Medicine 20 London My Health Platform - Does it Work, Does it Help, Does it Pay - Medicinfo

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My Health Platform is a comprehensive blended eHealth Platform to support self management by patients and health care workers. The presentation shows the first results of research carried out in the …

My Health Platform is a comprehensive blended eHealth Platform to support self management by patients and health care workers. The presentation shows the first results of research carried out in the Netherlands by the University of Twente, primary care organization PoZoB and health innovation company Medicinfo. The questions that need to be answered are: does it work, does it help and does it pay. The research was presented at the Medicine 2.0 conference in London, England on September 24th, 2013

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  • 1. ePortal for self management: critical factors for implementation Medicine 2.0 London Lisette van Gemert-Pijnen Bart Brandenburg September 24th, 2013
  • 2. source: www.medicinfo.info
  • 3. source: www.utwente.nl/igs/ehealth/
  • 4. source: www.pozob.nl
  • 5. 1. Why, how & what of MHP 2. Research set up 3. First results 4. Critical factors 5. Discussion
  • 6. Photo: They’re off - Alex Evers via http://500px.com/photo/1332291 We’re off!
  • 7. 1. My Health Platform (MHP) Why, How & What?
  • 8. We are sure that people who can be responsible for their own health make better choices
  • 9. Allways available, accessible for everyone
  • 10. Our aim is to get healthcare into the very best hands… …yours!
  • 11. My Health Platform is a comprehensive blended ePortal for self management 11source: www.mijngezondheidsplatform.info • Personal Health Record • Individualized Care Plan • Monitoring of Results • Secure Communication • Online coaching • Personalized health info • Operational since 2012 • Mainly in Primary Care
  • 12. MHP enables patients to better self manage their health and health care • MHP enables patients to inform their care provider in between visits and schedule appointments only when needed. • Fast and continuous availability of data, information and feedback enhance the efficiency of healthcare. 12
  • 13. 2. Research set up: What do we want to know? How are we going to find out?
  • 14. The MHP research is a continuation of earlier Diabetes Coach research 14 Nijland et al. Factors influencing the use of a web-based application for supporting the self-care of patients with type 2 diabetes: J Med Internet Res. 2011 Sep 30;13(3):e71.
  • 15. It all comes down to answering three simples questions! 15 Does IT work? usage usability and persuasiveness adherence Does IT help? is anyone getting better Does IT pay? cost effectiveness “MHP enables patients to better self manage their health and health care”
  • 16. A three year mixed methods approach should help us find the answers 16 Source: MHP research plan PoZoB, University of Twente and Medicinfo, 2012 and 2013 Does IT work? usage usability and persuasiveness adherence Does IT help? is anyone getting better Does IT pay? cost effectiveness user data logdata usability tests* Interviews* (* patients & HCW) questionnaires (trust, involvement, personality) EHR and MHP data Health Technology Assessment
  • 17. 3. First results: What do we know? What did we learn?
  • 18. In our research we use the eHealth Road Map developed at CeHRes 18 Source: Van Gemert-Pijnen et al. A holistic framework to improve the uptake and impact of eHealth technologies. J Med Internet Res. 2011 Dec 5;13(4):e111.
  • 19. MHP usage: what is the reach in the population and frequency of use? Patients in participating GP practices (6) 16.360 Participating in chronic care pathways (4) 2.142 Participating in My Health Platform (MHP) 258 (12%) Number of MHP sessions 2719 Mean Pages per Visit MHP 10.05 Mean Time Visit MHP 0:08:16 Mean bounce rate 11.73% 19source: logdata MHP september 2012 to august 2013
  • 20. MHP usage: what parts of the platform are being used? 20source: logdata MHP september 2012 to may 2013 users 187 PHR 187 Coaches 38 (20%) exercise 20 (52%) nutrition 26 (62%) smoking 1 (3%) health data 187 monitoring 187 both 9 (24%)
  • 21. MHP usage: 30% of takes place outside office hours >> increase of accessibility? 21source: logdata MHP september 2012 to august 2013 0 50 100 150 200 250 # sessions hours 24 hour session distribution 0 100 200 300 400 500 600 700 sat sun mon tue wed thu fri # sessions days of the week session distribution over the week
  • 22. Interviews & user tests (patients & HCW) “Does MHP support self monitoring?” 22Source: preliminary data MHP research 2013 System Content Persuasive triggers System logic Order of steps not logical Time consuming Adding of data Lack of integration my health, my lifestyle, my measurements, my. Goal setting SMART Better able to prepare F2F visits Lack of support to understand why, when and where self monitoring information should be added Reminders & smileys Positive feedback Graphs Show your progress
  • 23. Interviews & user tests (patients & HCW) “Are online life style coaches helpful?” 23Source: preliminary data MHP research 2013 System Content Persuasive triggers Lack of F2F support After completion of intake Time consuming Intake too long, drop outs Lack of integration Between coaches and Personal Health Record Intake relevant Weekly e-mails Exercises Well thought out Guidance Logical steps after intake Graphs To visualize progress Feedback & tips
  • 24. 4. Critical factors
  • 25. What are the critical factors of MHP for patients? • Tailoring content & system to needs & skills of different users • Persuasive triggers for navigation, understanding, motivation • Intra-system integration (usability and information) • Interoperability of systems & devices Corresponding results in MHP, eVita & Pazio research (3 main portals for chronic care NL) Supported by systematic reviews EHR (JMI, JMIR & JAMIA) 25Source: preliminary data MHP research 2013
  • 26. What are the critical factors of MHP for health care workers (HCW)? • How to reach potential users (promo team)? • How to engage HCW ? • Standardized instruments for data management • Integration offline-online care (blended care) Corresponding results in MHP, eVita & Pazio research (3 main portals for chronic care NL) Supported by systematic reviews EHR (JMI, JMIR & JAMIA) 26Source: preliminary data MHP research 2013
  • 27. time to reflect Source: www.7ideas.net
  • 28. Thank you! 5. Discussion j.vangemert-pijnen@utwente.nl bart.brandenburg@medicinfo.nl elevenpub.com