Knowledge Is Power www.HealthyTutor.com or Toll Free at 1‐Tutor‐For‐Wellness Copyright 2009 New Millennia Health LLC Use it to empower your patients and improve outcomes TM and TM are the first patient self-management learning solutions that promote positive behavioral changes and track outcomes automatically over the internet. Our proprietary instructional design quickly identifies knowledge deficits then deeply educates, measures, reports and documents performance metrics to the patient, manager, and records system automatically over the internet. Patient Benefits: • Easily learn important self-management concepts anywhere • Introduces information therapy as a self care lifestyle continuum • Engaging interactive multi-media content that encourages use • Easy to access and simple to use, written at the 6 th grade level • Positive and effective learning environment with valuable feedback Provider and Health Manager Benefits: • Identifies learning and compliance issues with self-management • Immediate, structured feedback for both health manager and patient • Referral-directed process improves compliance and maximizes ROI • Improves patient access inside and outside of the care environment • Helps control unnecessary admissions and medication usage • Pushes automated, outcomes based reporting to the EMR/EHR/PHR • Supports Meaningful Use, Pay4Performance and NCQA Medical Home • 5 layers of content provided in every session for best comprehension
HealthyTutor: advanced learning therapy that increases access, care quality and lowers the cost of wellness, prevention, disease and injury management education initiatives while conveniently reaching patients, employees and insured beneficiaries anywhere and at anytime on the world wide web!
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Transcript
Knowledge Is Power
www.HealthyTutor.com or Toll Free at 1‐Tutor‐For‐Wellness Copyright 2009 New Millennia Health LLC
Use it to empower your patients and improve outcomes
TM and TM are the first patient self-management learning solutions that promote positive behavioral changes and track outcomes automatically over the internet.
Our proprietary instructional design quickly identifies knowledge deficits then deeply educates, measures, reports and documents performance metrics to the patient, manager, and records system automatically over the internet.
Patient Benefits: • Easily learn important self-management concepts anywhere • Introduces information therapy as a self care lifestyle continuum • Engaging interactive multi-media content that encourages use • Easy to access and simple to use, written at the 6th grade level • Positive and effective learning environment with valuable feedback
Provider and Health Manager Benefits: • Identifies learning and compliance issues with self-management • Immediate, structured feedback for both health manager and patient • Referral-directed process improves compliance and maximizes ROI • Improves patient access inside and outside of the care environment • Helps control unnecessary admissions and medication usage • Pushes automated, outcomes based reporting to the EMR/EHR/PHR • Supports Meaningful Use, Pay4Performance and NCQA Medical Home • 5 layers of content provided in every session for best comprehension
[email protected] & TOLL FREE 1-TUTOR-FOR-WELLNESS (1-888-673-6793) Copyright 2009 New Millennia Health LLC
Frequently Asked Questions What is the HealthyTutor learning solution?
The HealthyTutor learning solution is an advanced, data rich multimedia education solution customized to target population wellness and chronic disease treatment regimens. The easy to use internet-based design systematically enhances patient and employee understanding of key health concepts related to compliance and self-management. HealthyTutor is available anytime anywhere over the public internet.
Can a patient or employee use HealthyTutor from home?
• Yes. The HealthyTutor learning solution is fully accessible over the public internet. Any PC based device with broadband capability can host the innovative educational programming.
• A printer is required to generate informative hardcopies of session content and the performance summary for the provider.
• Once on the www.HealthyTutor.com site, easy instructions ensure the user is registered quickly. What advantages will the HealthyTutor learning solution give the provider?
• Easily measures and documents patient understanding and knowledge retention of specific disease management topics. HealthyTutor is referral-directed to promote a high compliance of usage.
• Promotes improved patient self-management activities and behavioral change.
• Supports care plan involvement and improved outcomes through a patented outcomes-based and feedback-based performance algorithm.
• Enhances Pay 4 Performance initiatives and supports outcomes-based evidence requirements for Meaningful Use, NCQA Patient Centered Medical Home, PQRI Pay4Performance, JCAHO and other oversight agencies.
• Supports appropriate E&M office visit coding and reimbursement for treatment related patient counseling resulting from a practitioner and patient review.
What is required to implement the HealthyTutor learning solution in a clinic? The New Millennia Health team ensures a seamless integration of the solution in order to foster fulfillment of the benefits of the HealthyTutor learning solution for both member and provider.
• Minimal clinic space is required. A provider-supplied PC or touchscreen kiosk may be used to host the HealthyTutor solution. Either may be mounted to existing office furniture, or mobile carts that can be moved throughout exam rooms.
• Local broadband access (cable or DSL) is required. Wireless access is not required. Our nationwide team of installation professionals can provide wireless or wired access to existing broadband.
• Minimal staff support is needed and no clinical experience is necessary. Just seconds is required to create a referral order for single learning event session or a learning series.
• A practitioner review of the printed knowledge assessment results with the patient is necessary if the provider chooses to bill for the HealthyTutor learning session (ask for details).
[email protected] & TOLL FREE 1-TUTOR-FOR-WELLNESS (1-888-673-6793) Copyright 2009 New Millennia Health LLC
How is the effectiveness of the HealthyTutor learning solution assessed?
• Our patent-pending performance analysis application measures and documents latent user knowledge, learned knowledge and retained knowledge.
• All content is custom designed to efficiently target the user’s specific disease and encourage understanding, healthy behavior change and long-term compliance.
• Rich database reporting provides automated and easily accessed detail on each user.
• Both patient and provider review the patient’s performance and discuss and their understanding of the disease and treatment plan in order to improve compliance.
How does the HealthyTutor learning solution technology work? HealthyTutor utilizes advanced web-based server technologies and proprietary hardware and software to provide clinician-designed, timed video education sessions and assessments through the HealthyTutor high-tech touchscreen computer interface.
1) Using any PC on the office network or at home the provider or member logs on and registers at www.HEALTHYTUTOR.com, our easy to use web portal. Registration is free.
2) The desired HealthyTutor session is selected by the provider and logged for use over the web portal. Clinic-based kiosks and PCs, host sessions similarly.
3) The member logs on to the HealthyTutor website from home or if in the clinic, follows the easy to use and self-explanatory on-screen guide.
4) At the end of the session, a single page performance summary of the HealthyTutor session is provided for printing. A copy is stored on the site for the provider to view and print. The printout includes learning assessment detail and usage information detail for the member record.
5) The provider reviews and discusses important parameters of topic learning with the patient during the next office visit. Performance on knowledge assessments, rationales of incorrectly answered items, overall progress of knowledge and compliance to the treatment regimen. The hardcopy paper record may be archived in the patient chart for outcomes and billing support evidence.
New Millennia Health can customize the integration of these results to a host electronic medical record, ask for more details.
Who can use the HealthyTutor learning solution?
• Any employee, employer representative, clinician, staff member, or practice under the provider agreement with New Millennia Health can use our solutions with their patients and members in the facility where it is installed.
• Users may self-refer on a fee-per-use basis at the HealthyTutor.com website. An out-of-pocket payment by credit card is required, and the results may be forwarded to their provider of choice.
Are patient handouts of the disease management topic available? Yes, high quality printable patient outlines that follow our multi-media video learning content are available for printing by the member or provider on local or network printers. High quality pre-printed material is also available to providers and corporate wellness programs for group distribution. Please contact your New Millennia Health representative for more details about this valuable resource. What other patient learning session titles are available? More than 700 total titles are available and more added quarterly that cover a wide range of disease, prevention and surgical procedure topics. For a list of titles by disease process or specialty, please ask your New Millennia Health Representative.
WHY USE HEALTHY TUTOR?
(instead of other health and wellness education formats)
WWW.HEALTHYTUTOR.COM & TOLL FREE 1-TUTOR-FOR-WELLNESS (1-888-673-6793) Copyright 2009 New Millennia Health LLC
"As a breed of animals, we don’t work when it’s just the stick or the carrot…We need a complex system of encouragement, more than just, 'It'll cost you more or less.'" Emma Gilding, In:Site
1. Peer pressure‐oriented incentive technology products such as Biosigna:
“Unlike an 8‐year‐old, an adult is aware that peer pressure is being used.” “He may not view these peers as friends, and therefore they won’t have the ability to influence him.” David Laibson, the Robert I. Goldman Professor of Economics at Harvard University, on behavior economics and benefit design.
2. Financial Incentives for healthy behavior modification:
Health experts believe that companies may rely too heavily on financial incentives to get people to enroll in programs, while doing little (else) to keep them involved long enough to change their behavior.
"We're seeing people get involved in disease‐management programs, but they drop out very soon," "If you have a lot of dropouts, you won't see any return on investment." Stephanie Pronk, vice president of health‐management solutions at Ingenix Inc., an Eden Prairie, Minn.‐based health‐analytics company and a subsidiary of UnitedHealth Group Inc.
A (November 2008) Hewitt Associates survey of 248 employers showed that although more than half offered smoking‐cessation and weight‐loss programs, fewer than 5% of employees who were eligible to enroll actually participated. [http://www.crainsbenefits.com/features/trying‐to‐hit‐a‐moving‐target.php]
The HealthyTutor response: Interactive Learning
Although the use of incentives and peer pressure is quite common, researchers say not enough information exists outside the lab to confirm definitively whether peer pressure or incentives work. “(Companies) are not sure what works better and under what conditions.” Dan Ariely, behavioral economist, Duke University.
With or without employee incentives, the engaging “trivia” style interactive tutorials of HealthyTutor maximize effectiveness and the employee‐employer relationship. Detailed user histories and documented outcomes‐based data are automatically generated for the healthcare or risk manager with every session.
"For us, there's not an unlimited pool of dollars to put into incentives." "So clearly, understanding consumer preference is important going forward, though we don’t yet have any evidence to see whether it’s working." Jeff Viviano, senior manager for HR operations and technology, Welch Allyn.
HealthyTutor’s proprietary 2‐stage comparative assessment algorithm technology provides the health manager with detailed online summaries of learning performance. No other internet based education platform offers this level of validation and outcomes‐based data!
"It's not that [incentives] don’t work, it's just that behavior change is really hard," LuAnn Heinen, vice president at the National Business Group on Health in Washington.
HealthyTutor provides 5 repetitions of topic specific multi‐media content with every session, more than any other health education product or service in the industry. Risk managers can easily identify and track potential issues with self‐management, compliance, absenteeism and presenteeism.
From: People Proof Your Benefits, Workforce Management Online, May 2009, www.workforce.com/archive/feature/26/41/95/index.php
Management of Disease and Injury
Orthopedic Pak
Lifestyle
• How to Prevent Back Pain • Managing Stress • Muscles • Preventing Traumatic Brain Injury
Conditions, Diagnoses
• Arthritis ‐ General • Back Pain ‐ Introduction to Pain Management • Deep Vein Thrombosis • Expressing Your Pain • Fractures and Sprains and Treatment Options • Fractures and Treatment Options • Osteoarthritis • Rotator Cuff Injuries • Tennis Elbow and Surgical Treatment • Spinal Cord Injury • Vertebral Compression Fracture
Diagnostics
• CAT Scan Guided Biopsy of a Spinal Lesion • Cerebral Angiogram • CT Scan • Expressing Your Pain • Lab Draws • MRI (Magnetic Resonance Imaging) • Myelogram • Ultrasound • X‐Ray
Medication
• Arixtra • Coumadin ‐ Introduction for New Users • Coumadin ‐ Review for Current Users • Injections (see Treatment) • Lovenox • Medication Safety
Treatment
• ACF (Anterior Cervical Fusion) ‐Hip Bone • ACF ‐ Banked Bone • ACF ‐ Banked Bone ‐ Plating • ACF ‐ General
Treatment (continued)
• ACF‐ Hip Bone ‐ Plating • ACF ‐ Post Op Anterior • Back Exercises • Back Pain ‐ Introduction to Pain Management • Carpal Tunnel Release ‐ Endoscopic • Carpal Tunnel Release – Open • Cervical Diskectomy without Fusion • Cervical Fusion ‐ Posterior • Cervical Laminectomy & Possible Disk Excision • Cranioplasty • Cubital Tunnel Surgery • Epidural Injections • Expressing Your Pain • Facet Injections • Fractures and Sprains & their Treatment Options • Fractures and Treatment Options • Hip Replacement • Hip Replacement ‐ Physical Therapy • Hip Replacement ‐ Preventing Post Op
Complications • Knee Surgery ‐ Open • Lumbar Diskectomy – Endoscopic • Lumbar Diskectomy ‐ Minimally invasive • Lumbar Diskectomy ‐ Open • Lumbar Diskectomy ‐ Post Op • Lumbar ‐ Laminectomy & Possible Disk Excision • Lumbar Laminectomy & Possible Disk Excision ‐
[email protected] & TOLL FREE 1-TUTOR-FOR-WELLNESS (1-888-673-6793) Copyright 2009 New Millennia Health LLC
Management of Disease and Injury
Orthopedic Pak (continued)
• Shoulder Replacement ‐ Preventing Post Op Complications
• Shoulder Surgery – Open • Stellate Block • Subcutaneous Injection • Surgery for De Quervain's Tendonitis • Surgery for Ganglion Cysts • Tarsal Tunnel Release • Tennis Elbow and Surgical Treatment • Trigeminal Neuralgia • Trigger Finger Surgery • Trigger Point Injections
Therapy
• Back Exercises • Back Pain ‐ Introduction to Pain Management • Expressing Your Pain • Hip Replacement ‐ Physical Therapy • Injections (see Treatment) • Knee Replacement ‐ Physical Therapy • Massage Therapy • Neck Exercises
Surgery Readiness
• Advanced Medical Directives • Discharge Instructions ‐ General • Durable Power of Attorney • Foley Catheter ‐ Male • Foley Catheter Your Choices‐ Female • General Anesthesia • Incision Care • Jugular Inserted Central Catheter (JICC) • Living Will • Neurosurgery, What Is • Open Heart Surgery ‐ What to Expect • Patient Safety • Peripherally Inserted Central Catheter (PICC) • Pneumonia • Preparing for Surgery • Preparing for Surgery ‐ Part 1 • Preparing for Surgery ‐ Part 2 • Preventing an Infection After Surgery • Spinal Anesthesia
• Spinal Epidural • The Office Visit • Using an Incentive Spirometer
Job Related Injuries and Exposure
• How to Prevent Back Pain • Burns • Carpal Tunnel ‐ Prevention • Dust Mite Allergy • Expressing Your Pain • General Safety At Work • Hearing Loss • Hepatitis B • Hepatitis C • H1N1 Flu (Swine Flu) • Influenza ‐ Flu • Latex Allergies • Migraine Headache • Post ‐ Traumatic Stress Disorder ( PTSD ) • Preventing Pesticide Poisoning • Protect Yourself from Pesticides ‐ Pesticide
Handlers • Preventing Infections ‐ Hand Washing • Pulmonary Function Testing • Smallpox • Tuberculosis
Cardiac Disease Pak
Lifestyle
• Eating Healthy • Exercising For A Healthy Life • Living Healthy • Managing Cholesterol • Managing Stress • Preventing Strokes • Smoking, The Facts • Smoking, Your Choice • Weight Management
Conditions, Diagnoses
• Angina • Arrhythmias • Atrial Fibrillation
[email protected] & TOLL FREE 1-TUTOR-FOR-WELLNESS (1-888-673-6793) Copyright 2009 New Millennia Health LLC
Management of Disease and Injury
[email protected] & TOLL FREE 1-TUTOR-FOR-WELLNESS (1-888-673-6793) Copyright 2009 New Millennia Health LLC
• Cancer, How to Prevent ‐ Healthy Life Habits • Heart Diseases, How to Prevent • Hypertension • Living Healthy • Managing Stress • Preventing Strokes • Smoking, The Facts • Smoking, Your Choice
400 more session topics available in 45 medical categories! Contact us!
Wellness and Prevention General Wellness Pak
• Back Exercises • Eating Healthy • Exercising for a Healthy Life • General Safety At Work • H1N1 Flu (Swine Flu) • How to Prevent Back Pain • How to Prevent Cancer ‐ Early Screening • How to Prevent Cancer ‐ Healthy Life
Habits • How to Prevent Heart Diseases • Hypertension • Influenza‐Flu • Latex Allergies • Living Healthy • Managing Stress • Mammography • Neck Exercises • Pap Smear • Preventing HIV and AIDS • Preventing Pesticide Poisoning • Protect Yourself from Pesticides ‐
Pesticide Handlers • PSA ‐ Screening for Prostate Cancer • Smoking, The Facts • Smoking, Your Choice • Traveler's Tips for Staying Healthy • Visit to the Doctor • Weight Management
Wellness New Family Pak
• Advanced Medical Directives • Asthma • Back Exercises • Back Pain ‐ Introduction to Pain
Management • Breast Feeding • Cold Sores • Depression – Introduction • Durable Power of Attorney • Eating Healthy • Exercising for a Healthy Life • General Safety At Work
• H1N1 Flu (Swine Flu) • How to Prevent Back Pain • Influenza‐Flu (Pediatrics) • Lab Draws • Living Healthy • Mammography • Managing Stress • Neck Exercises • Newborn Screening Tests • Otitis Media (Pediatrics) • Post Partum Depression • Preventing Lead Poisoning • Small Pox • The Living Will • The Office Visit • Warts • Weight Management
Wellness Family with Teens Pak
• Acne • Advanced Medical Directives • Back Exercises • Back Pain ‐ Introduction to Pain
Management • Cold Sores • Colonoscopy • Depression – Introduction • Durable Power of Attorney • Eating Healthy • Exercising for a Healthy Life • General Safety At Work • H1N1 Flu (Swine Flu) • How to Prevent Back Pain • How to Prevent Cancer ‐ Early Screening • How to Prevent Cancer ‐ Healthy Life
Habits • How to Prevent Heart Diseases • Hypertension • Influenza‐Flu • Living Healthy • Massage Therapy • Managing Stress • Neck Exercises
[email protected] & TOLL FREE 1-TUTOR-FOR-WELLNESS (1-888-673-6793) Copyright 2009 New Millennia Health LLC
Wellness and Prevention
[email protected] & TOLL FREE 1-TUTOR-FOR-WELLNESS (1-888-673-6793) Copyright 2009 New Millennia Health LLC
Wellness Family with Teens Pak (cont’d)
• Pap Smear • PSA ‐ Screening for Prostate Cancer • Psoriasis • Sexually Transmitted Diseases • Smoking, Your Choice • The Living Will • The Office Visit • Weight Management • What's Colon Cancer • What's Ovarian Cancer • What's Prostate Cancer
Wellness Maturity Pak
• Advanced Medical Directives • Alzheimer’s • Arthritis ‐ General • Back Exercises • Back Pain ‐ Introduction to Pain
Management • Bone Densitometry • Colonoscopy • Depression – Introduction • Durable Power of Attorney • Eating Healthy • Erectile Dysfunction ‐ Your Choices • Exercising for a Healthy Life • General Safety At Work • Glaucoma • H1N1 Flu (Swine Flu) • Hearing Aids • Hearing Loss • How to Prevent Back Pain • How to Prevent Cancer ‐ Early Screening • How to Prevent Cancer ‐ Healthy Life
Habits • How to Prevent Heart Diseases • Hypertension • Influenza‐Flu • Living Healthy • Mammography
• Managing Stress • Massage Therapy • Menopause ‐ Introduction • Neck Exercises • Pap Smear • PSA ‐ Screening for Prostate Cancer • Shingles • Skin Cancer • The Living Will • Varicose Veins • Weight Management • What's Colon Cancer • What's Ovarian Cancer • What's Prostate Cancer
• Eating Healthy • Gastric Banding • Gastric Bypass • How to Prevent Heart Diseases • Hypertension • Living Healthy • Managing Stress • Preventing Strokes • Weight Management
Heart Awareness Pak
• Exercising For A Healthy Life • Eating Healthy • How to Prevent Heart Diseases • Hypertension
Wellness and Prevention Smoking Awareness Pak
• Living Healthy • Managing Cholesterol • Managing Stress • Preventing Strokes • Weight Management • How to Prevent Cancer ‐ Healthy Life Habits • How to Prevent Heart Diseases • Hypertension • Living Healthy • Managing Stress • Preventing Strokes • Smoking, The Facts • Smoking, Your Choice
400 more session topics available in 45 medical categories! Contact Us!
[email protected] & TOLL FREE 1-TUTOR-FOR-WELLNESS (1-888-673-6793) Copyright 2009 New Millennia Health LLC
ONLY HEALTHY TUTOR SUPPORTS THESE 3 IMPORTANT PRACTICE‐BASED STANDARDS! PQRI Pay 4 Performance Standards 47. Advance Care Plan 89. Counseling Patients with HCV Regarding Use of Alcohol 115. Advising Smokers to Quit 129. Universal Influenza Vaccine Screening and Counseling 132. Patient Co‐Development of Treatment Plan/Plan of Care
NCQA Patient‐Centered Medical Home 1. Active patient self‐management support
2. Clinical and/or service performance measurement, by physician or across the practice
3. Performance reporting, by physician or across the practice
Healthy Tutor also supports NCQA programs that focus on care of patients with diabetes, cardiovascular disease, stroke, and back pain.
ARRA Meaningful Use Let us help you meet your HIT goals! 2011 Objectives and Measures
• % of patients with access to patient‐specific educational resources [OP, IP]. • % of smokers offered smoking cessation counseling [EP, IP]
2013 Objectives and Measures • % of all patients with access to patient‐specific educational resources in
common primary languages [OP, IP] and • % of educational content in common primary languages [OP, IP].
2015 Objectives and Measures • % of all patients with access to self‐management tools [OP], and • NPP (National Priorities Partnership) quality measures related to patient
and family engagement [OP, IP].
TM
WHY PAY HIGH FEES & CHALLENGE RESOURCES FOR IN‐DEPTH SELF MANAGEMENT TRAINING?
[email protected] AND TOLL FREE 1‐TUTOR‐FOR‐WELLNESS (1‐888‐673‐6793) Copyright 2010 New Millennia Health LLC
e.g. Stanford Chronic Disease Self-Management Program $900 per person with chronic disease plus $700 for additional diabetes training
$1600 per person PLUS TRAVEL & MATERIALS
Stanford CDSMP licensing fees
$500 - $1000 per year Additional media: Non-interactive training videos, CDs, and audiotapes cost $18.95 to $32.95 each.
No results based outcomes of user performance or validation of learning is reported back to the provider.
TM offers results‐based, interactive diabetes education at a fraction of the cost of CDSM programs!
For less than $9 per session your patient or beneficiary can receive deep clinically designed, chronic disease and wellness education in the clinic , at home or anywhere on the internet!
Our exclusive 2 stage learning system uses 5 levels of content reinforcement for superior knowledge gain and retention. Follow‐up compliance testing is a snap!
HealthyTutor provides automated data archiving and reporting to keep you informed of the user’s ability to self manage. Full color electronic and hardcopy content of each session is included free of charge.
For patient group education and DSMT training, try our classroom‐ready automated response system technology. This inexpensive, compact and automated solution allows you to move between multiple sites without the need for additional on‐site staff support (CDE still required).
Find out more about the advantages of HealthyTutor and DiabetesTutor.
Overview To ensure quality content, the editorial staff that develop multimedia content for HealthyTutor focus on three main strategies:
1. Ensure all content is evidence-based. 2. Use proven instructional strategies based on theories of learning. 3. Address patients’ needs at their specific "point of care."
Our Evidence-based Content
To ensure our content is evidence-based HealthyTutor adheres to the following principles.
• Develop all content in conjunction with medical experts practicing in leading medical institutions in the USA.
• Submit content for review by at least 3 client specialists at leading medical institutions.
• Review each topic annually to ensure it corresponds with specialty practice guidelines.
• Request continuous online feedback from medical experts who use HealthyTutor or DiabetesTutor multimedia content with their patients.
The Focus on Patients’ Needs
Patient and beneficiary needs regarding health information vary depending on their medical condition and the stage of wellness or care. The goals of patient education vary from helping users make a healthcare decision, to teaching self-care skills, promoting healthy lifestyle changes, and providing comfort. To address users’ needs, HealthyTutor and DiabetesTutor content development involves patients. This is done mainly through direct online feedback from real patients using the tutorial sessions in clinical settings.