Novel Approaches to Public Health: Tech and Innovation for Supporting Public Health

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Novel Approaches to Public Health: Tech and Innovation for Supporting Public Health April 4, 2018 P O P U L AT I O N H E A LT H I N N O VAT I O N L A B

Raise Hand, Mute and Chat Feature Please take note of the Raise Hand and Mute Buttons Please submit questions via the Chat Feature Please send your questions to Everyone or the Host

Agenda Welcome and Orientation Population Health Innovation Lab Update Novel Approaches Presentations CareMessage, Vineet Singal Emocha Mobile Health, Katrina Rios Bayes Impact, Mehdi Jamei Discussion + Q&A Wrap up P O P U L AT I O N H E A LT H I N N O VAT I O N L A B

Webinar Objectives Share emerging trends in technology and other innovations that support improved health Highlight three startups; share their solutions to health issues and how they are solving issues at hand Stimulate thinking of what is possible to create solutions to issues affecting health P O P U L AT I O N H E A LT H I N N O VAT I O N L A B

Vineet Singal CareMessage Katrina Rios Emocha Mobile Health Mehdi Jamei Bayes Impact P O P U L AT I O N H E A LT H I N N O VAT I O N L A B

PHIL Mission The Population Health Innovation Lab designs, catalyzes and accelerates innovative approaches that advance health outcomes and well-being. P O P U L AT I O N H E A LT H I N N O VAT I O N L A B

Update Center to Advance Community Health and Equity https://www.thecachecenter.org/ https://hospitalcommunitybenefit.org Local Health Department Transitions from Clinical Service Provisions to Population Health Services Seeking HDs who have successfully transitioned and or considering transitioning from clinical service provision CA Accountable Communities for Health (CACHI) Supporting 9 CA Communities on their journey to become an ACH https://cachiaccelerator.wordpress.com/ P O P U L AT I O N H E A LT H I N N O VAT I O N L A B

Public Health Institute Webinar April 4, 2018

The healthcare industry is experiencing a major shift towards value-based care, which is bringing challenges for both patients and providers

Underserved patients face unique challenges in improving their health.

Healthcare providers and staff Don t have a centralized, organized place to communicate with patients at scale Struggle collecting self-reported data from patients

Texting as a Solution Text messaging usage is 2 4x higher in lower income, less-educated populations, and has a 99% open rate

Texting as a Solution 85% 65% Patients report they read text messages in 5 minutes or less after receiving them Patients who responded as always or often check their messages 46% Patients who reported text messaging as their phone s most used feature

Imagine a world where patients are empowered to prioritize their health, and providers use their knowledge of patient behavior to provide better quality of care

A Unique Combination PEOPLE Expert staff that acts as advisors and consultants in content development and delivery PRODUCT User-friendly interface that allows for easy creation and delivery of messages and campaigns

CareMessage Features Appointment Reminders Group Outreach Educational Programs Direct Messaging Reduce No-Show Rates Fill Gaps in Care Help Manage Chronic Diseases Reach Patients Easily

What sets CareMessage apart Our commitment to research & outcomes Flexible technology & seamless interoperability Hyper-focused on the highneed patient

An FQHC in Florida sent an outreach message to over 3,000 female patients who were due for a cervical cancer screening. Within one month, 846 patients had scheduled a screening.

Community Health Clinic of Brenham, a free clinic located in Texas, reported a 27% decrease in average noshow rate after implementing CareMessage text message reminders. (before: 15.3%; after 11.1%)

The texting program became a positive reminder that I was progressing, like a friend cheering me on to help me quit smoking. Patient in the CareMessage Smoking Cessation Program

1100 patients were enrolled into CareMessage s Type 2 Diabetes program at ChapCare, a California FQHC as a part of an RCT. Preliminary analysis showed high risk diabetics enrolled in the program had a 0.62% lower A1c compared to the control group.

A free clinic in South Carolina used CareMessage to send self-monitoring support messages to their diabetic patients. As a result, their FSBG scores decreased by an average of 11.3% over 3 months.

Health Center Reach Since launching in late 2013, CareMessage has grown to work with 200+ organizations across 39+ states nationwide, actively reaching 1.5 million patients.

Partners Major Supporters Key Customers & Partners Research Partners

Thank you For questions and followup, please contact Jessica Day at jday@caremessage.org or at 843-422-0796 Or contact us via our website

Redesigning the way patients take medication Katrina Rios, Director of Strategic Partnerships, Public Health krios@emocha.com @emochahealth www.emocha.com

emocha keeps patients in care & verifies every dose of medication

Directly Observed Therapy works DOT is the gold standard for medication adherence Leverages human observation (Hawthorne effect) Strengthens the patient-provider relationship emocha allows DOT to become a scalable, techenabled service

Asynchronous video directly observed therapy

Asynchronous video directly observed therapy

How it works Patients open the application

How it works Select if they experience symptoms or side effects

How it works Record a video while taking their medications

How it works Receive encouraging comments

How it works Follow their progress through an adherence calendar

Created to address high priority health challenges

Clinical validation

National traction & global experience

National traction & global experience

Case Study Puerto Rico

Case Study: Puerto Rico

Case Study: Puerto Rico

Case Study: Puerto Rico

Case Study: Puerto Rico

Case Study: Puerto Rico

Case Study: Puerto Rico 100% Treatment completion 10-30% Weight change 200+ hrs Travel time saved 575 Observed doses 85-96% Adherence

Video DOT optimizes resources Prado J, Vue G, Hernandez M. Use of asynchronous video directly observed therapy to improve the patient treatment experience and reduce greenhouse emissions. Independent program evaluation, January 2018.

Redesigning the way patients take medication Katrina Rios, Director of Strategic Partnerships, Public Health krios@emocha.com @emochahealth www.emocha.com

50

How data can uncover gaps in access to care Bayes Impact - PHI Webinar - April 4, 2018 51

Bayes Impact connects communities and policymakers by providing the data solutions needed to build a more equitable future. 52

Modernization of network adequacy compliance system Robust population model User-centered design Open-source algorithm 53

Expanding our Impact Policymakers Researchers Advocates 54

DEMO 55

Beyond provider networks: Access to healthy food CA vs. KS Farmers Markets that accept SNAP in CA Farmers Markets that accept SNAP in KS McDonalds in CA McDonalds in KS Source: USDA s National Farmers Market Directory 56

Our services and solutions Custom version of Encompass Network and resource planning and compliance Regulatory tools and services Full host of data collection, analytics, and visualization services 57

Thank you Questions and inquiries: mehdi@bayesimpact.org vivian@bayesimpact.org 58

Thank You for joining us! Contact Information Sue Grinnell, Director of Business Strategy and Technology Population Health Innovation Lab sue.grinnell@phi.org P O P U L AT I O N H E A LT H I N N O VAT I O N L A B