va connected health evans and sus… · veteran mobile apps 2013 field testing & initial...
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VA Connected Health Neil C. Evans, MD – Co-Director, Connected Health Veterans Health Administration
June 2015
VETERANS HEALTH ADMINISTRATION
VHA’s Current Priorities
• Access
• Veterans Experience
Connected Health Care
Homelessness
Mental Health Care
Standardization
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VETERANS HEALTH ADMINISTRATION
VA Connected Health
Connected Health Technologies Year Started Veterans Served in 2014
Virtual Care Modality Totals (Telehealth, Secure Messaging, SCAN-ECHO only)
1,831,221 (32% VHA patients)
Veteran Point of Service Kiosks 2010 >4M transactions
My HealtheVet 2003 ~2,900,000
Blue Button 2010 ~1,100,000
Secure Messaging 2008 1,093,327
Store & Forward Telehealth 2000 379,010
eConsults 2010 351,239
Clinical Video Telehealth 2002 248,774
Home Telehealth 2003 156,826
SCAN-ECHO 2011 1,429
Veteran Mobile Apps 2013 Field testing & Initial Release
Staff Mobile Apps 2013 Field testing 2
VA has been a leader in Virtual Access
In FY 2014
• Transactions:
– 1 million+ prescriptions refilled online per month
• Communications:
– 1 million patients using VA secure email with providers
• Expert Care: – More than 2 million Telehealth visits
• 150,000 patients case-managed by home telehealth (HT)
• 250,000 patients used clinical video telehealth (CVT) between VA clinics; 4,000+ received CVT visits directly into their homes
• 380,000 used store and forward telehealth (SFT) technology
– 350,000 eConsults
• Information Sharing:
– 1 million patients using Blue Button to download EHR data
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VETERANS HEALTH ADMINISTRATION
VA Connected Health
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VETERANS HEALTH ADMINISTRATION
VA Connected Health
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VETERANS HEALTH ADMINISTRATION
Healthcare’s Next Transition
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VETERANS HEALTH ADMINISTRATION
My HealtheVet: VA Personal Health Portal
• My HealtheVet has 10+ years of
award-winning and proven success – Transactions (example: Rx Refill)
– HealtheLiving Assessment (Calculate your health age)
– Secure Messaging (Secure e-mail exchange your health
care providers)
– Blue Button (Download and share your health data)
– Open Notes (View your own medical chart, including
progress notes)
As of September 30, 2014, nearly 45 percent of VA
patients have registered for My HealtheVet
142 million+ visits
3.1 million+ registered users
1.1 million+ opted-in to use
Secure Messaging 7
VETERANS HEALTH ADMINISTRATION
VA Mobile Health
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VETERANS HEALTH ADMINISTRATION
VA Launchpad – Mobile One-Stop Patient Entry
• Groups Apps with secure login • Access multiple Apps without individual login • Can access Apps without Launchpad
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VETERANS HEALTH ADMINISTRATION
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PTSD Coach Pain Coach Concussion Coach Mindfulness Coach Mood Coach Moving Forward Parenting2Go Care4Caregiver
ACT Coach CBT Insomnia Stay Quit Vet Change CPT Coach PE Coach Mission Health* VetLink*
*Peer-to-Peer Community
VETERANS HEALTH ADMINISTRATION
Appointment Scheduling/Request (VAR)
Prescription Refills Annie App FitHeart (Cardiac Rehab) GDx (Genetic Testing) Summary of Care Mobile Blue Button
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Secure Messaging Teledermatology MyVAHealth VA Moms (Maternity
Care) eKidney App Wellness Check MOVE! Coach Burn Pit Registry VA Launchpad
VETERANS HEALTH ADMINISTRATION
VA / NHS Partnership
- VHA and NHS England
3 year partnership
initiated in early 2013.
- A transatlantic
exchange to support
the adoption of digital
health between the US
VHA and England’s
NHS
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VETERANS HEALTH ADMINISTRATION
Text Messaging and Its Impact (cont.)
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VETERANS HEALTH ADMINISTRATION
0%
20%
40%
60%
80%
100%
18-29 30-49 50-64 65+ <30K 30-49K 50-75K
Age Annual Income Pew Research Internet Project
http://www.pewinternet.org/fact-sheets/mobile-technology-fact-sheet
U.S. Adults and Cell Phone Use (January 2014)
Smartphone Cell Phone
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Messaging Enabled Self-Care
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Background helping your patients to help themselves
2009
2009
2010
April 14th 16:21
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COPD, CHF, new hypertension, hypotension, diabetes type
1, retinopathy, medication compliance, diabetes type 2,
medication titration, orthopaedic, smoking cessation,
speech therapy, carers wellbeing, mental health
behaviour, long term hypertension, adult asthma, alcohol
support, weight management, early hospital discharge,
outpatient therapy, acute specialist follow up, long term
monitoring, anti-coagulation, oximetery review, asthma, depot injections, pregnancy, child asthma, pain management,
physiotherapy, palliative care, gestational diabetes, learning
disability, oncology, nephrology, rheumatology, asthma,
obstetrics, interstitial lung disease, dietetics, depression,
CKD, urology, obesity + many more
The exciting thing…. helping your patients to help themselves
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Background helping your patients to help themselves
2009
2009
2010
April 14th 16:21
2013
2015
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Annie, VA Text Messaging System Susan S. Woods, MD, MPH Connected Health, Veterans Health Administration
June 2015
VA’s Automated Text Messaging System
Annie G. Fox
Chief Nurse at Pearl Harbor, first woman to receive Purple Heart
How’s your blood pressure today? Thanks, Annie.
BP 120 78
Thanks, I’ve got it. Looks good. I’ll stay in touch.
Annie
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VETERANS HEALTH ADMINISTRATION
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Annie Success Factors
1. Team view - value supplementing care
2. Clinician communication - benefit, limitations
3. Ease of use – access, enrollment
4. Protocols – match to clinical need
5. Workflow (Team) – fit, message review
6. Workflow/Lifeflow (Patient) – fit, relevance
7. Messaging – content, tailoring, frequency, duration
8. Part of a menu of care?
9. Device?
VETERANS HEALTH ADMINISTRATION
Contact Information
Neil C. Evans, MD Co-Director, Connected Health Office Veterans Health Administration [email protected] @neilcevans Susan S. Woods, MD, MPH Director, Patient Experience, Connected Health Office Veterans Health Administration [email protected] @SueWoods
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