How PAMF has achieved significant patient engagement with My Health Online. Over 72% of the active adult patients at PAMF use My Health Online, our implementation of Epic's MyChart.

1. Creating an Ecosystem for Health
@paloaltomedical

2. • Affiliate of Sutter Health
• Palo Alto Foundation Medical
Group (PAFMG)
• 9th largest medical group in
the United States
• 750, 000 patients annually
• 92 locations in N. California
• Live with an electronic health
record since 1999
• Launched personal health record
in 2001

3. It is about people and their families,
NOT the app or technology

4. Mike Cooper
http://www.youtube.com/watch?v=QGKJPOmHFIs

5. Ecosystems

6. Finding the value for all
stakeholders
Staff &
Clinicians
Organization Patients

7. Engagement

8. I’m not just an owner of the company, my family
are patients of PAMF

9. When It Matters to Staff,
It Makes a World of Difference for Patients

11. What Health IT feels like to doctors?

12. Remind them what it’s truly about

13. Understand their work and deliver value
Automated
Sig
Verification
Follow up visit
Verification
Clinically
relevant labs

14. Competition

15. Become part of a
community

16. Once you have engagement,
what can you achieve?

17. Stats
• 72% of active PAMF adult patients are
enrolled in My Health Online
• We have ~92% turn around time of messages
to patients within 1 business day
• Average turn around time is 2.5 hours
• Nationally, we have 19% of the downloads of
Epic’s MyChart for the iPhone

19. • Personalized
outreach
messages to
patients based
on HM
• Orders placed in
Epic

20. 50.00%
45.00%
40.00%
35.00%
30.00%
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
0 1 2 3 4 5 6 7 8 9 10
Personalized message:
• 20% higher adherence to lab reminders vs. non online patients
• 3x improvement for mammograms & pap smears

21. Real time updates

22. Reduce barriers to patients who need care
100%
90%
80% 38% 39% 37%
44% 42%
53% 51%
70%
72% 71% 71% 71% 70% 69%
60% 78% 79% 82% 81%
75% 79% 75% 78%
79% 78% 80% 76% 78% 74% 79% 77%
79% 78% 81% 79% 79%
81% 82% 80% 81% 83%
81% 83% 82% 82% 83%
84% 82% 80% 82%
82% 83%
50%
40%
49% 55%
56% 47%
30% 36% 56%
49%
20% 16% 20% 16% 15% 18% 10% 20%
14% 7% 9%9%6% 9% 17% 8%9%9%8%
9% 9%8%7%8%6% 8%7%6%6% 5%7%7%6%6% 9% 8%8%7%
6% 7%5%6%5%4%
10%
13% 12% 12% 14% 14% 13% 15% 13%
14% 13% 11% 12% 14% 13% 11% 12% 13%
14%
13% 11% 11% 14% 12% 13% 11% 11% 11% 12% 14% 13% 14% 12%
12% 9% 12% 11% 13% 12% 12% 11% 11% 12% 12% 13% 8% 9% 12%
7%
0% 0% 0%
Call_Center MHOL PSR

23. Screening your child for healthy
development

24. Save the doctors and staff time
4 - 6 mins
1 - 3 mins

25. Ans/Read
100%
80%
60%
Ans/Rea
d
40%
20%
0%
Currently 80% of questionnaires
are answered
Jan-10 Jan-11 Jan-12
Parental My Health Online
enrollment doubled

26. I appreciated being able to answer the questions at home; this
was much easier than trying to balance a clipboard on my
lap, rushing to answer the questions before my name was
called, all while keeping a curious toddler occupied in the
waiting room.
The questionnaire is just another example of PAMF's dedication
to streamlining procedures and putting systems in place that
help both the patient and the caregivers. I am so thankful that

27. PAMF linkAges™ - a
dynamic, integrated system
to support Successful Aging
Resource Matching
Signal Detection Senior Profile Find and connect with resources
Identify, mitigate and manage Capture my needs in the community that can help
risks to my physical and social preferences and manage risks to my physical and
health that could compromise context in order to social health so I can continue to
my ability to live safely in my personalize my aging live safely in my home
home in place experience
Microcommunities
Find and connect with other people in the
community with whom I can exchange
services and support that help me remain
independent in my home, stay socially-
engaged, and maintain a sense of
purpose and value as I age
May 3, 2012

28. Developers, please join us
http://innovation.pamf.org
• Developer Challenge Closes- July 30th
• Developer Challenge Judging-August 13th
• Winner Announced -October 1st
Winner Commences Accelerator-October 1st
--6 month exclusive partnership with
PAMF InnovationCenter
Twitter: @pamfinnovation #linkAges
Contact Jean-Luc Neptune: jl@health2challenge.org

29. Questions?
• Albert S. Chan, MD, MS
Chief Medical Information Officer, Palo Alto
Foundation Medical Group
Medical Director, David Druker Center for Health
Systems Innovation
Medical Director, My Health Online, Sutter Health
• E-Mail: chansa1@pamf.org
• Twitter: @albertschan