Posted in E-Patient, Ehealth

Patient engagement important, but loosely defined

What exactly is patient engagement? According to the National eHealth Collaborative’s 2012 stakeholder survey released last month, there is little agreement among health leaders. They currently use a variety of definitions that range from patients having access to educational materials to patients using their own electronic health record to transmit data to outside organizations.

Survey respondents were asked to choose their two top definitions from among 10 choices. They also could write in their own definition. The top five responses include:

Patient uses educational material and online resources to learn about better health or their own health conditions (64.0 percent)Patient uses tools and resources to manage his or her medical record and other health data (58.7 percent)Patient feels comfortable challenging doctor when something doesn’t seem right or when explanations are not clear (41.3 percent)Patient feels comfortable discussing health issues and questions with doctor or nurse face-to-face (38.4 percent)Patient communicates with doctor about changes in health status in a timely way (38.4 percent)

Survey respondents may not define patient engagement the same way, but an overwhelming 95 percent said the issue is “very important” or “important” in transforming healthcare. Only 5 percent called it “somewhat important,” while no respondents characterized it as “not important.”

See on www.fiercehealthcare.com

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5 steps to engage patients in their healthcare data

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NeHC framework aims to help providers improve patient access to electronic health records

 

Marie Ennis-O’Connor‘s insight:

The National eHealth Collaborative, a Washington, D.C.-based public-private partnership geared toward enabling nationwide health information exchange, has released a model framework provider organizations can use to help spur patient engagement efforts. The model–dubbed the Patient Engagement Framework–is divided into five phases, each of which incorporates advice from organizations that have successfully launched and sustained patient engagement efforts.

 

The five phases of the framework are:

Inform Me: The most basic level of patient engagement. In this phase, providers make tools and forms available to patients.Engage Me: In this phase, patients have access to their electronic health records and take care of administrative tasks online, rather than in the office.Empower Me: In this phase, patients use secure messaging to communicate with their providersPartner with Me: In this phase, care is more seamless, as more advanced care management tools are utilized by patients to provide timely data to doctors.Support My e-Community: In this phase, providers likely are participating in accountable care or patient-centered medical home efforts using a full array of electronic tools to communicate and manage patients.

The model’s creation likely was spurred on by a NeHC survey released earlier this year that found little agreement among health leaders as to the definition of patient engagement. Some providers, according to the survey, view patient engagement as patients having access to educational tools, while others see it as interaction via electronic tools. Still, almost all respondents agreed that patient engagement was a high priority.

 

To learn more:
– here’s the NeHC announcement (.pdf)
– here’s the framework overview
– check out the five steps (.pdf)

 

See on www.fiercehealthit.com

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Why one NHS trust is experimenting with social media

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Leeds and York partnership NHS foundation trust have ditched the automated tweets and are trying out Pinterest and YouTube to reach a wider audience, explain Victoria Betton and Abhay Adhikari

Marie Ennis-O’Connor‘s insight:

This past year an NHS foundation trust has been beginning to get to grips with the opportunities as well as the challenges of using social media at a corporate as well as clinical level. The incentives to do so are the ability to enter into conversations with different stakeholders, and getting authentic feedback to create meaningful change and improve services. At the same time, it hopes social media can help us become more sociable as an organisation.

See on www.guardian.co.uk

Posted in #HCSM

Facebook ‘likes’ could translate to real life likes for hospitals

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If you “like” a hospital on Facebook, does that mean you’re a satisfied patient? A study from the American Journal of Medical Quality set out to assess whether Facebook “likes” were associated with hospital quality and patient satisfaction.

Marie Ennis-O’Connor‘s insight:

The study–"Do Patients ‘Like’ Good Care?"–was an exploratory quantitative analysis of hospitals’ Facebook pages near New York City. It determined that "likes" have a negative association with 30-day mortality rates, and are positively associated with patient recommendation. Healthcare Innovation Technology’s HIT Lab Blog reports that, based on the dataset, for every 93 additional Facebook "likes" there is a corresponding 1 percentage point decrease in 30-day mortality. The findings, according to the study’s authors, suggest that the number of Facebook "likes" for a hospital could serve as an indicator of hospital quality and satisfaction.

"We’re encouraged that the correlations support the idea that free, widely accessible data made available via social media will continue to find a place in academic assessment of hospital quality," Alex Timian, lead author of the study, said, according to the blog post. "Our hope is that this exploratory work will serve as a stepping stone for other public health and ICT researchers to build on by analyzing data from Facebook and other social media tools against various traditional measures."

Social media is part of a shift in focus by healthcare organizations in their care delivery, with Facebook and Twitter serving as significant sources of specific and individual healthcare information, according to an editorial published earlier this month in BMJ Quality & Safety.

 "Already, social networking has proved to be a major benefit for patients, especially those with rare conditions, to share information among themselves," the authors of the editorial said. "However, just as today it is possible to select restaurants more effectively with Yelp, it is likely that patients will be making decisions about where to get their healthcare through such approaches–though the stakes are considerably higher in healthcare choices."

To learn more:
– see the study abstract
– read the HIT Lab Blog post

See on www.fiercehealthit.com

Posted in E-Patient

Health Affairs: Patient Engagement

A growing body of evidence demonstrates that patients who are more actively involved in their health care experience better health outcomes and incur lower costs. As a result, many public and private health care organizations are employing strategies to better engage patients, such as educating them about their conditions and involving them more fully in making decisions about their care.

“Patient activation” refers to a patient’s knowledge, skills, ability, and willingness to manage his or her own health and care. “Patient engagement” is a broader concept that combines patient activation with interventions designed to increase activation and promote positive patient behavior, such as obtaining preventive care or exercising regularly. Patient engagement is one strategy to achieve the “triple aim” of improved health outcomes, better patient care, and lower costs.

Click www.healthaffairs.org for a summary of key findings on patient engagement published in the February 2013 issue of Health Affairs.

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Health Affairs is the new shirtless dancing guyNickDawson.net « NickDawson.net

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Last week, the well-regarded health policy journal Health Affairs hosted a briefing on The New Era of PAtient Engagement. I attended and left feeling satisfied, even excited, and also frustrated and a tad disappointed.

Marie Ennis-O’Connor‘s insight:

Nick Dawson reports back from The New Era of PAtient Engagement.

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Health Affairs

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The Health Affairs February 2013 special issue “New Era of Patient Engagement”  on patient engagement

 

Marie Ennis-O’Connor‘s insight:

In the words of one of the Society for Participatory Medicine’s founders, Gilles Frydman "This is hugely important. Activated & engaged patients are called “the blockbuster drug of the century” in an editorial of Health Affairs. That was unthinkable just a couple of years ago. It finally looks like it’s going to be hard to stop that train."

See on www.healthaffairs.org