Adding Play to the HHS Toolbox


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Erin Poetter, from the ONC's department of Consumer e-Health/Innovations, presented at the Games for Health 2012.

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  • 90% of care needed to manage a chronic disease must come directly from the patient (CGCF) What is consumer engagement? Center for Advancing Health defines 10 behaviors: -- Find safe and appropriate care -- Participatine in your treatment -- Communicate withyour doctors -- Get preventive care
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  • It’s about patient stories that motivate and inspire others
  • -Increased Federal role in the adoption of health IT has lead to new opportunities to support consumer engagement, education, disease management, and care delivery. -Games take complex health data and make it meaningful and actionable to patients -Studies have found that games have potential to improve health, but like everything else have limits
  • --Understanding the current landscape of games and health --Identifying areas where game dynamics and health needs could intersect to improve health outcomes in the future --Identifying areas where the federal government could play a role in promoting innovations in health games
  • ( ) --Declining technology costs amplify design possibilities --Games are becoming a key tool to promote behavior change --Games offer enhanced diagnostic capabilities --Simulation games facilitate patient and clinician learning --Social games create collective efforts for health improvement --Crowdsourced games advance health research and development
  • --Motivate people to overcome challenges and obstacles --Enable people to visualize change and progress --Improve self-efficacy through knowledge and goal-setting --Facilitate patient-provider communications and interactions
  • (Image from Wikipedia under “United State Federal Government” – available under creative commons license) --Facilitate connections between gaming and health research communities --Set Standards for Health Data Interoperability --Create developer challenges focused on key outcomes --Develop agency expertise to evaluate health games --Explore opportunities to increase funding for health games --Release data sets to game developers to facilitate enhanced design --Coordinate gaming activities across government agencies to enhance learning
  • Adding Play to the HHS Toolbox

    1. 1. Adding Play to the HHSToolboxA Federal PerspectiveErin Poetter, Policy Analyst, Consumer eHealth & InnovationsOffice of the National Coordinator for Health Information TechnologyDepartment of Health and Human Services
    2. 2. What I’m Playing Office of the National Coordinator for06/18/12 2 Health Information Technology
    3. 3. Why Engage Consumers in Health?Only 10% to 20% of outcomes are determined by whathappens in the health care system. The rest… Why?  We deserve better  We have the most skin in the game  We are experts in ourselves  Our actions have more of an impact than anyone else’s on our health Consumers are the most under utilized resource in health care.
    4. 4. Consumer Engagement ImpactActive consumer engagement leads to better care 49% Source: AARP study of adults with one or more chronic diseases 4
    5. 5. Health IT Supports ConsumerEngagementCare coordination Communication Health and Wellness Management
    6. 6. Today’s Reality vs. Potential• 9% have mobile app • 80% of Internet usersto manage health seek health info online• 10% have a personal • Use of mobile for health has doubled in 1health record (PHR) year• 20% have accessed • 52% would use a smarttheir health info online phone to monitor health• 27% have tracked •65% are interested intheir weight, diet, using a medical device toexercise routine online monitor their condition
    7. 7. ONC’s Consumer eHealth OfficeSeptember 2011 in Washington DC:•Launched consumer ehealth program•Released proposed rules on access to lab data•Established ONC’s Pledge Program•Generated coverage in 22 media outletsMay 2012•Announced creation of new Office ofConsumer eHealth More:
    8. 8. ONC’s Consumer Engagement Strategy:The Three A’s Make it easier for patients and consumers to get Access secure, timely access to their personal health information. Attitud Action e Support a shift in attitudes about Catalyze the development of tools and the traditional role of patients and services that help consumers (and providers and the role technology their providers) take action with their can play in empowering patients to health information. be more engaged partners in care.
    9. 9. Increasing ACCESS to Health Data Improving consumer access to data through:  Financial Incentives for Providers to Provide Patients Access to Data (through Meaningful Use)  ONC’s Pledge Program  Growing Use of Blue Button  Office of Civil Rights Education and Give me my Enforcement Activities data
    10. 10. Supporting ways to take ACTIONwith health infoExample: Innovation ChallengesSeptember 2009 President Obama released theStrategy for American Innovation calling on agencies toincrease their ability to promote and harness innovationby using policy tools such as prizes and challenges 10
    11. 11. Healthy Apps Challenge (Action) Example: The Surgeon General’s Healthy App Challenge Types of Apps • Fitness/Exercise • Nutrition • Integrated Health Evaluation Criteria •Usability •Evidence-based •Innovativeness •Made health-promoting activity fun!More:
    12. 12. Shifting ATTITUDES about the role of patient and provider More: www.healthit.gov
    13. 13. Nikolai “Koyla” Kirienko Crohn’s Disease Patient and Trailblazer
    14. 14. Consumer Video Challenges (Attitudes) Example: Health IT Video Contest Series Background • Several themed contests throughout 2012 • Cash prizes for winning videos • Includes public voting • All contests appear on Goals • Show value of health IT • Invite people to tell their own stories • Motivate and inspire others to leverage technology to improve health Watch Video
    15. 15. Health IT Animation (Attitudes) Example: Health IT Animation Background • Advisory Committee shaped messaging • 3:00 min & :60 sec version • English and Spanish • For use by others Goals • Make the topic approachable • Explain the benefits of health IT • Entertain!
    16. 16. Why Games and Health? 16
    17. 17. White House Summit on Innovations in Health CareGamingKey Questions for Participants• What’s out there?• What works?• What role could or should the federal government play? 17
    18. 18. Trends Shaping the Landscape forHealth Games 18
    19. 19. Where Games and Health Have theGreatest Potential to Improve Outcomes “The beauty of a game is it gives you a goal…people will work longer and harder if [an activity] is game based” -Debra Lieberman
    20. 20. Potential Opportunities for the FederalGovernment to Support Health Games 20
    21. 21. Innovations in Games Report Office of the National Coordinator for06/18/12 21 Health Information Technology
    22. 22. Join Us: Pledge Program There are two types of pledges: – Data holders -- Make it easier for individuals to get secure electronic access to their health info – and encourage them to do it. – Non-data holders – Spread the word about the importance of getting access information, and develop tools to make that information actionable. To learn more about the pledge or to take the pledge: 22
    23. 23. Stay connected, communicate, and collaborate•Browse the ONC website at: click the Facebook “Like” button to add us to your network•Contact us at:•Subscribe, watch, and share:  @ONC_HealthIT @epoetter   HealthIT and Electronic Health Records  
    24. 24. Discussion: Guiding our Future Work Office of the National Coordinator for06/18/12 24 Health Information Technology
    25. 25. Let’s Keep the Dialogue Going… Erin Poetter ONC | HHS @epoetter