©Healthwise, Incorporated Information Therapy: Connecting Doctors and Patients Molly Mettler, Senior VP Healthwise, Incorporated Boise, ID Get Connected Knowledge Forum

©Healthwise, Incorporated Healthwise Not-for-profit Mission: to help people make better health decisions 1975

©Healthwise, Incorporated Healthwise  2005: Still Not-for-profit  Same Mission: to help people make better health decisions 27 million 1 in 10 US households 1 in 10 Canadians

©Healthwise, Incorporated Healthwise Over 60 million consumer health decisions per year

©Healthwise, Incorporated Session Goals: 2 A-HAs! And Some Take-Home Ideas Information is care Health care without “information therapy” is incomplete care 3 applications to enhance your website’s (and hospital’s) value

©Healthwise, Incorporated Information is Care

©Healthwise, Incorporated Information Saves Lives

©Healthwise, Incorporated “Say Again?” We Need Improved Communication “…between half and four-fifths of all medical information… was forgotten instantly by the patient.” Roy P C Kessels PhD J R Soc Med 2003; 96:

©Healthwise, Incorporated JAMA Study: Doctors Awful at Involving Patients Only 9% of decisions are rated as “informed decisions.” JAMA, Vol.282 No.24, December 22/29, 1999

©Healthwise, Incorporated A Health Encounter in the Making

©Healthwise, Incorporated

Introducing an Innovation Let’s make it easy to do it right

©Healthwise, Incorporated The “x” in Medicine  Rx = Medications  Sx = Symptoms  Hx = History  Dx = Diagnosis  Tx = Treatment Ix = Information Therapy

©Healthwise, Incorporated “Information Therapy” Information. Decisions. Support The prescription of :  specific evidence-based medical information  to a specific patient, caregiver, or consumer  at just the right time to help them make a specific health decision or behavior change as part of the process of care

©Healthwise, Incorporated Information Therapy Information. Decisions. Support The right information to the right person at the right time.

©Healthwise, Incorporated The Right Information  Evidence-based  Referenced and up-to-date  Free from commercial bias  Reviewed by experts  Decision-focused  Consumer friendly

©Healthwise, Incorporated The Right Person  The Patient  The Family  The Caregiver

©Healthwise, Incorporated The Right Time (Moments in Care)  Pre-Diagnosis  Initial Treatment  Worsening/Complications  Stable/Optimizing  End-of-Life Care

©Healthwise, Incorporated Physician Prescribed: The “Ideal” Application From EMR… to patient portal Becoming a part of every doctor visit

©Healthwise, Incorporated How Ix Works  Information triggers  ICD-9, CPT-4, SNOMED  Moments in care  Diagnosis, Treatment, Discharge  Information prescription

©Healthwise, Incorporated Ix and Hospitals: 3 Opportunities Discharge. Testing. Prevention.

©Healthwise, Incorporated Patient Instructions: Ix at hospital discharge Timing is everything Continuing support is everything Be there for your patients:  Wound care  Meals planning  Medications  Movement/exercise  Observation tips  Caregiver support

©Healthwise, Incorporated

This is a special message from your doctor. Call me if any of the conditions below develop, or if you have additional questions.

©Healthwise, Incorporated

Ix with Every Medical Test Order Pre-test  Decision guide  Preparation Post-test  How to interpret  Next steps

©Healthwise, Incorporated Ix with Every Medical Test Pre-test  Informed consent  Test prep Post-test  How to interpret  Next steps Clinician prescribed Print-out or s Partnering message Posted to EMR w results Motivational messaging MD controls release

©Healthwise, Incorporated Print-based: Handout from the physician when the test is scheduled

©Healthwise, Incorporated At Healthvision, Physician-to-Patient Messaging for Test Prep Community Health System Patient Link

©Healthwise, Incorporated Ix with every medical test Pre-test  Informed consent  Test prep Post-test  How to interpret  Next steps Clinician prescribed Print-out or /s Partnering message Posted to EMR w/ results Motivational messaging MD controls release

©Healthwise, Incorporated Print-to-Web Handout from the physician when test results are delivered during an office visit

©Healthwise, Incorporated What the results mean

©Healthwise, Incorporated Prescribing next steps

©Healthwise, Incorporated Ix with Every Medical Test Pre-test  Informed consent  Test prep Post-test  How to interpret  Next steps Benefits Informed patients; reduces workload Prep improves accuracy Understandable results Revenue enhancement Better communication all around

©Healthwise, Incorporated Ix for Prevention Dogs Get Ix. Why Not Us?

©Healthwise, Incorporated Ix for Preventive Services  Immunizations  Cancer screening  Prenatal care

©Healthwise, Incorporated Gather data to target an information prescription Through interactive tool Through information already available in an EMR, PHR, or data repository

©Healthwise, Incorporated

Provide easy access to more information about health issue, screening test, or preventive service

©Healthwise, Incorporated 5-step Ix Infrastructure  addresses  Patient portal with secure messaging  Content: Prescription-strength  Triggers from real time or near time data  Messaging system (rules and blocking)

©Healthwise, Incorporated What Your Patients Get  Involvement  Customer Service  Self-management Skills  Better Decisions

©Healthwise, Incorporated What Your Physicians Get Saved time Increased patient satisfaction Practice enhancement Better patient compliance and outcomes

©Healthwise, Incorporated What Your System Gets  Improved Quality  Reduced Cost (Margins)  Increased Capacity (Market Share)  Increased Satisfaction (Patient Scores)  A focus on Mission

©Healthwise, Incorporated 2 A-Ha’s  Information is care  Healthcare without Ix is incomplete care 3 Predictions  Ix with every doctor visit  Ix with most transactions  Ix at every hospital bedside

©Healthwise, Incorporated Many thanks.

©Healthwise, Incorporated