Personal Health and Patient Engagement in a Shared Data World: Engaging Patients with Technology
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1 Personal Health and Patient Engagement in a Shared Data World: Engaging Patients with Technology Jess Buchanon, Patient Kat Meyer, ehealth Specialist, VITL Jan Oldenburg, Senior Manager, EY Dennis Redding, Patient
2 Patient Perspective Dennis Redding Colonel, USAF (ret).
3 Military vs Civilian Medical Records Military One doctor (flight surgeon) One record (huge folder) Hand carried between assignments Civilian Multiple doctors in multiple locations Multiple records generated Providers responsible for forwarding records
4 2003 Present Overview Diagnosed with Stage 3B Melanoma at local hospital Referred to tertiary care center for treatment Discovery of primary Renal Cancer Follow up requiring frequent visits with multiple specialists
5 Beth Israel Mass General Deaconess Hospital ChartChart Kidney PCP Chart Beth Israel Deaconess Chart Hospital Melanoma My Medical Data Cape Cod Kidney Chart Cape Cod Orthopedist Cape Cod Dermatologist Chart
6 Bottom Line Healthy adult with ongoing medical follow up Management of transfer of records rely primarily on patient s ability to understand where records need to go and when Requires intensive patient engagement for providers to see complete medical picture The medical community has not provided a system to assist patients in this process
7 Patient Perspective Jess Buchanan
8 Personal Health and Patient Engagement in a Shared Data World: Engaging Patients with Technology Jan Oldenburg Senior Manager EY
9 Why does Personal Health and Patient Engagement Matter? Annual impact of lifestyle diseases in US (2011) 1 Annual Medical costs related to Obesity in US (2012) 2 Only 50% of US adults get recommended exercise (2012) 3 52% have 0 conditions 24% have 1 condition 14% have 2 conditions 12% have 3+ conditions Half of US adults have at least 1 chronic condition (2014) 4
10 Why does Personal Health and Patient Engagement Matter? have better clinical outcomes 5,6 19% 36% 2x Engaged consumers support quality initiatives 7 reduce cost 9,10,11 $ Fully informed $ patients choose less expensive options Disengaged consumers are twice more likely to experience a medical error. Suffer a health consequence due to poor communication among providers: 49% disengaged consumers vs. 13% engaged consumers X Engaged consumers function as partners and they also report possible chart errors 89% patients request chart changes when reviewing their medical records. Savings in readmission costs, early and better handle of chronic illness Engaged consumers 13% 28% Less engaged consumers Patients readmitted to the hospital within 30 days of discharge
11 Current technology for personal health engagement? Technologies available Patient Portals Offer patients ways to communicate with physicians and access clinical data electronically: Test results Secure messaging with care team Medication list and prescription refill After visit and discharge summaries Immunizations, allergies, conditions Schedule or change appointments Access to clinical notes mhealth 165,000: Available mhealth Apps 5,000,000+ patients now have access to clinical notes 10% of Americans own a fitness tracker
12 Where is this going? Real patients need more Key ideas Interoperability: All my data in one place Ubiquitous: Refrigerator, car, thermostat, lights all provide tips, feedback, and services for my health Engaging: Integration of visualizations, games, competition, social make technology for health more engaging Personalized: Interactions are personalized to my needs, interests, condition, and preferences = N of 1 Transparent: Cost estimation, price transparency, integrated insurance and billing information
13 Thank
14 Questions?
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