Digital Health Solutions for Vulnerable Populations: Addressing the Needs of Vulnerable Populations through Digital Innovation June 10 2016

PROJECT OVERVIEW To serve as a national resource dedicated to the advancement and practical application of digital health solutions for addressing the needs of vulnerable populations in the prevention and management of chronic non-communicable conditions: Obtain measurable improvement of the health and well-being of vulnerable populations through the application of digital technology-enabled solutions Support the design, development, implementation, evaluation and promotion of solutions and best practices in collaboration with community members and stakeholder organizations Advance the impact of digital health solutions in reducing health disparities and achieving the objectives of the Triple Aim for the benefit of vulnerable populations.

VULNERABLE POPULATIONS AND THEIR RISK FOR HEALTH DISPARITIES Certain Populations Experience Variations in the Provision of Health Services and Health Status that Put Them At Risk for Health Disparities Reflect Broad Diversity in terms of Belief Systems, Religious or Cultural Values, Life Experiences, and Group Identity Poor Elderly Women and Children Persons with Disabilities Racial and Ethnic Minorities The Homeless Previously Incarcerated Refugees and Immigrants Health Status Socioeconomic Status Geographic Location Physical Environment Functional or Developmental Status Age Gender Impacts Their Receptiveness to and the Effectiveness of Interventions Designed to Reduce Risks for Health Disparities

APPLYING A PUBLIC HEALTH LENS Our assessment of how digital solutions can reduce the vulnerability of at-risk populations to health disparities recognizes that health outcomes are mainly influenced by economic, social and environmental conditions

TECHNOLOGICAL CONVERGENCE CREATES DIGITAL HEALTH SOLUTION OPPORTUNITIES Telehealth Sensors & Services Mobile, Apps & Gaming Platform technologies and services for remote delivery of and access to health care resources Novel sensing devices for monitoring activity, physiology, location, and environmental conditions Technologies and motivational strategies to engage consumers in public and personal health activities Cell Phone eReader Social Media Data Analytics Game Console Wearables Desktop PC Remote Montoring Tablet Computer Videoconferencing Apps Texting Internet 5

STRATEGIC RESEARCH OBJECTIVE To reduce the vulnerability of at-risk populations to health disparities by leveraging digital technologies to: Increase their access to and effective use of health resources and support services Strengthen individual and community capacity for health improvement and well-being How can digital health solutions reduce the vulnerability of at-risk populations to health disparities through increasing their access to and effective use of health resources and support services, and improving community and individual health and well-being goals?

CORE PROJECT ACTIVITIES The Initiative will collaborate with affected communities to achieve its goal through two core work activities Community Engagement Listening Sessions. Conduct focus groups with community stakeholder organizations and individual residents to develop core understanding of the actual and potential role for digital health solutions in reducing health disparities. Digital Health Solution Best Practices. Conduct a national review of digital health solutions for the prevention and management of chronic conditions, and an assessment of best practices in areas of design, implementation, and sustainability. Key Activities The core activity areas of the Initiative include: Community Engagement Listening Sessions - Develop core understanding of the actual and potential role for digital health solutions in reducing health disparities as well as user-centered design requirements through rapid cycle, targeted focus groups with representative community stakeholders and residents in 8 geographic locations Identification of Digital Health Solution Best Practices for Vulnerable Populations - Identify meaningful and sustainable digital health solutions applied to the prevention and management of chronic conditions as well as facilitating linkages to community resources and services for at-risk populations Dissemination and Promotion – Disseminate and promote program products, findings developed through community listening sessions, and leading best practices to ensure the advancement and practical application of digital health solutions in reducing health disparities among vulnerable populations.

COMMUNITY TARGETING AND SELECTION Primary Criteria: Social and Economic Hardship Primary Criteria: Social and Economic Hardship Louisville Miami-Dade New York City

ANTICIPATED COMMUNITY OUTCOMES The community sessions will lead to the identification of: The cultural, social, economic barriers / facilitators to and effective use of digital technologies by vulnerable populations Design principles for the development of solutions that promote usability and are consistent with community needs and goals Priorities for advancing solutions within the community and strategies to advance their design, development, and implementation Practices to work in consultation with communities to advance the design, development, and implementation of solutions

ANTICIPATED PROJECT OUTCOMES The project will lead to solutions that: Are user-centered and appropriate for use by vulnerable populations and in communities that are at-risk for health disparities Enable positive behavior change, patient and provider connectedness, continuity of care, and individual and community capacity building Support the prevention and management of chronic diseases and promote behaviors that lead to improved health and well-being Take into account social determinants of poor health outcomes for vulnerable populations (i.e. poverty, housing, food access, etc.)

BEST PRACTICES SELECTION CRITERIA Apply standard criteria to assess effectiveness and best practices in design, implementation and sustainability Ability to solve a defined need Stakeholder co-development Financial viability Technological Interoperability Potential for replication Select three best practices in the prevention and management of chronic conditions and supporting improvement in health and well-being Best practices will be assessed and scored by members of the national advisory board

Andrew Broderick Program Director abroderick@phi Andrew Broderick Program Director abroderick@phi.org Valerie Steinmetz Program Manager vsteinmetz@techandaging.org