Advisory Council April 2019 Meeting Presentation: Digital Evolution

04/29/2019

ADVISORY COUNCIL ON ALZHEIMER'S RESEARCH, CARE, AND SERVICES

Monday, April 29, 2019

Printer Friendly Version in PDF Format (10 PDF pages)

 

Technology enabled Person-Centered Care Collaboration: The digital evolution of proven best practices

Dr. Alexandra T. Greenhill
CEO | Chief Medical Officer
Careteam Technologies
http://www.careteam.tech

The big idea... People, Plan, Progress

Patients, family, and health professionals -- together as a coordinated care team, all on the same page, knowing what is planned, and working together to make it happen.

Finding #1 -- 99% of healthcare happens at home and community

Bar Chart: Hospital 17K, Clinic 350K, Home and community 2.5M.
2017 Advisory Board
Number of health care interactions per year in and around of an average US health care organization

Finding #2 -- Care coordination has been proven to make difference

Care coordination is the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient's care to facilitate the appropriate delivery of health care services.

Organizing care involves the marshalling resources needed to carry out all required patient care activities and is often managed by the exchange of information among participants responsible for different aspects of care.

Finding #3 -- Care coordination can't scale without technology

Instructions given are verbal or rarely paper. Right pointing arrow 80% is misunderstood or forgotten. Right pointing arrow Only 8% of patients with dementia get the recommended annual hearing and vision test.

Key insight -- Patient cases are all unique, but all need the same

  • Patient
  • Families
  • Clinicians
  • Decision-makers

People...Plan...Progress

Connecting the dots

Spiral design, Patient-Centered Collaboration Platform: Medical Health Records, Patient portals, Telehealth and home monitoring, Devices, Population health, Apps.

Careteam's structure: Built for humans and for health care

Healthcare teams in various settings Left pointing arrow People
Care plan
Appointments
Tasks
Messaging
3rd party integrations
Automation and predictions
Right pointing arrow Patient, family and support network

Careteam - a great example of an implementation

  • Centre for Aging + Brain Health Innovation, Powered by Baycrest
    • Dementia team at the Ottawa General Hospital and 22 community organisations
    • Dementia PLUS model of care

Careteam connects all four user types into one team

  • Patient and Families
    • can access an integrated care plan, share it as they need to and action it
  • Clinicians
    • can monitor progress, intervene, add information
  • Decision-makers
    • can connect population health to individual care and better plan

Accessible on any device

  • Smart phone
  • Desktop or laptop
  • Tablet

Careteam Portal Screen Shots

Screen shot of Careteam Portal Log In

 

Screen shot of Careteam Care Plans

 

Screen shot of Careteam My Overview

 

Screen shot of Careteam Support Team

 

Screen shot of Careteam Health Team

 

Screen shot of Careteam Available Resources

Deliver on Institute of Health Improvement (IHI) Quadruple Aim

  • Patient experience
    • Improved experience of care
    • Increased engagement
    • Improved satisfaction
  • Providers experience
    • Saved time and effort
    • Monitor and predict
    • Ability to meet patient needs
  • Better outcomes
    • Improved health outcomes
    • Improved quality of care
    • Improved care safety
  • Better costs
    • Reduced gaps and overlaps
    • Reduced ER visits and readmissions
    • Reduced length of stay

The big idea... People, Plan, Progress

Patients, family, and health professionals -- together as a coordinated care team, all on the same page, knowing what is planned, and working together to make it happen.


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