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iHT2 Health IT Summit Atlanta 2013 – Thomas Graf, MD, Chief Medical Officer, Population Health, Geisinger Closing Keynote: Accelerating HealthCare Delivery through EHR Optimization

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iHT2 Health IT Summit Atlanta 2013 – Thomas Graf, MD, Chief Medical Officer, Population Health, Geisinger Closing Keynote: Accelerating HealthCare Delivery through EHR Optimization

iHT2 Health IT Summit Atlanta 2013 – Thomas Graf, MD, Chief Medical Officer, Population Health, Geisinger Closing Keynote: Accelerating HealthCare Delivery through EHR Optimization

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  • Clinical Reengineering - PrinciplesEliminate non-value added workAutomate work that can be done by a computerDelegate work by protocol to a trained non-physician staff when appropriateIncorporate - “Hardwire” reliable workflow designs leveraging the EMRActivate patients whenever possible
  • The MyGeisinger improves my interaction with my patients“When it’s a MyGeisinger message, I don’t have to send it back to the nurse, I can address it directly. It’s just me and the patient talking.” (12/12/10 Daily Item article)“The patient portal helps me know what’s going on with my patients even when they are not in the office.” (In response to Gestational Diabetes monitoring)The MyGeisinger improves patient timely access to information“With MyGeisinger, my patients can see their lab results as soon as I’ve reviewed them. They no longer wait several days to get them in the mail. All my patients need to do is logon to MyGeisinger to review their lab results. Of course, if the lab results are sensitive, I still contact them directly.”

Transcript

  • 1. Copyright Geisinger Health System 2013Not for reuse or distribution without permissionAccelerating HealthCareDelivery through EHROptimizationThomas R Graf MDCMO, Population Health andLongitudinal Care Service LinesGeisinger Health System
  • 2. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permission“Let us bear in mind that the most important individual after all isthe patient. Our paramount thought must be to provide him meansby which he can have skilled diagnostic and therapeutic service in ascomplete form as may be indicated in a given case, in the shortestpossible time consistent with thoroughness, and at the least cost tohim.” HL Foss, MD11/4/1950| 2
  • 3. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionGeisinger Health SystemAn Integrated Health Service Organization Multispecialty group• ~1,000 physicians• ~520 advanced practitioner FTEs• 65 primary & specialty clinic sites(37 Community Practice Sites) Freestanding outpatient surgery center > 2.1 million clinic outpatient visits ~360 resident & fellow FTEsGeisinger Medical Center• Danville Campus – includes Hospital forAdvanced Medicine, Janet Weis Children’sHospital, Women’sHealth Pavilion, Level I TraumaCenter, AmbulatorySurgery Center• Geisinger Shamokin Community HospitalGeisinger-Bloomsburg HospitalGeisinger Wyoming Valley Medical Centerwith Heart Hospital, Henry Cancer Center,and Level II Trauma Center• Geisinger South Wilkes-Barre campus withUrgent Care, Ambulatory Surgery Center andInpatient RehabilitationGeisinger Community Medical Centerwith specialized medical & surgicalservices, including Level II Trauma andcomprehensive cardiac & orthopaedic servicesMarworth Alcohol & Chemical Trtmt CenterMountain View Care CenterBloomsburg Health Care Center >72K admissions/OBS & SORUs1,593 licensed inpatient beds ~400,000 members(including ~63,000 MedicareAdvantage members) Diversified products ~30,000 contractedproviders/facilities 43 PA counties PA Medicaid initiative Out of state TPA contractsProviderFacilitiesManagedCare CompaniesPhysicianPractice GroupNote: Numerical references based on fiscal 2012 budget plus impact of GSACH, GCMC and GBH acquisitions.| 3
  • 4. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionGeisinger Health System coverage areaRevised 6-28-12. Geisinger PR & Marketing Department4
  • 5. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionClinical EnterpriseGeisinger HealthPlanAligned objectives for the greatest impactThe Sweet Spot: Our realm ofpartnership and innovation| 5
  • 6. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionAlertsPrompts/RemindersOrder SetsAutomated care plansPatient messagesInformation Rx…Effectors…EBM GuidelinesPatient PreferencesFormulary/EconomicsOther InputsEHRClinical,Schedule…Real-time Clinical StatusDecisionSupportCDISNormalization, Transformation,Analytic ApplicationFinanceClaims Ops…Clinical Decision Intelligence System(CDIS)| 6
  • 7. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionRetail ClinicCommunityPractice SiteRetailPharmacyMulti-Specialty ClinicAmbulatory Care& Surgery CenterSpecialty Center,e.g. Cancer or SleepUrgent CareCenterTertiary/QuaternaryMedical CentereICUInpatient RehabOutpatient RehabHome CareHospiceSpecialty Outreach(“Face-to-face” &Telemedicine)After-HoursCare CenterProvenHealthNavigatorDestinationMedicineAcuteCareCommunity-Based CarePost-Acute &TransitionalCareGeisinger Patient-CenteredContinuum of CareImaging CenterE-VisitMyGeisingerAdult Health Program& Day CenterLab Outreach SiteWork Site ClinicWellness7| 7
  • 8. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionHigher Cost Associated withLower QualityBaicker K, Chandra A. Health Affairs Web Exclusive, April 7, 2004: W4 184-97. | 8
  • 9. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionThe need for partners• Working alone, primary care physicians lack thedata and some of the expertise to create optimalcare– Utilization and cost data– Care coordination techniques/focus– Population management support• Working alone, health plans lack the clinicalexpertise and personal connectivity to createoptimal care– Comprehensive definitions of quality– Intimate patient and family knowledge and connectivity• Re-engineering the payment paradigm required9|
  • 10. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionTriple Aim “-Plus”• Improved Quality• Reduced Total Cost of Care• Improved Patient Experience• And• Improved Professional Experience10|
  • 11. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permission11Geisinger’s EHR StrategyThe IT strategic plan, developed in concert with theorganization’s overall strategic plan and approved in May1995, set out high-level IT objectives:– Function as a seamless organization serving as theregion’s health service leader.– Establish a delivery system designed to manage thecontinuum of care from healthy living through acute andchronic care.– Continually evaluate processes and implementimprovements in health services, incorporating the mostcost-effective utilization of resources to achievemeasurable improvement in the health of our servicearea.– Strive to provide people throughout our service area withaccess to consistent quality in health care regardless ofwhere they enter our system.11|
  • 12. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionEHR Strategy RoadmapEHRContractSignedFirst AmbulatoryOffice InstalledClinical DataWarehouseImplementedPatient &Health PlanPortalsImplementedHealthInformationExchange(HIE)ImplementedNLPASP Offerings,Telemedicine1995Began InpatientImplementationProvider PortalImplementedCompletedInpatientHospitalImplementation1996 2001 2002 2003 2007 2008 2009 2011AmbulatoryOfficeImplementationsCompletedOptimization and Innovations12|
  • 13. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionClinical Decision IntelligenceSystem (CDIS)• Geisinger’s integrated (multi-source), enterprise-wide business intelligence platform:– Enable data-driven clinical and operational decision-making throughout Geisinger– Inform care to drive clinical outcomes– Actionable data– Timely; Near real-time as needed– Evidenced based– Aligned with strategic plan• CDIS is "... a national model for patientengagement, research, and education, as well asleading to business and growth opportunities."13|
  • 14. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionInformation-TransformationContinuum…Data GenerationDataAggregation &TransformationPerformanceMeasurement& AnalysisKnowledgeCreationClinicalTransformation Required forperformancemeasurement Enablespopulation-basedmanagement Typical EHR“after-thought” Establishescurrent state Can becompared toknown orpossiblealternatives Trended overtime Insight derivedfrom empiricalanalysis Critical adjunctto EBM Deployed invarious ways(ordersets, alerts, etc.) Fundamentalclinical re-engineering Must alterclinicalworkflows Eliminate, automate, delegate, incorporate andactivate Care by-product Patient-leveltransactions Mixed forms Increasinglywill includepatient self-reported data14|
  • 15. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionClinical ReengineeringCase Study: Diabetes• All-or-none bundle measure• Workflow redesign• EMR enhancements with clinical decisionsupport• Activating patients• Timely feedback• Care Gaps and automating outreach15|
  • 16. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permission| 16
  • 17. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionCreating an ―All or None‖Measure• System wide input – specialty providers,primary care providers, nursing, andoperations• Use guideline and evidence-basedrecommendations• Focus on “Patient Goals”17|
  • 18. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionAll or None MeasureGoal Non-SmokerInfluenzaImmunization HgbA1c <7 BP < 130/80 LDL < 100CompleteBundlePatient 1Patient 2Patient 3Patient 4Patient 5Percentage 80% 80% 60% 60% 60% 0%Even if individual criteria have great results, whencalculated as an All-or-None metric – the need towork differently (systems of care) becomes evident18|
  • 19. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionDiabetes BundleMeasure Quality StandardHgbA1c measurement Every 6 monthsHgbA1c control Within goal (below 7 or 7-8)LDL measurement YearlyLDL control Within goal (below 70 or below 100)Blood pressure control Within goal (below 130/80 or below140/90)Urine protein measurement YearlyInfluenza immunization YearlyPneumococcal immunization Once before 65, once after 65Smoking Status Non-smokerPatients who received 100%of careDiabetes Bundle Percentage19|
  • 20. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionDiabetes Taxonomy and theGoals of TherapyOld Diabetes Taxonomy ICD-9DM, Controlled, Type II 250.00New Diabetes Taxonomy ICD-9 (code)DM Type 2, goal A1c below 7 250.00DM Type 2, goal A1c 7-8 250.00ADM Type 2, goal A1c to be determined 250.00BDM Type 2, goal A1c: symptom mgmt 250.00CNon-specific diagnosesmake it difficult to identifygoals of therapyMore accurately describespatient needs, including abilityto exclude from performancemeasure entirely20|
  • 21. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionDiabetes Bundle Score• Individual component scores for GeisingerHealth System (GHS) patients were verygood – above the national benchmarks• Initial GHS overall diabetes bundle – 2.4%• Dramatic restructuring of care deliveryprocess needed – Greater individual effortnot going to be enough21|
  • 22. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionEMR-Enhancements: NurseRooming Tool22|
  • 23. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionEMR-Enhancements: DiabetesManagement Decision SupportAlerts for Nurses: Protocol based23|
  • 24. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionAlert Impact for Microalbuminfor DiabeticsRate of Annual Urine Microalbumin Monitoring24|
  • 25. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionEMR-Enhancements: DM Decision SupportAlerts for Providers: Requires Medical Decision25|
  • 26. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionEMR-Enhancements: DiabetesSummary Report26|
  • 27. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionPatient Activation: DiabetesReport CardLast 2-3 valuesdisplayedLDL valuesand goalsLast BPreadings27|
  • 28. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionPatient Activation: Portal-BasedReport Card28|
  • 29. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permission• Population Health—Closing Care Gaps:– Close preventive, chronic and restorative care gaps for targetedpatient populations by age/gender, disease, or condition• Engaging Patients:– Patient & family-centric care coordination– Proactive outreach to influence– Telephone, Web, Text• Transform Culture by Leveraging Technology:– Data mining using evidence-based protocols & registries– Decision support (patient, clerical, nursing, provider-level)– Seamless connections (patient, PCP, specialty, ancillary, payor)– Strong relationshipsCare Gaps Program29|
  • 30. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionPreventive Care Automation• Adult Prevention– Exam Room Decision Support– Happy Birthday Model OutreachModel– Automated Letter orPatient Portal Message & DirectScheduling– Autodialer: ~2500 pts monthlyPreventive Care Message“Sherry RN with Geisinger Clinic”• 500 Calls Day & 250 Calls EarlyEvening with Warm TransferDevelop Processes to Close Care Gaps30|
  • 31. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionImproving Diabetes Care for24,551 Patients3/06 3/07 2/10 2/11Diabetes Bundle Percentage 2.4% 7.2% 10.8% 11.5%% Influenza Vaccination 57% 73% 76% 77%% Pneumococcal Vaccination 59% 83% 84% 83%% Microalbumin Result 58% 87% 79% 78%% HgbA1c at Goal 33% 37% 46% 49%% LDL at Goal 50% 52% 53% 55%% BP < 130/80 39% 44% 52% 52%% Documented Non-Smokers 74% 84% 85% 85%31|
  • 32. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionDiabetes Bundle Improvement0%5%10%15%20%25%30%35%0 1 2 3 4 5 6 7 8 ALLTotal Number of Bundle Measures Each Patient Meets%oftotaldiabetespatientsEntire Population Shifts Toward Better CareBundleIncreases3/067/1032|
  • 33. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionMicrovascular• Retinopathy– Less than 3 years– Number needed to treatto prevent 1 case is 151– 331 cases preventedMacrovascular• Heart Attack– Less than 3 years– Number needed to treat toprevent 1 case is 82– 610 prevented• Stroke– Less than 3 years– Number needed to treat toprevent 1 case is 178– 281 preventedValue Driven CarePatient Centered Outcome Improvements33
  • 34. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionMyGeisinger & PatientActivation34|
  • 35. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionGeisinger’s Patient Portal*As of June 30, 2011• View health summary• Lab results, medications,diagnoses, allergies, dischargeinstructions• Message doctor’s office• 65% clinical / 35% administrative• Online scheduling of primary care andwomen’s health appointments• Renew prescriptions• Patient entered information• Electronic signatures• Patient education• “My Condition Centers” for asthma,diabetes & hypertension• Online videos• Links to trusted health information• Access primary care physician notes(current research)• “There’s an app for that”.User Age Users Percentage<18 years 23,439 13.51%18 – 34 years 35,204 20.3%35 – 54 years 61,985 35.74%55 – 74 years 44,611 25.72%>=75 years 8,197 4.73%Total 173,436Heal • Teach • Discover • Serve35|
  • 36. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionMyGeisinger: The Journey• ~2,000 new users/month, 61% female / 39% male, 30.5% primary care penetration• Progression: Fast follower to EMR plan (Primary Care , Specialty Care, Inpatient)• Enhanced functionality over time: Administrative (caregiver access, pay mybill, schedule an appt), Clinical (patient entered data, education, proactive outreach toclose care gaps• Expanded access to data: Outpatient labs, Inpatient labs, other results173,436149,279126,434104,14981,34056,24629,39512,0144,89176657025,00050,00075,000100,000125,000150,000175,000200,000Jun-01Jun-02Jun-03Jun-04Jun-05Jun-06Jun-07Jun-08Jun-09Jun-10Jun-11Heal • Teach • Discover • Serve36|
  • 37. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionMyGeisinger for Patient CarePatient-Entered Blood Pressure• Initiated by the physician during patient visit• Patient enters BP checked at home inMyGeisinger; can chart results• Physician receives immediate alert forabnormal readings and message every 7 daysfor normal readingsImpact: Provider and patient have better toolsto communicate and monitor blood pressurebetween office visitsLapband Surgery Follow-up• MyGeisinger survey every 2-months post-surgery for 12 months• Questions (e.g. weight loss, vomiting) assesspatient status; patients doing well do notrequire an office visitImpact: Reduces unnecessary visits, moretimely intervention when needed, improvesstaff efficiency, helps alleviate access andpatient satisfaction issuesGestational Diabetes Monitoring• OB patients borderline or with gestationaldiabetes report glucose levels using MyG.• Prior glucose management required patientsto call-in readings; compliance was an issueImpact: Improves compliance with patient-provided home readings and improvestimeliness of clinical intervention resulting inreduced insulin useCholesterol Medication Adherence• Patients non-adherent to their cholesterolmedication identified by Insurance claims data• MyGeisinger survey to understand reasons fornon-adherence; offered services to assist (e.g.financial assistance, pill box, pharmacist call)Impact: Identification of patient-specific non-compliance issue, allows for targetedintervention that patient endorsed.Heal • Teach • Discover • Serve37|
  • 38. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionAsthma Control Test (ACT)Solution - Childhood Asthma Control Test (ACT)–Distribute ACT to patients through MyGeisinger every 90 days inlieu of an office visit–Have ACT completed during the patient’s office visit (completeACT picture of the patient)Results (as of June 30, 2011)–MyGeisinger: 164 out of 488 (34% response rate)• 3 – poor, 39 – moderate, 122 – well–In Clinic: 535 submissions• 59 – poor, 138 – moderate, 338 – wellClinical Impact–Of the 3 patients identified as poor outside the clinic visit• All 3 patients received timely phone contact• 2 patients seen by the physician; 1 patient seen in Urgent Care• Longer term monitoring of ED visit impact–Patients identified as poor during the office visit had issuesaddressed during the visitUse of Social Media tools to reach the patient or consumerProblem Statement: Best practice is to deliver the ACT every 90 days for persistentasthmatics. But patients often do not have a clinic visit at that frequency.Heal • Teach • Discover • Serve38|
  • 39. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionPatient Perspective• “I’ve been working hard to lower mycholesterol over the past year byexercising regularly and eating a wellbalanced diet. My doctor and I havebeen monitoring my cholesterol veryclosely – and I was anxious to see mylatest results. With MyGeisinger, I canreview my test results and graph themover time. It’s great to see how muchmy hard work has paid off!”• “Preparing my daughter forkindergarten was an exciting event inour lives. In addition to gettingeverything she needed to start school,I had to get a copy of herimmunization record. I simply loggedon to MyGeisinger, printed her recordand sent it to her school. WithMyGeisinger, getting a copy of herimmunization record was easy andhassle-free.Heal • Teach • Discover • Serve• “I love it. I prefer this over using thetelephone!”• “Made the appt. online - very easyprocess.”• “Better than trying to find time to callmy provider’s office during workhours.”Improved Access to Information Convenience“As my father was slowly dying of liverdisease, I agonized over his condition.But unlike most children who liver far fromtheir elderly parents, I took an active rolein his care. I used MyGeisinger to viewportions of my father’s record at Geisinger.I checked his lab results and medicationson a regular basis and even requestedmedication renewals and appointments formy father from my home. MyGeisingergave me peace of mind.”Patient/Family Activation39|
  • 40. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionMobile Technology forPatient CareIncrease patient activation by leveragingcommunication channels that are part of apatient’s lifestyle• 234 million Americans 13 and older use some type ofmobile device (comScore)• 82 million Americans own a Smartphone (comScore)• 70% of users of a mobile device text (comScore)• A typical U.S. mobile subscriber sends and receives 175%more text messages than voice calls (Nielsen Mobile)• Typical text messages are responded to within 60 minutes(Mobile Marketing Association)40|
  • 41. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissionImpact• Kaiser Permanente - Appointment Reminders• Reduced appointment no-shows at one clinic by 1,837 in a one month pilot• Resulted in a savings to the organization of more than $275,000• Mt. Sinai Hospital, NY - Teenage Liver Transplant Patients• Goal to increase the rate of adherence to their medication regimen• Pilot with 41 patients, showed decrease in rejection episodes from 12 to 2• New York City Department of Health- Smoking Cessation• Sent encouragement messages and tips in both English and Spanish• Heavy smokers that got messages more than twice as likely to quit thanthose who did not (53% vs. 25%)• New York-Presbyterian Morgan Stanley Children’sHospital – Medication Reminders• Send to heart transplant patients and their families to ensure meds aretaken as prescribed to reduce organ rejection41|
  • 42. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permissioniPhone Application for MyGeisinger• iPhone Application Features– Health Summary – view medications, allergies,immunizations, and current health issues– Test Results – view test result values and standardranges for released results– Messaging – view and reply to messages from thepatient’s provider office, and create new medicaladvice request messages– Appointments – view or cancel upcomingappointments, and view the summary from pastappointments– Health Maintenance Reminders – view healthmaintenance procedures and their due dates– Proxy Access – view all features listed above forfamily members to whom you have accessApproximately 13% of MyGeisinger logins are done using a mobile device.8.2% of those were from an Apple device (e.g. iPhone, iPad).Provides secure system to enter patient responses from SMS as well asGeneral MyGeisinger access.42|
  • 43. Heal • Teach • Discover • ServeCopyright Geisinger Health System 2013Geisinger Health System - ProprietaryNot for reuse or distribution without permission43