT.gov

• Contact us at: [email protected]

• Follow our blog: http://www.healthit.gov/buzz-blog/

• Ask a question: [email protected]

• Subscribe, watch, and share:

@ONC_HealthIT @JudyMurphy_ONC

http://www.youtube.com/user/HHSONC

HealthIT and Electronic Health Records

http://www.scribd.com/HealthIT/

http://www.flickr.com/photos/healthit

37

http://www.healthit.gov/
mailto:[email protected]
http://www.healthit.gov/buzz-blog/
http://www.healthit.gov/buzz-blog/
http://www.healthit.gov/buzz-blog/
mailto:[email protected]
http://www.youtube.com/user/HHSONC
http://www.linkedin.com/groups/Health-IT-Electronic-Health-Records-3993178?home=&gid=3993178&trk=anet_ug_hm
http://www.linkedin.com/groups/Health-IT-Electronic-Health-Records-3993178?home=&gid=3993178&trk=anet_ug_hm
http://www.scribd.com/HealthIT/
http://www.flickr.com/photos/healthit
Page 38: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation 38

Page 39: The Blockbuster Drug of the Century: An Engaged Patient · 2016-04-13 · 1 © 2015 IBM Corporation The Blockbuster Drug of the Century: An Engaged Patient June 17, 2015 Judy Murphy,

© 2015 IBM Corporation 39

Thanks!

Judy Murphy [email protected]

@JudyMurphyHIT


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