Using Technology to Keep Patients Engaged in Care


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presentation prepared June 2010 for border HIV providers

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  • The technologies we are covering are things like cell phones and web-based services.
  • We are going to do a quick review of how people have been using technology to keep patients engaged in care.
  • Partner notification: (trilingual) Online clinical training: Text-based service directories/info 566948 – KNOWIT 61827 – SEXINFO Web-based directory (HIV and STDs - bilingual) Outreach worker updates Clinic website/orientation: Highland AIC: HRSA “Living with HIV”: Patient education: Knowit, CDC,, Zambia: using SMS to transmit test results South Africa: SMS to locate mobile vans
  • Shown to patients who test positive in the Emergency Room
  • Online medical home: eg, Kaiser Commercial services:
  • Diabetes is model
  • Online support for patients: (POZ magazine)
  • Using Technology to Keep Patients Engaged in Care

    1. 1. Using Technology to Keep Patients Engaged in Care Nicolé Mandel AETC National Resource Center
    2. 2. Which best describes your Internet use? <ul><li>What’s the Internet? </li></ul><ul><li>Some access at work </li></ul><ul><li>Regular work access </li></ul><ul><li>Home only </li></ul><ul><li>I’m always plugged in! </li></ul>
    3. 3. Which best describes your clients’ Internet use? <ul><li>Are you kidding??? </li></ul><ul><li>Some are online </li></ul><ul><li>Most seem to be online </li></ul><ul><li>I don’t know </li></ul>
    4. 4. Which best describes your cell phone use? <ul><li>Don’t have one </li></ul><ul><li>I mostly just use it to call </li></ul><ul><li>I text and call </li></ul><ul><li>I couldn’t live without my smart phone (iPhone, Blackberry, etc) and all the apps! </li></ul>
    5. 5. Which best describes your clients ’ cell phone use? <ul><li>Most don’t have them </li></ul><ul><li>More and more have them </li></ul><ul><li>Some ONLY have cell phones </li></ul><ul><li>All of the above </li></ul><ul><li>I don’t know </li></ul>
    6. 6. What contact information do you request from clients? <ul><li>Email address </li></ul><ul><li>Cell phone numbers </li></ul><ul><li>Neither </li></ul><ul><li>Both </li></ul>
    7. 7. Aspects of patient engagement <ul><li>Testing / entry into care </li></ul><ul><li>Showing up for visits </li></ul><ul><li>Taking medications as prescribed </li></ul><ul><li>Well being / other </li></ul><ul><ul><li>Social support </li></ul></ul><ul><ul><li>Healthy behaviors (diet, drugs, sexual, exercise) </li></ul></ul>
    8. 8. How do your patients typically enter care? <ul><li>Emergency room or urgent care referral </li></ul><ul><li>Street outreach testing </li></ul><ul><li>Community clinic / test site referral </li></ul><ul><li>2 or more of the above </li></ul><ul><li>None of the above </li></ul><ul><li>Not applicable </li></ul>
    9. 9. Technology-based tools to support entry into care <ul><li>Email-based partner notification sites </li></ul><ul><li>Text and web-based service directories </li></ul><ul><li>Patient education websites </li></ul><ul><li>Clinic website/orientation </li></ul><ul><li>Online training for staff </li></ul>
    10. 13. Text-based Service Directories
    11. 14. Clinic Orientation Video
    12. 15. Clinic Orientation Video
    13. 16. Online Education
    14. 17. What are you doing to minimize missed visits? <ul><li>Reminder calls </li></ul><ul><li>Postcards </li></ul><ul><li>Appointment cards </li></ul><ul><li>2 or more of the above </li></ul><ul><li>None of the above </li></ul><ul><li>Not applicable </li></ul>
    15. 18. Technology-based approaches to missed visits <ul><li>Online self-schedule system / medical home </li></ul><ul><li>Computer-generated reminder calls </li></ul><ul><li>Email reminders </li></ul><ul><li>Text message reminders (SMS) </li></ul>
    16. 19. Medical Home
    17. 20. Phone/Text/Email Reminders
    18. 21. What are you doing now to improve medication adherence? <ul><li>Counseling and education </li></ul><ul><li>Link with pharmacy to capture missed refills </li></ul><ul><li>Directly observed therapy </li></ul><ul><li>2 or more of the above </li></ul><ul><li>None of the above </li></ul><ul><li>Not applicable </li></ul>
    19. 22. Technology-based approaches to adherence <ul><li>Email, phone, and text reminders </li></ul><ul><li>Web-based patient education </li></ul><ul><li>Smart pill boxes </li></ul><ul><li>Video-based directly observed therapy </li></ul><ul><li>Robots! </li></ul>
    20. 23. What are you doing to support patient well being? <ul><li>Support groups </li></ul><ul><li>Healthy lifestyle (food, stress) counseling </li></ul><ul><li>Referrals for addiction treatment </li></ul><ul><li>2 or more of the above </li></ul><ul><li>None of the above </li></ul><ul><li>Not applicable </li></ul>
    21. 24. Technology-based approaches to improving patient well-being and behavior change <ul><li>Online support groups and communities </li></ul><ul><li>Patient education websites </li></ul><ul><li>Online self-assessments </li></ul><ul><li>Educational messages delivered via text or email </li></ul>
    22. 25. Online communities