VA Connected Health Neil C. Evans, MD Co-Director, Connected Health Veterans Health Administration
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1 VA Connected Health Neil C. Evans, MD Co-Director, Connected Health Veterans Health Administration June 2015
2 VHA s Current Priorities Access Veterans Experience Connected Health Care Homelessness Mental Health Care Standardization VETERANS HEALTH ADMINISTRATION 1
3 VA Connected Health Connected Health Technologies Year Started Veterans Served in 2014 Virtual Care Modality Totals (Telehealth, Secure Messaging, SCAN-ECHO only) 1,831,221 (32% VHA patients) Veteran Point of Service Kiosks 2010 >4M transactions My HealtheVet 2003 ~2,900,000 Blue Button 2010 ~1,100,000 Secure Messaging ,093,327 Store & Forward Telehealth ,010 econsults ,239 Clinical Video Telehealth ,774 Home Telehealth ,826 SCAN-ECHO ,429 Veteran Mobile Apps 2013 Field testing & Initial Release VETERANS HEALTH ADMINISTRATION Staff Mobile Apps 2013 Field testing 2
4 VA has been a leader in Virtual Access In FY 2014 Transactions: 1 million+ prescriptions refilled online per month Communications: 1 million patients using VA secure with providers Expert Care: More than 2 million Telehealth visits 150,000 patients case-managed by home telehealth (HT) 250,000 patients used clinical video telehealth (CVT) between VA clinics; 4,000+ received CVT visits directly into their homes 380,000 used store and forward telehealth (SFT) technology 350,000 econsults Information Sharing: 1 million patients using Blue Button to download EHR data 3
5 VA Connected Health VETERANS HEALTH ADMINISTRATION 4
6 VA Connected Health VETERANS HEALTH ADMINISTRATION 5
7 Healthcare s Next Transition VETERANS HEALTH ADMINISTRATION 6
8 My HealtheVet: VA Personal Health Portal My HealtheVet has 10+ years of award-winning and proven success Transactions (example: Rx Refill) HealtheLiving Assessment (Calculate your health age) Secure Messaging (Secure exchange your health care providers) Blue Button (Download and share your health data) Open Notes (View your own medical chart, including progress notes) 142 million+ visits 3.1 million+ registered users As of September 30, 2014, nearly 45 percent of VA patients have registered for My HealtheVet VETERANS HEALTH ADMINISTRATION 1.1 million+ opted-in to use Secure Messaging 7
9 VA Mobile Health VETERANS HEALTH ADMINISTRATION 8
10 VA Launchpad Mobile One-Stop Patient Entry Groups Apps with secure login Access multiple Apps without individual login Can access Apps without Launchpad VETERANS HEALTH ADMINISTRATION 9
11 PTSD Coach Pain Coach Concussion Coach Mindfulness Coach Mood Coach Moving Forward Parenting2Go Care4Caregiver ACT Coach CBT Insomnia Stay Quit Vet Change CPT Coach PE Coach Mission Health* VetLink* VETERANS HEALTH ADMINISTRATION *Peer-to-Peer Community 10
12 Secure Messaging Teledermatology MyVAHealth VA Moms (Maternity Care) ekidney App Wellness Check MOVE! Coach Burn Pit Registry VA Launchpad Appointment Scheduling/Request (VAR) Prescription Refills Annie App FitHeart (Cardiac Rehab) GDx (Genetic Testing) Summary of Care Mobile Blue Button VETERANS HEALTH ADMINISTRATION 11
13 VA / NHS Partnership - VHA and NHS England 3 year partnership initiated in early A transatlantic exchange to support the adoption of digital health between the US VHA and England s NHS VETERANS HEALTH ADMINISTRATION 12
14 Text Messaging and Its Impact (cont.) VETERANS HEALTH ADMINISTRATION 13
15 U.S. Adults and Cell Phone Use (January 2014) Smartphone Cell Phone 100% 80% 60% 40% 20% 0% <30K 30-49K 50-75K Age Pew Research Internet Project VETERANS HEALTH ADMINISTRATION Annual Income 14
16 Messaging Enabled Self-Care 15
17 Background helping your patients to help themselves April 14 th 16:21 16
18 COPD, CHF, new hypertension, hypotension, diabetes type 1, retinopathy, medication compliance, diabetes type 2, medication titration, orthopaedic, smoking cessation, speech therapy, carers wellbeing, mental health behaviour, long term hypertension, adult asthma, alcohol support, weight management, early hospital discharge, outpatient therapy, acute specialist follow up, long term monitoring, anti-coagulation, oximetery review, asthma, depot injections, pregnancy, child asthma, pain management, physiotherapy, palliative care, gestational diabetes, learning disability, oncology, nephrology, rheumatology, asthma, obstetrics, interstitial lung disease, dietetics, depression, CKD, urology, obesity + many more 17
19 The exciting thing. helping your patients to help themselves 18
20 Background helping your patients to help themselves April 14 th 16:
21 Annie, VA Text Messaging System Susan S. Woods, MD, MPH Connected Health, Veterans Health Administration June 2015
22 VA s Automated Text Messaging System How s your blood pressure today? Thanks, Annie. Thanks, I ve got it. Looks good. I ll stay in touch. Annie BP Annie G. Fox Chief Nurse at Pearl Harbor, first woman to receive Purple Heart 21
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35 Annie Success Factors 1. Team view - value supplementing care 2. Clinician communication - benefit, limitations 3. Ease of use access, enrollment 4. Protocols match to clinical need 5. Workflow (Team) fit, message review 6. Workflow/Lifeflow (Patient) fit, relevance 7. Messaging content, tailoring, frequency, duration 8. Part of a menu of care? 9. Device? VETERANS HEALTH ADMINISTRATION 34
36 Contact Information Neil C. Evans, MD Co-Director, Connected Health Office Veterans Health Susan S. Woods, MD, MPH Director, Patient Experience, Connected Health Office Veterans Health VETERANS HEALTH ADMINISTRATION 35
Connected Health: Improving Access to Health Care through Technology
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