SlideShare a Scribd company logo
Building Meaningful & Satisfying
Care Experience
for Patients & Providers
in Telehealth
Yosuke Chikamoto, PhD, CPXP
Principal & Consultant
Caring Accent
Healthcare Communications
& Innovations
Telehealth Secret 2018
-New Revenue Models, Happy Doctors-
! 🤕
Clinician-Patient Communication
! 🤕
Clinician-Patient Communication
Patient Experience/Satisfaction
Patient Engagement
Health Outcomes
! 🤕
Clinician-Patient Communication
Patient Experience/Satisfaction
Patient Engagement
Health OutcomesFor Patients’ Benefits
! 🤕
Clinician-Patient Communication
Patient Experience/Satisfaction
Patient Engagement
Health Outcomes
Practice Efficiency
For Patients’ Benefits
! 🤕
Clinician-Patient Communication
Patient Experience/Satisfaction
Patient Engagement
Health Outcomes
Practice Efficiency
For Patients’ Benefits
Physician Experience/Satisfaction
Patient Experience
Patient Satisfaction
Provider Experience
Provider Satisfaction
Care Experience
!🤕
#
Certain communication strategies become useful in ensuring
meaningful Care Experience when…
#
Certain communication strategies become useful in ensuring
meaningful Care Experience when…
🤕
?
??
CG-CAHPS
Could telehealth do things
that we already do well in in-person visits?
Could telehealth provide solutions
for our challenges in in-person visits?
I listen. But some of my patients seem to disagree…
$
⏱18-23 seconds
Beckman H, Frankel R. Ann Intern Med 1984;101:692-6.
Marvel MK, Epstein RM, Flowers K, Beckman HB. JAMA 1999;281(3):283-7.
⏱18-23 seconds
Beckman H, Frankel R. Ann Intern Med 1984;101:692-6.
Marvel MK, Epstein RM, Flowers K, Beckman HB. JAMA 1999;281(3):283-7.
🚪39%
Rodondi P, Maillefer J, Suardi M, Rodondi N, Cornuz
J, Vannotti M. Gen Intern Med 2009;24(6):739-41.
😀😀😀😀 😞
Request
Met Met Met Met Not Met
Kravitz RL, Callahan EJ, Paternini D, Antonius D, Dunham M, Lewis CE. 1996;125(9):730-7.
Bell RA, Kravitz RL, Thom D, Krupat E, Azari R. J Ten Intern Med 2002; 17(11):817-24.
😀😀😀😀 😞
😀😀😀😀😀
😀😀😀😀 😞Never had a chance
to mention
Making Providers Listening “Visible”
• Repeat/Rephrase/Summarize
• And what else? (AWE question)
• Count
! 🤕
Main Concerns
• —-
• —-
• —-
! 🤕
Main Concerns
• —-
• —-
• —-
Making Providers Listening “Visible”
! 🤕
Main Concerns
• —-
• —-
• —-
Requests
• —-
• -—
• —-
Making Providers Listening “Visible”
I want to engage my patients in their treatment.
But they seem passive.
$
Eating
Exercise Stress
Alcohol
!
Where is your pain?
What type of pain?
When did it start?
Getting better or worse?
…..
I know I need to show empathy, but…
$
Physicians down-regulate their
pain empathy response
😧
😐💉
Decety J, Yang CY, Cheng Y. Neuroimage. 2010;50(4):1676-82.
Visual Data
Audial Data
!🤕
Computer Icon made by freepik from www.flaticon.com
When there is empathy between two
people, their physiological tracers match
up in concordance
Visual Data
Audial Data
!🤕
Computer Icon made by freepik from www.flaticon.com
Wrestling?
Dancing?
“I have a dream that one day telehealth …..”
Healthcare Communications
& Innovations
Thank you very much!
What questions do you have?
Any inquiries, please contact
Yosuke Chikamoto, PhD, CPXP
ychikamoto@caringaccent.com

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