The Mercy Freedom Program was established as a patient-centered, hospital-based community program focused on prevention and using financial incentives to motivate patients to comply with clinical preventive care standards. The program empowers patients to actively participate in their health, generates individualized disease prevention plans, and provides discounted prescriptions as incentives for compliance. A software system was developed to automatically generate patient reminders and track prevention metrics. The program saw improved health outcomes and reduced costs for patients, physicians, and the hospital.

1. Prevention Pays Mercy Hospital’s experience with a community based, patient centric, clinical prevention program The Mercy Freedom Program

2. I think clinical prevention programs work?

3. The Mercy Freedom Program was established as a patient centric, hospital based community program focused on prevention and utilizing financial incentives to motive patients to comply with nationally recognized clinical preventive care standards. Preventive Care Disease Case Management Clinical Care Patient

10. Disease states as defined by the US Preventive Services Task Force Hypertension Elevated Blood Cholesterol CVD (Primary Prevention) Osteoporosis Arthritis Chronic Renal Failure (CRF) Thyroid Disease Glaucoma Congestive Heart Failure (CHF) Depression Asthma/Stable COPD CVD/Transient Ischemic Attacks (TIA) Diabetes (DM) CVD (Secondary Prevention Atrial Fibrillation (AF)

12. How to get patients motivated to do clinical prevention

13. Theory: Clinical prevention programs work by offering financial incentives Time in months, (longevity of a user) Number of patients Cash Third Party Payor (insurance coverage and/or Part D)

20. Is there enough time for physicians to motivate and educate patient on prevention?

21. Clinical prevention program works by giving financial incentives Time in months, (longevity of a user) Number of patients Cash Third Party Payor (insurance coverage and/or Part D)

22. * Cohort is the population of patients who joined the program within the quarter

23. The average % of enrolled patients who survived categorized by morbidity status

29. Weighing time and money