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Safety

Patient Satisfaction. Innovation. Re-Engineer the Patient Experience. Discharge. Safety. Engineered Care Evidence in Action. Patient-Family focused. Results. Readmissions. Workflow Improvement. Meaningful Use. Transition of Care. Standardized Process. Project RED.

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Safety

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  1. Patient Satisfaction Innovation Re-Engineer the Patient Experience Discharge Safety Engineered Care Evidence in Action Patient-Familyfocused Results Readmissions Workflow Improvement Meaningful Use Transition of Care Standardized Process Project RED Individualized Care Plan

  2. Introduction to Engineered Care Driving Patient Excellence • Engineered Care is a Health Technology company bringing innovative software to the healthcare industry. • Founded in 2009. • Work with hospitals, healthcare plans, long-term care facilities, public health departments. • Company History • In 2009, partnered with Boston Medical Center to commercialize Project RED • Through years of user-testing, products have expanded to work within today’s healthcare IT environment • Our focus • Transition of Care • Patient Quality and Safety • Innovative technology

  3. Engineered Care’s Approach to Quality Addressing a Particular Care Scenario • Understand the workflow process and desired outcomes • Create a framework for delivering desired outcomes • Engineer an optimal technology solution • Run a clinical trial We use technology for what it’s good at: • Delivering relevant information to providers • Guiding workflow to maintain consistency • Improving efficiency

  4. Example: Project Red • RED stands for Re-Engineered Discharge process • A set of best practices for transitions from the in-patient setting • Focused on the patient and the provider experience • User-friendly focus group tested materials given to patients • Boston Medical Center clinical trial results • 30% overall reduction in readmissions • Decrease in health system costs • Greater patient satisfaction • Initial research was performed at Boston Medical Center with AHRQ and NIH/NHLBI funding

  5. Defining the Standard of Care RED’s 11 Mutually Reinforcing Components are the foundation to Project RED’s Transition of Care Program • Medication reconciliation • Reconcile discharge plan with National Guidelines • Follow-up appointments • Outstanding tests • Post-discharge services • Written discharge plan • What to do if a problem arises • Patient education • Assess patient understanding • Discharge summary sent to PCP • Telephone Reinforcement Adopted by National Quality Forum as one of 30 US "Safe Practices" (SP-11) Our software tools help implement the evidence-based Project RED program

  6. Driving Clinical Quality Improvement with Technology How We Engineer an Optimal Technology Solution • Understand how the patient interacts with the healthcare system and what they need • Understand what the providers need to properly deliver care • Iterate, Iterate, Iterate Resulting Patient Facing Innovations: • After Hospital Care Plan • Virtual Health Coaches Resulting Provider Innovations: • Care Transitions Portal

  7. Exploring the Patient Care Plan

  8. Exploring the Care Transitions Portal

  9. Virtual Health Coaches and Engineered Care Engineered Care explores how to best serve patients and healthcare organizations through the use of Virtual Agents

  10. Virtual Agents in Healthcare • How Virtual Health Coaches Improve Healthcare • Promote learning through a consistent, reproducible interface • Establish a connection by being relevant and engaging • Provide motivational outcomes • Research results from various Virtual Agent studies: • Patients are significantly more likely to: • Know their diagnosis • Visited a PCP for follow-up

  11. Meet Elizabeth Meet Elizabeth. Our first Version 1 of an Embodied Conversational Agent. Developed in academic research at MIT and Northeastern in early 2000. 1 1

  12. Meet Louise Meet Louise. Our first Version 1.1 of an Embodied Conversational Agent. Developed in academic research at BMC, MIT and Northeastern in mid-2000s. 1.1

  13. Demo of Louise

  14. Understanding Louise • Embodied Conversational Agent V1.1 • Flash-based two dimensional • One static scene • Text-to-speech • End-user training • Empathy to promote relationship • Interaction Model: Expert

  15. Meet Anna 2 3 Meet Anna. She’s one of our latest generation of Virtual Agents.

  16. Demo Anna

  17. Virtual Agent Characteristics Eye Contact Voice Lip Sync Hand gestures Research has shown that Users develop relationships with Virtual Agents similar to human relationships. Physical presence and actions play a large role. Body language

  18. Evolving Technology 1 2 Louise Anna

  19. Role in Healthcare In a healthcare organization. Serving as an expert. Used today for discharge education. In the home. Support individuals with various health subjects and diagnosis. Used today for providing Women, Infant and Children (WIC) education.

  20. The Future • Working today to introduce Virtual Agents as part of the patient’s Care Team • Studies with Virtual Louise has shown: • Patients confiding in Virtual Agents • Steps to Health program showed more steps taken by individuals who interacted with a Virtual Agent regularly • Individuals related to Virtual Agents when agents told more 1st person stories • Individuals were more accountable to Virtual Agents through the relationships developed between Agent and Individual User

  21. For more information, please contact us at: info@engineeredcare.com +1.415.493.8362

  22. Engineered Care Team Chris Corio, Chief Executive Officer: Prior to founding Engineered Care, Mr. Corio worked for Microsoft where he designed security technologies used every day in the Windows operating system. Mr. Corio graduated from the University of Pennsylvania with a BSE in Computer Science and Engineering where his primary research focused on computer facial animation and associated human perception. Mr. Corio received two early patents for inventing technology to manage the transmission of electronic medical records between hospital information systems. Marcus Frazier, Director of Engineering: Prior to working at Engineered Care, Mr. Frazier worked for Microsoft on the Windows Networking and SharePoint Online teams.  Mr. Frazier has a degree in Computer Science Engineering from the University of Michigan. He has been actively developing software for over 10 years working in both fast paced startups and large organizations. Michael Paasche-Orlow, MD, MA, MPH, Chief Medical Officer: Dr. Paasche-Orlow is a nationally recognized expert in health literacy.  His work has focused on patient-centered interventions that leverage health information technologies.  Dr. Paasche-Orlow is the Associate Director of the Boston University School of Medicine, General Internal Medicine Fellowship Program and is currently mentoring 6 fellows and junior faculty members. Dr. Paasche-Orlow is one of the co-developers of Project RED. Vandna Mittal, MPH, Director of Marketing Prior to working at Engineered Care, Ms. Mittal worked for public health organizations focusing on using technology solutions with population groups. Ms. Mittal implemented an award-winning text-messaging campaign for the California Department of Public Health. Ms. Mittal graduated from Boston University with a Masters in Public Health in Health Policy and Management.

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