Preventive Medicine:
An Educated Patient is Our Best Customer
Health Care Information Systems
Project 1
March 22, 2000
Dan Baker
Dan Schreiber
Part 1: Background of Preventive Care
1.
Introduction to Preventive Care
2.
3.
Costs of Chronic Conditions and Risky Behaviors
Changing Factors Associated with Prospective Medicine
Part 2: Solution Requirements
1.
2.
3.
Health Risk Assessment
Access to Information Technology
Access to Medical Information
Part 3: Vendor Identification - WellMed
1.
2.
WellMed Background
HRA Tool – HealthQuotient
Part 4: Gaps in Current Solutions
1.
2.
3.
Increased Interaction between HRA’s, Patients, and Physicians
Improving Quality of Information Provided
Increasing Consumer/Patient Utilization
Part 5: Conclusions
Part 1: Background
Introduction to Preventive Care
• Major Focus of Preventive Care
• Participants
•Disease and Condition Targets
Economic Cost of Various Diseases
$29.5
Indirect Costs
$8.8
$15.8
Total Costs
$33.3
$45.3
$178.2
$107.3
$286.5
Depression2
$19.9
$24.1
$44
Obesity3
$238
$47
$285
Smoking4
$50
$47
$97
Disease
Hypertension1
Direct Costs
$24.5
Stroke1
Total Cardiovascular1
1: American Heart Association, 1999
2: Massachusetts Institute of Technology, 1998
3: American Obesity Association, The Lewin Group ,1999. Note: The costs for obesity results from the costs associated
with treating 15 other diseases including diabetes, hypertension and stroke. $102B from treating those diseases and
$136B more based on chances of getting other ailments (arthritis, liver/gallbladder/kidney disease, various cancers, etc.)
4: Centers for Disease Control, 1999
Changing Factors in Preventive Medicine
• Benefits of Improved Preventive Care Services
• Employer and Physician Participation
•Access to Accurate Medical Information
Part 2: Solution Components
Components of the Solution
• HRA: Background, Purpose, and Benefits
• Information Exchange: The Web, E-mail, PC’s
• Online Medical Information
Part 3: WellMed Inc.
Vendor Identification: WellMed Inc.
• Company Background
• Mission Statement
“To design and develop ethical,
educational tools that empower our
client’s constituents to make informed
decisions about their health and wellbeing.”
HRA Tool - WellQuotient
• HealthQuotient and PopulationQuotient
• Advanced HQ’s
• Functionality and Design
•Analysis and Output
Part 4: Current Gaps
Gaps in Current HRA Offerings and Proposed Solutions
Problem: Lack on Ongoing Interaction with HRA
Solution: Allow HRA to regularly communicate with both
physicians and patients
Problem: Limited Usefulness of Information Provided
Solution: Improve Information Quality to Increase Patient’s
Involvement in Health Decisions
Problem: Lack of Patient Utilization
Solution: Add Incentives for Consumers to Submit HRA’s
Part 5: Conclusions
Future of HRA’s and Preventive Care Services
• Acknowledging the Usefulness and Limitations
of the HRA
• Ability of Preventive Medicine to Affect Change
• Continuum of Preventive Care Components
Preventive Care Components
Clinical
Guidelines &
Protocols
‘Wired’
Physician
Office
Disease
State
Management
‘Wired’
Consumers
Preventive
Care
Medicine
Health Risk
Assessment
Consumer
Patient
Record
Online
Medical
Information