Evaluation of Carolinas Asthma Coach: An …...2018/04/27 · Information Technology Solution for...

Evaluation of Carolinas Asthma Coach: An Information Technology Solution for Asthma

Kelly Reeves, BSN, RN, UXCand

Andy McWilliams, MD, MPH

Objectives

• Describe shared decision making and the design of Carolinas Asthma Coach

• Detail the evaluation results of Carolinas Asthma Coach

Childhood

Pediatric Asthma

Patient Engagement and Meaningful Use

• Shared Decision Making is the News:• National Institutes for Health (NIH) and Agency for Healthcare

Research and Quality (AHRQ)

• Patient-Centered Outcomes Research Institute (PCORI)

• Center for Medicare and Medicaid Services (CMS)

• Health Information and Technology (HIT)

• National Quality Forum (NQF)-Call to Action

So What is Shared Decision Making?

The meeting of two experts…..

Research and Lessons Learned

• SDM works! • Improves patient-centered

outcomes.

• Some barriers to scale and implementation in “ Real-World” Practices.

Carolinas Asthma Coach™Interactive, digital health coaching experience for pediatric asthma

Copyright © 2017 Carolinas HealthCare System, All rights reserved.

Carolinas Asthma Coach – 3 Simple Steps

• Needs image

Introduction to Coach McLungs™


• Needs clip

Begin by Setting a Patient-Centered Goal


Patient concerns


Introduction to the Control-O-Meter™


Activity Limitation Question


Patient perspective to actual level of control


Standardized and Personalized Asthma Education


Personalized Trigger Avoidance Strategies


Control and Adherence


Assessment of Level of Control/Severity, Spacer Techniques and Triggers


Actionable “Playbook” for Patient & Provider

• Parent shares their specific concerns regarding their child’s asthma

• Parent answers questions about their experience using the Carolinas Asthma Coach

• Carolinas Asthma Coach’s clinical decision support algorithms generate summary pages for the patient and the provider


•Results from Pilot

Results- 90% Shared in the Treatment Decision

7%

20%

60%

10%

3%

Who Made the Treatment Decision?n=30

Patient Alone

Mostly Patient

Patient and Provider Equally

Mostly Provider

Provider Alone

Results- Increase in Knowledge

52%68%

77% 84%

Patients Caregivers

Pre-and Post- Knowledge Survey Scoresn=62

Pre Post

Up 25% Up 16%

Key Informant Interviews

• Parent: “I didn’t understand what asthma was before… this (Carolinas Asthma Coach) made it easy to understand.”

• Parent: “I need to get a spacer because the Asthma Coach said it was important.”

• Pediatric Patient: “It (Carolinas Asthma Coach) is friendly and funny.”

• Pediatric Patient: “It helped me to know what questions to ask the doctor.”

• Provider: “When we can do this (implement the standardization and efficiency of Carolinas Asthma Coach) it is going to be really big for asthma care.”

Satisfaction

• 100% of patients, caregivers and providers surveyed (n=93) would recommend Carolinas Asthma Coach to a friend or colleague

Next Steps- Version 2.0

• Include use for 5 and 6 year olds

• Spanish version

• Enhance and improve the usability issues

• SMART FIHR

Questions?


Contact

Evaluation of Carolinas Asthma Coach: An …...2018/04/27 · Information Technology Solution for...

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