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Wellpepper Deployment Options

Health Systems have 3 ways to deploy Interactive Treatment Plans at their organization:

  1. Using Wellpepper templates
  2. Leveraging the best practices from Mayo Clinic
  3. Custom Care Plan based on own best practices

Wellpepper Templates

We have a partnership with University of Georgia Medical School, that allows residents to join us on rotation for a month. Through this partnership, and with our excellent research partners, we’ve been able to build care plan templates based on best practice templates for over 30 chronic and acute conditions.

Health Systems may choose to implement these Wellpepper Templates, with minimal effort, which makes this deployment option the quickest.

Mayo Clinic Best Practices

At HIMSS 2018, we announced a partnership with Mayo Clinic to make their best practices available on the Wellpepper platform (here). This allows for health systems to leverage interactive care plans developed with Mayo Clinic content. This is also a very fast deployment and only requires a few configuration decisions from the health system.

Custom Care Plans

The third and most commonly selected option, especially for comprehensive care plans, is to develop an interactive treatment plan based on the Health System’s own best practices. These implementations typically take a bit more time to deploy. One of our tenants is if we can’t do better than paper, then we shouldn’t be doing it. Because of this, we’ll spend additional time going through the existing care plan documentation/discharge instructions and provide guidance and recommendations for how to deliver content digitally in context of where the patients are in their care.

EMR Integration

For initial deployments, we’ll typically see Health Systems choose to start without EMR integration. This is due to competing priorities with IT and allows the Health System to get up and running more quickly.

Shortly after that initial deployment, or in parallel with, we will start to map out what EMR integration looks like, with the goal of streamlining the clinical experience. The graphic below shows several ways that we integrate with EMRs, with the first step frequently being single sign on for patients and clinicians, followed by an ADT feed to onboard patients.

For more information on how to get the most of your deployment, please email me at luke@wellpepper.com.

Posted in: Healthcare Technology, Interoperability, patient engagement, Using Wellpepper

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What Motivates You, May Not Motivate Me

At Wellpepper our goal is to empower people to be able to follow their care plans and possibly change their behavior, so we think a lot about how to motivate people. Early on when working with Terry Ellis, Director of the Boston University Center for Neurorehabilitation, wanted to make sure that our messages to patients that may struggle with adherence were positive. She works with people who have Parkinson’s disease, and stressed that while they may improve symptoms they would not “get better.”

Last week I had a similar conversation with an endocrinologist about diabetes care plans. People with chronic diseases are often overwhelmed and may take a defeatist attitude to their health. Feedback and tools need to be non-judgmental and encouraging. Ideas like “compliance” and “adherence” may not be the way to look at it. Sometimes the approach should be “something is better than nothing.” And humans, not just algorithms need to decide what “good” is.

Am I good or great?

Here’s an example, non-healthcare related of algorithmic evaluation gone wrong. Rather than applauding me for being in the top tier of energy efficient homes, the City of Seattle, says I’m merely “good.” There’s no context on my “excellent” neighbors, for example are they in a newly built home compared to my 112 year old one, and no suggestions on what I might want to do to become “excellent. (Is it the 30-year old fridge?) I’m left with a feeling of hopelessness, rather than a resolve to try to get rid of that extra 2KW. Also, what does that even mean? Is 2KW a big deal?

Now imagine you’re struggling with a chronic disease. You’ve done your best, but a poorly tuned algorithm says you’re merely good, not excellent. Well, maybe what you’ve done is your excellent. This is why we enable people to set their own goals and track progress against them, and why care plans need to be personalized for each patient. It’s also why we don’t publish stats on overall adherence. Adherence for me might be 3 out of 5 days. For someone else it might be 7 days a week. It might depend on the care plan or the person.

As part of every care plan in Wellpepper, patients can set their own goals. Sometimes clinicians worry about the patient’s ability to do this. These are not functional goals, they represent what’s important to patients, like family time or events, enjoying life, and so on. We did an analysis of thousands of these patient-entered goals, and determined that it’s possible to track progress against these goals, so we rolled out a new feature that enables patients to do this.

Patient progress against patient-defined goal

Success should be defined by the patient, and outcome goals by clinicians. Motivation and measures need to be appropriate to what the patient is being treated for and their abilities. Personalization, customization, and a patient-centered approach can achieve this. To learn more, get in touch.

Posted in: Behavior Change, chronic disease, Healthcare motivation, Healthcare Technology, Healthcare transformation, Outcomes, patient engagement, patient-generated data

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