Physician and Patient Engagement
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1 Physician and Patient Engagement Kathy LeBrew, VP IT, University Hospitals Barb Bungard, RN, MSN, Manager of IT Regulatory Operations, Akron Children s Hospital 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.
2 Conflict of Interest Disclosure Kathy LeBrew Has no real or apparent conflicts of interest to report.
3 Session Learning Objectives Increase patient awareness and engagement required for Meaningful Use through review of best practices and key activities. Describe how the current technologies enable access to data, including patient portals and secure messaging. Implement practical solutions to help overcome challenges associated with provider and patient readiness to achieve Meaningful Use criteria. Review successful use of Health IT to achieve Meaningful Use criteria for patient engagement.
4 University Hospitals At A Glance Nearly 150 year history of caring for Cleveland Serves 16 counties in Northeast Ohio 8 wholly-owned;3 joint-venture hospitals 25 health centers 2 new hospitals opened in 2010/ ,000 physicians/employees 216+ physician practices 824+ locations 3+ ACOs $3.3B revenue Over 3 million patients served UH Ahuja Medical Center Seidman Cancer Center
5 Recognition UH Case Medical Center one of only 18 hospitals in the country named to U.S. News & World Report s Best Hospitals Honor Roll UH named the nation s No. 1 health system for diversity and inclusion management by Diversity Inc. for the second year in a row 6 UH-affiliated hospitals earned A in patient safety from The Leapfrog Group UH one of only 8 health systems worldwide named to the 2014 World s Most Ethical Companies by Ethicsphere Institute
6 Our Purpose To Heal. To Teach. To Discover through information technology
7 Patient Electronic Access / Engagement Objective: Provide patients the ability to view online, download and transmit their health information within 4 business days of the information being available to the EP Measures: Transmission does not include electronic media (USB, CD, etc.) Measure 1 = More than 50% of all unique patients are provided timely online access to their health information Measure 2 = More than 5% of all unique patients view, download or transmit to a third party their health information Starting in 2014, Stage 1 EPs must meet Measure 1, too. Stage 1 Change!
8 8
9 Patient Engagement Through I.T. Strategy
10 Traditional Relationship Know me Know my history Know my condition Care for me Return me to health Keep me healthy Know my patient Know medical & family history Render quality treatment Return my patients to health Track & follow-up on care plan Act on results, care & outcomes Keep my patients healthy Patient Provider
11 Personal Health Record Strategic and practical focus Clinical Transformation Improved quality of care Proactive health management Population health tools Reduced time and costs Patient Benefits from: Enhanced engagement and decision making in care Proactive health management Improved patient-provider access, communication and bond Improved consumer education and awareness Clinical transparency and medical record data integrity Population health management Convenient, portable, private, intuitive, mobile personalized technology
12 MyUHCare Access 2,000 wall clings & table tents displayed in patient rooms Internal / external communication Dec 15 Deployment Patient/ Family Technology Centers
13 Enrollments VS Transaction Volume % Meds / Test Results 44% Share information 39% Access via Mobile Device 10% Request record updates /corrections As of 12/1/ ,951 active MyUHCare users! Apr May Jun Jul Aug Sep Oct Nov Enrolled Total # of transactions # unique patients making at least 1 transaction 13
14 Skylight - Campaign To Patients
15 Thank You! Euthemy (Kathy) LeBrew Vice President, Information Technology University Hospitals (216)
16 Patient Engagement in Pediatrics Barb Bungard, RN, MSN
17 Conflict of Interest Disclosure Barb Bungard, RN, MSN Has no real or apparent conflicts of interest to report.
18 About Akron Children s Ranked a Best Children s Hospital by U.S. News & World Report 10 th largest children s hospital in country* Magnet Recognition for Nursing Excellence Largest pediatric provider in NE Ohio 2 hospital campuses 23+ primary care locations 60+ specialty location 4,700+ employees 700+ medical staff *Source: 2013 Becker's Hospital Review
19 Why is Patient Engagement Important?
20 Why is Patient Engagement Important? Meaningful Use Requirement Patient Portal View, Download and Transmit Health Information Patient Reminders Reminders sent for preventive care = Health Maintenance Secure Messaging (Stage 2 Core = 5%) Communication initiated by patient/family to provider
21 Patient Portal
22 Patient Portal
23 Patient Engagement in Pediatrics Patient Portal Challenge Proxy Access for children < 18 years of age Protect the child s rights to protected health information Can not provide access code on Discharge Summary CSB Language Barriers Solution Set up Teen Access for those children Sign up users during IP stay/office Visits Work with interpretive services Get Staff Signed up Better to sell if a user Help Providers find the Hook
24 Patient Engagement in Pediatrics Patient Reminders Challenge Health Maintenance Options limited Immunization schedule very complex Multiple Preferred Forms of Communication Specialty Services limited Relationships Potential message over load who owns sending of reminders Solution Strategic timing for flu vaccine, remainder of immunizations more of a challenge Utilize Patient Portal, Automated phone service Coordinate with PR schedule, Develop process for approval
25 Patient Engagement in Pediatrics Secure Messaging Challenge Buy In from Staff will not create more work Develop tool that is meaningful and relevant and user friendly Need to have enough patients/families on patient portal Solution Post Visit Questionnaire Good PR Allow patient opportunity to ask questions they forgot during the visit Reduce staff time addressing phone messages Increase your Patient Portal numbers
26 Providers Role Champion, Cheerleader, Supporter Utilize EHR tools around patient engagement to improve efficiency in the office Reduce phone calls/phone tag/missed calls Automate manual processes through EHR Develop metrics to evaluate the tools you have created Are they meeting your goals? Are you measuring the right things? Improving patient outcomes? Update and revise Rarely do you get it 100% right the first time
27 Broader Provider Role Be advocate for: Patient Engagement Demonstrate to patients how engagement tools will benefit them Be cheerleader, be enthusiastic, be a mentor Patient Engagement tools working Are the tools available user friendly, meeting needs of patients, gathering data needed for decision making? Collaboration between technology & healthcare Be at the table when decisions are made on what to buy, being developed, enhanced, upgraded, etc. Strategic and Visionary Thinking Help decision makers see Big Picture
28 Thank You! Barb Bungard, RN, MSN Manager of IT Regulatory Operations Akron Children s Hospital bbungard@chmca.org
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