1. Adding Play to the HHS
Toolbox
A Federal Perspective
Erin Poetter, Policy Analyst, Consumer eHealth & Innovations
Office of the National Coordinator for Health Information Technology
Department of Health and Human Services
2. What I’m Playing
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Health Information Technology
3. Why Engage Consumers in Health?
Only 10% to 20% of outcomes are determined by what
happens in the health care system. The rest…
Why?
We deserve better
We have the most skin in the
game
We are experts in ourselves
Our actions have more of an
impact than anyone else’s on
our health
Consumers are the most under utilized
resource in health care.
4. Consumer Engagement Impact
Active consumer engagement leads to better care
49%
Source: AARP study of
adults with one or more
chronic diseases
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5. Health IT Supports Consumer
Engagement
Care coordination Communication Health and Wellness
Management
6. Today’s Reality vs. Potential
• 9% have mobile app • 80% of Internet users
to manage health seek health info online
• 10% have a personal • Use of mobile for
health has doubled in 1
health record (PHR)
year
• 20% have accessed • 52% would use a smart
their health info online phone to monitor health
• 27% have tracked •65% are interested in
their weight, diet, using a medical device to
exercise routine online monitor their condition
7. ONC’s Consumer eHealth Office
September 2011 in Washington DC:
•Launched consumer ehealth program
•Released proposed rules on access to lab data
•Established ONC’s Pledge Program
•Generated coverage in 22 media outlets
May 2012
•Announced creation of new Office of
Consumer eHealth
More: http://bit.ly/yyJgkD
8. ONC’s Consumer Engagement Strategy:
The Three A’s
Make it easier for patients
and consumers to get
Access secure, timely access to
their personal health
information.
Attitud
Action
e
Support a shift in attitudes about Catalyze the development of tools and
the traditional role of patients and services that help consumers (and
providers and the role technology their providers) take action with their
can play in empowering patients to health information.
be more engaged partners in care.
9. Increasing ACCESS to Health Data
Improving consumer access to data
through:
Financial Incentives for Providers to Provide
Patients Access to Data (through Meaningful
Use)
ONC’s Pledge Program
Growing Use of Blue Button
Office of Civil Rights Education and
Give me my Enforcement Activities
data
10. Supporting ways to take ACTION
with health info
Example: Innovation Challenges
September 2009 President Obama released the
Strategy for American Innovation calling on agencies to
increase their ability to promote and harness innovation
by using policy tools such as prizes and challenges
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14. Consumer Video Challenges (Attitudes)
Example:
Health IT Video Contest Series
Background
• Several themed contests throughout 2012
• Cash prizes for winning videos
• Includes public voting
• All contests appear on challenge.gov
Goals
• Show value of health IT
• Invite people to tell their own stories
• Motivate and inspire others to leverage
technology to improve health
Watch Video
15. Health IT Animation (Attitudes)
Example:
Health IT Animation
Background
• Advisory Committee shaped messaging
• 3:00 min & :60 sec version
• English and Spanish
• For use by others
Goals
• Make the topic approachable
• Explain the benefits of health IT
• Entertain!
17. White House Summit on Innovations in Health Care
Gaming
Key Questions for Participants
• What’s out there?
• What works?
• What role could or should the federal government play?
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19. Where Games and Health Have the
Greatest Potential to Improve Outcomes
“The beauty of a game is it gives you a goal…people will work
longer and harder if [an activity] is game based”
-Debra Lieberman
21. Innovations in Games Report
www.iftf.org/games4healthre
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Health Information Technology
22. Join Us: Pledge Program
There are two types of pledges:
1. Data holders -- Make it easier for
individuals to get secure electronic
access to their health info – and
encourage them to do it.
2. Non-data holders – Spread the
word about the importance of
getting access information, and
develop tools to make that
information actionable.
To learn more about the pledge or to take the pledge: http://www.healthit.gov/pledge/
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23. Stay connected, communicate, and collaborate
•Browse the ONC website at: healthIT.gov
click the Facebook “Like” button to add us to your network
•Contact us at: onc.request@hhs.gov
•Subscribe, watch, and share:
@ONC_HealthIT @epoetter
http://www.youtube.com/user/HHSONC
HealthIT and Electronic Health Records
http://www.scribd.com/HealthIT/
Health.IT.gov/buzz-blog
http://www.flickr.com/photos/healthit
24. Discussion: Guiding our Future Work
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Health Information Technology
90% of care needed to manage a chronic disease must come directly from the patient (CGCF) What is consumer engagement? Center for Advancing Health defines 10 behaviors: -- Find safe and appropriate care -- Participatine in your treatment -- Communicate withyour doctors -- Get preventive care
AARP study of people over 50 with one or more chronic conditions
Every other industry
-- 3 out of 4 respondents NPWF survey say it would be valuable if their dr adopted an HER Confusion: 42% of Americans don’t know if their dr uses an HER.
ONC is working to catalyze consumer engagement through health IT… e-health : Secretary of Health, Surgeon General, US Chief Technology Officer, patients, providers, developers, payers, employers, & consumer organizations
Hospitals: Provide >50% of discharged patients with an electronic copy of discharge instructions (core) Provide >10% of patients with timely electronic access to health information (menu) Providers: Clinical summaries to > 50% of patients after office visits (core) Patient specific educational resources to > 10% of patients via EHR (menu) 52% percent of office-based physicians intend to take advantage of EHR incentives The percentage of primary care providers who have adopted EHRs in their practice has doubled from 20% to 40% between 2009 to 2011 ONC’s Regional Extension Centers (RECs) have signed up more than 100,000 primary care providers This means that roughly one third of the nation’s primary care providers have committed to meaningfully using EHRs by partnering with their local REC. Momentum is building ! Hospital adoption has more than doubled since 2009, increasing from 16% to 35% Most (85%) of hospitals intend to attest to Meaningful Use by 2015
September 2009 – President Obama releases Strategy for American Innovation calling on agencies to increase their ability to promote and harness innovation by using policy tools such as prizes and challenges
Highlight healthit.gov, videos, NeHC, toolkit – shout out to Kate Talk re putting the I on health IT
-Increased Federal role in the adoption of health IT has lead to new opportunities to support consumer engagement, education, disease management, and care delivery. -Games take complex health data and make it meaningful and actionable to patients -Studies have found that games have potential to improve health, but like everything else have limits
--Understanding the current landscape of games and health --Identifying areas where game dynamics and health needs could intersect to improve health outcomes in the future --Identifying areas where the federal government could play a role in promoting innovations in health games
( http://www.graydonkey.com/old-people-playing-wii/ ) --Declining technology costs amplify design possibilities --Games are becoming a key tool to promote behavior change --Games offer enhanced diagnostic capabilities --Simulation games facilitate patient and clinician learning --Social games create collective efforts for health improvement --Crowdsourced games advance health research and development
--Motivate people to overcome challenges and obstacles --Enable people to visualize change and progress --Improve self-efficacy through knowledge and goal-setting --Facilitate patient-provider communications and interactions
(Image from Wikipedia under “United State Federal Government” – available under creative commons license) --Facilitate connections between gaming and health research communities --Set Standards for Health Data Interoperability --Create developer challenges focused on key outcomes --Develop agency expertise to evaluate health games --Explore opportunities to increase funding for health games --Release data sets to game developers to facilitate enhanced design --Coordinate gaming activities across government agencies to enhance learning
