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person first health care process-technology integration

person first health care process-technology integration. September 14, 2009 | James Hereford. story line. Our story did not start with a vision that was followed by a neat, linear and sequential set of actions that put in place that vision.

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person first health care process-technology integration

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  1. person first health care process-technology integration September 14, 2009 | James Hereford

  2. story line Our story did not start with a vision that was followed by a neat, linear and sequential set of actions that put in place that vision. It started with an idea, that people want something from the health care system that they are not getting. A focus on them as people. Not as a patient, or a number, or a disease, but as people. And the way we met those needs must be integrated. That is core to who we are. We started with the web, and built our web portal. We saw that it could not meet the needs unless we had an EMR, so we implemented EPIC. That created both a problem and an opportunity. The technology wasn’t fully integrated into the care processes of the clinical teams, which led to the work of the medical home. It also created opportunities for new capabilities, so we integrated a health profile into both the web and the emr. This is a story that continues to unfold, but the focus on people and meeting their needs in an integrated way has remained constant.

  3. mygrouphealth

  4. some numbers For the Week of August 17, 2009 55% Adult Enrollees Verified 179,666 Adult Enrollees Verified 30,000 Secure Messages Sent 44,000 AVS’s Viewed 313,000 Labs Viewed

  5. the electronic medical record

  6. secure messages

  7. automated results sharing

  8. online test results and information therapy

  9. the after visit summary

  10. the health profile

  11. the health profile

  12. decision support tools

  13. integration into lab result

  14. risk calculator on the web

  15. web accessibility of sdm content

  16. integration into patient instructions

  17. I would not have contacted my 8% Sometimes valuable healthcare team 1% Not valuable at all Schedule a phone appointment 6% 18% 10% Phone the clinic to discuss the 28% Fairly valuable health concern Extremely valuable 24% 60% 45% Not important 3% 100% Schedule a clinic appointment 5% Somewhat important 100% Very valuable 13% Fairly important “How would you rate the value of secure email in enhancing your visits to your health care team?” (n = 962; 96 blank & N/A) 80% “How would you have contacted your health care team ifsecure email were not available?” (n = 846; 212 blank) 80% 39% 60% Would recommend Very important 40% 41% 60% Extremely important 20% 93.6% 0% “If you were to be given a choice of health plans, how important would MyGroupHealth’s services be in your decision?” (n = 1,016; 42 blank) 40% Would strongly recommend “Would you recommend MyGroupHealth to a friend or colleague?” (n = 1,039; 19 blank) 20% 0%

  18. medical home pilot: the premise • Lower • cost trends & more • predictable / better outcomes • Activated • patients Prepared physicians and teams In relationship with • = Patient (in the purple sweater) surrounded by her health care team.

  19. medical home pilot: design components

  20. results – adjusted utilization analyses

  21. Thank you.

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