Preventive Medicine: An Educated Patient is Our Best Customer

Health Care Information Systems

Project 1

March 22, 2000Dan Baker

Dan Schreiber

1. Introduction to Preventive Care2. Costs of Chronic Conditions and Risky Behaviors3. Changing Factors Associated with Prospective Medicine

Part 1: Background of Preventive Care

Part 2: Solution Requirements1. Health Risk Assessment2. Access to Information Technology3. Access to Medical Information Part 3: Vendor Identification - WellMed1. WellMed Background2. HRA Tool – HealthQuotient

Part 4: Gaps in Current Solutions1. Increased Interaction between HRA’s, Patients, and Physicians2. Improving Quality of Information Provided3. Increasing Consumer/Patient Utilization

Part 5: Conclusions

Part 1: Background

Introduction to Preventive Care

• Major Focus of Preventive Care

• Participants

•Disease and Condition Targets

Economic Cost of Various Diseases

Disease Direct Costs Indirect Costs Total CostsHypertension1 $24.5 $8.8 $33.3

Stroke1 $29.5 $15.8 $45.3

Total Cardiovascular1 $178.2 $107.3 $286.5

Depression2 $44$19.9 $24.1

Obesity3 $238 $47 $285

Smoking4 $50 $47 $97

1: American Heart Association, 1999 2: Massachusetts Institute of Technology, 1998

3: American Obesity Association, The Lewin Group ,1999. Note: The costs for obesity results from the costs associated with treating 15 other diseases including diabetes, hypertension and stroke. $102B from treating those diseases and $136B more based on chances of getting other ailments (arthritis, liver/gallbladder/kidney disease, various cancers, etc.)

4: Centers for Disease Control, 1999

Changing Factors in Preventive Medicine

• Benefits of Improved Preventive Care Services

• Employer and Physician Participation

•Access to Accurate Medical Information

Part 2: Solution Components

Components of the Solution

• HRA: Background, Purpose, and Benefits

• Information Exchange: The Web, E-mail, PC’s

• Online Medical Information

Part 3: WellMed Inc.

Vendor Identification: WellMed Inc.

• Company Background

• Mission Statement

“To design and develop ethical, educational tools that empower our client’s constituents to make informed decisions about their health and well-being.”

HRA Tool - WellQuotient

• HealthQuotient and PopulationQuotient

• Advanced HQ’s

• Functionality and Design

•Analysis and Output

Part 4: Current Gaps

Gaps in Current HRA Offerings and Proposed Solutions

Problem: Lack on Ongoing Interaction with HRASolution: Allow HRA to regularly communicate with both

physicians and patients

Problem: Limited Usefulness of Information ProvidedSolution: Improve Information Quality to Increase Patient’s

Involvement in Health Decisions

Problem: Lack of Patient UtilizationSolution: Add Incentives for Consumers to Submit HRA’s

Part 5: Conclusions

Future of HRA’s and Preventive Care Services

• Acknowledging the Usefulness and Limitations of the HRA

• Ability of Preventive Medicine to Affect Change

• Continuum of Preventive Care Components

PreventiveCare

Medicine

‘Wired’Consumers

ConsumerPatientRecord

‘Wired’Physician

Office

Clinical Guidelines &

Protocols

Health RiskAssessment

DiseaseState

Management

OnlineMedical

Information

Preventive Care Components