Transcript HIT for Consumers in Communities of Color

HIT for Consumers in Communities of Color:
Strategies to "Leapfrog" Disparities in Access, Adoption and Use
Presented by:
Panelists:
Ruth T. Perot, Managing Director, NHIT
Danielle Brooks, Policy/Research Consultant, NHIT
Cynthia Solomon, President, Follow Me, Inc.
Thomas Maguire, Director, Public Policy, Verizon Communications
Ho Tran, MD, President/CEO, National Council of Asian Pacific Islander Physicians; Member,
NHIT National Advisory Council
November 15th, 2013
Webinar Overview
This webinar is the third in a 2013 series that highlights the impact of HIT on
the underserved and health disparities. The National Health IT Collaborative for
the Underserved (NHIT) works in partnership with organizations and individuals
to assure that providers and consumers, with a focus on communities of color,
benefit from HIT advances and resources.
Webinar Objectives
• Understand current patterns/trends for HIT access, adoption and use
in COCs
• Identify barriers to engagement among people of color
• Discuss strategies/options to overcome these barriers
• Learn about promising/best practices to engage consumers of color
in HIT
• Present and discuss recommendations to build on current trends and
successes
Webinar Support
Webinar Co-Sponsors
National Council of Asian Pacific Islander Physicians
National Medical Association
Today’s Presenters
Webinar Participants
NHIT National Advisory Council
NHIT thanks the Office of Minority Health, U.S. Department of Health and Human
Services, that provided support for the research conducted for this webinar.
Promoting Consumer Engagement and
Empowerment through the Adoption and Use of
Health Information Technology Tools in
Communities of Color:
An Overview
Danielle Brooks, J.D.
Policy/Research Consultant, NHIT
Independent Consultant, Amplify Public Affairs, LLC.
Contact:[email protected]
Adoption and Use of Health Information
Technology Tools in Communities of Color:
Background
•
Literature review and environmental scan of the adoption rate, use and
outreach of HIT tools in communities of color (COC).
•
Specifically, the document reviewed the use of personal health records
(PHRs), patient portals, and mobile healthcare applications (MHCA) that
consumers in COC use to engage in their personal health care
management.
Research was conducted over the course of a five week period.
•
•
Online databases were assessed through publically available sites and
select publications provided by organizations in the field.
•
Overall, research on adoption rate, use and outreach of HIT tools in COC is
scant.
Statistics
•
By 2045 over half of the United States population will be a person of color.
Latinos are the fastest growing minority population.
•
Despite population growth, members of these communities continue to
experience worse health care outcomes.
•
PHRs, patient portals and MHCA have been proven to increase consumer
engagement resulting in better healthcare outcomes for adopters.
•
Despite these realities, consumers in COC adopt PHRs and patient portals
at a lower adoption rate than the general patient population.
•
However, members of the African American and Latino patient community
are more likely to use MHCA than any other patient group
Barriers to the Adoption of PHRs and
Patient Portals
•
Health literacy
•
Perceived use and effectiveness of the tool
•
Lack of provider adoption and use
•
Language barriers and immigration status
•
Trust
•
Technical infrastructure
Growing with Innovation: Leveraging the
MHCA
•
MHCA have the potential to close the gaps in health care outcomes.
•
African Americans and Latinos are statistically more likely to use their phone
for the sole method of gaining online information.
•
Of the MHCA used, African Americans (59%) were more likely than Latinos
(51%) to track basic health indicators like diet, weight, and exercise. Latinos
, however, were more likely than any other patient group to research health
information on their mobile phone (25% for Latinos , 19% for African
Americans and 15% for whites).
•
Further studies suggest MHCA have the potential to improve both the cost
and efficiencies of healthcare in certain COC.
Recommendations
•
MHCA must be accessible to those with low literacy rates and available in
multiple languages. Designing tools that use voice recognition and touch
screen technologies will be crucial to the success and adoption of these
tools.
•
Tools must be transparent and open about information use; why it is
collected, who has access to it, and how it is used.
•
Tools must be accompanied by the appropriate training and outreach by
providers in order to increase adoption and perception of the effectiveness
of the tool.
•
Tools should be able to be tailored to individual preferences. Applications
must be presented in a manner in which the consumer will both understand
and engage.
Recommendations (Cont’d)
•
Trusted organizations with proven outreach capacity should be resourced to
inform and educate COCs about the benefits of HIT for health improvement
and consumer empowerment.
•
Pilot projects implemented by vendors in partnership with COC agencies to
create and test MHCAs aimed at reducing/eliminating disparities in such
areas as diabetes, hypertension and asthma.
•
Tools must be supported, endorsed, and paired with provider technology in
order to provide coordinated care.
Cynthia Solomon
President, Follow Me, Inc.
Meaningful Use Mandate
Facilitating Patients’ Active Management of Care


Meaningful Use Requirements Include Consumers
Reporting on Clinical Quality Measures
o
o
o
o
o
o
Patient and Family Engagement
Patient Safety
Care Coordination
Population and Public Health
Efficient use of Healthcare Resources
Clinical Processes/Effectiveness
MiVIA
Patient Safety for Migrant Workers in Sonoma Valley




Focus on uninsured and transient
populations lacking a medical
home
Eliminates geographic barriers in
primary, specialty and tertiary
care
Patient education and advocacy
tools
Members create their own
personal HIE, sharing information
between providers and family
members
HealthShack™
Patient & Family Engagement at WIND Youth Services in Sacramento
Home
HealthShack.info
WIND Youth Services
Link via WIND
Website
HealthShack
Website
Web/App
Server
Database
Server
•Administrators
•Outreach Workers
•Youth Ambassadors
UC Davis Medical & Health
Youth Members
File Server
Member Data &
Documents Input:
• Health
• Education
• Employment
• Housing
Content & Tools:
• Resume Builder
• Emergency ID Card
• Trusted Resources
• Website/Blog
• Social Network Links
• Video & Audio
• Permissions&
Consent
Funders: Sierra Health Foundation, UnitedHealth Group
HealthShack
Website
Doctors, Nurses,
Therapists, Specialists
Community Providers
Link Via Provider
Website
Adult Advocates &
(read-only access)
Allies
Key Challenges for PHR Adoption



Technology
o Overload in approach to 2014
o Interoperability
o EMR Pushback
Literacy
o Lack of awareness of PHRs
o Consumer literacy lags ACA implementation
Sustainability
o Funding to support community-level involvement
o Monetizing product while maintaining trusted environment
Thank You!
Putting a Face on Consumer Engagement
CONTACT US
www.altruit.com/healthshack
Technology: Transforming Health
Care
National Health IT Collaborative for the
Underserved (NHIT) Webinar
November 15, 2013
Tom Maguire, Verizon
Chronic disease is the most common, costly
and preventable health problem in America.
$3T
$4.5T
2013
2019
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized
persons or third parties except by written agreement.
19
Health Care Access Challenges
Access to Primary Health Care Will Further Constrict
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized
persons or third parties except by written agreement.
20
Mobile Health Solutions
Converged Health Management
Designed to provide clinicians with real time
biometric data from patients’ connected
devices so they can intervene and manage
patient care with the goal of managing
healthcare and decreasing costs
Virtual Visits
Built to help reduce inappropriate
ER use and extend clinical reach by
providing a new point of service for
members to connect with a clinician
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized
persons or third parties except by written agreement.
21
Managing Chronic Care with Remote
Monitoring : Converged Health Management
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized
persons or third parties except by written agreement.
22
Virtual Visits
1
Virtual Visits
Verizon’s Virtual Visits is a mobile
health solution that connects
patients and providers for remote
doctors visits when they need it.
Using an application on a
Smartphone/tablet, patients with
simple ailments can be assessed
remotely via interactive
questionnaires and video
conference.
Customer advertises
VV to their
members/employees
5
Visit Summary and
receipt of payment
2
Virtual healthcare
consultations, leveraging
multiple modes of
communication –
computer, tablet, phones
3
Capture patient
information,
symptoms,
and co-pay
4
Documentation of clinical
notes and plan, including
e-prescribing of medications
Product Benefits:
• Balance supply and demand of healthcare clinicians
• Increases access to care
• Controls healthcare costs
• Enhance patient engagement
Verizon’s Virtual Visits will provide an end-to-end solution to facilitate convenient, lower cost virtual
consultation by a clinician, with electronic prescribing of medications
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized
persons or third parties except by written agreement.
23
Policy Challenge: State Medical Licensure
Remove State Licensing Barriers to Practice “Anytime, Anywhere” Telemedicine
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized
persons or third parties except by written agreement.
24
Policy Challenge: Reimbursement
The physician can only be
reimbursed for services if:
1) His or her contact with
the patient is a virtual
face-to-face consultation
2) The patient is in an
identified “Health
Professional
Shortage Area”
3) The patient is in a
“medical facility”
Reform Outdated Reimbursement Rules to Advance Telemedicine
Confidential and proprietary materials for authorized Verizon personnel and outside agencies only. Use, disclosure or distribution of this material is not permitted to any unauthorized
persons or third parties except by written agreement.
25
Q&A
Next Steps
•
Sponsor future webinars to share current information and successes
from the field and foster exchange of views
•
Report forthcoming on “Promoting Consumer Engagement and
Empowerment through the Adoption and Use of Health Information
Technology Tools in Communities of Color”
Visit www.nhitunderserved. org
Thank You!
Contact Us:
Ruth T. Perot
Luis Belen
Managing Director, NHIT
[email protected]
Senor Consultant, NHIT
[email protected]