1. person first health care process- technology integration September 14, 2009 | James Hereford

2. story line Our story did not start with a vision that was followed by a neat, linear and sequential set of actions that put in place that vision. It started with an idea, that people want something from the health care system that they are not getting. A focus on them as people. Not as a patient, or a number, or a disease, but as people. And the way we met those needs must be integrated. That is core to who we are. We started with the web, and built our web portal. We saw that it could not meet the needs unless we had an EMR, so we implemented EPIC. That created both a problem and an opportunity. The technology wasn’t fully integrated into the care processes of the clinical teams, which led to the work of the medical home. It also created opportunities for new capabilities, so we integrated a health profile into both the web and the emr. This is a story that continues to unfold, but the focus on people and meeting their needs in an integrated way has remained constant.

3. mygrouphealth

4. some numbers For the Week of August 17, 2009 55% Adult Enrollees Verified 179,666 Adult Enrollees Verified 30,000 Secure Messages Sent 44,000 AVS’s Viewed 313,000 Labs Viewed

5. the electronic medical record

6. secure messages

7. automated results sharing

8. online test results and information therapy

9. the after visit summary

10. the health profile

12. decision support tools

13. integration into lab result

14. risk calculator on the web

15. web accessibility of sdm content

18. integration into patient instructions

19. 60% 24% 10% 6% Phone the clinic to discuss the health concern Schedule a clinic appointment Schedule a phone appointment I would not have contacted my healthcare team “How would you have contacted your health care team if secure email were not available?” (n = 846; 212 blank) Extremely valuable Very valuable Fairly valuable Sometimes valuable Not valuable at all 28% 45% 18% 8% 1% “How would you rate the value of secure email in enhancing your visits to your health care team?” (n = 962; 96 blank & N/A) 0% 20% 40% 60% 80% 100% Would strongly recommend Would recommend 93.6% “Would you recommend MyGroupHealth to a friend or colleague?” (n = 1,039; 19 blank) 0% 20% 40% 60% 80% 100% Not important Somewhat important Fairly important Very important Extremely important 41% 39% 13% 5% 3% “If you were to be given a choice of health plans, how important would MyGroupHealth’s services be in your decision?” (n = 1,016; 42 blank)

20. medical home pilot: the premise Inrelationshipwith = Patient (in the purple sweater) surrounded by her health care team.

21. medical home pilot: design components

22. results – adjusted utilization analyses

23. Thank you.