Person First Health Care Process-Technology Integration (Text Version)

On September 14, 2009, James Hereford made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (5 MB).

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Slide 1

Person First Health Care Process- Technology Integration.

September 14, 2009 | James Hereford

Slide 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.

Slide 3

MyGroupHealth

A screen shot of MyGroupHealth is shown.

Slide 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.

Slide 5

The Electronic Medical Record

A screen shot of EPIC is shown.

Slide 6

Secure Messages

A screen shot of a Microsoft Outlook messaging system is shown.

Slide 7

Automated Results Sharing

A screen shot of MyGroupHealth is shown.

Slide 8

Online Test Results and Information Therapy

A screen shot of MyGroupHealth is shown.

Slide 9

The After Visit Summary

A screen shot of MyGroupHealth is shown.

Slide 10

The Health Profile

A screen shot of MyGroupHealth is shown.

Slide 11

The Health Profile

A screen shot of MyGroupHealth is shown.

Slide 12

Decision Support Tools

A screen shot of MyGroupHealth is shown.

Slide 13

Integration into Lab Result

A screen shot of MyGroupHealth is shown.

Slide 14

Risk Calculator on the Web

A screen shot of MyGroupHealth is shown.

Slide 15

Web Accessibility of SDM Content

A screen shot of MyGroupHealth is shown.

Slide 16

A screen shot of EPIC is shown.

Slide 17

A screen shot of EPIC is shown.

Slide 18

Integration into Patient Instructions

A screen shot of EPIC is shown.

Slide 19

Four graphs are shown on the screen with survey results. Two are pie charts and the other two are bar graphs. Questions asked were:

• "How would you have contacted your health care team if secure email were not available?"
• "How would you rate the value of secure email in enhancing your visits to your health care team?"
• "Would you recommend MyGroupHealth to a friend or colleague?"
• "If you were to be given a choice of health plans, how important would MyGroupHealth's services be in your decision?"

Slide 20

Medical Home Pilot: The Premise

Activated patients.

In relationship with

Prepared physicians and teams.

equals

Lower cost trends & more predictable / better outcomes

Patient (in the purple sweater) surrounded by her health care team.

Slide 21

Medical Home Pilot: Design Components

Image of a flowchart showing the design components.

Slide 22

Results—Adjusted Utilization Analyses

An image of the "adjusted utilization analyses" is shown.

Slide 23

Thank you.