Presentation by Gary Langer on research on patient engagement and primary care redesign in California's safety-net clinics, produced from 2011-14 in partnership with Blue Shield of California Foundation, at the Clinic Leadership Institute, San Francisco, California, June 15, 2015.
Presentation: The Evolving Patient Journey
Presented by: Meredith Ressi, VP, Multichannel Marketing Solutions, Decision Resources Group
Healthcare communications today require an understanding of the complexity of patient decision making and how patients navigate the health system to get the care they need. What are the emerging trends in patient engagement, and how does channel reliance vary along the treatment continuum?
Safety is Personal: Partnering with Patients and Families for the Safest CareEngagingPatients
The work of NPSF"s Lucian Leape Institute's Roundtable on Consumer Engagement, "Safety Is Personal: Partnering with Patients and Families for the Safest Care" is a call to action for health leaders, clinicians, and policy makers to take the necessary steps to ensure patient and family engagement at all levels of health care.The report identifies specific action items for health leaders, clinicians, and policy makers to pursue in making patient and family engagement a core value in the provision of health. care.
National Conference on Health and Domestic Violence. Plenary talk Paul Grundy
explaining how the Patient Centered Medical Home (PCMH) platform for healthcare deliver is more likely to support domestic violence prevention and creat a safer environment than the FFS episode of care system we are in now. The medical Home is a home for the data where the all the data goes and is held accountable this idea was first articulated by Dr. Calvin C.J. Sia, a Honolulu-based pediatrician in 1967.
This concept of the medical home was integrated with Ed Wagners Chronic disease Model and Thomas Bodenheimer Kevin Grumbach advanced/proactive primary care at the request of the Patient Centered Primary care Collaborative into a set of principles Know as the Joint principles of the Patient centered medical home.
The patient-centered medical home (PCMH), is a team based health care delivery set of principles led by a physician that provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes. It is "an approach to providing comprehensive primary care for children, youth and adults" The provision PCMH medical homes allow better access to health care, increase satisfaction with care, and improve health. Joint principles that define a PCMH have been established through the cohesive efforts of the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Physicians (ACP), and American Osteopathic Association (AOA).[10] Care coordination is an essential component of the PCMH. Care coordination requires additional resources such as health information technology, and appropriately trained staff to provide coordinated care through team-based models. Additionally, payment models that compensate PCMHs for their effort devoted to care coordination activities and patient-centered care management that fall outside the face-to-face patient encounter may help encourage coordination.
Creating value through patient support programsSKIM
How do we become more patient-centered as an organization? How do we ensure the patient/caregiver experience is as optimal as possible?
These are the questions that are being poised to healthcare market researchers in today’s healthcare landscape. And typically healthcare market researchers are turning to methods like “patient journeys” and “patient personas” to help bring that patient-centered understanding to the organization. Problem is … in order to be truly patient-centered, you need to take this charge on from the inside out.
Experience, Design and Innovation departments are springing up in all kinds of healthcare organizations intent on facilitating the organizational shift towards patient-centricity. And, unfortunately, market researchers are intentionally not being invited to the table. If history repeats itself, that will soon change though. These Experience, Design and Innovation departments will need the rigor and breadth of method knowledge that market researchers have in order to succeed in the strategic agendas of their work.
This presentation will give market researcher pointers on which skills, methods and mindsets they’ll likely need to adopt if they are hoping to be perceived as a valued contributor to an Experience, Design or Innovation team. In essence, give attendees a blueprint for how to open up a whole new professional opportunity for themselves, with a simple reframe on whom they are and what they do.
Patient-centered medical homes (PCMHs) are intended to actively provide effective care by physician-led teams, Where patients take a leading role and responsibility. Objective: To determine whether the Walter Reed PCMH has reduced costs while at least maintaining if not improving access to and quality of care, and to determine
whether access, quality, and cost impacts differ by chronic condition status. Design, setting, and patients: This study
conducted a retrospective analysis using a patient-level utilization database to determine the impact of the Walter Reed PCMH on utilization and cost metrics, and a survey of enrollees in the Walter Reed PCMH to address access to care and quality of care. Outcome measures: Inpatient and outpatient utilization, per member per quarter costs, Healthcare Effectiveness Data and Information Set metrics, and composite measures for access, patient satisfaction, provider communication, and customer service are included. Results: Costs were 11% lower for those with chronic conditions compared to 7% lower for those without. Since treating patients with chronic conditions is 4 times more costly than treating patients without such conditions, the vast majority of dollar savings are attributable to chronic care.
Presentation: The Evolving Patient Journey
Presented by: Meredith Ressi, VP, Multichannel Marketing Solutions, Decision Resources Group
Healthcare communications today require an understanding of the complexity of patient decision making and how patients navigate the health system to get the care they need. What are the emerging trends in patient engagement, and how does channel reliance vary along the treatment continuum?
Safety is Personal: Partnering with Patients and Families for the Safest CareEngagingPatients
The work of NPSF"s Lucian Leape Institute's Roundtable on Consumer Engagement, "Safety Is Personal: Partnering with Patients and Families for the Safest Care" is a call to action for health leaders, clinicians, and policy makers to take the necessary steps to ensure patient and family engagement at all levels of health care.The report identifies specific action items for health leaders, clinicians, and policy makers to pursue in making patient and family engagement a core value in the provision of health. care.
National Conference on Health and Domestic Violence. Plenary talk Paul Grundy
explaining how the Patient Centered Medical Home (PCMH) platform for healthcare deliver is more likely to support domestic violence prevention and creat a safer environment than the FFS episode of care system we are in now. The medical Home is a home for the data where the all the data goes and is held accountable this idea was first articulated by Dr. Calvin C.J. Sia, a Honolulu-based pediatrician in 1967.
This concept of the medical home was integrated with Ed Wagners Chronic disease Model and Thomas Bodenheimer Kevin Grumbach advanced/proactive primary care at the request of the Patient Centered Primary care Collaborative into a set of principles Know as the Joint principles of the Patient centered medical home.
The patient-centered medical home (PCMH), is a team based health care delivery set of principles led by a physician that provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes. It is "an approach to providing comprehensive primary care for children, youth and adults" The provision PCMH medical homes allow better access to health care, increase satisfaction with care, and improve health. Joint principles that define a PCMH have been established through the cohesive efforts of the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Physicians (ACP), and American Osteopathic Association (AOA).[10] Care coordination is an essential component of the PCMH. Care coordination requires additional resources such as health information technology, and appropriately trained staff to provide coordinated care through team-based models. Additionally, payment models that compensate PCMHs for their effort devoted to care coordination activities and patient-centered care management that fall outside the face-to-face patient encounter may help encourage coordination.
Creating value through patient support programsSKIM
How do we become more patient-centered as an organization? How do we ensure the patient/caregiver experience is as optimal as possible?
These are the questions that are being poised to healthcare market researchers in today’s healthcare landscape. And typically healthcare market researchers are turning to methods like “patient journeys” and “patient personas” to help bring that patient-centered understanding to the organization. Problem is … in order to be truly patient-centered, you need to take this charge on from the inside out.
Experience, Design and Innovation departments are springing up in all kinds of healthcare organizations intent on facilitating the organizational shift towards patient-centricity. And, unfortunately, market researchers are intentionally not being invited to the table. If history repeats itself, that will soon change though. These Experience, Design and Innovation departments will need the rigor and breadth of method knowledge that market researchers have in order to succeed in the strategic agendas of their work.
This presentation will give market researcher pointers on which skills, methods and mindsets they’ll likely need to adopt if they are hoping to be perceived as a valued contributor to an Experience, Design or Innovation team. In essence, give attendees a blueprint for how to open up a whole new professional opportunity for themselves, with a simple reframe on whom they are and what they do.
Patient-centered medical homes (PCMHs) are intended to actively provide effective care by physician-led teams, Where patients take a leading role and responsibility. Objective: To determine whether the Walter Reed PCMH has reduced costs while at least maintaining if not improving access to and quality of care, and to determine
whether access, quality, and cost impacts differ by chronic condition status. Design, setting, and patients: This study
conducted a retrospective analysis using a patient-level utilization database to determine the impact of the Walter Reed PCMH on utilization and cost metrics, and a survey of enrollees in the Walter Reed PCMH to address access to care and quality of care. Outcome measures: Inpatient and outpatient utilization, per member per quarter costs, Healthcare Effectiveness Data and Information Set metrics, and composite measures for access, patient satisfaction, provider communication, and customer service are included. Results: Costs were 11% lower for those with chronic conditions compared to 7% lower for those without. Since treating patients with chronic conditions is 4 times more costly than treating patients without such conditions, the vast majority of dollar savings are attributable to chronic care.
The Patient-Centered Medical Home in the Transformation From Healthcare to He...Paul Grundy
Surgeon General of the Navy VADM Matthew L. Nathan, MC USN
Fortunately, we have a way to address this crisis—the
Patient-Centered Medical Home (PCMH) model launched at Naval Hospital Pensacola and Walter Reed National Military Medical Center, Bethesda, Maryland (formerly the National Naval Medical Center) in 2008. It is now being implemented throughout the Military Health System (MHS) and carries great promise. It provides the clinical framework we need to meet our strategic objectives in terms of quality of care, impact on costs, population health, and readiness. One of the most significant benefits of the team-based, collaborative approach is that it allows us to embed within a primary care environment the psychologists, nutritionists, tobacco cessation specialists, mind-body medicine therapists, and health educators our patients need in order to develop and maintain mindful, healthy behaviors—along with the “mental armor,” our active duty military personnel need to increase their operational effectiveness and their resiliency in bouncing back from stressful situations. As we move ahead with this more comprehensive approach to health, we can begin to better address so many of our patients for whom we can find no specific reason for pain and discomfort. The PCMH model also provides a positive impact on our costs. Early data reporting from the PCMH clinics at Bethesda show reduced visits to the emergency room, lowered pharmacy costs, and significant per beneficiary per year savings and improved Healthcare Effectiveness Data and Information Set metrics, access, and patient satisfaction and trust. These positive impacts on the bottom line can be applied directly to improved costs or toward the reallocation of resources from reimbursing those who are sick to the population health-based programs that can make and keep our patients healthy.More significant, however, the PCMH environment allows us to go beyond mere collaboration and to a much more proactive approach to managing our patient populations. It is within the context of the medical home that we can begin to surround our patients with the tools and resources they need to move them from health care to health.
The Agile Approach to Patient Journey Marketing Carl Olsen
Patient journeys are one of the hottest topics in health care marketing and with good reason. They can achieve excellent results by directing engagement tactics to where an individual consumer is on the decision-making continuum for elective health care services. By segmenting consumers along the journey, health systems The Agile Approach to Patient Journey Marketing can attain increased utilization, enhanced patient satisfaction and heightened loyalty.
Within the first three months, 479 visitors responded to the one ad UC Health ran on Facebook. Twenty-five percent of visitors signed up for a seminar, took the quiz or downloaded documents from the microsite; and those 120 prospects provided a name, email address and other information that could be used in future consumer engagement initiatives. Seminar registrations increased 4 percent, and the conversion rate for surgery nearly doubled by month three.
Presented at the 2015 IHI International Forum byThe Royal Melbourne Hospital of Victoria,Australia, this poster,speaks to the power of Shadowing to engage patients and families in decisions of care, specifically the post-discharge planning process.
Patient engagement isn’t just a buzz word, it is becoming one of the key factors in independent practice success. It can help you recruit new patients, retain existing patients, and access increased reimbursement as the industry shifts to value-based payment programs.
Patient engagement and practice marketing expert John Kim and practicing physician Molly Maloof will show you how you can improve patient engagement in your practice and see a return on your investment.
What do MDs think about patient engagement? What's the gap between today's healthcare marketplace and the marketplace of the future? What is pathway to patient engagement?
Join us for our 4-part webinar series with the latest real time market intelligence on patient engagement.
AcademyHealth Engagement, Empowerment, Enhancement: The Role of Consumers in ...Whitney Bowman-Zatzkin
2:45pm-4:15pm
Engagement, Empowerment, Enhancement: The Role of Consumers in Health Care and Advocacy
Moderator: Whitney Bowman-Zatzkin, Flip the Clinic
Strategies and Tactics for Achieving Meaningful Consumer Engagement
Claire Brindis, Director, Institute for Health Policy Studies
Speakers:
Tom Workman, American Institutes for Research (AIR)
Amanda Otero, Health Care Organizer, TakeAction Minnesota
BRP Pharmaceuticals is a leader in physician dispensing services that provides instant medication to patients located in Burbank, CA. Visit: http://www.brppharma.com/
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
Effective integration of specialty practices into medical neighborhoods is likely to require several important environmental precursors. First, a sound infrastructure
design can connect PCMHs to the spectrum of surrounding
specialty practices. An aligned information architecture
will be vital to adequate patient access, care coordination, and communication. Second, a patient centered
neighborhood will rely on an organizational culture that
supports shared learning and transparency of performance and cost data among participating practices. Third, payment incentives will have to be aligned around shared accountability for outcome and cost. Responsibility
for outcomes and total cost of care will have to rest not only with primary care clinicians, but also with specialists who perform(often expensive) procedures and specialty services.The launch of the NCQA’s PCSP recognition program is a sign of a new phase of delivery system reform
Leveraging Patient Support Programs in Biologic-Biosimilar Competitive LandscapeAlex Xiaoguang Zhu
Biologics are facing intense competition from biosimilars. In this competitive landscape, strategic levers for both branded biologics and biosimilars typically include payor strategy, promotion and new formulation. As patients become more engaged and patient-centricity is on the rise, there is an increased opportunity to leverage patient support programs as additional strategic lever. This presentation will cover five key learnings that we have uncovered while conducting multi-phase patient support program research for both branded biologics and biosimilars.
Slide Presentation from the July 9, 2013 webinar to present results of a survey of patients and clinicians assessing views on comparative effective research (CER) and engagement in research.
The Patient-Centered Medical Home in the Transformation From Healthcare to He...Paul Grundy
Surgeon General of the Navy VADM Matthew L. Nathan, MC USN
Fortunately, we have a way to address this crisis—the
Patient-Centered Medical Home (PCMH) model launched at Naval Hospital Pensacola and Walter Reed National Military Medical Center, Bethesda, Maryland (formerly the National Naval Medical Center) in 2008. It is now being implemented throughout the Military Health System (MHS) and carries great promise. It provides the clinical framework we need to meet our strategic objectives in terms of quality of care, impact on costs, population health, and readiness. One of the most significant benefits of the team-based, collaborative approach is that it allows us to embed within a primary care environment the psychologists, nutritionists, tobacco cessation specialists, mind-body medicine therapists, and health educators our patients need in order to develop and maintain mindful, healthy behaviors—along with the “mental armor,” our active duty military personnel need to increase their operational effectiveness and their resiliency in bouncing back from stressful situations. As we move ahead with this more comprehensive approach to health, we can begin to better address so many of our patients for whom we can find no specific reason for pain and discomfort. The PCMH model also provides a positive impact on our costs. Early data reporting from the PCMH clinics at Bethesda show reduced visits to the emergency room, lowered pharmacy costs, and significant per beneficiary per year savings and improved Healthcare Effectiveness Data and Information Set metrics, access, and patient satisfaction and trust. These positive impacts on the bottom line can be applied directly to improved costs or toward the reallocation of resources from reimbursing those who are sick to the population health-based programs that can make and keep our patients healthy.More significant, however, the PCMH environment allows us to go beyond mere collaboration and to a much more proactive approach to managing our patient populations. It is within the context of the medical home that we can begin to surround our patients with the tools and resources they need to move them from health care to health.
The Agile Approach to Patient Journey Marketing Carl Olsen
Patient journeys are one of the hottest topics in health care marketing and with good reason. They can achieve excellent results by directing engagement tactics to where an individual consumer is on the decision-making continuum for elective health care services. By segmenting consumers along the journey, health systems The Agile Approach to Patient Journey Marketing can attain increased utilization, enhanced patient satisfaction and heightened loyalty.
Within the first three months, 479 visitors responded to the one ad UC Health ran on Facebook. Twenty-five percent of visitors signed up for a seminar, took the quiz or downloaded documents from the microsite; and those 120 prospects provided a name, email address and other information that could be used in future consumer engagement initiatives. Seminar registrations increased 4 percent, and the conversion rate for surgery nearly doubled by month three.
Presented at the 2015 IHI International Forum byThe Royal Melbourne Hospital of Victoria,Australia, this poster,speaks to the power of Shadowing to engage patients and families in decisions of care, specifically the post-discharge planning process.
Patient engagement isn’t just a buzz word, it is becoming one of the key factors in independent practice success. It can help you recruit new patients, retain existing patients, and access increased reimbursement as the industry shifts to value-based payment programs.
Patient engagement and practice marketing expert John Kim and practicing physician Molly Maloof will show you how you can improve patient engagement in your practice and see a return on your investment.
What do MDs think about patient engagement? What's the gap between today's healthcare marketplace and the marketplace of the future? What is pathway to patient engagement?
Join us for our 4-part webinar series with the latest real time market intelligence on patient engagement.
AcademyHealth Engagement, Empowerment, Enhancement: The Role of Consumers in ...Whitney Bowman-Zatzkin
2:45pm-4:15pm
Engagement, Empowerment, Enhancement: The Role of Consumers in Health Care and Advocacy
Moderator: Whitney Bowman-Zatzkin, Flip the Clinic
Strategies and Tactics for Achieving Meaningful Consumer Engagement
Claire Brindis, Director, Institute for Health Policy Studies
Speakers:
Tom Workman, American Institutes for Research (AIR)
Amanda Otero, Health Care Organizer, TakeAction Minnesota
BRP Pharmaceuticals is a leader in physician dispensing services that provides instant medication to patients located in Burbank, CA. Visit: http://www.brppharma.com/
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
Effective integration of specialty practices into medical neighborhoods is likely to require several important environmental precursors. First, a sound infrastructure
design can connect PCMHs to the spectrum of surrounding
specialty practices. An aligned information architecture
will be vital to adequate patient access, care coordination, and communication. Second, a patient centered
neighborhood will rely on an organizational culture that
supports shared learning and transparency of performance and cost data among participating practices. Third, payment incentives will have to be aligned around shared accountability for outcome and cost. Responsibility
for outcomes and total cost of care will have to rest not only with primary care clinicians, but also with specialists who perform(often expensive) procedures and specialty services.The launch of the NCQA’s PCSP recognition program is a sign of a new phase of delivery system reform
Leveraging Patient Support Programs in Biologic-Biosimilar Competitive LandscapeAlex Xiaoguang Zhu
Biologics are facing intense competition from biosimilars. In this competitive landscape, strategic levers for both branded biologics and biosimilars typically include payor strategy, promotion and new formulation. As patients become more engaged and patient-centricity is on the rise, there is an increased opportunity to leverage patient support programs as additional strategic lever. This presentation will cover five key learnings that we have uncovered while conducting multi-phase patient support program research for both branded biologics and biosimilars.
Slide Presentation from the July 9, 2013 webinar to present results of a survey of patients and clinicians assessing views on comparative effective research (CER) and engagement in research.
INFOGRAPHIC: What Patients Value in the United StatesVision Critical
As the US healthcare industry moves from a volume-based to a value-based care model, collaboration with patients is necessary in understanding their values and ensuring satisfaction.
Voice of the Empowered Patient: An Analysis of the Inspire Annual SurveyInspire
Inspire teamed with the trade organization Biotechnology Industry Organization for the seminar, “Connecting With the Empowered Patient in the Digital Age,” held Feb. 2015 at BIO headquarters in Washington, DC. The event brought together leaders from the patient advocacy community and life sciences industry to discuss how social media can be utilized to empower patients and engage advocates.
Inspire's Research Director Dave Taylor led the session, "Voice of the Empowered Patient: An Analysis of the Inspire Annual Survey."
Support Without Borders: The Ovarian Cancer Online CommunityInspire
Inspire CEO Brian Loew presents online research data to the national conference of the Ovarian Cancer Research Fund Alliance (OCRFA), an Inspire partner. The conference session took place July 10, 2016, in Washington, DC.
Julie Phelan, Gregory Holyk, Gary Langer, Eran Ben-Porath and David Dutwin's AAPOR 2012 presentation "Sampling Low-Income Californians to Assess Their Healthcare Preferences"
The patient-provider relationship has changed. Welcome to the new era.Aida Sarkissian
The doctor is no longer the "captain of the ship" rather he/she plays the role of the "expert advisor" and "navigator?". The traditional role of a doctor dominating the relationship with the patient is outdated. In this presentation we will explore the provider-patient relationship that has shifted from medical paternalism to the empowered patient. We will discover the dynamics and the challenging nature of an engaged, empowered, more health literate yet impatient patient that demands an equal partner role in the decision-making process. How can a health practitioner meet the rising expectations of a patient that seeks immediate gratification, transparency and a hustle-free, personalised experience? How can a provider successfully meet the patient’s will to get added value, as he/she is used to receive by other sectors such as technology, retail and banking?
From Patients to ePatients Driving a new paradigm for online clinical collabo...ddbennett
CareTech eHealth Innovation Series
From Patients to ePatients Driving a new paradigm for online clinical collaboration and health management
David Bennett, SVP, Interactive Solutions
StayWell Custom Communications
Anthony Chipelo, Director, Portal Strategies
CareTech Solutions
Healthcare is undergoing a transformation. Consumers want to make informed choices and take control of their lives, and pharma companies must be ready to meet their needs. This means building a new healthcare ecosystem that places the patient at its center, with the “person” fully engaged in his or her own healthcare. But with this move to person-centric healthcare, payers and providers are no longer the main decision makers.
So what does this mean for today’s marketers?
In this exclusive Social On Us webinar we discuss:
- Where marketing is failing to address healthcare concerns
- How “big data” is a change-driver for a new healthcare ecosystem
- New opportunities for predictive and preventative medical intervention
- Impact of digital healthcare on patient privacy
We share several critical data in this presentation to make the case that women have now transformed the healthcare decision making landscape – they are not just family decision makers, but influencers of broader communities. Here’s what healthcare marketers need to know.
At the end of the session patient/family champions as well as health authorities will understand different approaches to patient engagement in patient safety and quality committees (e.g. dealing with incident reporting, root cause analysis, developing policies and procedures) and how patient engagement impacted patient safety and quality outcomes. The participants and presenters are invited to present examples, tools, and leading practices so the participants will leave with at least one practical idea to implement.
Patient Engagement Strategies for Post COVID Success - Chris Nicholson | mPul...VSee
For more info: visit https://bit.ly/2TijLrV
Google gets over one billion health-related searches a day. Now is the time to leverage patients’ growing expectations for telehealth options to engage more deeply with them. Join our guest CEO of mPulse Mobile, Chris Nicholson and learn about effective patient engagement strategies you can put in place to create highly personalized healthcare experiences that drive patient outcomes--especially for the elderly and underserved populations.
Provided to you by: https://vsee.com
The Future of Healthcare in Consumerism WorldCitiusTech
The main aim of this document is to provide an overview of healthcare consumerism, its growth drivers and challenges / barriers providers and payers face while adopting it. The document provides insights on how providers and payers can tackle the rising wave of consumerism in healthcare industry. The document also provides some real-life examples on market trends which emphasize the need to brace consumerism in healthcare
Correlations: Bloomberg CCI and Other IndicatorsLangerResearch
The Bloomberg ® Consumer Comfort Index ™ is a 32-year-old weekly random-sample survey of Americans’ economic attitudes. More frequent than other leading consumer measures and highly correlated on a leading basis with key economic variables, the CCI is invaluable in modeling for economists, econometricians, traders and retailers, and as a precise summary of economic attitudes for political and public policy researchers.
The 2016 Election - How and why it's President TrumpLangerResearch
Presented at AAPOR 2017 by Sofi Sinozich, Research Analyst at Langer Research Associates, and Gregory Holyk, Senior Research Analyst at Langer Research Associates
Impact Assessment: Bangladesh Leadership Development ProgramLangerResearch
Presented at the annual conference of the World Association for Public Opinion Research, Austin, TX, May 11, 2016
Nurhan Kocaoglu, Zahra Lutfeali – Counterpart International
Julie E. Phelan, Gary Langer, Gregory G. Holyk – Langer Research Associates
Matthew Warshaw – D3 Systems Inc.
The 2016 Elections: Exit Polls and TrumpismoLangerResearch
Presented at the annual meeting of the American Association for Public Opinion Research, Austin, TX, May 14, 2015
Gary Langer, Chad Kiewet de Jonge and Gregory Holyk
Langer Research Associates
Attitudes on Climate Change: Expressed Belief and Preference x PriorityLangerResearch
Presented at the annual meeting of the American Association for Public Opinion Research, Austin, TX, May 15, 2016.
Gary Langer, president
Langer Research Associates
Presented at the annual meeting of the American Association for Public Opinion Research, Austin, TX, May 13, 2016
David Cloud, Kristen Knutson - National Sleep Foundation
Julie E. Phelan, Gary Langer - Langer Research Associates
Afghanistan: After the Election. Produced by the Afghan Center for Socio-economic and Opinion Research with D3 Systems and Langer Research Associates. Presented by Gregory H. Holyk at the annual meeting of the American Association for Public Opinion Research, May 16, 2015, in Hollywood, Florida.
Analysis of ABC News/Washington Post poll results on the 2014 midterm elections and a look ahead to 2016. Produced for ABC News by Langer Research Associates and presented by Gary Langer at the annual meeting of the American Association for Public Opinion Research, May 15, 2015, in Hollywood, Florida.
Opportunity Survey: Understanding the Roots of Attitudes on Inequality. Produced for the Opportunity Agenda by Langer Research Associates and presented by Gary Langer at the annual meeting of the American Association for Public Opinion Research, May 15, 2015, in Hollywood, Florida.
Presentation at the Pakistan Afghanistan Federation Forum, U.S. Pentagon, June 6, 2014, by Gary Langer, Langer Research Associates, and Matthew Warshaw, D3 Systems/ACSOR, on D3's Afghan Futures public opinion polling on the Afghan presidential election.
This presentation by Morris Kleiner (University of Minnesota), was made during the discussion “Competition and Regulation in Professions and Occupations” held at the Working Party No. 2 on Competition and Regulation on 10 June 2024. More papers and presentations on the topic can be found out at oe.cd/crps.
This presentation was uploaded with the author’s consent.
Have you ever wondered how search works while visiting an e-commerce site, internal website, or searching through other types of online resources? Look no further than this informative session on the ways that taxonomies help end-users navigate the internet! Hear from taxonomists and other information professionals who have first-hand experience creating and working with taxonomies that aid in navigation, search, and discovery across a range of disciplines.
This presentation, created by Syed Faiz ul Hassan, explores the profound influence of media on public perception and behavior. It delves into the evolution of media from oral traditions to modern digital and social media platforms. Key topics include the role of media in information propagation, socialization, crisis awareness, globalization, and education. The presentation also examines media influence through agenda setting, propaganda, and manipulative techniques used by advertisers and marketers. Furthermore, it highlights the impact of surveillance enabled by media technologies on personal behavior and preferences. Through this comprehensive overview, the presentation aims to shed light on how media shapes collective consciousness and public opinion.
Sharpen existing tools or get a new toolbox? Contemporary cluster initiatives...Orkestra
UIIN Conference, Madrid, 27-29 May 2024
James Wilson, Orkestra and Deusto Business School
Emily Wise, Lund University
Madeline Smith, The Glasgow School of Art
Acorn Recovery: Restore IT infra within minutesIP ServerOne
Introducing Acorn Recovery as a Service, a simple, fast, and secure managed disaster recovery (DRaaS) by IP ServerOne. A DR solution that helps restore your IT infra within minutes.
0x01 - Newton's Third Law: Static vs. Dynamic AbusersOWASP Beja
f you offer a service on the web, odds are that someone will abuse it. Be it an API, a SaaS, a PaaS, or even a static website, someone somewhere will try to figure out a way to use it to their own needs. In this talk we'll compare measures that are effective against static attackers and how to battle a dynamic attacker who adapts to your counter-measures.
About the Speaker
===============
Diogo Sousa, Engineering Manager @ Canonical
An opinionated individual with an interest in cryptography and its intersection with secure software development.
2. blueshieldcafoundation.org
a question to start…
who’s offering – or developing…
page 2
team-based care?
healthcare navigators?
training in effective communication?
e-mail or text communication?
behavioral health services?
patient portals?
decision aids?
4. blueshieldcafoundation.org
bscf surveys, 2011-2014: overview
page 4
research aims:
• help safety-net facilities navigate changes brought about by
the ACA
• measure patient engagement, satisfaction and loyalty; identify
paths to enhance these outcomes via primary care redesign
• establish a baseline (2011) and repeat assessment (2014) of
low-income patients’ healthcare experiences to track change
measured via:
• annual statewide random-sample surveys of low-income
californians below 200% of the federal poverty line; rigorous
methodology
• sample higher-income residents for comparison (2013, 2014)
8. blueshieldcafoundation.org
“good” care is not good enough
page 8
% interested in change
if care is not so good or poor 74%
if care is good 68%
if care is excellent or very good 45%
9. blueshieldcafoundation.orgpage 9
positive ratings of patient experience
all all clinics CCHCs
kaiser/priv.
doc.
cleanliness of facility 59% 52% 54% 69%
courtesy of staff 58% 49% 55% 67%
people ‘like you’ welcome there 56% 48% 57% 66%
communication with doctor 55% 50% 58% 64%
convenience 54% 49% 48% 63%
understanding of your medical history 50% 40% 46% 62%
involvement in decisions 49% 41% 49% 61%
amount of time doctor spends with you 48% 43% 51% 59%
ability to see the same doctor 45% 36% 44% 62%
timely appointments 44% 37% 37% 57%
affordability 41% 40% 48% 41%
availability of continuing care 39% 33% 41% 48%
ability to see a specialist 38% 30% 42% 50%
time spent in the waiting room 31% 23% 33% 44%
availability on nights/weekends 20% 17% 19% 21%
average ex/vg ratings on these items:
overall = 46%
all clinics = 39%
CCHCs = 45%
kaiser permanente/priv. doc.= 56%
10. blueshieldcafoundation.orgpage 10
top predictors of satisfaction w/care
among low-income californians
five critical factors:
• courtesy of staff
• patient involvement in medical decisions
• cleanliness of facility
• amount of time provider spends with the patient
• holding your personal doctor in high regard
12. blueshieldcafoundation.org
next-step research questions
page 12
a) many low-income patients are reluctant to have a
strong say in their care. what would make them feel
more empowered to take an active role?
b) what factors drive strong patient-provider
relationships, given their clear role in patient satisfaction
and loyalty?
13. blueshieldcafoundation.org
what we learned (a)
• patients’ willingness to be involved in their care
soars when they’re assured of decision support
(i.e., clear information about treatment options)
page 13
question: is it your preference to leave decisions about
your health care mostly up to the doctor or nurse, or
would you prefer to have an equal say with the doctor
or nurse in decisions about your health care?
14. blueshieldcafoundation.orgpage 14
healthcare decision making
59%
81%
39%
17%
initially if clear information about
treatment options is provided
% who want an equal say in care decisions
% who prefer to leave decisions to their care provider
16. blueshieldcafoundation.org
what we learned (b)
page 16
• most critically, when patients say that they want a
regular personal doctor they mean that they
want connectedness and continuity
…. these build confidence and promote
empowerment, which powerfully predicts
patient engagement, satisfaction and loyalty
…and when connectedness and continunity are
present, having a regular personal doctor drops
out of the equation
17. blueshieldcafoundation.org
the keys to patient centeredness
page 17
connectedness
a sense that someone at your healthcare facility knows you well;
successful patient-provider relationships
trust, communication and collaboration between patients and
providers
continuity
seeing the same care providers over time;
produce: empowerment,
patients’ information, comfort, comprehension and confidence
satisfaction and loyalty
engagement,
the extent to which patients take a role in their care
18. blueshieldcafoundation.orgpage 18
impact of connectedness & continuity
personal
connection?
see same provider
most/all the time?
yes no yes no
satisfied with care 65% 38% 59% 33%
very informed about care 64% 37% 56% 35%
very comfortable asking Qs 73% 54% 70% 48%
always understand provider 56% 37% 53% 33%
very confident in decisions 62% 52% 59% 51%
great deal of say in care 45% 34% 42% 32%
19. blueshieldcafoundation.org
a model of patient engagement
page 19
controlling for other factors, connectedness and
continuity predict empowerment (feeling well-
informed, being comfortable asking questions,
understanding answers and being confident in one’s
ability to make healthcare decisions)
information is key – it also independently predicts
comfort, understanding and confidence
each of the empowerment measures predicts
engagement - taking an active role in healthcare
decisions – a central goal of patient-centered care
20. blueshieldcafoundation.org
confident you can make healthcare
decisions
provider usually explains things in
a way you understand
comfortable asking
provider questions
feel informed about your health
the route to engagement
2012 BSCF survey of low-income Californians
page 20
connectedness
continuity
engagement
empowerment:
21. blueshieldcafoundation.orgpage 21
48%
35%
have someone who knows you well
among those who have team-
based care
among those who do not have
team-based care
getting there: one promising path
connectedness can be achieved through alternative models
51% 51%
32%
have someone who knows you well
private doctors' office patients overall
clinic patients with team-based care
clinic patients who lack team-based care
in part because it establishes the connectedness they seek,
patients with team-based care are more likely to feel very
informed about their health, to understand providers’
explanations and to be satisfied with their care overall.
23. blueshieldcafoundation.org
health information, sources and trust
• information and communication drive a virtuous cycle that
produces stronger patient-provider relationships and an
empowered, engaged and satisfied patient population
• a broad gap exists between the information patients have
and what they desire to make good medical decisions
• fewer than half currently rely on doctors as their top source
of health information; as many rely on media sources
• feeling very informed peaks among patients who have
team care, healthcare navigators, e-mail and text
opportunities, patient portals and decision aids, as well as
caregivers who communicate effectively
page 23
25. blueshieldcafoundation.org
the power of relationships
virtually every key outcome is predicted by the quality of
patient-provider relationships: satisfaction with care, trust
in medical professionals, confidence, empowerment
and engagement
page 25
• top predictors of positive patient-provider relationships:
• feeling informed about one’s health
• having care providers who encourage an active role
• having as much of a say in health decisions as desired
• connectedness
• using alternative care strategies and tools
26. blueshieldcafoundation.org
leveling the playing field
page 26
higher-
income
patients
low-income patients
strong
patient-
provider
relationship
weaker
patient-
provider
relationship
satisfied with quality of care 69% 53% 21%
confident in decision making 68% 65% 39%
have as much say as desired 61% 53% 28%
very informed about health 55% 49% 10%
27. blueshieldcafoundation.org
decision support activities
page 27
(among low-income Californians who’ve faced a major medical
decision in the past 12 months)
listened to your preferences and concerns
asked about goals
discussed multiple options
referred you to more information
discussed taking no action
described risks of options
described benefits of options
gave time to consider options
discussed options vs. goals
29. blueshieldcafoundation.orgpage 29
how decision support impacts
patient engagement & satisfaction
38% 41%
75% 76%
% very involved in the decision-
making process
% very satisfied with the
decision-making process
fewer than five five or more
# of support activities:
31. blueshieldcafoundation.org
clear strides
page 31
• low-income patients’ ratings of the quality of their care
overall, specific aspects of their facilities’ services and their
communication with their providers all have improved
• critically, connectedness and continuity are up – the
precursors of engagement, satisfaction and loyalty
• gains have occurred among newly ACA-covered patients
and the previously insured alike
• latinos’ care experiences have improved in particular,
helping to eliminate their previous shortfall in overall
satisfaction
32. blueshieldcafoundation.org
significant advances in satisfaction
page 32
48%
59%
31%
44%
41%
38%
53%
66%
38%
50%
47%
44%
overall cleanliness waiting times availability
of appts
care for
family
availability
of specialists
2011 2014
+5 points in overall satisfaction = an additional 400,000 low-income
californians who are highly satisfied with the quality of their care
33. blueshieldcafoundation.org
advances among clinic patients
page 33
49%
23%
48%
36% 37% 36%
62%
34%
58%
46% 46% 45%
courtesy wait times feeling
welcome
family care availability of
appts
see same
provider
2011 2014
others:
cleanliness +8
continuing care +7
affordability +7
sig. gains in 9 of 15 items tested
34. blueshieldcafoundation.orgpage 34
31%
47%
35%
44%
60%
44%
connectedness continuity have a personal doctor
2011 2014
connectedness & continuity
among clinic patients
providers’ communication +12
time spent with provider +8
connectedness among CCHC patients +17
among other clinic patients +10
connectedness if newly ACA-insured +17
connectedness if previously insured +10
35. blueshieldcafoundation.org
unfinished work
page 35
• some advances are modest in size, and they’re not
consistent across all facility types and patient groups
• loyalty has not yet improved, suggesting that deeper
and longer-term improvements are needed
• patient experiences and satisfaction continue to lag
among low-income patients compared with their
higher-income counterparts
• latinos still trail whites in the key areas of
connectedness and continuity of care
38. blueshieldcafoundation.org
the impact of ibh services
page 38
% rating their quality of care as excellent or very good
47%
42%
60%
62%
substance abuse
services
behavioral health
counselor
service available not
42. blueshieldcafoundation.org
things safety-net providers can do
page 42
• watch the basics; cleanliness and courtesy matter
• enhance connectedness and continuity, e.g., via
team-based care and healthcare navigators
• train providers to better communicate with their
patients – listening as well as providing clear guidance
with options
• increase communication options (e.g., web, e-mail or
text-based)
• provide the range of services patients desire
• develop new ways to empower and engage patients
in their care and support their decision making
43. blueshieldcafoundation.orgpage 43
and why
• patients who have a personal connection with their place of care
are more likely to feel informed, to be comfortable asking their
providers questions, to understand their providers and to be
confident in their ability to make decisions
• continuity encourages the free flow of information and patient
understanding, as well as comfort and confidence
• even in the absence of connectedness and continuity, comfort,
understanding and confidence can be improved by providing
patients with relevant, easy-to-understand information
• alternative care models (team care, health coach) and
technology can increase connectedness and continuity and
foster engagement and satisfaction as effectively and more
efficiently than the traditional patient-provider model