Creating an Ecosystem for Health @paloaltomedical

Palo Alto Medical Foundation• Affiliate of Sutter Health• Palo Alto Foundation Medical

Group (PAFMG)• 9th largest medical group in

the United States• 750, 000 patients annually• 92 locations in N. California• Live with an electronic health

record since 1999• Launched personal health record

in 2001

It is about people and their families, NOT the app or technology

Mike Cooper

http://www.youtube.com/watch?v=QGKJPOmHFIs

Ecosystems

Finding the value for all stakeholders

Staff & Clinicians

PatientsOrganization

Engagement

I’m not just an owner of the company, my family are patients of PAMF

When It Matters to Staff,It Makes a World of Difference for Patients

What Health IT feels like to doctors?

Remind them what it’s truly about

Understand their work and deliver value

Automated Sig Verification

Follow up visit Verification

Clinically relevant labs

Competition

Become part of a community

Once you have engagement, what can you achieve?

Stats

• 72% of active PAMF adult patients are enrolled in My Health Online

• We have ~92% turn around time of messages to patients within 1 business day

• Average turn around time is 2.5 hours• Nationally, we have 19% of the downloads of

Epic’s MyChart for the iPhone

• Personalized outreach messages to patients based on HM

• Orders placed in Epic

0 1 2 3 4 5 6 7 8 9 100.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

40.00%

45.00%

50.00%

Personalized message:

• 20% higher adherence to lab reminders vs. non online patients

• 3x improvement for mammograms & pap smears

Real time updates

Reduce barriers to patients who need care

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20%

10%

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50%

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90%

100%

12%13%9%7%12%11%11%11%13%14%12%12%12%13%11%11%11%11%12%11%12%12%13%14%

0%

13%13%14%12%12%12%

0%

14%14%14%13%13%11%8%12%15%14%13%13%9%11%12%12%14%13%

16%9%20%

56%

9%8%7%8%6%16%

49%

8%7%6%6%6%14%

36%

7%5%6%5%4%

15%49%

5%7%7%6%6%

18%

56%

7%10%9%9%6%20%

55%

9%9%8%8%7%17%

47%

8%9%9%8%

72%78%

71%

38%

79%81%82%82%81%71%

39%

80%81%81%83%83%75%

53%

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71%

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Call_Center MHOL PSR

Screening your child for healthy development

Save the doctors and staff time

1 - 3 mins

4 - 6 mins

0%

20%

40%

60%

80%

100%

Ans/Read

Ans/Read

Currently 80% of questionnaires are answered

Jan-10 Jan-11 Jan-12

Parental My Health Online enrollment doubled

I appreciated being able to answer the questions at home; this was much easier than trying to balance a clipboard on my lap, rushing to answer the questions before my name was called, all while keeping a curious toddler occupied in the waiting room.

The questionnaire is just another example of PAMF's dedication to streamlining procedures and putting systems in place that help both the patient and the caregivers.  I am so thankful that our family is a part of the PAMF family.

Signal DetectionIdentify, mitigate and manage risks to my physical and social health that could compromise my ability to live safely in my home

MicrocommunitiesFind and connect with other people in the

community with whom I can exchange services and support that help me remain independent in my home, stay socially-engaged, and maintain a sense of purpose and value as I age

PAMF linkAges™ - a dynamic, integrated system to support Successful Aging

Resource MatchingFind and connect with resources in the community that can help manage risks to my physical and social health so I can continue to live safely in my home

Senior ProfileCapture my needs preferences and context in order to personalize my aging in place experience

May 3, 2012

http://innovation.pamf.org

• Developer Challenge Closes- July 30th • Developer Challenge Judging-August 13th • Winner Announced -October 1st

Winner Commences Accelerator-October 1st

--6 month exclusive partnership with PAMF InnovationCenter

Twitter: @pamfinnovation #linkAges

Contact Jean-Luc Neptune: jl@health2challenge.org

Developers, please join us

Questions?

• Albert S. Chan, MD, MSChief Medical Information Officer, Palo Alto Foundation Medical GroupMedical Director, David Druker Center for Health Systems InnovationMedical Director, My Health Online, Sutter Health

• E-Mail: chansa1@pamf.org• Twitter: @albertschan