Centre for Excellence in Teaching and Learning (Promoting Learner Autonomy)
Promoting Autonomy and Lasting Behavior Change
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Promoting Autonomy and Lasting Behavior Change A Unique Health Care Empowerment Solution
description
Promoting Autonomy and Lasting Behavior Change. A Unique Health Care Empowerment Solution. Care Kits Drive Results! Improve Care & Drive Down Costs. Provides the curriculum, tools and devices for successful patient engagement - PowerPoint PPT Presentation
Transcript of Promoting Autonomy and Lasting Behavior Change
Promoting Autonomy and Lasting Behavior Change A Unique Health Care Empowerment Solution
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Care Kits Drive Results! Improve Care & Drive Down CostsProvides the curriculum, tools and devices for successful patient engagement
o Dramatically reduces re-admissions rates up to 100%
o Improves Patient Experience Scores
o Creates standardized patient care
o Increases productivity: More effective patient interactions
o Produces a successful, independent patient
Care Kits Provide a Key Role in Meeting the 33 ACO Quality Performance Standards for
Shared Savings
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“I would never bring out a new product without
doing ethnography” (Observational Research)
vvvvvvvShane Wall VP New Product Development, Intel
Our Care Curriculum Based on Observational Research
The consumer products industry
has been doing it for 30 years!
We go to users’ homes,
workplaces and communities to watch them in contextWe observe misunderstandings, gaps in education and barriers to success—from the patients’ point of view we capture their language, their values,their priorities and their perceptions: The Care Kits reflect all these insights.
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Care Kits are Unique: Three Essential Pieces
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How to Use Care Kits Points of Distribution
o Step 1: Select from one of 32 conditionso Most often used for transition of care: Heart Failure, Diabetes,
COPD, Post Surgical Kits, and Multiple Condition Care Kitso Most used for population management: Blood Sugar, Weight
Management, Blood Pressure, CAD care, Heart Fitness, etc
o Step 2: Deliver to the Patiento Hospital: Transition from hospital to homecareo At Home: Population assessment, care manager contact and
direct delivery/follow-upo Dr. Office: Primary Care office
o Step 3: Integrate with your Care Coordinationo Care Kits meet all “standards of care”o Care Coordinator follow up
o Step 4: Watch Your Patient Improveo Care Kits promote self-care and independenceo Leave patient with the tools for ongoing health managemento Achieve higher patient experience scores
Care Kits are used for both post acute and/or wellness and chronic conditions
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How Medicin
eWorks
The Impact Analyzer
Vent Your Story
In Development:• 13 Animations• 2 Videos
Providers & patients can go online for additional content and tools to maintain the
program the long term
Online Access: Maintenance and Additional Content
The Impact Analyzer
Care KitsProvide the Framework:
Curriculum, Tools and Devices
Tracking systems, endorsed by the Juran Quality Institute, allow both patient and provider to see cause and effect at a glance: Discovery learning for long-term behavior change!
Telephone IVR and Web Connections Improve Patient
Connectivity & thePatient Experience. Scripts and Engagement are Based on Care
Kit Curriculum
Dashboard Analytics Improve Timely Care – Either In-Home or Via Telephone or e-mail.
Automation Allows Real-Time Monitoring and Personalized, Need-
Based Contacts.
Enhance Patient Connections: IVR & Web
CARE KITS ACTIVE CONNECTIONS ANALYTICS OUTREACH
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Does It Make a Difference? Outcomes & Results
Virtua New Jersey Medical Center
Suburban Chicago employee wellness program
ASTHMA More than doubled medication adherence, eliminated readmissions and reduced ER use by 72% vs. American Lung Assn handouts
HYPERTENSION 88% in target range after 6 months vs. 12% after home visits+phone coaching
HEART FAILURE Reduced readmissions by 74%; increased regimen adherence by 300-500%vs. standard paper, home visit and phone coaching
Multiple studies WI, IL, KY, MI, and others
YESHeart Failure
97.3%Hypertension
94.9%Diabetes & Pre-diabetes 93.6%Asthma
92.5%Coronary Artery Disease 100%
Q: Did the Care Kit
help you manage your condition?
University of Pittsburgh FIVE-YEAR AVERAGE34% better than national 5-year average
RUSH’S PAPER
4%
RUSH’SPAPER
35% %%
Rush University Medical Center compared instructions approved by their Patient Education Committee, to Care Kits. For 6 months, they called each patient 1 week post discharge:
“Were you able to carry out your self care without asking for help?”
“How satisfied are you with the selfcare materials?”
92% CARE KITS
100% CARE KITS
St. Joseph, Lexington KY
St. Joseph, Elgin IL
NWC, Arlington Hts. ILDRG 127 ONLY
NWC, Arlington Hts. ILALL CHF-RELATED DRGs
Aurora, Milwaukee WI
Great Plains, Elk City OK
VA, Ann Arbor MI (90 Days)
Mercy Hospital, Chicago IL
6.4% 4.0% 38%
16.7% 7.7% 54%
22.2% 6.3% 72%
8.6% 2.2% 73%
23.4% 6.9% 74%
54.5% 33.3% 38%
13.2% 8.7% 34%
BEFORE AFTER
REDUCED BY
>28% 0%
Before After
At Mercy only: N = insufficient for highest level of statistical
significance, but indicative, especially given overall trend
Readmission Rates30-day Heart Failure
Does It Make a Difference? Outcomes & Results
38% 54% 34% 74% 72% 73% 38% 100%
J Reeves, MD Director Nevada State QIO
J Ambulatory Care ManagementV36, No. 2, pp. 108-120 March 2013
TOTAL MEDICAL COST
Blood pressure Cholesterol Blood sugar
Emergency Room visits In-hospital days
Health Plan net savings exceeded $56 PMPM $1.5 million / 1000 members Member savings = 30% lower out-of-pocket cost
than the alternate PPO plan
54%
712 participants 24 months
85% better scores
23% lower
16% fewer visits
Imaging services 35% lower use fewer days
COMPARED TO BASELINE YEAR
Prescription cost per member 18% lower cost
Case Study$1.5 MM Savings in a Medical Home
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“I used to spend a lot of time explaining things. But my patients always came back with the same misunderstandings. With Care Kits they get it. We can have a real conversation–make plans and move forward.’ Robert Fanning, MD, Director, Cardiovascular, Hospital in West Virginia
Proven Track Record It Works for Providers
“The first thing you notice about
using the Care Kits is that the phones go dead. The kits have anticipated all the patients’ questions.” Pat Sloman, RN CCM
Oncology Department ChiefKaiser
Permanente
Riverside, CA
• University of Pittsburgh Health Plan
• Kaiser Permanente
• Hotel and Restaurant Workers Union
• 150+ Home Care Agencies
• wellPORTAL Plan
• University of Oklahoma Medical Center
• Greater Baltimore Medical Center
• Northwest Community Hospital
• Provena Hospitals
• University of Tennessee Hospital
• Palmetto Health Plan ACO
• INFORMed TPAdministrator
SOME CURRENT CUSTOMERS
“We‘ve used the tools for five years with five chronic conditions.Satisfaction scores have been 97 to 100%.” Dr. S. Ramalingam, Medical Director UPMC Health Plan
“Our readmissions were over 28%. Sixty days into a trial with [Care Kits] we had no readmits for Heart Failure.” C. C., CNO, Mercy Hospital and Medical Center, Chicago
Summary & Next Steps
Care Kits can play a vital role in any integrated health care system.o Educated, independent patients require less care and cost less!
o CSI Care Kits are proven to reduce re-admissions & increase patient satisfaction → higher patient experience scores
o They are used by leading institutions: UPMC, Kaiser, etc
o Proven to create an ROI
Next Steps:
o Determine which conditions and Care Kits fit your organization
o Determine how CSI Care Kits can be integrated into your clients’ processes and systems
o Train your staff
Contact InformationQuestions or comments about Care Kits?
Michael Weiss – President O: 847-850-7500 ext 121M: [email protected].
Shirley Grey RN MSN – EVP Sales & Customer ServiceO: 847-850-7500 ext 103M: [email protected]
Judy Farah RN – Operations DirectorO: 847-850-7500 ext 106M: [email protected]
Sylvia Aruffo, PhD – Consumer Content OfficerO: 847-850-7500 ext 101M: [email protected]
Carol Outland RN MSN - Clinical Content DirectorO: 847-850-7500 ext 117M: [email protected]
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Appendix: Online Patient Interface
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Appendix: Online Patient Interface
