CA HIE Patient Engagement Group

Report out to Cal E-Connect

Process

• Weekly meetings– 40 members signed up for group

• Doctors, Patients, Administrators, Health Plans– Average of 15 members per meeting

• Overlay of key sources of information– Original strategic plan– Planning process operational plan– Meaningful use– Individual contributions– Industry research

• Merged a wide perspective of views and voices– Worked through debates and challenges in our membership

Models Developed

• Innovation pyramid

• Strategies and tactics

• Detailed use cases (matrix of functions & features)

Evolving with Patients

Ensuring Patients Participate

Enabling Awareness and Interaction

Privacy, Ease of Use, and

Security

Meaningful Use

Technical Connections and

Interaction

Marketing and Education

Innovation

Evolving with Patients

• Mobile, fun, and easy to use.

• To engage application developers– Service orientated– Aggregated– Mobile– Alerts– Read and Writable– Real-time– Embrace personal data as

core asset of the system

Decision trees in a personal life

• Decision trees change patients lives• Triggered from

transactions• By the book• Ability to “run an

audible”• Overlay engagements

on life timeline

Use is the Meaningful Measurement

• Success for CA HIE should be measured by engagement– # of providers– # of patients– # of web views– # of messages– amount of time– # of victories

HIE Engagement is a Social Network

• It’s about me– Wife– Children– Moms, Dads– School– Nurse– Doctor– Yoga– Stop Smoking

Person as a View

• Health exchange is start to building real life engagement– Personal private cloud– Caregiver cloud– Hospital operate cloud– Insurer payment cloud– Script management cloud– Community clouds

• Person creates link between systems and improves quality of info

The Roadmap

Establish the framework

Incentivize providers to participate

Empower application developers to leverage the framework to empower patients

Is there an app for that…

Job, Workflow, Diagnoses, Friend, Blood Cells, Medications, Community

Developing Scenarios

• Let’s assume– Exchange is real-time– Smart phone for all– Push notifications HIE

Me

Info, in real-time

• Care Receipt to Phone.• Reminders accepted• From any provider

(with or without specific technology)

HIE

Me

Me

Tear sheet with base facts

• Medication info– Administration– Safety– Options– Combinations

Care Giver Handoff

• Care Giver– Transferability– Power tools

• Care Watcher– Checks in– Learns

HIE

Me

“Nurse Ratchet” – Relentless Check In

• Did you• Did, did, you• Did, did, did, did, you• Did you?

• Reminders are social outcomes are shared

Me

Bonus: Location to Payment

• Care Receipt to Phone.• Reminders accepted• From any provider

(with or without specific technology)

• Rewards

HIE

Me

Bonus: Digging into more information

• Federal data• Provider content• Doctor favorites• Pharma materials• Local programs

• Rewards

Me

Cloud Computing: Is a Ripple in Time

• Private Cloud– Consolidating resources– Removing OPEX

• Public Cloud Examples– Claims processing– Scientific modeling

• Enterprise Apps– Citrix Receiver #1 iPad App

Data Center

Amazon

Rackspace