Medicine 20 London My Health Platform - Does it Work, Does it Help, Does it Pay - Medicinfo

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ePortal for self management: critical factors for implementation Medicine 2.0 London Lisette van Gemert-Pijnen Bart Brandenburg September 24th, 2013

description

My Health Platform is a comprehensive blended eHealth Platform to support self management by patients and health care workers. The presentation shows the first results of research carried out in the Netherlands by the University of Twente, primary care organization PoZoB and health innovation company Medicinfo. The questions that need to be answered are: does it work, does it help and does it pay. The research was presented at the Medicine 2.0 conference in London, England on September 24th, 2013

Transcript of Medicine 20 London My Health Platform - Does it Work, Does it Help, Does it Pay - Medicinfo

Page 1: Medicine 20 London My Health Platform - Does it Work, Does it Help, Does it Pay - Medicinfo

ePortal for self

management:

critical factors for

implementation

Medicine 2.0

London

Lisette van Gemert-Pijnen

Bart Brandenburg

September 24th, 2013

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source: www.medicinfo.info

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source: www.utwente.nl/igs/ehealth/

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source: www.pozob.nl

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1. Why, how & what of MHP

2. Research set up

3. First results

4. Critical factors

5. Discussion

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Photo: They’re off - Alex Evers via http://500px.com/photo/1332291

We’re off!

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1. My Health Platform (MHP)

Why, How & What?

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We are sure that people who can be responsible

for their own health make better choices

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Allways available, accessible for everyone

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Our aim is to get healthcare into the very

best hands…

…yours!

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My Health Platform is a comprehensive

blended ePortal for self management

11 source: www.mijngezondheidsplatform.info

• Personal Health Record

• Individualized Care Plan

• Monitoring of Results

• Secure Communication

• Online coaching

• Personalized health info

• Operational since 2012

• Mainly in Primary Care

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MHP enables patients to better self

manage their health and health care

• MHP enables patients to inform their care provider in between

visits and schedule appointments only when needed.

• Fast and continuous availability of data, information and

feedback enhance the efficiency of healthcare.

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2. Research set up:

What do we want to know?

How are we going to find out?

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The MHP research is a continuation of

earlier Diabetes Coach research

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Nijland et al. Factors influencing the use of a web-based

application for supporting the self-care of patients with type 2

diabetes: J Med Internet Res. 2011 Sep 30;13(3):e71.

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It all comes down to answering three

simples questions!

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Does IT work? usage

usability and persuasiveness

adherence

Does IT help? is anyone getting better

Does IT pay?

cost effectiveness

“MHP enables patients to better self

manage their health and health care”

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A three year mixed methods approach

should help us find the answers

16 Source: MHP research plan PoZoB, University of Twente and

Medicinfo, 2012 and 2013

Does IT work? usage

usability and persuasiveness

adherence

Does IT help? is anyone getting better

Does IT pay?

cost effectiveness

user data logdata usability tests* Interviews* (* patients & HCW) questionnaires (trust, involvement, personality) EHR and MHP data Health Technology Assessment

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3. First results:

What do we know?

What did we learn?

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In our research we use the eHealth

Road Map developed at CeHRes

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Source: Van Gemert-Pijnen et al. A holistic framework to improve

the uptake and impact of eHealth technologies.

J Med Internet Res. 2011 Dec 5;13(4):e111.

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MHP usage: what is the reach in the

population and frequency of use?

Patients in participating GP practices (6) 16.360

Participating in chronic care pathways (4) 2.142

Participating in My Health Platform (MHP) 258 (12%)

Number of MHP sessions 2719

Mean Pages per Visit MHP 10.05

Mean Time Visit MHP 0:08:16

Mean bounce rate 11.73%

19 source: logdata MHP september 2012 to august 2013

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MHP usage: what parts of the platform

are being used?

20 source: logdata MHP september 2012 to may 2013

users

187

PHR

187

Coaches

38 (20%)

exercise

20 (52%)

nutrition

26 (62%)

smoking

1 (3%)

health data

187

monitoring

187

both

9 (24%)

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MHP usage: 30% of takes place outside

office hours >> increase of accessibility?

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source: logdata MHP september 2012 to august 2013

0

50

100

150

200

250

# sessions

hours

24 hour session distribution

0

100

200

300

400

500

600

700

sat sun mon tue wed thu fri

# sessions

days of the week

session distribution over the week

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Interviews & user tests (patients & HCW)

“Does MHP support self monitoring?”

22 Source: preliminary data MHP research 2013

System Content Persuasive triggers

System logic Order of steps not logical

Time consuming Adding of data

Lack of integration my health, my lifestyle,

my measurements, my.

Goal setting SMART

Better able to

prepare F2F visits

Lack of support

to understand why, when

and where self monitoring

information should be

added

Reminders &

smileys Positive feedback

Graphs Show your progress

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Interviews & user tests (patients & HCW)

“Are online life style coaches helpful?”

23 Source: preliminary data MHP research 2013

System Content Persuasive triggers

Lack of F2F

support After completion of intake

Time consuming Intake too long, drop outs

Lack of integration Between coaches and

Personal Health Record

Intake relevant

Weekly e-mails

Exercises

Well thought out

Guidance Logical steps after intake

Graphs To visualize progress

Feedback & tips

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4. Critical factors

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What are the critical factors of MHP

for patients?

• Tailoring content & system to needs & skills of

different users

• Persuasive triggers for navigation, understanding,

motivation

• Intra-system integration (usability and information)

• Interoperability of systems & devices

Corresponding results in MHP, eVita & Pazio research

(3 main portals for chronic care NL)

Supported by systematic reviews EHR (JMI, JMIR & JAMIA)

25 Source: preliminary data MHP research 2013

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What are the critical factors of MHP

for health care workers (HCW)?

• How to reach potential users (promo team)?

• How to engage HCW ?

• Standardized instruments for data management

• Integration offline-online care (blended care)

Corresponding results in MHP, eVita & Pazio research

(3 main portals for chronic care NL)

Supported by systematic reviews EHR (JMI, JMIR & JAMIA)

26 Source: preliminary data MHP research 2013

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time to reflect

Source: www.7ideas.net

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Thank you!

5. Discussion

[email protected]

[email protected]

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