Exhibit 1. Areas Where Organizations Would Like to
More Effectively Engage Patients
In which areas of health care management would your organization
like to more effectively engage patients?
Percent
100
88.9
85.0
85.0
80
66.1
60
65.6
47.2
40
20
0
Chronic disease
management (e.g.,
diabetes, asthma,
etc.)
Medication
adherence
(e.g., compliance
with prescribed
treatment plans)
Postacute care
Preventive care
Public health
Wellness activities
management (e.g.,
practices
interventions (e.g., (e.g., nutrition,
reducing
(e.g., screenings, smoking cessation, physical activity)
the risk for
immunizations, etc.)
etc.)
preventable
readmissions)
Source: Patient Engagement and Mobile Health in the Safety Net Survey, 2013.
Exhibit 2. Implementation Status of Cell Phone Interventions
Among Providers
Number of
respondents
60
What is the status of implementation of specific cell phone interventions
that your organization currently provides or supports?
Currently provide
Will provide within the next year
Under review
Currently no plan to provide
Policies do not support use
40
20
0
Appointment
reminders
Immunization
reminders
Screening
reminders
Medication
adherence
support
Health
Personal health
Weight
promotion and information management
education
access
support
information
Source: Patient Engagement and Mobile Health in the Safety Net Survey, 2013.
Smoking
cessation
support
Chronic disease
management
support
Exhibit 3. Patient Engagement Benefits
That Cell Phones Provide Organizations
Number
Rank the top three patient engagement benefits for your organization from patients’
current use of cell phones in their care, with 1 being the most important
20
1
2
3
15
10
5
0
Improve overall
compliance with
standard care
practices
Improve client
Complement patient Allow for remote
awareness of and education activities of monitoring of patient
efficacy in selfproviders outside of health indicators
management of
office visits
between office visits
diseases
Source: Patient Engagement and Mobile Health in the Safety Net Survey, 2013.
Promote
sustained patient
engagement in
behavior change
Facilitate improved Improve compliance
Lead to more
case management
and prevent
appropriate care in
and targeted
exacerbations of the form of referrals
outreach
chronic conditions
and specialty care
Exhibit 4. Safety-Net Provider Strategy for the
Development of Cell Phone Interventions
What has been your organization’s strategy for the development of
cell phone interventions that it currently provides or supports?
Percent
80
61.9
60
40
20
23.8
21.4
21.4
11.9
0
Developed proprietary Adapted open source or Collaborated with other
Our EHR platform
Contracted with mobile
technical and/or content shared public access
health service
supports applications on
health solution
solutions
resources to develop
organizations to
specific mobile device
providers for
proprietary solutions
codevelop technical
operating systems
proprietary content
and/or content elements
and/or technical
services
Source: Patient Engagement and Mobile Health in the Safety Net Survey, 2013.
Exhibit 5. Criteria Used to Assess and Justify
the Adoption of Cell Phone Interventions
Rank three criteria your organization has used to assess and justify the adoption of a cell phone intervention that it
currently provides or supports, with 1 being the highest priority
Number
25
1
2
3
20
15
10
5
0
User participation in Appropriate for use
design and
across
development
diverse patient
populations
Evidence of
improvements in
care quality
(e.g., patient
experience with
care)
Source: Patient Engagement and Mobile Health in the Safety Net Survey, 2013.
Evidence of
improvements in
health outcomes
Evidence of costeffectiveness
Ability to be
sustained at scale
Exhibit 6. Barriers to Implementation of Cell Phone Interventions
Rank three barriers that your organization has identified with implementing cell phone
interventions that engage patients in their care, with 1 being the highest priority
Number
1
2
3
100
80
60
40
20
0
Professional
Solutions are not Organization lacks
concerns from
culturally
the capacity to
clinicians and other appropriate for assess and select
health care workers the needs of a
appropriate
diverse client base
technologies
Limited human and Lack of external Lack of incentives
Patient client
Technical
technical resources funding sources
and/or
concerns about
integration of
in the organization
to finance
reimbursement
privacy and
mobile health
to support
investment in to support adoption confidentiality solutions with EHRs
implementation mobile technology
of
of personal
and
solutions
mobile health
health
other HIT
solutions
information
infrastructure
Source: Patient Engagement and Mobile Health in the Safety Net Survey, 2013.
Exhibit 7. Actions to Promote the Adoption and Use
of Cell Phone Interventions
Rank three actions that your organization has identified as essential to promote the adoption and use of cell phone
interventions that engage patients in their care, with 1 being the highest priority
Number
1
2
3
120
100
80
60
40
20
0
Evidence-based or best Alignment of cell phone
Introduction of
Technical assistance to Education and training
practice models
measures
new payment or
support the
programs that support
involving cell phones in
with core required
reimbursement policies implementation and
workforce capacity
care delivery models reporting measures (i.e., for cell phone use in
management of
to support use
HEDIS)
patient care
interventions
Source: Patient Engagement and Mobile Health in the Safety Net Survey, 2013.