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Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes, Architecture, and Technology

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Page 1: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Seth Bokser, MD

May 19, 2015

UCSF Mission Bay Attitudes, Architecture, and Technology

Page 2: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Patient & Family Advisory Council

2

E-patients = enabled, empowered & engaged

Page 3: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Attitudes

3

Page 4: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 4

81

89.8

87.1 87.4

81.2

90.6

87.1 88.3

82.1

90.9

88.2

90

82.3

92.3

87.5

90.1

74

76

78

80

82

84

86

88

90

92

94

Adult Inpatient (Top Box) Pediatric Inpatient (Mean) Emergency Department (Mean) Oupatient (Top Box)

Provider Communication - Scores

FY2012 FY2013 FY2014 FY2015 (to date)

Data as of February 19, 2015

Page 5: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 5

UCSF Mission Bay Architecture = Interaction

Page 6: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Architecture: Outdoor Rehab

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Page 7: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 7

Feb 1, 2015 Moving Day

Page 8: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 8

Lobby

Page 9: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Interactive Donor Wall

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Page 10: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 10

Welcome to “Your Room”

Page 11: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 11

Personalization: Age and Language

Page 12: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 12

http://dx.doi.org/10.1136/amiajnl-2013-002141 742-750 First published online: 1 July 2014

Page 13: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 13

Personalization: Your Support System

Page 14: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Empowerment: Knowing Your Treatment Team

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Page 15: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 15

Educational Videos

Page 16: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 16

Educational Videos

Page 17: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Screencasting

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Page 18: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Page 19: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Page 20: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Page 21: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

School and Child Life

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Page 22: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 22

Bedside Telehealth and Skype

Page 23: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 23

Entertainment and Gaming

Page 24: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 24

“Informed” Patient versus “Overwhelmed” Patient

• UCSF MyChart

• Link from Home • Calm.com • TURN COMPLETELY OFF

Page 25: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

3/9/2015 3/23/2015 4/6/2015

Agree 60.00% 60.00% 66.67%

Neutral 12.00% 13.33% 12.82%

Disagree 28.00% 26.66% 20.52%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

Agree Neutral Disagree

Early Experience ( 2 months, n = 39) “Improved Hospital Experience”

Page 26: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

3/9/2015 3/23/2015 4/6/2015

Agree 56.00% 53.34% 58.97%

Neutral 8.00% 6.67% 10.26%

Disagree 36.00% 40.00% 30.76%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

Agree Neutral Disagree

Early Experience ( 2 months, n = 39) “Helped you feel more informed”

Page 27: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF

Optimization / Change Management

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• TECHNOLOGY (UI): the system is excellent...however, the user experience while

watching television could be improved by adding a button that takes you to the tv

guide without having to go back out to the home screen. -4/2/2015 7:10 PM

• PROCESS: I was not shown how to use it , other than to place his birthday in.

most staff could not tell me what function it had or how to access them. I think it is

a wonderful idea to have the pad, but place a tutorial on ucsf chanel - 4/2/2015

1:53 AM

• PEOPLE: UCSF is one of the BEST hospital I have been to. I LOVE it here. The

people here take VERY GREAT care of their patients they are the BEST!! -

2/18/2015 12:20 AM

Page 28: UCSF Mission Bay Attitudes, Architecture, and Technologynorcal.himsschapter.org/.../norcal/Patient_Engagement_2015_SBoks… · Seth Bokser, MD May 19, 2015 UCSF Mission Bay Attitudes,

Center for Digital Health Innovation at UCSF 28

Thank you