Digital Strategies, Health Disparities and Health Equity Perils and Promise of Technology 2 October 2014

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1 Digital Strategies, Health Disparities and Health Equity Perils and Promise of Technology 2 October 2014 Kimberlydawn Wisdom, MD, MS Sr. Vice President, Community Health & Equity Chief Wellness & Diversity Officer

2 Henry Ford Health System Mission: To improve people s lives through excellence in the science and art of health care and healing Vision: Transforming lives and communities through health and wellness one person at a time Values: Each Patient First Respect for People High Performance Learning and Continuous Improvement A Social Conscience #TogetherWeCan

3 Community Pillar Weight-Bearing & Accountable

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5 Community Health and Equity Timeline

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9 Prescription for a Healthier Michigan July 6, 2005 Not pictured: Barbara Flis 9

10 Racial and ethnic disparities

11 Healthcare Equity

12 Find the report at:

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15 Empowering middle school youth in underserved communities to drive policy, environment, and behavioral change 15

16 Generation With Promise In the News

17 Generation With Promise (GWP) An Overview

18 Generation With Promise 2010

19 BRAND EVOLUTION From: To:

20 Sew Up the Safety Net Community Kick-Offs

21 A Standout Collaboration Competing health systems come together as: leaders funders strategists communicators implementers with public health, community & academic partners Michael Duggan (DMC), Brian Connolly (Oakwood), Patrick McGuire (St. John Providence), Nancy Schlichting (HFHS), April 2011

22 Strategic Courage CEO AHA Equity of Care Award Finalist, 2014

23 Perils of Technology 23 Photographer: Tim Burke, Michigan Department of Transportation

24 American Sign Language Cantonese Russian Decline Race, Ethnicity, Language Data Henry Ford Health System Patient Demographic Form Patient name MRN Date These questions are about your race, ethnicity, and primary language. We ask these questions to make sure we are meeting the needs of all of our patients. 1. Are you of Hispanic or Latino origin? Yes No Decline Don t Know 2. Are you of Arab or Chaldean origin? Yes No Decline Don t Know 3. Which of the following best describes your race? If necessary, you may select up to two. Black American Indian/Alaska Native Don t Know White Native Hawaiian/Pacific Islander Other Asian Decline 4. Please provide one nationality or ethnic group that best describes your ancestry. (For example, Italian, Jamaican, African American, Haitian, Korean, Lebanese, etc.) African American Haitian Ottawa/Odawa Albanian Hawaiian Palestinian Belgian Huron Persian Bangladeshi Indian (East Asian) Polish Chaldean Iranian Potawatomi Chinese Iraqi Puerto Rican Chippewa/Ojibwe Irish Romanian Cuban Italian Russian Czechoslovakian Jamaican Scottish Dutch Japanese Spanish (Spain) Egyptian Jewish Syrian English Jordanian Ukrainian Filipino Korean Vietnamese Finnish Lebanese Decline French Macedonian Don t Know German Mexican Other (specify) Greek Nigerian 5. How would you rate your ability to speak English? Very well Well Not well Not at all Decline Don t Know 6. What language do you feel most comfortable using when discussing your health care?

25 Meaningful Use

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27 Literacy and Health Literacy Health Literacy is a patient s ability to obtain, understand, and act on health information a provider s capacity to communicate clearly, educate about health, and empower their patients - Minnesota Health Literacy Partnership 27

28 Only 12% of adults are proficient in health literacy percentage of population at each level Health Literacy results from the National Assessment of Adult Literacy, US Dept of Education,

29 Communication Use Plain Language 29

30 Health Literacy Impacts: Access Safety Quality Outcomes 30

31 Promise of Technology 31 Photographer: Tim Burke, Michigan Department of Transportation

32 Overview Henry Ford e-home Care Philanthropy Mobile Apps Social Media Strategies

33 Henry Ford Lifeline with AutoAlert Communicator attached to home phone Light weight device worn by patient. Button has AutoAlert feature to alert if patient falls Homesafe Wireless now available for patients who do not have a landline phone

34 Henry Ford Medication Dispensing System Can reduce the risk of medication mismanagement Medications are preloaded. Features an audible reminder and flashing light when it s time to take meds Meds are dispensed in easy-to-handle cups Dispensing system will call caregivers if dose is missed 98.6% overall compliance rate YTD

35 Telehealth Monitoring Program Easy to read monitors automatically send health statuses to their Telehealth nurse Enables patients with chronic diseases to better manage their health Help to prevent visits to ER, hospitalizations, and potential readmissions

36 Partnership for a Healthier America Healthy Hospital Food Commitment First Lady Michelle Obama Launched September 2012 at FNCE Only 17 health systems signed on nationally Rigorous requirements 3 rd party verification National annual report includes updates

37 Digital Monitors at Each Station

38 Smartphone App Menu builder Complete nutrition information Healthy living tools Calculate calories, BMI, etc. Guide to

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42 Kids! powered by Henry Ford LiveWell

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44 The 5 Game

45 The 2 Game

46 The 1 Game

47 The 0 Game

48 WIN Network: Detroit where women and families thrive

49 Website launched in July 2013 about 7,000 visits so far! About 25% of users are accessing the page via mobile devices

50 HOME PAGE Search for a specific topic or event Click the circles to get more information or follow the navigation above! It s easy for you to contact us to join or get more information

51 FACEBOOK

52 INSTAGRAM CONNECT WITH WINN Facebook: WIN Network Detroit

53 LIVE & LEARN Read inspiring stories from other women learning from life and making things work. Women can share their story to inspire other women. New stories are added regularly.

54 org TWITTER

55 org What s your daily #WINNspiration?

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57 OUR BLOG Keep coming back to the Blog for contests and new information and resources!

58 PROVIDERS PAGE Read blog posts or watch videos from peerto-peer perspectives Click on the different categories to get the latest info

59 EVENTS Filter events by type or neighborhood to find what s right for you! You ll find all of our events on our Event Calendar. Click the event for more information.

60 Patient Engagement PCOR Model Patient-Driven Research Dissemination & Implementation Understanding the choices patients face Aligning research questions and methods with patient needs *Modified from the PCORI Update on a New Era in Research presentation* Providing patients and clinicians with information for better processes & decisions

61 PCOR: Personalizing Care for Patients in an Urban Health System Christine Cole Johnson, Director Karen Kippen, Executive Director Mei Lu, Associate Director Internal Advisory/Protocol Intake Committee Operations Steering Committee Mei Lu Christine Joseph Daniel McLaren Heather Dakki External Advisory Committee Patient Engagement Core Gwen Alexander Patient Partners Study Design, Analysis/ Measurement Core Mei Lu Ganesa Wegienka Patient Data Network Core Lois Lamerato Mei Lu Dan McLaren Dissemination/ Implementation Core Christine Johnson Kimberlydawn Wisdom Nancy Combs Project 1 Obesity and Asthma Christine Joseph (PI) Edward Zoratti, MD (Co-I) Project 2 Obesity in Pediatrics Andrea Cassidy-Bushrow (PI) Charles Barone, MD (Co-I) Project 3 Obesity and Hysterectomy Ganesa Wegienka (PI) Roopina Sangha, MD (Co-I)

62 STAKEHOLDER HEALTH >40 leading non-profit health systems collaborating to activate a menu of proven community health practices/partnerships that work from the top of the mission statement to the bottom line Founded as Health Systems Learning Group at White House-hosted stakeholder meeting, September 2011 Monograph published April 2013; Health IT Workgroup established; continued meetings and sharings, webinars

63 STAKEHOLDER HEALTH Detroit Gathering, Oct. 2012

64 STAKEHOLDER HEALTH IT Initiative Goal Make technology the servant and not the master of our vision Develop specifications & framework for the development/acquisition of IT that is one integrated system for clinical & community settings How can we be more proactive to address the unmet needs that are driving the demand? Eileen Barsi, Health IT Workgroup Co-Chair

65 What s Next Gamification to Improve Health Social Branding

66 New Digital Strategy Trends Mobile First With an increase of cell phones, tablets, and other mobile devices apps and mobile-designed websites are the trend Mobile version Center for Cancer Surgery App Inside Connection

67 IT Requirements (from Sept conference) Person-Centered Integration Interoperability Relational Accessible, Ease of Use Affordability (existing dollars) HIPAA-compliant Supports: Meaningful Use 6 Aims of Quality National Quality Strategy Triple Aim ACA

68 Challenges, Next Steps Getting accurate self-reported REaL and literacy assessment Addressing Health Literacy Getting real-time data Communication Evaluating built-in tools MyChart, Healthy Planet, etc. Time limitations of the clinical encounter Making data accessible in communities

69 Watch: A Community Mosaic Mural

70 Building Partnerships & Enhancing Skills

71 January 9, 2014