“Engaging Your Patients
with Mobile Health IT:
A Discussion
with the Office of Consumer eHealth
and Marshfield Clinic”
August 28, 2013
Attendance Verification
Full session attendance
Must complete on-line evaluation
Link is embedded in your e-mail invitation & on the
MetaStar website, or copy and enter into your web
browser:
http://www.surveymonkey.com/s/MobileHIT8-28-13
All attendees
Everyone please complete the online evaluation
thank you!
Learning Objectives
Following the webinar, you will be able to:
Define “patient engagement” according to the Office
of the National Coordinator (ONC) for Health IT
Understand ONC’s long-term national vision for
effective patient engagement
Give one industry example of effective use of mobile
health IT to empower patients
Today’s Presenters
Ellen Makar MSN, RN-BC, CCM, CPHIMS,
CENP
Senior Policy Advisor
Office of Consumer eHealth
Jeffrey J. VanWormer, PhD
Associate Research Scientist
Marshfield Clinic Research Foundation
Keeping the Patient at the Center of All We Do
Engaging Patients with Mobile Health IT
August 28, 2013
Ellen V. Makar, MSN, RN-BC, CCM, CPHIMS, CENP
Senior Policy Advisor, Office of Consumer e-Health
Office of the National Coordinator for Health IT
Department of Health & Human Services, Washington DC
Objectives
•
Discuss the specific Meaningful Use objectives related to patient
engagement
•
Discuss the Three A’s Approach to Consumer Engagement: Action, Access
and Attitudes
•
Define Blue Button and Blue Button+ as methods for patient access to
their health information
7
U.S. Department of Health and Human Services
8
Engaging Consumers is Integral to the
Federal Health IT Strategy
www.healthit.hhs.gov/strategicplan
…through information,
communication, & tools.
9
Health Affairs Paper, February 2013
10
ONC: The Three A’s Approach to
Consumer Engagement
Increase consumer
Access to their health
information
Access
Action
Enable consumers to
take Action with
their information
Attitudes
Shift Attitudes to support
patient-provider
partnership
11
Meaningful Use Supports Patient
Access and Engagement
Stage 1
Stage 2
Stage 3*
2011
2014
2016
Clinical Visit
Summary
Secure
Messaging
Electronic
Hospital
Discharge
Instructions
PatientGenerated
Health Info
View,
Download, &
Transmit
Error
Correction
Educational
Resources
*From Request for Comment
on Stage 3
12
Focus on Consumer Access in the
Stage 2 Meaningful Use Criteria
• Reminders for preventive/follow-up care
provided
• Educational resources identified and provided
• Online access to personal health information
(portal, PHR)
• Visit Summaries provided
• Patients can send secure messages to their
provider
• Patients can View, Download and Transmit to 3rd
Party
ACTION: Making it easier for Patients
to use Health IT
• Leon Rodriguez, Director-Office of Civil Rights:
clarification of the patient’s right to access
their own health information under HIPAA
(videos, pamphlets, answers to questions, and
other guidance) See:
http://www.hhs.gov/ocr/privacy/hipaa/under
standing/consumers/righttoaccessmemo.pdf
14
Shifting ATTITUDES –
“Health IT For You” Animated Video
•
•
•
•
Make the topic approachable &
entertaining!
Explain the benefits of health IT
and having online access to your
health information
3:00 min and :60 sec available in
English and Spanish
Award Winning Video - 2013
Platinum Pixie Award and Gold
Aurora Award
www.HealthIT.gov/4uvideo
15
Making “GOOD” on the pledge………….
16
Consumer Blue Button Pledge Program
(www.healthit.gov/pledge)
Over 450 organizations have Pledged to provide access to personal
health information
17
Action: Federal Partners
18
http://bluebuttonplus.org
4/10/2015
Office of the National Coordinator for
Health Information Technology
19
Untapped Demand for Access &
eHealth Tools
90
%
agree you should
be able to get your
own medical info
electronically
91%
own cell
phones
2 out of 3
would consider
switching to a
provider who
offers online
access through a
secure Internet
portal
72%
20%
of internet users have
looked online for health
information in the past
year
have accessed their health
info online with
prescriptions being the most
common
9%
53%
of those are
smartphones
52%
gather health
info on their
phones
have a mobile app to
manage their health
21%
of individuals who
track use a form of
technology
What Blue Button+ looks like
for Developers and Patients
Access/Attitudes: Crowd sourcing the Challenge:
“ Build me a Blue Button tool that……”
22
Enabling Consumers to get ACCESS
Making it easier for consumers to
access their health data
electronically through:
 Financial Incentives for Providers to
Provide Patients Access to Data
(HITECH Meaningful Use Program)
 ONC’s Blue Button Pledge Program
 Increasing Adoption & Enhancing
Technical Functionality of Blue
Button
 Office for Civil Rights “Rights to
Access” Education and Enforcement
Activities
23
2013 Summit Action/ACCESS/Attitudes:
2013 Patient Access Summit II:
• Discuss the primary use cases and
drivers for patients accessing and
using their health information
• Identify BB+ technical
implementation challenges and
potential solutions
• Identify additional opportunities to
accelerate patient use of their health
data—including policies, standards,
and community outreach activities.
24
6 Major Work Streams:
Action/ Access/ Attitudes
Work Stream #1: Educating consumers about eHealth and getting them
involved
Work Stream #2: Determine key standards & policies to support consumermediated exchange (patients aggregating data and sharing back with providers)
Work Stream #3: Clarify federal regulations and policies for providers to enable
Blue Button: Privacy / Security
Work Stream #4: Strategies for providers to implement BB/BB+. Consider the
provider response when encouraging consumer actions
Work Stream #5: Refine and publish the PULL implementation guidelines.
Obtain commitments from Louisiana & NYeC to run PULL pilots
Work Stream # 6: Standards for sharing claims data including explanation of
benefits (EOB) content. Develop an agreed upon format for sharing claims data
25
Blue Button Saved My Father’s Life
“It wasn’t until my father needed to go to the
hospital for emergency care that the
life-saving power of having his medical data
in my pocket became apparent.”
- Beth Schindele
Caregiver and advocate for her father
ACTION: Helping Consumers Navigate
Under development, a
“one stop shop”
to help consumers
find and use their
Blue Button
data in apps and
tools…
ONC’s Role
28
Stay Connected
• Browse the ONC website at: healthIT.gov
• Ask a question: BlueButton@hhs.gov
• Subscribe, watch, and share
http://www.youtube.com/user/HHSONC
HealthIT and Electronic Health Records
https://twitter.com/ProjectBlueBtn
Save the Date:
September 16, 2013
Washington DC: Consumer Health IT Summit !!
Thank you !
Ellen Makar MSN, RN-BC, CCM, CPHIMS, CENP
Senior Policy Advisor
Office of Consumer eHealth
Office of the National Coordinator for Health IT
US Department of Health and Human Services
330C Street SW, Room 1104
Washington DC 20201
Work: 202-205-8116
Mobile: 202-731-2774
EMAIL: Ellen.Makar@hhs.gov
http://www.linkedin.com/in/ellenmakar
30
Heart health in your pocket
.
Lessons learned from the development of the
Heart Health Mobile smartphone app
August 28, 2013
Jeffrey J. VanWormer, PhD
Associate Research Scientist
Epidemiology Research Center
Marshfield Clinic Research Foundation
Wireless communication revolution
Mobile phones more
prevalent than
computers worldwide
Smartphone ownership
growing fastest in nonWhite, low-income, and
less educated groups
who use their mobile
device as their primary
tool for Internet access
For every 100 adults in the U.S.
90 own a mobile device
50 own a
smartphone
20 own an iPhone
www.nielsen.com/us/en/reports/2013/mobile-consumer-report-february-2013.html
Enter the DHHS
● Million Hearts challenged
developers to create a mobile
app to helps consumers improve
heart health
● Marshfield Clinic was among the
~35 entries from around the U.S.,
and won with their version called
Heart Health Mobile
(hearthealthmobile.com/app/)
Methods
•
Multidisciplinary team of 24 members created to
develop the app, with expertise from medicine,
epidemiology, health IT, graphic design, legal, business
analytics, and marketing
•
App successfully developed, tested, and released (for
contest) within a 30-day timeframe
•
Gamified version developed in several languages, and
epidemiologic data on downloads, unique users, geosegmentation, and other metrics actively collected
Buzz
•
Over 200 media mentions following announcement of
contest winner
•
Featured in CVD health promotion initiatives launched
this spring in several major metro areas across the U.S.
(Tulsa, Chicago, San Diego, Philadelphia, and
Baltimore)
•
~1,500 downloads in February (~5,000 page views)
•
Showcased at BIO International Conference
Cumulative HHM page views during Heart Month, stratified by
major U.S. geo-segments
HHM page path analysis and average user flow
Cylinders = pages (volume = relative number of visits) and arrows represent
click-throughs (size = proportion of click-throughs). The closer to the left of the
graph a given page is, the more likely that it is the first page visited, and the
further down, the more time spent on it
Lessons Learned
1) Health apps can be developed/scaled rapidly, with
broad ranging adaptations for various health
conditions
2) Actual use may be limited in the absence of aggressive
background health promotion initiatives or platform
3) For health research, apps may provide real(er)-time
data collection methods that can be used to identify
atypical health predictors and related trends at a lower
cost
4) HHM seems to provide users with important
information, but the potential to result in actual CVD
health improvements is yet unclear
Questions?
Eval Reminder
Link is embedded in your e-mail invitation & on the
MetaStar website, or copy and enter into your web
browser:
http://www.surveymonkey.com/s/MobileHIT8-28-13
All attendees
Everyone please complete the online evaluation
thank you!
Contact Information:
MetaStar, Inc.
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Madison, WI 53713
608-274-1940
agreen@metastar.com