Update on Electronic Medical Records and Mobile Platforms in Transitional Healthcare

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1 Update on Electronic Medical Records and Mobile Platforms in Transitional Healthcare Jill Sullivan, MD, PhD Internal Medicine-Pediatrics Resident Physician, Greenville Health System

2 Disclosures I have no commercial relationship to disclose

3 Learning Objectives Review how the six core elements have been incorporated into Epic by other institutions. Identify alternative platforms for delivering transition assessments and monitoring outcomes. Review the current state of mhealth (mobile healthcare) in chronic medical illness. Identify developed and developing mobile applications to improve patient care.

4 Big Questions? What do you need your EMR to do? How complex do you need your report to be? Do you need numeric data, traceable data to report outcomes? Who will deliver data to your system? When in the visit will this occur?

5 Incorporating Transition into Epic

6

7 Survey Design A brief online survey was developed and sent to two groups in September and November Expert Epic Users: 22 (100% response rate) Additional Users from the 15% ACIDC and AAP San Diego: 25 (40% response rate) The survey questions included the following: Closet-ended questions about the current inclusion of specific core elements of the 2011 AAP/AAFP/ACP Clinical Report on Transition in Epic. Open-ended questions about the current functionality of this EHR in transition, needed next steps and advice for those seeking to add transition into their practice using Epic.

8 Transition Elements in Epic System Transition Policy Tracking & Registry 31% Transition Readiness Assessment 65% Transition Plan of Care 40% Transfer of Care 56% Transition Completion 12-13% 0%

9 Core Measures Demonstrated in Epic

10 Epic Key Words: BPA: Best Practice Advisory AVS: After Visit Summary Smart Text Smart Phrases My Chart

11 Examples of Core Elements

12 There is Definitely More than One Way to Skin a Cat

13 Transition Policy via AVS SUNY Upstate Medical EMR Screenshots

14 Children s Colorado

15 Capture Your Patient: Utilize A Best Practice Advisory

16 Smart Text: Children s Hospital Colorado

17 Readiness Assessments

18 UF-JaxHATS

19 Dot Phase/Smart Phrase Plan of Care Ohio State University and Nationwide Children s Hospital

20 Comprehensive Plan CMC Dallas

21 CMC Dallas

22 Epic My Chart Records Messages Pre-visit surveys Upcoming visits Visit reminders

23 Does your EMR lack the complexity or support to accommodate Transition? What is an alternate application?

24 REDCaps: Vanderbilt Research Electric Data Capture Secure web application for building and managing online surveys and databases active institutional partners Allows users to build and manage online surveys and databases

25 Healthcare Gone Mobile: mhealth

26 Good place to Start:

27 mhealth tools Informative alerts, reminders Educational narrative training, videos Communication survey, 2-way talk Disease management data input, tracking, and gamification Psychosocial support mobile network/meetup

28 Is texting a way to encourage diseasespecific self management?

29 MyHealth Passport

30 Duke SMART App

31 Gamification

32 My Transition Apps

33 Mobile Applications

34 Twine/CollaboRhythm

35 Twine Health

36 Healthy Transitions App University of Deleware Disability Studies

37 Healthy Transitions App

38 Social Skills Sampler

39 AYA Surveillance

40 Men s Health

41 What Coming? How can patient s be motivated to change to change their behavior and increase their autonomy and independence with respect to their condition?

42 TransitionMate

43 Thank You to Our Speakers For your time For your education For you exhaustless energy and dedication to transitional care research and implementation

44 Thank you to our Committee Dr. Russ Kolarik, MD Faculty Sponsor GHS Med-Peds Program Director Dr. Manisha Patel, MD Faculty Sponsor Director of Adult Congenital Heart Disease Clinic at GHS Dr. Jill Sullivan Conference Co-Chair Dr. Sen Ravindran Conference Co-Chair Dr. Shannon Burgess Conference Coordinator Dr. Burnadette Wood Conference Coordinator

45 A Special Thank You To Our Sponsors -Peds

46 Reminders Please do not forget to submit your CME forms online: you will have 6 days from the completion of this event to submit. As part of our support through the South Carolina Developmental Dissabilities Council we will be contacting you in 6 months to assess how this conference has impacted the care of patients affected with childhood-onset chronic illness in your practice.

47 Upcoming Meetings: 7 th Annual Health Care Transition Research Consortium Symposium September 30, th Annual Chronic Illness and Disability Conference on Transition from Pediatric to Adult-based Care October 1 and 2, Houston, Texas https://www.baylorcme.org/search/detail.cfm?cme=979

48 Raffle Drawing

49

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