Patient Centered IT meets APPS4HEALTH Talk @ CEBIT2011

Patient Centered IT meets APPS4HEALTH

Dr. Christian SeebodeGerman Healthcare Services

© GHS Dr. Christian Seebode APPS4HEALTH

Overview

Turn patients into customers

Patient Centered IT

Quality measures

1

2

3

4

APPS4HEALTH

5 Case Study: APPS4HEALTH – Mobile Health Explorer


Patient Centered IT

Education

Information

Security & Trust

1

2

3

4

Communication


Information

Information about others How about the others ? Build sustainable informational and personal relationships . Communities to study what is

happening to other patients and how they are treated in comparable situations. But also information about family members and relatives is necessary to support patients.

Information about me What happens to me ? Electronic Records accessible to patients, eLearing modules and community interaction

provide valuable possibilities to improve the personal level of literacy. Access to online libraries, information packets and resource centers.

What about my treatment ? Everything from the display of general hospital information, patient pathways up to the

possibility to schedule admission or examination.

Information about helathcare provider


Communication

Communication is therapy Support motivation and participation via positive self-perception. Responsiveness is an issue. So the care team needs enhancement by call- or online center

people with medical knowledge.

Patients communicate knowledge Patients are experts on their own behalf. A Simple but valuable tool to capture this experience would be an electronic diary where

the patient shares his experiences

The patient connected online to communication activities is more prone to self disclosure.Patients communicate needs


Communication

Communication is sharing information Explicit and implicit sharing of information and knowledge between patients, physicians

and the community I.e. Explicit information sharing via clinical pathways

Different languages and cultural backgrounds Social and family situation. Family members should be supported in communication

efforts

Communication is diverse


Education

Improve health literacy Health Literacy is an important influence on health outcome. Involve patients in healthcare delivery leverages understanding and improves outcome

Patient context The level of illness, skills, disabilities, literacy, work, family, economical situation. Reflect

this in the user model or personalization engine.

Education via personal relationships is effective because there’s someone you can ask as a patient.

Patient networks


Security & Trust

Trust the system Tendency to trust in security features is different Each Patient needs a personal risk model. The system has to be explicit about who accesses the information

Trust myself Would i connect with others online and share intimate information ? Online communication supports anonymous exchange and lowers thresholds Writing supports self reflection. What will others think ?

From Healthcare provider to the rest of the world. What are the risks ? Evidence based medicine to model the risk of healthcare delivery Trust and Security are shared asset and not a problem

Trust others


SummaryKnowledge sharing,

diaries, communities, cultural diversity.

Support personal risk model. Be explicit

about who accesses information

Libraries, EPR, community, treatment plans, schedule activities, personal relationships

Individual Context and personalizaton, Q&A in network, improve health literacy

APPS4HEALTHPatient Centered IT

Perceive patient as a customer Location based services to find

health services Instant dialogue triggered by

physical conditions or environmental change

Use camera to document skin symptoms, position sensors to measure movements

Text messaging as reminders improve outcomes

Aspects Realization Mobility supports proximity High responsiveness directly

adressed via mobile communication

Mobile phones use sensors to generate personal data

Mobile communication supports patient involvement

Always on supports continuous care and prevention

Mobile patients act as a customers


Apps leverage Patient Centered perspective Direct Access to patient behavior!

Communication and participation Feedback Quality Measures

Apps reduce problem complexity If there is a business case then it is simple Apps lower threshold to experiment

Patient Investor

But: simplification needs to be governed i.e. avoid over-saturation effect because of many

similar apps



Characteristics of Accountable Care The ability to provide, and manage with

patients, the continuum of care across different institutional settings, including at least ambulatory and inpatient hospital care and possibly post acute care

The capability of prospectively planning budgets and resource needs

Sufficient size to support comprehensive, valid, and reliable performance measurement.

Quality Measures

Perceive patient as a customerMeasures and Critique PCIT powered APPS4HEALTH Process measures

measures whether a process or a step took place or not

Specific but not patient oriented Outcome measures

Patient oriented but too global Composite measures

Patient oriented and global but restricted to provider processes (Appropriate care measure ACM)

Patient Experience measures Patient experience but not

patient satisfaction

Patient experience accessible Directly via questionnaires Indirectly via Patient behaviour

Immediate result feedback Reminder support up-to-date

information


AED4EU

Story AED4EU As a first aider i want to locate

automatic external defibrillators quickly


ABRIIZ

Story ABRIIZ As asthma patient i want to

track my medication and attacks so that i am able to adjust my medication together with my physician


APPS4HEALTH - Dashboard



APPS4HEALTH – Weekly View


APPS4HEALTH – Questions Overview


APPS4HEALTH – Questionnaire


APPS4HEALTH – Guidebook


Patient Centered Cycle

Patient experience

Patient participati

on

Patient outcome


Fred BasalamaInformations-wissenschaft

Dr. med.

Robert GerlArzt & MBA

Dipl. Inf.

Heiko MusaWirtschaftsinformatiker

Dr. med.

Christian SeebodeArzt & Dipl. Informatiker


Mailchristian.seebode@german-healthcare-services.comfred.basalama@german-healthcare-services.comheiko.musa@german-healthcare-services.comrobert.gerl@german-healthcare-services.comWebGHShttp://german-healthcare-services.com/Patient Centered IT Blog:http://patient-centered-it.comFacebook:http://www.facebook.com/pages/Patient-Centered-IT/58930458136Twitter:http://twitter.com/PatCentIT

Patient Centered ITPatient Centered IT

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http://patient-centered-it.com/

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Patient Centered IT meets APPS4HEALTH Talk @ CEBIT2011

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