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Consumer Engagement, Technology, and Healthcare
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Transcript of Consumer Engagement, Technology, and Healthcare
![Page 1: Consumer Engagement, Technology, and Healthcare](https://reader031.fdocuments.us/reader031/viewer/2022021922/58a57c521a28ab36768b660f/html5/thumbnails/1.jpg)
Technology in the American Healthcare Context
Bradford W. Hesse, PhDChief, Health Communication and Informatics Research Branch
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Stresses on Healthcare ❑ Aging demographics
❑ Increasing chronic disease
❑ Complexity in care
❑ Increase for diseases in remission
❑ Shrinking work force
❑ Rise in treatment costs
Stresses on the Healthcare System: The Case of Cancer
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New Sociotechnical Models Needed to Deal with Crisis
Source: Office of the National Coordinator for Health Information Technology (2015). Connecting Health and Care for the Nation: A 10-year Vision to Achieve an Interoperable Health IT Infrastructure. Washington, DC, Department of Health and Human Services,: 13.
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HITECH Act of 2009 Was Passed to Improve Quality of Healthcare
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A Core Element of Meaningful Use is Patient Engagement
“The single most unused person in health care is
the patient”*
*Cutler, D. Why medicine will be more like Walmart, MIT Technology Review, September 20, 2013
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The Role of Patient Empowerment.
Engaged Patients Lower Health Care Costs
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Healthy People 2020 Encourages Use of Health Comm & IT for Patients / Public
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HP 2020 Goal: Internet Access
Source: Hesse, B. W., et al. (2014). "Meeting the healthy people 2020 goals: using the Health Information National Trends Survey to monitor progress on health communication objectives." J Health Commun 19(12): 1497-1509.
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How about subpopulations?Age
Education
Source: Hesse, B. W., et al. (2014). "Meeting the healthy people 2020 goals: using the Health Information National Trends Survey to monitor progress on health communication objectives." J Health Commun 19(12): 1497-1509.
Gender
Race /Ethnicity
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How is the Public Using the Internet?
51%$
58%$
78%$ 79%$
0%$
10%$
20%$
30%$
40%$
50%$
60%$
70%$
80%$
90%$
2003$ 2004$ 2005$ 2006$ 2007$ 2008$ 2009$ 2010$ 2011$ 2012$ 2013$ 2014$
Percen
t'Online'Po
pula/o
n'(18+)'
Year'
Looked$for$Health$Info$Online$
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How is the Public Using the Internet?
51%$
58%$
78%$ 79%$
48%$ 47%$
55%$
77%$
0%$
10%$
20%$
30%$
40%$
50%$
60%$
70%$
80%$
90%$
2003$ 2004$ 2005$ 2006$ 2007$ 2008$ 2009$ 2010$ 2011$ 2012$ 2013$ 2014$
Percen
t'Online'Po
pula/o
n'(18+)'
Year'
Looked$for$Health$Info$Online$
Went$Online$First$(for$cancer$info)$
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How is the Public Using the Internet?
51%$
58%$
78%$ 79%$
48%$ 47%$
55%$
77%$
7%$10%$
14%$
19%$
30%$
9%$13%$ 15%$
18%$20%$
0%$
10%$
20%$
30%$
40%$
50%$
60%$
70%$
80%$
90%$
2003$ 2004$ 2005$ 2006$ 2007$ 2008$ 2009$ 2010$ 2011$ 2012$ 2013$ 2014$
Percen
t'Online'Po
pula/o
n'(18+)'
Year'
Looked$for$Health$Info$Online$
Went$Online$First$(for$cancer$info)$
Email$Physician$
Order$Medicines$Online$
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Awareness & Use of Electronic Health Information Exchange
56%$
82%$
88%$85%$
88%$
48%$
63%$66%$
61%$ 62%$
14%$
19%$
28%$
0%$
10%$
20%$
30%$
40%$
50%$
60%$
70%$
80%$
90%$
100%$
2003$ 2004$ 2005$ 2006$ 2007$ 2008$ 2009$ 2010$ 2011$ 2012$ 2013$ 2014$
Percen
t'Pop
ula-
on'(1
8+)'
Year'
Docs$have$EHRs$
Important$PHI$Shared$Electronically$
Keep$track$of$PHI$
HITECH Act
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How is the Public Accessing Net? The Rise of Mobile
22%#
47%#
40%#
74%#70%#
66%#62%#
0%#
7%#
46%#50%#
56%#58%#
0%#
10%#
20%#
30%#
40%#
50%#
60%#
70%#
80%#
2003# 2004# 2005# 2006# 2007# 2008# 2009# 2010# 2011# 2012# 2013# 2014#
Percen
t'Pop
ula-
on'(1
8+)'
Year'
Broadband#Access#
Mobile#Access#
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Example of Health System Innovation
“We use online Personal Action Plans (health alerts, data visualizations, reminders, personalized content, email), and results are impressive:”
-President’s Cancer Panel,San Francisco, CA
March 26, 2015
Nirav ShahVP & COO,
Kaiser So Cal
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Health IT Improved Adherence
“Within 90 days of identifying a care gap … 6X pap screens completed, … 6X mammograms completed, … 10 X CRC screening completed”
Nirav ShahVP & COO,
Kaiser So Cal
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Enabling a Learning Health System
Using data-driven “dashboards,” Kaiser was able to identify missing clinical actions and then flag populations at risk for follow-up action.
Patient’s Electronic Health Record
Dashboard for Population Management
Nirav ShahVP & COO,
Kaiser So Cal
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Where are we going?
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The Internet of Everything
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Dramatic Increases in Adherence
June 2015, Office Behavioral and Social Science Research NIH-OD
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The Consumer Electronics Market Aids in Prevention
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Creating a self-improving healthcare system with patients as partners