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Texting for Obesity in Primary Care

E Patient Connections 2010 "Texting for Obesity"

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Sloan Rachmuth, Founder of HEALTHeME:Learn how HEALTHeME is successfully deploying a web and text messaging intervention for obesity in busy primary care practices, and hear how providers are embracing this new approach for their patient populations.

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Page 1: E Patient Connections 2010 "Texting for Obesity"

Texting for Obesity in Primary Care

Page 2: E Patient Connections 2010 "Texting for Obesity"

Who we are

HEALTHeME delivers tailored behavior modification via mobile phones and the web, connecting patients and providers in obesity management and prevention.

Page 3: E Patient Connections 2010 "Texting for Obesity"

The annual healthcare cost of being obese is $4,879 for a woman and $2,646 for a man.USA Today, September 21th 2010

Page 4: E Patient Connections 2010 "Texting for Obesity"

Obesity Defined

Waist Circumference• Women > 35 inches

• Men > 40 inches

Body Mass Index• BMI > 25 – Overweight• BMI > 30 - Obese

Page 5: E Patient Connections 2010 "Texting for Obesity"

Associated Conditions

Elevated Risk for1. Diabetes2. Hypertension3. Cardiovascular disease4. Depression

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Primary care providers on front lineof obesity treatment and prevention.

Page 7: E Patient Connections 2010 "Texting for Obesity"

A primary care visit averages 12 minutes

Page 8: E Patient Connections 2010 "Texting for Obesity"
Page 9: E Patient Connections 2010 "Texting for Obesity"

Treatment in the Medical Home Model

Physician Directed Patient Centered Continuity of Care

Physician fills a simple prescription for intervention type

Customized plan is created for each patient

Patient progress reports are sent to physician to ensure accountability

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Mobile Health Landscape

Coaching / Education Monitoring & Data Collection

Page 11: E Patient Connections 2010 "Texting for Obesity"

HEALTHeME Solution: Engagement

•Tailored health education

•Proactive coaching via text

•Feedback in real-time

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What do primary care providers think about HEALTHeME?

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What are they saying?

Text messaging can motivate, educate, and provide accountability.

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What do providers look for when prescribing HEALTHeME?

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So, what’s the idea?

Doctors select patients at the appropriate stage of change (motivated), and who are

comfortable with the technology.

Page 16: E Patient Connections 2010 "Texting for Obesity"

Patients are willing to pay for HEALTHeME, but these same patients might be unwilling to pay out-of –pocket for the management of other chronic conditions.

Will patients pay?

Page 17: E Patient Connections 2010 "Texting for Obesity"

Meet the HEALTHeME patient

•Female 40-60•BMI ~ 34•Co-morbid conditions•40% minorities

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Summary

•Obesity treatment is not a “Wellness Plan”•Physicians will prescribe mobile health solution•Patients are willing to pay for weight loss•Encourage patient-physician interactions