Population Health Colloquium

Transcription

1 Population Health Colloquium A Consumer-Oriented Perspective to Achieving Population Health March 28, RedBrick Health Corporation. Not for unauthorized duplication or distribution.

2 Agenda Patients are becoming consumers > engagement matters to providers and consumers What s a Person First Approach? Why do we behave the way we do? How to think about different generations You can improve health outcomes using population health approaches 2

3 What are the issues facing doctors and patients? POPULATION asthma HEALTH CHOLESTEROL weight FITNESS Quality Ratings back pain PATIENT ATTRACTION diabetes stress depression ACCOUNTABLE CARE sleep CARDIOVASCULAR DISEASE alcohol use TOBACCO USE NUTRITION Preventive Care blood pressure resiliency TELEMEDICINE Apps & trackers Lab Results musculoskeletal PATIENT RETENTION 3

4 Transformation towards a sustainable healthcare system TRENDS CONSUMERISM VALUE COLLABORATION DRIVERS Frame Of Mind Financial Structure Information Exchange 4

5 The future of population health requires behavior change: Providers and Patients 5

6 Consumerism is changing health care 6

7 Providers and patients: changing engagement preferences 7

8 Who owns a smartphone? 8

9 We systematically design for consumer engagement and behavior change by starting with the person Design User-centric for people Design like me Let me Choice choose what Architecture and how Include everything Open available Platform to me Data-driven Reflect my interactions Experience Offer help Multi-modal when & how Support I want it We start with the individual s priority. We use choice. We address the needs of cross-generational workforces. RedBrick Health Person First Better experience More meaningful engagement Demonstrated outcomes 9

10 People are different meet them where they are A person-first approach recognizes differences, offers relevant choices, gets results PERSONA RESEARCH Phone Coaching Digital Apps Tracking Devices Over Under 40 Lost Luke Carl Curmudgeon Curious Chris Blue collar or service Lower income and rural Professional service Mid to upper income, suburban Professional service Upper income, suburban OUTCOMES RESEARCH Marathon Mary Busy Betty Reba Rewards 10

11 How do we facilitate engagement? The RedBrick Behavior Change Framework REDBRICK BEHAVIOR CHANGE FRAMEWORK MOTIVATION ABILITY TRIGGER PERSONAL SOCIAL STRUCTURAL AND FINANCIAL Engage intrinsic motivators Engage support Align incentives Break goals into small steps Work together Change environment Simple tailored reminders Social reminders Link to environment INTEGRATION OF BEHAVIOR CHANGE STRATEGIES FOGG BEHAVIOR MODEL BEHAVIORAL ECONOMICS SELF-EFFICACY CIALDINI ETHICAL INFLUENCE COGNITIVE BEHAVIOR MODEL MOTIVATIONAL INTERVIEWING TRANSTHEORETICAL MODEL CHRISTAKIS SOCIAL CONNECTIVITY MENTAL CONTRASTING GAME MECHANICS 11

12 People will engage in ways they prefer Asthma CAD The result 80% of coaching participants choose to start here Lifestyle Risks CHF COPD Diabetes Nearly 3x more condition relevant coaching engagement More than 4x increase in total coaching engagement Evidence-based whole-person coaching model 12 Notes RedBrick Lifestyle Management topics include: Healthy Pregnancy, Healthy Back, Hyperlipidemia, Hypertension, Nutrition Management, Physical Activity, Stress Management, Tobacco Cessation, Weight Management.

13 Personal Accountability Matters Collaboration with a health concierge can make a big difference 1% Patient Engagement at 30 Days Without NSC Call 16% 8% 26% With NSC Call 17% 41% Patient Engagement at 180 Days Without NSC Call With NSC Call 13% 2% 2% 9% 13% 32% Phone Coaching Digital Apps Tracking Devices Phone Coaching Digital Apps Tracking Devices 13

14 Offer choices in how to change behaviors Tracking devices Effectiveness of Well-being Programs Modalities In Reducing Risk for Cohort Digital Apps Phone Coaching 60% 62% 63% 57% 57% 52% 16% 16% 13% 5% Weight Loss Categorical Reduction in Blood Pressure >10% Reduction in Non-HDL Cholesterol 14 Baseline measurements: Weight loss BMI 30; blood pressure 120/80; cholesterol non- HDL Cholesterol 160 mg/dl Data Source: November 2014 Cohort Report.

15 Engagement drives change Obese participants (30+ BMI) who engage in digital coaching apps were more likely to achieve clinically meaningful weight loss (5% or more) than non-participants 37 % 42 % 23 % 27 % 15 Started Any Program Started Weight Program Completed Any Program Source: Cohort analysis of 84,400 repeat health screening participants All differences significant at p<.001. Clinically meaningful weight loss defined as a loss of > 5% of initial body weight within one year. Completed Weight Program

16 What happens when populations get engaged? 2-YEAR REPEAT PARTICIPANT COHORT N = AT HIGH RISK YEAR 1 AVERAGE AGE % FEMALE YEAR 2 RESULTS IMPROVED SAME REGRESSED Nutrition 4, % 35% 38% 27% Physical Activity 4, % 39% 22% 38% Stress Coping/Resiliency 3, % 37% 43% 20% Tobacco % 16% 84% - BMI % 22% 64% 14% Blood Pressure % 60% 38% 2% Non-HDL Cholesterol % 36% 46% 18% 16 Cohort does not reflect program participation. Data Source: RBH Outcomes Analysis.

17 What we ve learned about consumer engagement Doing anything is better than nothing The more specific the better More is better than less 17

18 In summary: Change is hard Hard work pays off in the future laziness pays off now. famous philosopher & comedian Steven Wright 18

19 What might a new model of engagement look like 19 Welframe, mobile tech webinar,

20 To sum it up: What drives results? Accept people where they are, set small goals Offer choices (modalities, activities, resources) Listen for change talk Create a pattern of success, prepare for obstacles Encourage social and environmental support (influences) Support self-management efforts Tell good stories! 20

21 Questions? 21

22 Thank you! RedBrickHealth.com RedBrick Health Corporation. Not for unauthorized duplication or distribution.