Consumer-Driven Care and
Improved Population Health
March 03, 2016
Greg L. Wolverton, FHIMSS, CIO, ARcare
Conflict of Interest
Greg L. Wolverton, FHIMSS,
has no real or apparent conflicts of interest to report.
Agenda
• Introduction to ARcare
– Mission
– Technology journey
• ARcare’s success with improving patient engagement
and population health
• Recommendations for other healthcare organizations
• STEPS
Learning Objectives
• Evaluate the impact of individual treatment, daily engagement and
technology solutions on population health improvement efforts and identify
how these are important components of consumer-driven care
• Recognize the role in population health management and messaging tools,
combined with the EHR in improving care coordination across multiple
facilities, to increase patent engagement.
• Identify the potential efficiencies and savings achievable when advanced
system capabilities deliver scalability and enable extremely fast
implementations
• Describe how care plans are made easier with the use of individualized
care plans and population health solutions - helping them to manage
medications, receive needed tests, and schedule and attend appointments
and follow-ups while helping patients become more engaged with their
health
STEPS - Realized Benefits
Satisfaction - Patient and provider needs better addressed
Treatment - New electronic patient management systems
enabled improved outcomes, coordinated care and
population health
Electronic Information/Data - Advanced capabilities greatly
enhanced access to patient records across ARcare sites
Prevention and Patient Education - Patient conditions
managed more efficiently, including education and prevention
programs
Savings – Less ER visits – More Primary Care Visits
http://www.himss.org/ValueSuite
About ARcare
• 38 primary care sites in
Arkansas and Kentucky
• Three retail pharmacies
• One cancer center
• One oral health site
• Two longevity centers
• 14 Ryan White Care Act
Service sites (RWCA Part
B provider for Arkansas)
• Four administrative sites
• One education center
• Eight Ryan White Primary
Care Sites
© HIMSS 2015
• Three fitness centers
ARcare’s Mission:
Health for All
Our Technology Journey
2004
Established
medical record
vision and
implemented
first EHR
2008
Received
HIMSS Davies
Award of
Excellence
2010
Began studying
new systems to
take us to the
next level
2013
Implemented
electronic
patient
management
system (ePMS)
Population Health Impact:
Million Hearts Campaign
• Between 2014 and 2015 more than 1,400 HTN patients
at risk and have been hiding can now be treated.
• No longer waiting for DX as TX is based on risk status
• Patients are exposed to treatment and education more
rapidly
• Risk is now determined by data that includes lab
values, BP checks in the clinic and from the pt selfchecks
Population Health Impact:
Million Hearts Campaign
The Power of HIT and Data to Inform QI
• Population Health data
changes treatment and
outreach
– The population of
undiagnosed is not who
we thought!
– Women – white, 18-39
with little obesity or
depression
Population Health Impact: HIV Treatment
Population Health Impact:
Patient Engagement
• By utilizing the HIMSS Patient Engagement Framework, we:
– Inform the patient through interactive SMS, email and phone
calls.
– Engage the patient though patient portals and electronic
education tools.
– Empower the patient with quality and reports on providers, bilingual education, care experience surveys and more.
– Partner with the patient with home monitoring tools that are
condition specific and create a collaborative care model
through interoperability.
– Support the patient with patient specific education that
includes care planning, self-management and reminders
Clinical Quality Reporting
• Population Health data allows us a never before view of
the totality of care provided, through:
– Enhanced “reflection reporting”
– Ability to ”drill down” to “look at the patient”
– Team measurement and reporting
– Population Health comparisons with other
healthcare partners
Clinical Quality – Monthly Clinical
Reflection
Population Health Comparisons
Recommendations for Increasing Patient
Engagement & Improving Population Health
• Explore ways to leverage existing or new technology
tools to educate and engage with patients
• Carefully review evolving standards for care and the
technology requirements that accompany them
• Consider participating in community, state, or
nationwide campaigns tackling specific areas of care to
heighten awareness with patients
• Support self-discovery of optimal processes
The Value of Health IT: STEPS
S = Satisfaction
Addressing the needs of patients and providers
with improved patient management systems:
• Improved information access for providers
• Better serving the needs of patients by
addressing their acute and chronic conditions
• Using clinical event management to drive
events and orders
• Process improvement where the patient is the
focus
• Patient reminders for pre-appointment
information and appointment reminders to
reduce no shows
The Value of
Health IT: Review
T = Treatment
New electronic patient management
systems result in:
• Clinical event management capabilities
that enable improved patient outcomes
• Computerized provider order entry, closedloop medication administration and other
advanced functionalities that improve
patient care
• Support for coordinated care delivery and
improved population health
The Value of
Health IT: Review
E = Electronic
Information/Data
Advanced system capabilities:
• Will enable ARcare to exchange data
directly with the Arkansas Department of
Health (ADH)
• Help us set up new clinics faster. When
the ADH identifies a site ARcare has to
take over, it typically has to be up and
running in 30 days
• Greatly enhances access to patient
records across ARcare’s network of clinics,
pharmacies and wellness centers
• Can seamlessly collect RSVPs to confirm
patients’ plans to attend their appointments
The Value of
Health IT: Review
P = Prevention
and Patient
Education
Managing patient conditions more efficiently:
• Improved care coordination across
multiple facilities
• ARcare's providers deliver education and
prevention programs to other agencies, in
both Arkansas and Kentucky
• Educate and empower patients via
text/voice messaging using evidencebased disease management programs
• Improve health literacy through creating
highly engaging text messaging
campaigns
The Value of
Health IT: Review
S = Savings
• System provides paperless charting and
order entry for 42 ARcare or KentuckyCare
clinics
• The cost of patient care has been lowered
by adding built-in efficiencies such as
enhanced clinical decision support
• Clinic staff is saves time and reduces daily
operational costs while creating an
ongoing relationship with patients and
caregivers outside the clinic setting
Questions?
Thank you very much!
Greg L. Wolverton, FHIMSS
Phone: 870.347.2534
email: [email protected]