Does Improving Patient Engagement Result in More Appropriate Utilization?<br />Webinar 1 in a 3-part series<br />Thursday,...
Today’s speakers<br />Christine Dunn, Moderator<br />President and Founder, Savoir Media<br />2<br />Benjamin Littenberg, ...
About Vermedx<br />Company Background<br />3<br />
Our Mission<br />About Vermedx<br />4<br />
Agenda<br />5<br />
State of the Industry <br />Objective<br />6<br />
Patient Management<br />What does engagement mean?<br />Engage & Activate<br />Reinforce Behaviors<br />
State of the Industry<br />Engagement in the PCMH<br />Five Pillars of the Patient Centered Medical Home<br />Source: www....
State of the Industry<br />Patient Engagement in the ACO<br />ACOs shall define processes to promote patient engagement<br...
State of the Industry	<br />IHI Triple Aim<br />Source: Adapted from the Institute for Healthcare Improvement <br />
State of the Industry	<br />Takeaway Points<br />Patient engagement is a core theme of any and every major initiative in h...
Use Cases<br />Objective<br />12<br />
Use Case #1<br />Overdue for Test<br />Lost opportunities to improve disease control<br />Impact <br />Lost opportunity to...
<ul><li>Personalized
Culturally appropriate
Specific and actionable</li></ul>Use Case #1<br />Overdue for Test<br />14<br />Laboratory Test Registry<br />
Use Case #1<br />Provider & Patient Reminders<br />15<br />
Use Case #2<br />Out of control test result<br />Poor patient outcomes<br />Impact <br />Increased complications<br />Low ...
Use Case #2<br />Out of control test result<br />17<br />Laboratory Test Registry<br /><ul><li>Personalized
Culturally appropriate
Specific and actionable</li></li></ul><li>Use Case #2<br />Flow Sheet and Patient Alert<br />18<br />
Use Case #3<br />Population Management<br />Poor quality of care: process and outcomes<br />Impact <br />Low achievement o...
Use Case #3<br />Population Management<br />20<br />Population Reports<br />
Use Case #3<br />Population Report Card and Registry <br />21<br />
Use Cases<br />Takeaway Points<br />Patient engagement can (and should) be part of fundamental practice patterns<br />22<b...
Impact of Health System Changes<br />Objective<br />23<br />
Impact of Health System Changes<br />ACOs, Medical Homes, Payment Systems, etc.<br />24<br /><ul><li>Greater responsibilit...
Prominent role as coordinator of care
Reemerging as a vehicle for aligning (?) payment and clinical performance
Proxy models for clinical improvement through financial mechanisms</li></li></ul><li>Impact of Health System Changes<br />...
Impact of Health System Changes<br />Theses<br />26<br />
Impact of Health System Changes<br />Evidence from a controlled trial<br />27<br />Patient engagement leads to fewer hospi...
Impact of Health System Changes<br />Evidence from a controlled trial<br />28<br />Patient engagement leads to reduced cha...
Impact of Health System Changes<br />Evidence from insurance claims<br />29<br />Patient engagement leads to lower overall...
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Does patient engagement result in more appropriate utilization?

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This presentation reviews what published research has established about how patient engagement improves the overall clinical experience and what that means for providers.

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  • Add Christine’s photoBetter pic of me.Drop Jim
  • OK
  • Industry trends
  • Make prettyAdd citation to McGlynn
  • Practices AND Patients
  • Make prettyAdd citation to McGlynn
  • Add flow sheet also
  • Make prettyAdd citation to McGlynn
  • Ben - do we want both? Just report card?
  • Does patient engagement result in more appropriate utilization?

    1. 1. Does Improving Patient Engagement Result in More Appropriate Utilization?<br />Webinar 1 in a 3-part series<br />Thursday, March 24, 2011<br />
    2. 2. Today’s speakers<br />Christine Dunn, Moderator<br />President and Founder, Savoir Media<br />2<br />Benjamin Littenberg, MD<br />Chief Medical Officer, Vermedx, Inc.<br />Henry and Carleen Tufo Professor of Medicine<br />University of Vermont<br />
    3. 3. About Vermedx<br />Company Background<br />3<br />
    4. 4. Our Mission<br />About Vermedx<br />4<br />
    5. 5. Agenda<br />5<br />
    6. 6. State of the Industry <br />Objective<br />6<br />
    7. 7. Patient Management<br />What does engagement mean?<br />Engage & Activate<br />Reinforce Behaviors<br />
    8. 8. State of the Industry<br />Engagement in the PCMH<br />Five Pillars of the Patient Centered Medical Home<br />Source: www.pcmh.ahrq.gov/.../FINAL%20Patient%20engagement%20decisionmaker%20brief.pdf<br />
    9. 9. State of the Industry<br />Patient Engagement in the ACO<br />ACOs shall define processes to promote patient engagement<br />Source: Society for Participatory Medicine<br />
    10. 10. State of the Industry <br />IHI Triple Aim<br />Source: Adapted from the Institute for Healthcare Improvement <br />
    11. 11. State of the Industry <br />Takeaway Points<br />Patient engagement is a core theme of any and every major initiative in health care today<br />11<br />
    12. 12. Use Cases<br />Objective<br />12<br />
    13. 13. Use Case #1<br />Overdue for Test<br />Lost opportunities to improve disease control<br />Impact <br />Lost opportunity to engage patient and PCP in other health issues<br />Low achievement of P4P or other incentive goals<br />Lost visit and laboratory revenue<br />1Source: Elizabeth A. McGlynn, Ph.D et al. The Quality of Health Care Delivered to Adults in the United States. New England Journal of Medicine 2003; 348:2635-2645 <br />13<br />
    14. 14. <ul><li>Personalized
    15. 15. Culturally appropriate
    16. 16. Specific and actionable</li></ul>Use Case #1<br />Overdue for Test<br />14<br />Laboratory Test Registry<br />
    17. 17. Use Case #1<br />Provider & Patient Reminders<br />15<br />
    18. 18. Use Case #2<br />Out of control test result<br />Poor patient outcomes<br />Impact <br />Increased complications<br />Low achievement of P4P or other incentive goals<br />16<br />
    19. 19. Use Case #2<br />Out of control test result<br />17<br />Laboratory Test Registry<br /><ul><li>Personalized
    20. 20. Culturally appropriate
    21. 21. Specific and actionable</li></li></ul><li>Use Case #2<br />Flow Sheet and Patient Alert<br />18<br />
    22. 22. Use Case #3<br />Population Management<br />Poor quality of care: process and outcomes<br />Impact <br />Low achievement of P4P and other goals<br />Avoidable emergency and hospital visits<br />19<br />
    23. 23. Use Case #3<br />Population Management<br />20<br />Population Reports<br />
    24. 24. Use Case #3<br />Population Report Card and Registry <br />21<br />
    25. 25. Use Cases<br />Takeaway Points<br />Patient engagement can (and should) be part of fundamental practice patterns<br />22<br />
    26. 26. Impact of Health System Changes<br />Objective<br />23<br />
    27. 27. Impact of Health System Changes<br />ACOs, Medical Homes, Payment Systems, etc.<br />24<br /><ul><li>Greater responsibility for operational and financial risks
    28. 28. Prominent role as coordinator of care
    29. 29. Reemerging as a vehicle for aligning (?) payment and clinical performance
    30. 30. Proxy models for clinical improvement through financial mechanisms</li></li></ul><li>Impact of Health System Changes<br />ACOs, Medical Homes, Payment Systems, etc.<br />25<br />Major Outcomes<br />Major Emphases<br />
    31. 31. Impact of Health System Changes<br />Theses<br />26<br />
    32. 32. Impact of Health System Changes<br />Evidence from a controlled trial<br />27<br />Patient engagement leads to fewer hospital and ER visits <br />Source: Khan S, et al. The Effect of the Vermont Diabetes Information System on Inpatient and Emergency Department Use: Results from a Randomized Trial. Health Outcomes Research in Medicine 2010 1:61-66.<br />
    33. 33. Impact of Health System Changes<br />Evidence from a controlled trial<br />28<br />Patient engagement leads to reduced charges<br />Source: Khan S, et al. The Effect of the Vermont Diabetes Information System on Inpatient and Emergency Department Use: Results from a Randomized Trial. Health Outcomes Research in Medicine 2010 1:61-66.<br />
    34. 34. Impact of Health System Changes<br />Evidence from insurance claims<br />29<br />Patient engagement leads to lower overall costs<br />Source: Littenberg B, et al.The Vermedx® Diabetes Information System Reduces Health Care Utilization.Am J Managed Care 2009 15:166-170. <br />
    35. 35. Impact of Health System Changes<br />Takeaway Points<br />Costs and Utilization can be statistically linked to patient engagement<br />30<br />
    36. 36. Summary Points<br />31<br />
    37. 37. Q&A<br />32<br />
    38. 38. Thank you for joining us today<br />Please join us for these upcoming webinars<br />33<br />Title: Pay for Performance in Primary Care: A Roundtable Discussion<br />Date: Thursday, April 28, 2011<br />Time: 12:00 PM - 1:00 PM EST<br />Title: Managing Chronic Conditions in Primacy Care Settings: A Review of Best Practices<br />Date: Thursday, May 26th 2011<br />Time: 12:00 PM - 1:00 PM EST<br />
    39. 39. For more information:<br />Jim Rose<br />Senior Vice President, Business Development<br />Email: jim.rose@vermedx.com<br />Telephone: (703) 537-5050<br />34<br />

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