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Patient Engagement: MD Insights

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Patient Engagement: MD Insights

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Pathways to Patient Engagement is a webinar series designed to foster collaboration and discussion between all involved in the healthcare process.

During the first webinar we explored physician insights and found 40% of the primary care physicians surveyed were not participating in any patient engagement activities. Surprising for sure! Review the deck and to see the current 'state of the union' on patient engagement.

Pathways to Patient Engagement is a webinar series designed to foster collaboration and discussion between all involved in the healthcare process.

During the first webinar we explored physician insights and found 40% of the primary care physicians surveyed were not participating in any patient engagement activities. Surprising for sure! Review the deck and to see the current 'state of the union' on patient engagement.

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Patient Engagement: MD Insights

  1. 1. #PatientEngagement Pathways to Patient Engagement: Insights from the Physician Community Tuesday November 19, 2013
  2. 2. Pathways to Patient Engagement is a webinar series designed to foster collaboration and discussion between all involved in the healthcare process. During the first webinar we explored physician insights, getting a current ‘state of the union’ on patient engagement. Read on to see what we found, you just might be surprised… we were.
  3. 3. Background Understand the current ‘state of the union’ in terms of patient engagement Highlight gaps and opportunities Using the InCrowd platform, surveyed 300 US based primary care physicians #PatientEngagement
  4. 4. Current State of Patient Engagement 61% of surveyed physicians participate in patient engagement activities Practice website with educational information is leading patient engagement tool Increased patient involvement in their care and health, cited as the major benefit Time required to implement and execute was most common barrier #PatientEngagement “A meaningful collaboration between patients and clinicians, working together to help the patient progress towards mutually agreed upon health goals”
  5. 5. Do you currently participate in patient engagement activities? #PatientEngagement
  6. 6. Almost 40% of PCPs stated they currently participate in NO patient engagement activities No 39% 116 PCPs 61% 184 PCPs Do you currently participate in patient engagement activities? n = 300 PCPs Yes
  7. 7. 44% of those 116 non-active PCPs state they are not familiar with the term patient engagement No 116 PCPs Yes 184 PCPs Do you currently participate in patient engagement activities? n = 300 PCPs 51 PCPs indicated they had no idea what ‘patient engagement’ meant
  8. 8. I don’t know what this would be. I have no idea what this means. Sounds like a silly buzzword. No idea what that is. I’m out of the loop here. I’m not sure what you are referring to. Support groups? Diet groups? I can’t say I know what is meant by that moniker. Don’t know what you mean. Satisfaction surveys? Educational sessions? Unsure what that is. #PatientEngagement
  9. 9. Which statement best defines the concept of patient engagement? #PatientEngagement
  10. 10. Patient Engagement Statements Technology, mobile applications and online communities that provide patients access to medical information Enhanced physician-patient communications, both in person and via technology Secure communication tools that give the patient easy access to their medical information A meaningful collaboration between patients and clinicians, working together to help patient progress towards mutually agreed upon health goals Nothing more than a buzz word for things we have been doing for years Other (please define) 18 / 300 PCPs 53 / 300 PCPs 13 / 300 PCPs 161 / 300 PCPs 48 / 300 PCPs 7/ 300 PCPs 6% 18% 4% 54% 16% 2% 8 / 116 PCPs 18 / 116 PCPs 3 / 116 PCPs 50 / 116 PCPs 31 / 116 PCPs 6 / 116 PCPs 7% 16% 3% 43% 27% 5% Which statement best defines the concept of patient engagement? n = 300 PCPs
  11. 11. Which of the following patient engagement activities and tools do you currently offer? #PatientEngagement
  12. 12. Websites and patient portals top the list of current patient engagement tools being offered 7%, 22/300 Other (describe in comments) Mobile health apps 5 11%, 32/300 6 20%, 61/300 None of the above Schedule appointments via website 46 26%, 78/300 Secure communication via email / text 17 36%, 108/300 Patient portal 42%, 125/300 Website with educational information 49%, 147/300 0% Which of the following patient engagement activities and tools do you currently offer? Select all that apply. n = 300 PCPs 20% Non Active PCPs 40% 60% 24 31 46 80%
  13. 13. Websites and patient portals top the list of current patient engagement tools being offered 7%, 22/300 Other (describe in comments) Mobile health apps 5 11%, 32/300 6 20%, 61/300 None of the above Schedule appointments via website 46 26%, 78/300 Secure communication via email / text 17 36%, 108/300 Patient portal 42%, 125/300 Website with educational information 49%, 147/300 0% Which of the following patient engagement activities and tools do you currently offer? Select all that apply. n = 300 PCPs 20% Non Active PCPs 40% 60% 24 31 46 80%
  14. 14. Websites and patient portals top the list of current patient engagement tools being offered 7%, 22/300 Other (describe in comments) Mobile health apps 5 11%, 32/300 6 20%, 61/300 None of the above Schedule appointments via website 46 26%, 78/300 Secure communication via email / text 17 36%, 108/300 Patient portal 42%, 125/300 Website with educational information 49%, 147/300 0% Which of the following patient engagement activities and tools do you currently offer? Select all that apply. n = 300 PCPs 20% Non Active PCPs 40% 60% 24 31 46 80%
  15. 15. Websites and patient portals top the list of current patient engagement tools being offered 7%, 22/300 Other (describe in comments) Mobile health apps 5 11%, 32/300 6 20%, 61/300 None of the above Schedule appointments via website 46 26%, 78/300 Secure communication via email / text 17 36%, 108/300 Patient portal 42%, 125/300 Website with educational information 49%, 147/300 0% Which of the following patient engagement activities and tools do you currently offer? Select all that apply. n = 300 PCPs 20% Non Active PCPs 40% 60% 24 31 46 80%
  16. 16. What do you see as the most significant benefits resulting from patient engagement? Please rank the options below from greatest potential benefit to lowest potential benefit. #PatientEngagement
  17. 17. Benefits of Patient Engagement Overall Ranking PCPs Selected as #1 Benefit Active PCPs Selected as #1 Benefit Non Active PCPs Selected as #1 Benefit Increased patient involvement in their care and health 4.0 80 49 31 Better patient adherence to their treatment plans 3.8 65 43 22 Improved communications with office and healthcare staff 3.6 44 22 22 Allows physicians to be proactive, planning around patient needs prior to appointment 3.4 31 25 6 Patients given easier access to their personal medical records 3.2 50 29 21 Minimized underuse or overuse of medical services resulting in reduced health care costs 3.0 30 16 14 Benefits of Patient Engagement What do you see as the most significant benefits resulting from patient engagement? Please rank the options below from greatest potential benefit to lowest potential benefit. n = 300 PCPs
  18. 18. Benefits of Patient Engagement Overall Ranking PCPs Selected as #1 Benefit Active PCPs Selected as #1 Benefit Non Active PCPs Selected as #1 Benefit Increased patient involvement in their care and health 4.0 80 49 31 Better patient adherence to their treatment plans 3.8 65 43 22 Improved communications with office and healthcare staff 3.6 44 22 22 Allows physicians to be proactive, planning around patient needs prior to appointment 3.4 31 25 6 Patients given easier access to their personal medical records 3.2 50 29 21 Minimized underuse or overuse of medical services resulting in reduced health care costs 3.0 30 16 14 Benefits of Patient Engagement What do you see as the most significant benefits resulting from patient engagement? Please rank the options below from greatest potential benefit to lowest potential benefit. n = 300 PCPs
  19. 19. What do you consider to be the greatest potential barriers to implementing a patient engagement program at your practice? Please rank the options below from greatest potential barrier to lowest potential barrier. #PatientEngagement
  20. 20. Barriers to Patient Engagement Overall Ranking PCPs Selected as #1 Barrier Active PCPs Selected as #1 Barrier Non Active PCPs Selected as #1 Barrier Time required to implement and execute 4.2 90 55 35 Cost required to implement and execute 4.2 74 46 28 Lack of patient interest in engagement 3.4 40 28 12 Positive results of engagement not worth the effort 3.1 39 23 16 Don’t have the technology/software needed for patient engagement 3.1 31 17 14 Unsure what to offer 2.9 26 15 11 Barriers to Implementing Patient Engagement Programs What do you consider to be the greatest potential barriers to implementing a patient engagement program at your practice? Please rank the options below from greatest potential barrier to lowest potential barrier. n = 300 PCPs
  21. 21. Barriers to Patient Engagement Overall Ranking PCPs Selected as #1 Barrier Active PCPs Selected as #1 Barrier Non Active PCPs Selected as #1 Barrier Time required to implement and execute 4.2 90 55 35 Cost required to implement and execute 4.2 74 46 28 Lack of patient interest in engagement 3.4 40 28 12 Positive results of engagement not worth the effort 3.1 39 23 16 Don’t have the technology/software needed for patient engagement 3.1 31 17 14 Unsure what to offer 2.9 26 15 11 Barriers to Implementing Patient Engagement Programs What do you consider to be the greatest potential barriers to implementing a patient engagement program at your practice? Please rank the options below from greatest potential barrier to lowest potential barrier. n = 300 PCPs
  22. 22. Gaps & Opportunities No clear understanding of patient engagement Broader list of patient engagement offerings Uncertainty around activities and tools for patient engagement – Technology, appropriate content, risks, benefits A recording of the entire webinar is available on YouTube: http://www.youtube.com/watch?v=JTQPjCWHxSg
  23. 23. Interested in conducting similar research Drop us a line, we have Crowds of US and international based healthcare professionals ready to provide market feedback These healthcare professionals are pre-screened and have opted-in to answer questions in real time sales@incrowdnow.com 1-617-934-1600

Editor's Notes

  • Thanks KelleyAnd thanks for including InCrowd in your webinar series. We see this as such an important healthcare topic for many reasons. On a daily basis we read about providers struggling to demonstrate that they’re implementing Stage 2 Meaningful Use - specifically showing that they're engaging patients. A good deal of the responsibility seems to fall on the shoulders of the physicians but we see patient engagement as an opportunity for everyone involved in the healthcare process And your approach of bringing everyone into this discussion is why we were so excited to participate.
  • So to jump in and give you a little background…We really wanted to understand the current ‘state of the union’ in terms of patient engagement – get a snap shot of today’s reality.We felt this would be a good way to start highlighting ‘gaps’ and opportunities within the current patient engagement environment Using the InCrowd micro survey platform, we surveyed 300 United States based primary care physician,we selected primary care physicians or PCPs because they tend to see a high volume of patients on a monthly basis and are what we think of as the gateway into the healthcare system The average demographic for our PCP Crowd was… 10 -19 years in practiceOffice basedSeeing 150 – 400 patients in a monthNEXT SLIDE: So what is the current’ snapshot’ on the state of patient engagement? (Friday November 1st at 5 PM started fielding, finished mid day on Sunday November 3rd)
  • So what is the current state of the union in terms of patient engagement? We found that…61% of the PCPs we surveyed are actively participating in some type of patient engagement activitiesThe physician’s practice website is the leading patient engagement activity currently being offered ‘Increased patient involvement in their care and health’ was noted as the biggest benefit while time was seen as the biggest barrierThe most commonly selected definition for patient engagement was… A meaningful collaboration between patients and clinicians, working together to help the patient progress towards mutually agreed upon health goals NEXT SLIDE: Now this is the high level “snapshot’ – what did we learn from the details….
  • So this is the high level “snapshot’ – what did we learn from the details….We started simple – very open and broad – wanting to understand what the PCPs would tell us before we put our scope and context around the the topicWe asked… Do you currently participate in patient engagement activities?
  • What we found WAS that almost 40% of the PCPs said NO, they don’t participate in ANY patient engagement activities.I’ll admit, this was a bit of a surprise. I expected there to be some that said No, but not 40%I call this ’No Group’ the non active PCPs and the ‘Yes group’ the active PCPsNEXT SLIDE: But what was even more surprising that this…
  • That 44% of that ‘non-active group’ or 51 of those 116 PCPs – indicated they had no idea what patient engagement meant, they stated…
  • They stated…Unsure what that isDon’t know what this would beSounds like a silly buzzwordI’m out of the loop here – do you mean support groups, diet groups? Satisfaction surveys? Educational session? To have a group of physicians - a group of primary care physicians that are the gateway to the healthcare process – say they have NO idea what patient engagement means – is concerning. Now I have to believe that the Affordable Care Act and the growing number of educated health consumers will drive change in terms of patient engagement I also think this represents an opportunity for stakeholders in the healthcare process to develop tools and programs that support both providers and the patients. NEXT SLIDE: At this point we did offered some guidance or context around the concept of patient engagement…
  • At this point we did put some context around the concept of patient engagement… We provide a series of definitions and had the PCPs select the statement they FELT BEST defined the concept of patient engagement
  • These are the 5 statements we provided on patient engagement – we pulled this information from a literature search on the topicThe statement selected by the majority of PCPs’ highlights collaboration and mutually agreed upon health goals, it was good to see the more well rounded statement selected. We also pulled out the data for the non-active group (those 116 PCPs that are not currently participating in patient enjoyment activities) to see what their information reflected. I’m happy to report that (1) despite not participating in patient engagement and (2) many of them being unfamiliar with the term – when provided with options the majority of this group also selected the more well rounded statement. As for Other – the PCPs offered things like…-Providing EASY ways to securely communicate with their doctors-Haven't ever heard that term-I have never hard this term before so have no idea-Advertising-person to person contact...we do this and have many great comments from our patients.even those who are very tech friendly.appreciate the warmth and friendliness of our office-Engagement does sound a good word to use. Not a buzz word. Make sure patients understand.-Other than in office discussions, I prefer the use of telephone rather than e-mail or text--more personal--
  • To get a bite more granular we provided the PCPS with a list of patient engagement activities and asked them to tell us what they currently offered their patients
  • Here you see that the practice website is the most common patient engagement tool being offered, with the patient portal running a close 2nd. I was honestly surprised at the numbers for secure communications via email to text and scheduling appointments via the website - I expected those numbers to be lower. While disappointed, I wasn’t surprised at the numbers for health apps. (read open end about apps)We also broke the data for the non active PCPs and didn’t really see any surprises here.For those that selected OTHER, they stated things like:-Fax, telephone contact-Future E-mail messages to self (physician) or staff to call patient and remind them of the agreement and ask about progress.-The old fashioned call me and get a live person to answer your questions then and there. It beats all the other nonsense people want to promote as progress. It actually takes patients and staff longer to go through all this other junk of portals, log ins, passwords, and other quasi time saving lies we have been fed-some of this is risky-We call patients and actually speak to them regarding results.-We are close to getting all of this implemented.-Portal under development-I won't spend a nickel I don't have to-All of the above could be part of it but I would also include on site teaching by ancillary personnel.-Some chart access through EMR-my office answers phone calls directly-Goal setting forms for patients-Patients are rarely willing to spend time or money without Tremendous incentive-Refill requests-Community forums-How about can walk in or call and get a live voice and come in the day u call guaranteed-Telephone follow-up on lab results-facebook page-Being available 24/7 by phone or in office-electronic scheduling-Our EHR includes a patient portal-I don't plan on starting any of these.-Family-centered inpatient rounding-Patient given results of testing and or other findings and options for correcting health conditions/problems.-events held at the clinic-Working on portal-Telephone-Make myself more approachable to my patients.
  • Here you see that the practice website is the most common patient engagement tool being offered, with the patient portal running a close 2nd. I was honestly surprised at the numbers for secure communications via email to text and scheduling appointments via the website - I expected those numbers to be lower. While disappointed, I wasn’t surprised at the numbers for health apps. (read open end about apps)We also broke the data for the non active PCPs and didn’t really see any surprises here.For those that selected OTHER, they stated things like:-Fax, telephone contact-Future E-mail messages to self (physician) or staff to call patient and remind them of the agreement and ask about progress.-The old fashioned call me and get a live person to answer your questions then and there. It beats all the other nonsense people want to promote as progress. It actually takes patients and staff longer to go through all this other junk of portals, log ins, passwords, and other quasi time saving lies we have been fed-some of this is risky-We call patients and actually speak to them regarding results.-We are close to getting all of this implemented.-Portal under development-I won't spend a nickel I don't have to-All of the above could be part of it but I would also include on site teaching by ancillary personnel.-Some chart access through EMR-my office answers phone calls directly-Goal setting forms for patients-Patients are rarely willing to spend time or money without Tremendous incentive-Refill requests-Community forums-How about can walk in or call and get a live voice and come in the day u call guaranteed-Telephone follow-up on lab results-facebook page-Being available 24/7 by phone or in office-electronic scheduling-Our EHR includes a patient portal-I don't plan on starting any of these.-Family-centered inpatient rounding-Patient given results of testing and or other findings and options for correcting health conditions/problems.-events held at the clinic-Working on portal-Telephone-Make myself more approachable to my patients.
  • Here you see that the practice website is the most common patient engagement tool being offered, with the patient portal running a close 2nd. I was honestly surprised at the numbers for secure communications via email to text and scheduling appointments via the website - I expected those numbers to be lower. While disappointed, I wasn’t surprised at the numbers for health apps. (read open end about apps)We also broke the data for the non active PCPs and didn’t really see any surprises here.For those that selected OTHER, they stated things like:-Fax, telephone contact-Future E-mail messages to self (physician) or staff to call patient and remind them of the agreement and ask about progress.-The old fashioned call me and get a live person to answer your questions then and there. It beats all the other nonsense people want to promote as progress. It actually takes patients and staff longer to go through all this other junk of portals, log ins, passwords, and other quasi time saving lies we have been fed-some of this is risky-We call patients and actually speak to them regarding results.-We are close to getting all of this implemented.-Portal under development-I won't spend a nickel I don't have to-All of the above could be part of it but I would also include on site teaching by ancillary personnel.-Some chart access through EMR-my office answers phone calls directly-Goal setting forms for patients-Patients are rarely willing to spend time or money without Tremendous incentive-Refill requests-Community forums-How about can walk in or call and get a live voice and come in the day u call guaranteed-Telephone follow-up on lab results-facebook page-Being available 24/7 by phone or in office-electronic scheduling-Our EHR includes a patient portal-I don't plan on starting any of these.-Family-centered inpatient rounding-Patient given results of testing and or other findings and options for correcting health conditions/problems.-events held at the clinic-Working on portal-Telephone-Make myself more approachable to my patients.
  • Here you see that the practice website is the most common patient engagement tool being offered, with the patient portal running a close 2nd. I was honestly surprised at the numbers for secure communications via email to text and scheduling appointments via the website - I expected those numbers to be lower. While disappointed, I wasn’t surprised at the numbers for health apps. (read open end about apps)We also broke the data for the non active PCPs and didn’t really see any surprises here.For those that selected OTHER, they stated things like:-Fax, telephone contact-Future E-mail messages to self (physician) or staff to call patient and remind them of the agreement and ask about progress.-The old fashioned call me and get a live person to answer your questions then and there. It beats all the other nonsense people want to promote as progress. It actually takes patients and staff longer to go through all this other junk of portals, log ins, passwords, and other quasi time saving lies we have been fed-some of this is risky-We call patients and actually speak to them regarding results.-We are close to getting all of this implemented.-Portal under development-I won't spend a nickel I don't have to-All of the above could be part of it but I would also include on site teaching by ancillary personnel.-Some chart access through EMR-my office answers phone calls directly-Goal setting forms for patients-Patients are rarely willing to spend time or money without Tremendous incentive-Refill requests-Community forums-How about can walk in or call and get a live voice and come in the day u call guaranteed-Telephone follow-up on lab results-facebook page-Being available 24/7 by phone or in office-electronic scheduling-Our EHR includes a patient portal-I don't plan on starting any of these.-Family-centered inpatient rounding-Patient given results of testing and or other findings and options for correcting health conditions/problems.-events held at the clinic-Working on portal-Telephone-Make myself more approachable to my patients.
  • From here we asked about benefits, again providing a series of statements - but this time asking them to rank the statements from greatest to lowest benefit.
  • Based on an average, overall ranking ‘increased patient involvement in their care and health’ ranked as the highest benefitWhen using an average score you tend to loose some of the detail so we looked a little deeper and pulled out the number of PCPs that selected each of the statements as the greatest benefit we did this for the overall sample of 300 PCPs and then further broke it down for the active and non-active PCPsAs you can see from the top line Across the board ‘increased patient involvement in their care and health’ ranked #1 What I found interesting was the difference between the active and non active PCPs related to that statement Allows physicians to be proactive, planning around patient needs prior to appointment –this was the lowest ranked benefitfor the non active PCPs I think reflects a fundamental difference between the 2 groups and their approach to providing care and truly engaging with the patient.
  • Based on an average, overall ranking ‘increased patient involvement in their care and health’ ranked as the highest benefitWhen using an average score you tend to loose some of the detail so we looked a little deeper and pulled out the number of PCPs that selected each of the statements as the greatest benefit we did this for the overall sample of 300 PCPs and then further broke it down for the active and non-active PCPsAs you can see from the top line Across the board ‘increased patient involvement in their care and health’ ranked #1 What I found interesting was the difference between the active and non active PCPs related to that statement Allows physicians to be proactive, planning around patient needs prior to appointment –this was the lowest ranked benefitfor the non active PCPs I think reflects a fundamental difference between the 2 groups and their approach to providing care and truly engaging with the patient.
  • From here we asked about the barriers, again providing a series of statements – and asking them to rank the statements from greatest to lowest barrier.
  • Based on an average, overall ranking time and cost are seen as the biggest barriers – I’m sure this is not a surprise to anyone. When using an average score you tend to loose some of the detail So again we looked a little deeper and pulled out the number of PCPs that selected each of the statements as the greatest barrier we did this for the overall sample of 300 PCPs and then further broke it down for the active and non-active PCPsAcross the board time and cost are the biggest barriers What I found interesting here is the high number of active PCPs that selected ‘lack of patient interest in engagement’ and ‘positive results not worth the effort’ as the #1 barrier – I see this as a red flag if physicians truly don’t believe in the patient's desire to be involved in their own care as well as the results being worth the effort – it could prevent PCP’s from taking patient engagement to the next level and offering tools and activities that go beyond websites, portals and secure email – I was surprised to see this from the active PCPs
  • Based on an average, overall ranking time and cost are seen as the biggest barriers – I’m sure this is not a surprise to anyone. When using an average score you tend to loose some of the detail So again we looked a little deeper and pulled out the number of PCPs that selected each of the statements as the greatest barrier we did this for the overall sample of 300 PCPs and then further broke it down for the active and non-active PCPsAcross the board time and cost are the biggest barriers What I found interesting here is the high number of active PCPs that selected ‘lack of patient interest in engagement’ and ‘positive results not worth the effort’ as the #1 barrier – I see this as a red flag if physicians truly don’t believe in the patient's desire to be involved in their own care as well as the results being worth the effort – it could prevent PCP’s from taking patient engagement to the next level and offering tools and activities that go beyond websites, portals and secure email – I was surprised to see this from the active PCPs
  • So what have we learned about patient engagement…-I think #1, there doesn’t seem to be a clear understanding of patient engagement and this makes it difficult to meet the expectations for both patients and healthcare providers -Two, There needs to be a broader list of patient engagement offerings – the current static tools are a start but they fall short of what’s needed to truly engage patients and pull them into the healthcare process. We also need more feedback from patients as to what they really want.There also seems to be uncertainty around what’s involved in patient engagement - there are more questions than there are answers.Again - I think this represents an opportunity for different stakeholders in the healthcare process An opportunity to develop tools and programs that support both providers and the patients along the patient engagement pathway.Kelly I’ll turn it back over to you.

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