PHYSICIANS’ ALLIANCE FOR QUALITY

Implementing Bluetooth Device for Blood Pressure

ImprovementJanice Finder, RN, MSNDirector, Population Health & Performance ImprovementHouston Methodist Physicians’ Alliance for QualityHMPAQ Board of DirectorsApril 8, 2015

• Dr. Julia Andrieni• Janice Finder, RN, Director• Laura Moore, RN, Manager• April Moretto, RN, Care Manager• Dawn Dees, RN, Care Manager• Jennifer Putz, Intern

Team Acknowledgement

Proven Consumers Within a Personalized Health & Care Experience

Consumer/Experience

Proven Consumers Within a Personalized Health & Care Experience

Health Care

• Utilizing the Bluetooth blood pressure device will decrease blood pressure in 30% of the participants from high risk range 160/100 to below or equal to 140/90, which is rising risk, within 8 months.

• Results: 100% of participants decreased blood pressure from high risk range to rising risk range, or better.

Aim Statement

• Reduce health care costs• Diabetes and hypertension on the rise• Ability to track from home = better

monitoring• White coat syndrome• Engages participants• Validates health conditions visually• Increases awareness of health related

behaviors

Why Use a Bluetooth Medical Device? – Context of the Problem

MANAGING POPULATIONS

HighRisk

Population(56)

Rising RiskPopulation

(190)

High Risk•Systolic BP >160 (Uncontrolled

Hypertension Stage II)•Diastolic BP >100 (Uncontrolled

Hypertension Stage II)

Rising Risk•Systolic BP: 140-160•Diastolic BP: 90-100

Employee population segmented by risk

• Blood Pressure Monitor– Entra Health Systems- $$– iHealth wrist monitor- $$$

• Blood Glucose Monitor– Entra Health Systems-$$– Telcare- $$$$– iHealth- $$$

Zooming Into Your Population

• Provides integrated health care technology between patients, clinicians, and caregivers.

• MyGlucoHealth– Bluetooth enabled blood glucose meter

• MyHealthPoint– free Mobile App that is designed to be used

with a personalized online portal

• Reliable, affordable, all elements, customer service

Entra Health Systems

Patient Engagement 2016

Blood Pressure Operations Process Map – Milestone 1

Clinical Compliance Process Map – Milestone 2

Operation Implementation – Problem Areas

Building an Effective Team

Population Health Team

Doctors

ParticipantsCare Navigators

Bluetooth TeamClear Goals

CONTROLLED BLOOD PRESSURE

75%(n=6)

IMPROVEMENT IN BLOOD PRESSURE

BUT STILL UNCONTROLLED

25%(n=2)

6 High Risk Hypertensive Participants becameLow Risk

2 High Risk Hypertensive Participants

became Rising Risk

High Risk Hypertensive Participants (n=8)(Definition: SPB>160 and/or DBP >100)

PHASE I RESULTSJuly 14, 2014 – Nov 28,

2014

75% of the High Risk Hypertensive Participants with Bluetooth Capable Blood Pressure Monitoring Devices Normalized Their Blood Pressure With Interventions

5

Participants That Lowered Blood Pressure Risk Level

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Bluetooth Users

Non Blue-tooth Users

100%

71%

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Congratulations, ALL Improved!

• Increase usage /increase sample size - 40• Reward with incentive to keep the device• Include IT in the pairing to assure

successful internet• Monitor Phase I for sustained improvement

Maintaining Improvement

Questions?