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Data,	
  Technology	
  and	
  Health	
  
         Behavior	
  Change	
  
              M.	
  Courtney	
  Hughes,	
  PhD	
  
                            	
  
Chicago	
  Health	
  2.0	
  /	
  Illinois	
  Technology	
  Associa=on	
  	
  
                      October	
  14,	
  2010	
  	
  
About	
  Approach	
  Health	
  

•  Approach	
  Health	
  helps	
  companies:	
  
       1)  Lower	
  medical	
  costs	
  	
  
       2)  Increase	
  produc=vity	
  


•  Data-­‐driven	
  behavior	
  modifica=on	
  integra=ng:	
  	
  
       1)  Research	
  evidence-­‐base	
  
       2)  Industry	
  best	
  prac=ces	
  
       3)  ROI	
  

	
  


                                                                    	
  	
  2	
  
The	
  Time	
  Has	
  Never	
  Been	
  Be=er…	
  
          Challenges	
                                     Opportuni@es	
  
     Rising	
  healthcare	
  costs	
     75%	
  due	
  to	
  unhealthy,	
  modifiable	
  behaviors	
  

               	
                                     Ubiquitous	
  mobile	
  devices	
  
       Engaging	
  members	
                                            	
  
                                         Strong	
  interest	
  in	
  improving	
  health	
  behaviors	
  

  Cost-­‐effec@ve	
  customiza@on	
                   Readily	
  available	
  data	
  
                                                                  	
  
                                               Effec@ve	
  communica@on	
  algorithms	
  




                                                                                                            3	
  
Members	
  are	
  Not	
  Receiving	
  
                                    Preven@ve	
  Services	
  
Preven=ve	
  Service	
  




                               No Influenza Vaccination                                                                                           74%

                             No Colon Cancer Screening                                                                             49%

                            No Breast Cancer Screening                                                            22%

                               No Cholesterol Screening                                                  15%

                           No Cervical Cancer Screening                                          8%

                                                                                    0                     20                  40     60           80

                                            Source	
  :	
  Hughes	
  et	
  al.	
  Am	
  J	
  Health	
  Prom	
  2010	
  	
                 4	
  
Members	
  are	
  Not	
  Engaging	
  in	
  Healthy	
  
                      Lifestyle	
  Behaviors	
  

               Inadequate F&V Consumption                                                                               77%
Behavior	
  




                Inadequate Physical Activity                                                                      49%

                                        Smoking                                                20%

                             Binge Drinking                                                 17%

                            Heavy Drinking                                       5%

                                                                         0                20                40     60   80            100

                                Source	
  :	
  Hughes	
  et	
  al.	
  Am	
  J	
  Health	
  Prom	
  2010	
  	
                 5	
  
Capturing	
  Popula@on	
  
           More	
  pa(ent	
  data	
  is	
  available	
  than	
  ever	
  before.	
  


                           Medical	
                      Pharma	
  	
  
                           Claims	
                       Claims	
  



  Survey	
  
                                                                                EMR,	
  PHR	
  
(HRA,	
  QoL)	
  



                         mDevices	
  
                                                        Lab	
  Values	
  
                       (Events,	
  ODLs)	
  




                                                                                                  	
  	
  6	
  
Goal:	
  Manage	
  U@liza@on	
  

•  Iden4fy	
  high-­‐risk	
  popula=ons	
  &	
  members	
  
•  Engage	
  members	
  using	
  the	
  right	
  
  message	
  &	
  method	
  
•  Deliver	
  ROI	
  
   	
  


                        Sources:	
  CDC	
  2010;	
  Health	
  Affairs	
  2002	
     7	
  
Technology	
  Enables	
  Iden@fica@on	
  &	
  
       Effec@ve	
  Communica@on	
  

•  Data	
  integra@on	
  –	
  Many	
  more	
  data	
  sources	
  
	
  
•  Data	
  analy@cs	
  –	
  integrate	
  member	
  data	
  and	
  prior	
  
     outreach	
  
	
  
•  Natural	
  Language	
  Processing	
  –	
  low	
  cost	
  

•  Communica@on	
  mode	
  -­‐	
  customized	
  
                                                                         8	
  
Healthy	
  Behaviors.	
  Healthy	
  Returns.	
  	
  


       Ques=ons?	
  Contact	
  mchughes@approachhealth.com	
  
                                   	
  
               h^p://www.approachhealth.com	
  
	
  

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Data, Technology and Health Behavior Change

  • 1.   Data,  Technology  and  Health   Behavior  Change   M.  Courtney  Hughes,  PhD     Chicago  Health  2.0  /  Illinois  Technology  Associa=on     October  14,  2010    
  • 2. About  Approach  Health   •  Approach  Health  helps  companies:   1)  Lower  medical  costs     2)  Increase  produc=vity   •  Data-­‐driven  behavior  modifica=on  integra=ng:     1)  Research  evidence-­‐base   2)  Industry  best  prac=ces   3)  ROI        2  
  • 3. The  Time  Has  Never  Been  Be=er…   Challenges   Opportuni@es   Rising  healthcare  costs   75%  due  to  unhealthy,  modifiable  behaviors     Ubiquitous  mobile  devices   Engaging  members     Strong  interest  in  improving  health  behaviors   Cost-­‐effec@ve  customiza@on   Readily  available  data     Effec@ve  communica@on  algorithms   3  
  • 4. Members  are  Not  Receiving   Preven@ve  Services   Preven=ve  Service   No Influenza Vaccination 74% No Colon Cancer Screening 49% No Breast Cancer Screening 22% No Cholesterol Screening 15% No Cervical Cancer Screening 8% 0 20 40 60 80 Source  :  Hughes  et  al.  Am  J  Health  Prom  2010     4  
  • 5. Members  are  Not  Engaging  in  Healthy   Lifestyle  Behaviors   Inadequate F&V Consumption 77% Behavior   Inadequate Physical Activity 49% Smoking 20% Binge Drinking 17% Heavy Drinking 5% 0 20 40 60 80 100 Source  :  Hughes  et  al.  Am  J  Health  Prom  2010     5  
  • 6. Capturing  Popula@on   More  pa(ent  data  is  available  than  ever  before.   Medical   Pharma     Claims   Claims   Survey   EMR,  PHR   (HRA,  QoL)   mDevices   Lab  Values   (Events,  ODLs)      6  
  • 7. Goal:  Manage  U@liza@on   •  Iden4fy  high-­‐risk  popula=ons  &  members   •  Engage  members  using  the  right   message  &  method   •  Deliver  ROI     Sources:  CDC  2010;  Health  Affairs  2002   7  
  • 8. Technology  Enables  Iden@fica@on  &   Effec@ve  Communica@on   •  Data  integra@on  –  Many  more  data  sources     •  Data  analy@cs  –  integrate  member  data  and  prior   outreach     •  Natural  Language  Processing  –  low  cost   •  Communica@on  mode  -­‐  customized   8  
  • 9. Healthy  Behaviors.  Healthy  Returns.     Ques=ons?  Contact  mchughes@approachhealth.com     h^p://www.approachhealth.com