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LET’S MAKE HEALTH ADDICTIVE
Joseph C. Kvedar, MD
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
©
ABOUT THE CENTER FOR
CONNECTED HEALTH
Technology is
an enabler to
provide care
remotely
Benefits include
improved
engagement,
outcomes, and
efficiencies
Mission is
to facilitate
the adoption
of Connected
Health
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
CONNECTED HEALTH GOAL
Integrate care into the
day-to-day lives of our patients
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
WE CHECK OUR SMARTPHONES
>100 TIMES A DAY!
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
SMARTPHONE ADDICTION
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
Tourist walks off Australia pier while
checking Facebook
“Melbourne police warned
people to pay attention
when using social media
around water.”
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
BUT PUSHING A BUTTON FOR HEALTH
IMPROVEMENT IS TOO HARD.
Photos: Center for Connected Health, Alere Connect © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
• Always on and connected
• In the moment messaging
• Capture your health data
• Display information
• SMARTPHONES ARE ADDICTIVE!
MOBILITY IN HEALTH
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
HOW DO WE TAKE ADVANTAGE
OF CONNECTED HEALTH
TO IMPROVE PATIENT ENGAGEMENT?
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
3 STRATEGIES
Photo: iStockPhoto © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
1. MAKE IT ABOUT LIFE
©
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
MAKE IT ABOUT LIFE: OB TEXTING
Photo: iStockPhoto © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
• 74% — Helped to learn to
take care of themselves and
their babies
• 85% — Felt supported by
the OB team
MAKE IT ABOUT LIFE: OB TEXTING
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
2. MAKE IT PERSONAL
Photo: iStockPhoto
©
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
Customized
Program DesignReadiness
To Change
Connected
Health Data
Practice
Location
Analytic
Engine
MAKE IT PERSONAL: TEXT 2 MOVE
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
MAKE IT PERSONAL: TEXT 2 MOVE
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
Mean change in daily steps by engagement level
**p= 0.03
MAKE IT PERSONAL: TEXT 2 MOVE
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
Mean change in HbA1c by engagement level
3. REINFORCE SOCIAL CONNECTIONS
Photo: iStockPhoto
©
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
MAKE IT SOCIAL: CONNECT 2 MY ACT
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
MAKE IT SOCIAL: CONNECT 2 MY ACT
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
*Study ongoing. Results are preliminary.
** Traditionally, similar control sample has about 18% engagement in the clinic.
•79%**Engagement
•21/25Final ACT
•1.47 pointsACT
Improvement
Results*
3 TACTICS
Photo: iStockPhoto © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
1. EMPLOY SUBLIMINAL MESSAGING
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.Image: truth.com
Reminder group
No Reminder Group
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
SUBLIMINAL MESSAGING :
SUNSCREEN REMINDERS
Arch Dermatol. 2009;145(11):1230-1236.
2. USE UNPREDICTABLE REWARDS
©
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
UNPREDICTABLE REWARDS : UBER
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
3. USE THE SENTINEL EFFECT
©
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
Average drop of HbA1c: 1.5
69% achieved a drop in BP
SENTINEL EFFECT: DIABETES &
BLOOD PRESSURE CONNECT
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
GOOGLE FIELD TRIP
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
ARGUS
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
Cancer Pain Management Mobile App
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
Tailored Messaging Program:
 Empowers patients to address barriers to pain management
when possible/appropriate
 Supports patients through pain management
Report Pain
Score
Follow
Decision Tree
Appropriate
Coaching
1) Education & Coaching messages
2) Immediate help with breakthrough
pain
3) Pain Score Algorithm:
© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
WAYS TO CONNECT
The cHealth Blog:
chealthblog.connectedhealth.org
www.connectedhealth.org
Annual Symposium:
October 23-24 2014; Boston
LinkedIn Group:
Connected Health Community
Twitter:
@connectedhealth
@jkvedar
Contact Me:
jkvedar@partners.org

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Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr. Joseph Kvedar, Director, Center for Connected Health

  • 1. LET’S MAKE HEALTH ADDICTIVE Joseph C. Kvedar, MD © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. ©
  • 2. ABOUT THE CENTER FOR CONNECTED HEALTH Technology is an enabler to provide care remotely Benefits include improved engagement, outcomes, and efficiencies Mission is to facilitate the adoption of Connected Health © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 3. CONNECTED HEALTH GOAL Integrate care into the day-to-day lives of our patients © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 4. WE CHECK OUR SMARTPHONES >100 TIMES A DAY! © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 5. SMARTPHONE ADDICTION © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 6. Tourist walks off Australia pier while checking Facebook “Melbourne police warned people to pay attention when using social media around water.” © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 7. BUT PUSHING A BUTTON FOR HEALTH IMPROVEMENT IS TOO HARD. Photos: Center for Connected Health, Alere Connect © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 8. • Always on and connected • In the moment messaging • Capture your health data • Display information • SMARTPHONES ARE ADDICTIVE! MOBILITY IN HEALTH © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 9. HOW DO WE TAKE ADVANTAGE OF CONNECTED HEALTH TO IMPROVE PATIENT ENGAGEMENT? © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 10. 3 STRATEGIES Photo: iStockPhoto © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 11. 1. MAKE IT ABOUT LIFE © © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 12. MAKE IT ABOUT LIFE: OB TEXTING Photo: iStockPhoto © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 13. • 74% — Helped to learn to take care of themselves and their babies • 85% — Felt supported by the OB team MAKE IT ABOUT LIFE: OB TEXTING © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 14. 2. MAKE IT PERSONAL Photo: iStockPhoto © © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 15. Customized Program DesignReadiness To Change Connected Health Data Practice Location Analytic Engine MAKE IT PERSONAL: TEXT 2 MOVE © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 16. MAKE IT PERSONAL: TEXT 2 MOVE © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Mean change in daily steps by engagement level **p= 0.03
  • 17. MAKE IT PERSONAL: TEXT 2 MOVE © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Mean change in HbA1c by engagement level
  • 18. 3. REINFORCE SOCIAL CONNECTIONS Photo: iStockPhoto © © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 19. MAKE IT SOCIAL: CONNECT 2 MY ACT © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 20. MAKE IT SOCIAL: CONNECT 2 MY ACT © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. *Study ongoing. Results are preliminary. ** Traditionally, similar control sample has about 18% engagement in the clinic. •79%**Engagement •21/25Final ACT •1.47 pointsACT Improvement Results*
  • 21. 3 TACTICS Photo: iStockPhoto © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 22. 1. EMPLOY SUBLIMINAL MESSAGING © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.Image: truth.com
  • 23. Reminder group No Reminder Group © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. SUBLIMINAL MESSAGING : SUNSCREEN REMINDERS Arch Dermatol. 2009;145(11):1230-1236.
  • 24. 2. USE UNPREDICTABLE REWARDS © © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 25. UNPREDICTABLE REWARDS : UBER © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 26. 3. USE THE SENTINEL EFFECT © © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 27. Average drop of HbA1c: 1.5 69% achieved a drop in BP SENTINEL EFFECT: DIABETES & BLOOD PRESSURE CONNECT © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 28. © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 29. GOOGLE FIELD TRIP © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 30. ARGUS © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  • 31. Cancer Pain Management Mobile App © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Tailored Messaging Program:  Empowers patients to address barriers to pain management when possible/appropriate  Supports patients through pain management Report Pain Score Follow Decision Tree Appropriate Coaching 1) Education & Coaching messages 2) Immediate help with breakthrough pain 3) Pain Score Algorithm:
  • 32. © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. WAYS TO CONNECT The cHealth Blog: chealthblog.connectedhealth.org www.connectedhealth.org Annual Symposium: October 23-24 2014; Boston LinkedIn Group: Connected Health Community Twitter: @connectedhealth @jkvedar Contact Me: jkvedar@partners.org