Promoting Autonomy and Lasting Behavior Change A Unique
Promoting Autonomy and Lasting Behavior Change A Unique Health Care Empowerment Solution
Care Kits Drive Results! Improve Care & Drive Down Costs Provides the curriculum, tools and devices for successful patient engagement o Dramatically reduces readmissions rates up to 100% o Improves Patient Experience Scores o Creates standardized patient care o Increases productivity: More effective patient interactions o Produces a successful, independent patient Care Kits Provide a Key Role in Meeting the 33 ACO Quality Performance Standards for Shared Savings 2
Our Care Curriculum Based on Observational Research We go to users’ homes, workplaces and communities to watch them in context We observe misunderstandings, gaps in education and barriers to success — from the patients’ point of view consumer products we capture their. The language, their industry values, has been doing it for 30 years! would bring out their priorities “I and theirnever perceptions: a new all product The Care Kits reflect thesewithout doing ethnography” insights. (Observational Research) Shane Wall VP New Product Development, Intel vvvvvvv 3
Care Kits are Unique: Three Essential Pieces 4
How to Use Care Kits Points of Distribution Care Kits are used for both post acute and/or wellness and chronic conditions o Step 1: Select from one of 32 conditions o Most often used for transition of care: Heart Failure, Diabetes, COPD, Post Surgical Kits, and Multiple Condition Care Kits o Most used for population management: Blood Sugar, Weight Management, Blood Pressure, CAD care, Heart Fitness, etc o Step 2: Deliver to the Patient o Hospital: Transition from hospital to homecare o At Home: Population assessment, care manager contact and direct delivery/follow-up o Dr. Office: Primary Care office o Step 3: Integrate with your Care Coordination o Care Kits meet all “standards of care” o Care Coordinator follow up o Step 4: Watch Your Patient Improve o Care Kits promote self-care and independence o Leave patient with the tools for ongoing health management o Achieve higher patient experience scores 5
Online Access: Maintenance and Additional Content How Medicine Works Providers & patients can go online for additional content and tools to maintain the program the long term The Impact Analyzer Vent Your Story In Development: • 13 Animations • 2 Videos The Impact Analyzer 6
Enhance Patient Connections: IVR & Web CARE KITS Care Kits Provide the Framework: Curriculum, Tools and Devices ACTIVE CONNECTIONS Telephone IVR and Web Connections Improve Patient Connectivity & the Patient Experience. Scripts and Engagement are Based on Care Kit Curriculum ANALYTICS Dashboard Analytics Improve Timely Care – Either In-Home or Via Telephone or e-mail. OUTREACH Automation Allows Real. Time Monitoring and Personalized, Need. Based Contacts. Tracking systems, endorsed by the Juran Quality Institute, allow both patient and provider to see cause and effect at a glance: Discovery learning for long-term behavior change!
Does It Make a Difference? Outcomes & Results RUSH’S PAPER 4% Rush University Medical Center compared instructions approved by their Patient Education Committee, to Care Kits. For 6 months, they called each patient 1 week post discharge: “Were you able to carry out your self care without asking for help? ” CARE KITS RUSH’S PAPER 92% “How satisfied are you with the selfcare materials? ” 35% %% ASTHMA More than doubled medication adherence, eliminated readmissions and reduced ER use by 72% vs. American Lung Assn handouts Virtua New Jersey Medical Center HYPERTENSION 88% in target range after 6 months vs. 12% after home visits+phone coaching Suburban Chicago employee wellness program HEART FAILURE Reduced readmissions by 74%; increased regimen adherence by 300 -500% vs. standard paper, home visit and phone coaching Multiple studies WI, IL, KY, MI, and others CARE KITS 100% Q: Did the Care Kit help you manage your condition? YES Heart Failure 97. 3% Hypertension 94. 9% Diabetes & Pre-diabetes 93. 6% Asthma 92. 5% Coronary Artery Disease 100% University of Pittsburgh FIVE-YEAR AVERAGE 34% better than national 5 -year average 8
Does It Make a Difference? Outcomes & Results Readmission Rates 30 -day Heart Failure BEFORE Before After 6. 4% 4. 0% St. Joseph, Elgin IL 16. 7% 7. 7% NWC, Arlington Hts. IL 13. 2% 8. 7% NWC, Arlington Hts. IL ALL CHF-RELATED DRGs 23. 4% 6. 9% Aurora, Milwaukee WI 22. 2% 6. 3% Great Plains, Elk City OK 8. 6% 2. 2% 54. 5% 33. 3% >28% 0% St. Joseph, Lexington KY DRG 127 ONLY VA, Ann Arbor MI At Mercy only: N = insufficient for highest level of statistical significance, but indicative, especially given overall trend AFTER (90 Days) Mercy Hospital, Chicago IL REDUCED BY 38% 54% 34% 74% 72% 73% 38% 100% 38%
Case Study $1. 5 MM Savings in a Medical Home COMPARED TO BASELINE YEAR 712 participants 24 months J Reeves, MD Director Nevada State QIO J Ambulatory Care Management V 36, No. 2, pp. 108 -120 March 2013 TOTAL MEDICAL COST Blood pressure Cholesterol Blood sugar Emergency Room visits In-hospital days Imaging services Prescription cost per member 23% lower 85% better scores 16% fewer visits 54% fewer days 35% lower use 18% lower cost Health Plan net savings exceeded $56 PMPM $1. 5 million / 1000 members Member savings = 30% lower out-of-pocket cost than the alternate PPO plan
Proven Track Record It Works for Providers “I used to spend a lot of time explaining things. But my patients always came back with the same misunderstandings. With Care Kits they get it. We can have a real conversation–make plans and move forward. ’ Robert Fanning, MD, Director, Cardiovascular, Hospital in West Virginia “We‘ve used the tools for five years with five chronic conditions. Satisfaction scores have been to 100%. ” “The first thing you notice about using the Care Kits is that the phones go dead. The kits have anticipated all the patients’ questions. ” Pat Sloman, RN CCM Oncology Department Chief Kaiser Permanente Riverside, CA 97 Dr. S. Ramalingam, Medical Director UPMC Health Plan SOME CURRENT CUSTOMERS • University of Pittsburgh Health Plan • Greater Baltimore Medical Center • Kaiser Permanente • Northwest Community Hospital • Hotel and Restaurant Workers Union • Provena Hospitals • 150+ Home Care Agencies • University of Tennessee Hospital • well. PORTAL Plan • Palmetto Health Plan ACO • University of Oklahoma Medical Center • “Our readmissions were over 28%. Sixty days into a trial with [Care Kits] we had no readmits for Heart Failure. ” C. C. , CNO, Mercy Hospital and Medical Center, Chicago INFORMed TPAdministrator 11
Summary & Next Steps Care Kits can play a vital role in any integrated health care system. o Educated, independent patients require less care and cost less! o CSI Care Kits are proven to reduce re-admissions & increase patient satisfaction → higher patient experience scores o They are used by leading institutions: UPMC, Kaiser, etc o Proven to create an ROI Next Steps: o Determine which conditions and Care Kits fit your organization o Determine how CSI Care Kits can be integrated into your processes and systems o Train your staff
Contact Information Questions or comments about Care Kits? Michael Weiss – President O: 847 -850 -7500 ext 121 M: 312 -498 -2603 mweiss@carekit. com. 13 HOSP 7. 23. 13 Shirley Grey RN MSN – EVP Sales & Customer Service O: 847 -850 -7500 ext 103 M: 847 -910 -3552 sgrey@carekit. com Judy Farah RN – Operations Director O: 847 -850 -7500 ext 106 M: 708 -826 -4017 jffarah@carekit. com Sylvia Aruffo, Ph. D – Consumer Content Officer O: 847 -850 -7500 ext 101 M: 847 -910 -3549 saruffo@carekit. com Carol Outland RN MSN - Clinical Content Director O: 847 -850 -7500 ext 117 M: 708 -267 -2646 coutland@carekit. com
Appendix: Online Patient Interface 14
Appendix: Online Patient Interface 15
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