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Creating an Ecosystem for Health at Palo Alto Medical Foundation
- 1. Creating an Ecosystem for Health @paloaltomedical
- 2. • Affiliate of Sutter Health • Palo Alto Foundation Medical Group (PAFMG) • 9th largest medical group in the United States • 750, 000 patients annually • 92 locations in N. California • Live with an electronic health record since 1999 • Launched personal health record in 2001
- 3. It is about people and their families, NOT the app or technology
- 5. Ecosystems
- 6. Finding the value for all stakeholders Staff & Clinicians Organization Patients
- 7. Engagement
- 8. I’m not just an owner of the company, my family are patients of PAMF
- 9. When It Matters to Staff, It Makes a World of Difference for Patients
- 11. What Health IT feels like to doctors?
- 12. Remind them what it’s truly about
- 13. Understand their work and deliver value Automated Sig Verification Follow up visit Verification Clinically relevant labs
- 14. Competition
- 15. Become part of a community
- 16. Once you have engagement, what can you achieve?
- 17. Stats • 72% of active PAMF adult patients are enrolled in My Health Online • We have ~92% turn around time of messages to patients within 1 business day • Average turn around time is 2.5 hours • Nationally, we have 19% of the downloads of Epic’s MyChart for the iPhone
- 19. • Personalized outreach messages to patients based on HM • Orders placed in Epic
- 20. 50.00% 45.00% 40.00% 35.00% 30.00% 25.00% 20.00% 15.00% 10.00% 5.00% 0.00% 0 1 2 3 4 5 6 7 8 9 10 Personalized message: • 20% higher adherence to lab reminders vs. non online patients • 3x improvement for mammograms & pap smears
- 22. Reduce barriers to patients who need care 100% 90% 80% 38% 39% 37% 44% 42% 53% 51% 70% 72% 71% 71% 71% 70% 69% 60% 78% 79% 82% 81% 75% 79% 75% 78% 79% 78% 80% 76% 78% 74% 79% 77% 79% 78% 81% 79% 79% 81% 82% 80% 81% 83% 81% 83% 82% 82% 83% 84% 82% 80% 82% 82% 83% 50% 40% 49% 55% 56% 47% 30% 36% 56% 49% 20% 16% 20% 16% 15% 18% 10% 20% 14% 7% 9%9%6% 9% 17% 8%9%9%8% 9% 9%8%7%8%6% 8%7%6%6% 5%7%7%6%6% 9% 8%8%7% 6% 7%5%6%5%4% 10% 13% 12% 12% 14% 14% 13% 15% 13% 14% 13% 11% 12% 14% 13% 11% 12% 13% 14% 13% 11% 11% 14% 12% 13% 11% 11% 11% 12% 14% 13% 14% 12% 12% 9% 12% 11% 13% 12% 12% 11% 11% 12% 12% 13% 8% 9% 12% 7% 0% 0% 0% Call_Center MHOL PSR
- 23. Screening your child for healthy development
- 24. Save the doctors and staff time 4 - 6 mins 1 - 3 mins
- 25. Ans/Read 100% 80% 60% Ans/Rea d 40% 20% 0% Currently 80% of questionnaires are answered Jan-10 Jan-11 Jan-12 Parental My Health Online enrollment doubled
- 26. I appreciated being able to answer the questions at home; this was much easier than trying to balance a clipboard on my lap, rushing to answer the questions before my name was called, all while keeping a curious toddler occupied in the waiting room. The questionnaire is just another example of PAMF's dedication to streamlining procedures and putting systems in place that help both the patient and the caregivers. I am so thankful that
- 27. PAMF linkAges™ - a dynamic, integrated system to support Successful Aging Resource Matching Signal Detection Senior Profile Find and connect with resources Identify, mitigate and manage Capture my needs in the community that can help risks to my physical and social preferences and manage risks to my physical and health that could compromise context in order to social health so I can continue to my ability to live safely in my personalize my aging live safely in my home home in place experience Microcommunities Find and connect with other people in the community with whom I can exchange services and support that help me remain independent in my home, stay socially- engaged, and maintain a sense of purpose and value as I age May 3, 2012
- 28. Developers, please join us http://innovation.pamf.org • Developer Challenge Closes- July 30th • Developer Challenge Judging-August 13th • Winner Announced -October 1st Winner Commences Accelerator-October 1st --6 month exclusive partnership with PAMF InnovationCenter Twitter: @pamfinnovation #linkAges Contact Jean-Luc Neptune: jl@health2challenge.org
- 29. Questions? • Albert S. Chan, MD, MS Chief Medical Information Officer, Palo Alto Foundation Medical Group Medical Director, David Druker Center for Health Systems Innovation Medical Director, My Health Online, Sutter Health • E-Mail: chansa1@pamf.org • Twitter: @albertschan
Editor's Notes
- 13 years of baby steps
- BJ asked to discuss how to engage physicians and a care organization to deliver a service
- How many of you in the room have had children in preschool? You’ve experienced a biological ecosystemHow about iTunes – it’s not just a place for buying music or apps, it’s a platform for engagement and innovation
- Sy Sperling, Hair Club for Men
- Barbara Love
- Doctors would not walk into a clinic visit without their tools like a stethoscope…
- All refill encounters includePrescription prescription information: medication, sig, dispense amount, dateRECOGNITION that human factors are still involved with the handling of these requests – e.g. taking fax transmission and turning it into a refill request in EpicVisit information (last visit, next scheduled visit)Clinicians may use this as a mental check of the need for follow up – without having to go into the chartAutomated “Wizard” reviews the medication record, identifies drug class, and adds laboratory values relevant to that medicationClinical protocols support in an evidence-based or expert opinion supported query of relevant lab values
- 12/1/2011-4/20/2012 (142 days)Online (primary care) = 50,871; 358 per dayRequested (specialty) = 42,083; 296 per dayTotal online = 92, 954
- 10,000 turn 65 every dayWe don’t have enough building and doctors to care for all of our needsHuman signals – what did we use to do in our villages – we need to go back there