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Helping Patients
Change Behaviors
Paul Ciechanowski, MD, MPH
Chief Medical Officer
Samepage
A1c
Blood pressure
Cholesterol
✗
✗
✗
81% fail to
achieve the
“bundled
benchmark”
in the U.S.
What elements
are necessary for
behavior change?
Record
Inform
Instruct
Remind/
Alert
Guide
Display
Communicate
Comprehension
Emotional states
Self-efficacy
Motivation
Cop...
Ambivalence
“I liked seeing the
balancing scale at
the end and the fact
that I could print off
my summary and
post it on a wall or
fri...
When
emotional mind
trumps
rational mind
5%
12%
20-40%
Poor self-care
Increased diabetes
symptoms
Chaotic
healthcare
utilization
Decreased trust
and satisfaction
Adverse lifesty...
“I really like
the idea of
approaching
this as a
'project' with
action items
and goals.”
Whose behavior
are we changing?
Clinical inertia
a lack of treatment intensification in a patient
not at evidence-based goals for care
a major factor cont...
Study: 161,697 Patients
Adequate
Adherence
20-23% Poor
Adherence
Schmittdiel et al., J Gen Intern Med. 2008; 23(5): 588–59...
Care
Manager
Psychiatric
and Medical
Case Review
PCP Pa ent
Samepage SaaS Collaborative Care Solution
Institutional
Readiness
Point of
Care and
Post-Visit
Systematic
Case
Review
Repo...
69% of program
graduates
achieve
Glucose, LDL,
Blood Pressure
targets
Presented by Dr. Paul Ciechanowski et al.
at the Ame...
Paul Ciechanowski, MD, MPH
paul@samepagehealth.com
206-353-0868
Samepage: Helping Patients Change Behaviors - Paul Ciechanowski at the 2015 DiabetesMine Innovation Summit
Samepage: Helping Patients Change Behaviors - Paul Ciechanowski at the 2015 DiabetesMine Innovation Summit
Samepage: Helping Patients Change Behaviors - Paul Ciechanowski at the 2015 DiabetesMine Innovation Summit
Samepage: Helping Patients Change Behaviors - Paul Ciechanowski at the 2015 DiabetesMine Innovation Summit
Samepage: Helping Patients Change Behaviors - Paul Ciechanowski at the 2015 DiabetesMine Innovation Summit
Samepage: Helping Patients Change Behaviors - Paul Ciechanowski at the 2015 DiabetesMine Innovation Summit
Samepage: Helping Patients Change Behaviors - Paul Ciechanowski at the 2015 DiabetesMine Innovation Summit
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Samepage: Helping Patients Change Behaviors - Paul Ciechanowski at the 2015 DiabetesMine Innovation Summit

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Founder & CMO of Samepage Dr. Paul Ciechanowski presented on this software and services company that believes it has come up with the “secret sauce” to help optimize the behaviors of both patients and healthcare providers using evidence-based behavioral and collaborative care models -- at the 2015 DiabetesMine Innovation Summit.

Publié dans : Santé & Médecine
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Samepage: Helping Patients Change Behaviors - Paul Ciechanowski at the 2015 DiabetesMine Innovation Summit

  1. 1. Helping Patients Change Behaviors Paul Ciechanowski, MD, MPH Chief Medical Officer Samepage
  2. 2. A1c Blood pressure Cholesterol ✗ ✗ ✗ 81% fail to achieve the “bundled benchmark” in the U.S.
  3. 3. What elements are necessary for behavior change?
  4. 4. Record Inform Instruct Remind/ Alert Guide Display Communicate Comprehension Emotional states Self-efficacy Motivation Coping Social Support
  5. 5. Ambivalence
  6. 6. “I liked seeing the balancing scale at the end and the fact that I could print off my summary and post it on a wall or fridge as a reminder.”
  7. 7. When emotional mind trumps rational mind
  8. 8. 5% 12% 20-40%
  9. 9. Poor self-care Increased diabetes symptoms Chaotic healthcare utilization Decreased trust and satisfaction Adverse lifestyle habits
  10. 10. “I really like the idea of approaching this as a 'project' with action items and goals.”
  11. 11. Whose behavior are we changing?
  12. 12. Clinical inertia a lack of treatment intensification in a patient not at evidence-based goals for care a major factor contributing to inadequate chronic disease care in patients with diabetes, hypertension, dyslipidemias, depression, coronary heart disease, and other conditions
  13. 13. Study: 161,697 Patients Adequate Adherence 20-23% Poor Adherence Schmittdiel et al., J Gen Intern Med. 2008; 23(5): 588–594. Clinical Inertia: 30-47% lacked treatment intensification by healthcare team.
  14. 14. Care Manager Psychiatric and Medical Case Review PCP Pa ent
  15. 15. Samepage SaaS Collaborative Care Solution Institutional Readiness Point of Care and Post-Visit Systematic Case Review Reporting & Analytics Pre-Visit
  16. 16. 69% of program graduates achieve Glucose, LDL, Blood Pressure targets Presented by Dr. Paul Ciechanowski et al. at the American Medical Group Association, 2013 87% with major depression become non- depressed 10 point drop in Systolic Blood Pressure DEPRESSION BLOOD PRESSURE 1.3% drop in HbA1c GLUCOSE CONTROL “Over the past year as we have implemented collaborative care at Swedish Medical Center, we have noticed a dramatic improvement in managing the care of our medically ill depressed patients. Now, we cannot imagine going back to ‘usual care’”. Arpan Waghray, MD Director of Psychiatry Swedish Medical Center “It’s good to know that somebody’s out there that knows what you’re going through.” Patient with diabetes and depression
  17. 17. Paul Ciechanowski, MD, MPH paul@samepagehealth.com 206-353-0868

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