5. Convenience Apps
• Online scheduling
• Bill paying
• Wayfinding
• Prescription renewals (through portal)
• Secure messaging to clarify medications, test
results (avoid phone tag, through portal)
• eVisits, Telemedicine to avoid ER visits
6. Boston Children’s
• DisCo, a Discharge Communication Platform
• sends families either a text message or an
email with 3 questions within 24 hours of
discharge.
7. National Children’s
Why Do Patients Not Use
Portals?
• “Did not know it was
available”
• “Physician never spoke to me
about it”
• Challenging groups (children,
adolescents, elderly, mental
illness)
• Confusing user interface
• Not compelling enough
8. Children's Health, Dallas, TX
• Remote patient monitoring post-transplant
• Using a tablet to connect to devices and
transmit data to the medical team (blood
pressure, weight, O2 stats)
• Eliminates visits 2x per week
• Also can be used
for patient education
9. Geisinger Medical Center
• Using the MyChart portal as the
center of the customer
experience
• Building/buying tools integrated
to reduce the administrative
time at appointments
– Medication reconciliation by
patients prior to appointments
10. Carolinas Health System
• *NEW*
View doctor's notes and
radiology reports (Open Notes)
• *NEW*
Track your health with the new
MyCarolinas Tracker app
12. Kaiser’s Experience
1. Secure Email Supports Improved
Outcomes And Patient-Centered
Care
2. Patient Portal Use Positively
Impacts Patient Loyalty To The
Health Plan And Member
Satisfaction
3. Evidence Of A Relationship
Between Secure Email And
Other Kinds Of Utilization Is
Mixed
4. Even With The Best Intentions,
E-Health Disparities Can Emerge
13. Feedback from Kaiser Patients
• more in control over their medical condition;
• they had access to information and access to
the people they needed to consult; and,
• more confident, less intimidated, and closer
to their physician.
http://healthaffairs.org/blog/2016/04/07/lessons-from-more-than-a-decade-in-patient-portals/
14. Use of Texting
Why texting?
• Common use among millennials – more likely
to read
• Lower income populations may not have
smart phone but do have texting
• One-way texting – health reminder messages
• Two way texting – ask for a brief response
15. Texting examples
Text4Baby
• free app to pregnant women and new
mothers about health reminders based
on the stage of pregnancy or the baby’s
age.
• user can set up appointment reminders
and watch informative videos.
• Used by almost 1 million moms.
• One study showed significant positive
change in attitudes about prenatal
health behaviors.
16. Texting Example
MetroHealth Medical Center,
Cleveland
• Direct Messaging to
Parents/Guardians to Improve
Adolescent Immunizations
• TeleVox Software Inc. 39%
increase in vaccination rates
for adolescents.
• http://www.jahonline.org/arti
cle/S1054-139X(14)00764-
2/abstract
17. Text messages reduce emergency
room visits for low income patients
with diabetes
• study of 128 patients, published in the Annals of
Emergency Medicine
• Self-reported medication adherence did improve
significantly in the intervention group, however, and
actually got worse in the control group
• 94 percent reporting they enjoyed the messages and 100
percent saying they would recommend them to a friend
• http://mobihealthnews.com/27446/text-messages-
reduce-emergency-room-visits-for-low-income-patients-
with-diabetes/
18. Text2Move for Diabetes - Partners
Significant lowering of HA1c
Kvedar, The Internet of Healthy Things
19. Where to find reviews of health apps?
• http://www.imedicalapps.com/
• http://www.nodehealth.org/
Mt. Sinai Asthma App
21. Health Apps for Kids
https://www.commonsensemedia.org/reviews/category/app/genre/health-fitness-65
22. Games to motivate
Type 1 Diabetics
• Developing good habits of
checking their blood sugar
regularly or bolusing insulin with
meals
• Rewards and social competition
• Creator – Jen Dyer, MD, pediatric
endocrinologist in Columbus
23. Social Media
Sample topics
• Your Children Not Sleeping? It Might Be YOU
• Candy Or Medicine? Safe Medicine Storage
• HPV Vaccine Decreases HPV Infections!
• Dayton - Dr. Mom Squad – link to this great
content from Facebook
24. Facebook
• Used frequently by new parents to share
photos
• Feature videos and your latest blogs, not just
events
• Grow numbers by advertising in the hospital
and clinics
26. New HIMSS Book
• Participatory Healthcare: A Person-Centered
Approach to Healthcare Transformation –
Available in June
• My chapter – Programs that work to promote
partnership and engagement