MEDTALK: Patient Psychology of Health IT


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MEDTALK: Patient Psychology of Health IT

  1. 1. MEDTALK The essence of consumer-driven healthcare The necessary linkage between Health Savings Accounts and Individual Health Records Paschane, DM (c) 2006
  2. 2. Business Opportunity <ul><li>Consumer-driven healthcare </li></ul><ul><ul><li>Economizes decision-making </li></ul></ul><ul><ul><li>Reinforces self-management of consumption </li></ul></ul><ul><li>Patient control opportunities: </li></ul><ul><ul><li>Spending, e.g., health savings accounts </li></ul></ul><ul><ul><li>Information, e.g., individual health records </li></ul></ul><ul><li>Missing a system that makes these useable by patients, and: </li></ul><ul><ul><li>Improves patient-provider communications </li></ul></ul><ul><ul><li>Establishes patient ownership of information </li></ul></ul><ul><ul><li>Overcomes barriers due to disabilities or language </li></ul></ul><ul><ul><li>Accommodates differences in patients’ understanding </li></ul></ul><ul><ul><li>Enhances healthcare services and experiences </li></ul></ul>Paschane, DM (c) 2006
  3. 3. MEDTALK Solution <ul><li>A patient-controlled health assessment software </li></ul><ul><ul><li>Translates patient to provider language/understanding </li></ul></ul><ul><ul><li>Integrates physical and psychological elements </li></ul></ul><ul><ul><li>Provides patient ownership/gate-keeping of information </li></ul></ul><ul><ul><li>Reinforces patient’s role in clinical/non-clinical settings </li></ul></ul><ul><ul><li>Provides comprehensive/convenient assessments </li></ul></ul><ul><ul><li>Increases time for individualized attentive care </li></ul></ul><ul><ul><li>Focuses treatment through communication accuracy </li></ul></ul><ul><ul><li>Reduces costs through early and integrated care </li></ul></ul><ul><ul><li>Responds to care-seeking behavior in a timely matter </li></ul></ul><ul><ul><li>Engages patients in managing disease processes </li></ul></ul><ul><ul><li>Provides early identification of patients’ complications </li></ul></ul><ul><ul><li>Minimizes likelihood of errors and noncompliance </li></ul></ul>Paschane, DM (c) 2006
  4. 4. Overlooked Key: Patient Psychology <ul><li>Patient psychology affects </li></ul><ul><ul><li>Sense of control and self-care </li></ul></ul><ul><ul><li>Motivation and self-determination </li></ul></ul><ul><ul><li>Expectations and compliance </li></ul></ul><ul><li>Reinforced patient control can </li></ul><ul><ul><li>Enhance the immune system and physical responses </li></ul></ul><ul><ul><li>Reduce negative stress responses and reactance </li></ul></ul><ul><ul><li>Improve patient participation and effectiveness </li></ul></ul>Paschane, DM (c) 2006
  5. 5. Solution Concept <ul><li>The patient </li></ul><ul><ul><li>Answers a series of directed questions </li></ul></ul><ul><ul><li>Selects prioritization of concerns </li></ul></ul><ul><ul><li>Controls storage and delivery of information </li></ul></ul><ul><li>The software </li></ul><ul><ul><li>Provides associated questions through a rules engine </li></ul></ul><ul><ul><li>Updates questions to provide comprehensive information </li></ul></ul><ul><ul><li>Translates from user-specific non-clinical language </li></ul></ul><ul><ul><li>Organizes chief and related complaints, and system factors </li></ul></ul><ul><ul><li>Organizes psychological factors in complaints and processes </li></ul></ul><ul><ul><li>Organizes medical and treatment histories </li></ul></ul><ul><ul><li>Produces a one-page pre-clinical summary </li></ul></ul><ul><ul><li>Leads patient through a post-clinical assessment </li></ul></ul>Paschane, DM (c) 2006
  6. 6. Solution Structure Paschane, DM (c) 2006 Patient chooses to send the inventory via fax, email, or hard copy. The growth of on-site Kiosk services is another MEDTALK point-of-entry. MEDTALK makes the timing of communication effective, and more valuable in treatment.
  7. 7. Solution Operations <ul><li>The user receives a self-launching CD that explains </li></ul><ul><ul><li>Accessing and operating MEDTALK </li></ul></ul><ul><ul><li>Benefits for the patient and provider </li></ul></ul><ul><li>Access will be secured through </li></ul><ul><ul><li>Digital certificates </li></ul></ul><ul><ul><li>External security mechanisms </li></ul></ul><ul><li>All servers will be located in a secure hosting facility </li></ul>Paschane, DM (c) 2006
  8. 8. Marketing Conditions <ul><li>Potential buyers of MEDTALK </li></ul><ul><ul><li>The individual or family consumer </li></ul></ul><ul><ul><li>Private financiers, such as employers </li></ul></ul><ul><ul><li>Health plans carrying economic risks </li></ul></ul><ul><ul><li>Government financiers, such as Medicaid/Medicare/Tri-Care </li></ul></ul><ul><li>Motivations for buying MEDTALK </li></ul><ul><ul><li>Patients seeking greater control and personalization </li></ul></ul><ul><ul><li>Health plans wanting to control costs without losing patients </li></ul></ul><ul><ul><li>Employers instituting consumer-controls to limit risks </li></ul></ul><ul><ul><li>Governments wanting to solve barriers for vulnerable groups </li></ul></ul>Paschane, DM (c) 2006
  9. 9. Internal Rate of Return Example Paschane, DM (c) 2006 A health system targeting excessive utilization
  10. 10. Development Assumptions <ul><li>Funding to support development and research </li></ul><ul><li>No major legal problems </li></ul><ul><li>Appropriate security of system </li></ul><ul><li>Beta partner with internal security </li></ul><ul><li>Initial user incentives provided by beta partner </li></ul><ul><li>Successful pilot with demonstrated benefits </li></ul>Paschane, DM (c) 2006
  11. 11. Success Criteria <ul><li>Improves patient care </li></ul><ul><ul><li>Less clinical time spent on history </li></ul></ul><ul><ul><li>Greater comprehension in patient-provider communication </li></ul></ul><ul><ul><li>Reduction in number of non-specific visits </li></ul></ul><ul><ul><li>Provider and patient satisfaction with clinical encounter </li></ul></ul><ul><li>Improves cost management </li></ul><ul><ul><li>Increase in total number of patients seen per provider </li></ul></ul><ul><ul><li>Diagnosis-specific reduction in number of visits </li></ul></ul><ul><ul><li>Reduction in total non-specific acute diagnoses </li></ul></ul><ul><ul><li>Early detection and treatment of psychological needs </li></ul></ul><ul><ul><li>High rates of retention per provider </li></ul></ul>Paschane, DM (c) 2006