Patient activation is a term that describes the skills and confidence that equippatients to become actively engaged in their health care.33,163 patients Minnesota“patients with the lowest activation levels hadpredicted average costs that were 8 percent higher in the base year and21 percent higher in the first half of the next year than the costs of patients withthe highest activation levels, both significant differences. What’s more, patientactivation was a significant predictor of cost even after adjustment for acommonly used “risk score” specifically designed to predict future costs”
patient like me .com
Sermo.com“Discuss clinical cases, policy and management”“Largest online community, exclusive to physicians”“Curbside with colleagues. From a patient’s bedside”
NC HEALTH INFORMATION PORTALEnable to local health departments to introduce targeted preventive healthcare interventionsIlluminate the inter-relatedness of social determinants of health (e.g. education, income), health behaviors, access to care, and healthcare quality, costs, and outcomesItem #1 Hospitals haveto do community health surveys every 4 years – can be done with this tool very easily and continuously#2 most data warehouses only store county level ata (!!) this tool allows data to be disaggregated#3 also ability to evaluate primary impact – Know patients’ geographyOver time huge longitudinal value
Tabs:Basemaps and Optional Layers, Data:classification (county, census tract, zip code, etc.) of the indicators in selected primary indicator subgroup;Description of SourceProvider;Charts; Sort by, Search; Zoom; copy/print
Currently in 2nd phase, this slide is the 3rd phase hopefully ready by Fall 13Want one stop shop for analysis over time plus make operation and management of system much more effective. Can be shared with other practitionersat little cost to anyone
technology + mobile tools + information +community + user-generated content +collaboration + social interaction
Now validated by research:patient wisdom and social mediareduce the cost of healthcare !!Judith Hibbard, J. Greene & V. Overton(Feb 2013)Patients With Lower ActivationAssociated With Higher Costs;Delivery Systems Should Know TheirPatients‟ „Scores‟Health Aff 32 (2) 716-777doi: 10.1377/hlthaff.2012.1064
Next Phase “Community of Practice” forming for application testingand feedback, sharing of use cases and best practices Technical architecture re-design to allow forautomated data updates Smaller area data visualization for Medicaid datawhere appropriate Population filters (age, race/ethnicity, gender, programcategory) Role-based user permissions for access to certaindata ? Customized NCHQA deployment, to be defined
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