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Technology-Enabled Communications: The Key to Connected HealthcareUsing technology to engage patients and drive essential clinical interventions
Contents
Introduction 4
What Is Connected Healthcare? 6
Connecting Beyond The Clinical Setting 8
Creating An Engagement Loop 10
Benefits Of Connected Healthcare 12
Taking Routine Care Beyond The Clinical Setting 14
Managing Chronic Disease 18
Improving Care Transitions 22
Conclusion 24
About West’s TeleVox Solutions 25
About West’s Engagement Center 25
Today, technology enables healthcare professionals to communicate with patients
and provide services in ways that seemed futuristic not that long ago.
Technology-Enabled Communications: The Key To Connected Healthcare4
Wearable devices allow physicians to monitor
patients remotely and respond to issues.
Automatic reminders keep patients on track
with medication. Digital wellness programs
support and encourage patients as they make
behavior changes for better health. These and
other technology-enabled communications
and services are growing in popularity.
In 2015, approximately 4.9 million people
worldwide used some form of home health
technology. That number is expected to
rise to around 36.1 million by 2020.i While
the adoption of various technologies by both
providers and patients is a sign of progress,
there is a big hurdle to overcome before
the ultimate goals of improving the care
experience, achieving better health outcomes,
and lowering costs can consistently and
definitively be reached. Right now there is
a serious lack of connectivity across all of
these different devices and technologies.
Because of this, much of the technology stops
short of its potential. That needs to change.
After all, what good does it do to remotely
monitor a patient’s health if there are gaps
in communication, follow-up is limited, and
issues aren’t prevented? Why outfit patients
with devices and then not communicate with
them and engage them to ensure they are
taking appropriate steps to improve or maintain
their health?
When used as a communication tool to
engage patients, technology can (and does)
have the potential to revolutionize care. The key
is making sure technology is used effectively
to deliver truly connected healthcare. This
West report, Connected Healthcare: Using
Technology To Engage Patients And Improve
Care, explores ways technology can improve
care across the continuum. It highlights
strategies for using technology in the
management of routine, chronic and transition
care and addresses connectivity challenges.
5
What Is Connected Healthcare?
6
Throughout this report the term “connected healthcare” is used repeatedly.
What exactly is connected healthcare? There are two key parts to it. First,
connected healthcare uses technology to go beyond the traditional clinical
environment where healthcare is typically administered. This includes things like
follow-up outreach, appointment reminders, and notifications that prompt patients
to schedule routine screenings. Secondly, connected care creates a feedback
loop that keeps patients and providers connected and engaged. This second
half is the more challenging part – and it is where the industry needs to devote
attention going forward. It includes things like reviewing real-time patient data
and providing direct feedback, raising flags and responding quickly to urgent
needs, and using information to make necessary changes to treatment plans.
7Technology-Enabled Communications: The Key To Connected Healthcare
Technology gives healthcare professionals
many avenues outside of face-to-face visits
through which they can connect with patients.
A majority of patients have access to smartphones
and other technology. It is easier than ever to
reach patients via voicemails, text messages and
emails, and bring healthcare to them in ways that
are convenient and preferred. An earlier report
from West, Technology Beyond the Exam Room:
How Digital Media is Helping Doctors Deliver
the Highest Level of Care, found that 85 percent
of healthcare consumers feel that high-tech
engagement, by email, text message and voicemail,
is as helpful, if not even more helpful, than in-person
or phone conversations with their doctors.
Tens of thousands of healthcare providers have
already implemented some form of between-visit
engagement programs with automated appointment,
prescription and treatment notification and reminder
technology. A previous West study found that two-
thirds (66 percent) of Americans have received
a voicemail, text or email from their healthcare
provider, and many reported a positive outcome.
For example, half said they felt more valued as a
patient, a third said that digital communication had
improved their opinion of their healthcare provider,
and a third said they felt more certain about visiting
that healthcare provider again.
These voicemails, texts and email messages extend
services beyond the clinical setting and establish
a connection between providers and patients. Of
course, a big question is whether or not these
communications from healthcare providers help
engage patients and improve care. Feedback from
patients indicates the answer is “Yes.”
According to West’s Study, A Fragile Nation In
Poor Health, three in ten Americans indicated that
they would like to receive text messages, voicemails
or emails that help them keep on track with their
treatment. These individuals stated that they would
appreciate communications that:
• Remind them to renew prescriptions
• Prompt them to come in for a check-up
• Encourage them to schedule a preventive exam
• Remind them of an already-scheduled appointment
The numbers tend to go up slightly among patients
who already have a serious or chronic condition. For
example, nearly four in ten patients with diabetes
(38 percent) or hypertension (37 percent) said
they would be interested in receiving tips from a
doctor with regards to managing their weight. A
similar number of obese patients (39 percent) said
they would be interested in receiving such tips,
while 38 percent of people diagnosed as obese
said that it would motivate them to make changes
to their lifestyle. This pattern is repeated when it
comes to managing stress. Thirty-six percent of
obese patients, 36 percent of diabetic patients and
35 percent of patients with hypertension said they
would be receptive to communications about stress-
management from their doctors.
Connecting Beyond the Clinical Setting
Technology-Enabled Communications: The Key To Connected Healthcare8
Patients See Value in Technology-Enabled Communications
of patients feel engagement by email, text message and voicemail, is as helpful, if not more helpful, than in-person or phone conversations with their doctors 85%
of obese patients believe receiving weight management tips from their doctor motivates them to make lifestyle improvements
of patients with diabetes are interested in receiving weight-management tips from their doctor
of patients with hypertension are interested in receiving weight-management tips from their doctor
of patients with diabetes welcome stress-management communications from their doctor
of patients with hypertension welcome stress-management communications from their doctor
38%
39%
37%
36%
35%
Communication Motivates Chronic Care Patients
9
The Engagement
Loop
Biometric Monitoring
Escalation
Intervention
Engagement & Action
10
Sending engagement messages to patients is
one thing, but completing the communication
circle requires more effort. In the past, automated
communication systems have been used
predominantly for one-way communication from
medical practice to patient. However, when
combined with newer connected healthcare
technology, these systems offer plenty of
opportunities for bi-directional communication,
in which data flows seamlessly between patient
and practitioner and back again, even if multiple
devices are involved. Also, there is an entire element
of connected care that can’t be overlooked – the
human element. Medical providers and their staff
can receive patient data and escalate cases or
intervene if there is an immediate need. Imagine a
patient with hypertension is being monitored by her
physician because she is considered to be a high-
risk patient. The patient not only needs a monitoring
device that will send blood pressure readings to
her healthcare team, but if those readings indicate
a pattern of increased blood pressure, she needs
someone to recognize that and step in to take
action. The technology can flag the issue (increased
blood pressure) but the nurse or other medical
professional that picks up the phone to have a
conversation with her is key to helping the patient
overcome problems and modifying behaviors to
prevent reoccurrence.
It is important to use technology to link patients
to live (human) resources that close the loop.
This includes things like evaluating information
that is received remotely from connected medical
devices, and contacting patients to offer help
when needed.
Creating An Engagement Loop
“The promise of leveraging technologies such as wearable
devices and systems like EHRs to drive patient engagement
is lost if providers can’t easily receive information and
appropriately respond to findings in a timely manner.”
Chuck Hayes, Vice President of Product Management for TeleVox Solutions, West Corporation
11Technology-Enabled Communications: The Key To Connected Healthcare
There are several reasons why connected care
is beneficial to both patients and providers.
For one thing, connected healthcare encourages
patients to become engaged in their own care. And
when patients are engaged in their healthcare,
outcomes are better.
Think about a patient with heart disease that uses
a biometric device to measure ECG and monitor
their chronic health condition. The device’s sensors
capture and report readings to the patient’s
medical team multiple times per day. Healthcare
professionals track the patient’s condition so they
can intervene when necessary. If the patient’s
readings show signs that indicate the patient is at
risk, the healthcare team can call the patient to
discuss what is happening. This outreach helps
engage the patient and allows him to better manage
his chronic condition by taking actions to prevent
serious health issues.
Payment is another benefit of connected care.
Healthcare providers can no longer afford to treat
caring for patients as something that happens
just through face-to-face interactions. Continuous
care that extends beyond the clinical environment
is necessary to achieve the quality and cost
requirements of value-based payment programs. In
other words, the benefit is getting paid.
Value-based payment programs put pressure on
providers to accept full-time responsibility for the
health of patients. Providers must plan for what
happens to patients when they are outside the
walls of their particular clinic, hospital, nursing home
or practice. Hospital readmissions are a perfect
example. CMS has implemented several value-
driven rules and programs that target readmissions.
Hospitals are now more accountable for patients
after discharge, and they can receive penalties for
avoidable hospital readmissions. But that’s not all.
In order to earn value-based financial incentives,
providers need to ensure patients are engaged
in their care at home, and that they participate in
routine screenings and preventive care. Nursing
homes need to communicate with family members
of residents – and with external healthcare
providers – to coordinate care for individuals
transitioning in and out of their facilities.
The need for these engagement activities will
continue to increase with the rise of value-based
payment programs. At least 30 percent of Medicare
payments are now tied to alternative payment
models that reward the quality of care over quantity
of services provided to beneficiaries, and CMS is
working to get that number to 50 percent or more
by the end of 2018.ii
Benefits of Connected Healthcare
Technology-Enabled Communications: The Key To Connected Healthcare12
Financial Motivation for Connected Care
Expanding value-based payment programs reward connected care
of Medicare payments are now tied to value
of Medicare payments will be tied to alternative payments by the end of 2018
36%
50%
13
Routine preventive care is a critical area of
healthcare and an essential service for patients.
The CDC reports that if everyone in the U.S. received
recommended clinical preventive care there would
be 100,000 lives saved each year.iii Unfortunately,
Americans use routine care at half the suggested
rate.iv Besides saving lives, routine care improves
patients’ quality of life by detecting issues early.
And, since it is less expensive to prevent disease than
treat disease, routine care reduces healthcare costs.
A West survey found that more than one third
(35 percent) of patients say they could follow
treatment plans better if they received intra-visit
reminders from their care team. This number is
significant because 83 percent of patients currently
say they do not closely follow instructions from their
doctor. It is common for healthy individuals to overlook
the importance of preventive care. Often people don’t
think about their health unless they have specific
problems. That is why ongoing communication from
healthcare providers is so beneficial – it makes
prevention more of a priority. And when prevention
becomes a priority, health outcomes improve and
patients have better healthcare experiences.
There is solid evidence that reaching out to patients
between visits can prompt them to take specific
actions. Ochsner Health Systems proved what
technology-enabled communications can achieve in
the area of preventive healthcare. Ochsner is based
in Louisiana, where the number of adults aged
50-75 who are up to date with colorectal screening
programs is at the lower end of the national average,
which the Centers for Disease Control puts at 54 to
75 percent.
Ochsner implemented a program of automated
phone notifications to encourage a group of 3,137
patients with recent orders for a colonoscopy
or upper endoscopy to schedule a screening
appointment. The team at Ochsner knows that
patients are often reluctant to schedule these
appointments. To combat the procrastination that
frequently sets in, the notifications were designed to
enable patients to respond immediately by pressing
a button on their phone, which put them through to
the Ochsner team members who were available to
schedule an exam or answer any questions.
Within a month of the program’s launch, 578 of
the 3,137 patients contacted had scheduled their
test — a conversion rate of 18.4 percent.
The American Society for Gastrointestinal Endoscopy
notes that the average 60-year-old without special
risk factors for polyps has a 25 percent chance
of having a polyp. While these polyps may or may
not contain areas of cancer, the exam enables the
Ochsner team to address the situation as early
as possible. Since 578 patients responded to the
outreach campaign, Ochsner calculates that an
estimated 145 individuals – the 25 percent with a
potential polyp – benefited greatly from this early
detection and prevention campaign.
This highlights one of the many ways preventive
healthcare can be transformed with communications
technology. The same process can be used to
schedule immunizations for children, encourage well-
woman exams among female patients, and support
cholesterol tests for middle-aged men.
Taking Routine Care Beyond The Clinical Setting
Technology-Enabled Communications: The Key To Connected Healthcare14
What the Ochsner example shows is:
• Patient engagement can be bolstered in two ways: the use of seamless, convenient and pervasive technology that makes it easy for patients to respond, and messages that are personal.
• Patients respond well to technology-enabled engagement communications. Messages sent on a one-to-many basis are an effective way to drive participation in preventive care. Ochsner’s messages appeared to patients to be one-to-one messages, even though they were sent as mass communications.
• Because outreach can be automated, it can be done cost-effectively and efficiently. For example, eight people at Ochsner managed an outreach program that would ordinarily require a thirty-person call center, with all the attendant costs.
To understand some of the other ways healthcare
teams can use technology-enabled communications
to improve engagement and encourage routine
care, consider an example of a relatively healthy
middle-aged patient. At age 48, this patient has no
chronic health conditions and lives a fairly active
lifestyle. Because this patient has no ongoing health
issues, he does not visit his physician often. But
that doesn’t mean he has no care needs, or that his
healthcare team should not be involved in helping
him maintain his good health. Instead, this patient’s
healthcare team can send him an automatic
notification when he is due for a checkup – to make
sure he receives routine tests and screenings for
conditions like cholesterol and diabetes. His medical
team can send him a text in the fall to recommend
a flu vaccine. They can invite him to participate in a
web-based wellness program, or complete a health
Communication Encourages Routine Care
Americans use preventive services at half the recommended rate
could be saved if all patients in the U.S. received recommended preventive care
100,000 lives
of patients feel between-visit communications help them follow care plans, including participating in routine care35%
15
“There is an opportunity to activate patients and really create behavior change and accountability, and the by-product of that improved engagement is better adherence to treatment plans and healthier patients. Patient engagement and activation has become incredibly important because it extends the connection between the healthcare team and the patient, which translates into successful outcomes and mitigates excessive costs associated with caring for the patient.”
Allison Hart,
Vice President of Marketing for TeleVox Solutions,
West Corporation
16
risk assessment. From there he can be offered
behavior change coaching to help with lifestyle
changes, like quitting smoking, for example. Many
of these communications can be scheduled for
automatic delivery. The outreach messages can
also include an option to be connected to a medical
professional, schedule an appointment, or perform
some other follow-up activity. Regardless of the
types of outreach chosen, there are many different
ways to provide preventive services and care to this
patient between visits.
Preventive care is meant to keep patients healthy
(rather than simply be a response to existing
issues), thus it needs to be something that happens
regularly, not sporadically. It’s unlikely that a doctor
can prevent a patient with borderline high blood
pressure from developing more serious issues if
the only interaction with that patient occurs during
an annual physical. Much more communication
and coaching is necessary to help patients prevent
problems and maintain their best level of health. A
doctor may first discover at an annual exam that a
patient is nearing dangerous territory because they
have borderline high blood pressure. This discovery
can kick off a preventive care campaign to help
protect the patient from more serious health issues
like a heart attack or stroke. Initially, the doctor
may order the patient to begin monitoring their
blood pressure closely at home and then reporting
the results. As time goes on, if the results do not
show improvement the medical team can intervene
and become more involved in guiding the patient
to adopt dietary and lifestyle improvements. For
example, the patient could be assigned a wellness
coach that creates meal and exercise plans and
habits focused on lowering blood pressure. Ongoing
wellness coaching like this can help the patient
reduce their risk of becoming seriously ill. Ultimately,
healthcare teams that get involved in the lives of
patients and engage them with preventive care
beyond the clinical setting can help individuals
achieve the best outcomes. This is what makes
preventive care successful.
In other words, by sending personalized
communications that remind and motivate patients
to schedule preventive screenings and providing
coaching that helps patients adopt healthy
behaviors, providers can engage patients in
their own healthcare and push them to take the
steps that will allow them to get and stay healthy.
Additionally, activating patients can prevent the 80
percent of the population who are mostly well and
healthy from becoming the 20 percent of chronically
unwell who drive healthcare costs.
17Technology-Enabled Communications: The Key To Connected Healthcare
The burden of chronic disease weighs heavily on
America. The CDC states that chronic illness is
responsible for approximately 7 out of every 10
deaths in the U.S. It also accounts for more than 80
percent of health system costs in the United States.
About half of all adults in the U.S. have one or more
chronic health condition. One in four adults has two
or more chronic health conditions. Clearly, effective
chronic disease management and prevention is
important in today’s healthcare industry. That’s why
the CDC and other policymakers have been focused
on finding ways to control chronic disease. It is also
why patients across the country are using devices –
like blood pressure cuffs, glucometers, and pulse
oximeters – with sensors that send data back to
medical providers for evaluation.
By the year 2020, it is predicted that:
• Around 1.9 million patients will remotely monitor congestive heart failure
• More than 700,000 patients will remotely monitor diabetes
• Nearly 575,000 patients will remotely monitor hypertension
• Just under 400,000 patients will remotely monitor COPDv
Three areas of chronic disease – heart conditions
(mainly congestive heart failure), asthma (COPD),
and diabetes – are responsible for nearly 20% of
all the money spent treating chronic illness.vi These
three conditions also carry a lot of opportunity
when it comes to patient engagement and improved
outcomes. Diabetes is a good example of a chronic
condition that can be managed effectively through
engagement efforts. Patients with diabetes are
the perfect candidates for engagement programs
Managing Chronic Disease
Chronic Disease Management on the Rise
By the year 2020:
Around 1.9 million patients will remotely monitor congestive heart failure
More than 700,000 patients will remotely monitor diabetes
Nearly 575,000 patients will remotely monitor hypertension
Just under 400,000 patients will remotely monitor COPD
18
because the condition is impacted heavily by patient
behavior. In other words, if you can get patients to
adopt healthy habits, like eating balanced meals,
exercising regularly, and visiting their physician for
routine screenings, health outcomes can be greatly
improved. So what does an effective engagement
plan look like for a patient with diabetes? Here is
an example:
A 65-year-old patient with diabetes is assigned to a care management program. A care manager uses technology to create a series of automated communications to support the patient’s care plan. This includes simple text messages that are delivered when it is time for the patient to schedule foot and eye exams, and again when the patient needs to make an appointment for an A1c draw. It also includes automated calls to collect blood sugar readings, and a seasonal email with information on an upcoming flu shot clinic. The delivery timeline for these communications is customized to meet the needs of this patient, but the messages are delivered automatically so the care manager does not have to keep track of when to send each message. This helps ensure that important communications aren’t forgotten and that a consistent communication pattern keeps the patient engaged. The care manager relies on the technology to help her remind the patient and coach him through disease management on an ongoing basis. And if the patient begins to struggle or experience health issues, the care manager can adjust the communications and add, for example, a daily reminder to encourage the patient to participate in 30 minutes of physical activity. Or send a prompt to schedule an appointment with a dietician. Because of the capabilities of the technology, the communications are patient-centered, yet automated and efficient. There are also alerts that notify the care manager when an
intervention is needed, at which point that person would call the patient and have a discussion about next steps. Whatever the solution turns out to be, it’s important to recognize that the process of monitoring the patient’s health, communicating instructions, escalating and intervening is how the care manager helps the patient manage his diabetes. And this process is improved when technology supports these steps and is connected at every point.
Like diabetes, there are many other chronic
conditions that can be improved or at least
managed by making positive lifestyle changes.
Reducing stress, losing weight, exercising more,
quitting smoking and other behavioral changes
can directly affect health outcomes for those with
a chronic illness. Healthcare providers can use
technology as a tool to drive patients to make some
of these positive lifestyle changes.
A chronic disease management plan like the one
outlined above offers a higher quality of care
than if a care manager were to attempt all of
the actions without automated communications
and support services from a team of nurses and
trained healthcare coaches. There simply is not
enough time in the day to manually complete all
the tasks outlined above for every patient that has
diabetes. A combination of technology and live care
management services is really the key to making
this type of chronic disease management possible.
When thinking about how technology improves
care quality across chronic disease management,
another interesting point to consider is that 20
percent of medical errors today are caused by
diagnostic errors. Some of these are wrong
19Technology-Enabled Communications: The Key To Connected Healthcare
diagnoses, but many are often delayed diagnoses.
Nearly 2,000 deaths in the last five years in the
U.S. were found to be caused by medical errors. vii
Proper disease management that uses connected
technology to accelerate the diagnosis and treatment
of chronic illness-related issues can save lives. A
patient that has been known to have heart failure
can use a monitor at home with sensors to detect
changes in heart rate, respiration and other vitals.
The connected medical device can send biometric
data to the patient’s medical team. And, it can also
send emergency alerts if the patient’s readings
indicate something is not right. These alerts can
help doctors recognize a potential problem before a
medical emergency occurs. This kind of monitoring
and escalation is an improvement over the old way
of doing things, where the only way a provider knew
that a patient was having problems was if that patient
ended up in the emergency room.
Most patients are not able to manage a chronic health
condition entirely on their own. They need support and
a team of professionals behind them to coach them
and cheer them on. This is an area where technology,
together with guidance from trained professionals,
can benefit patients on a daily basis, continuously over
a long period of time.
Technology-Enabled Communications: The Key To Connected Healthcare20
Diabetes Management Engagement Cycle
Care Manager
Patient receives messages and
responds by taking actions (ACTIVATED)
Patient’s medical device sends data to the system
Care manager creates a series of communications
Care manager responds to alerts and makes phone call to patient
1
System sends communications automatically
to patient
2 3
4Care manager
gets notifications from the system
56Patient
System
21
Besides routine care and chronic disease
management, transition care management is one
of the most pressing challenges facing healthcare
organizations today. While there are several different
points of transition across the care continuum, the
hospital post-discharge transition has been a main
focus for healthcare providers in recent years. This
is partly because of financial penalties and rewards
that have been tied to hospital readmissions. The
Hospital Readmissions Reduction Program, which
was created by the Affordable Care Act, penalizes
hospitals for having too many readmissions within a
30-day time frame. This program, and the financial
penalties tied to it, have helped reduce the number
of readmissions in the U.S. However, around 20
percent of Medicare patients discharged from the
hospital are readmitted within a month.viii So there is
still work to be done. Hospitals (and other providers)
need to pay even more attention to what is going
on with patients after they have been discharged
from the hospital. Initially, hospitals themselves were
the ones bearing the weight of readmissions – and
they appeared to be the ones tasked with reducing
avoidable readmissions. However, that is changing
by the day. While hospitals in particular have had
to learn that many aspects of a patient’s care plan
happen outside of the hospital, other providers
are recognizing that the responsibility of caring
for patients after a hospital stay is shared. Now,
all healthcare providers need to be aware of their
impact on readmissions and patient outcomes. And
providers, collectively, need to engage and activate
patients during that important 30-day window
of time after they have been released from the
hospital. This, of course, is easier said than done.
But the job is more manageable when healthcare
organizations use connected technology to optimize
care transitions and reduce readmissions.
To understand some of the ways technology-
enabled communications help provide deliberate
and meaningful touch points during the post-
hospital transition period, consider a common
patient discharge scenario.
A 58-year-old patient has recently been discharged from the hospital after having a heart attack. The patient is returning home, working to heal both physically and emotionally from the trauma caused by the heart attack. He has been given medications and instructions for lifestyle changes as part of his care plan. The goal, of course, is to get the patient on the road to a full recovery, and avoid complications that would cause additional sickness, suffering, and a hospital readmission.
In most cases, a patient will require some amount
of follow-up care after being discharged from the
hospital. This patient is no exception. So what does
that follow-up care look like? Who is responsible for
administering it? How can it be offered to the patient
in the most useful way? And most importantly, how
can the patient’s healthcare team ensure he does
not become one of the approximately 18 percent of
Improving Care Transitions
Around 20% of Medicare patients discharged from the hospital are readmitted within a month.
Technology-Enabled Communications: The Key To Connected Healthcare22
patients in the U.S. that are readmitted to the hospital
within 30 days of being discharged after suffering
from a heart attack?ix
Imagine the patient in the example above was given three new prescriptions for medications to take. He may have questions about when and how to take the medications or whether they can be taken in combination with a previous prescription. The hospital can use technology-enabled communications to coordinate with the patient’s primary care doctor and pharmacy to ensure the patient has all the information they need to safely and correctly follow medication instructions. The hospital can also survey the patient to find out if he is having difficulty with medication or other discharge instructions, and learn what services or interventions might be beneficial. And a care manager can provide phone support to answer questions.
Technology-enabled communications are also
important to ensure that follow-up appointments,
which are critical to recovery, are scheduled with
a primary care physician or specialist. Leveraging
outreach technology to coordinate follow-up care
for the patient not only takes stress off of the
patient, but it also guarantees that he will receive
the necessary follow-up to help him stay on the
path to recovery.
If stress, diet, or other lifestyle factors were
suspected to have contributed to the patient’s heart
attack and hospitalization, then it will be important
for the patient to receive some wellness coaching.
This could be technology-enabled outreach
that contains healthy habit tips, reminders, and
encouragement that will keep the patient informed
and engaged as he works to recover and improve
his health. It also might involve calls from a nursing
support team trained in helping patients recover
after a heart attack.
It is important to note that because patients may
be in a poor state of health when recovering
from a hospitalization, any and all engagement
communications need to be easy for patients to
understand and digest. They should come in the
form that patients want and be delivered at a time
that makes sense. Also, communications should
include a convenient way for patients to respond or
get in touch with a care coordinator or other medical
professional. Keeping these factors in mind when
developing the communication strategy will improve
its effectiveness in engaging and activating patients.
23
Healthcare can’t be delivered only during face-to-face interactions.
Luckily for patients and providers, there is technology available that
can efficiently deliver communications, monitor patients at home,
receive and interpret updates about the health of patients, and initiate
appropriate responses. The technology that exists today gives providers
opportunities and tools to extend healthcare’s reach beyond the clinical
setting, but using technology to simply monitor patients is not enough.
The key to achieving the best results is not only incorporating different
devices and technology into patient care, but also ensuring these
devices are complemented by technology-enabled communications to
engage and activate patients and aid clinical staff in providing needed
interventions and feedback. Getting this formula right and making
healthcare more connected increases care quality, improves patient
health, and reduces the overall cost of care.
Conclusion
24
About West’s TeleVox Solutions
West offers TeleVox Solutions to help healthcare
providers and other organizations activate positive
patient and member behaviors through the delivery
of personalized technology-enabled engagement
communications. We specialize in leveraging
automated voice, email and text communications to
connect with healthcare consumers in meaningful
and relevant ways – all for the purpose of increasing
engagement, improving care quality and driving
revenue by optimizing the patient experience.
About The West Engagement Center
West’s Engagement Center solutions help
healthcare organizations effectively activate and
engage patients and members, beyond the clinical
setting, as they traverse the healthcare system.
By providing innovative technology and creating
strategic communications at key points across
the care continuum, West’s Engagement Center
enables healthcare providers to reduce costs,
maximize revenue, improve quality and optimize
the patient experience.
West is a leading provider of technology-driven,
communication services, serving Fortune 1000
companies and clients in a variety of industries,
including: healthcare, telecommunications, retail,
financial services, public safety, and technology.
The West Engagement Center – Solutions for
Consumer-Centered Healthcare Engagement.
Learn more about how West is changing healthcare:
west.com/healthcare
televox.com
i mHealth and Home Monitoring. Berg Insight’s M2M Research Series. 2015.
ii Centers for Medicare and Medicaid Services. Accessed May 2016. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-03-03-2.html
iii Centers for Disease Control and Prevention. CDC Prevention Checklist. 2015. Accessed June 2016. http://www.cdc.gov/prevention/
iv Centers for Disease Control and Prevention. Preventive Healthcare. Accessed June 2016. http://www.cdc.gov/healthcommunication/toolstemplates/entertainmented/tips/preventivehealth.html
v Pai, Aditi “IHS: About 4M patients will use remote patient monitoring technologies by 2020” MobiHealthNews. August 2015.
vi Internet of Things Vol. 5, “The Digital Revolution Comes To US Healthcare” Goldman Sachs. June 2015.
vii Malpractice Risks in Communication Failures, 2015 Annual Benchmarking Report. Crico.
viii Kaiser Health News. Half Of Nation’s Hospitals Fail Again To Escape Medicare’s Readmission Penalties. August 2015.
ix Partners Healthcare, 30-Day Unplanned Readmission Rates for Heart Attack, Pneumonia, Heart Failure. Accessed June 2016. http://qualityandsafety.partners.org/Cost-Effective-Care/Readmission-Rates-For-Heart-Conditions-And-Pneumonia.aspx#sthash.in9KdE3T.dpuf
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Technology-Enabled Communications: The Key To Connected Healthcare26