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Digital Strategies, Health Disparities and Health Equity
Perils and Promise of Technology
2 October 2014
Kimberlydawn Wisdom, MD, MS Sr. Vice President, Community Health & Equity Chief Wellness &
Diversity Officer
• Mission: To improve
people’s lives through
excellence in the science and
art of health care and healing
• Vision: Transforming lives
and communities through
health and wellness – one
person at a time
• Values: – Each Patient First
– Respect for People
– High Performance
– Learning and Continuous
Improvement
– A Social Conscience
• #TogetherWeCan
Henry Ford Health System
Community Pillar –
“Weight-Bearing” & Accountable
Community Health and Equity Timeline
6
7
9
July 6, 2005
Not pictured: Barbara Flis
Prescription for a Healthier Michigan
Racial and ethnic disparities
Healthcare Equity
Find the report at: http://www.henryford.com/healthcareequitycampaign
15
Empowering middle
school youth in
underserved
communities to drive
policy, environment,
and behavioral change
Generation With Promise In the News
Generation With Promise (GWP)
An Overview
Generation With Promise 2010
BRAND EVOLUTION
From: To:
Sew Up the Safety Net
Community Kick-Offs
A Standout Collaboration
Competing health systems come together as:
– leaders
– funders
– strategists
– communicators
– implementers …
with public health, community & academic partners
Michael Duggan (DMC), Brian Connolly (Oakwood), Patrick McGuire (St. John Providence),
Nancy Schlichting (HFHS), April 2011
“Strategic Courage” CEO AHA Equity of Care Award
Finalist, 2014
23 Photographer: Tim Burke, Michigan Department of Transportation
www.mackinacbridge.org
Perils of Technology
Race, Ethnicity, Language Data
These questions are about your race, ethnicity, and primary language. We ask these questions to make sure we are meeting the needs of all of our patients. 1. Are you of Hispanic or Latino origin?
Yes Don’t Know No Decline
2. Are you of Arab or Chaldean origin?
Yes Don’t Know No Decline
3. Which of the following best describes your race? If necessary, you may select up to two.
Black American Indian/Alaska Native Don’t Know White Native Hawaiian/Pacific Islander Other Asian Decline
4. Please provide one nationality or ethnic group that best describes your ancestry. (For example, Italian, Jamaican, African American, Haitian, Korean, Lebanese, etc.)
African American Haitian Ottawa/Odawa Albanian Hawaiian Palestinian Belgian Huron Persian Bangladeshi Indian (East Asian) Polish Chaldean Iranian Potawatomi Chinese Iraqi Puerto Rican Chippewa/Ojibwe Irish Romanian Cuban Italian Russian Czechoslovakian Jamaican Scottish Dutch Japanese Spanish (Spain) Egyptian Jewish Syrian English Jordanian Ukrainian Filipino Korean Vietnamese Finnish Lebanese Decline French Macedonian Don’t Know German Mexican Other (specify)_______________ Greek Nigerian
5. How would you rate your ability to speak English?
Very well Not at all Well Decline Not well Don’t Know
6. What language do you feel most comfortable using when discussing your health care?
American Sign Language Cantonese Russian Decline Albanian English Spanish Don’t know Arabic Italian Vietnamese Other (specify)_______________ Bengali Mandarin Yemen Arabic
Thank you. Please return this form to the front desk staff person HFHS representative.
Henry Ford Health System
Patient Demographic Form Patient name___________________________
MRN_________________________________
Date__________________________________
Meaningful Use
27
Literacy and Health Literacy
Health Literacy is
… a patient’s ability to obtain, understand, and
act on health information
… a provider’s capacity to communicate
clearly, educate about health, and empower
their patients
- Minnesota Health Literacy Partnership
28
Health Literacy results from the National Assessment of Adult Literacy, US Dept
of Education, 2003
Only 12% of adults are proficient in health literacy
percentage of population at each level
29
Communication Use Plain Language
30
Health Literacy Impacts:
Access
Safety
Quality
Outcomes
31 Photographer: Tim Burke, Michigan Department of Transportation
www.mackinacbridge.org
Promise of Technology
Overview
Henry Ford e-Home Care
Philanthropy
Mobile Apps
Social Media Strategies
Henry Ford Lifeline with AutoAlert®
Communicator
attached to
home phone
Light weight device
worn by patient. Button
has AutoAlert feature to
alert if patient falls
Homesafe Wireless
now available for
patients who do not
have a landline phone
Henry Ford Medication Dispensing System
Can reduce the risk of medication
mismanagement
Medications are preloaded.
Features an audible reminder and
flashing light when it’s time to take meds
Meds are dispensed in easy-to-handle
cups
Dispensing system will call caregivers if
dose is missed
98.6% overall compliance rate YTD
Telehealth Monitoring Program
Easy to read monitors
automatically send health
statuses to their Telehealth
nurse
Enables patients with chronic
diseases to better manage their
health
Help to prevent visits to ER,
hospitalizations, and potential
readmissions
Partnership for a Healthier America
Healthy Hospital Food Commitment
• First Lady Michelle Obama
• Launched September
2012 at FNCE
• Only 17 health systems
signed on nationally
• Rigorous requirements
• 3rd party verification
• National annual report
includes updates
Digital Monitors at Each Station
Smartphone App
• Menu builder
• Complete nutrition information
• Healthy living tools
– Calculate calories, BMI, etc.
• Guide to 5-2-1-0
5-2-1-0 Kids! powered by
Henry Ford LiveWell
The 5 Game
The 2 Game
The 1 Game
The 0 Game
WIN Network: Detroit
where women and families thrive
www.WINnetworkDetroit.
org
www.WINnetworkDetroit.org
about 7,000
visits so far!
Website launched in July 2013
About 25% of users
are accessing the
page via mobile
devices
www.WINnetworkDetroit.org
HOME PAGE
Click the circles
to get more
information or
follow the
navigation
above!
It’s easy for you
to contact us to
join or get
more
information
Search for a
specific
topic or
event
FA
CE
BO
OK
CONNECT WITH WINN
Facebook: WIN Network Detroit
INS
TA
GR
AM
www.WINnetworkDetroit.org
LIVE & LEARN
Read inspiring
stories from
other women
learning from
life and
making things
work.
New stories
are added
regularly.
Women can
share their
story to
inspire
other
women.
TW
ITT
ER
www.WINnetworkDetroit.
org
www.WINnetworkDetroit.
org
What’s your daily
#WINNspiration?
www.WINnetworkDetroit.org
OUR BLOG
Keep
coming
back to the
Blog for
contests
and new
information
and
resources!
PROVIDERS PAGE
Click on the
different
categories to
get the latest
info
Read blog
posts or
watch videos
from peer-
to-peer
perspectives
www.WINnetworkDetroit.org
EVENTS
You’ll find all of
our events on our
Event Calendar.
Click the event for
more information.
Filter events by
type or
neighborhood to
find what’s right for
you!
• Understanding the
choices patients
face
• Aligning research
questions and
methods with
patient needs
• Providing patients
and clinicians with
information for
better processes &
decisions
Patient Engagement Patient-Driven
Research Dissemination &
Implementation
*Modified from the “PCORI Update on a New Era in Research” presentation*
PCOR Model
External
Advisory
Committee
Patient
Engagement
Core
Gwen Alexander
Patient Partners
Internal
Advisory/Protocol
Intake Committee
Project 1
Obesity and Asthma
Christine Joseph (PI)
Edward Zoratti, MD (Co-I)
Operations Steering Committee
Mei Lu
Christine Joseph
Daniel McLaren
Heather Dakki
Christine Cole Johnson, Director
Karen Kippen, Executive Director
Mei Lu, Associate Director
Study Design,
Analysis/
Measurement Core
Mei Lu
Ganesa Wegienka
Patient Data
Network Core
Lois Lamerato
Mei Lu
Dan McLaren
Dissemination/
Implementation Core
Christine Johnson
Kimberlydawn Wisdom
Nancy Combs
Project 2
Obesity in Pediatrics
Andrea Cassidy-Bushrow (PI)
Charles Barone, MD (Co-I)
Project 3
Obesity and
Hysterectomy
Ganesa Wegienka (PI)
Roopina Sangha, MD (Co-I)
PCOR: Personalizing Care for Patients
in an Urban Health System
STAKEHOLDER HEALTH
>40 leading non-profit health systems collaborating to
activate a menu of proven community health
practices/partnerships that work “from the top of the
mission statement to the bottom line”
Founded as Health Systems Learning Group at White
House-hosted stakeholder meeting, September 2011
Monograph published April 2013; Health IT
Workgroup established; continued meetings and
sharings, webinars
STAKEHOLDER HEALTH Detroit Gathering, Oct. 2012
STAKEHOLDER HEALTH
IT Initiative Goal
Make technology the servant and not
the master of our vision
Develop specifications & framework
for the development/acquisition of IT
that is one integrated system for
clinical & community settings
“How can we be more proactive to address the unmet needs
that are driving the demand?”
– Eileen Barsi, Health IT Workgroup Co-Chair
What’s Next
Social Branding Gamification to Improve Health
New Digital Strategy Trends
Mobile First With an increase of cell phones, tablets, and other mobile
devices apps and mobile-designed websites are the trend
Mobile version Center for Cancer
Surgery App
Inside Connection
IT Requirements
(from Sept. 2014 conference)
Person-Centered
Integration
Interoperability
Relational
Accessible, Ease
of Use
Affordability (existing dollars)
HIPAA-compliant
Supports:
– Meaningful Use
– 6 Aims of Quality
– National Quality
Strategy
– Triple Aim
– ACA
Challenges, Next Steps Getting accurate self-reported REaL and
literacy assessment
Addressing Health Literacy
Getting real-time data
Communication
Evaluating built-in tools – MyChart, Healthy Planet, etc.
Time limitations of the clinical encounter
Making data accessible in communities
Building Partnerships & Enhancing Skills
http://www.henryford.com/body.cfm?id=59669
January 9, 2014
