“Engaging Your Patientswith Mobile Health IT:

A Discussionwith the Office of Consumer eHealth

and Marshfield Clinic”

August 28, 2013

Attendance Verification

Full session attendance

Must complete on-line evaluation

Link is embedded in your e-mail invitation & on the MetaStar website, or copy and enter into your web browser:http://www.surveymonkey.com/s/MobileHIT8-28-13

All attendees

Everyone please complete the online evaluation thank you!

Learning Objectives

Following the webinar, you will be able to: Define “patient engagement” according to the Office of the National Coordinator (ONC) for Health IT

Understand ONC’s long-term national vision for effective patient engagement

Give one industry example of effective use of mobile health IT to empower patients

Today’s Presenters

Ellen Makar MSN, RN-BC, CCM, CPHIMS, CENP

Senior Policy Advisor

Office of Consumer eHealth

Jeffrey J. VanWormer, PhD

Associate Research Scientist

Marshfield Clinic Research Foundation

Keeping the Patient at the Center of All We Do

Engaging Patients with Mobile Health IT

August 28, 2013Ellen V. Makar, MSN, RN-BC, CCM, CPHIMS, CENPSenior Policy Advisor, Office of Consumer e-Health

Office of the National Coordinator for Health ITDepartment of Health & Human Services, Washington DC

Objectives

• Discuss the specific Meaningful Use objectives related to patient engagement

• Discuss the Three A’s Approach to Consumer Engagement: Action, Access and Attitudes

• Define Blue Button and Blue Button+ as methods for patient access to their health information

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U.S. Department of Health and Human Services

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Engaging Consumers is Integral to theFederal Health IT Strategy

…through information, communication, & tools.

www.healthit.hhs.gov/strategicplan

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Health Affairs Paper, February 2013

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ONC: The Three A’s Approach toConsumer Engagement

Increase consumer Access to their health information

Enable consumers to take Action with their information

Shift Attitudes to support patient-provider partnership

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Meaningful Use Supports Patient Access and Engagement

*From Request for Comment on Stage 3

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Focus on Consumer Access in the Stage 2 Meaningful Use Criteria

• Reminders for preventive/follow-up care provided

• Educational resources identified and provided

• Online access to personal health information (portal, PHR)

• Visit Summaries provided

• Patients can send secure messages to their provider

• Patients can View, Download and Transmit to 3rd Party

ACTION: Making it easier for Patients to use Health IT

• Leon Rodriguez, Director-Office of Civil Rights: clarification of the patient’s right to access their own health information under HIPAA (videos, pamphlets, answers to questions, and other guidance) See: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/righttoaccessmemo.pdf

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Shifting ATTITUDES –“Health IT For You” Animated Video

• Make the topic approachable & entertaining!

• Explain the benefits of health IT and having online access to your health information

• 3:00 min and :60 sec available in English and Spanish

• Award Winning Video - 2013 Platinum Pixie Award and Gold Aurora Award

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www.HealthIT.gov/4uvideo

Making “GOOD” on the pledge………….

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Consumer Blue Button Pledge Program (www.healthit.gov/pledge)

Over 450 organizations have Pledged to provide access to personal health information

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Action: Federal Partners

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04/21/23Office of the National Coordinator for

Health Information Technology19

http://bluebuttonplus.org

agree you should be able to get

your own medical info electronically

of internet users have looked online for health information in the past year

53%of those are smartphones

2 out of

3would consider switching to a provider who offers online

access through a secure Internet

portal

have accessed their health info online with prescriptions being the most common

9%

21%

20%

90%

72%

91%own cell phones 52

%gather health info on their phones

have a mobile app to manage their health

of individuals who track use a form of technology

Untapped Demand for Access & eHealth Tools

What Blue Button+ looks likefor Developers and Patients

Access/Attitudes: Crowd sourcing the Challenge: “ Build me a Blue Button tool that……”

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Making it easier for consumers to access their health data electronically through:

Financial Incentives for Providers to Provide Patients Access to Data (HITECH Meaningful Use Program)

ONC’s Blue Button Pledge Program Increasing Adoption & Enhancing

Technical Functionality of Blue Button

Office for Civil Rights “Rights to Access” Education and Enforcement Activities

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Enabling Consumers to get ACCESS

2013 Summit Action/ACCESS/Attitudes:

2013 Patient Access Summit II:• Discuss the primary use cases and

drivers for patients accessing and using their health information

• Identify BB+ technical implementation challenges and potential solutions

• Identify additional opportunities to accelerate patient use of their health data—including policies, standards, and community outreach activities.

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6 Major Work Streams: Action/ Access/ Attitudes

Work Stream #1: Educating consumers about eHealth and getting them involved

Work Stream #2: Determine key standards & policies to support consumer-mediated exchange (patients aggregating data and sharing back with providers)

Work Stream #3: Clarify federal regulations and policies for providers to enable Blue Button: Privacy / Security

Work Stream #4: Strategies for providers to implement BB/BB+. Consider the provider response when encouraging consumer actions

Work Stream #5: Refine and publish the PULL implementation guidelines. Obtain commitments from Louisiana & NYeC to run PULL pilots

Work Stream # 6: Standards for sharing claims data including explanation of benefits (EOB) content. Develop an agreed upon format for sharing claims data

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Blue Button Saved My Father’s Life

“It wasn’t until my father needed to go to the hospital for emergency care that the

life-saving power of having his medical data in my pocket became apparent.”

- Beth SchindeleCaregiver and advocate for her father

ACTION: Helping Consumers Navigate

Under development, a “one stop shop” to help consumers find and use their Blue Button data in apps and tools…

ONC’s Role

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Stay Connected

• Browse the ONC website at: healthIT.gov

• Ask a question: BlueButton@hhs.gov

• Subscribe, watch, and share

http://www.youtube.com/user/HHSONC

HealthIT and Electronic Health Records https://twitter.com/ProjectBlueBtn

Save the Date: September 16, 2013Washington DC: Consumer Health IT Summit !!

Thank you !

Ellen Makar MSN, RN-BC, CCM, CPHIMS, CENPSenior Policy Advisor

Office of Consumer eHealthOffice of the National Coordinator for Health IT

US Department of Health and Human Services

330C Street SW, Room 1104Washington DC 20201

Work: 202-205-8116

Mobile: 202-731-2774EMAIL: Ellen.Makar@hhs.gov

http://www.linkedin.com/in/ellenmakar

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Heart health in your pocketHeart health in your pocket.

Lessons learned from the development of theLessons learned from the development of theHeart Health Mobile smartphone appHeart Health Mobile smartphone app

August 28, 2013

Jeffrey J. VanWormer, PhDAssociate Research Scientist

Epidemiology Research CenterMarshfield Clinic Research Foundation

Wireless communication revolution

For every 100 adults in the U.S.

90 own a mobile device

50 own a smartphone

20 own an iPhonewww.nielsen.com/us/en/reports/2013/mobile-consumer-report-february-2013.html

Mobile phones more prevalent than computers worldwide

Smartphone ownership growing fastest in non-White, low-income, and less educated groups who use their mobile device as their primary tool for Internet access

Enter the DHHS

● Million Hearts challenged developers to create a mobile app to helps consumers improve heart health

● Marshfield Clinic was among the ~35 entries from around the U.S., and won with their version called Heart Health Mobile (hearthealthmobile.com/app/)

Methods

• Multidisciplinary team of 24 members created to develop the app, with expertise from medicine, epidemiology, health IT, graphic design, legal, business analytics, and marketing

• App successfully developed, tested, and released (for contest) within a 30-day timeframe

• Gamified version developed in several languages, and epidemiologic data on downloads, unique users, geo-segmentation, and other metrics actively collected

Buzz

• Over 200 media mentions following announcement of contest winner

• Featured in CVD health promotion initiatives launched this spring in several major metro areas across the U.S. (Tulsa, Chicago, San Diego, Philadelphia, and Baltimore)

• ~1,500 downloads in February (~5,000 page views)

• Showcased at BIO International Conference

Cumulative HHM page views during Heart Month, stratified by major U.S. geo-segments

HHM page path analysis and average user flowCylinders = pages (volume = relative number of visits) and arrows represent click-throughs (size = proportion of click-throughs). The closer to the left of the graph a given page is, the more likely that it is the first page visited, and the further down, the more time spent on it

Lessons Learned

1) Health apps can be developed/scaled rapidly, with broad ranging adaptations for various health conditions

2) Actual use may be limited in the absence of aggressive background health promotion initiatives or platform

3) For health research, apps may provide real(er)-time data collection methods that can be used to identify atypical health predictors and related trends at a lower cost

4) HHM seems to provide users with important information, but the potential to result in actual CVD health improvements is yet unclear

Questions?

Eval Reminder

Link is embedded in your e-mail invitation & on the MetaStar website, or copy and enter into your web browser:http://www.surveymonkey.com/s/MobileHIT8-28-13

All attendees

Everyone please complete the online evaluation thank you!

Contact Information:

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agreen@metastar.com