Don Kemper Comments on Patient Engagement March 5

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Don Kemper Comments on Patient Engagement March 5, 2010 Alliance for Health Reform Our

Don Kemper Comments on Patient Engagement March 5, 2010 Alliance for Health Reform Our health care system is perfectly designed….

1970 “The greatest untapped resource in health care. . . is the consumer. ©

1970 “The greatest untapped resource in health care. . . is the consumer. © 2010 Healthwise, Incorporated

Healthwise Founded In 1975 Not-For-Profit Mission: To Help People Make Better Health Decisions ©

Healthwise Founded In 1975 Not-For-Profit Mission: To Help People Make Better Health Decisions © 2010 Healthwise, Incorporated

Healthwise 2010 Same Not-For-Profit Mission Hospital, Clinic, Health Plan, And Portal Web Sites Used

Healthwise 2010 Same Not-For-Profit Mission Hospital, Clinic, Health Plan, And Portal Web Sites Used 110 Million Times Last Year No Pharma, Little Government

Three Rules: 1. Help people do as much for themselves as they can. 2.

Three Rules: 1. Help people do as much for themselves as they can. 2. Help people ask for the care they need. 3. Help people say “no” to care that isn’t “right” for them.

Information Therapy Prescribing: • the right information • to the right person • at

Information Therapy Prescribing: • the right information • to the right person • at the right time As part of the process of care

What Is An Ix? Medication Prescription (Medical Therapy) Information Prescription (Information Therapy)

What Is An Ix? Medication Prescription (Medical Therapy) Information Prescription (Information Therapy)

Information Therapy Changes the Role Of Patient Information: From: Information is “about care” To:

Information Therapy Changes the Role Of Patient Information: From: Information is “about care” To: Information “is care” Ix = Patient-Specific Education Resources

Demographics Clinical Setting Language Clinical Data Doctors Have No Time To: • Search for

Demographics Clinical Setting Language Clinical Data Doctors Have No Time To: • Search for the information • Document the information. • Leave the EHR application. 9

Infobutton Standard Context-Aware Knowledge Retrieval Standard 10

Infobutton Standard Context-Aware Knowledge Retrieval Standard 10

Info. Button HL 7 Context-Aware Knowledge Retrieval Standard PHR EHR Knowledge Request Patient, Problem,

Info. Button HL 7 Context-Aware Knowledge Retrieval Standard PHR EHR Knowledge Request Patient, Problem, Context Data i HL 7 Infobutton Manager Knowledge Response HL 7 Patient Education Information

Health Care Reform Three Patient-Centered Requests 1. Meaningful Use 2. Patient Decision Aids 3.

Health Care Reform Three Patient-Centered Requests 1. Meaningful Use 2. Patient Decision Aids 3. My. Medicare. gov

1. What’s Meaningful to Me? Do I need this: • Test? • Drug? •

1. What’s Meaningful to Me? Do I need this: • Test? • Drug? • Surgery?

Patient-Specific Education Resources Recommended by Health Policy Committee CMS: • “Critical Component of Patient

Patient-Specific Education Resources Recommended by Health Policy Committee CMS: • “Critical Component of Patient Engagement” • but. . “ A paucity of knowledge resources— integrated into EHRs” There is no paucity: • The information is there • The technology is in place • Its omission will disrupt clinic workflow Your support is essential to patient engagement Please also protect: Patient Access to Medical Records

2. Patient Decision Aids Tools that involve people in decision making by: • providing

2. Patient Decision Aids Tools that involve people in decision making by: • providing information about the options and outcomes. • clarifying personal values.

Cochrane Review of Decision Aids 55 Trials/ 23 Treatments 15% knowledge scores 70% risk

Cochrane Review of Decision Aids 55 Trials/ 23 Treatments 15% knowledge scores 70% risk perception Decision Impact -24% Surgery O’Connor et al. , Cochrane Library, 2009

Revised Prostate Cancer Screening Guidelines: What Has--and Hasn't—Changed American Cancer Society 3/3/2010 www. cancer.

Revised Prostate Cancer Screening Guidelines: What Has--and Hasn't—Changed American Cancer Society 3/3/2010 www. cancer. org www. healthdialog. com Because of these complex issues, the American Cancer Society recommends that doctors more heavily involve patients in the decision of whether to get screened for prostate cancer.

Two Minutes More?

Two Minutes More?

My. Medicare. gov Create a Virtual Health Home: • One-stop for Ix information •

My. Medicare. gov Create a Virtual Health Home: • One-stop for Ix information • With caregiver access options

Thank You Access To Healthwise Content: www. healthwise. org/demos Username: congress Password: health 10

Thank You Access To Healthwise Content: www. healthwise. org/demos Username: congress Password: health 10 Valid through: 4/1/10 Our White Paper On Meaningful Use: www. healthwise. org/infobuttonpaper © 2010 Healthwise, Incorporated

Don Kemper Comments on Patient Engagement March 5Don Kemper Comments on Patient Engagement March 5
Patient Questionnaire 2008 09 Patient Comments Patient CommentsPatient Questionnaire 2008 09 Patient Comments Patient Comments
Patient Family Engagement a Framework Patient Family EngagementPatient Family Engagement a Framework Patient Family Engagement
Building a global patient engagement framework Patient EngagementBuilding a global patient engagement framework Patient Engagement
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Comments on language Negative comments Good comments SomeComments on language Negative comments Good comments Some
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Augmenting Patient Engagement through PreVisit Patient Scorecards AliciaAugmenting Patient Engagement through PreVisit Patient Scorecards Alicia
Improving patient care Improving patient care Patient safetyImproving patient care Improving patient care Patient safety
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