In Search of Patient Engagement. Presentation to National Medical Home Summit February 28 th 2012
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1 In Search of Patient Engagement Presentation to National Medical Home Summit February 28 th 2012
2 In Search of Patient Engagement?
3 In Search of Patient Engagement? Means or End?
4 It s the message Randomized control study for cancer patient education materials
5 Want More? UPMC Study Portal use linked to patient DISATISFACTION Portal non-use lined to SATISFACTION
6 In Search of Patient Engagement?
7 Measurement Framework Patient Activation Measurement Scale (Hibbard 2005)
8 Consider Behavioral Economics What s it mean for Healthcare? Sources: Dan Ariely, Predictably Irrational
9 What Is It To You?
10 What is it to You? Meaningful Practical Measureable Process driven Outcomes related Patient centric Presents decision framework consistent with the way people make decisions
11 A Definition Center for Advancing Health Actions individuals must take to obtain the greatest benefit from the health care services available to them." o focuses on behaviors of individuals, NOT professionals or policies of institutions. Engagement is not synonymous with compliance. o Compliance means obedience o Engagement signifies that a person is involved in a process o Individual harmonizes information, advice, needs, preferences and abilities Definition is agnostic about the many factors that have been shown to influence these behaviors
12 Definition HIT Policy Committee Patient Activation o Continues to manage his/her care o Measurable health outcomes o Has patient has been led in the right direction by his/her healthcare provider regarding his/her plan of care. Patient Self-management o Self-management resources and tools o In accordance with patient preferences o Self-management of health risk behaviors o Seeks or manages preventive care ed=0ccyqfjab&url=http%3a%2f%2fhealthit.hhs.gov%2fportal%2fserver.pt%2fgateway%2fptargs_0_11673_ _0_0_18%2Frfc-measure-conceptlist.xls&ei=BDU5T_SNB6X20gHfqrmmCg&usg=AFQjCNE4lEnct_6adY8ctBwlb9r2hhduxA&cad=rja
13 Measurement KP Health Connect Diabetes and HT patients Secure patient-md in context of EHR o Average thread was 1.13 patient message and 1.16 provider message Improved HEDIS measures for 11% of patients Up to 6.5 percentage improvement for glycemic, cholesterol, BP screen and control Not randomized other factors (HMO, continuity of care)
14 Measurement Tailored Health Coaching to PAM
15 Measurement Reduced Utilization and Costs Utilization Charges From Khan S, et al. The Effect of the Vermont Diabetes Information System on Inpatient and Emergency Department Use: Results from a Randomized Trial. Health Outcomes Research in Medicine : Page 15
16 MEASUREMENT Reduction in total costs Effect of PES Platform on Claims Paid Lowess Smoothing Control PES Group Months Vertical line represents the start date for PES group patients and a randomly chosen date for control patients
17 In Search of Patient Engagement LinkedIn Group
18 Summary Points 18
19 Thank You For more information: Jim Rose Senior Vice President, Business Development Telephone: (703)
20 About Patient Engagement Systems Our Mission 20
21 Rebirth of Disease Management Results of the Medicare Support Health Disease Management Pilot Program $400 million produced modest improvements in 14 of 40 process-of-care measures with no demonstrable savings WHY????? 1.Poor experimental design in commercial findings 2.Lack of personalization in care/treatment plans 3.Population regressed to the mean (see #1) 4.Lack of real time information to manage chronic care 5.No integration with primary care
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