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LET’S MAKE HEALTH ADDICTIVE Joseph C. Kvedar, MD © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. ©
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Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr. Joseph Kvedar, Director, Center for Connected Health

Aug 20, 2015

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Page 1: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

LET’S MAKE HEALTH ADDICTIVEJoseph C. Kvedar, MD

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

©

Page 2: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

ABOUT THE CENTER FOR CONNECTED HEALTH

Technology is an enabler to provide care remotely

Benefits include improved engagement, outcomes, and efficiencies

Mission is to facilitate the adoption of Connected Health

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 3: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

CONNECTED HEALTH GOAL

Integrate care into the

day-to-day lives of our patients

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 4: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

WE CHECK OUR SMARTPHONES >100 TIMES A DAY!

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 5: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

SMARTPHONE ADDICTION

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 6: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

Tourist walks off Australia pier while checking Facebook

“Melbourne police warned

people to pay attention

when using social media

around water.”

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 7: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

BUT PUSHING A BUTTON FOR HEALTH IMPROVEMENT IS TOO HARD.

Photos: Center for Connected Health, Alere Connect© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 8: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

• Always on and connected

• In the moment messaging

• Capture your health data

• Display information

• SMARTPHONES ARE ADDICTIVE!

MOBILITY IN HEALTH

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 9: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

HOW DO WE TAKE ADVANTAGE OF CONNECTED HEALTH

TO IMPROVE PATIENT ENGAGEMENT?

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 10: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

3 STRATEGIES

Photo: iStockPhoto© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 11: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

1. MAKE IT ABOUT LIFE©

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 12: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

MAKE IT ABOUT LIFE: OB TEXTING

Photo: iStockPhoto© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 13: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

• 74% — Helped to learn totake care of themselves andtheir babies

• 85% — Felt supported bythe OB team

MAKE IT ABOUT LIFE: OB TEXTING

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 14: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

2. MAKE IT PERSONAL

Photo: iStockPhoto

©

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 15: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

Customized

Program DesignReadiness

To Change

Connected

Health Data

Practice

Location

Analytic

Engine

MAKE IT PERSONAL: TEXT 2 MOVE

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 16: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

MAKE IT PERSONAL: TEXT 2 MOVE

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Mean change in daily steps by engagement level

**p= 0.03

Page 17: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

MAKE IT PERSONAL: TEXT 2 MOVE

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Mean change in HbA1c by engagement level

Page 18: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

3. REINFORCE SOCIAL CONNECTIONS

Photo: iStockPhoto

©

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 19: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

MAKE IT SOCIAL: CONNECT 2 MY ACT

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 20: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

MAKE IT SOCIAL: CONNECT 2 MY ACT

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

*Study ongoing. Results are preliminary.

** Traditionally, similar control sample has about 18% engagement in the clinic.

•79%**Engagement

•21/25Final ACT

•1.47 pointsACT Improvement

Results*

Page 21: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

3 TACTICS

Photo: iStockPhoto© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 22: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

1. EMPLOY SUBLIMINAL MESSAGING

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.Image: truth.com

Page 23: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

Reminder group

No Reminder Group

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

SUBLIMINAL MESSAGING : SUNSCREEN REMINDERS

Arch Dermatol. 2009;145(11):1230-1236.

Page 24: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

2. USE UNPREDICTABLE REWARDS ©

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 25: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

UNPREDICTABLE REWARDS : UBER

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 26: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

3. USE THE SENTINEL EFFECT©

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 27: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

Average drop of HbA1c: 1.5

69% achieved a drop in BP

SENTINEL EFFECT: DIABETES & BLOOD PRESSURE CONNECT

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 28: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 29: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

GOOGLE FIELD TRIP

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 30: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

ARGUS

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Page 31: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

Cancer Pain Management Mobile App

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

Tailored Messaging Program: Empowers patients to address barriers to pain management

when possible/appropriate

Supports patients through pain management

Report Pain Score

Follow Decision Tree

Appropriate Coaching

1) Education & Coaching messages

2) Immediate help with breakthrough

pain

3) Pain Score Algorithm:

Page 32: Health IT Summit Boston 2014 – Keynote Presentation “Making Health Addictive” with Dr.  Joseph Kvedar, Director, Center for Connected Health

© 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.

WAYS TO CONNECT

The cHealth Blog:

chealthblog.connectedhealth.org

www.connectedhealth.org

Annual Symposium:

October 23-24 2014; Boston

LinkedIn Group:

Connected Health Community

Twitter:

@connectedhealth

@jkvedar

Contact Me:

[email protected]