Adding Play to the HHS
Toolbox
A Federal Perspective
Erin Poetter, Policy Analyst, Consumer eHealth & Innovations

Office of the National Coordinator for Health Information Technology
Department of Health and Human Services
What I’m Playing




                   Office of the National Coordinator for
07/06/12                                                    2
                      Health Information Technology
Why Engage Consumers in Health?

Only 10% to 20% of outcomes are determined by what
happens 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.
Consumer Engagement Impact

Active consumer engagement leads to better care




                                                        49%



                                            Source: AARP study of
                                            adults with one or more
                                            chronic diseases
                                                        4
Health IT Supports Consumer
Engagement




Care coordination   Communication   Health and Wellness
                                       Management
Today’s Reality vs. Potential


• 9% have mobile app             • 80% of Internet users
to manage health                 seek health info online

• 10% have a personal            • Use of mobile for
                                 health has doubled in 1
health record (PHR)
                                 year
• 20% have accessed              • 52% would use a smart
their health info online         phone to monitor health

• 27% have tracked               •65% are interested in
their weight, diet,              using a medical device to
exercise routine online          monitor their condition
ONC’s Consumer eHealth Office

September 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 outlets



May 2012
•Announced creation of new Office of
Consumer eHealth

  More: http://bit.ly/yyJgkD
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.
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
Supporting ways to take ACTION
with health info
Example: Innovation Challenges




September 2009 President Obama released the
Strategy for American Innovation calling on agencies to
increase their ability to promote and harness innovation
by using policy tools such as prizes and challenges




                                                           10
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: http://sghealthyapps.challenge.gov
Shifting ATTITUDES about the role of
  patient and provider




 More: www.healthit.gov
http://www.nationalehealth.org/consumers
Nikolai “Koyla” Kirienko   Crohn’s Disease Patient and Trailblazer
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 challenge.gov


                                          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
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!
Why Games and Health?




                        16
White House Summit on Innovations in Health Care
Gaming
Key Questions for Participants

• What’s out there?
• What works?
• What role could or should the federal government play?




                                                           17
Trends Shaping the Landscape for
Health Games




                                   18
Where Games and Health Have the
Greatest 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
Potential Opportunities for the Federal
Government to Support Health Games




                                          20
Innovations in Games Report




                                www.iftf.org/games4healthre




                  Office of the National Coordinator for
07/06/12                                                   21
                     Health Information Technology
Join Us: Pledge Program

                                       There are two types of pledges:

                                           1. Data holders -- Make it easier for
                                              individuals to get secure electronic
                                              access to their health info – and
                                              encourage them to do it.

                                           2. 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: http://www.healthit.gov/pledge/
                                                                                 22
Stay connected, communicate, and collaborate

•Browse the ONC website at: healthIT.gov
 click the Facebook “Like” button to add us to your network

•Contact us at: onc.request@hhs.gov

•Subscribe, watch, and share:

                @ONC_HealthIT @epoetter

                http://www.youtube.com/user/HHSONC

                    HealthIT and Electronic Health Records

               http://www.scribd.com/HealthIT/
                                                              Health.IT.gov/buzz-blog
                 http://www.flickr.com/photos/healthit
Discussion: Guiding our Future Work




                  Office of the National Coordinator for
07/06/12                                                   24
                     Health Information Technology
Let’s Keep the Dialogue Going…



                 Erin Poetter
                 ONC | HHS
                    Erin.poetter@hhs.gov

                     @epoetter

Adding play to the hhs toolbox final

  • 1.
    Adding Play tothe HHS Toolbox A Federal Perspective Erin Poetter, Policy Analyst, Consumer eHealth & Innovations Office of the National Coordinator for Health Information Technology Department of Health and Human Services
  • 2.
    What I’m Playing Office of the National Coordinator for 07/06/12 2 Health Information Technology
  • 3.
    Why Engage Consumersin Health? Only 10% to 20% of outcomes are determined by what happens 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.
    Consumer Engagement Impact Activeconsumer engagement leads to better care 49% Source: AARP study of adults with one or more chronic diseases 4
  • 5.
    Health IT SupportsConsumer Engagement Care coordination Communication Health and Wellness Management
  • 6.
    Today’s Reality vs.Potential • 9% have mobile app • 80% of Internet users to manage health seek health info online • 10% have a personal • Use of mobile for health has doubled in 1 health record (PHR) year • 20% have accessed • 52% would use a smart their health info online phone to monitor health • 27% have tracked •65% are interested in their weight, diet, using a medical device to exercise routine online monitor their condition
  • 7.
    ONC’s Consumer eHealthOffice September 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 outlets May 2012 •Announced creation of new Office of Consumer eHealth More: http://bit.ly/yyJgkD
  • 8.
    ONC’s Consumer EngagementStrategy: 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.
    Increasing ACCESS toHealth 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.
    Supporting ways totake ACTION with health info Example: Innovation Challenges September 2009 President Obama released the Strategy for American Innovation calling on agencies to increase their ability to promote and harness innovation by using policy tools such as prizes and challenges 10
  • 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: http://sghealthyapps.challenge.gov
  • 12.
    Shifting ATTITUDES aboutthe role of patient and provider More: www.healthit.gov http://www.nationalehealth.org/consumers
  • 13.
    Nikolai “Koyla” Kirienko Crohn’s Disease Patient and Trailblazer
  • 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 challenge.gov 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.
    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.
    Why Games andHealth? 16
  • 17.
    White House Summiton Innovations in Health Care Gaming Key Questions for Participants • What’s out there? • What works? • What role could or should the federal government play? 17
  • 18.
    Trends Shaping theLandscape for Health Games 18
  • 19.
    Where Games andHealth Have the Greatest 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.
    Potential Opportunities forthe Federal Government to Support Health Games 20
  • 21.
    Innovations in GamesReport www.iftf.org/games4healthre Office of the National Coordinator for 07/06/12 21 Health Information Technology
  • 22.
    Join Us: PledgeProgram There are two types of pledges: 1. Data holders -- Make it easier for individuals to get secure electronic access to their health info – and encourage them to do it. 2. 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: http://www.healthit.gov/pledge/ 22
  • 23.
    Stay connected, communicate,and collaborate •Browse the ONC website at: healthIT.gov click the Facebook “Like” button to add us to your network •Contact us at: onc.request@hhs.gov •Subscribe, watch, and share:  @ONC_HealthIT @epoetter  http://www.youtube.com/user/HHSONC  HealthIT and Electronic Health Records  http://www.scribd.com/HealthIT/ Health.IT.gov/buzz-blog  http://www.flickr.com/photos/healthit
  • 24.
    Discussion: Guiding ourFuture Work Office of the National Coordinator for 07/06/12 24 Health Information Technology
  • 25.
    Let’s Keep theDialogue Going… Erin Poetter ONC | HHS Erin.poetter@hhs.gov @epoetter

Editor's Notes

  • #4 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
  • #5 AARP study of people over 50 with one or more chronic conditions
  • #6 Every other industry
  • #7 -- 3 out of 4 respondents NPWF survey say it would be valuable if their dr adopted an HER Confusion: 42% of Americans don’t know if their dr uses an HER.
  • #8 ONC is working to catalyze consumer engagement through health IT… e-health : Secretary of Health, Surgeon General, US Chief Technology Officer, patients, providers, developers, payers, employers, & consumer organizations
  • #10 Hospitals: Provide >50% of discharged patients with an electronic copy of discharge instructions (core) Provide >10% of patients with timely electronic access to health information (menu) Providers: Clinical summaries to > 50% of patients after office visits (core) Patient specific educational resources to > 10% of patients via EHR (menu) 52% percent of office-based physicians intend to take advantage of EHR incentives The percentage of primary care providers who have adopted EHRs in their practice has doubled from 20% to 40% between 2009 to 2011 ONC’s Regional Extension Centers (RECs) have signed up more than 100,000 primary care providers This means that roughly one third of the nation’s primary care providers have committed to meaningfully using EHRs by partnering with their local REC. Momentum is building ! Hospital adoption has more than doubled since 2009, increasing from 16% to 35% Most (85%) of hospitals intend to attest to Meaningful Use by 2015
  • #11 September 2009 – President Obama releases Strategy for American Innovation calling on agencies to increase their ability to promote and harness innovation by using policy tools such as prizes and challenges
  • #13 Highlight healthit.gov, videos, NeHC, toolkit – shout out to Kate Talk re putting the I on health IT
  • #17 -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
  • #18 --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
  • #19 ( http://www.graydonkey.com/old-people-playing-wii/ ) --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
  • #20 --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
  • #21 (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