Transforming Healthcare Through Patient Engagement. Kentucky Rural Health Clinic Summit May 16, 2014

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1 Transforming Healthcare Through Patient Engagement Kentucky Rural Health Clinic Summit May 16, 2014

2 Agenda Tools and Principles for Effective Patient Engagement Megan A. Housley, MBA - Kentucky Regional Extension Center View, Download, Transmit & Secure Messaging Jennifer Wilder, MHA - CHFS/Governor s Office of Electronic Health Information KHIE Patient Portal Mary Gaetz - CHFS/Governor s Office of Electronic Health Information

3 Tools and Principles for Effective Patient Engagement Megan A. Housley, MBA Business Development Director Kentucky Regional Extension Center

4 The Triple Aim Population Health TRIPLE AIM Per Capita Cost Experience of Care

5 Patient Engagement

6 What Is Patient Engagement? Patient engagement refers to ongoing and constructive dialogue between patient and practitioner designed to promote positive patient behavior, such as obtaining preventive care or exercising regularly.

7 What Is Patient Engagement? Patient Engagement is simply involving patients in their own care. Many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.

8 Patient As Dance Partner Doctors like to think they re Fred Astaire, moving the patient smoothly through the care process but don t forget that Ginger Rogers did everything backwards and in high heels. It s not so smooth for the patient. Russell Kohl, MD

9 525,600

10 Becoming A Consumer-Centric Industry L earn from other industries focus on customer needs at all times integral part of customer s daily life. Must engage patients to take more active role in their health.

11 Principles of Effective Engagement Reduce Ambiguity Clear & Communicated Policies Proximal Results Respond Promptly to Needs/Successes Polish the CAR: Collaboration, Autonomy, Respect Every encounter should focus to improve these factors

12 Patient Communication Tools Personal Health Record Patient Portal Phone/Text Office Visits Home Visits Videos Automated Outreach Referral Tracking Telehealth/eConsults Remote Patient Monitoring mhealth Devices (i.e. wellness apps, wearable monitors)

13 Patient Portal = Most Logical Step To Tackle Pt Outreach and Accessibility

14 MU 2: Patient Engagement Requirements for Patient Action: More than 5% of patients who are discharged from a hospital or seen by an EP must access their health information online (View, Download, Transmit) More than 5% of patients must send secure messages to their EP

15 Patient Portal Benefits Enhanced Communication Shared Information Enhanced Care Delivery Empowered/Proactive Patients Workflow Efficiencies Enhanced Access Improved Patient & Provider Satisfaction Save Time & Money

16 Patient Portal Tools Patient Education Materials Online Bill Pay Appointment Scheduling Check-In Prescription Refill Requests Medical Records Access Live Chat evisits

17 If You Build It, Will They Come? 90% of patients report wanting access to their health information online (Accenture, 2012) In reality, getting patients to actually adopt and use meaningfully takes planning and work

18 Tips For Patient Portal Success Achieve Staff Buy-In Early First Impressions Count Sell It Make Enrollment Fun and Easy Engage Physicians in Enrollment Choose Technology for Long-Term Positions Tap Vendor Resources Consider Mobile, Digital Strategy

19 Family Medicine Clinic of Danville

20 Connect with Kentucky REC! Phone: (859) Follow us on Like us on Facebook: facebook.com/ehrresource Follow us on LinkedIn: linkedin.com/company/kentucky-rec Check out our website:

21 QUESTIONS?

22 KHIE Patient Portal Mary Gaetz Patient Engagement Coordinator CHFS/Governor s Office of Electronic Health Information

23 Why KHIE PHR? Opportunity for more complete medical history Our portal meets MU Stage 2 requirements for patient engagement We provide outreach materials for your patients We provide training to practice staff Cost- KHIE PHR is free

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28 KHIE Patient Portal: cc:me!

29 KHIE Patient Portal-911 Card

30 Patient Portal Phased Implementation Updated 05/01/2014

31 Patients: Why Now? Reduced wait for test results All health records in one place Access to elderly parent s complete medical history Complete access to medical history Reduce duplicative testing

32 Providers: Why Now? Increased patient satisfaction (i.e. technology) Improve quality and safety Increase hospital efficiency and revenue (i.e. readmissions) Improved health status outcomes Incentive payments for MU

33 QUESTIONS?

34 View, Download, Transmit & Secure Messaging Jennifer Wilder, MHA MU Advisor/Direct Coordinator CHFS/Governor s Office of Electronic Health Information

35 Meaningful Use Stage 2 How does this fit into Meaningful Use Stage 2? How can I fulfill MU Objectives and Improve Patient Engagement? 35

36 KHIE Patient Portal Uploads all relevant patient health information Ability to view, download and transmit patient health record KHIE facilitates the secure exchange of electronic health information Provider verifies patient information in PHR and communicates securely to patient Satisfies requirements for meaningful use

37 What are the objectives?

38 Objectives The capability to provide patients online access to their information is a part of Certified EHR Technology beginning in 2014 for EPs and EHs/CAHs *Regardless of stage

39 Patient Engagement & MU VDT Objectives EP: Provide patients the ability to view online, download and transmit their health information Within 4 days EH: Provide patients the ability to view online, download and transmit their health information about a hospital admission Within 36 hours of discharge

40 How is this measured?

41 Patient Engagement & MU VDT Measure 1 EP Measure 1: More than 50% of all unique patients seen by the EP during the reporting period are provided timely (4 days) online access to their health information EH Measure 1: More than 50% of all unique patients discharged from the inpatient or ED of the EH/CAH (POS 21 or 23) have their information available online within 36 hours of discharge

42 Patient Engagement & MU VDT Measure 2 EP Measure 1: More than 5% of all unique patients seen by the EP during the reporting period view, download, or transmit to a third party their health information during the reporting period EH Measure 1: More than 5% of all unique patients discharged from the inpatient or ED of the EH/CAH (POS 21 or 23) of an EH/CAH view, download or transmit to a third part their health information during the reporting period

43 Measure 2 Implications Patients must be able to access their health information online to accomplish View and Download What becomes challenging is having your patients Transmit to other providers

44 How Can This Be Accomplished? You must have a Health Internet Service Provider (HISP) or a secure network to accomplish Transmit Some 2014 CEHRT comes equipped with a HISP, while others do not KHIE is operating as a HISP

45 EHR Vendors with HISPs Acumen Physician Solutions AdvantaChart Inc. AllMeds, Inc. Allscripts Aprima Medical Software, Inc athenahealth, Inc Cerner Corporation Compulink Connexin Software, Inc. CPSI (Computer Programs and Systems), Inc. eclinicalworks LLC Elekta - IMPAC Medical Systems, Inc. e-mds, Inc. Eyefinity/OfficeMate GE Healthcare Glenwood Systems LLC glostream, Inc. gmed, Inc. Greenway Medical Technologies, Inc. Health Innovation Technologies, Inc. Healthcare Management Systems, Inc. HealthFusion EHR Vendors with HISPs Healthland, Inc. isalus Healthcare M.S. Group Software, LLC McKesson McKesson Provider Technologies McKesson Specialty Health MedInformatix, Inc Meditab Software, Inc. MedPlus, A Quest Diagnostics Company Modernizing Medicine Netsmart Technologies NextGen Healthcare PBSI - Positive Business Solutions, Inc. Practice Fusion QRS Inc. Sevocity a division of Conceptual MindWorks, Inc Siemens Medical Solutions USA Inc SOAPware, Inc. SuccessEHS Ulrich Medical Concepts VersaSuite Vitera Healthcare Solutions, LLC

46 EHR Vendors that may not include a HISP EHR Vendors That May Not Include a HISP ADP AdvancedMD CorrecTek Epic Systems Corporation First Insight Corp Health Care Systems, Inc. Hello Health inc LeonardoMD, Inc. Medical Informatics Engineering Medical Information Technology, Inc. MicroFour, Inc. ModuleMD Netsmart Technologies Orchard Software Siemens Medical Solutions USA Inc

47 Stage 2 Only: Patient Engagement & MU Secure Messaging (EP Only) EP Objective: Use secure electronic messaging to communicate with patients on relevant health information EP Measure : A secure message was sent using the electronic messaging function of CEHRT by more than 5 percent of unique patients seen by the EP during the EHR reporting period.

48 Secure Messaging Implications A patient and provider must have Direct secure clinical messaging in order to communicate patient health information This means that the provider and patient must both have a direct address For example, Dr. Bob must have a Direct address to communicate with John Doe

49 Patient Portal What Does This Look Like? Provider HISP PHR Any Edge Protocol Direct (SMTP + S/MIME) Provider will be able to send patients secure messages using our HISP Provider HISP PHR Direct (SMTP + S/MIME) Any Edge Protocol A patient from the PHR can send a secure message to a provider using our HISP

50 QUESTIONS?

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