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

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

3. ©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

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

5. ©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

6. ©Healthwise, Incorporated Information is Care

7. ©Healthwise, Incorporated Information Saves Lives

8. ©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; 96:219- 222

9. ©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

10. ©Healthwise, Incorporated A Health Encounter in the Making

11. ©Healthwise, Incorporated

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

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

14. ©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

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

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

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

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

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

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

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

22. ©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

23. ©Healthwise, Incorporated

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

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

30. ©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 e-mails Partnering message Posted to EMR w results Motivational messaging MD controls release

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

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

33. ©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 e-mail/s Partnering message Posted to EMR w/ results Motivational messaging MD controls release

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

35. ©Healthwise, Incorporated What the results mean

36. ©Healthwise, Incorporated Prescribing next steps

37. ©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

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

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

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

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

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

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

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

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

49. ©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

50. ©Healthwise, Incorporated www.healthwise.org www.informationtherapy.org Many thanks.

51. ©Healthwise, Incorporated