WHAT IS “HOWSYOURHEALTH” Patient entered web based survey that gathers determinants of health...
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![Page 1: WHAT IS “HOWSYOURHEALTH” Patient entered web based survey that gathers determinants of health and health care. Produces a summary of health assets / needs.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649e905503460f94b956ca/html5/thumbnails/1.jpg)
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WHAT IS “HOWSYOURHEALTH”
Patient entered web based survey that gathers determinants of health and health care.
Produces a summary of health assets / needs for the patient in front of you.
Aggregated behind the scenes to give your practice actionable primary care and bio-clinical metrics
free!10-20 minutes
patients do the work!
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HYH ELICITS THE PATIENT’S AGENDA AND EXPERIENCE OF CARE
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PRIMARY CARE BASICS
ACCESSCONTINUITYEFFICIENCYCOORDINATION INFORMATIONCONFIDENCE
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Low cost/Ease of use
Patient voice
Entire population sampled
Practice is measured
High cost/Difficult to extract
Practice voice
Fraction of population sampled
Patients are measured
PRIMARY CARE BASED VS. DISEASE METRIC BASED
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Water, fertilize and mulch Whack-a-mole
QUALITY MEASUREMENT
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PRIMARY CARE BASICS
ACCESSCONTINUITYEFFICIENCY
COORDINATION INFORMATIONCONFIDENCE
GLOBAL MEASURE
MEASURE THIS, NOT THAT HIGH SCORES ON THESE MEASURES GET YOU
HIGH SCORES ON THOSE MEASURES (AUTOMATICALLY)
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CHASING QUALITY
NKFP Practice Mean HgbA1c
2009 6.9%2012 7.0%2014 7.1%
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HOWSYOURHEALTHScreen all, summarize each
Practice metrics
Registry for high risk patients
Actionable data for improvement
patient information-problem solving links-medical home measurement-CAHPs
PLUS!
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handy ADLscreening
Permission: JH Wasson
A FEW (DOZEN) THINGS YOU MIGHT WANT TO KNOW ABOUT YOUR PATIENT
Level of function ?
useful patienteducation links
pain, emotions,
social support,fitness
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finances
confidenceOpportunity
To
Improve
Health!
ROS
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HOWSYOURHEALTHScreen all, summarize each
Practice metrics
Registry for high risk patients
Actionable data for improvement
patient information-problem solving links-medical home measurement-CAHPS
PLUS!
![Page 13: WHAT IS “HOWSYOURHEALTH” Patient entered web based survey that gathers determinants of health and health care. Produces a summary of health assets / needs.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649e905503460f94b956ca/html5/thumbnails/13.jpg)
Health indicators for my patients
Quality of care indicators for my practice
Permission: JH Wasson
Output – Aggregate Data
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Confidence, Perfect Care and ER/Hospital Use
JH Wasson
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MEASURING YOUR PRACTICE WITH HOW’S YOUR HEALTH
Patient Centered Collaborative Care“ I get exactly the care I want and need when
and how I want and need it.”
Confidence
“PERFECT CARE”efficiency, access, continuity
Information
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NATIONAL BENCHMARKS, HYH
Exactly the Care…: median 30; upper third over 40.
Medical Home: median 65; upper third 75.
Interaction: median 55; upper third 70. Excellent Information for Chronic Disease(s): median 70; upper third 80.
Aware of Functional Limits: median 50; upper third 65. Patient Confidence/Self-Management: median 50; upper third 55.
Preventive and Clinical Benchmarks: median75; upper third 80.
Patient Habits Generally Healthy: median 70; upper third 75.
No ED or Hospital Use in Year: median 90; upper third 92.
Patient Convinced Medications for Chronic Disease(s) Not Causing Illness: median 80; upper third 85.
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HOWSYOURHEALTH:
Screen all, summarize each
Practice metrics
Registry for high risk patients
Actionable data for improvement
patient information-problem solving links-medical home measurement-CAHPs
PLUS!
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HOWSYOURHEALTH
Screen all, summarize each
Practice metrics
Registry for high risk patients
Actionable data for improvement
patient information-problem solving links-medical home measurement-CAHPs
PLUS!
![Page 21: WHAT IS “HOWSYOURHEALTH” Patient entered web based survey that gathers determinants of health and health care. Produces a summary of health assets / needs.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649e905503460f94b956ca/html5/thumbnails/21.jpg)
Practice Improvement
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REFERENCESIona Heath’s “Arm In Arm with Righteousness” http://www.pehmed.com/content/10/1/7
Nancy Guinn and Gordon Moore “Practice Measurement: A New Approach…”
http://www.aafp.org/fpm/2008/0200/p19.html
Jim Bloomer’s website about how he uses HYH
http://www.yourmedicalhome.com/howsyourhealthsurveyresults.php
Don Stewart’s recent article on how and why he uses HYH in his practice:
http://www.impcenter.org/#!quality/c1w1w
John Wasson, et.al “Learning from Clinical Microsystems…” , using HYH for practice improvement:
http://tinyurl.com/ojmcko5
Lynn Ho and Jean Antonucci “ The Dissenter’s Viewpoint” why the current measurement paradigm should be scrapped
http://annfammed.org/content/13/3/269.full
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