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
 |
| 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. |  |
80% is misunderstood or forgotten. | |
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
 |
Careteam's structure: Built for humans and for health care
| Healthcare teams in various settings |  |
People Care plan Appointments Tasks Messaging 3rd party integrations Automation and predictions |
|
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
 |
 |
 |
 |
 |
 |
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.