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Summer Reading: “Get Well Soon: History’s Worst Plagues and the Heroes Who Fought Them”

Summer Reading: Get Well Soon: History’s Worst Plagues and the Heroes Who Fought Them, by Jennifer Wright

At Wellpepper, we’re huge proponents of evidence, and have worked for years with researchers from Boston University and Harvard University to prove that the things that seem like common sense, like providing help outside the clinic in a digital format, will truly improve patient outcomes. Given today’s focus on evidence-based medicine, and even the sometimes dismissal of common sense if there’s no randomized control trial (even chicken soup is subject to peer review), it’s amazing to remember that we once knew so little about what makes us sick, or the difference between correlation and causation.

If you don’t think you’re interested in plagues, think again. This book is a rollicking journey through a history of plagues that is both funny, sarcastic, and tragic. It reminds us that things that seem obvious today might not have been in the past, and that we’re never that far from mass hysteria when we don’t understand the root cause of a new healthcare epidemic.

While there is a chapter dedicated to each historical epidemic, Wright does not talk about the AIDs epidemic of the 1980s. She believes that history needs to be shared by the ones who were there, while her job is to amplify the voices of history so that we stop making the same mistakes. By uncovering how society, medical professionals, or government either did or didn’t cope with a particular epidemic, Wright offers valuable lessons for today.

For example, when exploring leprosy (which by the way, was a required medical test to get a Russian visa when I moved there in 2008 with Microsoft: spoiler alert, I don’t have it), Wright says:

“Diseases don’t ruin lives just because they rot off noses. They destroy people if the rest of society isolates them and treats them as undeserving of help and respect.”

When people blame others for their diseases, or treat them differently, we are not acting better than our ancestors.

Wright also puts into perspective why all types of people fall for information that now may seem ridiculous, with this analogy:

“If you were a peasant and someone said, “If you live in a sewer, the bubonic plague won’t kill you,” your reaction likely wouldn’t be, “I am curious to hear the science behind that.” Your response would be, “Point me to the nearest sewer.”

It’s up to medical professionals to understand why someone believes what they believe, and then try to provide alternate evidence, rather than dismiss it out of hand. It doesn’t mean that you can’t debunk the value of living in a sewer, but do it by understanding where the information came from in the first place. (And also don’t forget that the fake healthcare information is much easier to access than medical journals locked behind firewalls.

Stories of the Spanish flu, and government-sanctioned and media campaign to downplay (aka ignore or bury) the seriousness of the illness so as to not divert energy and enthusiasm for the war effort, versus the example of Marcus Aurelius during the Antonine Plague taking care of business by offering government burials and time off to go to funerals, which both kept bodies from piling up and acknowledged there was a serious problem.

Wright admonishes us to choose leaders well.

“When we are electing government officials, it is not stupid to ask yourself, “If a plague broke out, do I think this person could navigate the country through those times, on a spiritual level, but also on a pragmatic one? Would they be able to calmly solve one problem, and then another one, and then the next one? Or would bodies pile up in the streets?”

As we start to repeat the mistakes of the past (measles anyone?)Wright makes sure to remind us that with our natural human instinct to lean away from bad news, we often forget how bad things were. Measles, anyone?

“Polio was effectively eliminated throughout the world. And then people just … kind of forgot all about polio. This seems to be the human response to any disease. People forget diseases ever existed the minute they are no longer being affected by them. Maybe that’s understandable. Maybe if we all thought about all the potential diseases the world is teeming with, and the extent to which we are, every day, dancing on the edge of a volcano, the world would seem too terrifying to walk around in at all. Or we’d just vaccinate our kids.”

If you’re interested in medical history, policy, or historical epidemiology this makes a light summer read. I’m not kidding. Also, the chapter on Spanish flu should be made into a dystopian/future past film. It’s got everything: media and government cover up, bodies in the street, a mystery, and a hero fighting against the status quo.

Posted in: Behavior Change, Clinical Research, Healthcare motivation, Healthcare transformation, population health, Rare disease

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Partnership Announcement: eVideon and Wellpepper

eVideon and Wellpepper Announce Partnership to Deliver Comprehensive Patient Experience Across Care Settings

 

eVideon, a leader in hospital patient experience, and Wellpepper, a leader in interactive patient care plans, today announced a partnership to deliver comprehensive patient experiences across inpatient and outpatient settings. Both companies work with health systems to deliver a better patient experience. The partnership enables health systems to deploy integrated solutions from best-of-breed vendors. eVideon and Wellpepper are integrating their solutions so providers can deliver a consistent experience across care settings from hospital to home.

 

“Increasingly, health systems are looking for patient experiences that span inpatient and outpatient settings,” said Wellpepper CEO Anne Weiler. “The patient journey begins before a patient enters the hospital and continues long after discharge. This partnership enables an engaging and usable experience for patients across their entire journey of care.”

Wellpepper’s clinically validated digital treatment plans guide users through all the activities they need to do outside the clinic to manage an episode of care: from preparing for a clinic or hospital visit, to managing a chronic condition or recovering after hospital discharge, via patients’ preferred mobile, web, or voice devices. eVideon enhances the inpatient experience, providing personalized interactive bedside capabilities that empower patients to control their environment, learn about their conditions, access hospital services, order meals or watch movies on demand. Both companies are passionate about improving the patient experience while providing data and analytics to streamline clinician workflows and improve outcomes.

“eVideon and Wellpepper share a passion for bringing long overdue self-service to healthcare through personalized, engaging systems,” said Jeff Fallon, CEO of eVideon. “Interoperability is vital, and the value of better outcomes and streamlined workflows is undeniable – not just for patients, but for clinicians and staff too. We’re excited about the new possibilities this comprehensive solution will bring across care environments for our customers.”

The partnership enables health systems to own the end-to-end patient care pathway. Health systems can deploy eVideon’s and Wellpepper’s solutions simultaneously or sequentially. Solution architects from eVideon and Wellpepper are available to consult with healthcare technology and patient experience groups to determine the best approach for rolling out a comprehensive solution.

About eVideon

eVideon digitizes hospitals with a suite of bedside engagement systems, hospital TV, digital signage, and other interactive displays. Patients enjoy the convenience of self-service at the bedside with access to meal ordering, entertainment, education, hospital services and more, while staff enjoy streamlined, paperless workflows. Interactive surveys and patient feedback help patients communicate immediate needs, and help hospitals respond to those needs quickly. The platform leverages integrations with EHRs, building management systems, food service systems, real-time location systems and more. Data analytics provide valuable insights into patient behaviors and pain points, letting hospitals improve service and outcomes. Learn more at www.evideon.com.

About Wellpepper

Wellpepper is a healthcare technology company with an award-winning and clinically validated patient engagement platform used by major health systems to improve outcomes and lower costs of care. Wellpepper treatment plans can be customized for each health system’s own protocols and best practices and personalized for each patient. Wellpepper’s patented adaptive notification system helps drive over 70 percent patient engagement with treatment plans. Wellpepper was founded in 2012 to help healthcare organizations lower costs, improve outcomes and improve patient satisfaction. The company is headquartered in Seattle, Washington. Visit www.wellpepper.comfor more information.

Full press-release available at PRWeb.

Contact:

eVideon
info@evideon.com
616-588-8109

Wellpepper
Jennifer Allen Newton
Bluehouse Consulting Group, Inc.
jennifer@bluehousecg.com
503-805-7540

Posted in: Healthcare Technology, Patient Satisfaction, Press Release

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Transforming Health at Montana HIMSS Annual Spring Conference

Possibly the most interesting thing in healthcare technology is the breadth of scope that health tech needs to cover, and the talks at the HIMSS Montana annual spring conference represented that with talks about security, how to find money for projects, consumer engagement, and how to create a state-wide initiative for healthcare IT. Just like the state of Montana, talks covered a lot of territory.

 

 

 

Here’s a small review of what attendees experienced:

Voice Technology

I had the honor of kicking off the HIMSS Montana Chapter “Transforming Healthcare” conference with an introduction to how voice technologies show promise in patient care. There’s still a lot of concern in the industry about what these voice assistants are tracking, and the speaker immediately after me talked about a surgeon using Alexa to play music in the operating room (a non-compliant use as Alexa might be ‘listening’ to the conversation). However, today’s news that Comcast is also getting into the voice healthcare game shows that there is real promise and high stakes. If you’re interested in this topic you might want to check out our white paper on considerations for designing voice interfaces for patient care, or join me at Voice Summit in Newark this fall for a workshop.

Security

Not surprisingly security remains a hot topic in healthcare, probably because of the surface area of devices and IOT devices. While bad actors and hackers remain a constant threat, people and process are as important, and speakers stressed that often breaches are not malicious but when people don’t follow proper process like the backup company driver who left a van full of backup tapes in his driveway overnight where it was broken into.

Interestingly according to Fred Langston, CISSP, CCSK Executive VP of Professional Services CI Security, imaging systems account for almost 50% of security alerts, possibly because the systems involve both hardware and software, and have often been installed for years. EMRs are seen as relatively safe, and other risks come from devices, attached to the hospital network, where manufacturers have stopped upgrading or patching devices, or simply stopped support for them. The reason is that any sort of software or firmware upgrade requires new FDA certification, which may be cost prohibitive on a discontinued product. There are startups trying to solve this problem, however the FDA may also want to reconsider the unintended consequences of their certification program.

Generally, it takes 205 days within a hospital system until a compromised asset is detected. Decreasing this time and the time from the realization of the compromise and fix (known as dwell time), should be the goal of all IT departments. Hiring a security consultant organization may be the best bet for the broad scope of monitoring that needs to happen.

Finding Money for Innovation

Dianna Linder, MPA, FACHE Director of Grants and Program Development, Billings Clinic is a grant-writer who has been successful at finding funding sources for innovative projects. Much like targeting sales, donor targeting involves figuring out the value proposition you can offer to a particular donor. The Billings Clinic has a shark-tank day where everyone comes with their projects to request funding. Projects are stack-ranked and budget is applied. For those that don’t get budget, Linder looks for other sources like grants. She warns that grants are best used for projects that are new experiments and where the headcount is not part of the spend since they cannot ensure someone of a job when the grant money runs out. A great example of a use of grant money was for building an intake facility for mental health, so that people did not languish in the ED. This program used staff that were already at the system and proved successful enough that it became operationalized the following year.

At Wellpepper, we’ve seen a few projects start with grants, like the one that the Schultz Foundation provided to EvergreenHealth to kick off a patient engagement project that has since been operationalized. Grants for research projects like the one with Harvard are also interesting.

Consumer Experience

Ben WanamakerHead, Consumer Technology & Services from Aetna made us promise not to blog or tweet about his session where he shared some results from Aetna’s partnership with Apple’s smart watch. So, go see for yourself how the application uses behavioral economics and design principles to reward people for healthy behavior.

Building a State-Wide Healthcare IT Strategy

Did you know that 10 states have a state-wide healthcare IT strategy? No? Neither did I. These strategies, when aligned with Medicare and Medicaid initiatives can help drive adoption and support for healthcare technology, innovation, and modernization initiatives. The benefits of the roadmaps are to focus on healthier residents, and freeing information. Another important benefit is funding that is matched by the federal government. While this type of program may be out of reach for the average healthcare technology enthusiast, knowing that they exist can offer opportunities to align with larger initiatives.

Posted in: Adherence, Behavior Change, Health Regulations, Healthcare costs, Healthcare Disruption, Healthcare Policy, Healthcare Research, Healthcare Technology, Healthcare transformation, HIMSS, M-health, patient engagement

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Way Way Beyond HCAHPs: Cleveland Clinic’s Patient Experience Summit

It was the 10th year for the Cleveland Clinic’s innovation & empathy conference, a journey at Cleveland Clinic which started from a question from an MBA student to then CEO Toby Cosgrove asking if the Clinic’s physicians learned empathy.

You can hear him tell the story himself, and it’s personal for him.

And, if you haven’t seen Cleveland Clinic’s quintessential video on empathy, be sure to check it out.

Dr Toby Cosgrove at Cleveland Clinic

This year, Dr Cosgrove was back to talk about what Google could learn from healthcare and visa versa, as he is a newly appointed advisor to Google Health. As a surprise, he was interviewed by the same student who asked the question so many years ago. Not surprisingly, Dr. Cosgrove believes that healthcare needs to embrace big data, and care outside the clinic. He didn’t have much to offer about what Google could learn, but we’d say protecting personal data would be the biggest thing.

Possibly because he’s no longer running a physician organization and yet he is a physician himself, Dr Cosgrove was pretty blunt about the biggest barrier to transform an organization to deliver empathetic care: the doctors themselves.

Dr Victor Montori at Cleveland ClinicAnother notable keynote came from Mayo Clinic’s Dr. Victor Montori, an endocrinologist, and author of Why We Revolt: A Patient Revolution for Kind and Careful Care. Dr Montori asks us to question our biases, assumptions, and language. He decries “industrial healthcare” where we “provide care.” Care is already a verb. He advocates a person-centered approach where the goals and needs of the individual, not billing or the organization are center. Dr. Montori talked about the phenomenon of doctors doing volunteer travel vacations in other countries because it gets them back to why they became physicians: to care for people.

 

The example of a woman struggling to understand her medication, and make good food choices while being aware of her culture reminded me of visiting my mom when she was in a rehabilitation hospital. When we started bringing homecooked meals and even restaurant takeout, she ate. Physicians couldn’t understand her weight loss and hair loss, blaming it on medication. The problem was the terrible nutritional value and taste of the food.

Patient Stories

Patient stories were a key feature in the conference, while backing research up with data is important, it’s the stories that people remember.

How Walmart Started a Movement of Engagement

The power of human stories was prevalent in the presentation from Walmart’s David Hoke, who has created a movement of better health activities within the Walmart employee base, a challenging job when some stores have 100 per cent employee turnover. To create a movement that inserted a healthy virus into stores, David turned to military strategy:

  • Compelling reason to join
  • Place to join
  • Have to have something to do
  • Have something to share with people they love
  • People follow people

Instead of going directly to digital health, the program was designed to be analog to have the broadest reach, and to overcome people’s fears of being tracked. The program featured story booklets in breakrooms that highlighted other employees journey’s to health. Participants described thinking “well if that person can do it, so can I” after reading the stories, and seeing videos of successful program participants.  By the way, if you’re a Walmart customer, you can also join the program, which is now available digitally as well as analog.

Nebraska Medicine’s Situational Interviewing

Observational patient interviewingIn order to find the patient stories, you have to ask the right questions, and HCHAPs isn’t doing that. We see this all the time at Wellpepper: You need to talk to patients to get the story behind the data points. In this example, a patient had rated Nebraska Medicine highly for caring about her. Rather than just accepting this as praise, researchers dug deeper and asked how the patient perceived this, and the patient’s example was of a nurse who noticed she had dry skin and applied lotion. Another patient rated the facility high on cleanliness because he saw a physician pick up some garbage in the patient’s room. The key takeaway from this session was that patients infer intent.

Geisinger Longitudinal Patient JourneyGeisinger’s Longitudinal Patient Record

Chanin Wendling from Geisinger talked about their implementation of a CRM to be able to track a longitudinal patient experience. Knowing when and where patients are interacted with by the health system will go a long way towards understanding their overall experience.

Wellpepper Digital Intervention for Seniors

Dr. Jonathan Bean from Harvard, talked about why interventions for seniors are so important, and how design impacts whether someone is considered “able” by sharing an example of a cross walk timer being decreased so that slower people could no longer get across the street. Dr. Bean the Director of the New England GREC at the VA, professor at Harvard, and our research partner at Wellpepper, and we were extremely proud when he presented results of the REACH digital intervention using Wellpepper that reduced ED visits in seniors by 73%. We’ll share more when the study outcomes are published in the journal of PM&R.

Financial Impact of Care

Another theme that bubbled up in so many sessions at the conference is the financial impact of care, and the intertwined aspects of financial and physical health. A few key points:

  • Walmart has introduced a banking/payday loan application for employees so that they don’t have to pay the exorbitant rates of quick loan companies.
  • People cut back in other areas of their lives to pay for healthcare
  • 95% of patients want to talk to their provider about healthcare costs but providers aren’t equipped to do so. They don’t want to talk to the health plan or billing/collections department.

This was my first time at the summit, but it won’t be the last, especially as it evolves to encompass more aspects of patient experience outside the clinic, and through non-traditional methods like chatbots, virtual assistants, and virtual reality.

It’s hard to encapsulate all the learning at the conference, and no one person can attend all the sessions, but MobiHealth News has a great recap of the keynotes and individual sessions as well.

https://www.mobihealthnews.com/content/patients-more-vulnerable-other-consumers-technology-must-keep-human-empathy-center

https://www.mobihealthnews.com/content/north-america/without-co-design-technologys-healthcare-potential-wasted

https://www.mobihealthnews.com/content/north-america/providence-st-joseph-patient-engagement-begins-call-center

https://www.mobihealthnews.com/content/patient-stories-inspire-new-digital-tools-singapore-health-systems-sutter-health

Posted in: Adherence, Healthcare costs, Healthcare Disruption, Healthcare Research, Healthcare Technology, Healthcare transformation, HIMSS, M-health, Outcomes, patient engagement, Patient Satisfaction, patient-generated data, physician burnout

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Self-Driving Healthcare

It’s 2019 and your car can drive itself most of the way to your doctor’s office, but once there, you will be handed a clipboard with a paper form asking you for your name, date of birth, and insurance information. Then you will wait to be seen by a doctor, who will spend your visit facing a screen transcribing your spoken complaint into the EMR, and then ask you where you’d like your lab results faxed.

How can it be that technology is making such huge strides in some areas of our lives, while others are seemingly stuck in the last century? When will healthcare have its self-driving moment?

The Promise of Self-Driving Cars

Self-driving cars are a great example of how computer science has been applied to solve difficult real-world problems. It was less than 15 years ago that the computer science community celebrated the first autonomous vehicles successfully completing a 130 mi course in under 10 hours as part of the DARPA grand challenge. Most of the heavily-funded university research teams that entered used traditional programming techniques. The winner of this competition, Stanford University, was characterized by its use of machine learning to train a vehicle by example, rather than writing the if-then-else code by hand.

Since this time, machine learning generally, and deep neural networks in particular, have proven to be unreasonably effective in solving problems with huge and highly complex inputs like image recognition, sensor integration and traffic prediction, among others. Companies like Waymo, Volvo, Uber, and Tesla have been pouring money into the autonomous vehicle space and making rapid progress. Many cars sold today come with some level of assisted driving like lane holding and collision prevention, and Tesla vehicles even come with a “Full Self Driving” option.

Machine Learning in Healthcare

So, what about healthcare? People’s health is a highly complex function of genetics, medicine, diet, exercise, and a number of other lifestyle factors. In the same way you make thousands of little steering corrections to stay in a lane, you make thousands of choices each day that impact your susceptibility to disease, quality of life, and longevity to name a few. Can the same toolset that can help cars drive themselves help us build good predictive models for health and healthcare?

There have certainly been efforts. Including some high profile failures. One big limitation is the data. On the one hand, healthcare is awash in data. Some claim it won’t even fit in the cloud (spoiler: it will). Much of the data in healthcare today is locked up in EMR systems. Once you’ve liberated it from the EMR, the next problem is that it’s not a great input for machine learning algorithms. A recent study in JAMA focused on applications of ML in healthcare found that EMR data had big data quality issues, and that models learned on one EMR’s dataset were not transferrable to another EMR’s dataset, severely limiting the portability of models. Imagine trying to build a self-driving car with partial and incompatible maps from each city and you’ll start to understand the problem with using EMR data to train ML models.

All The Wrong Data

But more important than this: even if the EMR data was clean and consistent, a big piece of the puzzle is missing: the data about the person when they’re not in the doctor’s office. We know that a person’s health is influenced largely by their lifestyle, diet, and genetics. But we largely don’t have good datasets for this yet.

You can’t build a self-driving car no matter how much many fluid level measurements and shop records you have: “I don’t know why that one crashed, its oil was changed just 4 weeks ago. And with a fresh air filter too!”  You also can’t build meaningful healthcare ML models with today’s EMR-bound datasets. Sure, there will be some progress in constrained problems like billing optimization, workflow, and diagnostics (particularly around imaging), but big “change the world” progress will fundamentally require a better dataset.

There are efforts to begin collecting parts of this dataset, with projects like Verily’s Project Baseline, and the recently-failed Arivale. Baseline, and others like it will take years or decades to come to fruition as they track how decisions made today impact a person many years down the line.

On a more modest scale, at Wellpepper we believe that driving high-quality and patient-centered interactions outside the clinic is a major key to unlocking improved health outcomes. This required us to start by building a communication channel between patients and their care providers to help patients follow their care plans. Using Wellpepper, providers can assign care plans, and patients can follow along at home and keep track of health measures, track symptoms, and send messages. Collecting this data in a structured way opens the door to understanding and improving these interactions over time.

For example, using regression analysis we were able to determine certain patterns in post-surgical side-effects that indicate a 3x risk of readmissions. And more recently we trained a machine learned classifier for unstructured patient messages that can help urgent messages get triaged faster. And this is just scratching the surface. Since this kind of patient-centric data from outside the clinic is new, we expect that there is a large greenfield of discovery as we collect more data in more patient care scenarios.

Better patient-centric data combined with state of the art machine learning algorithms hold huge promise in healthcare. But we need to invest in collecting the right patient-centric datasets, rather than relying on the data that happens to be lying around in the EMR.

 

Posted in: Healthcare Disruption, Healthcare Technology, Healthcare transformation, machine learning, patient-generated data

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Reading for Healthcare Disrupters: In Shock, by Rana Awdish, MD

May 13-15, I’m heading to the Patient Experience Conference at Cleveland Clinic where Dr. Jonathan Bean, our research partner from Harvard Medical School will be presenting the results of a study using Wellpepper to deliver an interactive care plan for people between 65 and 85 who are at risk of adverse events. We’re excited about the positive clinical outcomes he saw, but more importantly, about the ability for technology to deliver empathy in patient care.

in shock book coverThe ultimate in empathy is to “walk a mile in someone’s shoes.” While this is often not physically possible, if you can emotionally understand someone else’s view this is the beginning of empathy. Research shows that reading fiction increases empathy, but I can imagine that non-fiction like Dr Rana Awdish’s compelling and gripping “In Shock” would do the same. Dr Awdish chronicles her near-death experience and subsequent recovery at the hospital where she practices. By becoming a patient with the mind of a doctor, she is able to deeply experience and understand both sides of a situation: the doctor who sees a case, and the patient who is so much more than a collection of symptoms. As a patient she experiences incorrect diagnoses, not being believed or listened to, arrogance, and condescension. As a physician, she struggles with her training to not get involved emotionally involved with patients and to shrug off traumatic events with her newfound understanding that experiencing pain is the only way to really empathize and connect with each other, and the only thing that will enable physicians to truly deliver care.

The book can be read as case study of experiences from both sides of the equation as Dr. Awdish struggles to make sense of her experiences, and learn how well-meaning instructions can result in the wrong outcome. For example, Dr Awdish reflects on her medical school and residency training and how it was designed to search for diagnosis not for meaning.

“We weren’t trained to listen. We were trained to ask questions that steered people to a destination”

When she’s taken to emergency and immediately steered to OB despite her protestations that the problem is not the pregnancy it’s something else, she directly experiences the impact of this training.

When Awdish is admitted to the hospital for bed rest during later pregnancy, her room becomes a defacto support group for medical professionals who need somewhere to properly process and sometimes grieve patient outcomes. This community defies their training which was to shrug off the emotions, and it’s during this period that Awdish comes to her hypothesis that switching communication may have the most powerful impact of all.

“This way of questioning, this recommendation built on empathy and a patient-centered narrative has the potential to heal everyone involved.”

Awdish is full of hope that the medical community can change. She’s a frequent lecturer and has won awards for building empathy and communication programs. The book also includes a study guide, and is being included in medical school curriculum.

You can hear Dr Awdish read from her book in this clip, or follow her on twitter @RanaAwdish

If you’re looking for more great reads check out these recommendations from our blog. Or, if podcasts are more your style, we’ve got those too.

Posted in: Behavior Change, Healthcare Disruption, Healthcare Research, physician burnout, Uncategorized

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HIPAA Compliant Voice Interfaces: Amazon Alexa Team Announcement

As an early adopter of voice interfaces, and winner of the Alexa Diabetes Challenge, we couldn’t be more excited by today’s announcement from the Amazon Alexa team about HIPAA compliance. You can read about it on the Alexa Developer Blog.

We’ve been working with voice prototypes, and have over developed voice interfaces for most of our interactive care plan building blocks, including things like tracking medication, food diaries, and hearing quick tips about your care plan. If you’re consider how to integrate voice into your patient experience, you may be interested in our new white paper on Designing Effective Voice Interfaces.

Get your copy today!

Register to get the full report

 

Verification

Posted in: alexa, Voice, voice interfaces

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The Healthcare of the Future: Equity and Access

If the sold-out “Healthcare of the Future” event presented by Puget Sound Business Journal, is any indication, Seattle is ready for healthcare transformation. Last week’s event at the Fairmont Olympic featured prominent local healthcare leaders discussing equity and access to care, and why Seattle is the right community to deliver.

Healthcare of the Future

Interesting, the panel discussion started with a definition of access, framed as not just being able to receive care, but also to navigate and understand care. Speakers mentioned that in the transition from uninsured to insured, people might now have access to care but not enough health literacy to receive care. This was exemplified when one of the panelists, a physician herself talked about a recent experience with getting care for her son where she navigated multiple providers and care settings, and all the while had a firm handle on who she was talking to, why her concerns were important, and the eventual diagnosis.

You can see examples of this everyday on #medtwitter when physicians or other healthcare professionals talk about how hard it was for them to navigate the system as caregivers for their families. Now, just imagine that you’ve never had healthcare coverage before. How do you know what your options are, how much you may have to pay, or when and where to see a doctor?

Panelists also felt that in addition to access, health equity needed to include helping patients make decisions based on their own values, not the values of the system. Again, a difficult situation to navigate for someone new to the system, or potentially being intimidated by the ‘white coat.’ Equity also looks at whether anyone is being left behind in the system, which could be from a myriad of reasons: language, cultural, or even geographical barriers. Given the problems of staffing rural clinics and hospitals, are people in remote areas able to receive the same level of care as those in the cities?

Unsurprisingly, panelists were bullish on Seattle’s ability to deliver, both from the collaborative nature of the healthcare organizations in the region, and from our stronghold of technology. Tech and healthcare partnerships were cited as the best opportunity to shorten the 17 year cycle from research to clinical practice, with technology disruption in the areas of big data, AI, and cloud infrastructure from local tech giants Microsoft and Amazon pushing the healthcare industry forward. (Let’s hope they can also solve the interoperability of data problems, as one speaker equated having the largest Epic installation at Providence as being a substitute for data portability and interoperability.)

All in all, this was a great event, and discussions at my table ranged from best practices for oncology care, especially with patient-facing tools outside the clinic, to how smart hospital room design includes sensors in the furniture to predict patient falls. That the room was buzzing before 7:30 on a Friday morning shows that we have a lot of great momentum for solving hard problems in healthcare in Seattle.

Posted in: Healthcare costs, Healthcare Disruption, Healthcare Technology, Healthcare transformation

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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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Engaging Patients and Impact to Clinical Workflow

One of our goals at Wellpepper is to enable patients to self-manage and we know that if given the right tools, they will do so. While we strive for that exceptional patient experience, we also put a lot of effort into streamlining clinical workflow for onboarding and monitoring patients.

Patient Onboarding

The process for inviting a patient is meant to be simple with a minimal impact to clinical workflow. Capturing basic patient demographics and assigning the appropriate care plan(s); a process that takes 30 seconds to complete. Typically, a scheduler, navigator or health coach will invite patients when they have been identified for an interactive care plan. Ideally, this is done prior to the patient coming into the clinic, but depending on the care plan, this can place at the front desk or in the patient’s room. EMR integration is another way Wellpepper can help streamline this process. You can read a bit more about some of our EMR Integration options in my post about deployment options (here).

Patient Monitoring

Our professional services team will work with your clinical teams to understand all the scenarios where you want to know what your patients are doing when they’re not in the clinic. Using Alerts & Notifications and Machine Learning, we can help make sure that you’re focusing your time on the patients that need help.

Alerting & Notifications

Our sophisticated rules engine enables health systems to build out simple or complex alerting scenarios. These alerting scenarios will generate an alert and notify the care team.

Patients reporting a symptom or side effect is the most commonly used alerting scenario. Our analysis has found that in surgical scenarios, patients that report a symptom or side effect within 3 days after surgery are 3 times as likely to readmit within 30 days. By alerting the care team that a patient is experiencing a symptom or side effect, a care team member can take action and possibly prevent a readmission.

Other Alerting scenarios may include things like patients not doing their exercises, or reporting a blood sugar reading out of the target range.

Machine Learning

One of the areas that we apply machine learning to help streamline clinical workflow is in our HIPAA-compliant messaging system, which allows communication between patients and their care team. Our analysis has shown that 98% of the messages that patients send are not urgent, and 70% of them don’t need a response. Our message classifier looks for the 2% that are urgent and escalates those to the care team.

It’s important to understand all of the points where patients may reach out for help and optimize workflow accordingly. This is another area where integrating with the EMR can help.

For more information on how to streamline clinical workflow while still providing a great patient experience, please email me at luke@wellpepper.com.

Posted in: Healthcare Disruption, Healthcare motivation, Healthcare Technology, Healthcare transformation, Interoperability, Managing Chronic Disease, patient engagement

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Boston University Study Demonstrates that mHealth-Supported Exercise Program Benefits People with Parkinson Disease

Boston University Study Demonstrates that mHealth-Supported Exercise Program Benefits People with Parkinson Disease

Boston, MA – February 7, 2019 – The randomized controlled pilot study used the Wellpepper patient engagement platform to examine the comparative effectiveness of mobile-health-supported exercise compared with exercise alone for people with Parkinson disease.

Key Points:

  • The comparative-effectiveness study, which took place over a 12-month period, was published in the February 2019 issue (Volume 99, Issue 2) of the journal Physical Therapy.
  • It is among the first randomized controlled studies to clinically validate the use of digital health tools in supporting improved patient outcomes.
  • The study positively demonstrated the impact of a digital intervention on people with Parkinson disease who were evaluated as sedentary during study enrollment. People with Parkinson disease who were less active when they entered the study, and who used the Wellpepper application during the 12-month period, showed a statistically and clinically significant improvement in their overall mobility scores compared to similar individuals in the control group without the digital intervention.
  • The study was led by Terry D. Ellis, PT, PhD, Department of Physical Therapy and Athletic Training and Sargent College of Health and Rehabilitation Sciences at Boston University with a research team from Boston University, the University of New England and Brigham and Women’s Hospital at Harvard Medical School (see full list of authors below).
  • Ellis is continuing research in this area at two sites with an NIH-funded clinical trial to further determine the effectiveness of a “connected behavioral approach” against a control group in increasing real-world walking activity in persons with Parkinson disease. The study is onboarding the first subjects this month (February 2019).

“Behavioral change strategies provided through mHealth applications such as those delivered by Ellis and colleagues provide a promising theoretically based and practical approach for helping people with PD (and possibly other chronic disabling conditions) to successfully engage in sustained exercise behavior over the long term,” said Alan M. Jette, PT, PhD, FAPTA and editor in chief of Physical Therapy in an editorial. “As the rehabilitation field shifts from traditional approaches to digital platforms in delivering behavior change interventions, an mHealth application like the one examined in the Ellis et al study holds promise in increasing the reach and scalability of physical therapist services in the digital age.”

This VIDEO demonstrates how the technology was used.

Background:

Declining physical activity commonly occurs in people with Parkinson disease (PD) and contributes to significantly reduced functional capacity and overall quality of life. Previous studies have demonstrated the benefits of exercise and physical activity in reducing disability and enhancing quality of life in people with PD.

This study was designed to explore the effectiveness, safety and acceptability of a mobile-health-mediated exercise program in promoting sustained physical activity in people with PD. Essentially, the Wellpepper mobile patient engagement application became a tool for motivating and monitoring behavior change.

There were 51 participants in the study, all of whom had mild-to-moderately severe Parkinson disease. They were divided randomly into two groups – mHealth and active control – and each group was further subdivided into those who were more active when they came into the study and those who were more sedentary.

Over the course of one year, the mHealth group’s outcomes were compared with those of an active control group, looking at daily steps, moderate-intensity minutes and other measures of activity and mobility. Evaluations were made at the beginning and again at the end of 12 months and exercises were provided by physical therapists with expertise in PD.

  • mHealth: The mHealth group participated in a technology-mediated exercise program that included walking with a pedometer and engagement in exercises. The Wellpepper mobile patient engagement application was used to provide the take-home exercise instructions (along with videos of each person doing their own exercises in proper form), ongoing text-based communication and support (e.g. changing exercises over time to accommodate progress or health changes) and tracking of physical activity and adherence. Ttracking was visible to participants to monitor their own progress and to researchers.
  • Control: The active control group walked with a pedometer, received paper-based exercise instructions and tracked their activity in a paper calendar.

Outcomes:

At the end of one year, both groups had increased their daily steps, moderate-intensity minutes and 6-Minute Walk Test, however the Parkinson Disease Questionnaire 39 mobility scores among the subgroup who were less active prior to the study demonstrated a statistically and clinically meaningful improvement.

An abstract of the study is available HERE and the full study can be made available to media upon request. Editorial overview of the study is also available.

Study Authors:

Terry D. Ellis, PT, PhD, Department of Physical Therapy and Athletic Training, Sargent College of Health and Rehabilitation Sciences, Boston University; JamesT. Cavanaugh, PT, PhD, Department of Physical Therapy, University of New England, Portland, Maine; Tamara DeAngelis, PT, DPT, Department of Physical Therapy and Athletic Training, Sargent College of Health and Rehabilitation Sciences, Boston University; Kathryn Hendron, PT, DPT, Department of Physical Therapy and Athletic Training, Sargent College of Health and Rehabilitation Sciences, Boston University; Cathi A. Thomas, RN, MS, Department of Neurology, Parkinson’s Disease and Movement Disorders Center, Boston University; Marie Saint-Hilaire, MD, Department of Neurology, Parkinson’s Disease and Movement Disorders Center, Boston University; Karol Pencina, PhD, Research Program in Men’s Health, Aging and Metabolism, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts; and NancyK. Latham, PT, PhD, Research Program in Men’s Health, Aging and Metabolism, Brigham and Women’s Hospital, Harvard Medical School.

About Boston University Center for Neurorehabilitation

The vision of Boston University Center for Neurorehabilitation is to lead the development of evidence based, innovative, theory-based approaches to the rehabilitation of persons with Parkinson disease and other neurological conditions and to disseminate this information on a global level. Lead by Director and assistant professor Dr. Terry Ellis, PhD, PT, NCS, the center is part of the College of Health and Rehabilitation Sciences, Sargent College, Boston University.

About Wellpepper

Wellpepper is a healthcare technology company with an award-winning and clinically-validated patient engagement platform used by major health systems to improve outcomes and lower costs of care. Wellpepper treatment plans can be customized for each health system’s own protocols and best practices and personalized for each patient. Wellpepper’s patented adaptive notification system helps drive over 70 percent patient engagement with treatment plans. Wellpepper was founded in 2012 to help healthcare organizations lower costs, improve outcomes and improve patient satisfaction. The company is headquartered in Seattle, Washington. Visit http://www.wellpepper.com/ for more information.

Media Contact:

Jennifer Allen Newton
Bluehouse Consulting Group, Inc. for Wellpepper
jennifer@bluehousecg.com
503-805-7540

 

Posted in: Press Release, Uncategorized

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The HIMSS Flu

As usual HIMSS was an overwhelming whirlwind of meetings, opportunities, and information. We had a great show at Wellpepper, and were impressed by a few things. First we heard a lot less about wanting the EMR to do everything. People have realized that especially for all of the patient-facing digital experience, that there need to be interoperable solutions, that are designed with the needs of the end-user in mind. Another thing we noticed was less hype that any one technology (AI, blockchain) was going to be the savior of healthcare. It seems like the market is maturing and there’s an understanding that technology is a key underpinning but only when it’s solving real problems for patients and clinicians. John Moore from Chilmark, who was attending his 11th HIMSS has a great take on this.

Each year, we come away from HIMSS with something we didn’t expect. While it’s usually new leads, partnerships, or competitive intelligence, this year for me, it was the HIMSS flu. Being in a conference center full of technology to diagnose, manage, connect with, and treat sick people, made it seem like a solution should be close by. Ironically, I had meetings with a number of physicians who said that it looked like I had the flu, but couldn’t treat me because they weren’t licensed in Florida. Also, my primary care physician couldn’t help me for this reason as well.

After seeing CirrusMD tweet at my friend and fellow patient-centered care advocate Jan Oldenburg with an offer of a consult, I thought that telemedicine might be the answer.

MDLive came through with a visit code, and I signed up. The sign-up process was pretty painless although an option to clarify where I was physically versus where I lived might have been helpful.

Once I signed up, the app told me it would notify me when it found a physician. This was the slightly confusing part, as when I exited the app and opened it again there was no record that I was in a queue for an appointment, so I started trying to sign up again. Eventually, a video visit came through while I was trying to re-register.

My doctor looked like she was taking calls from home, from the video. Unfortunately, video didn’t work very well from the HIMSS floor—not surprising given the status of the network, so we switched to phone. After a 10 minute conversation, she concluded I had the flu (she was right), and prescribed Tamiflu.

As Jan also found out when she had her asthma attack, the pharmacies near the convention center weren’t actually pharmacies, that is they didn’t offer prescription medication. For Jan it was an expensive Uber to pick up her prescription. For me it was finding a pharmacy that would be open between Orlando and Tampa where were were headed for customer meetings on Friday. By the time I got the prescription, it was 7 hours later, and with Tamiflu the timing matters.

While I was thankful to get care, here are a number of points of friction that made it more difficult than it needed to be, and also show how healthcare really hasn’t adapted to the needs of people:

  • State-based licensure makes telemedicine prohibitive. It also means that you can’t get care from your primary care or other specialists if you’re traveling. Kind of ridiculous that because the patient is physically in Florida suddenly the physician is not licensed to practice.
  • Pharmacies need more delivery options. Even locally, I’ve ended up at pharmacies that don’t take my insurance. Driving around when you’re sick is annoying, and showing up in person when you’ve got the flu is unhelpful for everyone else there.

On the licensure, it’s slow going, but states are starting to have agreements to solve this. On the delivery options, Amazon-drone delivery can’t come fast enough. Overall, the experience wasn’t terrible, and the technology worked but it certainly wasn’t seamless or convenient, and I probably infected a bunch of people while trying to get care. I’d like to apologize to anyone I may have passed the flu along to. I’m not the type to work when sick, but when you’re on the road it’s hard not to.

Also, we’d like HIMSS and all conferences to consider pop-up urgent care. The bandaids in the first-aid room weren’t enough.

Posted in: Healthcare costs, Healthcare Disruption, Healthcare Technology, HIMSS, M-health, patient engagement, Telemedicine

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See you at HIMSS19

HIMSS19 is a couple weeks away and we have a lot to be excited for!

Stop by and see us in the Personalized Health Experience, Booth 888-96. Alongside our great partners at Ensocare, we will be showcasing our latest product updates, discussing ROI for patient engagement platforms, promoting care plans based on Mayo Clinic best practices, and sharing our vision for the future of patient engagement.

We have a long list of booths to visit and sessions to attend. Below are some of the topics that we’re particularly interested in this year:

We can’t wait to connect with friends, partners, colleagues and industry leaders to continue the journey towards an amazing patient experience. Hope to see you there!

Posted in: Healthcare Disruption, Healthcare Technology, M-health, Outcomes, patient engagement

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Calculating Return On Investment For Interactive Care Plans

Patient engagement and education is perhaps one of the most under-utilized resources in the care continuum. Patients who are engaged in their care cost healthcare systems [cost] 8% less than non-engaged patients in their base year, and 21% less in future years.[1]

Interactive treatment plans deliver return on investment in three key ways:

Improving patient satisfaction and outcomes

  • Patients look for quality and convenience when they choose a provider organization. They want to be able to interact with their healthcare organization on the same terms as everything else in their lives. Improving outcomes also increases patient satisfaction.

Increasing access to care

  • By monitoring what patients are doing outside the clinic and enabling patients to self-manage, you can increase access to care by seeing the right patients, seeing more patients, and improving recall. Making sure patients are prepared for surgery decreases no-shows and increases utilization and access to care.

Reducing costs

  • Cost reductions are the most dependent on model of care since a readmission or ED visit could be a source of revenue. However, you can look for reducing hard costs of seminars and handouts as well as costs of readmissions, extra visits in capitated models, and of complications. For patients poor outcomes increase costs both out of pocket and in quality of life. Manual labor costs of administering surveys and follow up questionaries can also be avoided with automated systems.

Long-term impact

Patient engagement can have a much stronger long-term impact, including reducing:

  • Hidden costs of variability in care delivery
  • Hidden costs of lack of standardization and manual processes
  • Costs of poor patient outcomes that result in worsening patient problems

As well, as an industry have only begun to scratch the surface of the types of clinical and behavioral insights that will be derived from patient-reported data, that will enable more efficient and effective treatment based on predictive models, and stronger patient participation in their own care.

For our full whitepaper, and ROI economic models contact sales@wellpepper.com or call (844) 899-7377 and press 1 for Sales.

[1] Health Affairs, 32, no.2 (2013):207-214 What The Evidence Shows About Patient Activation: Better Health Outcomes And Care Experiences; Fewer Data On Costs

Posted in: Adherence, Healthcare Legislation, Healthcare transformation, patient-generated data, Return on Investment

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Machine Learning In Healthcare: How To Avoid GIGO

There’s a commonly used phrase in technology called “garbage in, garbage out” which means that if you start with flawed data or faulty code, you’re going to get lousy output. It results in high-levels of rigor whether that’s in doing user or market research or designing algorithms. Garbage in/Garbage out (or GIGO) is why, although, we are using machine-learning to improve patient engagement and outcomes, at Wellpepper, we’re also slightly skeptical of efforts by big tech (Google, Microsoft, and Amazon) to partner with healthcare organizations to mine their EMR data using machine learning to drive medical breakthroughs. I’ve talked to a number of physicians who are equally skeptical. The reason is that we and especially many physicians are skeptical is that the data in the EMR is frequently poor quality, much of it highly unstructured, and that a major piece of data is missing: the actual patient outcomes. It has what the doctor prescribed but not what the patient did and often what the result was. As well, the data collected in the EMR is designed for billing not diagnosis so it’s more likely the insights will be about billing codes not diagnosis. Why is the data poor quality?

  • A JAMA study found that only 18 percent of EMR notes are original. 46 percent were imported (without attribution) and 36 percent were copied and pasted. Let’s assume that the 18 percent of original notes have no errors, you’re still dealing with 80% of the notes that have a questionable source. This copying and pasting has also contributed to “note bloat” if the data is bad, having more of it will actually hinder the process of finding insights, even for a machine.
  • The data is not standardized. Since so much of the data in the EMR is in these notes, physicians are using different words for the same issue.
  • The dataset from an EMR is biased in several important ways. First, it was entered by physicians and other practitioners, rather than by a broad set of users. The language in healthcare is very different than how patients talk about their health, so these algorithms are unlikely to generalize well outside of the setting where their training data was acquired. Second, data in the EMR has a built-in selection bias towards sick people. Healthy people are probably missing, or at least substantially underrepresented in the dataset. So don’t be surprised if a classifier trained in this setting decides that everyone is sick.
  • Even without copy and paste errors, the data is often just wrong. I once had an intern read back a note to me where she’d recorded my profession as “construction worker”. Yes, I make things, but it’s not nearly as physically taxing and if a physician treating me thought I regularly did heavy labor with my small frame, you can see where over-treatment might be the result.

CNBC’s Christina Farr wrote more about this data problem, the potential for medical errors, and a strange unwillingness to correct the data. A patient quoted in the story understands all too well the problem of GIGO:

“I hope that companies in tech don’t start looking at the text in physician notes and making determinations without a human or someone who knows my medical history very well,” she said. “I’m worried about more errors.”

  • In addition to incorrect data, there are incorrect semantics or examples of physicians using different words for the same issue. In addition to learning medical synonyms which is no small feat, these EMR ML algorithms are going to have to learn grammar too to be truly effective.

Of course, there are solutions to all of these problems and the data quality can be improved with approaches like more standardized input, proof-reading, and possibly using virtual scribes (ironically using machine-learning to speed up input and improve the quality of the data). However the current issues with it make me question whether this is a garbage in/garbage out effort where everyone would be better off starting from cleaner data. The challenge today is that the experts in ML (big tech), don’t have the data, and the experts in the data (healthcare) don’t have the experts in machine learning, so they are partnering and trying to gain some insights from what they have which is arguably very messy data. Another, and possibly more interesting approach is to get a new data set. In 2014, HealthMap showed that you could glean social media data like Twitter, Facebook, and Yelp for health data, and even predict food poisoning faster than the CDC, and now government health organizations have adopted the approach. This is a great example of finding a new data set and seeing what comes of it. At Wellpepper, our growing body of patient-generated data is starting to show insights. In particular we’ve been able to analyze data to find the following, and use this to automate and improve care:

  • Indicators of adverse events in patient-generated messages
  • Patients at 3-times greater risk of readmission from their own reported side-effects
  • The optimal number of care plan tasks for adherence
  • The most adherent cohort of patients
  • The correlation between provider messages and patient adherence to care plan

We also use machine-learning in our patented adaptive notification system that learns from patient behavior and changes notifications and messages based on their behavior. This is a key drive in our high-levels of patient engagement, and can be applied to other patient interactions. While it’s still hard work to find these insights, and then train algorithms on the data sets, we have an advantage because we are also responsible for creating the structure (the patient engagement platform) in which we collect this data :

  • We know exactly what the patient has been asked to do as part of the care plan
  • We have structured and unstructured data
  • Through EMR integration we also have the diagnosis code and other demographic insights on the patient

If you’re interested in gaining new insights about the effectiveness of your own patient-facing care plans delivered to patients outside the clinic, get in touch. You can create a new and clean data stream based on patient-generated data that can start delivering new insights immediately.

Posted in: Clinical Research, Healthcare Technology, patient engagement

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Voice, Podcasts, Partnerships, and Amazon: Wellpepper’s most popular blog posts of 2018

Looking back over the past year, at our most popular blog posts, we suspect that these topics will remain popular in 2019 as well. New technologies and approaches to consumer and digital health have still not reached their full potential, and there’s still lots to learn.

Not surprisingly, a few of our most popular blog posts related to Amazon. In talking with regular people, healthcare organizations, and digital health folks, we find that they are split on whether they want the retail and cloud services giant to get into healthcare, but whatever side of the fence you’re on, there’s no denying they could have a big impact. Right Alexa?

Wellpepper 2018 Blog, Most Viewed Posts

Voice.Health Shows The Promise of Conversational Interfaces

Voice First or Voice And? Dispatches from Voice Summit

This post was actually from 2017, but our CTO’s take on why AWS Lambda serverless architecture is going to be really important for healthcare IT remains a popular topic.

4 Reasons Why the Future of Health IT is Serverless (AWS re:Invent 2017 wrap-up)

We’re also seeing more and more interest in a continuum of care approach: technologies and experiences that span the patient experience, and really help patients and care-givers self-manage, so our announcement of our partnership with Ensocare was also a very popular post.

Ensocare and Wellpepper Streamline Patient Discharge and Engagement

Continual learning is something both technology folks and healthcare folks share, so it comes as no surprise that our round-up of great podcasts for healthcare transformation enthusiasts, was also a popular post.

Podcasts for Healthcare Transformation Enthusiasts

 

 

Posted in: Healthcare Disruption, Healthcare Social Media, Healthcare Technology, Healthcare transformation, M-health, Voice

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Ensocare and Wellpepper Streamline Patient Discharge and Engagement

Ensocare and Wellpepper Streamline Patient Discharge and Engagement

The innovative healthcare companies have partnered to offer care management solutions that enable hospitals to improve the post-acute patient experience.

OMAHA, Neb. – December 6, 2018 – Ensocare, a leading provider of technology-enabled care management solutions, has announced a new partnership with Wellpepper, an award-winning and clinically-validated patient engagement platform used by major health systems to improve outcomes and lower costs of care.

Under the terms of the agreement, Wellpepper’s highly actionable and engaging mobile treatment plans sourced from leading providers such as Mayo Clinic and others will be offered as a supplement to Ensocare’s existing discharge management tool. With Wellpepper, healthcare providers who use the Ensocare Transition application will have the opportunity to customize post-acute treatment plans based on established care protocols enmeshed within the Wellpepper system, creating an unprecedented patient experience.

“Wellpepper was the perfect fit for our organization,” said Luis Castillo, CEO of Ensocare. “One of the biggest challenges we keep hearing about from our hospital and skilled nursing clients is the difficulty of getting patients to adhere to their care plans after leaving the facilities. They’re seeing costly readmissions and care regression that could have been prevented.

“With Wellpepper, we’re able to offer a solution. Their expansive yet endlessly customizable care plans let providers distill complex care into essential components any patient could follow, and I can’t wait to see the positive patient outcomes that occur when our transition software combines with their ingenious treatment plan solution.”

Anne Weiler, CEO and co-founder of Wellpepper, also emphasized the value of the partnership for both patients and providers.

“Partnering with Ensocare was a natural progression of our goals,” said Weiler. “We’re dedicated to helping healthcare providers mitigate the danger of readmission for their most high-risk patients. Ensocare’s transition solutions can be seen as the first step in setting up that treatment plan. If a patient is left to languish in a hospital bed while a case manager struggles to find them a post-acute care setting, that patient is going to immediately be at a disadvantage, regardless of the quality of the care plan. By combining these healthcare IT solutions, a facility can reduce any and all friction that would otherwise occur during the patient’s recovery process.”

Persons interested in learning more about either solution are encouraged to contact Ensocare or Wellpepper to discuss their current situation and explore opportunities to streamline their discharge and patient engagement protocols. Learn more at Ensocare.com and Wellpepper.com.

About Ensocare

Ensocare, a CQuence Health Group company, is a cloud-based solution suite that began as a single care coordination SaaS solution. Today, we are an end-to-end, service-enabled technology platform designed to help hospitals, health systems, physician groups and payers navigate the value-based environment and beyond. Transition, Ensocare’s care placement and referral software, automates the discharge process, effectively transitions patients between care settings and enables coordinated care across the continuum. A growing portfolio of services designed to identify and fill gaps in patient care complement Ensocare’s overall mission to coordinate care, engage patients and positively influence outcomes. For more information, visit www.ensocare.com.


About Wellpepper

Wellpepper is a healthcare technology company with an award-winning and clinically-validated patient engagement platform used by major health systems to improve outcomes and lower costs of care. Wellpepper treatment plans can be customized for each health system’s own protocols and best practices, and personalized for each patient. Wellpepper’s patented adaptive notification system helps drive over 70 percent patient engagement with treatment plans. Wellpepper was founded in 2012 to help healthcare organizations lower costs, improve outcomes and improve patient satisfaction. The company is headquartered in Seattle, Washington. Visit http://www.wellpepper.com/ for more information.

Contact:

Jill Reeves
Ensocare
jreeves@cquencehealthgroup.com
402-758-2617

Jennifer Allen Newton
Bluehouse Consulting Group, Inc. for Wellpepper
jennifer@bluehousecg.com
503-805-7540

Posted in: patient engagement, patient-generated data, Press Release

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