Transcript Document

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
o Dramatically reduces readmissions 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
2
Our Care Curriculum
Based on Observational Research
We go to users’ homes,workplaces
and
communities to watch them in
context
We observe misunderstandings,
gaps
in education and barriers to
success—
from the patients’ point
The consumer products
of view
industry
we capturehas
their
language,
their
been doing it for 30 years!
“I
would
never bring out
values,
a newand
product
without
their priorities
their perceptions:
doing
The Care Kits
reflectethnography”
all these
(Observational Research)
insights.
Shane Wall
vvvvvvv
VP New Product Development, Intel
3
Care Kits are Unique: Three Essential Pieces
4
How to Use Care Kits Points of Distribution
Care Kits are used for both post acute
and/or wellness and chronic conditions
o
Step 1: Select from one of 32 conditions
o
Most often used for transition of care: Heart Failure, Diabetes,
COPD, Post Surgical Kits, and Multiple Condition Care Kits
o
Most used for population management: Blood Sugar, Weight
Management, Blood Pressure, CAD care, Heart Fitness, etc
o
Step 2: Deliver to the Patient
o Hospital: Transition from hospital to homecare
o At Home: Population assessment, care manager contact and
direct delivery/follow-up
o Dr. Office: Primary Care office
o
Step 3: Integrate with your Care Coordination
o Care Kits meet all “standards of care”
o Care Coordinator follow up
o
Step 4: Watch Your Patient Improve
o Care Kits promote self-care and independence
o Leave patient with the tools for ongoing health management
o Achieve higher patient experience scores
5
Online Access: Maintenance and Additional Content
How
Medici
ne
Works
Providers & patients can go online for
additional content and tools to maintain the
program the long term
The Impact
Analyzer
Vent
Your
Story
In
Development:
• 13
Animations
• 2 Videos
The
Impact
Analyzer
6
Enhance Patient Connections: IVR & Web
CARE KITS
Care Kits
Provide the
Framework:
Curriculum, Tools
and Devices
ACTIVE CONNECTIONS
Telephone IVR and Web
Connections Improve Patient
Connectivity & the
Patient Experience. Scripts and
Engagement are Based on Care
Kit Curriculum
ANALYTICS
Dashboard Analytics
Improve Timely Care –
Either In-Home or Via
Telephone or e-mail.
OUTREACH
Automation Allows RealTime Monitoring and
Personalized, NeedBased Contacts.
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!
Does It Make a Difference? Outcomes & Results
RUSH’S
PAPER
4%
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:

92%
“Were you able to carry out your self care without asking
CARE KITS
for help?”
RUSH’S
PAPER
35%
%%
 “How satisfied are you with the selfcare materials?”
ASTHMA
More than doubled medication
adherence, eliminated readmissions and
reduced ER use by 72% vs. American Lung
Assn handouts
HYPERTENSION
Virtua New Jersey Medical Center
88% in target range after
6 months vs. 12% after home visits+phone
coaching
Suburban Chicago employee wellness program
HEART FAILURE
Reduced readmissions by
74%; increased regimen adherence by 300500%
studiesand
WI, IL, KY,phone
MI, and others
vs. standard paper, home Multiple
visit
coaching
CARE KITS
100%
Q:
Did the Care Kit
help you manage
your condition? YES
Heart Failure
97.3%
Hypertension
94.9%
Diabetes & Pre-diabetes 93.6%
Asthma
92.5%
Coronary Artery Disease 100%
University
of Pittsburgh
FIVE-YEAR
AVERAGE
34% better than
national 5-year
average
8
Does It Make a Difference? Outcomes & Results
Readmission Rates
30-day Heart Failure
BEFORE
AFTER
Before
After
REDUCED BY
6.4%
4.0%
St. Joseph, Elgin IL
16.7%
7.7%
NWC, ArlingtonHts. IL
13.2%
8.7%
23.4%
6.9%
Aurora, Milwaukee WI
22.2%
6.3%
Great Plains, ElkCity OK
8.6%
2.2%
54.5%
33.3%
>28%
0%
38%
54%
54%
34%
34%
74%
74%
72%
72%
73%
73%
38%
38%
100%
St. Joseph, Lexington KY
DRG 127 ONLY
NWC, Arlington Hts. IL
ALL CHF-RELATED DRGs
VA, AnnArbor MI
At Mercy only: N = insufficient
for highest level of statistical
significance, but indicative,
especially given overall trend
(90 Days)
Mercy Hospital, Chicago IL
38%
Case Study $1.5 MM Savings in a Medical Home
COMPARED TO BASELINE YEAR
712 participants
24 months
TOTAL MEDICAL COST 23% lower
Blood pressure
85% better scores
Cholesterol
Blood sugar
J Reeves, MD Director
Nevada State QIO
J Ambulatory Care Management
V36, No. 2, pp. 108-120 March 2013
16% fewer
Emergency Room visits
visits
In-hospital days
fewer
days
Imaging services
35% lower use
54%
Prescription cost
per member18% lower
cost
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
Proven Track Record It Works for Providers
“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
“We‘ve used the tools for five years
with five chronic conditions.
Satisfaction scores have been
to 100%.”
“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 Chief
Kaiser Permanente
Riverside, CA
97
Dr. S. Ramalingam, Medical Director UPMC Health Plan
SOME CURRENT CUSTOMERS
•
University of Pittsburgh Health Plan
•
Greater Baltimore Medical Center
•
Kaiser Permanente
•
Northwest Community Hospital
•
Hotel and Restaurant Workers Union
•
Provena Hospitals
•
150+ Home Care Agencies
•
University of Tennessee Hospital
•
wellPORTAL Plan
•
Palmetto Health Plan ACO
•
University of Oklahoma Medical Center •
“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
INFORMed TPAdministrator
11
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
processes and systems
o Train your staff
Contact Information
Questions or comments about Care Kits?
Michael Weiss – President
O: 847-850-7500 ext 121
M: 312-498-2603
[email protected].
13
HOSP 7.23.13
Shirley Grey RN MSN – EVP Sales & Customer Service
O: 847-850-7500 ext 103
M: 847-910-3552
[email protected]
Judy Farah RN – Operations Director
O: 847-850-7500 ext 106
M: 708-826-4017
[email protected]
Sylvia Aruffo, PhD – Consumer Content Officer
O: 847-850-7500 ext 101
M: 847-910-3549
[email protected]
Carol Outland RN MSN - Clinical Content Director
O: 847-850-7500 ext 117
M: 708-267-2646
[email protected]
Appendix: Online Patient Interface
14
Appendix: Online Patient Interface
15