https://www.youtube.com/watch?v=wUH9f4R2OiI#t=198
One of the frustrating aspects of getting patients to follow a care plan is the inability to have a clear window to patient activity between office visits. If care providers had more information about their patients between those visits, they might get a better understanding of why so many fail to complete cardiovascular rehabilitation programs, a widely reimbursed 12-week program implemented when patients have had a heart attack. The program suffers with a 25 percent adherence rate.
Wellframe, one of two companies selected to advance in an innovation challenge run by Merck and accountable care organization Heritage Provider Network, is seeking to address ways to improve care plans.
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Wellframe developed a daily to-do list that combines mobile technology and artificial intelligence. The idea is that offering clinicians a clearer understanding of the patient’s attitude, co-morbidities and other underlying problems could make a big difference in improving adherence and potentially reduce the likelihood of readmission.
Dr. Trishan Panch, Wellframe co-founder and chief medical officer, explained that patients check off each time they complete a task, such as taking medication or taking a walk. In a pilot with Brigham and Women’s Hospital, it found that 93 percent of participants in the cardiovascular rehab program completed at least one task on a daily basis and 87 percent of patients had checked off medication tasks every day. “If we can define digitally the trail of breadcrumbs patients leave through interactions with their care plan and progress, then we can build and organize the resources of the healthcare system around a patient’s needs.”
The company, a Rock Health accelerator graduate, found that several different issues challenged patients. Some found difficulty keeping up with the program, got frustrated or confused and gave up. Co-morbidities such as high blood pressure, depression and anxiety also undermine adherence. Referencing the pilot in his presentation, Panch said: “This was the first time this group had a window into patient views.”
Wellframe outlined some of the ongoing studies it is doing with health plans and population health companies. Among the projects it is currently working on are monitoring patients with COPD after they’re discharged and Spanish-speaking dual eligibles with Type 2 diabetes and hypertension. It is also recruiting for a trial in using mobile devices to amplify the effect of existing mental health resources.
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https://www.youtube.com/watch?v=0HTzt7_dWOg#t=335
Sense Health is using text messages to shape behavior change among Medicaid patients. The New York-based StartUp Health company creates text message conversation between providers and patients. The idea is that by pushing these interactions, it offers opportunities for care managers to influence patient behavior and help them adhere to a care plan. Although diabetes is one application, it has developed scripts for several chronic illnesses.
In May, the winning team will be awarded $100,000 to develop its solution.
