HIT for Consumers in Communities of Color: Strategies to "Leapfrog" Disparities in Access, Adoption and Use Presented by: Panelists: Ruth T. Perot, Managing Director, NHIT Danielle Brooks, Policy/Research Consultant, NHIT Cynthia Solomon , President, Follow Me, Inc. - PowerPoint PPT Presentation
HIT for Consumers in Communities of Color: Strategies to "Leapfrog" Disparities in Access, Adoption and Use Presented by: Panelists: Ruth T. Perot, Managing Director, NHIT Danielle Brooks, Policy/Research Consultant, NHIT Cynthia Solomon, President, Follow Me, Inc. Thomas Maguire, Director, Public Policy, Verizon Communications Ho Tran, MD, President/CEO, National Council of Asian Pacific Islander Physicians; Member, NHIT National Advisory Council November 15 th , 2013
Transcript
HIT for Consumers in Communities of Color: Strategies to "Leapfrog" Disparities in Access, Adoption and Use
Presented by:
Panelists:
Ruth T. Perot, Managing Director, NHIT
Danielle Brooks, Policy/Research Consultant, NHIT
Cynthia Solomon, President, Follow Me, Inc.
Thomas Maguire, Director, Public Policy, Verizon Communications
Ho Tran, MD, President/CEO, National Council of Asian Pacific Islander Physicians; Member, NHIT National Advisory Council
November 15th, 2013
Webinar Overview
This webinar is the third in a 2013 series that highlights the impact of HIT on
the underserved and health disparities. The National Health IT Collaborative for
the Underserved (NHIT) works in partnership with organizations and individuals
to assure that providers and consumers, with a focus on communities of color,
benefit from HIT advances and resources.
Webinar Objectives
• Understand current patterns/trends for HIT access, adoption and use in COCs
• Identify barriers to engagement among people of color
• Discuss strategies/options to overcome these barriers
• Learn about promising/best practices to engage consumers of color in HIT
• Present and discuss recommendations to build on current trends and successes
Webinar Support
Webinar Co-Sponsors National Council of Asian Pacific Islander Physicians
National Medical Association
Today’s Presenters
Webinar Participants
NHIT National Advisory Council
NHIT thanks the Office of Minority Health, U.S. Department of Health and Human Services, that provided support for the research conducted for this webinar.
Promoting Consumer Engagement and Empowerment through the Adoption and Use of
Health Information Technology Tools in Communities of Color:
Adoption and Use of Health Information Technology Tools in Communities of Color:
Background
• Literature review and environmental scan of the adoption rate, use and outreach of HIT tools in communities of color (COC).
• Specifically, the document reviewed the use of personal health records (PHRs), patient portals, and mobile healthcare applications (MHCA) that consumers in COC use to engage in their personal health care management.
• Research was conducted over the course of a five week period.
• Online databases were assessed through publically available sites and select publications provided by organizations in the field.
• Overall, research on adoption rate, use and outreach of HIT tools in COC is scant.
Statistics
• By 2045 over half of the United States population will be a person of color. Latinos are the fastest growing minority population.
• Despite population growth, members of these communities continue to experience worse health care outcomes.
• PHRs, patient portals and MHCA have been proven to increase consumer engagement resulting in better healthcare outcomes for adopters.
• Despite these realities, consumers in COC adopt PHRs and patient portals at a lower adoption rate than the general patient population.
• However, members of the African American and Latino patient community are more likely to use MHCA than any other patient group
Barriers to the Adoption of PHRs and Patient Portals
• Health literacy
• Perceived use and effectiveness of the tool
• Lack of provider adoption and use
• Language barriers and immigration status
• Trust
• Technical infrastructure
Growing with Innovation: Leveraging the MHCA
• MHCA have the potential to close the gaps in health care outcomes.
• African Americans and Latinos are statistically more likely to use their phone for the sole method of gaining online information.
• Of the MHCA used, African Americans (59%) were more likely than Latinos (51%) to track basic health indicators like diet, weight, and exercise. Latinos , however, were more likely than any other patient group to research health information on their mobile phone (25% for Latinos , 19% for African Americans and 15% for whites).
• Further studies suggest MHCA have the potential to improve both the cost and efficiencies of healthcare in certain COC.
Recommendations
• MHCA must be accessible to those with low literacy rates and available in multiple languages. Designing tools that use voice recognition and touch screen technologies will be crucial to the success and adoption of these tools.
• Tools must be transparent and open about information use; why it is collected, who has access to it, and how it is used.
• Tools must be accompanied by the appropriate training and outreach by providers in order to increase adoption and perception of the effectiveness of the tool.
• Tools should be able to be tailored to individual preferences. Applications must be presented in a manner in which the consumer will both understand and engage.
Recommendations (Cont’d)
• Trusted organizations with proven outreach capacity should be resourced to inform and educate COCs about the benefits of HIT for health improvement and consumer empowerment.
• Pilot projects implemented by vendors in partnership with COC agencies to create and test MHCAs aimed at reducing/eliminating disparities in such areas as diabetes, hypertension and asthma.
• Tools must be supported, endorsed, and paired with provider technology in order to provide coordinated care.
Cynthia SolomonPresident, Follow Me, Inc.
Meaningful Use MandateFacilitating Patients’ Active Management of Care
Meaningful Use Requirements Include Consumers
Reporting on Clinical Quality Measureso Patient and Family Engagemento Patient Safetyo Care Coordinationo Population and Public Healtho Efficient use of Healthcare Resourceso Clinical Processes/Effectiveness
MiVIAPatient Safety for Migrant Workers in Sonoma Valley
Focus on uninsured and transient populations lacking a medical home
Eliminates geographic barriers in primary, specialty and tertiary care
Patient education and advocacy tools
Members create their own personal HIE, sharing information between providers and family members
WIND Youth Services WIND Youth Services
Community ProvidersCommunity Providers
UC Davis Medical & HealthUC Davis Medical & Health
HomeHome
Member Data & Documents Input:• Health• Education• Employment• Housing
Member Data & Documents Input:• Health• Education• Employment• Housing
Content & Tools:• Resume Builder• Emergency ID Card• Trusted Resources• Website/Blog• Social Network Links• Video & Audio • Permissions& Consent
Content & Tools:• Resume Builder• Emergency ID Card• Trusted Resources• Website/Blog• Social Network Links• Video & Audio • Permissions& Consent
File Server
Funders: Sierra Health Foundation, UnitedHealth Group
HealthShack™Patient & Family Engagement at WIND Youth Services in Sacramento
Key Challenges for PHR Adoption Technology
o Overload in approach to 2014o Interoperabilityo EMR Pushback
Literacyo Lack of awareness of PHRso Consumer literacy lags ACA implementation
Sustainabilityo Funding to support community-level involvemento Monetizing product while maintaining trusted
environment
Thank You!
Putting a Face on Consumer EngagementPutting a Face on Consumer Engagement
CONTACT USwww.altruit.com/healthshack
CONTACT USwww.altruit.com/healthshack
Technology: Transforming Health Care
National Health IT Collaborative for the Underserved (NHIT) Webinar
November 15, 2013
Tom Maguire, Verizon
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.
19
Chronic disease is the most common, costly and preventable health problem in America.
$4.5T2019
$3T2013
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.
20
Health Care Access Challenges
Access to Primary Health Care Will Further ConstrictAccess to Primary Health Care Will Further Constrict
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.
21
Mobile Health Solutions
Designed to provide clinicians with real time biometric data from patients’ connected
devices so they can intervene and manage patient care with the goal of managing
healthcare and decreasing costs
Built to help reduce inappropriate ER use and extend clinical reach by providing a new point of service for members to connect with a clinician
Virtual VisitsConverged Health Management
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.
22
Managing Chronic Care with Remote Monitoring : Converged Health Management
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.
23
Verizon’s Virtual Visits will provide an end-to-end solution to facilitate convenient, lower cost virtual consultation by a clinician, with electronic prescribing of medications
Verizon’s Virtual Visits will provide an end-to-end solution to facilitate convenient, lower cost virtual consultation by a clinician, with electronic prescribing of medications
Virtual Visits
• Balance supply and demand of healthcare clinicians
• Increases access to care
• Controls healthcare costs
• Enhance patient engagement
Verizon’s Virtual Visits is a mobile health solution that connects patients and providers for remote doctors visits when they need it.
Using an application on a Smartphone/tablet, patients with simple ailments can be assessed remotely via interactive questionnaires and video conference.
Customer advertises VV to their
members/employees
April 3, 2
011
Virtual healthcare consultations, leveraging
multiple modes of communication –
computer, tablet, phones
Documentation of clinicalnotes and plan, including
e-prescribing of medications
Visit Summary and receipt of payment
Capture patient information,symptoms,and co-pay
Virtual VisitsVirtual Visits
Product Benefits:
55
11 22 33
44
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.
24
Remove State Licensing Barriers to Practice “Anytime, Anywhere” TelemedicineRemove State Licensing Barriers to Practice “Anytime, Anywhere” Telemedicine
Policy Challenge: State Medical Licensure
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.
25
Reform Outdated Reimbursement Rules to Advance TelemedicineReform Outdated Reimbursement Rules to Advance Telemedicine
Policy Challenge: Reimbursement The physician can only be
reimbursed for services if: The physician can only bereimbursed for services if:
1) His or her contact with the patient is a virtual face-to-face consultation
2) The patient is in an identified “Health ProfessionalShortage Area”
3) The patient is in a“medical facility”
Q&A
•Sponsor future webinars to share current information and successes from the field and foster exchange of views
•Report forthcoming on “Promoting Consumer Engagement and Empowerment through the Adoption and Use of Health Information Technology Tools in Communities of Color”
