Exploring the use of personal health records in diabetes management a pilot study
This presentation is the property of its rightful owner.
Sponsored Links
1 / 22

Exploring the Use of Personal Health Records in Diabetes Management A Pilot Study PowerPoint PPT Presentation


  • 47 Views
  • Uploaded on
  • Presentation posted in: General

Exploring the Use of Personal Health Records in Diabetes Management A Pilot Study. Linda Wells Freiberger , FNP-C, MSN. Acknowledgments.

Download Presentation

Exploring the Use of Personal Health Records in Diabetes Management A Pilot Study

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Exploring the use of personal health records in diabetes management a pilot study

Exploring the Use of Personal Health RecordsinDiabetes ManagementA Pilot Study

Linda Wells Freiberger, FNP-C, MSN


Acknowledgments

Acknowledgments

The project described was supported by 1 U56 AE000012-01 from the Department of Health and Human Services. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Department of Health and Human Services.


Contextual background jubilee community health

Contextual BackgroundJUBILEE COMMUNITY HEALTH

  • A nonprofit(501c3) health clinic established in 1999 in Paoli, Indiana

  • Mission: To provide low fee-for-service primary care to uninsured populations

  • Partially supported through IU Health-Paoli and local community grants

  • Self-pay population for health care


Diabetes costs

Diabetes Costs

  • Estimated costs associated with diabetes as of 2007(NIH, 2011)


Diabetes

Diabetes

  • Diabetes is a serious, costly and preventable chronic disease in the US.

    • As of 2010, 25.8 million(8.3%) have been affected in the US (NIH, 2011).

    • In 2011, 10.1% of Indiana adults reported having some form of diabetes(ISDH, 2012).

    • Racial/Ethnic and socioeconomically disadvantaged groups experience the steepest increases and the most substantial effects from diabetes (Beckles et al, 2011)


Study goal and objectives

Study Goal and Objectives

  • Goal

    • To explore the use of a PHR by rural, uninsured patients with diabetes

  • Objectives

    • Texting and PHR use to improve glucose outcomes

    • Shared care between clinician and patient using PHR

  • Methodology

    • Use of a convenience sample (N=28)

    • Pre/Post Variables Examined

      • A1c

      • Glucose levels


Results

Results

  • Early findings –

    • most were attempting use within 1 month

    • After 6 months 35.7% were actively engaging in PHR use and recording glucose readings


Final findings

FINAL FINDINGS


Patient portal

Patient Portal


Phr member summary

PHR Member Summary


Data sharing

Data Sharing


Phr glucose log

PHR Glucose Log


Immediate feedback

Immediate Feedback

Normal Glucose Message

High Glucose Message


Benefits of engagement

Benefits of Engagement

  • H. H.

    • “Oh, I will just go to the library and enter my sugar readings.”

    • Home PC failed during the study

    • Unable to afford A1c levels

    • Continued testing and entering glucose levels in PHR

    • Improved glucose: 370 110-120 mg/dl


Benefits of engagement1

Benefits of Engagement

“I stopped eating bags of candy at one time.” K. P.


K c the super engaged patient

K.C. The Super Engaged Patient


Ed visits admissions

ED VISITS & ADMISSIONS

6 Months Prior

6 Months Post

7 ED visits

Trauma x 2

Chest pain x 2, MI x 1

Abdominal mass

Extended psych med/suicidal ideation

4 Admissions

  • 1 ED visit

  • 1 Admission


Burden of poor engagement and inadequate self care management

Burden of Poor Engagement and Inadequate Self-care Management

  • S. B. Suffered Acute MI with stent placement in September 2012

    • Estimated cost stent $12,978

    • Estimated hospitalization cost $5,151

    • Estimated ED visit charges $334

      • *Estimated Direct Variable Costs = $18,463


Cost exercise

COST EXERCISE

$20,000

Estimated cost 1 patient MI with stent

$1,840,000

Estimated cost of treatment 1 uninsured patient per county in Indiana


Burden of poor engagement and poor self care management

Burden of Poor Engagement and Poor Self Care Management

  • E. C. Suffered amputation of a toe

    • Estimated total cost $11,271

      • Physician $876.00

      • Hospital 9880.00 (~1800.00 per day)

      • Anesthesia 515.00 (1 hour, 15 minutes) (http://www.healthcarebluebook.com)


Outcomes

Outcomes

  • Enhanced patient – clinician engagement

  • Potential to improve clinical outcomes of patients with diabetes

  • Uninsured populations can use Health Information Technology (HIT) tools to improveself-care management of chronic disease

  • Potential to reduce health care costs


Exploring the use of personal health records in diabetes management a pilot study

  • THANK YOU!!

  • [email protected]

  • [email protected]


  • Login