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“Engaging Your Patients with Mobile Health IT: A Discussion with the Office of Consumer eHealth and Marshfield Clinic” August 28, 2013.

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Presentation on theme: "“Engaging Your Patients with Mobile Health IT: A Discussion with the Office of Consumer eHealth and Marshfield Clinic” August 28, 2013."— Presentation transcript:

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2 “Engaging Your Patients with Mobile Health IT: A Discussion with the Office of Consumer eHealth and Marshfield Clinic” August 28, 2013

3 Attendance Verification Full session attendance Must complete on-line evaluation Link is embedded in your invitation & on the MetaStar website, or copy and enter into your web browser: All attendees Everyone please complete the online evaluation thank you!

4 Learning Objectives Following the webinar, you will be able to: Define “patient engagement” according to the Office of the National Coordinator (ONC) for Health IT Understand ONC’s long-term national vision for effective patient engagement Give one industry example of effective use of mobile health IT to empower patients

5 Today’s Presenters Ellen Makar MSN, RN-BC, CCM, CPHIMS, CENP Senior Policy Advisor Office of Consumer eHealth Jeffrey J. VanWormer, PhD Associate Research Scientist Marshfield Clinic Research Foundation

6 Keeping the Patient at the Center of All We Do Engaging Patients with Mobile Health IT August 28, 2013 Ellen V. Makar, MSN, RN-BC, CCM, CPHIMS, CENP Senior Policy Advisor, Office of Consumer e-Health Office of the National Coordinator for Health IT Department of Health & Human Services, Washington DC

7 Objectives Discuss the specific Meaningful Use objectives related to patient engagement Discuss the Three A’s Approach to Consumer Engagement: Action, Access and Attitudes Define Blue Button and Blue Button+ as methods for patient access to their health information 7

8 U.S. Department of Health and Human Services 8

9 Engaging Consumers is Integral to the Federal Health IT Strategy …through information, communication, & tools. 9

10 Health Affairs Paper, February

11 ONC: The Three A’s Approach to Consumer Engagement Action Attitudes Access Increase consumer Access to their health information Enable consumers to take Action with their information Shift Attitudes to support patient-provider partnership 11

12 Meaningful Use Supports Patient Access and Engagement Stage Clinical Visit Summary Electronic Hospital Discharge Instructions Educational Resources Stage Secure Messaging View, Download, & Transmit Stage 3* 2016 Patient- Generated Health Info Error Correction *From Request for Comment on Stage 3 12

13 Focus on Consumer Access in the Stage 2 Meaningful Use Criteria Reminders for preventive/follow-up care provided Educational resources identified and provided Online access to personal health information (portal, PHR) Visit Summaries provided Patients can send secure messages to their provider Patients can View, Download and Transmit to 3 rd Party

14 ACTION: Making it easier for Patients to use Health IT Leon Rodriguez, Director-Office of Civil Rights: clarification of the patient’s right to access their own health information under HIPAA (videos, pamphlets, answers to questions, and other guidance) See: standing/consumers/righttoaccessmemo.pdf standing/consumers/righttoaccessmemo.pdf 14

15 Shifting ATTITUDES – “Health IT For You” Animated Video Make the topic approachable & entertaining! Explain the benefits of health IT and having online access to your health information 3:00 min and :60 sec available in English and Spanish Award Winning Video Platinum Pixie Award and Gold Aurora Award 15

16 Making “GOOD” on the pledge…………. 16

17 Consumer Blue Button Pledge Program (www.healthit.gov/pledge) Over 450 organizations have Pledged to provide access to personal health information 17

18 Action: Federal Partners 18

19 5/2/2015 Office of the National Coordinator for Health Information Technology 19

20 agree you should be able to get your own medical info electronically of internet users have looked online for health information in the past year 53 % of those are smartphones 2 out of 3 would consider switching to a provider who offers online access through a secure Internet portal have accessed their health info online with prescriptions being the most common 9%9% 21 % 20 % 90 % 72 % 91 % own cell phones 52 % gather health info on their phones have a mobile app to manage their health of individuals who track use a form of technology Untapped Demand for Access & eHealth Tools

21 What Blue Button+ looks like for Developers and Patients

22 Access/Attitudes: Crowd sourcing the Challenge: “ Build me a Blue Button tool that……” 22

23 Making it easier for consumers to access their health data electronically through: Financial Incentives for Providers to Provide Patients Access to Data (HITECH Meaningful Use Program) ONC’s Blue Button Pledge Program Increasing Adoption & Enhancing Technical Functionality of Blue Button Office for Civil Rights “Rights to Access” Education and Enforcement Activities 23 Enabling Consumers to get ACCESS

24 2013 Summit Action/ACCESS/Attitudes: 2013 Patient Access Summit II: Discuss the primary use cases and drivers for patients accessing and using their health information Identify BB+ technical implementation challenges and potential solutions Identify additional opportunities to accelerate patient use of their health data—including policies, standards, and community outreach activities. 24

25 6 Major Work Streams: Action/ Access/ Attitudes Work Stream #1: Educating consumers about eHealth and getting them involved Work Stream #2: Determine key standards & policies to support consumer- mediated exchange (patients aggregating data and sharing back with providers) Work Stream #3: Clarify federal regulations and policies for providers to enable Blue Button: Privacy / Security Work Stream #4: Strategies for providers to implement BB/BB+. Consider the provider response when encouraging consumer actions Work Stream #5: Refine and publish the PULL implementation guidelines. Obtain commitments from Louisiana & NYeC to run PULL pilots Work Stream # 6: Standards for sharing claims data including explanation of benefits (EOB) content. Develop an agreed upon format for sharing claims data 25

26 Blue Button Saved My Father’s Life “It wasn’t until my father needed to go to the hospital for emergency care that the life-saving power of having his medical data in my pocket became apparent.” - Beth Schindele Caregiver and advocate for her father

27 ACTION: Helping Consumers Navigate Under development, a “one stop shop” to help consumers find and use their Blue Button data in apps and tools…

28 ONC’s Role 28

29 Stay Connected Browse the ONC website at: healthIT.govhealthIT.gov Ask a question: Subscribe, watch, and share HealthIT and Electronic Health Records https://twitter.com/ProjectBlueBtn Save the Date: September 16, 2013 Washington DC: Consumer Health IT Summit !!

30 Thank you ! Ellen Makar MSN, RN-BC, CCM, CPHIMS, CENP Senior Policy Advisor Office of Consumer eHealth Office of the National Coordinator for Health IT US Department of Health and Human Services 330C Street SW, Room 1104 Washington DC Work: Mobile:

31 Heart health in your pocket Lessons learned from the development of the Heart Health Mobile smartphone app Heart health in your pocket. Lessons learned from the development of the Heart Health Mobile smartphone app August 28, 2013 Jeffrey J. VanWormer, PhD Associate Research Scientist Epidemiology Research Center Marshfield Clinic Research Foundation

32 Wireless communication revolution For every 100 adults in the U.S. 90 own a mobile device 50 own a smartphone 20 own an iPhone Mobile phones more prevalent than computers worldwide Smartphone ownership growing fastest in non- White, low-income, and less educated groups who use their mobile device as their primary tool for Internet access

33 Enter the DHHS ● Million Hearts challenged developers to create a mobile app to helps consumers improve heart health ● Marshfield Clinic was among the ~35 entries from around the U.S., and won with their version called Heart Health Mobile (hearthealthmobile.com/app/)hearthealthmobile.com/app/

34 Methods Multidisciplinary team of 24 members created to develop the app, with expertise from medicine, epidemiology, health IT, graphic design, legal, business analytics, and marketing App successfully developed, tested, and released (for contest) within a 30-day timeframe Gamified version developed in several languages, and epidemiologic data on downloads, unique users, geo- segmentation, and other metrics actively collected

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36 Buzz Over 200 media mentions following announcement of contest winner Featured in CVD health promotion initiatives launched this spring in several major metro areas across the U.S. (Tulsa, Chicago, San Diego, Philadelphia, and Baltimore) ~1,500 downloads in February (~5,000 page views) Showcased at BIO International Conference

37 Cumulative HHM page views during Heart Month, stratified by major U.S. geo-segments

38 HHM page path analysis and average user flow Cylinders = pages (volume = relative number of visits) and arrows represent click-throughs (size = proportion of click-throughs). The closer to the left of the graph a given page is, the more likely that it is the first page visited, and the further down, the more time spent on it

39 Lessons Learned 1)Health apps can be developed/scaled rapidly, with broad ranging adaptations for various health conditions 2)Actual use may be limited in the absence of aggressive background health promotion initiatives or platform 3)For health research, apps may provide real(er)-time data collection methods that can be used to identify atypical health predictors and related trends at a lower cost 4)HHM seems to provide users with important information, but the potential to result in actual CVD health improvements is yet unclear

40 Questions?

41 Eval Reminder Link is embedded in your invitation & on the MetaStar website, or copy and enter into your web browser: All attendees Everyone please complete the online evaluation thank you!

42 Contact Information: MetaStar, Inc Landmark Place Madison, WI


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