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Short-Term Impact:
In less than a year, preliminary re-
sults indicate the Care Innovations™
Guide platform is an effective and
valuable element of the Humana
Cares CHF care management
program:
80% adherence rate by
members who opted to have
daily biometric monitoring
94% of members said the
Guide was easy to use, 90%
said they felt more connected
to their nurse, and 93% would
recommend it to their friends
Positive anecdotal feedback
from members that the Guide
has helped them develop positive
lifelong habits and better manage
their chronic conditions
Enabled Humana to reach CHF
patients in remote areas that may
have otherwise gone unmonitored
for long periods of time
Solution:
Humana Cares developed
an extensive support
program for CHF patients
in 33 states, which included
daily biometric monitoring
and education with the
Intel-GE Care Innovations™
Guide platform. The
program was designed
to affect behavior change
and create lifelong habits
among CHF patients who
have had recent hospital-
izations or ER visits.
Need:
Humana, like most health
insurance companies,
searched for the best
way to reduce hospital
readmission rates and
the associated costs for
congestive heart failure
(CHF) patients. Humana
needed to increase member
self-management of CHF
in order to improve health,
reduce catastrophic events,
and lower costs.
Profile:
Humana Cares*, a
national division of
Humana*, provides
support and customized
coaching for more than
160,000 older adults with
chronic illnesses, their
families, and caregivers
across the country.
Creating Change through Remote Patient Care Management Addressing Cost-Quality-Access with Innovative Telehealth Technology
The Future:
Humana Cares plans to
evaluate the success of
the program by measuring
ROI, admission and read-
mission rates for members
with CHF, as well as ER visits
for members with CHF.
Lowering Health Care Costs through Technology-Enabled Disease Management and Behavior Change
Humana recognized the potential to dramatically improve the health
status of members with congestive heart failure (CHF). Based on lessons
learned from other programs, Humana focused on facilitating long-term
behavior change through more personalized care. If the company could
achieve this, Humana knew their members would experience fewer
readmissions and lower complication rates, ultimately improving quality
of life and reducing overall health care costs.
Humana Cares developed an extensive support program for 2,000 CHF
patients. In addition to benefiting from a comprehensive disease
management program and social services support that addressed an
array of challenges, CHF patients participated in daily biometric monitor-
ing and education with the Guide. Daily weight and blood pressure
measurements were automatically sent to a Humana Cares nurse who
could easily assess the health status of all patients through the Intel-GE
Care Innovations™ Guide - Virtual Care Suite and identify any abnormalities,
such as a patient gaining three pounds in one
day. The nurse could then contact the patient,
set up a videoconference using the Guide, and
discuss why the change may have occurred.
Did the patient run out of medication, or fail to
recognize the sodium content was high in his
last meal? Moments like these encourage what
Humana Cares calls “just in time” learning
opportunities, which are extremely effective in producing long-term
behavioral change. Because Humana Cares nurses intervene at the first
sign of trouble, patients gain a personal understanding of which habits
exacerbate CHF symptoms and how they can overcome these obstacles.
The Guide is customized to meet the individual needs of the patients and
their treatment plans. Humana Cares coordinates and shares data with
each patient’s physician, allowing clinicians to view measurement reports.
This is a vital link in the information chain that has the potential to lead to
better long-term health and lower long-term health care costs.
“ Through the use of the technology, we get to do a lot more, a lot quicker, and it’s exciting because it represents, in real time, an opportunity to reach into the home.”
— Michael McCallister CEO Humana
Members typically participate in the program for six to nine months, at
which point they meet criteria for better managing their condition and
living a healthier lifestyle. Once Humana sees evidence that patients have
learned how to manage their conditions, patients “graduate” from the
program and Humana personalizes the Guide for another CHF patient.
Recognizing the Potential to Reach More Patients
During the six month deployment period,
1,000 Guide units were deployed in 33 states.
Now, CHF patients, even those living in remote
areas, can receive personalized care and support
in their homes, making it easier for these patients
to comply with their treatment plan and manage
their chronic condition.
The overall goal of the program is to increase
patient self-management to improve health,
reduce hospitalizations and ER visits, and lower
health care costs. While it’s too early to quanti-
tatively measure these results, Humana Cares is
optimistic about the program’s effectiveness. High patient adherence
and satisfaction rates indicate patients like the Guide and find it easy to
use. Equally important, Humana Cares nurses report that the valuable, real-time information provided by the Guide enhances the effectiveness
of their patient interactions.
Humana will fully evaluate the success of the program including
ROI, admission and readmission rates for CHF patients, as well as ER
visits for CHF patients. In addition, they will
measure post-participation weight monitoring,
member adherence, member satisfaction, device
and peripheral replacement rates, and staff satis-
faction, as well as overall program design. If the
program proves to be successful, the company may
launch similar programs for patients with other chronic conditions.
“ It’s like having a nurse live with you.” — Guide User
“The tools that the Guide can provide people are really incredible. We’ve seen dramatic changes in our CHF patients. They’re learning life long behavior changes through the ‘just in time’ educa-tion the Guide allows us to do. Helping people self-manage their CHF with the support of our nurses is impacting this patient population tremendously.”
— Jean Bisio President Humana Cares
The Guide platform is designed to help address the many challenges that accompany chronic conditions. It is a comprehensive, remote health monitoring and management solution to help health care organizations and insurance providers more efficiently extend their services into homes, while engaging patients to create lasting lifestyle changes.
For more information, please visit www.careinnovations.com/guide.
The Care Innovations™ Guide requires an Internet connection to enable communications with the patient’s care team and back-end data hosting. The Guide is intended for use by patients who are able to operate the Guide in accordance with its instructions for use and are under the guidance of a healthcare professional. The Guide is not intended for emergency medical communications or real-time patient monitoring. Available for over the counter use.
Copyright © 2012 Intel-GE Care Innovations LLC. All rights reserved. Care Innovations, the Care Innovations logo, and the Caring Icon logo are trademarks of Intel-GE Care Innovations LLC. Intel and the Intel corporate logo are trademarks of Intel Corporation in the United States and/or other countries, used under license. GE and the GE Monogram are trademarks of General Electric Company in the United States and/or other countries, used under license.
*All other third-party trademarks are the properties of their respective owners.
0713/SV/DHF-5951 CI2103-002US