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Technology use and superutilizer work
- 1. Technology use in Complexcare/Superutilizer work 30 OCTOBER 2015
- 2. Disclosures • Presenters haveno financial relationships with any of the technology providers mentioned in this presentation. • We thank David Brennan (MedStar Innovation Center) for his assistance and suggestions. 2
- 3. Agenda • Does HIPAAstand in the way? • Digital technologies • Case Study 3
- 4. HIPAA • Privacy ruleprotects all “individually identifiable health information” • Includes demographic data that relates to: • Past, present or future physical or mental health condition • Provision of health care to the individual • Past, present, or future payment for provision of healthcare • Violations? • FaceTime? • Texting? Some requirements: Secure Discoverable 4 Make sure that you record your conversations
- 5. Which isYour Patient(s)? Tech-savvy • Chronically ill • Spouses / caregiver with mobile devices Medicaid • Mobile device use ranges from none to some • Education Seniors • May have less mobile device use “ ..but we don’t get directly paid for this..” Technology is the enabler – the goal is still patient care 5
- 6. Remote care modelsare changing… • Patient engagement • Intake, texting for appointment reminders • Fit-bits, device monitors • Diet and exercise diaries • Automated prompts, data collection, reporting • Remote monitoring • Health coach, health navigator B to B Provider teleconsult Care- coordination B to C Patient with Provider Patient PCP visit, to specialist 6
- 7. Improve the patientexperience i.e. CaptureProof© i.e.Vivify ™ 7
- 8. Case study: Palliativecare program at Union Memorial: • $90k Grant fromVerizon foundation • Includes research assistant, PharmD & IT time • Objective: Healthy at home; extend team to home • 75 tablets over 2 years distributed to patients; service from Verizon • “Functional” solution; not yet in optimal state • Video, SMS, some remote monitoring capabilities, survey capture and relay to provider • Uses secure platform 8
- 9. Potential Starting Points •Funding sources: state or local grants, philanthropic organizations • Sample budget • lnitial set up, tech support • Charge per provider per month: $50 • Optional: remote monitoring: $50-100 per month • Kit $130/month/patient (Vivify) • cHealth Blog 9
- 10. Takeaways from ConnectedHealth Technologies • Provide (offer): • Monitoring + Connectivity + Analysis + Feedback • Consider • Personal profile (based on needs, prefs, abilities) • Behavior change support (teachable moments, context awareness, dynamic delivery) • Personalization(intervention approach, methods, timing) 10
- 11. Q & A THANKYOU UCHENNA EMECHE, MD - MEDSTAR FRANKLIN SQUARE MEDICAL CENTER NAWAZ MERCHANT- THOMAS JEFFERSON UNIVERSITY, POPULATION HEALTH Technology is the enabler – the goal is still patient care 11