1:30 - 3:00 pmSunday, September 29
LK 120
Leveraging patient engagement and new technologies for healthcare delivery innovation: methods and examples from the Stanford Clinical Excellence Research Center
LK 120
Leveraging patient engagement and new technologies for healthcare delivery innovation: methods and examples from the Stanford Clinical Excellence Research Center
CERC Fellow, Stanford University
Department of Psychiatry, Stanford University; CERC Fellow, Stanford University
Instructor of Medicine, Division of Oncology, Stanford University; CERC Fellow, Stanford University
Clinical Fellow, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Lucile Packard Children's Hospital
CERC Fellow, Stanford Clinical Excellence Research Center
Clinical Assistant Professor at the Stanford Stroke Center, Dept. of Neurology
Americans are demanding better value – improved health at lower cost, and with a better experience of care – from a healthcare system that, despite being the most costly in the world, lags behind in... Read more

Description

Americans are demanding better value – improved health at lower cost, and with a better experience of care – from a healthcare system that, despite being the most costly in the world, lags behind in many health outcomes and quality measures. Key to improving value in healthcare are delivery redesign, meaningful patient engagement, and cost-saving technologies.

Stanford’s Clinical Excellence Research Center (CERC) is a healthcare delivery innovation laboratory. Our mission is analogous to designing safer, more energy-efficient means of transportation: we aim to vastly improve healthcare value by changing healthcare delivery. Interdisciplinary postdoctoral research teams – from medicine, engineering, psychology, and public health backgrounds – design and disseminate new care models that thoughtfully redesign healthcare services to lower spending while simultaneously improving population health and patient experience.

Panel Description

This panel describes new care models developed at CERC from 2011-2013, highlighting innovations that leverage patient empowerment and med tech.

1. Introduction. We first set the stage by describing the U.S. healthcare system’s mismatch between quality and cost, and opportunities for patient engagement and new technologies to solve this problem. We briefly describe CERC’s innovation process and care model dissemination in partnership with multiple healthcare systems, providers and patients. We highlight the importance of empowering patients with better access to information and services, tools for health, shared decision-making, and technologies.

2. Innovative care models

a. Late-stage cancer. We describe a new approach to late-stage cancer care. Key components of the model are culturally-tailored big-picture discussions by low-cost non-health professionals, symptom relief at home through patient-centered, evidence-based, rapid symptom assessment and intervention in the home, and optimized infusions delivery using alternative, telemedicine-enabled sites.

b. Obesity. We describe a new approach to obesity care. Key components include increasing probability for successful outcomes using evidence-based population segmentation and financial incentives and long-term (>3 years) engagement facilitated by collaborative relationships with low-cost health coaches and technologies.

c. Young adults with complex chronic illness. We describe a new approach to the care of young people with chronic illness as they move from adolescence to adulthood. Key components include enhancing skills and confidence for self-management of illness through in-person and tech-mediated health coaching, peer support, and coping strategies. Other elements include navigation assistance as young people and families transition from receiving care in the pediatric system to the adult health system and engaging their new providers, including a portable health record.

d. Stroke. We describe a new approach to stroke care. Key components include robust prevention measures through informatics-enabled population segmentation, partnerships between patients and health coaches empowering patients to better self-care, precise electronic prescribing of preventive medications by non-physicians, and telemedicine for acute stroke care and post-hospitalization follow up care.

3. Conclusion. We harness patients’ motivation to be healthy and empower them with technology aids and redesigned healthcare services to both improve experience and safely lower the cost health delivery.

 

Jared Conley is a MD/PhD candidate who joined Stanford's Clinical Excellence Research Center as a fellow for his doctoral work involving the design and evaluation of innovative, high-value care models. He has a Master's degree from Dartmouth with an emphasis in healthcare policy and system redesign and is currently finishing up his MD/PhD program in healthcare organization, outcomes, and policy (funded by AHRQ) at Case Western Reserve University School of Medicine. In his spare time, he enjoys hiking with his wife and kids, as well as salmon fishing in Alaska."

Waimei (Amy) Tai is a Clinical Assistant Professor at the Stanford Stroke Center, Dept. of Neurology, having completed a clinical fellowship in vascular neurology at Stanford. She is also a post-doctoral fellow at the Clinical Excellence Research Center at Stanford University, focusing on design and implementation of value based care delivery processes that improve outcomes and lower per capita spending.  Her prior research focused on use of blood biomarkers and perfusion imaging for rapid assessment of TIA and minor stroke. She also does work on simulation based education in stroke care for residents and other aspects of medical education. She is a fellow at Doximity, a large professional networking tool for physicians. She obtained a B.A from Johns Hopkins University in economics and biology and her M.D. from University of Maryland. She completed her neurology residency with chief year at University of Southern California.

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