How PAMF has achieved significant patient engagement with My Health Online. Over 72% of the active adult patients at PAMF use My Health Online, our implementation of Epic's MyChart.
2. • Affiliate of Sutter Health
• Palo Alto Foundation Medical
Group (PAFMG)
• 9th largest medical group in
the United States
• 750, 000 patients annually
• 92 locations in N. California
• Live with an electronic health
record since 1999
• Launched personal health record
in 2001
3. It is about people and their families,
NOT the app or technology
17. Stats
• 72% of active PAMF adult patients are
enrolled in My Health Online
• We have ~92% turn around time of messages
to patients within 1 business day
• Average turn around time is 2.5 hours
• Nationally, we have 19% of the downloads of
Epic’s MyChart for the iPhone
18.
19. • Personalized
outreach
messages to
patients based
on HM
• Orders placed in
Epic
20. 50.00%
45.00%
40.00%
35.00%
30.00%
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
0 1 2 3 4 5 6 7 8 9 10
Personalized message:
• 20% higher adherence to lab reminders vs. non online patients
• 3x improvement for mammograms & pap smears
25. Ans/Read
100%
80%
60%
Ans/Rea
d
40%
20%
0%
Currently 80% of questionnaires
are answered
Jan-10 Jan-11 Jan-12
Parental My Health Online
enrollment doubled
26. I appreciated being able to answer the questions at home; this
was much easier than trying to balance a clipboard on my
lap, rushing to answer the questions before my name was
called, all while keeping a curious toddler occupied in the
waiting room.
The questionnaire is just another example of PAMF's dedication
to streamlining procedures and putting systems in place that
help both the patient and the caregivers. I am so thankful that
27. PAMF linkAges™ - a
dynamic, integrated system
to support Successful Aging
Resource Matching
Signal Detection Senior Profile Find and connect with resources
Identify, mitigate and manage Capture my needs in the community that can help
risks to my physical and social preferences and manage risks to my physical and
health that could compromise context in order to social health so I can continue to
my ability to live safely in my personalize my aging live safely in my home
home in place experience
Microcommunities
Find and connect with other people in the
community with whom I can exchange
services and support that help me remain
independent in my home, stay socially-
engaged, and maintain a sense of
purpose and value as I age
May 3, 2012
28. Developers, please join us
http://innovation.pamf.org
• Developer Challenge Closes- July 30th
• Developer Challenge Judging-August 13th
• Winner Announced -October 1st
Winner Commences Accelerator-October 1st
--6 month exclusive partnership with
PAMF InnovationCenter
Twitter: @pamfinnovation #linkAges
Contact Jean-Luc Neptune: jl@health2challenge.org
29. Questions?
• Albert S. Chan, MD, MS
Chief Medical Information Officer, Palo Alto
Foundation Medical Group
Medical Director, David Druker Center for Health
Systems Innovation
Medical Director, My Health Online, Sutter Health
• E-Mail: chansa1@pamf.org
• Twitter: @albertschan
Editor's Notes
13 years of baby steps
BJ asked to discuss how to engage physicians and a care organization to deliver a service
How many of you in the room have had children in preschool? You’ve experienced a biological ecosystemHow about iTunes – it’s not just a place for buying music or apps, it’s a platform for engagement and innovation
Sy Sperling, Hair Club for Men
Barbara Love
Doctors would not walk into a clinic visit without their tools like a stethoscope…
All refill encounters includePrescription prescription information: medication, sig, dispense amount, dateRECOGNITION that human factors are still involved with the handling of these requests – e.g. taking fax transmission and turning it into a refill request in EpicVisit information (last visit, next scheduled visit)Clinicians may use this as a mental check of the need for follow up – without having to go into the chartAutomated “Wizard” reviews the medication record, identifies drug class, and adds laboratory values relevant to that medicationClinical protocols support in an evidence-based or expert opinion supported query of relevant lab values
12/1/2011-4/20/2012 (142 days)Online (primary care) = 50,871; 358 per dayRequested (specialty) = 42,083; 296 per dayTotal online = 92, 954
10,000 turn 65 every dayWe don’t have enough building and doctors to care for all of our needsHuman signals – what did we use to do in our villages – we need to go back there