Seminar: Cost-effective Solutions for Complying with the CARE Act

1

June 9, 2015

Cost-Effective Solutions for Complying with the CARE Act

© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary

Executive Summary

2 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary

Intr

od

uction

During this presentation we’ll explore how the GoMo

Health Solution helps hospitals cost-effectively comply

with the CARE Act, improve HCAHPS scores, and

motivate healthier behaviors among their patient

populations.

Presentation Summary


Shelley R. Schoenfeld

Senior Director,

Business Development

Jane Hindes Miller

COO

Bob Gold

CEO

Today’s Presenters

Agenda

• The Role of the Caregiver

• CARE Act Overview

• The Effect on Hospitals

• How Technology Can Help

• Inpatient Experience and Satisfaction Program

• Concierge Care Use Case

• Q&A


Intr

od

uction

Role of the CaregiverThe $450 billion job

© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary5


or 1 in 4 U.S. adults are caring for a loved one with

39%

significant health issues.*

Role

of th

e C

are

giv

er

*Pew Research Center, 2013


in unpaid care each year.*

$450 billion

U.S. caregivers provide approximatelyRole

of th

e C

are

giv

er

*AARP Public Policy Institute, 2011

The Reach of Caregiving


Role

of th

e C

are

giv

er

Nationwide, almost half of family caregivers perform medical or nursing tasks for their loved ones with multiple chronic physical and cognitive conditions.*

*AARP Public Policy Institute & United Hospital Fund , 2012

Caregiver Tasks


Role

of th

e C

are

giv

er

25% administer enemas and manage incontinence equipment and supplies

21% operate durable medical equipment

14% operate medical equipment

*AARP Public Policy Institute & United Hospital Fund , 2012

78% manage medications

41% prepare food for special diets

35% provide wound care

32% use meters and monitors

43% help with assistive devices for mobility

60% manage & operate medical equipment and supplies

CARE Act Overview


Legislation Overview

The Caregiver Advise, Record and Enable Act ensures hospital patients can designate a family caregiver

and requires hospitals to offer that caregiver instruction

and demonstrations of medical tasks they will be expected

to provide for their loved ones at home, such as

administering multiple medications, dressing wounds, and

operating medical equipment.


CA

RE

Act O

verv

iew

Main Tenets of the Legislation

The opportunity to designate a caregiver

• “A hospital shall provide each patient…with at least one opportunity to designate at least one caregiver…”

The notification of movement to the caregiver

• “A hospital shall notify the patient’s designated caregiver of the patient’s discharge or transfer to another hospital or facility…”

The instruction of a caregiver in all after-care tasks

• “Prior to a patient’s discharge…the hospital shall consult with the designated caregiver regarding the caregiver’s capabilities and limitations and issue a discharge plan that describes a patient’s after-care needs at his or her residence.”


CA

RE

Act O

verv

iew

Current Status of the CARE Act

Enacted

• Arkansas

• Colorado

• Indiana

• Mississippi

• Nevada

• New Hampshire

• New Jersey

• New Mexico

• Oklahoma

• Virginia

• West Virginia


CA

RE

Act O

verv

iew Passed Legislature

• Connecticut

• Illinois

• New York

• Oregon

Upcoming

• Massachusetts

• South Dakota

• And more!

The Effect on Hospitals



Medicare patients who are discharged

1 of every 8

from the hospital are readmitted in 30 days.*

The E

ffect on H

ospitals

*AARP, 2014

The Problem of Readmittance


The E

ffect on H

ospitals

Hospital Challenges with the CARE Act

Integrating caregiver data into patient files

Providing live training and instruction for caregivers

Need for engagement outside the hospital to ensure that patients

adhere to their care plan

Follow up to ensure care plan compliance


The E

ffect on

Hospitals

The Importance of Remote Care

Quality Health Care Doesn’t Stop at the Hospital Door

GoMo Health Concierge Care makes it easier than ever to engage patients with remote care solutions that encourage self-care, reduce unnecessary emergency department visits, and increase compliance.


The E

ffect on

Hospitals

How Technology Can HelpProvide quality remote care while saving time and money


The S

tate

of M

obile

Healthcare

Source: Pew Research Center, 2014

90% of adults have a cell phone

74% of the 65+ age group


The S

tate

of M

obile

Healthcare

Source: Pew Research Center, 2014

of cellphone users use their phone

to send and receive text messages


81%

The S

tate

of M

obile

Healthcare

Source: Conversational Advertising, 2010

of text messages are read within 3 minutes


90%

22

The S

tate

of M

obile

Healthcare

Source: Neilsen, 2014

of all users use their phone for “just-in-time” information


70%

23

The S

tate

of M

obile

Healthcare

The facts are clear:

Regardless of race, sex, age, education, income, or location, at least 250 million people have and use a cell phone to connect with other people and information.

Source: Pew Research Center, 201424 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary

How Does GoMo Health Help Hospitals?



Con

cie

rge C

are

Overv

iew

Concierge Care Content Library

GoMo Health Concierge Care is

a complete turnkey cloud-based

solution which communicates

with patients and their caregivers

in-the-moment. Our solution is

customizable and easily

integrates with your existing

environment.

Concierge Care starts when a patient is admitted and continues with the patient and caregiver after discharge.



Con

cie

rge C

are

Overv

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What does that mean for you?

Concierge Care…

Integrates with your backend to easily opt-in patients and

caregivers

Notifies all parties in real-time about transfers and developments

Keeps caregivers and patients informed with instructional

information, reminders, motivational messages, videos, and

more

Ensures your hospital is more than compliant with the CARE Act

Reduces that amount of staff, time, and money needed to

effectively engage patients and caregivers in-hospital and

remotely


Where GoMo Health is Deployed

GoM

o H

ealth C

lients

Lifestyle Engagement: Patients & Caregivers

Communicate with patients through the day, in a way in which they are already comfortable.

Send medication and appointment reminders, surveys, alerts, and more.

Engage via care messages(text, email, or secure chat).


GoM

oH

ealth C

an H

elp

The Problem:

Carla is the caregiver for

her father Andrew who

has diabetes. Andrew

recently was released

from the hospital after a

bad fall. He came home

with new medications

and needs to have his

wounds taken care of

2x/day. Carla has no

medical training and is

unsure of what to do.

Our Solution:

As her father’s designated caregiver, Carla is notified

by the hospital that he is being discharged. She

speaks with the nurses about her father’s care plan

and signs up to receive care messages which will

include medication, prescription refill, and follow up

appointment reminders, instructional videos with detail

on how to properly clean his wound and change the

dressing, potential infection signs to look out for, and

secure chat access to medical professionals who can

answer her questions in real-time to ensure Andrew

stays healthy and Carla knows how to provide him

with the best care.


GoM

oH

ealth C

an H

elp

31

GoMo Health in Action


Carla was given a stack of

paperwork from the nurses

detailing how to help manage

her father’s condition,

however she misplaced it.

Good thing she signed up to

receive condition information

and instructions right to her

phone, complete with videos

that she can bookmark for

access at anytime, anywhere.

GoM

oH

ealth C

an H

elp

Carla is getting ready for the day.

Just then she gets a text from the

hospital with a reminder to make

sure Andrew takes his medication.

She would have forgotten

otherwise. She gets another

reminder that night.



GoM

oH

ealth C

an H

elp



Thursday has been rough for

Carla. Working a full-time job

and taking care of her father

is stressful. Her phone beeps,

it’s a motivational text

message with a story about

how another caregiver in a

similar situation is handling it.

GoM

oH

ealth C

an H

elp



On Friday, Carla gets a text

with a link to a survey about

how her father’s wounds are

healing. She notes that she

is worried about the bruising

around the wound. A nurse

then contacts her through

secure chat, sending her a

link to a video on bruising

and answering all her

questions in real-time.

GoM

oH

ealth C

an H

elp

Inpatient Experience and Satisfaction Program


Patient Satisfaction is Decreasing


Patie

nt

Satisfa

ctio

n

Inpatient Service Scores

81% 78%

2014 2015

*Report for the American Consumer Satisfaction Index (ACSI), 2015

Program Summary

The Inpatient Experience and Satisfaction Program (IESP) is a mobile engagement strategy through which patients can communicate directly with specific departments within the hospital to address their (non clinical) inpatient needs to ensure a comfortable and positive experience and stay.


Patie

nt

Satisfa

ctio

n

Key Benefits

• Interactively engage with inpatients, conveying to them that their satisfaction with their experience at your hospital is a top priority

• Communicate in-the-moment with inpatients

• Respond to patients’ needs in real-time

• Positively affect inpatient perception and experience

• Improve patient satisfaction component of HCAHPS scores


Patie

nt

Satisfa

ctio

n


Patie

nt

Satisfa

ctio

n

Anytime, anywhere in-the-moment service requests with custom decision tree logic responses.

Inpatient Service Request App - Flow Diagram


Patie

nt

Satisfa

ctio

n

Pain

Food Service

Housekeeping

Patient

Advocate

Clergy

Facilities

Concierge Care Use CaseEngagement & Compliance


43

The C

halle

ng

e Over 80%of all healthcare costs are

due to chronic diseases.

Concierge Care Programs

Concierge Care enables you to extend quality patient care post-

discharge by delivering educational and motivational content right to

patients’ mobile phones, engaging them when they need it most.

Service Line Specific Programs Include:

• Appropriate ED Usage

• Diabetes

• Asthma

• Hypertension

• Pain Management

• Prenatal & First 15 Months

• Behavioral Health

• Custom Programming

• And more!


Concie

rge C

are

Overv

iew

44

Reduce costs of patient acquisition, engagement, care and

retention

Decrease readmissions through utilization of remote patient

management tools

Strengthen efficiencies in call center inquiry management

Increase utilization of EMR

Reduce provider-patient “hassle factor”

Enhance the quality and extend the continuum of care

Encourage patient compliance, improve outcomes and

satisfaction

Improve patient care metrics (HCAHPS)

Concie

rge C

are

Overv

iew Concierge Care Benefits



Concie

rge C

are

Overv

iew Concierge Care Content Library

GoMo Health has developed a

vast library of condition-specific

information to help your patients

better manage their health. We

provide quality content that is

both relevant to their specific

conditions and easy-to

understand, including

messages, videos, tips, articles,

and more.

Dia

bete

s P

rog

ram

Source: Pew Research Center, 201447 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary

Personalized Mobile Engagement

• Every person is not the same

• How they need to communicate and the frequency vary

• The Concierge Care Diabetes Program provides personalized communication templates that take into consideration a patient’s physical and emotional condition to engage, educate, and support them

• Questions relate to physical & emotional health

• Each health condition is scored

• Message frequency varies based on condition severity and medications

• Messages are:

• Personalized

• Reviewed by health experts

• 5th grade reading level

• English & Spanish


Dia

bete

s P

rog

ram

Onboarding Survey & Care Messages

Two-thirds of messages link to Quick Pages and videos that provide more information on a specific topic.


Dia

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Easy-to-Understand Content

Ways to Interact

Dia

bete

s P

rog

ram

Requested Interaction

Program

Participation

Messages

Coupons &

Offers

Reminders

Tips &

Advice

Nurse

Triage

Onboarding

Survey

Secure Live

Chat

Incentives and

RewardsRequested

Content

Videos

Quick Pages



Clo

sin

g R

em

ark

s

I guarantee you win – no matter the outcome.”

“You treat a disease:

You treat a person,

-Patch Adams

You win, you lose.

Q&AType your question into the text box.


Thank YouContact us for more information


GoMo Health

1 (855) 228-4330

[email protected]

Text DEMO to 30241To discover how we’re personalizing health care


Seminar: Cost-effective Solutions for Complying with the CARE Act

Healthcare

Transcript of Seminar: Cost-effective Solutions for Complying with the CARE Act