seminar: cost-effective solutions for complying with the care act
TRANSCRIPT
1
June 9, 2015
Cost-Effective Solutions for Complying with the CARE Act
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Executive Summary
2 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Intr
od
uction
During this presentation we’ll explore how the GoMo
Health Solution helps hospitals cost-effectively comply
with the CARE Act, improve HCAHPS scores, and
motivate healthier behaviors among their patient
populations.
Presentation Summary
3 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Shelley R. Schoenfeld
Senior Director,
Business Development
Jane Hindes Miller
COO
Bob Gold
CEO
Today’s Presenters
Agenda
• The Role of the Caregiver
• CARE Act Overview
• The Effect on Hospitals
• How Technology Can Help
• Inpatient Experience and Satisfaction Program
• Concierge Care Use Case
• Q&A
4 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Intr
od
uction
Role of the CaregiverThe $450 billion job
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6 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
or 1 in 4 U.S. adults are caring for a loved one with
39%
significant health issues.*
Role
of th
e C
are
giv
er
*Pew Research Center, 2013
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in unpaid care each year.*
$450 billion
U.S. caregivers provide approximatelyRole
of th
e C
are
giv
er
*AARP Public Policy Institute, 2011
The Reach of Caregiving
8 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Role
of th
e C
are
giv
er
Nationwide, almost half of family caregivers perform medical or nursing tasks for their loved ones with multiple chronic physical and cognitive conditions.*
*AARP Public Policy Institute & United Hospital Fund , 2012
Caregiver Tasks
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Role
of th
e C
are
giv
er
25% administer enemas and manage incontinence equipment and supplies
21% operate durable medical equipment
14% operate medical equipment
*AARP Public Policy Institute & United Hospital Fund , 2012
78% manage medications
41% prepare food for special diets
35% provide wound care
32% use meters and monitors
43% help with assistive devices for mobility
60% manage & operate medical equipment and supplies
CARE Act Overview
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary10
Legislation Overview
The Caregiver Advise, Record and Enable Act ensures hospital patients can designate a family caregiver
and requires hospitals to offer that caregiver instruction
and demonstrations of medical tasks they will be expected
to provide for their loved ones at home, such as
administering multiple medications, dressing wounds, and
operating medical equipment.
11 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
CA
RE
Act O
verv
iew
Main Tenets of the Legislation
The opportunity to designate a caregiver
• “A hospital shall provide each patient…with at least one opportunity to designate at least one caregiver…”
The notification of movement to the caregiver
• “A hospital shall notify the patient’s designated caregiver of the patient’s discharge or transfer to another hospital or facility…”
The instruction of a caregiver in all after-care tasks
• “Prior to a patient’s discharge…the hospital shall consult with the designated caregiver regarding the caregiver’s capabilities and limitations and issue a discharge plan that describes a patient’s after-care needs at his or her residence.”
12 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
CA
RE
Act O
verv
iew
Current Status of the CARE Act
Enacted
• Arkansas
• Colorado
• Indiana
• Mississippi
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• Oklahoma
• Virginia
• West Virginia
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CA
RE
Act O
verv
iew Passed Legislature
• Connecticut
• Illinois
• New York
• Oregon
Upcoming
• Massachusetts
• South Dakota
• And more!
The Effect on Hospitals
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15 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Medicare patients who are discharged
1 of every 8
from the hospital are readmitted in 30 days.*
The E
ffect on H
ospitals
*AARP, 2014
The Problem of Readmittance
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The E
ffect on H
ospitals
Hospital Challenges with the CARE Act
Integrating caregiver data into patient files
Providing live training and instruction for caregivers
Need for engagement outside the hospital to ensure that patients
adhere to their care plan
Follow up to ensure care plan compliance
17 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
The E
ffect on
Hospitals
The Importance of Remote Care
Quality Health Care Doesn’t Stop at the Hospital Door
GoMo Health Concierge Care makes it easier than ever to engage patients with remote care solutions that encourage self-care, reduce unnecessary emergency department visits, and increase compliance.
18 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
The E
ffect on
Hospitals
How Technology Can HelpProvide quality remote care while saving time and money
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary19
The S
tate
of M
obile
Healthcare
Source: Pew Research Center, 2014
90% of adults have a cell phone
74% of the 65+ age group
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The S
tate
of M
obile
Healthcare
Source: Pew Research Center, 2014
of cellphone users use their phone
to send and receive text messages
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81%
The S
tate
of M
obile
Healthcare
Source: Conversational Advertising, 2010
of text messages are read within 3 minutes
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90%
22
The S
tate
of M
obile
Healthcare
Source: Neilsen, 2014
of all users use their phone for “just-in-time” information
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary23
70%
23
The S
tate
of M
obile
Healthcare
The facts are clear:
Regardless of race, sex, age, education, income, or location, at least 250 million people have and use a cell phone to connect with other people and information.
Source: Pew Research Center, 201424 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
How Does GoMo Health Help Hospitals?
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary25
26 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Con
cie
rge C
are
Overv
iew
Concierge Care Content Library
GoMo Health Concierge Care is
a complete turnkey cloud-based
solution which communicates
with patients and their caregivers
in-the-moment. Our solution is
customizable and easily
integrates with your existing
environment.
Concierge Care starts when a patient is admitted and continues with the patient and caregiver after discharge.
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary27
28 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Con
cie
rge C
are
Overv
iew
What does that mean for you?
Concierge Care…
Integrates with your backend to easily opt-in patients and
caregivers
Notifies all parties in real-time about transfers and developments
Keeps caregivers and patients informed with instructional
information, reminders, motivational messages, videos, and
more
Ensures your hospital is more than compliant with the CARE Act
Reduces that amount of staff, time, and money needed to
effectively engage patients and caregivers in-hospital and
remotely
29 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Where GoMo Health is Deployed
GoM
o H
ealth C
lients
Lifestyle Engagement: Patients & Caregivers
Communicate with patients through the day, in a way in which they are already comfortable.
Send medication and appointment reminders, surveys, alerts, and more.
Engage via care messages(text, email, or secure chat).
30 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
GoM
oH
ealth C
an H
elp
The Problem:
Carla is the caregiver for
her father Andrew who
has diabetes. Andrew
recently was released
from the hospital after a
bad fall. He came home
with new medications
and needs to have his
wounds taken care of
2x/day. Carla has no
medical training and is
unsure of what to do.
Our Solution:
As her father’s designated caregiver, Carla is notified
by the hospital that he is being discharged. She
speaks with the nurses about her father’s care plan
and signs up to receive care messages which will
include medication, prescription refill, and follow up
appointment reminders, instructional videos with detail
on how to properly clean his wound and change the
dressing, potential infection signs to look out for, and
secure chat access to medical professionals who can
answer her questions in real-time to ensure Andrew
stays healthy and Carla knows how to provide him
with the best care.
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
GoM
oH
ealth C
an H
elp
31
GoMo Health in Action
32 © 2014 Gold Group Enterprises, Inc. Confidential and Proprietary
Carla was given a stack of
paperwork from the nurses
detailing how to help manage
her father’s condition,
however she misplaced it.
Good thing she signed up to
receive condition information
and instructions right to her
phone, complete with videos
that she can bookmark for
access at anytime, anywhere.
GoM
oH
ealth C
an H
elp
Carla is getting ready for the day.
Just then she gets a text from the
hospital with a reminder to make
sure Andrew takes his medication.
She would have forgotten
otherwise. She gets another
reminder that night.
GoMo Health in Action
33 © 2014 Gold Group Enterprises, Inc. Confidential and Proprietary
GoM
oH
ealth C
an H
elp
GoMo Health in Action
34 © 2014 Gold Group Enterprises, Inc. Confidential and Proprietary
Thursday has been rough for
Carla. Working a full-time job
and taking care of her father
is stressful. Her phone beeps,
it’s a motivational text
message with a story about
how another caregiver in a
similar situation is handling it.
GoM
oH
ealth C
an H
elp
GoMo Health in Action
35 © 2014 Gold Group Enterprises, Inc. Confidential and Proprietary
On Friday, Carla gets a text
with a link to a survey about
how her father’s wounds are
healing. She notes that she
is worried about the bruising
around the wound. A nurse
then contacts her through
secure chat, sending her a
link to a video on bruising
and answering all her
questions in real-time.
GoM
oH
ealth C
an H
elp
Inpatient Experience and Satisfaction Program
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary36
Patient Satisfaction is Decreasing
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Patie
nt
Satisfa
ctio
n
Inpatient Service Scores
81% 78%
2014 2015
*Report for the American Consumer Satisfaction Index (ACSI), 2015
Program Summary
The Inpatient Experience and Satisfaction Program (IESP) is a mobile engagement strategy through which patients can communicate directly with specific departments within the hospital to address their (non clinical) inpatient needs to ensure a comfortable and positive experience and stay.
38 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Patie
nt
Satisfa
ctio
n
Key Benefits
• Interactively engage with inpatients, conveying to them that their satisfaction with their experience at your hospital is a top priority
• Communicate in-the-moment with inpatients
• Respond to patients’ needs in real-time
• Positively affect inpatient perception and experience
• Improve patient satisfaction component of HCAHPS scores
39 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Patie
nt
Satisfa
ctio
n
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Patie
nt
Satisfa
ctio
n
Anytime, anywhere in-the-moment service requests with custom decision tree logic responses.
Inpatient Service Request App - Flow Diagram
41 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Patie
nt
Satisfa
ctio
n
Pain
Food Service
Housekeeping
Patient
Advocate
Clergy
Facilities
Concierge Care Use CaseEngagement & Compliance
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary42
43
The C
halle
ng
e Over 80%of all healthcare costs are
due to chronic diseases.
Concierge Care Programs
Concierge Care enables you to extend quality patient care post-
discharge by delivering educational and motivational content right to
patients’ mobile phones, engaging them when they need it most.
Service Line Specific Programs Include:
• Appropriate ED Usage
• Diabetes
• Asthma
• Hypertension
• Pain Management
• Prenatal & First 15 Months
• Behavioral Health
• Custom Programming
• And more!
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Concie
rge C
are
Overv
iew
44
Reduce costs of patient acquisition, engagement, care and
retention
Decrease readmissions through utilization of remote patient
management tools
Strengthen efficiencies in call center inquiry management
Increase utilization of EMR
Reduce provider-patient “hassle factor”
Enhance the quality and extend the continuum of care
Encourage patient compliance, improve outcomes and
satisfaction
Improve patient care metrics (HCAHPS)
Concie
rge C
are
Overv
iew Concierge Care Benefits
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary45
46 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Concie
rge C
are
Overv
iew Concierge Care Content Library
GoMo Health has developed a
vast library of condition-specific
information to help your patients
better manage their health. We
provide quality content that is
both relevant to their specific
conditions and easy-to
understand, including
messages, videos, tips, articles,
and more.
Dia
bete
s P
rog
ram
Source: Pew Research Center, 201447 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Personalized Mobile Engagement
• Every person is not the same
• How they need to communicate and the frequency vary
• The Concierge Care Diabetes Program provides personalized communication templates that take into consideration a patient’s physical and emotional condition to engage, educate, and support them
• Questions relate to physical & emotional health
• Each health condition is scored
• Message frequency varies based on condition severity and medications
• Messages are:
• Personalized
• Reviewed by health experts
• 5th grade reading level
• English & Spanish
48 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Dia
bete
s P
rog
ram
Onboarding Survey & Care Messages
Two-thirds of messages link to Quick Pages and videos that provide more information on a specific topic.
49 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Dia
bete
s P
rog
ram
Easy-to-Understand Content
Ways to Interact
Dia
bete
s P
rog
ram
Requested Interaction
Program
Participation
Messages
Coupons &
Offers
Reminders
Tips &
Advice
Nurse
Triage
Onboarding
Survey
Secure Live
Chat
Incentives and
RewardsRequested
Content
Videos
Quick Pages
50 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
51 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Clo
sin
g R
em
ark
s
I guarantee you win – no matter the outcome.”
“You treat a disease:
You treat a person,
-Patch Adams
You win, you lose.
Q&AType your question into the text box.
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Thank YouContact us for more information
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1 (855) 228-4330
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